The MatNeo Podcast

Beyond the Extremes: Rethinking Perinatal Mental Health Care

Jo Season 1 Episode 1

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In this episode, we explore the often-overlooked reality of mild to moderate mental health challenges during the perinatal period. While severe perinatal mental illness receives necessary clinical attention, many individuals experiencing distress below that threshold often fall through the cracks due to challenges in identification, fear of stigma and a lack of clear care pathways. 

We speak with Consultant Obstetrician Dr. Beth Revell, who specialises in perinatal mental health, and Natalie Goult, a Perinatal Psychological Therapist with NHS Talking Therapies, to discuss why early identification, integrated care, and reducing stigma are vital for improving outcomes. Together, they offer clinical insights, practical guidance, and system-level perspectives to help reframe how we understand and respond to perinatal mental health — across the full spectrum.

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References:

  • The Lancet Regional Health – Europe (2024) ‘Support not stigma: redefining perinatal mental health care’, The Lancet Regional Health – Europe, 40, p. 100930. Available at: https://doi.org/10.1016/j.lanepe.2024.100930.
  • National Institute for Health and Care Excellence (NICE) (2020) Antenatal and postnatal mental health: clinical management and service guidance. Clinical guideline [CG192]. Updated 11 February 2020. Available at: https://www.nice.org.uk/guidance/cg192 (Accessed: [04/08/2025]).