This course will focus on the diagnosis and treatment of psychiatric disorders in women across the reproductive lifespan. Specialized knowledge is necessary to tailor treatments to reproductive events such as pregnancy and pregnancy planning, the postpartum, breastfeeding, the menopausal transition, and menstrual cycle related mood dysregulation. Exposure to psychotropic medications and the consequence of untreated psychiatric disorders must be considered when treating pregnant women, those who may become pregnant during treatment, and those who are breastfeeding. Up to date and comprehensive knowledge is required to help patients make collaborative and individualized treatment decisions. Focused material will also be presented regarding the treatment of premenstrual dysphoric disorder and premenstrual mood exacerbation, as well as treatment considerations for the menopausal transition. Learning in this course will be facilitated by didactic materials delivered by the faculty from the MGH Center for Women's Mental Health. Faculty will also facilitate question and answer and case-based discussion sessions for course participants. Readings to accompany course materials will also be provided.

Learning Objectives

By the end of this program, participants will be able to:

Week 1: Major Depressive Disorder in Pregnancy and the Postpartum

- Describe critical research findings in reproductive psychiatry that inform clinical care
- Recognize the current knowledge gaps in reproductive neuroscience with respect to perinatal depression
- Receive an update regarding reproductive safety of psychiatric medication during pregnancy and management strategies for screening and treatment of postpartum depression

Week 2: Bipolar Disorder: Considerations Across the Reproductive Lifespan

- Frame the treatment of reproductive aged women with bipolar disorder from the standpoint of reproductive safety
- Discuss the relative safety of pharmacologic treatments used in bipolar disorder in consideration of pregnancy
- Consider multiple and patient-centered variables in treatment selection for pregnant and reproductive-aged women with bipolar disorder

Week 3:Premenstrual Dysphoric Disorder (PMDD)

- Identify evidenced based treatments for PMDD, including psychotropic, hormonal and lifestyle modification options
- Describe the pathophysiology of PMDD
- Recognize the diagnostic criteria for PMDD outlined in DSM-5

Week 4: The Menopausal Transition and Depression

- Distinguish normal physical, hormonal and emotional changes at menopause from pathophysiologic conditions occurring during the menopausal transition
- Discuss the pathophysiology of and the role of hormonal changes in psychiatric illness emerging during the menopausal transition
- Identify appropriate treatment options for mood and anxiety disorders in midlife women

Week 5: Substance Use Disorders and Posttraumatic Stress Disorder in Women of Reproductive Age

- Identify the etiology of co-occurring PTSD and SUD in women
- Discuss screening for and diagnosis of co-occurring PTSD and SUD in women
- Describe best treatment modalities for co-occurring PTSD and SUD in women

Week 6: ADHD in Women

- Discuss general risks of stimulant use during pregnancy and lactation with their patients with ADHD
- Create a tailored risk/risk analysis of stimulant use vs. risk of stopping treatment for their patient with ADHD
- Describe the non-pharmacologic treatment options available to their patients with ADHD


  • Staff Psychiatrist, Perinatal and Reproductive Psychiatry Clinical Research Program
    Massachusetts General Hospital
  • Director, Ammon-Pinizzotto Center for Women’s Mental Health
    Perinatal and Reproductive Psychiatry Clinical Research Program
    Massachusetts General Hospital
    Edmund and Carroll Carpenter Professor of Psychiatry
    Harvard Medical School
  • Instructor in Psychiatry HMS and Director of Training, Ammon-Pinizzotto Center for Women's Mental Health, MGH
  • Associate Director, Perinatal and Reproductive Psychiatry Clinical Research Program
    Massachusetts General Hospital

    Professor of Psychiatry
    Harvard Medical School
  • Instructor, Psychiatry, Harvard Medical School

    Staff Psychiatrist,
    Perinatal and Reproductive Psychiatry Clinical Research Program;
    Editor in Chief,,
    The Ammon-Pinizzotto Center for Women’s Mental Health
    Massachusetts General Hospital
  • Instructor, Psychiatry, Harvard Medical School

    Staff Psychiatrist, The Ammon-Pinizzotto Center for Women’s Mental Health
    Massachusetts General Hospital

    HOPE Clinic - Collaborative Care for Women with Dual Diagnosis

    Medical Director - Column Health Clinics

Target Audience

This program is intended for:

  • Psychiatrists
  • Primary care physicians
  • Nurse practitioners
  • Social workers
  • Psychologists
  • OB-GYN'S
  • Midwives


Physicians and Doctoral-level Professionals: $425.00
Other Professionals: $325.00

Cancellation Policy

Refunds will be issued for cancellation requests made during the first week of the course, but an administrative fee of $25.00 will be deducted from your refund. Cancellation requests made during the second week will receive a credit toward a future offering of the same course. No refunds or credits will be granted after June 22, 2020.

Live Session Schedule

Welcome toPsychiatric Disorders in Women: Diagnostic and Treatment Considerations Across the Female Lifespan.

Each week, the faculty will be answering questions relating to the webinars and readings.

Please prepare your questions in advance of the call and submit them If time permits, you may be able to ask questions that have not been pre-submitted, but to guarantee your query is addressed please send in your questions by close of business the day prior. Please see the weekly call schedule below:

Week Start Date

Date of Q&A

Time of Q&A

Q&A Moderator

Submit Questions By

Week 1: 6/8/2020

Major Depressive Disorder in Pregnancy and the Postpartum


12:00 PM EST

Lee Cohen, MD

6/10 at 5:00 PM EST

Week 2: 6/15/2020

Bipolar Disorder: Considerations Across the Reproductive Lifespan


3:00 PM EST

Marlene Freeman, MD

6/15 at 5:00 PM EST

Week 3: 6/22/2020

Premenstrual Dysphoric Disorder (PMDD)


4:00 PM EST

Laura Fagioli-Petrillo, MD

6/22 at 5:00 PM EST

Week 4: 6/29/2020

The Menopausal Transition and Depression


12:00 PM EST

Ruta Nonacs, MD, PhD

Submit beforehand
if possible,
there will also be opportinities to ask questions live

Week 5: 7/6/2020

Substance Use Disorders and Posttraumatic Stress Disorder in Women of Reproductive Age


12:00 PM EST

EdwinRaffi, MD, MPH

7/8 at 5:00 PM EST

Week 6: 7/13/2020

ADHD in Women


12:00 PM EST

Allison Baker, MD

7/15 at 5:00 PM EST

Instructions for Launching Weekly Calls

Participant Dial-In Number:1-866-906-9888
Participant Pin: 91759088#

1. At the time of the scheduled call, use the dial-in information (above) to call into the conference line.
2. Your line will be muted automatically.
3. To join the queue to ask a question, you can type "01" on your phone's keypad at any time.
4. Type "02" to leave the queue.
5. If there is time for your question, the call moderator will announce the last 4 digits of your phone number and unmute your line so you can speak.

In case of technical difficulties please call Liz McShane at (617)724-2040

Restrictions on Use of Materials

This site is operated and maintained by The Massachusetts General Hospital Psychiatry Academy. No material or information from this site may be copied, reproduced, republished, uploaded, posted, transmitted or distributed unless approved in writing by The Psychiatry Academy. Questions concerning the proper use of materials and information in this site should be directed No rights or licenses of any kind of The Psychiatry Academy's intellectual property are transferred to, granted to, provided to or received by you as a result of using this web site.

CME Information

Release Date:June 1, 2020
Expiration Date:July 13, 2020






AMA PRA Category 1 CreditsTM

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.

McLean Hospital designates this enduring material for a maximum of13.75AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Psychologists CE Credits

The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.

This offering meets the criteria for13.75 continuing education credits for psychologists.


Nursing Contact Hours

Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.

This program meets the requirements of the Massachusetts Board of Registration in Nursing at (244 CMR 5.00) for13.75 contact hours of nursing continuing education credit.Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.


Social Work CE Credit Hours

The Collaborative of NASW, Boston College, and Simmons College Schools of Social Work authorizes social work continuing education credits for courses, workshops, and educational programs that meet the criteria outlined in 258 CMR of the Massachusetts Board of Registration of Social Workers.

This program has been approved for D71689 Social Work Continuing Education hours for relicensure, in accordance with 258 CMR. Collaborative of NASW and the Boston College and Simmons Schools of Social Work Authorization Number D 81249.



Other Professions

Other Providers can claim a Participation Certificate upon successful completion of this course.

Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 CreditsTM associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 CreditsTM may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.


David H. Rubin, MD,reviewer
Jane Pimental, MPH
Susan E. Sprich, PhD,psychologist reviewer, moderator

Disclosure Information

In accord with the disclosure policy of McLean Hospital as well as guidelines set forth by the Accreditation Council on Continuing Medical Education, all people in control of educational content, including speakers, course directors, planners, and reviewers, have been asked to disclose all relevant financial relationships with commercial interests of both themselves and their spouses/partners over the past 12 months, as defined below:

Commercial Interest

The ACCME defines a "commercial interest" as any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests. For more information, visit

Financial relationships

Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Relevant financial relationships

ACCME focuses on financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity. ACCME has not set a minimal dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship. The ACCME defines "'relevant' financial relationships" as financial relationships in any amount occurring within the past 12 months that create a conflict of interest.

Conflict of Interest

Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.

The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported financial relationships with an entity producing, marketing, re-selling, or distributing health care goods or services (relevant to the content of this activity) consumed by, or used on, patients:

Lee S. Cohen, PhD

Research Support: National Pregnancy Registry for Atypical Antipsychotics, Alkermes Biopharmaceuticals; Forest/Actavis Pharmaceuticals; Otsuka Pharmaceuticals; Sunovion Pharmaceuticals, Inc.; Teva Pharmaceuticals

Other Research Support: Brain & Behavior Research Foundation; JayMac Pharmaceuticals; National Institute on Aging; National Institutes of Health; SAGE Therapeutics

Advisory/Consulting (through MGH Clinical Trials Network Initiative): Alkermes Biopharmaceuticals; Praxis Precision Medicines, Inc.

Marlene P. Freeman, MD

Investigator Initiated Trials (Research): JayMac, Sage

Advisory Board: Otsuka, Alkermes, Sunovion Pharmaceuticals

Independent Data Safety and Monitoring Committee (Honoraria): Janssen (Johnson& Johnson)

Dr. Freeman is an employee of Massachusetts General Hospital, and works with the MGH National Pregnancy Registry[Current Registry Sponsors]: Teva, Alkermes, Inc., Otsuka America Pharmaceutical, Inc., Forest/Actavis, Sunovion Pharmaceuticals,Inc.

Steering Committee for Educational Activities:Medscape

Susan Sprich, PhD (Psychologist Reviewer)

Royalties (for co-authoring treatment manual and client workbook): Oxford University Press

Royalties (for editing book):Springer

All other individuals including course directors, planners, reviewers, faculty, staff, etc., who are in a position to control the content of this educational activity have, on behalf of themselves and their spouse or partner, reported no financial relationships related to the content of this activity.

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC:500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

Privacy Policy

Please click here to review our privacy policy.