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The Perinatal Patient

A Compassionate Approach to Treating Postpartum Depression, Anxiety, and Related Disorders

Hilary Waller, MS, LPC |  Karen Kleiman, MSW, LCSW
Publication Date:
Oct 03, 2023
PESI Publishing
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Caught between worrying about how she feels and desperately working to portray the image of a good mother, a perfect mother, a mother who knows what she’s doing, the postpartum woman in distress is more likely to choose silence or minimization over disclosure.

She will allow her suffering – her dark mood, scary intrusive thoughts, intense anxiety, excessive monitoring of the baby, feelings of inadequacy, grief over lost independence, thoughts of harming herself or the baby, and even delusions and hallucinations – to fly under the radar in exchange for a calm and collected exterior. Even if she’s worried about how she feels. Even if she and her baby are in danger.

The Perinatal Patient seeks to change that. Co-written by world-renowned maternal mental health expert Karen Kleiman and her highly accomplished mentee at The Postpartum Stress Center, Hilary Waller, this book offers revolutionary, compassionate guidance into the nuanced assessment and treatment of mental health symptoms postpartum – a critical period that does not offer the luxury of time.

Filled with case studies, worksheets, and handouts for both patients and providers, this invaluable resource will help you:

  • Increase the likelihood that patients will disclose how they’re feeling
  • Differentiate between “normal” perinatal experiences and more serious symptoms
  • Normalize and respond effectively to mothers’ intrusive thoughts
  • Decrease mothers’ feelings of isolation and help them build their social support systems
  • Determine when to refer a mother to a higher level of care
  • Navigate the complexities of infertility, pregnancy loss, and medical complications post birth
  • And more!



Hilary Waller, MS, LPC's Profile

Hilary Waller, MS, LPC Related seminars and products

The Postpartum Stress Center

Hilary Waller, MS, LPC, is a psychotherapist who specializes in the treatment of perinatal mood and anxiety disorders. She is the director of education and programming at The Postpartum Stress Center outside of Philadelphia, which was founded by renowned perinatal expert Karen Kleiman and was listed in Philly Magazine as a “Center of Excellence” for maternal/fetal care in 2008. In addition to providing direct care services to individuals, couples, and groups at the center, Hilary serves as an instructor with Karen Kleiman, providing a quarterly 12 CE hour postgraduate advanced training for clinicians across the US and abroad who want to specialize in treating the perinatal population. She conducts workshops and trainings for maternal mental healthcare providers as well as non-clinical staff working with the perinatal population. Hilary completed her master’s degree in counseling psychology from Holy Family University in 2013. She is deeply honored to support new patients.

Speaker Disclosures:
Financial: Hilary Waller has an independently contracted relationship with The Postpartum Stress Center and is a consultant for FamilyWell, Inc. She receives royalties as a published author. Hilary Waller receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Hilary Waller is a member of the American Counseling Association.

Karen Kleiman, MSW, LCSW's Profile

Karen Kleiman, MSW, LCSW Related seminars and products

The Postpartum Stress Center

Karen Kleiman, MSW, LCSW, is a well-known international maternal mental health expert with over thirty-five years of experience. As an advocate and author of several groundbreaking books on postpartum depression and anxiety, her work has been featured worldwide within the mental health community and beyond for decades. In 1988, Karen founded The Postpartum Stress Center, the premier treatment and training facility for prenatal and postpartum depression and anxiety. In 2022, she founded The Karen Kleiman Training Center, LLC, dedicated to the advancement of clinical expertise and therapeutic strategies for the treatment of perinatal mood and anxiety disorders. All advanced trainings are heavily influenced by The Art of Holding Perinatal Women in Distress™ model of intervention she developed in 2017.


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