Pre-Pregnancy Evaluation

This type of evaluation is for people who are planning to become pregnant in the next 6 months to one year. People with a history of mood and anxiety disorders are at increased risk for postpartum mood and anxiety symptoms. The decision to stop medications prior to or during pregnancy carries risks for relapse of psychiatric symptoms. During this evaluation we will review your psychiatric history and provide you with an evidence-based discussion about the risks of stopping or continuing your medications for pregnancy. We will also provide recommendations for managing medications across pregnancy and the postpartum (including with breastfeeding if desired).

To help us provide you with a comprehensive evaluation, please provide the following at least two weeks prior to your evaluation date.

Required Records:

  • Typed summary of your care, including primary psychiatric diagnoses and medication trials to date (preferably with dates, efficacy, side effects, and reasons medication discontinued) from current (and/or past) psychiatric providers.
    We do NOT accept handwritten progress notes. Other pertinent medical records (see below) may be included.
  • Psychiatrists, psychiatric providers, and psychotherapists will need at least your verbal permission and, in most cases, your written permission in order to release a summary to us. Click here for a Release Form so that we can send our consult recommendations to your providers.
  • Pre-pregnancy evaluation history packet (word document file)

Preferred (if available, but not required at first appointment)

  • Typed summary of care from your treating psychotherapist.

How to Send Required Records to the Johns Hopkins Reproductive Mental Health Center


You are responsible for contacting your insurance company in order to obtain any necessary authorization for this appointment. The Johns Hopkins Department of Psychiatry and Behavioral Sciences contracts with many but not all insurance companies. Therefore, you should personally verify your mental health benefits, in particular, a one-time outpatient psychiatry visit. For patients who have insurance from companies with whom we do not have a contract, we require payment in full at the time of visit.