About Perinatal Consultation

The Perinatal Service is a resource for providers caring for patients with mental health concerns who are pregnant, postpartum, and breast/chest-feeding and individuals in need of preconception consultation. Medical providers can consult directly with a perinatal psychiatrist trained in perinatal mental health conditions and medication safety and receive evidence-based guidance around screening, assessment, diagnosis and treatment of perinatal mood and anxiety disorders. Consults may be single questions or may involve ongoing contact for complex issues. Liaison coordinators provide resources and referrals to providers for their perinatal patients. Click here to learn more about the benefits of registering for VTCPAP!

Perinatal Mood and Anxiety Disorders, Beyond SSRIs

Sarah Guth, MD, Perinatal Psychiatrist

On September 16, 2025 Dr. Sarah Guth led an educational webinar on alternative and adjunctive medication for perinatal mood and anxiety disorders and their relative safety when SSRI’s are not a good choice for pregnant and breastfeeding patients. The goal of the webinar was to help broaden providers' toolkits when perinatal psychiatry isn't quickly available. Click Here to watch the webinar recording!

FDA Panel on SSRI's in Pregnancy, July 21st 

What to Expect in a Call:

All provider calls are welcome, but we are not available to help on an emergent basis. We can help with crisis planning.

A liaison coordinator will answer your call to the VTCPAP line at (802) 488-5342, between 9:00am – 3:00pm, Monday -Friday.

If you are not registered, don’t worry, the liaison coordinator will help you get your practice registered.

The liaison coordinator will set up a time for the perinatal psychiatrist to call you back, that works for you.

The consultation may result in recommendations for appropriate screening, treatment, or referral resources, all of which promote a trauma-informed approach to care.

For complex cases, the perinatal psychiatrist may consult over a longitudinal timeframe, supporting a patient’s care over multiple visits.

Call Examples

About

Sarah Guth,

MD Perinatal Psychiatrist

Sarah Guth is a Perinatal Psychiatrist based at the University of Vermont Medical Center. For the past eight years, Sarah has been seeing patients who are pregnant, postpartum, or have other symptoms associated with reproductive hormones, such as PMDD, or mental health concerns associated with perimenopause. In addition to direct clinical care, Sarah supports other providers to take care of Vermont's perinatal people with VTCPAP.