On-Demand: Spotlight on Advanced Topics in Women’s Mental Health

The purpose of this course is to provide clinically meaningful education to multidisciplinary health care providers on topics often encountered in caring for women with psychiatric disorders.  This course was designed to promote high quality clinical care in women with psychiatric disorders across the reproductive lifespan, with comprehensive coverage of frequently encountered topics and discussion of the evidence base to inform clinical decision making.  Perinatal psychiatry topics will including clinical challenges discussed with case-based learning and considerations for women of color.  Substance use disorders during pregnancy and the postpartum will be additionally addressed. Topics will also include sexual dysfunction and an update on hormone therapy 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 provide question and answer and case-based discussion sessions for course participants. Readings to accompany course materials will also be provided.

Pricing per Module

Physicians and Doctoral-level Professionals: $95.00
Other Professionals: $75.00

Restriction 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 to: mghcme@mgh.harvard.edu. 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.

Cancellation Policy

A $10.00 administrative fee will be applied.

Target Audience

This program is intended for: practicing psychiatrists, primary care physicians, psychologists and nurse practitioners.

Learning Objectives

Challenging Cases 1:

  • Discuss the management of psychiatric disorders in women in the context of infertility and its treatment
  • Describe FDA pregnancy labeling for psychotropic medications and to put this in historical context, while considering the use of an antidepressant and early pregnancy exposure
  • Discuss selected non-medication strategies as part of the regimen for residual major depressive disorder

Challenging Cases 2:

  • Discuss the prevalence of postpartum psychosis and its risk factors, treatment and prevention strategies
  • Discuss treatment for bipolar disorder across pregnancy and the postpartum and relapse prevention strategies
  • Discuss the impact of the COVID-19 pandemic on the clinical delivery of perinatal psychiatry services in the US
  • Describe the risks of obesity in pregnancy and implications for women with psychiatric disorders

Considerations for Women of Color:

  • Identify barriers to care for racially and ethnically minoritized women.
  • Discuss factors associated with the development of medical mistrust.
  • Describe the cultural assessment and treatment preferences of racially and ethnically minoritized women.

Sexual Dysfunction in Women

  • Assess the various causes of sexual problems for women
  • Discuss risks and benefits of available treatment options for sexual dysfunction in women
  • Create an individualized treatment plan that addresses the multi-factorial nature of sexual dysfunction

Menopausal Hormone Therapy:

  • Discuss the impact of menopausal symptoms on quality of life
  • Describe how to advise women about available therapies for vasomotor symptoms 
  • Assess the potential risks and benefits of menopausal hormone therapy

Substance Use Disorder During Pregnancy:

  • Describe how the historical approach to substance use in pregnancy continues to harm patients in the U.S.
  • Discuss the optimal management of pregnant people who use opioids
  • Describe the literature on treatment of alcohol use disorder in pregnancy
Course summary
Registration opens: 
Course closes: 

Participants must complete each week and must complete all components receive credit, including:

  • Video Lecture
  • Reading and Resources (required and optional)
  • Q&A with Faculty
  • Discussion Board
  • Quiz



Lee Cohen and Marlene Freeman

Challenging Cases in Perinatal Psychiatry: Case Based Learning I & II

Nkechi Conteh

Perinatal Psychiatry: Considerations for Women of Color

Jan Shifren

Sexual Dysfunction in Women: Causes and Treatment Options

Kathryn Martin

Menopausal Hormone Therapy: Benefits and Risks Revisited

Jessica Gray

Substance Use Disorders During Pregnancy and the Postpartum


Please login or register to take this course.
Please login or register to take this course.
Please login or register to take this course.
Please login or register to take this course.
Please login or register to take this course.

Course Director(s)

Lee Cohen, MD
Marlene Freeman, MD


David H. Rubin, MD, reviewer
Jane Pimental, MPH
Susan E. Sprich, PhD, psychologist reviewer
Lee Cohen, MD
Marlene Freeman, MD

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 financial relationships with ineligible companies for the past 24 months, as defined below:                        

Ineligible Companies 

The ACCME defines an “Ineligible company” as “those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.”  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. 

Mitigation of Financial Relationships

All financial relationships are reviewed to determine which ones are relevant, and then measures are taken to mitigate all relevant financial relationships and ensure that they do not insert commercial bias into the content of the education.   

The following planners, speakers, content reviewers, and others in control of educational content have reported financial relationships with ineligible companies over the past 24 months. Measures have been taken to mitigate the impact of these financial relationships on the educational content and ensure that they do not insert commercial bias into the content of this education.  

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

Lee S. Cohen, PhD
Research Support: National Pregnancy Registry for Psychiatric medications, Alkermes Biopharmaceuticals ; Aurobindo Pharma; Auromedics Pharma LLC; Janssen Pharmaceutica; Otsuka Pharmaceuticals, Inc; Supernus 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. 

Jessica Gray, MD
Consultant: MCSTAP Massachusetts Consultaiton Service for Treatment of Addiction and Pain
Expert Witness: Vermont office of Attorney General
Consultant/on-call medical coverage: Gavin Foundation; Bay Cove
NIDA CTN 0800 study physician - salary support: NIDA

Susan Sprich, PhD
Royalties (Co-Author): Oxford University Press
Royalties (Co-Edited Book): Springer
Honoraria (Associate Editors): Association for Behavioral and Cognitive Therapies (ABCT)

All other individuals in a position to control the content of this educational activity have reported no financial relationships with ineligible companies.

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

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