Women’s and Reproductive Mental Health (WARM) Program

One of the first programs of its kind in the nation, the Columbia WARM Program provides holistic, multi-disciplinary, trauma-informed, and evidence-based care to women and birthing people. At WARM, we recognize the complexities of each person’s experiences and will work collaboratively with you to develop appropriate individualized treatment plans. Our providers focus on problems that can occur during the menstrual cycle, pregnancy, postpartum, and menopause. This includes challenges related to pregnancy loss, infertility, and parenting, as well as mental health difficulties related to birth control and obstetrical & gynecological disorders such as endometriosis and polycystic ovarian syndrome (PCOS). 

Services We Provide 

 The WARM Program offers the following services:

• Diagnostic psychiatric and psychological evaluation
• Preconception consultation and planning
• Medication consultation and management
• Short-term and long-term psychotherapy, including cognitive-behavioral, interpersonal, supportive, and dynamic approaches
• Family education and support
• Access to state-of-the-art research trials
• Referrals to appropriate programs and providers for patients, children, partners, and other family members

Learning more about Perinatal Mood and Anxiety Disorders (PMADs)

Perinatal Mood and Anxiety Disorders (PMADs) occur in 1 in 5 birthing individuals and include mental health disorders such as postpartum depression, anxiety, obsessive-compulsive disorder, and psychosis. PMADs, which often start during pregnancy, can have a significant impact on an individual’s mind and body. Our providers at WARM are specialized in treating and supporting individuals with PMADS. If you are experiencing mental health challenges and currently considering pregnancy, are pregnant, or postpartum, we are here to provide support.

Inclusivity at WARM

At WARM, we recognize that individuals who experience reproductive transitions such as menses, pregnancy, and menopause encompass various identities and backgrounds. At WARM, we strive to provide accessible and compassionate care to all.

Our Leadership 

Elizabeth Murphy Fitelson, MD
Director, The Women's and Reproductive Mental Health (WARM) Program

Nicole Edris Pacheco, MD
Fellowship Director, The Women's and Reproductive Mental Health (WARM) Program