Each woman's pregnancy experience is qualitatively influenced by her conscious and unconscious responses to it. These can be considered as biological, psychological, and psychosocial. Particularly pertinent are her age, past history of psychiatric disorders, socioeconomic status, and circumstances of the current pregnancy. The obstetrical history, especially about miscarriages, stillbirths, low birth weight infants, prior perinatal psychological disturbances, perinatal deaths, and the patient's response to them, should be carefully elicited. If mourning of any prior miscarriage(s) or other loss(es) has not been addressed, the patient may experience a resurgence of memories of the prior, lost pregnancies, along with feelings of increased anxiety during the current one.1, 2 Such grieving has also been found, although to a lesser degree, in fathers.2 A detailed family history about any prior episodes of depression or mania, prior postpartum depression or mania during pregnancy, and/or diagnosis of bipolar disorder (BPD) in first degree female relatives should be sought. It is not unusual for a previous episode of depression or mania in the patient or a close relative not to have been recognized.