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  1. Dave Tomson, chair1,
  2. Rachel Burbeck, systematic reviewer2,
  3. Stephen Pilling, director2,
  4. Liz McDonald, consultant perinatal psychiatrist3
  1. 1NICE Antenatal and Postnatal Mental Health Guideline Development Group, National Institute for Health and Clinical (NICE). London WC1V 6NA
  2. 2National Collaborating Centre for Mental Health, University College London, London WC1E 7HB
  3. 3NICE Antenatal and Postnatal Mental Health Guideline Development Group
  1. s.pilling{at}ucl.ac.uk

    As the developers of the recent NICE guideline on antenatal and postnatal mental health1 we found some aspects of the article by O'Keane and Marsh on depression during pregnancy of concern.2 Firstly, by focusing only on depression it perpetuates the myth that depression is the only important mental disorder of pregnancy and the postpartum period, when other disorders are also important, notably, anxiety disorders. Secondly, it is written from a secondary care perspective when the burden of care …

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