Perinatal women who complete a course of cognitive behavioural therapy (CBT) develop skills that will extend far beyond the transition to parenthood. The CBT strategies described in the book are those that are commonly used to treat depression and anxiety in adult clients, adapted slightly in some cases to meet the demands of new motherhood. Perinatal clients with depression and anxiety are often faced with the decision of whether or not to take psychotropic medication. Cognitive behavioral therapists might also work with women who have been released from the hospital after an episode of postpartum psychosis, and are reintegrating themselves back into their families. The cognitive model of suicide regards suicidal thoughts and behaviors as the primary clinical issue, rather than a symptom of another condition. The transition to parenthood is one of the more significant times in a woman's life. Adjustment difficulties and emotional distress can be devastating to new mothers who experience them.