The line between depressive and anxiety disorders in perinatal as well as general populations is often blurred; when the EPDS has been factor-analyzed, although there are separate factors corresponding to depression and anxiety, several items have moderate loadings on both factors (Swalm, et al., 2010). Some services refer to antenatal or postnatal “distress” rather than attempt to differentiate depression from anxiety, and often women report a mix of anxious and depressed symptoms. In one large