Episode 14: Supporting Mental Health Through Pregnancy, Genetic Testing & Uncertainty

In this episode of the GenoCare Podcast, Ally sits down with clinical psychologist Frances Bilbao, founder of Mums Matter Psychology, to explore the emotional impact of pregnancy, perinatal mental health, and the growing complexity of genetic testing during pregnancy.The conversation dives into:Why pregnancy and early parenthood can be one of the most psychologically vulnerable periods in a person’s lifeHow unexpected genetic screening results can trigger anxiety, uncertainty and identity disruptionThe emotional toll of waiting for diagnostic answersThe role of mindfulness, self-compassion and acceptance-based therapiesThe impact on relationships and partnersWhy early psychological support matters — even before someone reaches “crisis point”Frances also shares practical strategies for coping with uncertainty, explains why many people feel detached or overwhelmed after difficult prenatal news, and highlights the importance of accessible, specialised perinatal mental health support.Frances explains how pregnancy and becoming a parent often represent a major identity shift and developmental transition — even for people who have never previously struggled with mental health.The episode explores the psychological impact of receiving unexpected screening results during pregnancy and how uncertainty can quickly spiral into anxiety and fear.Frances discusses practical psychological approaches, including:MindfulnessGrounding techniquesAcceptance and Commitment Therapy (ACT)Learning to observe anxious thoughts without becoming consumed by themThe discussion highlights how many parents judge themselves harshly during difficult pregnancies and why compassionate self-talk can significantly improve emotional resilience.The episode also examines how different coping styles between partners can either strengthen or strain relationships during pregnancy complications and uncertain genetic results.Frances explains why some people emotionally detach from a pregnancy after difficult results — and why this is often a protective psychological response rather than a failure of bonding.The conversation closes with practical advice for families and healthcare professionals about recognising distress early, seeking help proactively, and building wraparound support systems for patients navigating genetic testing and pregnancy-related uncertainty.Mums Matter PsychologyCentre of Perinatal Excellence (COPE)One of the strongest themes from this episode is that struggling emotionally during pregnancy complications or uncertain genetic testing is not weakness — it is often a very normal human response to uncertainty, threat and major life change. Early support can make a profound difference not just for parents, but for long-term family wellbeing.Key Topics CoveredWhy the Perinatal Period is So Emotionally IntenseThe Emotional Impact of Genetic Testing ResultsCoping With UncertaintyThe Role of Self-CompassionSupporting Couples Through StressAttachment, Detachment & Pregnancy Loss FearsWhy Early Support MattersResources MentionedKey Takeaway