I have an appointment with the perinatal mental health nurse next week after being referred by my midwife. I'm 27 weeks pregnant with my second. I had bad anxiety and depression when pregnant and for the first year with my first baby but there was no perinatal mental health service in my area then so I had no support apart from a GP appointment now and then because I wasn't actively suicidal so I wasn't unwell enough to deserve help. I'm not actively suicidal yet at the moment but I am having very dark thoughts about harming myself. I am not in current danger and I will never do anything to myself while pregnant that would harm my unborn baby. My question is, has anyone had experience with the perinatal mental health service while pregnant as an outpatient? What can they actually help with? I don't even know what help I need or want?? I just feel terrible, scared, angry, hormonal, just want to self harm and am constantly arguing with everyone at home and slipping up at work. If the nurse asks me what I want from their service I have no idea what to say. To not feel like this??? To stop being a piece of crap? I fully expect to be discharged and/or given a leaflet about mindfulness. I'm lost but i don't know how to ask for directions so thought I would ask on here if anyone would be able to share any of their experiences or advice on how to actually ask for and accept help from mental health services?? Xx