For the Postpartum Depression and Maternal Mental Health Oral History Project. Margaret Spinelli is a psychiatrist who specializes in postpartum depression and psychosis, neonaticide, and infanticide. She discusses her career in nursing and then switch to psychiatry, her work as an expert witness, her work in interpersonal psychotherapy. She explains the issues with the Diagnostic and Statistical Manual of Mental Disorders (DSM) and her campaign to change the DSM-V. She discusses the case of Caroline Beale (1994) and Andrea Yates (2001). She discusses a number of other figures in perinatal psychiatry, including Kathy Wisner, Channi Kumar, and the Marcé Society.