Although many psychological issues are addressed during the screening, no test can determine issues regarded postpartum depression, which can be magnified by the surrogacy arrangement. A surrogate may not be worried about feeling detached from the baby, but instead may feel lonely for her intended parents. The reason for this sometimes stems from the relationship each party has built up over the course of the nine month pregnancy. It should be understood that the relationship between the surrogate and her Intended Parents is more than just phone calls and emails. In reality, personal details and intimate experiences may have been shared. Can you think of anything more intimate than carrying a baby for someone else? There is extremely definite possibility that surrogate mother become postpartum depression. Risk factors include previous major depression, psychosocial stress, inadequate social support, and previous premenstrual dysphoric disorder. Symptoms include depressed mood, tearfulness, inability to enjoy pleasurable activities, trouble sleeping, fatigue, appetite problems, suicidal thoughts, feelings of inadequacy or rejection, and impaired concentration.