Perinatal mood & anxiety disorders
Perinatal mood and anxiety disorders
Perinatal mood and anxiety disorders Symptoms Treatment Prevention Frequently asked questions
Adjusting to the physical and emotional demands of motherhood is challenging for any woman. Some moms may feel overwhelmed, exhausted, inadequate, anxious, sad, confused, angry — even terrified. Many suffer in silence from fear or shame.
The term "postpartum depression" has been commonly used for a number of years to describe symptoms of depressive disorders occurring after childbirth however there are actually a spectrum of mental health disorders that can occur with significant frequency both during pregnancy and following childbirth.
It’s important to understand that mood disorders are not something you can “snap out of.” Depression and anxiety develop when chemical changes in the way your brain works begin to affect how you feel. It’s a medical problem, and it requires help from a doctor and/or counselor.
Call the Mom's Line at 866-364-MOMS (866-364-6667) – This is a phone line dedicated to women or anyone concerned about a woman, who may be experiencing signs or symptoms of perinatal mood and anxiety, postpartum depression and/or psychosis. A specialist can provide recommendations based on symptoms and/or information on PMADs and/or treatment. Messages on this line are checked daily and calls will be returned within 24 hours.
Find a Counselor –
Find a Support Group – We offer a variety of support groups for families experiencing a variety of issues involving pregnancy/parenthood including postpartum depression, anxiety or grief/loss. Our groups include:
If you've experienced a perinatal mood disorder before, you have a 50-80 percent chance of experiencing this again. Women who have had major complications during pregnancy are twice as likely to have PMADs compared with those who had a relatively easy pregnancy. There is a 15-25 percent risk of PMADs in women with a prior history of depression or bipolar disorder, which significantly increases when moms discontinue medications during pregnancy.
If you had PMADs after past pregnancies, your doctor may prescribe antidepressant medication after you deliver to reduce the chances of PMADs returning. While perinatal mood and anxiety disorders cannot be prevented, here are some ways to help yourself:
Plan ahead – Find someone who can help with household chores and the baby during your first week home from the hospital; choose child care so you get a break on an ongoing basis; and decide ahead of time what you need to have on hand when the baby arrives.Educate yourself – Take prenatal classes to teach parenting skills, reliance on assistance from support personnel including spouses, family members, friends and neighbors.Stay on top of symptoms – Screening questionnaires may help detect depression or risks for depression early. Do your best to answer screening questions honestly so that your behavioral health provider can help you.Talk about your feelings – Talk about your fears and anxieties before the baby arrives, and continue these discussions after delivery. Meeting with a professional counselor, attending support groups, and having good social support from loved ones can all help to reduce the symptoms of PMADs.Planning for baby Tip Sheet
Most likely, no. While the "baby blues" are common and some women get perinatal depression after delivery, you’re probably out of the woods. The majority of postpartum blues starts the first week after giving birth and postpartum depression and anxiety sets in after the second week.
That being said, postpartum anxiety and depression has been known to develop anytime within a year after giving birth. This is because there are multiple factors that influence its development, including hormonal changes and life stressors. Sometimes it is a culmination of factors over time that result in its development.
If you feel sad, anxious, overwhelmed or any of the other symptoms that won't go away after two weeks, you should contact your doctor.
New fathers, especially first-timers, may also have feelings of sadness or anxiety, especially about feeling left out when all of the attention is focused on the mother and baby. They also eventually suffer from lack of sleep and exhaustion as they care for the baby and try to manage work as well.
Now is a good time to talk to each other about being new parents. Try to spend some time alone together, even if it's just for an hour. Many parents try to plan a regular date night so they can be together without the baby. Keep in mind that dads can get depressed and anxious too, and should seek help if they have any of the symptoms of postpartum depression.
You should talk with your doctor and lactation consultant. Most medicines that moms take do show up in their breast milk. However, there are usually behavioral health medications that you can take safely while breastfeeding.
Discuss the options with your doctor. Some women benefit from therapy and don’t need to take medication, while others really need medical treatment. Make sure you find a treatment that works for you.