Signs and Symptoms

Perinatal Mental Health Disorders

  • Are you feeling sad or depressed?
  • Do you feel more irritable or angry with those around you?
  • Are you having difficulty bonding with your baby?
  • Do you feel anxious or panicky?
  • Are you having problems with eating or sleeping?
  • Are you having upsetting thoughts that you can’t get out of your mind?
  • Do you feel as if you are “out of control” or “going crazy”?
  • Do you feel like you never should have become a parent?
  • Are you worried that you might hurt your baby or yourself?

Any of these symptoms, and many more, could indicate that you have a form of perinatal mental health disorder, such as postpartum depression. While many parents experience some mild mood changes during or after the birth of a child, 15 to 20% of women experience more significant symptoms of depression or anxiety. Please know that with informed care you can prevent a worsening of these symptoms and can fully recover. There is no reason to continue to suffer.

Parents of every culture, age, income level and race can develop perinatal mental health disorders. Symptoms can appear any time during pregnancy and the first 12 months after childbirth. There are effective and well-researched treatment options to help you recover. Although the term “postpartum depression” is most often used, there are actually several forms of illness that parents may experience, including:

Depression During Pregnancy & Postpartum

Someone with PPD (Postpartum Depression) might experience feelings of anger, sadness, irritability, guilt, lack of interest in the baby, changes in eating and sleeping habits, trouble concentrating, thoughts of hopelessness and sometimes even thoughts of harming the baby or themselves.

Anxiety During Pregnancy & Postpartum

Someone with PPA (Postpartum Anxiety) may experience extreme worries and fears, often over the health and safety of the baby. Some people have panic attacks and might feel shortness of breath, chest pain, dizziness, a feeling of losing control, and numbness and tingling.

Pregnancy or Postpartum OCD

Someone with PPOCD (Postpartum Obsessive Compulsive Disorder) can have repetitive, upsetting and unwanted thoughts or mental images (obsessions), and sometimes they need to do certain things over and over (compulsions) to reduce the anxiety caused by those thoughts. These individuals find these thoughts very scary and unusual and are very unlikely to ever act on them.

Postpartum Post-Traumatic Stress Disorder

PPTSD is often caused by a traumatic or frightening childbirth or past trauma, and symptoms may include flashbacks of the trauma with feelings of anxiety and the need to avoid things related to that event.

Bipolar Mood Disorders

Many people are diagnosed for the first time with bipolar depression or mania during pregnancy or postpartum. Bipolar mood disorder can appear as a severe depression; individuals may need informed evaluation and follow-up on past and current mood changes and cycles to assess whether there is a bipolar dynamic.

Women with bipolar disorder are at a significantly higher risk of experiencing psychosis, particularly if they are not taking medication and are extremely sleep-deprived. It is important to develop a wellness plan with a practitioner familiar with postpartum illnesses. Having adequate support is a must.

Postpartum Psychosis

PPP sufferers sometimes see and hear voices or images that others can’t, called hallucinations. They may believe things that aren’t true and distrust those around them. They may also have periods of confusion and memory loss, and seem manic. This severe condition is dangerous so it is important to seek help immediately.

If you are experiencing any of the above symptoms, please contact your healthcare provider right away and/or call Postpartum Support International at (800) 944-4PPD (944-4773), Text in English: 800-944-4773 or Text en Español: 971-203-7773. You can also find more information about Perinatal Mood and Anxiety Disorders at  www.postpartum.net. PSI is the largest perinatal support agency in the U.S. PSI’s toll-free WarmLine (English & Spanish) serves over 1,000 callers a month and is staffed by a volunteer team of PSI trained responders who rapidly refer callers to appropriate local resources, including emergency services.