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Pregnancy & Postpartum Support

For new or expectant moms, it can be upsetting and frightening to have feelings about motherhood that don’t seem “right.”

For some women, a morning run, a healthy diet, and receiving help and support from family and friends are sufficient enough to get through the initial adjustment period. For others, talking to a therapist who specializes in dealing with new motherhood issues can be comforting, relieving, and enlightening.

Therapists who have extensive education and training in postpartum disorders understand that hormone changes, personal and family history, and social support are all vital factors in understanding and alleviating postpartum symptoms.

Depression And Anxiety During Pregnancy

Depression that occurs during pregnancy or within a year after delivery is called perinatal depression. Researchers believe that depression is one of the most common complications during and after pregnancy. Factors that may increase the likelihood of depression during or after pregnancy can include; history of depression or substance abuse, family history of mental illness, inadequate support from family and friends, anxiety about the fetus, problems with previous pregnancy or birth, marital or financial problems, young age (of mother or newborn). Tiredness, problems sleeping, stronger emotional reactions, hormonal changes, and changes in body weight normally occur during and after pregnancy, but these symptoms may also be signs of depression.

It is natural for women to experience changes in their feelings and mood during pregnancy, including feeling more tired, irritable or worried. However, while mild mood changes during pregnancy are common, mood symptoms can sometimes become severe enough to require treatment by a health provider. If feelings of depression or anxiety persist for a few weeks or interfere with daily activities, it is time to ask for help. Depression and anxiety during pregnancy can worsen and continue into the postpartum period.

Symptoms you may experience:

  • Feeling sad, depressed, and/or crying a lot
  • Diminished interest in becoming a mother
  • Feeling worthless or guilty, especially about not being a good mother
  • Strong anxiety, tension, and/or fear either about your future child or other things
  • Sleep problems (not being able to sleep despite feeling very tired or sleeping more than usual but not feeling rested)
  • Thoughts of wanting to be dead or wanting to kill yourself
  • Having low energy
  • Loss of or increase in appetite or weight
  • Trouble focusing, remembering things, or making decisions
  • Feeling restless or irritable
  • Having headaches, chest pains, heart palpitations, numbness, or hyperventilation

Postpartum Depression And Anxiety

Many women have a variety of mood symptoms in the aftermath of delivery. 50-85% of women feel Postpartum Blues or “Baby Blues” for a short time, usually 1-3 weeks after delivery. Common symptoms of “Baby Blues” can be mood instability, depressed mood, weepiness, sadness, irritability, anxiety, lack of concentration and feelings of dependency. Symptoms of “Baby Blues” usually subside 1-3 weeks after delivery. These symptoms are often self-limited and are to be distinguished from a more severe condition often called Postpartum Depression (PPD) which has increased severity and duration of symptoms.

Postpartum Depression occurs in up to 10% of births. It typically emerges over the first 2-3 months after childbirth but may occur at any point after delivery. Symptoms of PPD last for more than 2 weeks. Depression after childbirth is a serious illness and can have significant and lasting impact on the patient, infant, and family.

Symptoms of Postpartum Depression:

  • Feeling sad, depressed, and/or crying a lot
  • Intense anxiety; rumination, obsessions (See Postpartum Anxiety Disorders below)
  • Loss of interest in usual activities
  • Feelings of guilt, worthlessness or incompetence
  • Fatigue, irritability, sleep disturbance
  • Change in appetite
  • Poor concentration
  • Feeling inadequate to cope with new infant
  • Excessive worry about baby’s health
  • Suicidal thoughts

Postpartum anxiety disorders such as panic disorder, obsessive compulsive disorder and generalized anxiety disorder appear to be as common as postpartum depression and even coincide with depression. 

Perinatal anxiety symptoms can include the following: 

  • panic attacks
  • hyperventilation
  • excessive worry
  • restless sleep
  • repeated thoughts or images of frightening things happening to the baby.

If you are experiencing any of these symptoms, please reach out for help.  You do not have to suffer alone.  Contact me at (818) 667-6663 or go to https://www.postpartum.net