Depression Types What Is Postpartum Depression? By Amy Morin, LCSW Amy Morin, LCSW Facebook LinkedIn Twitter Amy Morin, LCSW, is a psychotherapist and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk, "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time. Learn about our editorial process Updated on February 18, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Carly Snyder, MD Medically reviewed by Carly Snyder, MD Facebook LinkedIn Twitter Carly Snyder, MD is a reproductive and perinatal psychiatrist who combines traditional psychiatry with integrative medicine-based treatments. Learn about our Medical Review Board Print Verywell / Theresa Chiechi Table of Contents View All Table of Contents Symptoms Diagnosis Treatment Causes Prognosis Coping Postpartum depression (PPD) is a type of depression that occurs after giving birth. It’s more serious than the “baby blues” as it can interfere with a new mother’s ability to function. It’s important for new mothers and family members to be on the lookout for signs of postpartum depression. It’s treatable and early intervention can be key to helping mothers feel better as quickly as possible. Symptoms It’s completely normal for new moms to feel tired, moody, or overwhelmed after giving birth. But when these symptoms interfere with a new mother’s ability to function and care for their new child, it can be a sign of postpartum depression. Symptoms of PPD vary from person to person. And they may fluctuate on a daily basis. In general, here are some symptoms that mothers with this condition experience: Crying and unexplained feelings of sadness Exhaustion yet inability to sleep Eating too little or too much Unexplained aches and pains Sudden changes in mood Feelings of disconnect with the new baby and guilt about not experiencing joy Difficulty making decisions Lack of interest in previously enjoyed activities Irritability, anxiety, and anger that sometimes feel out of control Trouble concentrating, staying on task, and remembering things Feelings of hopelessness and helplessness Intrusive thoughts about self-harm or harming the baby Symptoms typically appear within a few weeks of giving birth, but they may not surface until months later. They sometimes temporarily subside and then resurface. If you or a loved one are struggling with postpartum depression, contact Postpartum Support International at 1-800-944-4773 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. What Is Postpartum Anxiety? Diagnosis A physician or mental health professional can diagnose PPD. This diagnosis would be made after an interview and assessment. Many physicians routinely ask new mothers questions about whether they’ve had thoughts of hurting themselves or their babies and whether they’re feeling down. This is part of the screening process for postpartum depression. Physicians may run some tests to rule out any health issues that may be contributing to symptoms. Thyroid conditions, for example, can cause depression. Once physical health issues have been ruled out, a diagnosis of postpartum depression might be made if the criteria are met. Treatment Treatment for PPD may include medication, therapy, or a combination of both. Antidepressants are commonly prescribed to treat it. These regulate the chemicals in the brain that manage emotions. But it can take a few weeks for them to take effect. And sometimes the first antidepressant doesn’t work, so a new medication may be tried. Some antidepressants are safe to take if you’re breastfeeding, but others are not. Your physician will discuss treatment options with you as well as any side effects you might experience. Your physician may refer you to a therapist as well. A licensed mental health professional can help you find healthy ways to cope with stress as well as strategies for dealing with depression while you’re caring for yourself and your baby. The Best Online Therapy Programs We've tried, tested and written unbiased reviews of the best online therapy programs including Talkspace, Betterhelp, and Regain. Causes Postpartum depression affects up to 15% of mothers. While all the reasons some mothers develop postpartum depression and others don’t aren’t completely known, recent research has identified several risk factors. Psychosocial risk factors for postpartum depression include: Depression and anxiety during pregnancyStressful life events during pregnancyPoor social supportRelationship conflictLow incomeImmigrant statusYoung maternal ageLow partner support Postpartum depression may be related to sensitivity to hormonal fluctuations. Women who previously had the condition are more likely to experience it again after the birth of another baby. Normal fluctuations in hormonal levels during pregnancy and after delivery can lead to changes in sleep patterns. And these interruptions in sleep can contribute to the onset of postpartum depression. One study found that difficulty falling asleep during the first three months after delivery can be a risk factor. Prognosis It’s important to seek treatment for postpartum depression. Without treatment, symptoms can worsen. In addition to experiencing emotional pain, women with postpartum depression are at a greater risk of suicide. In extreme cases, women with the condition have hurt or even killed their babies. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. There’s also a greater risk that mothers with postpartum depression may struggle to form healthy attachments with their babies. This can have longer-term consequences on children and families. And it can also affect a couple’s relationship as well. Some people may find that symptoms resolve on their own. Others may have their symptoms cleared with medication, therapy, or a combination of the two. Most mothers feel better after about six months of treatment. Treatment for Postpartum Depression Coping Reaching out to others for help can be tough, but it is very important when you’re dealing with postpartum depression. Many new mothers feel too embarrassed or guilty to tell anyone that they’re struggling. But postpartum depression can happen to anyone after childbirth. So it’s important to remember that it’s not a sign of weakness and it doesn’t serve as evidence that you’re a bad parent. You might ask someone to help you watch the baby so you can take a nap. Or you may need to tell your partner what kinds of things would be helpful for you right now. Some people might say, “Let me know if you need anything,” but they may not know how to help. So request that they assist you with household chores or errands if these things seem overwhelming. Or simply let someone know that you need to talk. It’s important to work on caring for yourself when you’re dealing with postpartum depression. Of course, this can be difficult when you’re caring for your new baby too. But eating a well-balanced diet, getting a little exercise (once your doctor says it’s OK), and getting adequate rest can help you feel better. It can also help to join a support group for new mothers. You’ll likely find that many of them are experiencing (or have experienced) PPD as well. What Is Postpartum Psychosis? A Word From Verywell If you think you may be experiencing postpartum depression, talk to your physician right away. Share your symptoms, and talk about your concerns—even though it may be tough to do so. Your physician can assist you in getting the treatment you need to feel your best. If you are concerned that a loved one may be experiencing postpartum depression, ask them how they are doing. Offer practical assistance or emotional support if you’re able to do so. 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry. 2004;26(4):289-295. doi:10.1016/j.genhosppsych.2004.02.006 Goyal D, Gay CL, Lee KA. Patterns of Sleep Disruption and Depressive Symptoms in New Mothers. The Journal of Perinatal & Neonatal Nursing. 2007;21(2):123-129. doi:10.1097/01.jpn.0000270629.58746.96 Lindahl V, Pearson JL, Colpe L. Prevalence of suicidality during pregnancy and the postpartum. Archives of Women’s Mental Health. 2005;8(2):77-87. doi:10.1007/s00737-005-0080-1 Mclearn KT, Minkovitz CS, Strobino DM, Marks E, Hou W. Maternal Depressive Symptoms at 2 to 4 Months Post Partum and Early Parenting Practices. Archives of Pediatrics & Adolescent Medicine. 2006;160(3):279. doi:10.1001/archpedi.160.3.279 Paulson JF, Dauber S, Leiferman JA. Individual and Combined Effects of Postpartum Depression in Mothers and Fathers on Parenting Behavior. Pediatrics. 2006;118(2):659-668. doi:10.1542/peds.2005-2948 Meltzer-Brody S, Stuebe A. The long-term psychiatric and medical prognosis of perinatal mental illness. Best Pract Res Clin Obstet Gynaecol. 2014;28(1):49‐60. doi:10.1016/j.bpobgyn.2013.08.009 By Amy Morin, LCSW Amy Morin, LCSW, is a psychotherapist and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk, "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? 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