Depression Types What Is Prenatal Depression? By Sarah Sheppard Updated on May 31, 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 Rachel Goldman, PhD, FTOS Medically reviewed by Rachel Goldman, PhD, FTOS Facebook LinkedIn Twitter Rachel Goldman, PhD FTOS, is a licensed psychologist, clinical assistant professor, speaker, wellness expert specializing in eating behaviors, stress management, and health behavior change. Learn about our Medical Review Board Print Oscar Wong / Getty Images Table of Contents View All Table of Contents What Is Prenatal Depression? Symptoms Causes Diagnosis Treatment Coping What Is Prenatal Depression? Prenatal depression is depression that occurs during pregnancy. Like postpartum depression, which occurs after childbirth, prenatal depression can range in severity. If untreated, it can negatively harm the pregnant person and baby. It's helpful to note that the terms prenatal, perinatal, and peripartum are often confused; but all of them refer to a specific time period between pregnancy and up to one year after birth. Depression that occurs around this time may be called different things depending on the time of onset. Pregnancy can be physically, emotionally, and mentally draining. You are likely to feel a wide range of symptoms, including hormonal shifts, physical ailments, and sleep disruptions, which can directly affect mental health. If symptoms of anxiety or depression, such as sadness, hopelessness, or restlessness, occur regularly, then you may be experiencing prenatal depression. What Is Antepartum Depression? Symptoms of Prenatal Depression Pregnancy can be an exceptionally difficult time. The body is changing, hormones are up and down, sleep is disrupted, and life’s demands often lead to anxiety, stress, and exhaustion, but these symptoms should not be persistent and ongoing. If your symptoms occur on a regular basis, let your doctor know. Common symptoms of prenatal depression include: Feelings of guilt, hopelessness, or worthlessness Irritability Persistent sadness, anxiousness, or feelings of emptiness Restlessness or trouble sitting still Fatigue or severe decrease in energy Aches, pains, headaches, cramps Loss of interest or pleasure in hobbies and activities Difficulty sleeping Thoughts of death or suicide Some of these symptoms are naturally experienced during pregnancy, such as difficulty sleeping or irritability, which can make prenatal depression hard to recognize and diagnose. If the symptoms are severe or ongoing and last longer than 10 days, then you should notify your healthcare provider right away. If you are having suicidal thoughts, hallucinations, or are a risk to yourself, your baby, or others, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. For more mental health resources, see our National Helpline Database. Causes of Prenatal Depression Prenatal depression can occur in any pregnant person, regardless of their age, race, socioeconomic status, culture, or education. There is no single cause for this mental health disorder, though the demands of pregnancy can be a contributing factor. Unfortunately, some pregnant people are more susceptible to developing prenatal depression compared to others. Some risk factors for prenatal depression include: A personal history of anxiety, depression, or bipolar disorderA family history of perinatal disorders or mental illness An unwanted or teenage pregnancyA high-risk pregnancy Low socioeconomic status and lack of supportA diagnosis of a substance use disorder A history of physical or sexual abuse “While we don't know definitively why some patients develop prenatal depression and others don't, we suspect it has to do with the intersection of genetic predisposition, hormonal changes, and social stressors,” says Emma Basch, PsyD, founder and therapist at Dr. Emma Basch & Associates. If you are at high risk of developing prenatal depression, Dr. Basch recommends starting therapy while trying to conceive or early in your pregnancy to maintain your mental health throughout the perinatal period. This can help prevent prenatal depression in some pregnant people. Studies have shown that counseling interventions during pregnancy and the postpartum period are associated with a 39% decrease in the likelihood of perinatal depression in women who were at risk for depression, but did not yet develop it. Diagnosis of Prenatal Depression It may be diagnosed through different screening measures, including the Edinburgh Postnatal Depression Scale and the Structured Clinical Interview for DSM-5 (SCID-5). It can also be diagnosed through the expert evaluation of a mental health clinician. Depression during pregnancy is not uncommon. One out of every seven to 10 pregnant women develop a depressive disorder. Pregnant people should be screened for anxiety and depression during prenatal visits, but aren’t always. The DSM classifies prenatal depression as major depressive disorder (MDD) and then specifies if the depression is in the peripartum period or not. So some people may receive a diagnosis of major depressive disorder with "peripartum onset." Based on their symptoms, others may be diagnosed with an adjustment disorder with depressive symptoms. In some cases, a person might receive a diagnosis of adjustment disorder with anxiety. Many women with prenatal depression also experience symptoms of anxiety. In fact, one study found that nearly two-thirds of women with peripartum depression also had an anxiety disorder. If you’re experiencing symptoms or if you notice a partner experiencing symptoms, notify your doctor right away. Once you have a diagnosis, you can work with your doctor and a mental health professional to determine the best possible treatment plan. Prenatal Depression Treatment Failure to treat prenatal depression can cause serious consequences, including a higher incidence of preterm delivery, preeclampsia (a complication of pregnancy that involves high blood pressure), low birth weight, behavior disturbances, maternal self-harm, or suicidal ideation. If prenatal depression goes untreated, it can cause serious harm to both mothers and babies. In the postpartum period, suicidal ideation and suicide deaths are a leading cause of maternal mortality. Treatments will depend on the severity of your depression but may include psychotherapy, such as interpersonal therapy and cognitive-based therapy, and/or antidepressant medications. If you’re considering taking an antidepressant, consult with your doctor to discuss the risks. While antidepressants are often deemed safe for pregnancy, you’ll want to make sure you assess potential adverse effects. When treating prenatal depression, integrated care models are often the most effective, as they involve a combination of psychotherapy and other modalities. Both individual and group therapy sessions, for example, can benefit those who are expecting and need one-on-one attention and social support. Treatment can also be accompanied by exercise, bright light therapy, yoga, and other alternative treatments. Coping With Prenatal Depression If you’re experiencing prenatal depression, know you’re not alone, it’s not your fault, and there is support available. While pregnancy will naturally impact your mental health, it should not result in depression. If it does, know that it’s treatable. Even if you have a treatment plan in place, you should consider implementing daily coping strategies, which may help improve your mood and maintain your overall mental health. According to Dr. Basch, here’s what you can do: Engage in your social support network. If you don’t have one or if you’d like to widen it, join pregnancy support groups. Regulate your sleep habits as best as you can. It's important to make sure that you're getting as much quality sleep as possible. If you can rely on a friend, partner, or family member to help take on some chores or run a few errands, this may help you get some more resting time in. Find ways to lower your stress levels and mood. This could include meditation or trying pregnancy-safe exercises. Reach out to a professional. Find a doctor or midwife who is knowledgeable in mental health conditions and can support you throughout your pregnancy journey. How a Social Support System Contributes to Psychological Health A Word From Verywell If you’re missing prenatal visits, uninterested in visiting with family or friends, or turning to unhealthy behaviors to cope with feelings of anxiety or depression, then it’s important to seek care. If your depression goes untreated it can develop into postpartum depression or another more serious perinatal mental health disorder. Pregnancy is often boasted as a beautiful experience, but it’s not always that way. It’s completely normal to experience mental health changes throughout the pregnancy, but in order to keep you and the baby healthy, you want to focus on maintaining your mental health and treating any mental health conditions that arise. 5 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. National Institute of Mental Health (NIMH). Perinatal depression. Van Niel MS, Payne JL. Perinatal depression: A review. CCJM. 2020;87(5):273-277. American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: 2013. Wisner KL, Sit DKY, McShea MC, et al. Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen positive depression findings. JAMA Psychiatry. 2013;70(5):490. doi:10.1001/jamapsychiatry.2013.87 Admon LK, Dalton VK, Kolenic GE, et al. Trends in suicidality 1 year before and after birth among commercially insured childbearing individuals in the united states, 2006-2017. JAMA Psychiatry. 2021;78(2):171-176. By Sarah Sheppard Sarah Sheppard is a writer, editor, ghostwriter, writing instructor, and advocate for mental health, women's issues, and more. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Depression Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.