Understanding Postpartum Mental Health: Beyond the Baby Blues
Photo by Aditya Romansa on Unsplash
Postpartum is often called the fourth trimester, but it can feel more like a mysterious, uncharted season, one that many new parents aren’t warned about. While pregnancy has its ups and downs, the postpartum period brings intense physical, emotional, and relational shifts that often go unspoken.
In my counseling practice, new parents frequently ask:
“What the hell is happening to me and why wasn’t I warned about this?”
“We weren’t prepared for how hard this has been on our marriage. It feels like we’re different people.”
Many are told about “baby blues,” a transient period of mood swings and overwhelm that usually resolves within the first two weeks after birth. But what happens when symptoms persist beyond that, or intensify? Postpartum depression or anxiety may be at play, affecting roughly 1 in 5 moms and 1 in 10 dads.
Baby Blues vs. Postpartum Mood & Anxiety Disorders
Baby Blues
Occurs within the first two weeks after birth
Emotions feel all over the place, but you can still care for yourself and your baby
Postpartum Depression & Anxiety
Symptoms persist beyond two weeks or worsen over time
Can include crippling anxiety, intrusive thoughts, emotional numbness, loss of interest or joy, and overwhelming guilt or worry
What to Do if You Notice Symptoms
Track your thoughts, feelings, and behaviors (a feelings wheel can help)
Ask for support from friends, family, or partners
Reach out to your doctor or medical provider for referrals to perinatal mental health specialists
Contact Postpartum Support International: 1-800-944-4773
In a crisis
Feeling hopeless, disconnected from reality, or thoughts of harming yourself or your baby?
Call 911, 988 Suicide & Crisis Hotline, or SAMHSA’s National Helpline: 1-800-662-HELP (4357)
Raising awareness about postpartum mental health can empower parents to seek help, advocate for themselves, and support each other through this complex season. Whether you’re a new parent or someone caring for one, understanding the nuances beyond the “baby blues” matters.
Read the full essay on Substack!
If you're interested in learning more about my counseling approach, visit the About Me page.