Understanding Perinatal Mental Health Disorders: What to Watch For
Bringing a baby into the world is a profound experience, but it’s not always as joyous and smooth as society often portrays. The emotional and physical changes of pregnancy and postpartum can make people vulnerable to mental health challenges. Recognizing the different types of perinatal mood disorders is essential to support those navigating this sensitive time. Even though we treat pelvic floors here, we know that health is all encompassing and mental and physical health go hand in hand. Let’s break down some common conditions, their symptoms, and why they’re important to address.
1. Postpartum Depression (PPD)
Postpartum depression is more than just the “baby blues.” While it’s common to feel emotional and overwhelmed in the first couple of weeks after birth, PPD lasts longer and often requires intervention.
What to look for:
Persistent feelings of regret about becoming a parent.
Overwhelming thoughts of inadequacy or incapability as a mom.
Frequent anger or rage that feels hard to control.
Crying spells that seem to come out of nowhere and feel endless.
A sense of being "a mess" with no clear way forward.
If these feelings persist beyond two weeks postpartum or worsen over time, seeking help from a healthcare provider is crucial.
2. Postpartum Anxiety (PPA)
Postpartum anxiety is often overshadowed by depression but is equally important to recognize. New parents may feel an intense, uncontrollable sense of worry.
What to look for:
Nonstop worrying that feels excessive or irrational.
Feeling trapped in a “never-ending” to-do list.
Extreme fear about something bad happening to the baby.
Racing thoughts or speech that are difficult to slow down.
While a certain level of concern for a newborn is normal, postpartum anxiety can interfere with daily life and relationships. Treatment, including therapy and possibly medication, can make a big difference.
3. Postpartum Obsessive-Compulsive Disorder (OCD)
Postpartum OCD is characterized by intrusive, unwanted thoughts and compulsive behaviors, often driven by fears of harming the baby—even when there’s no intention to act on these thoughts.
What to look for:
Dark, unwanted thoughts about harming the baby, leading to shame or fear of sharing these feelings.
Avoidance of being alone with the baby due to fear of losing control.
Repeatedly checking the baby’s breathing or obsessively locking doors and windows to a disruptive degree.
It’s important to emphasize that these thoughts do not mean someone is a danger to their baby—but the distress they cause deserves professional attention.
4. Postpartum Rage
Postpartum rage is a lesser-discussed mood disorder but can be deeply disruptive. It’s marked by intense feelings of anger that seem to arise out of nowhere.
What to look for:
A short temper or feeling easily triggered by minor events.
Explosive outbursts or feelings of losing control.
Guilt or confusion about experiencing such intense anger during what’s supposed to be a “happy” time.
Postpartum rage can feel isolating, but it’s a common experience tied to hormonal changes, sleep deprivation, and the emotional load of parenting.
Why This Matters
Perinatal mental health disorders can affect anyone, regardless of how much they’ve “prepared” for parenthood or how much they love their child. They can come on a different times, or just because you didn't have any signs/symptoms after your first baby, doesn't mean you wont for any pregnancies after! These conditions are not a sign of failure or weakness—they’re medical issues that deserve understanding and treatment.
If you or someone you know is experiencing symptoms like these, it’s important to reach out to a trusted healthcare provider, therapist, or support group. Early intervention can make a huge difference, allowing parents to enjoy this transformative period with the support they need.
You’re not alone, and help is available.
Need help finding resources? Check out our friends at Moms Mental Health Initiative!
