Perinatal Mental Health Challenges
The perinatal period refers to the duration of a woman’s pregnancy as well as the weeks and months following the birth of a baby. Although the time leading up to and following a baby’s birth is often joyful and exciting, the perinatal period can also come with mental health challenges for both mothers and fathers.
Postpartum depression is perhaps the best-known perinatal mental health issue, but psychological and emotional reactions to the perinatal period vary widely and can occur at any time before or after pregnancy.
Some amount of anxiety and stress is a normal part of pregnancy, childbirth, and parenting, but when these challenges become especially frequent or intense, they can get in the way of a healthy lifestyle for you and your family.
Prevalence of perinatal mental health challenges
- 10% of pregnant women and 13% of women who have just given birth experience some kind of mental health challenge, most often depression 
- Up to 70% of new mothers experience a mildly depressive reaction, often called “the baby blues.”  The baby blues usually include symptoms of anxiety or depression that go away without treatment within a few weeks.
However, only 40% of women dealing with perinatal mental health challenges seek treatment. 
Symptoms of perinatal mental health challenges
Perinatal mental health challenges can include a wide range of symptoms, many of which often coincide with each other. Everyone has a different emotional and psychological reaction to the perinatal period, but some common struggles include:
- Intense anxiety: You may be overcome with worry and feel overwhelmed, whether with concerns about your baby or your life more generally.
- Sadness or depression: Postpartum depression is characterized by frequent and intense sadness, hopelessness, fatigue, difficulty concentrating, and/or loss of interest in activities you once enjoyed.
- Social withdrawal: You might feel uncomfortable in social situations, even with close friends or loved ones.
- Panic attacks: You might be overcome by a sudden, perhaps unpredictable sense of panic, with strong physical symptoms like a racing pulse or difficulty breathing.
- Guilt, shame, or self-blame: Parents struggling with perinatal mental health issues may feel guilty or convinced that they are, in some sense, failing their babies – without any concrete reason for this belief.
- Changes in sleeping or eating habits: You may find yourself sleeping or eating too much or too little.
Types of perinatal mental health challenges
Again, perinatal mental health challenges vary widely. That said, some of the most common scenarios include:
- Antenatal anxiety or depression: It’s common for both mothers and fathers to experience mental health challenges during the mother’s pregnancy.
- Postpartum anxiety or depression: Postpartum depression – that is, depression after the birth of a baby – is a particularly common perinatal mental health challenge, and it may come with or without anxiety symptoms. Anxiety symptoms can also appear on their own in the postpartum period. These conditions often persist for months or more.
- “Baby Blues:” Many mothers and fathers feel some symptoms of anxiety and depression immediately after a child’s birth, but they may go away on their own in a matter of weeks, unlike postpartum depression and anxiety.
- Postpartum psychosis: Postpartum psychosis is much rarer than other kinds of perinatal mental health challenges. It may include delusions, hallucinations, or otherwise disturbed thought and behavior in the period after a baby’s birth. Women who have previously been diagnosed with bipolar disorder or schizophrenia are more likely than the general population to experience postpartum psychosis.
- Challenges associated with high-risk pregnancies and births: Parents dealing with high-risks pregnancies and births – such as premature births or multiple births – may experience especially high levels of stress and be more prone to perinatal mental health challenges.
What to do if you’re experiencing perinatal mental health challenges
If you’re experiencing mental health challenges related to your pregnancy or the birth of your child, you might consider the following options:
- Therapy. Find a therapist who can help you process your experiences and use proven strategies and techniques to alleviate your symptoms. You might work with a therapist on your own, or you and your partner(s) might choose to attend therapy together. (See more tips below on selecting a therapist.)
- Check-ups: Because perinatal mental health challenges are often linked to the hormonal changes of pregnancy and childbirth, it’s especially important to stay up-to-date with your medical appointments. Your medical doctor can help you rule out physical conditions that may contribute to your symptoms and make sure that you and your baby stay well.
- Medication: Many people struggling with perinatal depression find that medication helps reduce their symptoms. Medication management can be especially challenging if you are pregnant or breastfeeding, so a psychiatric professional can help you assess your options and decide if medication is the right choice for you.
- Support groups. A support group can give you perspective, understanding, and solidarity from others who are facing similar challenges. You can search for a support groups and resources in your area through Postpartum Support International.
- Meditation or mindfulness practices. You might find it helpful to experiment with meditation or other mindfulness practices through classes or apps. Studies have shown that these practices can help reduce the symptoms of stress and anxiety that are often part of perinatal mental health challenges.
- Hotlines: If you’re having thoughts of suicide or need immediate support, you can always call the National Suicide Prevention Hotline at 1-800-273-8255.
How to find a therapist for perinatal mental health challenges
Prioritize the therapy type(s) that appeals to you
Therapists differ in their approaches to perinatal mental health challenges. Some common treatments for perinatal mental health challenges include:
- Cognitive Behavioral Therapy (CBT)
- Acceptance and Commitment Therapy (ACT)
- Mindfulness Practices
- Interpersonal Psychotherapy
- Couples Therapy
New to therapy? Learn about how to find a therapist here.