Perinatal Mood Disorders
Resources so every mother feels seen, heard and safe.
Mental Health Before & After Baby
Women can experience a range of emotions in the postpartum period. Your body is facing massive physical and hormonal changes in a short period of time - which can definitely leave you feeling like you're riding a little bit of a roller coaster. While some emotional shifts are a normal part of the postpartum period, there are instances where women experience more chronic symptoms classified as postpartum mood disorders.
In this section, we'll cover what's normal and what's not. Mood disorders effect many women every year, so it's important that both you and your support people read through this section together.
What is PMAD & Why Does It Matter?
PMAD stands for Perinatal Mood and Anxiety Disorders, which is an umbrella term for groups of symptoms that can be experienced during pregnancy and/or postpartum. PMADs can occur at any time in the perinatal period and can also affect fathers, same-sex partners and adoptive parents as well. Struggling with a PMAD isn't just about Postpartum Depression; PMADs can also manifest as Prenatal Depression, Anxiety, OCD, PTSD and Psychosis as well. Although as many as 1 in 7 women will be diagnosed with a Perinatal Mood and Anxiety Disorder, they are highly treatable!
Every new parent deserves to be feeling well and living their best, and we want to make sure that no one is suffering in silence! If you think you or a loved one may be struggling with symptoms of anxiety, depression, OCD, PTSD or Psychosis during your pregnancy or after birth - please reach out to your healthcare provider or one of the many free resources listed below!
You are not alone. You are not to blame. And with help, you will be well.
A Word About “Baby Blues”
“ Baby Blues" is used to describe feelings of sadness, weepiness or moodiness after the birth of baby.
It is estimated that 80% of women will experience baby blues in the first few days after delivery. Unlike Postpartum Depression, Baby Blues last no more than 2 weeks, requires no medical treatment and will resolve on its own. If your symptoms persist or interfere with daily life, seeking help is important.
Risk Factors
History of depression, anxiety, OCD or other mental illness
Thyroid imbalance, diabetes or other hormone disorders
Pregnancy or delivery complications, infertility, miscarriage or infant loss
Lack of support from family or friends
History of abuse or other trauma
Unwanted or unplanned pregnancy
Financial stress or poverty
Abrupt discontinuation of breastfeeding
Symptoms
feelings of guilt, shame or hopelessness
feelings of anger, rage, irritability, scary or unwanted thoughts
disturbance of sleep and appetite
crying, sadness, constant worry or racing thoughts
lack of interest in the baby or difficulty bonding
loss of interest, joy or pleasure in things you used to enjoy
intrusive thoughts
- Ashley King LM, CPM
Online Resources
Postpartum Support International (PSI) - Offers information, support and resources to those struggling with mental health during pregnancy or postpartum. Has a helpline (above), and local Support Coordinators who help you find trained resources.
PSI Specialized Coordinators - provide support for specific roles, pregnancy-related postpartum conditions/experiences and other risk factors related to mental health.
The Symptoms of Postpartum Depression & Anxiety (in Plain Mama English)
Helpline/Hotline
Postpartum Support International (PSI): 1-800-944-4773 (text or call)
National Suicide Prevention Lifeline: 1-800-273-8255
Crisis Text Hotline: Text HOME to 741741 to instantly text with a trained Crisis Counselor
What You Can Do
Talk to your family and support circle about how you're feeling, develop a plan for closer support until you're feeling well. Ask each member of your support circle to read this page and attached resources. If you are having intrusive thoughts, you should not be alone at any point while other support services are being set up. If you have plans for self harm, you should immediately contact the Crisis Line.
Get outside at least once a day by yourself, practice grounding techniques
Continue taking your recommended prenatal supplements
Make an appointment with your healthcare provider to discuss your options (both natural and medicated) Utilize the “New Mom Mental Health Checklist” in the section above to help communicate with your provider exactly how you’re feeling.
Contact PSI to be connected with your local support coordinator; she can help you find support groups, resources, counselors and more!
“ Dear Mama,
Don't let fear barricade your heart from loving at its full capacity. You were made to mother your sweet little one and you’re doing so good.
Keep pushing.
Keep fighting.
Keep going, in your dirty hair and your three day old pajamas.
Don’t let depression silence you.
Don’t give postpartum depression the final say.
I promise you there is another side to this and it’s worth fighting for.
Vulnerability will feel like it’s costing you everything, but I promise it’s actually giving you back everything. ”
— Lindsey Sullivan
Lindsey is mother to three young boys and is the founder of All Worthy of Love, a justice focused non-profit dedicated to serving and rescuing victims of sex trafficking. She survived severe Postpartum Depression in 2018 & 2020.