After giving birth, most women anticipate joy and happiness as they welcome a new life into their world. However, the reality isn’t always as rosy. Some women experience mood swings, anxiety, and even depression. Understanding these emotional changes, their causes, and treatment options can help new mothers navigate this challenging time.

A Closer Look at Postpartum Depression

Postpartum depression (PPD) is a serious mental health condition that affects about one in every five new mothers. It’s characterized by persistent feelings of sadness, hopelessness, and an inability to connect with the newborn. Unlike the so-called ‘baby blues,’ which typically go away after a couple of weeks, postpartum depression is more intense and can last for many months if left untreated.

Identifying the Symptoms

The symptoms of postpartum depression can range from mild to severe. They include:

1. Frequent crying or tearfulness
2. Feeling overwhelmed or anxious
3. Feeling irritable or angry
4. Trouble sleeping or eating
5. Feeling disconnected from your baby
6. Thoughts of harming yourself or your baby

Note: If you’re experiencing any of these symptoms for more than two weeks or if they’re getting worse, it’s important to seek professional help immediately.

The Reality of Baby Blues

Around 85% of new mothers experience what’s known as ‘baby blues.’ These feelings of anxiety, sadness, and restlessness usually start a few days after giving birth and can last up to two weeks. The baby blues are a normal response to the hormonal changes that occur after childbirth and typically resolve on their own.

Postpartum Psychosis: An Extreme Condition

While postpartum depression is relatively common, postpartum psychosis is a rare and severe mental health disorder that affects about 0.1 percent of new mothers. Mothers with bipolar disorder have a higher risk, with about 30 percent of them developing postpartum psychosis. Symptoms include:

• Hallucinations or delusions
• Drastic mood swings
• Severe confusion or disorientation
• Extreme agitation or restlessness

Note: Postpartum psychosis is a medical emergency that requires immediate attention. If you or someone you know is experiencing these symptoms, seek medical help right away.

Risk Factors for Postpartum Depression

Certain factors can increase the risk of developing postpartum depression. These include:

• A history of depression or anxiety
• A family history of postpartum depression
• Stressful life events during pregnancy or shortly after giving birth
• Medical complications during childbirth
• A lack of strong emotional support from family and friends

Treating Postpartum Mood Disorders

Postpartum mood disorders, including postpartum depression and postpartum psychosis, are treatable. The most common treatments include psychotherapy (talk therapy), medication, and in some cases, electroconvulsive therapy (ECT).

Antidepressants and Hormonal Treatments

Antidepressants are often the first line of treatment for postpartum depression. Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs) are commonly prescribed.

In 2019, the FDA approved a new treatment specifically for postpartum depression called brexanolone (Zulresso). It’s a synthetic form of a hormone that may help regulate mood.

Counseling and Psychotherapy

Counseling and psychotherapy can be highly effective for treating postpartum depression. Cognitive-behavioral therapy (CBT) can help you understand and change thought patterns that lead to depression. Meanwhile, interpersonal therapy (IPT) focuses on improving your relationships and coping with life changes.

Preventing Postpartum Mood Disorders

While it’s not always possible to prevent postpartum depression, certain strategies can help reduce your risk. These include:

• Getting adequate rest
• Eating a healthy diet
• Regular exercise
• Seeking emotional support from family, friends, or support groups
• Psychotherapy during pregnancy if you have a history of depression or anxiety

Seeking Help and Breaking the Stigma

It’s crucial to remember that postpartum depression is not your fault, nor is it a sign of weakness. It’s a medical condition that requires treatment. If you’re feeling depressed after childbirth, don’t hesitate to seek help. Remember, you’re not alone; many women have experienced the same feelings and successfully recovered with treatment.

You are not alone

Understanding postpartum depression, its symptoms, risk factors, and treatment options can help new mothers and their families navigate this challenging time. If you or someone you know is struggling with postpartum depression, remember that help is available. Reach out to a healthcare provider for guidance and support.

Remember, it’s okay to ask for help. You’re not alone, and with prompt and proper treatment, you can overcome postpartum depression and enjoy the joys of motherhood.