Postpartum Depression

Postpartum depression (also known as post-partum or peripartum depression) is a common mood disorder affecting approximately 15 percent of women during the first year after childbirth.

For most parents, the first weeks following the birth of a child is emotionally trying. During pregnancy the levels of estrogen and progesterone in a woman's body rise dramatically. However, soon after childbirth, they fall back to their normal levels. Occasionally, thyroid levels may drop too. These hormonal changes can lead to chemical changes in the brain which cause "the baby blues" in the 50 to 80 percent of mothers who experience temporary mood instability, feelings of sadness, difficulty concentrating, loss of appetite or difficulty sleeping during this time.

For most, these symptoms clear up within 10 days and, when moderate, are considered a normal part of post-pregnancy recovery. However, in some women, symptoms last longer or are more severe. This is called postpartum depression.

Symptoms of postpartum depression include:

Frequent or extended crying sessions.
Inability to concentrate or focus.
Changes in appetite, unexplained weight gain or loss.
Excessive worrying and anxiety.
Feelings of numbness.
Increased sleeping, sleep problems or fatigue.
Feelings of guilt or inadequacy.
Trouble making decisions.
Difficulty enjoying pleasurable activities.
Irritability.
Feeling ill-at-ease around baby, lack of feelings for baby.
Thoughts of harming one's self or the baby.

Several risk factors have also been shown to increase the probability of a woman developing postpartum depression. These include prenatal depression, low self-esteem, life stress, inadequate support system, marital problems, previous depression and a history of severe premenstrual syndrome (PMS).

Postpartum depression is highly treatable through support groups, therapy and medication and above all, does not mean someone is a bad mother. For more information, visit Postpartum Support International or call their helpline at 1-800-944-4PPD.

To find counselors, psychologists and psychiatrists who treat postpartum depression in your area, choose "Post-partum Depression" as the Reason for Counseling or Therapy in our Therapist Finder.