Postpartum anxiety is confusing - it can be hard to distinguish from regular new mom worry. What we look for is severity - has worry completely taken over? Are you unable to relax and enjoy your baby? Are you unable to rest at all? Are you having trouble turning off your brain? Are you worrying about everything? Is it difficult to focus on one thing? Do you have nervous energy? Do you have a relentless to-do list? Are you ‘present’ but really in your head the whole time? Are you having sleep difficulties due to excessive thoughts? Is your appetite non-existent? Did you quickly lose your pregnancy weight? Do you have perfectionist traits? Are you focused on trying to do everything 'right' (when there is no right way to care for a new baby)? Are family members constantly telling you to just relax or calm down but you can’t?
Postpartum anxiety is experienced by approximately 10 percent of new moms. It can be related to having a history of anxiety before or during pregnancy, or from birth trauma or a newborn health concern. It can be impacted by higher levels of cortisol (the stress hormone), which are present during pregnancy and early postpartum. Postpartum anxiety can be challenging to identify – it often gets grouped under the more commonly known postpartum depression, but is its own maternal mental health concern. It is a common concern in SF - I see more moms with postpartum anxiety in my practice than postpartum depression. One of the biggest regrets I hear from moms with postpartum anxiety is they feel they wasted their maternity leave worrying and constantly doing, rather than just slowing down and being with their baby and enjoying this special time.
It is not always easy to tell others that you are having scary thoughts or excessive amounts of worry. Please know there is much strength in being open with others about feeling this way. If any of this describes your experience, please reach out for support to help manage these thoughts and stabilize your mood.
I’m glad to see that postpartum anxiety has received more media coverage in the past year. Below are links to some helpful articles.
Postpartum Anxiety Is a Thing—Here’s What to Watch Out For
This is What It's Like to Have Postpartum Anxiety
Postpartum Anxiety Affects 1 in 10 Moms
The Lonely Terror of Postpartum Anxiety