Psychiatrist for Postpartum Depression Q&A

Postpartum depression (PPD) is a form of depression that occurs following childbirth, affecting not only the birthing individual but also surrogates and adoptive parents. Welcoming a baby into the world is a transformative experience, bringing both excitement and exhaustion.

It is natural to have moments of worry or uncertainty, particularly for first-time parents. If feelings of intense sadness, persistent loneliness, frequent mood swings, and uncontrollable crying spells occur, it could be a sign of postpartum depression.

The onset of PPD is influenced by various factors, including hormonal, physical, emotional, financial, and social changes that accompany the postpartum period. The combination of these changes can contribute to the development of symptoms associated with PPD.

The first type is commonly referred to as the “baby blues” and is experienced by as many as 70% of women in the days immediately after giving birth. During this period, individuals may undergo sudden mood swings, ranging from moments of happiness to sadness. Typically, the baby blues last for a short duration, lasting anywhere from a few hours up to 1 to 2 weeks after delivery.

Postpartum depression (PPD) is another type that can emerge within a few days or even months after childbirth, and it can occur after the birth of any child, not just the first. Individuals with PPD experience similar emotions to the baby blues, such as sadness, despair, anxiety, and crankiness.

However, these feelings are much more intense and can significantly hinder their ability to carry out daily activities. Seeking assistance from a healthcare provider, such as an OB/GYN or primary care doctor, is crucial when PPD begins to affect functioning.

Postpartum psychosis represents a severe mental illness that can affect new mothers. This condition typically arises rapidly, often within the first three months after childbirth. Women experiencing postpartum psychosis may become detached from reality, exhibiting auditory hallucinations (hearing things that are not occurring, such as voices) and delusions (strongly believing irrational ideas).

While visual hallucinations are less common, symptoms also include insomnia, agitation, anger, pacing, restlessness, and unusual feelings and behaviors. Immediate treatment is essential for women with postpartum psychosis, typically involving medication. In some cases, hospitalization may be necessary to ensure the safety of the individual, as there can be a risk of self-harm or harm to others.

Distinguishing between the baby blues and PPD entails identifying particular signs and symptoms that indicate the duration and intensity of the emotional encounter.

If you find that your mood swings rapidly, transitioning from moments of happiness to sadness, it may align with the baby blues. Experiencing exhaustion that affects your appetite and self-care, along with irritability and anxiety, are also characteristic of the baby blues.

However, if you consistently exhibit these symptoms for an extended period of time along with a worsening of symptoms it may be indicative of PPD. This persistent feeling of inadequacy as a new mom, coupled with difficulties in bonding with your baby, is a significant indicator. In cases of PPD, symptoms can become so overwhelming you struggle to take care of both the baby and yourself. Additionally, experiencing anxiety and panic attacks further suggests the presence of postpartum depression.

PPD typically emerges within the initial three months following childbirth. Without intervention or treatment, its duration can extend for several months or even years, significantly impacting a woman’s well-being and daily functioning. However, it is essential to recognize that effective treatments are available to support women in managing their symptoms and enhancing their overall quality of life.

Treatment for postpartum depression is available at Success Health System. We serve patients from Creve Coeur MO, St. Louis MO, Independence MO, Olathe KS, Columbia MO, Craig KS, Spring Hill KS, Pierpont MO, Kirkwood MO, Kansas City MO, River Bend, MO & Beyond!