Psychiatric Medicine Associates Psychiatric Medicine Associates
A Word From Our Doctors

INTRODUCTION TO POSTPARTUM MOOD AND ANXIETY SYMPTOMS

by: Dannica Lin | Mar. 24, 2016

Postpartum mood and anxiety concerns can be a very frightening and confusing experience.  It is difficult, especially as a first time parent, to know what is and isn’t “normal” to be experiencing.  Many of the symptoms of depression overlay with symptoms of pregnancy and the typical symptoms of being a parent to a newborn, such as fatigue, difficulty sleeping, and low libido.  Furthermore, women and men can often feel hesitant to discuss these concerns given perceived expectations that new moms and dads should feel happy.

The “baby blues” or postpartum blues are very common, occurring in about 40-80% of women.  This period starts within 2-3 days after delivery, and lasts for up to 2 weeks.  It is characterized by mood swings, tearfulness, irritability, anxiety, sadness, difficulty with sleep and difficulty with concentration.  I typically tell my patients that if they are tearful, and someone asks “why are you crying?” often times the response is “I don’t know!”  However, if you feel that there are multiple negative events, and these events appear to be perceived in a more negative, distorted fashion than how you would typically view them, and these feelings persist past two weeks, then there needs to be careful consideration of post partum depression.

Post partum depression affects 8-15% of women, and 8-10% of men.  It is caused by a combination of hormonal changes, genetic susceptibility, psychological, and social factors.  It is very difficult to adjust to a completely new change in routine, especially if social support is not adequate.  Post partum depression can manifest with different symptoms including, but not limited to:

  • Changes in sleep, energy, appetite, weight and libido
  • Sadness and feeling down
  • Anxious ruminations, panic attacks
  • Irritability and anger
  • Feeling inadequate, overwhelmed or unable to care for baby
  • Feeling ashamed, guilty, and feelings of failure
  • Scary thoughts (ruminations about hurting self or baby)

Treatment including psychotherapy and/or medications for post partum mood and anxiety symptoms works.  However, it can sometimes be a frustrating and time consuming process to find a psychiatrist or psychologist in a timely manner.  I recommend not giving up on this process, however, given competent treatment can have a profound and positive impact on quality of life.

References:

Brockington I. Postpartum psychiatric disorders. Lancet 2004; 363:303.

Gavin NI, Gaynes BN, Lohr KN, et al. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 2005; 106:1071.

O'Hara MW, Schlechte JA, Lewis DA, Wright EJ. Prospective study of postpartum blues. Biologic and psychosocial factors. Arch Gen Psychiatry 1991; 48:801.

Paulson JF, Bazemore SD. Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. JAMA 2010; 303:1961.

Wisner KL, Chambers C, Sit DK. Postpartum depression: a major public health problem. JAMA 2006; 296:2616.

From Our Doctors

"We wanted to provide a new level of psychiatric care which was evidence-based and incorporated the latest research. It's been almost 5 years since..." Read More

- Mick Oreskovich, M.D., Seattle, WA

View All Testimonials

Recent News

We at Psychiatric Medicine Associates share in the collective grief and anger over the murders of George Floyd, Breonna Taylor, Ahmaud Aubery, Manuel Ellis and so many other members of the Black community who have lost their lives to senseless...

Black Lives Matter

by: Ashley Bouzis | Jun. 05, 2020

We at Psychiatric Medicine Associates share in the collective grief and anger over the murders of George Floyd, Breonna Taylor, Ahmaud Aubery, Manuel Ellis and so many other members of the Black community who have lost their lives to senseless...

Read More
Many of our patients are inquiring about whether they should be obtaining a

Genetic Testing

by: Peter Roy-Byrne | Jan. 23, 2019

Many of our patients are inquiring about whether they should be obtaining a "genetic test" to help select the best antidepressant for them.

Read More
Sometimes it can feel like a partner's low mood is contagious. We can take our stress home with us after a challenging day at work, or feel irritable or withdrawn for a variety of reasons, impacting the moods of other family members.

Depression and Your...

by: Christine Paprocki | Jan. 03, 2019

Sometimes it can feel like a partner's low mood is contagious. We can take our stress home with us after a challenging day at work, or feel irritable or withdrawn for a variety of reasons, impacting the moods of other family members.

Read More