After the birth of a baby, it’s normal to feel overwhelmed. Many new parents struggle with sleepless nights, stress and the pressure of caring for a newborn. While some anxiety is expected, postpartum anxiety goes beyond everyday worry. It can affect your thoughts, emotions and ability to function.
Postpartum anxiety is part of a group of conditions called perinatal mood and anxiety disorders (PMADs). These include:
- Generalized Anxiety Disorder (GAD)
- Panic Disorder
- Postpartum Obsessive-Compulsive Disorder (PPOCD)
- Postpartum Bipolar Disorder
- Postpartum Post-Traumatic Stress Disorder (PPTSD)
- Postpartum Psychosis
Unlike the “baby blues,” which often fade after a couple of weeks, postpartum anxiety can last much longer and may even start during pregnancy.
Why It Often Goes Undiagnosed
Many parents don’t realize what they’re feeling is a medical condition. Because postpartum anxiety is not as well-known as postpartum depression, it may go undiagnosed or mistaken for something else. Some parents may feel ashamed or scared to speak up. Others may worry they’ll be judged or seen as weak.
Fathers can also experience postpartum anxiety. They may feel pressure to stay strong and hide their struggles. But anyone—regardless of gender—can be affected.
Who Is Most at Risk?
Certain people are more likely to experience postpartum anxiety. Risk factors include:
- A personal or family history of anxiety, trauma or depression
- Previous miscarriage, stillbirth or an unplanned pregnancy
- Lack of support from a partner
- History of abuse
- High sensitivity or a “Type A” personality
- Hormonal shifts and other physical changes
You don’t need to check all the boxes to develop postpartum anxiety. But knowing your risk factors can help you spot the signs earlier.
Recognizing the Signs of Postpartum Anxiety
Postpartum anxiety can show up in many ways. Here’s a breakdown of common symptoms for different types:
Generalized Anxiety Disorder (GAD)
- Racing thoughts and excessive worry lasting six months or more
- Trouble sleeping
- Muscle tension or fatigue
- Irritability or restlessness
- Difficulty concentrating
- Feeling constantly “on edge”
Panic Disorder
- Sudden attacks of intense fear
- Shortness of breath, chest pain, dizziness or shaking
- A feeling of doom or detachment from reality
- Fear of dying or losing control
Postpartum OCD
- Disturbing thoughts, especially about harming the baby (unwanted and not acted upon)
- Compulsive behaviors like checking, washing or researching
- Extreme efforts to avoid triggering situations
Postpartum Bipolar Disorder
- Shifts between extreme highs (mania) and deep lows (depression)
- Risky behavior, rapid speech and racing thoughts
- Trouble sleeping during manic episodes
- Longer periods of depression in bipolar II
Postpartum PTSD
- Flashbacks or nightmares about childbirth or another traumatic event
- Avoiding reminders of the trauma
- Feeling emotionally numb or disconnected
- High anxiety, insomnia or hypervigilance
If you are experiencing any of these symptoms and they don’t go away on their own, it’s time to seek help.
How to Cope with Postpartum Anxiety
First, know you are not alone. Many parents—mothers and fathers alike—experience this. Anxiety doesn’t make you a bad parent. It’s a condition that can be treated.
Mild symptoms can often be managed with self-care strategies such as:
- Cognitive-behavioral therapy (CBT)
- Exercise or yoga
- Art therapy or journaling
- Mindfulness and breathing techniques
- Talking with supportive friends or loved ones
It’s important not to avoid activities because of anxiety. Instead, ask yourself: What would I be doing if I weren’t feeling this way? Then, try to take that step—even in small ways.
When to Seek Professional Help
If postpartum anxiety starts interfering with your daily life, it’s time to get professional support. Treatment might include:
- Talk therapy
- Support groups
- Medication (especially when symptoms are moderate to severe)
Every parent’s experience is different. If you’re worried about medications during breastfeeding, a trained provider can walk you through safe options. The key is finding a treatment plan that works for you.
Why Early Treatment Matters
Left untreated, postpartum anxiety can last for months or even years. But with the right support, recovery is possible—and the sooner you start, the better. Early treatment can help you bond with your baby, strengthen your relationships and protect your own mental health.
To find the clinic nearest to you, visit citizenadvocates.net/contact-us and reach out today.
FAQ: Postpartum Anxiety
What’s the difference between postpartum anxiety and postpartum depression?
While both are PMADs, postpartum depression usually includes deep sadness or hopelessness. Postpartum anxiety is more focused on excessive worry, racing thoughts or fear of something going wrong.
Learn more about depression screening and treatment here.
Can postpartum anxiety go away on its own?
Some mild cases do, especially with time and support. But ongoing anxiety that disrupts sleep, relationships or daily life usually needs professional treatment.
Explore our individual, group and family therapy options.
How soon after giving birth can postpartum anxiety appear?
It can begin during pregnancy or anytime in the first year after childbirth. For many, symptoms appear in the first few weeks postpartum.
What should I do if I need help right away?
If you’re in crisis or need to talk to someone urgently, please reach out to our 24/7 hotlines at 518-483-3261, 315-755-1251 or 315-265-2422.
Or visit one of our 24/7 mental health and addiction treatment centers in Malone, Ogdensburg or Watertown.
You Deserve Support—So Does Your Family
Postpartum anxiety is real, but so is recovery. Whether you’re struggling or watching a loved one struggle, don’t wait to reach out. Support is available—and getting help is a sign of strength.
Visit citizenadvocates.net/contact-us to find the nearest clinic to you and reach out today.
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