Is It Postpartum Depression, Postpartum Anxiety, or Baby Blues?

Adjusting to life after having a baby can be an emotional rollercoaster for new parents. The joy of welcoming a little one is amazing, but it often comes with a mix of feelings that can be confusing. It’s helpful to know the difference between the short-lived "baby blues" and the more serious postpartum depression or anxiety. 

In this article, we’ll break down what each one looks like so both parents (dads, too!) can recognize what they're going through and know when to get extra support. 

The Risk of Postpartum Depression in Women

Postpartum depression (PPD) is a real concern for many women after giving birth, and a mix of things can contribute to it—hormonal shifts, emotional stress, and lack of support being big ones. Women with a history of depression or a family history of depression are especially at risk, and adjusting to life as a new mom can add to feelings of isolation and being overwhelmed. Research shows that “approximately 1 in 10 women will experience postpartum depression after giving birth, with some studies reporting 1 in 7 women.”

The Risk of Postpartum Depression in Fathers

Postpartum depression isn’t just something that affects moms—dads can be at risk, too. Lack of sleep, shifting relationship dynamics, and the added responsibilities that come with a baby can all play a part in feelings of depression and anxiety. Research shows that around 10% of new dads may go through paternal postpartum depression, which can impact their emotional health and ability to bond with their newborns. 

Understanding the Signs and Symptoms

To help determine the differences between postpartum depression, anxiety, or the baby blues, here is a list of common signs and symptoms of postpartum mood changes.

Symptoms of Postpartum Depression

PPD is more intense, lasts longer, and can seriously affect a person’s ability to care for themselves or their baby. PPD symptoms may include:

  • Persistent feelings of sadness, hopelessness, or emptiness

  • Intense irritability, anger, or frustration

  • Guilt or feelings of worthlessness, often due to feeling like an inadequate parent

  • Loss of interest or pleasure in activities that were once enjoyed

  • Withdrawing from family, friends, or social activities

  • Difficulty bonding with the baby or feeling emotionally detached from them

  • Lack of motivation or energy, finding it hard to get out of bed or complete daily tasks

  • Fatigue or feeling drained, even after resting or sleeping

  • Intrusive thoughts of harming oneself or the baby

  • Feelings of being trapped or overwhelmed

In extreme cases of PPD, there may be thoughts of suicide or ending one’s life.

Symptoms of Postpartum Anxiety

Postpartum anxiety (PPA) involves excessive worry, fear, and sometimes physical symptoms that go beyond typical concerns about a newborn's safety. PPA symptoms may include:

  • Constantly feeling anxious or on edge, particularly about the baby's health and safety

  • Overwhelming fears that something terrible will happen to the baby (such as sudden infant death or illness

  • Thoughts that may feel intrusive, repetitive, or difficult to control

  • Racing heart or palpitations

  • Shortness of breath or feeling lightheaded

  • Insomnia, even when the baby is asleep, or there’s an opportunity to rest

  • Checking on the baby excessively, sometimes to the point of not being able to sleep or relax

  • Avoiding certain situations or activities out of fear for the baby’s safety (e.g., avoiding car rides and crowded places)

  • Being overly controlling or hyper-vigilant about routines, cleanliness, or feeding

You may even feel "on edge" or unable to relax in a safe environment.

Symptoms of Baby Blues

The "baby blues" are common emotional changes that are usually temporary and tend to resolve independently within two weeks. Baby blues symptoms may include:

  • Sudden shifts between feeling happy and sad without a clear reason

  • Periods of crying that may be triggered by seemingly minor events or for no apparent reason at all

  • Feeling easily overwhelmed by the new responsibilities of caring for a baby

  • A sense of being unable to cope or adjust to the changes in routine and lifestyle

  • Mild anxiety, often related to concerns about caring for the baby or handling parenting responsibilities

  • Challenges with focusing, decision-making, or remembering things

You may also feel down or “blue,” although not to the degree of severe sadness or hopelessness.

When Should You Seek Help?

If you’ve just had a baby and find yourself feeling super low, it might be time to think about seeking help. Depression is more common than you think, so don't feel ashamed to say something. Don't brush it off if you’re feeling overwhelmed, crying a lot, or just not bonding with your little one. Those feelings are valid!

Reaching out to a friend or a mental health professional can help you figure out if what you’re feeling is typical or if you might need a little extra support. Remember, caring for yourself is as important as caring for your baby!

Treatment for Postpartum Mood Changes

If you’re feeling a bit off in that postpartum period, you’re not alone. You might notice some depression symptoms like feeling down, anxious, or just not yourself. It’s crucial to talk about these symptoms of depression because ignoring them can lead to more serious stuff, like postpartum psychosis. 

Finding a support group can be a game-changer. Organizations like Postpartum Support International (PSI) offer resources like online Zoom meetings and a number that can be texted or called for quick support. Plus, make sure to get a proper postpartum checkup, where they can do a depression screening. Remember, it’s totally okay to get treatment and treat depression—you deserve to feel good during this time!


Conclusion

Understanding whether you're experiencing postpartum depression, postpartum anxiety, or the baby blues is an important step toward healing. Each of these experiences is valid, and recognizing them is a sign of strength. Remember, you are not alone in this journey; many mothers (and even fathers) face similar challenges. Seeking help is a courageous move that can lead to brighter days. Your well-being matters and brighter moments are just ahead!

Jessica Lagrone, CCCE

Jessica is a certified childbirth educator, doula, and mom of three girls. With her first, Jessica was so frustrated at all the information out there about birth and postpartum life that seemed to contradict itself. It was this reality that inspired her to create Balanced Families® - a place for truly balanced, un-biased and evidence-based information for families.

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