What Are the Warning Signs of Postpartum Depression?
Supporting you with knowledge, compassion, and expert care
Bringing a new baby into the world is an emotional rollercoaster. There’s joy, love, excitement—and sometimes, there’s overwhelm, sadness, and even moments of fear. If you're feeling all of the above, you're not alone. In fact, about 80% of new parents experience what's often called the "baby blues" in the first few weeks after delivery (ACOG, 2024).
But if those feelings linger—or suddenly come back stronger—it may be more than just baby blues. It could be postpartum depression (PPD). And knowing the signs early can make a huge difference.
So, What Is Postpartum Depression?
Postpartum depression is a mood disorder that affects people after giving birth. It impacts 1 in 7 new parents and can start during pregnancy or any time in the first year postpartum (CDC, 2024). This is why some providers call it peripartum depression.
While it most often affects the birthing parent, partners can experience it too.
In very rare cases, some people may develop postpartum psychosis (PPP)—a severe mental health condition that requires immediate medical attention.
Baby Blues vs. Postpartum Depression
Most parents experience mood swings or tearfulness during the first couple of weeks after birth. These are the baby blues—normal, short-lived, and usually gone by week three.
Postpartum depression, on the other hand, is more intense. It lasts longer and affects your ability to care for yourself or your baby.
Signs that you might be dealing with PPD rather than baby blues include:
• Frequent crying
• Feeling overwhelmed and unable to cope
• Guilt or feeling like you're failing
• Anxiety or panic
• Intrusive or scary thoughts
• Thoughts of self-harm or hurting your baby
If you feel this way—you’re not broken, and you're not alone.
Common Symptoms of Postpartum Depression
Here are some signs to look out for. If you have more than a few of these, it's time to reach out:
• Deep sadness or hopelessness
• Withdrawing from loved ones
• Trouble bonding with your baby
• Extreme fatigue or trouble sleeping
• Loss of appetite or overeating
• Feeling worthless or guilty
• Trouble thinking clearly or making decisions
• Panic attacks
• Thoughts of self-harm or harming your baby
Even one or two of these symptoms, when severe or lasting more than two weeks, should be taken seriously (Mayo Clinic, 2024).
What About Postpartum Psychosis?
Postpartum psychosis is very rare (affecting 1–2 per 1,000 births) but incredibly serious. It usually begins within the first two weeks after childbirth and can include:
• Hallucinations or delusions
• Paranoia
• Rapid mood swings
• Obsessive thoughts about your baby
• Inability to sleep
• Thoughts of harming yourself or your baby
This condition requires emergency medical care (NIH, 2024). If you or someone you love shows these signs, seek help immediately.
How Is PPD Diagnosed and Treated?
There’s no single test for postpartum depression. But during your postnatal visits, your doctor will likely ask questions or have you fill out a mental health screening form like the Edinburgh Postnatal Depression Scale.
They may also:
• Review your personal and family history
• Conduct a physical or thyroid check (since thyroid issues can mimic PPD)
• Ask about your sleep, eating habits, and mood
Treatment options include:
• Talk therapy with a licensed therapist
• Support groups with other new parents
• Medication (some are safe while breastfeeding)
• Lifestyle changes, including nutrition, rest, and exercise
In severe cases, hospitalization or treatments like electroconvulsive therapy (ECT) may be recommended (Postpartum Support International, 2024).
Can You Prevent PPD or PPP?
There’s no sure way to prevent PPD—but there are ways to reduce your risk and build support ahead of time:
• Be honest about your emotions
• Set healthy boundaries (limit visitors if needed!)
• Get outside when possible
• Take postnatal supplements like Mood Support and Total Postnatal + DHA
• Stay connected to hobbies or support systems
• Ask for help—and say yes when it's offered
How The Necessary Nurse Can Help
At The Necessary Nurse, we’re here to support you with non-judgmental, holistic care during the postpartum period. We help clients:
Identify early signs of postpartum depression
Connect with licensed mental health providers
Create customized care and recovery plans
Understand safe treatment options while breastfeeding
Access postpartum supplements and wellness tools
You don’t have to figure this out on your own. Whether you're unsure about your emotions or need support navigating treatment, we’re here to walk with you—one step at a time.
Feeling off? Let’s talk.
Book your free postpartum consultation with us today. We'll listen, support, and help you find your path to healing.
