Understanding Postpartum Anxiety. Guide To The Postpartum Anxiety Symptoms, Causes, Diagnosis & Treatment

The arrival of a newborn is a time of joy and excitement, but for some mothers, it can also be accompanied by a complex set of emotions that can lead to postpartum anxiety. While it is normal to experience some level of worry and stress after giving birth, postpartum anxiety goes beyond the usual concerns and can significantly impact a mother’s well-being and ability to care for her child. In this article, we will explore the causes, symptoms, diagnosis, and treatment options for postpartum anxiety, shedding light on this often misunderstood condition and providing valuable insights for both mothers and their support networks.


What Is Postpartum Anxiety?

Postpartum anxiety is a type of anxiety disorder that affects some women after giving birth. It is characterized by persistent and excessive worry, fear, and nervousness that can interfere with daily activities and parenting responsibilities. Unlike the typical concerns of adjusting to motherhood, postpartum anxiety is more intense and prolonged and can be accompanied by physical symptoms such as restlessness, irritability, and difficulty sleeping.

This condition can manifest in various ways, including generalized anxiety, panic attacks, obsessive-compulsive tendencies, or specific phobias related to the baby’s safety or well-being. Postpartum anxiety is distinct from postpartum depression, although the two can coexist. It is essential to recognize the signs of postpartum anxiety and seek appropriate support and treatment to ensure the well-being of both the mother and the baby.

What Is The Difference Between Postpartum Anxiety And Postpartum Depression?

If you’re dealing with postpartum depression, you might feel heightened sadness, frequent tears, or a sense of inadequacy in caring for yourself and your infant. You may find it challenging to derive happiness from your baby or feel uncertain about your parenting abilities. Conversely, postpartum anxiety is linked to excessive fretting rather than feelings of sadness. If you’re frequently in a state of panic or overwhelmed by anxious thoughts, you may face postpartum anxiety.

Many of the indicators of postpartum depression are similar to those of postpartum anxiety, such as disrupted sleep, heart palpitations, or a constant sense of fear. It’s typical for individuals with postpartum depression to exhibit symptoms of postpartum anxiety. However, not everyone experiencing postpartum anxiety is also depressed.

How Long Does Postpartum Anxiety Last?

The duration of postpartum anxiety can vary from person to person. Some women may experience symptoms for a few weeks or months, while others may have a more prolonged course. It is common for postpartum anxiety to persist for several months or even up to a year if left untreated.

It is essential to differentiate between the usual adjustment period after childbirth, which often includes some anxiety, and postpartum anxiety as a clinical condition. While it is expected to feel anxious during the early stages of motherhood, postpartum anxiety involves more intense and persistent symptoms that significantly impact daily functioning and well-being.

Postpartum Anxiety Symptoms

Postpartum anxiety symptoms vary in intensity and duration. Here are some common symptoms associated with postpartum anxiety:

  • Excessive worry: Persistent and intrusive thoughts about the baby’s safety, health, or well-being, even when there is no apparent threat.
  • Irritability and restlessness: Feeling on edge, easily agitated, or tense. It may be challenging to relax or find relief from anxiety.
  • Racing thoughts: A rapid flow of ideas that are difficult to control, leading to a sense of overwhelm and an inability to focus or concentrate.
  • Sleep disturbances: Difficulty falling or staying asleep, even when physically exhausted. Sleep deprivation can further exacerbate anxiety symptoms.
  • Physical symptoms: Experience of physical discomforts such as headaches, muscle tension, dizziness, heart palpitations, or gastrointestinal issues.
  • Panic attacks: Sudden and intense feelings of fear or impending doom, accompanied by physical symptoms like rapid heartbeat, shortness of breath, chest pain, sweating, or trembling.
  • Obsessive thoughts or compulsions: Intrusive thoughts or repetitive behaviors related to the baby’s safety, cleanliness, or hygiene. These obsessions may lead to compulsive rituals or actions as a way to manage anxiety.
  • Avoidance behaviors: A desire to avoid certain situations or places that trigger anxiety may result in isolating oneself or limiting activities.

Everyone’s experience with postpartum anxiety can be unique, and individuals may exhibit a combination of these symptoms or have additional ones. If you or someone you know is experiencing these symptoms, seeking professional help for accurate diagnosis and appropriate treatment is crucial.

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We Level Up Postpartum Anxiety Mental Health Center Tips and Strategies

Postpartum anxiety is a type of anxiety disorder that affects some women after giving birth. It is characterized by persistent and excessive worry, fear, and nervousness that can interfere with daily activities and parenting responsibilities. Psychotherapy, such as cognitive-behavioral therapy (CBT), is often effective in treating this condition. It helps individuals identify and challenge negative thought patterns, develop coping strategies, and learn relaxation techniques to manage anxiety symptoms.

Anxiety Facts Sheet

Anxiety Overview

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Anxiety Symptoms

Behavioral: hypervigilance, irritability, or restlessness.

Cognitive: lack of concentration, racing thoughts, or unwanted thoughts.

Whole body: fatigue or sweating.

Also standard:  anxiety, excessive worry, angor animi, fear, insomnia, nausea, palpitations, or trembling.

Anxiety Treatment

  • Support group: A place where those pursuing the same disease or objective, such as weight loss or depression, can receive counseling and exchange experiences.
  • Cognitive behavioral therapy: A conversation treatment that aims to change the negative attitudes, actions, and feelings connected to psychiatric discomfort.
  • Counseling psychology: A subfield of psychology that handles issues with the self that are connected to work, school, family, and social life.
  • Anger management: To reduce destructive emotional outbursts, practice mindfulness, coping skills, and trigger avoidance.
  • Psychoeducation: Mental health education that also helps individuals feel supported, validated, and empowered
  • Family therapy: psychological counseling that improves family communication and conflict resolution.

Learn more with the Generalized Anxiety Disorder PDF download below. Source: Mirecc.va.gov.

Anxiety Statistics

It’s critical to understand the distinction between anxiety and depression. Anxiety, in its most basic form, is an excessive feeling of worry, whereas depression, in its most basic form, is an extreme feeling of worthlessness and hopelessness. It is conceivable for someone to experience depression and anxiety simultaneously.


6.8 million

GAD affects 6.8 million adults or 3.1% of the U.S. population, yet only 43.2% receive treatment.

Source: National Institute on Mental Health

10.3 %

Nineteen million adults experience specific phobias, making it America’s most common anxiety disorder.  

Source: ADAA2020

17.3 million

Major depressive disorder affects approximately 17.3 million American adults, or about 7.1% of the U.S. population aged 18 and older.

Source: National Institute of Mental Health


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Research suggests that approximately 50-60% of women with postpartum depression also have anxiety symptoms.
Research suggests that approximately 50-60% of women with postpartum depression also have anxiety symptoms.

Postpartum Anxiety Vs Depression

Postpartum depression and anxiety are closely linked and can often coexist in women after childbirth. While they are distinct conditions, they share similarities regarding symptoms, risk factors, and underlying causes.

Many women who experience postpartum depression also experience anxiety symptoms, and vice versa. Research suggests that approximately 50-60% of women with postpartum depression also have anxiety symptoms. This overlap can make it challenging to differentiate between the two conditions, and some women may be diagnosed with both simultaneously.

The connection between postpartum depression and anxiety may stem from similar hormonal and biological factors that occur during the postpartum period. Hormonal changes, sleep deprivation, the stress of caring for a newborn, and adjusting to new roles and responsibilities can all contribute to developing both conditions.

Furthermore, motherhood’s emotional and psychological toll and societal expectations and pressures can also contribute to feelings of overwhelm, sadness, and anxiety.

Postpartum Depression and Anxiety Comparison Table

AspectPostpartum AnxietyPostpartum Depression
Primary EmotionExcessive worry, fear, and anxiety.Overwhelming sadness, hopelessness, and despair.
Key Symptoms– Persistent anxious thoughts and fears.– Persistent feelings of sadness and emptiness.
– Restlessness, irritability, and tension.– Loss of interest or pleasure in activities.
– Physical symptoms like heart palpitations.– Fatigue, changes in appetite, and sleep issues.
– Constant sense of dread or impending doom.– Feelings of guilt, worthlessness, or self-blame.
– Difficulty concentrating and making decisions.– Difficulty bonding with the baby.
– Fearful thoughts about the baby’s safety.– Thoughts of harming oneself or the baby.
PrevalenceCommon and often overlaps with depression.Common but distinct from postpartum anxiety.
Impact on ParentingCan lead to overprotectiveness and avoidance.May result in neglecting the baby’s needs.
Risk FactorsPrior history of anxiety disorders.Prior history of depression or anxiety.
Treatment OptionsTherapy (e.g., cognitive-behavioral therapy).Therapy (e.g., psychotherapy or support groups).
Medications may be considered in severe cases.Medications (antidepressants) are often used.

These conditions can coexist, and some individuals may experience a combination of postpartum anxiety and depression. If you or someone you know struggles with these conditions, seeking professional help and support is essential.

Postpartum Anxiety Diagnosis & Tests

In contrast to many other medical conditions, there is no straightforward diagnostic instrument for identifying this condition. During your appointments, your healthcare provider may utilize postpartum anxiety questionnaires. It’s important to note that you should not feel ashamed or uneasy about disclosing your symptoms. Engaging in an open and candid dialogue about your anxiety often serves as the primary approach healthcare providers rely on to diagnose this condition. They might pose inquiries or employ additional screening methods to establish a diagnosis of this condition and gauge the extent of the symptoms.

Are There Accurate Postpartum Anxiety Tests?

There are screening tools and questionnaires used by healthcare professionals to assess and screen for this condition, but it’s important to note that these tools are not definitive diagnostic tests. They serve as valuable indicators to help identify the presence and severity of postpartum anxiety symptoms. Some commonly used screening tools for this condition include the Edinburgh Postnatal Depression Scale (EPDS) and the Postpartum Depression Screening Scale (PDSS).

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  1. How To Deal With Postpartum Anxiety?

    To deal with postpartum anxiety, seeking professional help from healthcare providers or mental health experts is crucial. Building a solid support network of understanding individuals and prioritizing self-care through rest, nutrition, and relaxation techniques can aid in managing anxiety. Delegating responsibilities, practicing stress management techniques, and limiting exposure to triggers are essential strategies. Educating yourself about postpartum anxiety and its coping strategies can provide valuable insights. Remember, seeking personalized guidance from professionals is critical for effective management.

  2. Is Zoloft For Postpartum Anxiety?

    Yes, Zoloft (sertraline) is commonly prescribed for this condition. It is a selective serotonin reuptake inhibitor (SSRI) antidepressant that is often effective in reducing anxiety symptoms. However, the decision to use Zoloft or any other medication should be made in consultation with a healthcare provider, who can evaluate individual circumstances and determine the most appropriate treatment plan.

  3. Are the Signs Of Postpartum Anxiety Dangerous?

    The signs of postpartum anxiety, while distressing, are not inherently dangerous. However, they can significantly impact the well-being of new mothers and their ability to care for their babies. If left untreated, this condition can lead to emotional distress and difficulty in bonding with the baby, and in some cases, it may progress to more severe anxiety disorders. In rare instances, untreated postpartum anxiety can affect parenting and family dynamics. Seeking help from a healthcare professional is essential to address and manage this condition effectively.

  4. How To Help Postpartum Anxiety?

    If someone you know is experiencing this condition, here are some ways to help: Offer emotional support by being understanding, empathetic, and a good listener, allowing them to express their feelings without judgment. Please encourage them to seek professional help from a healthcare provider or mental health specialist for diagnosis and treatment. Assist with daily tasks like chores, childcare, or meal preparation to reduce their stress and workload. Promote self-care practices, such as getting adequate rest, engaging in physical activity, and taking short breaks.

We Level Up Fort Lauderdale Postpartum Anxiety Treatment

Treating this condition typically involves a combination of approaches tailored to the individual’s needs. Here are some standard treatment options:

  • Therapy: Psychotherapy, such as cognitive-behavioral therapy (CBT), is often effective in treating this condition. It helps individuals identify and challenge negative thought patterns, develop coping strategies, and learn relaxation techniques to manage anxiety symptoms.
  • Medication: In some cases, medication may be prescribed to alleviate severe symptoms of this condition. Antidepressants or anti-anxiety medications may be recommended, and the decision to use medication should be made in consultation with a healthcare provider.
  • Support groups: Participating in support groups or group therapy sessions specifically focused on this condition can provide a safe space to share experiences, gain support, and learn from others who are going through similar challenges.
  • Lifestyle adjustments: Making specific lifestyle changes can help reduce this condition. These may include prioritizing sleep, maintaining a healthy diet, incorporating regular exercise, and practicing stress management techniques like mindfulness or relaxation exercises.
  • Social support and self-care: Building a solid support network and engaging in self-care activities are crucial aspects of treatment. Seeking help from family and friends, taking breaks when needed, and pursuing activities that bring joy and relaxation can contribute to overall well-being.
Psychotherapy, such as cognitive-behavioral therapy (CBT) or DBT, is often effective in treating postpartum anxiety.
Psychotherapy, such as cognitive-behavioral therapy (CBT) or DBT, is often effective in treating postpartum anxiety.

Consult with a healthcare professional to determine the most appropriate treatment plan for individual circumstances. With proper treatment and support, this condition can be effectively managed, allowing mothers to regain control of their well-being and enjoy their journey of motherhood.

Postpartum Anxiety Medication

In cases where the symptoms of this condition are severe or significantly impact daily functioning, medication may be prescribed as part of the treatment plan. Antidepressants and anti-anxiety medications are commonly used to manage this condition. Here are some medicines that may be prescribed:

  • Selective serotonin reuptake inhibitors (SSRIs): SSRIs are a class of antidepressant medications commonly used to treat anxiety disorders. Examples include sertraline (Zoloft), fluoxetine (Prozac), and escitalopram (Lexapro).
  • Benzodiazepines: These medications may be prescribed for short-term use in severe cases or when immediate relief is needed. However, they are generally used cautiously due to the risk of dependence and potential sedative effects.
  • Buspirone: This medication is specifically used to treat generalized anxiety disorder and may also be prescribed for postpartum anxiety.

The decision to use medication should be made in consultation with a healthcare provider. They will consider factors such as the severity of symptoms, the individual’s medical history, and the potential risks and benefits of medication during breastfeeding, if applicable. The drug is often combined with therapy and other supportive measures to provide comprehensive treatment for this condition. Regular monitoring and follow-up with a healthcare professional are essential to assess the effectiveness of the medication and make any necessary adjustments.

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Sources
  1. National Institute of Mental Health (NIMH) – Postpartum Depression: https://www.nimh.nih.gov/health/publications/postpartum-depression/index.shtml
  2. Centers for Disease Control and Prevention (CDC) – Postpartum Depression: https://www.cdc.gov/reproductivehealth/depression/index.htm
  3. Office on Women’s Health (OWH) – Postpartum Depression: https://www.womenshealth.gov/mental-health/mental-health-conditions/postpartum-depression
  4. National Institute of Child Health and Human Development (NICHD) – Postpartum Depression: https://www.nichd.nih.gov/health/topics/postpartum-depression
  5. Substance Abuse and Mental Health Services Administration (SAMHSA) – Postpartum Depression and Anxiety: https://www.samhsa.gov/mental-health/mental-health-women/postpartum-depression
  6. MedlinePlus – Postpartum Depression: https://medlineplus.gov/postpartumdepression.html
  7. National Library of Medicine – Postpartum Anxiety: https://pubmed.ncbi.nlm.nih.gov/32801258/
  8. U.S. Department of Health & Human Services – Mental Health and Substance Use: Postpartum Mental Health: https://www.hhs.gov/ash/oah/adolescent-development/mental-health/mental-health-postpartum/index.html
  9. The American College of Obstetricians and Gynecologists (ACOG) – Screening for Perinatal Depression: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/11/screening-for-perinatal-depression
  10. National Alliance on Mental Illness (NAMI) – Postpartum Depression and Anxiety: https://www.nami.org/Your-Journey/Parents-Caregivers/Postpartum-Depression-and-Anxiety