Postpartum anxiety or depression - what’s the difference?

Postpartum anxiety and postpartum depression are two different conditions that can affect some people after having a baby or becoming a parent. They share some common symptoms, such as difficulty sleeping, feeling overwhelmed or fearful, or having physical discomfort. However, they also have some distinct features that can help you tell them apart. 

Postpartum anxiety (PPA) is mainly characterized by excessive worrying, nervousness, panic or fear that interferes with daily functioning. People with postpartum anxiety may have intrusive or persistent thoughts about the baby's health, safety or well-being, and may constantly check on the baby or avoid certain situations or activities. They may also experience physical symptoms such as nausea, dry mouth, heart palpitations, shakiness or fatigue. They may have panic attacks that cause chest pain, shortness of breath, sweating or trembling. 

Postpartum depression (PPD) is mainly characterized by persistent sadness, low mood, or loss of interest or pleasure in things that used to be enjoyable. People with postpartum depression may feel hopeless, worthless, guilty, or ashamed. They may have trouble bonding with their baby or feel like they are not a good parent. They may also have changes in their appetite, weight, energy, or concentration. They may have thoughts of harming themselves or their baby. 

If you think you may have postpartum anxiety or postpartum depression, it is important to seek help from a healthcare provider. They can diagnose your condition and offer you treatment options that suit your needs and preferences.

Treatment for postpartum anxiety and postpartum depression may include: 

• Cognitive behavioral therapy (CBT), which is a type of talk therapy that helps you identify and challenge negative thoughts and behaviors that contribute to your anxiety or depression 

• Medication, such as antidepressants or anti-anxiety drugs, that can help reduce your symptoms and improve your mood 

• Relaxation techniques, such as meditation, breathing exercises or mindfulness, that can help you cope with stress and calm your body and mind 

• Support groups, where you can share your experiences and feelings with other people who are going through similar challenges 

PPA and PPD are common and treatable conditions that do not mean you are a bad parent or that you do not love your baby. With proper care and support, you can overcome your anxiety or depression and enjoy your new role as a parent.