Sometimes the transition into motherhood isn't so smooth.  It's really normal to have some anxiety about what kind of mom you'll be and how you're going to handle this next chapter of your life.  

Pregnancy isn't always easy, and talking about your hopes, fears, and worries can be really helpful.  There are a lot of shifts both physically & emotionally during this time before your baby arrives, and many women struggle with choices that are difficult, including childcare options, going back to work, identity issues, and creating a support system.  There is also a LOT of information out there on pregnancy, giving birth, and parenting, which can feel overwhelming.  Sorting through what's useful & important is tough.

Therapy can help you integrate who you were before you got pregnant into the mom you'd like to be.  We can prepare you for this new experience as much as possible, and help you when you're feeling overwhelmed.  Think of it like a road-map for your journey!  Let me know how I can help.

•  Providing an open, safe relationship to discuss your feelings
• Identifying your feelings and showing you that you are NOT alone
• Creating an active treatment plan that addresses your feelings in a real way
• Finding resources to support you in your depression
• Dispelling several key “myths of motherhood” that influence the way you feel about parenting
• Helping you find ways to talk with family and friends about your depression
• Identifying several coping strategies that can help alleviate symptoms
• Helping you carve out some serious self-care time
• Raising your confidence in your ability to parent effectively

Many new and expecting mothers feel alone when struggling with their mental health—but you are not alone. Perinatal and postpartum mood disorders are among the most common complications of pregnancy, yet they are highly treatable with the right support. Below you’ll find answers to the most common questions women ask about perinatal and postpartum mood issues, including postpartum depression, anxiety, and the difference between the “baby blues” and a clinical mood disorder. If you are wondering why you don’t feel like yourself, or if you’ll ever feel better, these FAQs can help guide you toward hope and healing.

1. What are perinatal and postpartum mood disorders?

Perinatal mood and anxiety disorders (PMADs) include a range of mental health conditions that occur during pregnancy or after birth. These include postpartum depression, postpartum anxiety, panic disorder, obsessive-compulsive disorder (OCD), and, in rare cases, postpartum psychosis. They are medical conditions—not a sign of weakness—and with the right treatment, recovery is possible.

2. How common are postpartum depression and anxiety?

Postpartum depression affects about 1 in 7 mothers, and postpartum anxiety is just as common, though it’s less often discussed. Many women blame themselves or think they should just “push through,” but these conditions are very common and treatable.

3. What is the difference between the “baby blues” and postpartum depression?

The “baby blues” are short-lived mood changes—like tearfulness, irritability, or fatigue—that happen in the first 1–2 weeks after birth and usually resolve on their own. Postpartum depression, on the other hand, lasts longer, is more intense, and interferes with daily life and bonding with your baby. If symptoms persist beyond two weeks or feel overwhelming, it’s important to reach out for help.

4. What are the symptoms of postpartum depression?

Symptoms include persistent sadness, loss of interest in activities, irritability, changes in sleep or appetite, guilt, and difficulty bonding with your baby. Some women also feel numb, hopeless, or like they’re not good enough as mothers. These are not character flaws—they’re symptoms of a treatable condition.

5. What is postpartum anxiety/OCD, and how is it different from depression?

Postpartum anxiety involves excessive worry, racing thoughts, restlessness, and physical symptoms like a racing heart or stomach upset. Some mothers describe feeling like they’re “on edge” all the time. It may also include intrusive thoughts about your baby’s safety. Unlike depression, anxiety is driven more by fear than sadness, but both conditions can occur together.

6. What causes perinatal and postpartum mood disorders?

PMADs are caused by a mix of factors, including hormonal shifts, sleep deprivation, birth trauma, lack of social support, and personal or family history of depression or anxiety. These are not your fault, and nothing you did caused this to happen.

7. How are postpartum depression and anxiety treated?

Effective treatments include therapy, support groups, and sometimes medication that is safe for pregnancy and breastfeeding. Therapy helps mothers process emotions, manage intrusive thoughts, and build coping skills. With the right support, most women recover fully.

8. Is it safe to take medication for depression or anxiety while pregnant or breastfeeding?

Many women worry about medication safety. The good news is that some antidepressants and anti-anxiety medications are considered safe during pregnancy and breastfeeding. Your doctor can help weigh the risks and benefits. Therapy is also an effective, non-medication option.  I work closely with many prescribers who specialize in this issues and can help you decide is medication is right for you.

9. How long does postpartum depression last?

Without treatment, postpartum depression can last for months or even years. With treatment, many women notice improvement within weeks and continue to feel better as they build support and coping strategies. The earlier you seek help, the faster and easier recovery usually is.

10. What should I do if I’m having thoughts of harming myself or my baby?

If you ever feel like you might act on these thoughts, seek help immediately. In the U.S., call or text 988 for the Suicide & Crisis Lifeline, or go to the nearest emergency department. Having these thoughts does not mean you’re a bad mother—it means you need support and care right away.

11. How can partners, family, or friends support someone with postpartum depression or anxiety?

Support is essential. Loved ones can help by listening without judgment, offering practical support (like childcare or meals), and encouraging professional help. Even small gestures—like sitting with the mother so she feels less alone—can make a big difference.

12. Will I ever feel like myself again?

Yes. With the right treatment and support, most women fully recover from perinatal and postpartum mood disorders. You are not broken, and you don’t have to go through this alone. Healing is absolutely possible.  Reach out now.