Pregnancy and the months after birth bring profound physical, emotional, and psychological change. In my work as a perinatal psychiatrist, I often meet people who assume the emotional challenges they are experiencing are simply part of becoming a parent. While some stress and mood shifts are expected, mental health concerns during the perinatal period are more common than many people realize. Research shows that up to 1 in 5 individuals experience a mood or anxiety disorder during pregnancy or postpartum, yet many symptoms go unrecognized.

Many people experience what is often called the “baby blues” in the first couple of weeks after delivery. During this time, you may feel tearful, emotionally sensitive, or overwhelmed as your body recovers and hormones shift. These feelings are common and usually resolve on their own.

However, when symptoms last longer than a few weeks, intensify, or begin to interfere with daily life, it may be time to seek additional support.

Recognizing the signs early can make an important difference. With the right support and treatment, most people begin to feel better and regain a sense of stability during a time that can otherwise feel overwhelming.

Here are 10 signs it may be time to reach out for support:

• You don’t feel like yourself. Many patients describe a persistent sense that something feels “off.” You may feel unlike the person you were before pregnancy or childbirth, even if you can’t clearly explain why.
• You feel persistently sad or emotionally numb. Everyone has difficult days. But if sadness, emptiness, or emotional numbness lasts most of the day for more than two weeks, it may signal perinatal depression.
• You’re overwhelmed by anxiety or racing thoughts. Some worry is expected when preparing for or caring for a baby. But if your mind feels constantly on edge, filled with racing thoughts or persistent fears, anxiety may be playing a larger role.
• You feel disconnected. Some people feel emotionally distant from their baby, their body, or even themselves. This sense of detachment can be unsettling, but it is a recognized symptom of perinatal mood disorders. 
• You can’t sleep, even when you have the chance. Sleep disruption is common for new parents. However, if you feel exhausted but your mind will not settle—even when your baby is sleeping—then anxiety or depression may be contributing.
• You feel unusually angry or irritable. Irritability and anger are often overlooked symptoms of perinatal mental health conditions. If small frustrations feel overwhelming or you find yourself snapping more easily than usual, it may be worth discussing with a professional. 
• You’ve withdrawn from people who care about you. Pulling away from friends, family, or social activities can be both a symptom and a signal that additional emotional support may be needed. 
• You’re overwhelmed by guilt or self-doubt about parenting. Many parents question themselves at times. But persistent thoughts such as “I’m failing” or “I’m not cut out for this” can indicate a deeper emotional struggle. 
• You’re having intrusive or frightening thoughts. Unwanted thoughts about something bad happening to you or your baby can feel alarming. While these thoughts are more common than many people realize, they still warrant prompt attention and discussion with a qualified professional. With appropriate care, they are treatable. 
• Your instincts tell you something isn’t right. Sometimes people simply know they are struggling, even if they cannot fully explain why. Trust that instinct. You do not need to have all the answers before asking for help. 

Mental health conditions during pregnancy and postpartum are highly treatable, especially when addressed early. Seeking support is not a sign of weakness. It is an important step toward protecting your health and your family’s well-being.

If any of these signs sound familiar, whether in your own experience or in someone you love, it may be time to talk with someone who understands perinatal mental health.

To schedule an appointment with me at the Broadlawns Outpatient Behavioral Health Clinic, call 515-282-5695 or visit Broadlawns.org.