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How to Identify and When to Seek Help for PPA/PPD

September 17, 2025

Becoming a mother is one of the most profound life transitions that you’ll ever go through. Alongside the joy and love, it can also bring waves of overwhelm, fear, sadness, and uncertainty. Many moms find themselves wondering, “Is what I’m feeling normal, or is it something more?

If you have asked yourself this question, please know that you’re not alone. Postpartum Anxiety (PPA) and Postpartum Depression (PPD) are common – and treatable. Reaching out for help doesn’t mean you’re failing as a mom. In fact, it means you’re choosing support, healing, and hope.

What’s Normal After Baby?

Every new mom experiences ups and downs in the early weeks of postpartum. Hormonal shifts, lack of sleep and the huge emotional adjustment of caring for a newborn can elicit big feelings. “Baby blues” – mood swings, tearfulness, and irritability – are common in the first two weeks postpartum and usually resolve on their own.

When symptoms persist beyond that, or feel heavier and harder to manage, it could be time to consider whether you’re experiencing PPA or PPD.

Signs it Might Be PPA

Postpartum Anxiety often flies under the radar because moms expect to worry. However, if your worries feel constant, intrusive, or overwhelming, it could be PPA. Some signs include:

  • Racing thoughts that are hard to turn off
  • Feeling restless, keyed up, or unable to relax
  • Physical symptoms like a racing heart, upset stomach, or shortness of breath
  • Repetitive “what if” fears or intrusive thoughts
  • Trouble sleeping even when your baby sleeps

Signs it Might Be PPD

Postpartum Depression can look different for everyone, but some common signs include:

  • Persistent sadness, emptiness, or hopelessness
  • Loss of interest in things that you typically enjoy
  • Feeling disconnected from your baby or struggling to bond
  • Changes in appetite or sleep (beyond what is typical with a newborn)
  • Intense guilt or feelings of worthlessness

When to Reach Out For Help

  • If you notice that your symptoms:
  • Last longer than two weeks
  • Interfere with your ability to care for yourself or baby
  • Leave you feeling like you’re not yourself anymore
  • Intense feelings of fright, overwhelm, or isolation

Outreach could mean talking with your OB, primary care provider,  a therapist that specializes in perinatal mental health, or a trusted support line. You deserve help and healing.

You Are Not Alone

Many moms feel afraid to speak up because they worry about being judged. But postpartum mood and anxiety disorders are not your fault – they are medical conditions, and with the right support, recovery is absolutely possible. Your feelings matter. Your wellbeing matters. You deserve to feel whole and supported in this new season of life.

Gentle Reminder

If you ever have thoughts of harming yourself or your baby, please reach out for help right away – call 911 in an emergency, or dial the Suicide & Crisis Lifeline at 988. You don’t have to hold these feelings alone.


Additional Resources:

Postpartum Support International (PSI)

Call or text their HelpLine: 1-800-944-4773 (English & Spanish available). You’ll be connected with a trained volunteer who understands and can guide you to resources.

The National Maternal Mental Health Hotline (U.S.)

Call or text: 1-833-9-HELP4MOMS (1-833-943-5746). Available 24/7, free, and confidential.

You are not failing. Reaching out for help is a brave and loving choice – for yourself and your family. With support, healing is possible. To submit an inquiry about a free 15 minute consultation or scheduling an intake appointment with Everwell Counseling & Wellness, click here.

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