Mental Health

Postpartum Depression: Signs, Causes and Treatment

Updated November 4, 2025

4 min read
Postpartum Depression: Signs, Causes and Treatment

Postpartum depression is a common condition that impacts new mothers’ mental health after childbirth. This article covers its signs, causes, and treatment options, as well as practical ways to support mothers and promote recovery during the challenging weeks and months after giving birth.


What is Postpartum Depression (PPD)?

Pregnancy is a thing of joy, but the successful delivery of a child is even more. Yet no one talks enough about what happens to the mother after that. Everyone is fixated on welcoming the bundle of joy into the world, and the mother is expected to quickly enter into her responsibility of nurturing the baby because it’s seen as a woman’s divine nature and assignment. But many women find it difficult to adjust to the changes that follow childbirth, such as changes in body image, the weight of responsibility for another human being, sleepless nights, and physical exhaustion. These things can take a toll not only on the body but also on the mind.

Postpartum depression is a mood disorder that occurs after childbirth. It typically starts within weeks or months after delivery. It is not just sadness but a deeper, persistent emotional struggle that requires professional help to navigate and heal. Postpartum depression differs from baby blues. Many new mothers experience what is called “baby blues,” which involves mood swings, crying spells, and anxiety that fade within a week or two. Postpartum depression (PPD), however, is more serious and lasts longer.

Studies show that around 1 in 7 women experience postpartum depression after childbirth. Some mothers even admit to having dark or intrusive thoughts about themselves or their babies. These are not signs of being weak or ungrateful, they are symptoms of a mental health condition that needs understanding and professional care.

Talking about this is important because of the stigma, silence, and misunderstanding attached to it. Many women keep quiet because they don’t want to be tagged as ungrateful or bad mothers.

Signs and Symptoms of Postpartum Depression

These signs and symptoms vary depending on the individual, and they can range from emotional to physical, behavioural, and even mental.

A woman runs her hand through her hair and touches her face, reflecting moments of stress, contemplation, or emotional overwhelm.
  • Irritability or constant mood changes
  • Persistent sadness or hopelessness
  • Worrying excessively or feeling on edge
  • Loss of interest in hobbies or things you once enjoyed
  • Loss of appetite or eating too much
  • Loss of energy or constant fatigue
  • Trouble sleeping or wanting to sleep all the time
  • Crying excessively, while some go completely numb
  • Difficulty thinking, focusing, or making decisions
  • Suicidal thoughts or feeling worthless
  • Lack of interest in your baby or feeling anxious around your baby
  • Fear of harming your baby or feeling disconnected from your baby

Untreated PPD can affect bonding and early child development. It also takes a toll on the mother’s physical and emotional health, which can lead to strain in relationships and family dynamics.

Causes of Postpartum Depression

Research shows that both biological and environmental factors can increase the risk of postpartum depression. It is not about being weak or unloving but a real medical condition that arises from a mix of body changes, emotions, and life circumstances.

  1. Hormonal changes after birth: After delivery, hormone levels like estrogen and progesterone drop quickly, and this sudden shift can affect mood and emotions.
  2. Sleep deprivation: New mothers often struggle with little or poor-quality sleep, and the exhaustion can easily lead to irritability, anxiety, or depression.
  3. Pressure to be a perfect mom: Cultural and social expectations about how a mother should behave can make many women feel guilty or inadequate when they don’t meet unrealistic standards.
  4. History of depression or anxiety: Women who have experienced depression or anxiety before, or who face high stress during pregnancy or major life challenges, are more likely to develop PPD.
  5. Lack of family or partner support: Many women feel isolated after childbirth, with little or no physical, emotional, or financial help, which can make coping even harder.

Treatment for Postpartum Depression

Early diagnosis is crucial. With proper support, PPD can be treated effectively through a combination of therapy, mental health counseling, and medication under medical supervision.

A mother receiving support from a therapist for postpartum depression

There are several treatment options that have proven helpful for many mothers. Cognitive Behavioral Therapy (CBT) is one approach that helps mothers identify and manage negative thought patterns, teaching practical strategies to cope with stress, anxiety, and depression.

Support groups can also be very beneficial. Sharing experiences with other mothers who understand what you are going through can reduce feelings of isolation and shame, providing both emotional support and practical advice.

In some cases, medication such as antidepressants may be prescribed by a doctor. These medications can be safe for breastfeeding mothers when taken under proper medical guidance and can help balance the chemical changes in the brain that contribute to depression.

Self-Care and Recovery Tips

  • Prioritize rest, nutrition, and gentle exercise.
  • Join a mother’s support group for emotional connection.
  • Practice mindfulness, journaling, or prayer to help process emotions.
  • Allow yourself breaks during the period
  • Celebrate small wins in healing.

Recovery takes time, and that’s okay. What matters most is taking each day as it comes and knowing that you’re not alone.

Conclusion

It’s time to normalize conversations about maternal mental health and check on new mothers, not just the baby, as many of them are silently trying to keep it together. If you know someone who is struggling, listen without judgment, offer support, and remind them that they deserve care too.

You can reach out to mental health professionals for help, and sharing this piece to raise awareness might be the reason a mother finds hope again.

Frequently Asked Questions

How do I support someone with postpartum depression?

Start by listening without judgment, offer practical help with baby care and check in regularly. In a bid to support, avoid insensitive comments like “You should be happy” or “Pray it away.” If you’re a partner, share both emotional and physical responsibilities, don’t leave everything to them.

Does it happen to all mothers?

No. Not every mother experiences postpartum depression, but almost every mother goes through emotional changes after childbirth. About 70–80% experience mild “baby blues,” while about 10–20% experience PPD.

How long does postpartum depression last?

It varies. For some, it lasts a few weeks, while for others it may persist for several months or longer if untreated. With therapy, medication, and support, most women recover fully.

What happens if postpartum depression is left untreated?

Untreated PPD can lead to chronic depression, affect bonding with the baby, and increase the risk of future depressive episodes. It may also affect the baby’s emotional development. Early treatment helps both the mother and the child thrive.

Can postpartum depression affect fathers too?

Yes, though less common, new fathers can also experience postpartum depression due to stress, financial pressure, and lifestyle changes. Mental health support is important for both parents.

Is postpartum depression preventable?

Not entirely, but emotional preparation, support from loved ones, enough rest, and open conversations about mental health can reduce the risk.

When should I see a doctor?

If feelings of sadness, hopelessness, or anxiety last more than two weeks after birth, or if there are thoughts of self-harm or harm to the baby, seek immediate professional help.

If you've been considering therapy, the Initial Consultation is the perfect first step. Whether you're new to therapy or exploring new therapists, this low-commitment option offers the flexibility and support you need to begin comfortably. Start your journey to well-being with an Initial Consultation.

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