Breaking the Silence: Understanding Perinatal Mood Disorders
Becoming a parent is often described as one of life’s most joyful milestones. But for many individuals, the transition into parenthood is far more complex. As a Licensed Clinical Social Worker, I’ve walked alongside countless new parents navigating the fog of emotions that can follow childbirth—emotions that are not always joyful. One of the most misunderstood and under discussed challenges in early parenthood is Perinatal Mood and Anxiety Disorders (PMADs).
What Are Perinatal Mood Disorders?
PMADs refer to a spectrum of emotional disorders that occur during pregnancy and up to a year after childbirth. These include:
Postpartum Depression (PPD)
Postpartum Anxiety (PPA)
Postpartum Obsessive Compulsive Disorder (PPOCD)
Postpartum Post-Traumatic Stress Disorder (P-PTSD)
Postpartum Psychosis (rare but serious)
It’s important to note: these disorders don’t only affect mothers. Partners, adoptive parents, and non-birthing caregivers can also experience PMADs.
It’s More Than Just the “Baby Blues”
While up to 80% of new parents experience the “baby blues”—temporary mood swings, weepiness, and overwhelm—PMADs are more intense, last longer, and can interfere with daily functioning. Left untreated, they can impact bonding, relationships, and long-term well-being for both parent and baby.
Common Symptoms
Persistent sadness or hopelessness
Anxiety or panic attacks
Irritability or rage
Difficulty sleeping (even when the baby sleeps)
Intrusive thoughts or fears
Feeling disconnected from the baby
Guilt or shame about not feeling “happy”
You Are Not Alone—And You Are Not Failing
One of the most heartbreaking patterns I see in my practice is the shame that keeps so many silent. Social media, societal expectations, and outdated narratives can make parents feel as though struggling emotionally is a sign of failure. Nothing could be further from the truth.
PMADs are medical conditions, not character flaws. With the right support—therapy, medication when appropriate, support groups, self-care—healing is absolutely possible.
My Role as a Therapist
As an LCSW, I use trauma-informed, attachment-based approaches to help new parents:
Process difficult emotions and experiences
Develop realistic coping strategies
Rebuild a sense of self and identity
Strengthen their bond with their baby
Reduce shame and normalize their experience
A Special Note for Parents of Multiples
Parents of twins, triplets, or more face unique stressors—complicated pregnancies, extended NICU stays, sleep deprivation, and fewer opportunities for rest or bonding time. If you’re a parent of multiples feeling overwhelmed, know that your experience is valid and deserves compassionate care.
Reaching Out Is Brave
If you or someone you love is experiencing symptoms of a perinatal mood disorder, please know: there is help. There is hope. You are not alone.
Whether through one-on-one therapy, group support, or even a brief consultation, support can be tailored to meet your unique needs. I invite you to reach out and start a conversation—it could be the first step toward healing.
