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Having a baby is a big change. Depressive symptoms can add to the stress, making things difficult. Help is available.

What is postpartum depression?

Postpartum depression (PPD), also known as perinatal depression is a form of depression that can affect people after they have given birth. This type of depression usually occurs within the first few months after delivery, but can also develop later in the first year after birth. Family members and adoptive parents can also suffer from low mood and depression as a result of having a baby. At Lavendla we can help.

Why do people get depressed after giving birth?

There is rarely a single cause of depression, and in postpartum depression there are several factors at play. Hormonal changes such as levels of estrogen and progesterone increase during pregnancy and then drop after delivery, which can increase feelings of sadness.

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Other factors may include a difficult birth, doubts about parenting and nursing and difficulties managing new responsibilities and routines. Co-existing mental health or medical diagnoses can also contribute. Other causes include genetic factors, stress, lack of sleep and social influences. If you are experiencing symptoms, it is important to seek help in order to feel better and have the best possible relationship with your child.

You are not alone

Studies have shown that around 15% of the population experiences depression after giving birth. So if you are feeling depressed, you are not alone. Many people do not seek help, so the number of unrecorded cases is probably high. Seeking support can seem overwhelming, but postpartum depression is a treatable condition. Help is available.

Identifying signs and symptoms

The symptoms of postpartum depression are similar to those of ordinary depression. Here are some symptoms:

  • Sadness and grief: Feelings of sadness, hopelessness or emptiness.
  • Loss of pleasure and interest: Loss of interest or pleasure in activities that are normally enjoyable.
  • Difficulty sleeping: Difficulty sleeping or increased sleepiness.
  • Fatigue and loss of energy: Feeling of exhaustion and lack of energy.
  • Changes in appetite: Decreased appetite or increased weight loss.
  • Difficulty concentrating and making decisions: Reduced focus and cognitive challenges.
  • Anxiety: Worry, tension or feelings of fear.
  • Feelings of guilt or inadequacy: Feelings of being a bad parent or not being enough.

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Can you have anxiety with postpartum depression?

Anxiety commonly co-exists with depression in general. It is no different in postpartum depression, although it can be more stressful because you have just had a baby. It is possible to get help with this too.

Other problems that can occur after childbirth

There are also other mental health conditions that can develop after childbirth. These may include post-traumatic stress disorder (PTSD) or other severe concerns such as psychosis, which is rare. If you experience symptoms of psychosis, such as delusions, hearing voices or sounds, or disturbed thinking, it is important to seek help immediately. You can go to an emergency room or call 911.


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Treatment for postpartum depression

It is important to seek professional help if you suspect that you are suffering from postpartum depression. There are various treatment options that are helpful. Psychotherapy is a common treatment but sometimes medication is also needed.

Cognitive behavioral therapy (CBT) has proven to be an effective treatment method, especially when combined with medication such as antidepressants. By talking to a professional therapist or psychologist, you can improve your well-being. Early detection and treatment are important to facilitate recovery and promote a healthy attachment. It is also important for family members to get support if they need it.

We make the difficult easier

Experiencing difficult emotions after childbirth is common. You do not need to go through it alone. It is an important step in improving your quality of life, both for yourself and your baby. It takes strength to seek help and therapy is a proven method to deal with different problems. By seeking professional help, you can make the difficult things a little easier. At Lavendla we have therapists and psychologists who can help you.

 If you have thoughts of self-harm or suicidal thoughts, call 911, call or text the national suicide hotline at 988 or go to the nearest emergency room.


12 frequently asked questions about postpartum depression

What is postpartum depression?

Postpartum depression has the same symptoms as regular depression but this type of depression usually occurs within the first few months after delivery. It can also develop later in the first year after birth.

What are the most common symptoms?

The most common symptoms include persistent sadness, lack of energy, sleep problems, anxiety, a reduced appetite and feelings of guilt and inadequacy. Consultation with a psychologist or doctor can help make a diagnosis.

How is postpartum depression diagnosed?

Diagnosing depression is usually done through interviews and questionnaires that assess your well-being. Your family doctor may also conduct a screening 6-8 weeks after childbirth. This includes interviews and the Edinburgh Postnatal Depression Scale (EPDS) which measures symptoms of postnatal depression.

How is postnatal depression treated?

Treatment options often include a combination of medication, therapy and lifestyle changes. Cognitive behavioral therapy (CBT) is a common form of psychological treatment.

How long does postpartum depression last?

The length of time it takes to recover from depression depends on its severity, which can vary between mild, moderate and severe levels. Some may experience relief within a few weeks, while others need longer treatment.

Can exercise help?

Yes, regular physical activity can help. It is also good to think about other lifestyle factors such as keeping routines, eating well, trying to sleep, asking for help and spending time with people you trust.

What are the risk factors for postpartum depression?

A difficult birth, doubts about parenting and care, difficulties with routines and other co-existing mental health or medical diagnoses can be risk factors. There are also other causes such as genetics, stress, lack of sleep and social factors.

Can I be depressed as a family member?

Family members and adoptive parents can also experience depression in connection with the birth of a child and the associated changes. In this case, it is also important to seek help.

How common is postpartum depression?

Postpartum depression affects around 15% of the population, but the number of unrecorded cases can be high.

Where can I get help?

If you experience symptoms of depression, it is important to seek professional help. Our psychologists and therapists are available for online sessions and can help you make the difficult easier.

What can I do if I’m recovering from depression?

Sometimes you can feel shame and sadness even when you are recovering from depression and it can be helpful to talk to someone about it. If you become pregnant again, you can also talk to a midwife.

What other problems can occur during childbirth?

You may also experience anxiety, post-traumatic stress disorder (PTSD) or in rare cases, postpartum psychosis. If there are symptoms of psychosis, you should contact an emergency room or call 911.

Tips for managing depression afterpregnancy

Treatment of depression after pregnancy is mainly done through your family doctor, but here is an overview of the steps that can be included in therapy.

Step 1: An initial assessment session

The first meeting with your psychologist or therapist is usually an assessment to review your mental and physical health. Prepare for questions about your life situation, feelings, thoughts and behaviours. You may also complete assessment forms.

Step 2: Goal setting

This is where you and your therapist set concrete goals for the therapy, both short and long term.
It can define which areas of your life are most affected by your depression and how you would like to change them.

Step 4: Treatment for depression

This is the actual treatment phase, which may include treatment such as cognitive behavioural therapy (CBT). Talk therapy, exercises, and homework assignments aim to give you tools to overcome your depression.

Step 5: Monitoring and evaluation

Your therapist will regularly monitor treatment to see how well the therapy is working. If necessary, the treatment plan can be adjusted or renewed.

Step 6: Ending and looking ahead

As the therapy comes to an end, it is time to reflect on the progress made. You will also receive a plan on how to use the tools and strategies you have learned in the future.

If you or someone close to you is seeking professional help for depression, do not hesitate to book a session with one of our qualified psychologists or therapists.  If you have thoughts of self-harm or suicidal thoughts, call 911, call or text the national suicide hotline at 988 or go to the nearest emergency room.


Written by Sophia Coulter

Sophia is a registered nurse with experience in inpatient, emergency and community mental health care. She has a passion for providing emergency support for those experiencing mental health crises.