Postpartum Depression: Understanding the Signs, Risks, and When to Get Help

By Team Fitmoms

Updated on 4 July 2025

Mother experiencing postpartum depression sits curled up near a crib while her baby plays, symbolising emotional isolation and maternal struggle.

One in seven women experiences postpartum depression, and yet, many continue to suffer in silence. The emotional weight of new motherhood, paired with physical recovery and lack of support, can feel unbearable. Recognising this pain is the first step toward healing.

Motherhood is often defined as the most joyous experience for a woman, but it's the complete opposite for many women. The postpartum period is one of hardships and mental turmoil. Our mothers fight with strength and grace. But every once in a while, the sleepless nights and hormonal shifts take a toll too heavy in the form of postpartum depression (PPD). According to research, PPD affects 1 in 7 new mothers. This mental health condition can disrupt everything from bonding with your baby to basic daily functioning and take away some of the most precious moments for a mother. In this article, we will look at what postpartum depression is, how to spot the early signs, who’s most at risk, and most importantly, how and when to get help.

What is Postpartum Depression (PPD)?

Postpartum depression(PPD) is a serious mental health condition that can develop in new mothers after childbirth. Often shrugged off as “baby blues”, PPD is different. Baby blues usually linger for a week or two, while PPD can stretch on for a more extended period and also be comparatively more intense. Persistent sadness, emotional numbness, anxiety, and often feelings of inadequacy or disconnection from one’s baby, all of these hint towards PPD. Unlike baby blues, PPD can start anytime within the first year after birth, not just in the first few weeks.

Types of Postpartum Depression

Postpartum depression can look very different in different people. In general, PDD can be divided into three basic subgroups.

1. Postpartum Depression (PPD)
  • PDD is the most common form, and it usually begins within a few weeks or months of postpartum. The symptoms are similar to clinical depression but triggered by childbirth. About 10–15% of new mothers suffer from this type of postpartum mental health disorder. Mothers going through PDD experience chronic sadness, despair, or emotional numbness. They struggle to bond with their baby or feel overwhelmed by guilt and inadequacy. PPD can have a profound, negative impact on a mother's health if treatment is not received.
Tired mother holding her baby while breastfeeding, sitting by a window with her hand on her forehead, showing signs of postnatal exhaustion or depression.

Postpartum depression and postpartum anxiety may show up differently, one as deep sadness, the other as constant worry, but both can take a serious toll on a new mother’s well-being.

2. Postpartum Anxiety
  • Postpartum anxiety is so often overlooked by the people who are overly conscious about looking for signs of depression. From a distance, postpartum anxiety may not look like a red flag, given that the mother is very much attached to the baby, contrary to postpartum depression. However, postpartum anxiety is extremely common and frequently coexists with PPD. Mothers going through this may not feel overwhelmingly sad, but instead experience constant, intrusive worry. Anxiety can show up as panic attacks, racing thoughts, persistent worries about the baby's health and safety, or even physical symptoms like heart palpitations or shortness of breath. Even when the baby is safe or asleep, mothers who suffer from postpartum anxiety frequently report feeling on edge all the time or finding it difficult to unwind. Postpartum anxiety needs immediate professional attention; otherwise, it can take a toll on the mother’s health and well-being.
3. Postpartum Psychosis
  • Postpartum Psychosis is an extremely serious but rare condition, with only 1 to 2 cases emerging in 1,000 births. Unlike PPD or Postpartum Anxiety, postpartum psychosis can appear abruptly and dramatically within a few days of giving birth. It shows severe symptoms such as hallucinations, delusional thinking, extreme paranoia, confusion, and sometimes manic behaviour. A mother experiencing postpartum psychosis may lose touch with reality, making it incredibly dangerous for both her and her baby. This condition requires immediate medical intervention. While this can be a terrifying experience for the mother and everyone around her, it is important to remember that it is still just a condition that is treatable.
Early Warning Signs of Postpartum Depression

Spotting PPD in its early stages can be really helpful in preventing escalation. New mothers and family members often brush symptoms aside, thinking they are just the hormones. But if you see any of the following signs for over two weeks, it is best to consult an expert before things get too out of your hands.

PPD Red Flag to watch for:
  • Excessive and frequent crying, often without understanding the exact reason.
  • Emotional detachment or a feeling of separation from oneself, other people, or the baby.
  • Avoiding friends, family, or even the newborn. Withdrawing from social interactions.
  • Experiencing persistent feelings of guilt or a deep sense of inadequacy as a mother.
  • Inability to focus, make decisions, or stay focused on tasks.
  • Overwhelming anxiety or emotional paralysis in response to everyday responsibilities.
  • Getting frightening or intrusive thoughts of hurting oneself or the baby.
A mother who previously struggled with postpartum depression holds her baby close, showing how treatment has helped her reconnect emotionally and bond with her child again.

Postpartum anxiety often hides behind sleepless nights and endless worry. With support and treatment, mothers can reconnect with themselves and with their babies.

When and How to Get Help

If you see any of the above-listed signs staying longer than two weeks, it's time to get some help. You can simply go to your primary physician or OB-GYN. They can use medical instruments to screen the mother and get a diagnosis. You can also consult a mental health expert. A therapist experienced and specialising in perinatal or postpartum mood disorders can help you out. You can also join support groups or seek help on free helplines that offer support and clarity. In case of an extreme situation or a case of Postpartum Psychosis, don’t overthink it; call your local emergency services immediately, before something goes horribly wrong.

Conclusion

Being depressed after giving birth does not indicate that you are a bad mother. It does not imply that you are weak or broken. It indicates that your hormones, body, and mind have undergone a significant change, and your mental health requires the same attention and care as your baby's. The most effective step is prioritising your well-being by identifying the warning signs early, being aware of your risks, and knowing when to seek help. This is not just good for you but for your baby as well. As for partners and family members, choose empathy over blame. Your wife or daughter has gone through a lot and is fighting hard to hold onto things that matter. She needs your support in these dire times. So, instead of accusing or abandoning her, tackle the situation with utmost love and empathy. After all, she is the same person you love, and she is suffering. Support her, love her and help her.

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