Pregnancy and Postpartum Anxiety and Depression

Hormonal, physical, emotional, and relationship changes are among the many variables that contribute to anxiety and depression in pregnant and women in the postpartum period. Therapists at CBTDenver have specialized training in working with mothers and mothers-to-be.

Treatment focuses on concrete skills to manage anxiety and depression, exploring role transitions and relationships, and navigating the stresses of being a new parent.

Postpartum Depression

Postpartum depression is a subtype of Major Depressive Disorder that occurs following childbirth. The weeks following childbirth and following weaning are particular times of vulnerability. Anxiety is a common feature of postpartum depression but other symptoms may include but are not limited to the following:

  • Inability to sleep or sleeping excessively

  • Extreme concern and excesive worries about the baby or a lack of interest in the baby

  • Anger toward the baby, your partner, or other family members

  • Worries about harming your baby

  • Irritability

  • Excessive crying

  • Difficulty concentrating or remembering

  • Feelings of doubt, guilt, helplessness, hopelessness, or restlessness

  • Lethargy or extreme fatigue

  • Loss of interest in hobbies or other usual activities

  • Feeling emotionally numb

  • Frequent calls to the pediatrician with an inability to be reassured

  • Recurrent thoughts of death or suicide

  • Intrusive thoughts

  • Obsessive-compulsive features, including repetitive thoughts and anxiety, which may overlap with symptoms of Obsessive Compulsive Disorder (OCD)

Treatment Options and Risk Factors

Our therapists work closely with each client to identify treatments for postpartum anxiety and depression that are evidence-based and tailored to individual needs. This can include behavioral therapy, mindfulness techniques,

Common risk factors for postpartum depression and anxiety include a personal or family history of anxiety or depression, previous traumatic birth experiences, lack of support, and chronic physical symptoms such as fatigue or pain. Recognizing these risk factors early can help ensure timely support and reduce the severity of symptoms.

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