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Maternal Mental Health·February 5, 2025·3 min read

What is Perinatal Anxiety? Recognizing the Signs & Seeking Help

Many women experience anxiety during pregnancy and the postpartum period that goes far beyond normal new-parent worry. Here's how to recognize it — and what actually helps.

By Amy Green

Sad and depressed young pregnant woman sitting alone on the sofa at home

Welcoming a new life into the world can be a joyous occasion, but it can also bring about a mix of emotions and challenges, particularly for expectant and new mothers. Amidst the excitement and anticipation, many women experience feelings of anxiety that can often be overlooked or misunderstood.

Understanding Perinatal Anxiety

Perinatal anxiety disorder encompasses a range of anxiety disorders that occur during pregnancy or within the first year after childbirth. It can manifest in various forms, including generalized anxiety disorder (GAD), panic disorder, obsessive-compulsive disorder (OCD), and specific phobias related to childbirth or parenting.

If you're navigating pregnancy or the postpartum period and something feels off, you're not imagining it — and you're not alone. Mamaya's perinatal mental health team specializes in exactly this season of life.

Recognizing the Signs

Identifying perinatal anxiety can be challenging, as it may be mistaken for typical worries associated with pregnancy or new motherhood. However, there are certain signs and symptoms that indicate it could be something more:

  • Excessive Worry: Persistent, uncontrollable worry about the health and well-being of the baby, oneself, or family members.
  • Physical Symptoms: Racing heart, shortness of breath, dizziness, nausea, or trembling.
  • Sleep Disturbances: Difficulty falling asleep or staying asleep, even when exhausted.
  • Changes in Appetite: Significant changes in eating habits, such as loss of appetite or overeating.
  • Irritability: Feeling on edge, easily agitated, or experiencing frequent mood swings.
  • Difficulty Concentrating: Trouble focusing on tasks or making decisions.
  • Avoidance Behaviors: Avoiding social interactions, leaving the house, or attending prenatal appointments.
  • Intrusive Thoughts: Persistent, distressing thoughts or fears related to harm coming to oneself or the baby.

Seeking Help

It's crucial for women experiencing perinatal anxiety to seek help and support from healthcare professionals, as well as friends and family. Here are some steps to take:

  1. Talk to Your Healthcare Provider: Open up about your feelings and concerns during prenatal visits or postpartum check-ups. Your healthcare provider can offer guidance and support or refer you to a mental health specialist.
  2. Connect with Support Groups: Joining support groups for expectant or new mothers can provide a sense of community and understanding. Mamaya offers peer support groups for new moms where you can share your experience with others who truly get it.
  3. Consider Therapy: Cognitive-behavioral therapy (CBT) and other therapeutic approaches have been shown to be effective in treating perinatal anxiety. Get matched with a Mamaya therapist who specializes in perinatal mental health — most clients are seen within five days.
  4. Explore Medication Options: In some cases, medication may be prescribed to alleviate severe symptoms of perinatal anxiety. It's essential to discuss the potential risks and benefits with your healthcare provider and weigh your options carefully.
  5. Take Care of Yourself: Prioritize self-care activities that promote relaxation and stress relief, such as mindfulness meditation, gentle exercise, adequate sleep, and healthy nutrition.

Perinatal anxiety disorder is a common but often overlooked mental health issue that can significantly impact the well-being of expectant and new mothers. By recognizing the signs and seeking help early on, women can access the support and resources they need to navigate this challenging period with resilience and strength.

Remember, you're not alone, and there is help available. Reach out to Mamaya Health — every mother deserves to feel supported on her journey.

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