Signs of Postpartum Depression and What to Do Next

by Sophia Dahan | Jun 17, 2025 | Postpartum

Bringing a new baby into the world is often described as one of life’s most joyful experiences—but for many new mothers, it can also be one of the most emotionally challenging. If you’ve been feeling overwhelmed, hopeless, or detached since giving birth, you could be experiencing postpartum depression (PPD), a common but serious medical condition.

At True North Wellness Therapy, we’re here to help you recognize the signs, understand the causes, and guide you toward compassionate care.

What Is Postpartum Depression?

Postpartum depression (PPD) is a form of clinical depression that occurs after childbirth. It’s marked by ongoing feelings of sadness, anxiety, and fatigue that interfere with daily functioning, including your ability to care for yourself or your baby. Unlike the temporary “baby blues,” PPD doesn’t resolve on its own and requires treatment to get better.

PPD can begin anytime within the first year after birth, though it often starts within the first few weeks. It affects up to 1 in 8 mothers, making it the most common complication following childbirth. PPD is a medical condition. It does not make you a bad person or a bad mother. If you suspect PPD, reach out to your healthcare provider as soon as possible.

Types of Postpartum Mood Disorders

  • Baby Blues are very common, affecting up to 75% of new mothers. They usually begin within a few days after birth and fade within two weeks. Symptoms include mood swings, tearfulness, anxiety, and irritability, and typically improve with rest and support.
  • Postpartum Depression (PPD) is more serious and affects about 1 in 7 women. It can begin any time within the first year and lasts longer than two weeks. Symptoms include persistent sadness, guilt, anxiety, exhaustion, and difficulty bonding with the baby. It often requires professional treatment.
  • Postpartum Psychosis is a rare but severe condition that emerges quickly—usually within two weeks after birth. It involves extreme symptoms like paranoia, confusion, hallucinations, or mania and requires immediate medical attention due to the risk of harm to self or the baby.

Common Symptoms of Postpartum Depression – chart

You may be experiencing PPD if you notice any combination of these symptoms persisting for more than two weeks:

If any of these signs persist beyond two weeks, it’s critical to seek professional help.

What Causes Postpartum Depression?

The exact cause of PPD isn’t fully understood, but several factors can increase risk:

  • Hormonal and Biological Changes – After birth, rapid drops in estrogen, progesterone, and thyroid hormone levels can impact mood and energy, potentially triggering depression.
  • Personal and Family History – A history of depression, anxiety, or other mood disorders—especially during pregnancy or in close family members—can increase the risk of PPD.

Environmental and Lifestyle Stressors – Lack of sleep, limited support, financial strain, traumatic birth experiences, and poor nutrition or lack of self-care can all contribute to the onset or worsening of postpartum depression.

Image of baby crying while being consoled by mother with PPD.

Can Postpartum Depression Affect My Baby?

Yes. When PPD goes untreated, it can have downstream effects on your child’s development and overall well-being. Some potential impacts include:

  • Mother–Child Bonding Difficulty bonding can lead to less responsive caregiving and fewer positive interactions, which are critical for a baby’s emotional growth.
  • Healthcare & Routine A mother with PPD may miss pediatric appointments or have trouble following feeding and sleep schedules, which can affect the baby’s physical health.
  • Developmental Risks – Studies suggest children of mothers with untreated PPD may be at higher risk for behavioral issues, learning difficulties, or delays in social-emotional development.
  • Long-Term Outcomes – Without intervention, early disruptions in attachment and stimulation can influence a child’s self-esteem, academic performance, and social relationships years later.

Seeking treatment for PPD is not only vital for your own health but also serves to protect your baby’s development and well-being.

When to Seek Help for Postpartum Depression

It can be hard to admit that you’re struggling, but knowing when to reach out is crucial. Contact your doctor, midwife, nurse, or pediatrician if:

  • Symptoms Persist Beyond Two Weeks  – If “baby blues” haven’t subsided after 14 days or seem to intensify, it could be PPD.
  • Daily Functioning Is Impaired – You find it difficult to carry out basic tasks (eating, bathing, dressing) or care for your baby.
  • Thoughts of Self-Harm or Harming Your Baby  – Any thoughts of hurting yourself or your baby require immediate medical attention.
  • Emotional Distress or Anxiety Is Overwhelming – You feel constantly on edge, unable to relax, or consumed by guilt or hopelessness.

If you cannot call, ask a partner or loved one to do it for you. Many providers can screen for postpartum depression over the phone and offer referrals to mental health specialists.

Woman in chair receiving treatment for postpartum depression

Treatment Options for Postpartum Depression

Effective treatments are available, and many women recover fully with the right combination of support:

Therapy (Talk Therapy / Counseling)

  • Cognitive Behavioral Therapy (CBT) or Interpersonal Therapy (IPT) help you identify negative thought patterns and build coping strategies.
  • Working with a licensed therapist provides a safe, nonjudgmental space to process emotions.

Support Groups

  • Group meetings—either in person or online—connect you with other mothers experiencing PPD.
  • Sharing stories and hearing others’ successes can normalize your experience and reduce isolation.

Self-Care & Lifestyle Adjustments

  • Nutrition: Focus on a balanced diet rich in whole foods, lean proteins, fruits, and vegetables.
  • Exercise: Even short daily walks can improve mood-regulating neurotransmitters.
  • Sleep Hygiene: Enlist help so you can rest. Good sleep is foundational for mental health.
  • Mindfulness Practices: Gentle yoga, meditation, or deep-breathing exercises can reduce anxiety.

Medication
In some cases, medication may play a valuable role in treating postpartum depression. However, decisions around medication should always be made in consultation with a physician or medical provider who can assess your unique needs and health history. While our clinic does not prescribe medication, we are here to support you alongside any treatment path you choose.

Emergency Care for Postpartum Psychosis
If you or your health-care provider suspect postpartum psychosis—severe agitation, hallucinations, delusions, or suicidal ideation—you will need immediate hospitalization, medication management, and close psychiatric care.

Image of mother holding baby against her head.

Postpartum depression is real, common, and treatable. 

It doesn’t define who you are as a mother—it is a medical condition that requires compassion and care, not judgment. Recovery is possible with early recognition, appropriate treatment, and strong support. At True North Wellness Therapy, we support women through every stage of motherhood. If you or someone you love may be experiencing symptoms of PPD, we’re here to help:

Hello! I’m Sophia

Sophia Dahan, Registered Psychotherapist (Qualifying)BAMACP

I’m a registered psychotherapist offering therapy for women, couples and youth—virtually or in-person at my Kanata office. My approach is warm, collaborative, trauma-informed and grounded in evidence-based practices like Emotion-Focused Therapy, Attachment Theory, and Solution-Focused work. This isn’t about “fixing” you. It’s about helping you reconnect with your needs, process what’s heavy, and create space to move forward with more clarity and calm.

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