Postpartum depression is defined as the emotional and physical reactions
occurring any time within the first year after the birth of a baby and is characterized by
feelings of sadness, despair, hopelessness, and discouragement.
The symptoms of postpartum depression, or PPD,
include:
Baby Blues (Not considered a
disorder)
Symptoms are mild and usually go away within
2 weeks.
Symptoms include:
Mood
instability
Weepiness
Sadness
Anxiety
Lack
of concentration
Feelings
of dependency
Depression and/or Anxiety
Excessive
worry or anxiety
Irritability
or short temper
Feeling
overwhelmed, difficulty making decisions
Sad
mood, feelings of guilt, phobias
Hopelessness
Sleep
problems (often the woman cannot sleep or sleeps too much), fatigue
Physical
symptoms or complaints without apparent physical cause
Discomfort
around the baby or a lack of feeling toward the baby
Loss
of focus and concentration (may miss appointments, for example)
Loss
of interest or pleasure, lower sex drive
Changes
in appetite; significant weight loss or gain
Suicidal thoughts
Obsessive-Compulsive Disorder
Intrusive,
repetitive, and persistent thoughts or mental pictures
Thoughts
often are about hurting or killing the baby not to be confused with
psychotic thoughts
Tremendous
sense of horror and disgust about these thoughts (ego-alien)
Thoughts
may be accompanied by behaviors to reduce the anxiety (for example, hiding
knives)
Counting,
checking, cleaning or other repetitive behaviors
Suicidal thoughts
Panic Disorder
Episodes
of extreme anxiety
Shortness
of breath, chest pain, sensations of choking or smothering, dizziness
Hot
or cold flashes, trembling, rapid heart beat, numbness or tingling
sensations
Restlessness,
agitation, or irritability
During
attack the woman may fear she is going crazy, dying or losing control
Panic
attack may wake her up
Often
no identifiable trigger for panic
Excessive
worry or fears (including fear of more panic attacks)
Psychosis
Visual
or auditory hallucinations [not the same as intrusive thoughts]
Delusional
thinking (for example, about infant’s death, denial of birth, or need to
kill baby)
Delirium
and/or mania
Suicidal thoughts
Posttraumatic Stress Disorder
Recurrent
nightmares
Extreme
anxiety
Reliving
past traumatic events (for example, sexual, physical, emotional, and
childbirth)
Used
with permission from “Beyond the Blues” (2006 issue) by Shoshana
S. Bennett, Ph.D. and Pec Indman, Ed.D., MFT published by Moodswings Press.