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Postpartum Depression

What Are the Symptoms?

There are many possible symptoms of postpartum depression, including the following:

  • Inability to sleep or sleeping a lot, even when the baby is awake.
  • Change in appetite.
  • Extreme concern and worry about the baby or a lack of interest or feelings for the baby.
  • Feeling unable to love the baby or your family.
  • Anger toward the baby, your partner, or other family members.
  • Anxiety or panic attacks.
  • Fear of harming your baby. These thoughts may be obsessive, and you may be afraid to be left alone in the house with your baby.
  • Irritability.
  • Sadness or 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.
  • Mood swings.
  • Feeling emotionally numb.
  • Numbness or tingling in your arms or legs.
  • Hyperventilating.
  • Frequent calls to the pediatrician with an inability to be reassured.
  • Recurrent thoughts of death, which may include thinking about or even planning suicide.
  • Obsessive-compulsive features, including intrusive, repetitive thoughts and anxiety
  • Exaggerated highs and lows

Call Your Doctor If:

  • You have hallucinations and delusions about yourself or your baby. This is an emergency.
  • You have thoughts about hurting yourself or your baby.
  • You have symptoms or signs of depression that have lasted longer than two weeks after childbirth or that began within two months of giving birth.

Medically reviewed by Michael Aronson, MD, July 2005.

SOURCES: American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed. 2000. Stewart,D.; Dennis, C., Treatment of Postpartum Depression, parts 1&2, Journal of Clinical Psychiatry 2004, Volume 65, pp.1242-65. Wisner K. et al, Postpartum Depression, New England Journal of Medicine, 2002; 347:pp194-199

© 2005 WebMD Inc. All rights reserved.