What should you know about paternal postpartum depression symptoms?

Some fathers show depression through anger, criticism, overworking or shutting down rather than tears. Other signs include loss of interest, guilt, hopelessness, poor concentration, appetite changes, physical tension, avoiding the baby or family, and relying more on alcohol or drugs. Low mood after birth is one possible presentation; low sex drive may accompany depression but is not enough to identify its cause.

A symptom becomes more concerning when it is persistent, intensifying, or changes how someone functions. Sleep loss from infant care can overlap with depression, so a clinician can look at the full pattern and consider physical or mental-health causes.

Choose a calm moment and describe observed changes without blame. Encourage an appointment with a GP, family doctor or mental-health professional, and offer to attend or help arrange childcare. Record mood, sleep, appetite, anxiety, anger and substance use. Perinatal mental health support may offer assessment, therapy, family guidance and medication when appropriate.

Arrange prompt assessment if symptoms interfere with bonding, work, relationships or infant care. Seek emergency help for suicidal thoughts, threats of harm, severe confusion, hallucinations, or behaviour that makes the baby unsafe. Do not leave a person at immediate risk alone; involve a trusted adult and contact local emergency services.

Which symptoms point to depression or anxiety? Could sleep loss, medication or a physical illness be contributing? What support can include both parents, and what should we do if symptoms suddenly worsen?