How long can postpartum depression last?

Postpartum depression can begin during pregnancy or after birth and may change in intensity from day to day. Some people notice low mood, worry, guilt, irritability, loss of enjoyment, exhaustion or trouble bonding; others mainly notice anxiety or feeling emotionally detached. These experiences are not a test of parenting.

Baby blues are usually milder and short-lived. Depression is more concerning when symptoms are intense, continue instead of easing, or make feeding, sleep, hygiene, relationships or ordinary decisions difficult. A clinician can also check for physical contributors and other mental health conditions.

Keep a simple note of mood, sleep, appetite, anxious thoughts and daily functioning, then share it with a doctor, midwife or mental health professional. Treatment can involve talking therapy, medication, practical support or a combination. Perinatal mental health support can help coordinate care that reflects recovery, infant needs and feeding preferences.

Seek urgent help for suicidal thoughts, thoughts of harming the baby, severe confusion, hallucinations, dangerous agitation, or an inability to keep yourself or the baby safe. Contact local emergency services when danger is immediate, and ask a trusted adult to stay with you until help arrives.

Ask how your symptoms fit postpartum depression, what improvement should look like, when follow-up will happen, and what to do if you miss sleep or symptoms intensify. Ask whether a partner can join the appointment.