When is perinatal mental health support recommended for postnatal depression?

Postnatal depression can involve low mood, hopelessness, guilt, irritability, anxiety, loss of interest, sleep or appetite changes beyond the demands of a new baby, or difficulty feeling connected. Support may include a mental health assessment, talking therapy, practical help, medication discussion, and follow-up. You do not need to wait until symptoms become severe before asking for help.

Tell a GP, midwife, obstetrician, health visitor, or mental health professional what you have noticed and how long it has affected you. Include changes in sleep, appetite, concentration, bonding, and thoughts about coping. Ask a trusted person to help with the baby or appointments if exhaustion makes planning difficult. Learn more about [Perinatal Mental Health Support](/treatments/medical-gynaecology/perinatal-mental-health-support/).

Seek urgent help if you are thinking about harming yourself or your baby, feel unable to stay safe, hear or see things others do not, feel unusually suspicious, or have extreme confusion or agitation. Ask someone you trust to stay with you and contact local emergency services or the nearest emergency department.

Ask which treatment options fit breastfeeding and your medical history, how quickly support can begin, who to contact outside appointments, and how your safety and recovery will be monitored.