Intro

Pregnancy and new parenthood are often times of joy and excitement. For some, however, this period also brings unanticipated mental health issues related to pregnancy and the postpartum transition that can affect both mothers and their partners. While many people expect this time to be filled only with joy, the reality is that perinatal depression, postpartum depression (PPD), and postpartum anxiety are common, affecting up to 1 in 5 women and a significant number of men.[1] These conditions aren’t a sign of weakness or failure as a parent; they’re medical conditions that respond well to treatment.

At The Lakes, we provide an individualized approach to treating postpartum depression designed to support expectant and new parents and assist them with the many changes that occur during this time. We offer evidence-based care through cognitive behavioral therapy, interpersonal therapy, medication management, and support groups.

If you’re struggling during pregnancy or after childbirth, help is available. With proper support, you can feel better and bond with your baby. Recovery starts here.

What Is Perinatal Mental Health?


Perinatal mental health refers to the emotional well-being during pregnancy and through the first year following childbirth. [2] During pregnancy and immediately following childbirth, a woman is undergoing many different physical, hormonal, and life changes, which can trigger the onset or worsening of depression, anxiety, and other mental health issues. These perinatal mental health concerns are common, treatable, and nothing to feel ashamed of.


While some people develop more serious mood or anxiety symptoms during this period, it is also very common to feel emotionally off in the early days after delivery. Many new parents go through what is often called the “baby blues,” a short-term dip in mood that is characterized by tearfulness, irritability, and anxiety and is typically resolved within two weeks. If these post-delivery symptoms remain for longer than two weeks, however, or affect the mother’s ability to function normally, she should seek professional help for a perinatal mood disorder.

Common perinatal mood and anxiety disorders include:

  • Prenatal or perinatal depression: Depression that occurs during pregnancy or during the broader perinatal timeframe. It can have negative effects on eating, sleeping, connecting emotionally, and energy levels. Early support helps protect both parent and baby.
  • Postpartum depression (PPD): Postpartum depression is persistent, heavier depression that lasts longer than two weeks, and can develop at any point during the first year after childbirth. Symptoms of postpartum depression include feelings of sadness, numbness, anxiety, exhaustion, and difficulty feeling like a parent or bonding with the child.
  • Postpartum anxiety: Ongoing excessive worry that can feel hard to shut off, often paired with physical anxiety symptoms like racing heart, tension, or trouble relaxing. It commonly overlaps with postpartum depression. This disorder includes anxious or racing thoughts that are generally difficult to control. Some new moms might also experience physical symptoms such as accelerated heart rate, muscle tension, or an inability to relax. Some women with postpartum anxiety experience symptoms of postpartum depression as well.
  • Postpartum PTSD: Women who have traumatic or frightening birth experiences, medical complications, or emergency deliveries may develop PTSD after the event. Common symptoms include intrusive memories, hypervigilance, avoidance behaviors, and feelings of being on edge.
  • Postpartum psychosis: Postpartum psychosis is a rare but serious emergency that includes hallucinations, delusions, severe confusion, and thoughts of harm. This requires immediate psychiatric care and usually hospitalization. 

 

Signs and Symptoms of Postpartum Depression

 

Postpartum depression can affect how you feel emotionally, physically, and mentally. Symptoms can vary, but common signs include:

  • Constant feelings of sadness, emptiness, or hopelessness that last most of the day
  • Severe mood changes or increased irritability.
  • Feeling as though it is too overwhelming to get through each day.
  • Crying more often than usual or having tearful feelings without a clear cause.
  • Anger or frustration that feels out of proportion
  • Guilt, shame, or feeling as though you are a bad parent.
  • Loss of interest in activities you normally enjoy
  • Difficulty bonding with the baby, or feeling emotionally numb
  • Extreme fatigue or low energy levels that rest doesn’t fix
  • Changes in appetite, either overeating or undereating
  • Sleeping issues, such as insomnia while the baby is sleeping or excessive sleeping.
  • Trouble concentrating, remembering things, or making decisions
  • Intrusive or frightening thoughts that feel upsetting or out of character
  • Thoughts of death, self-harm, or suicide
  • In severe cases, thoughts of harming the baby

If you are having thoughts of self-harm or harming your baby, this is an emergency. You deserve immediate support.

Risk Factors for Postpartum Depression

Postpartum depression does not have one single cause. Risk often increases when several factors stack up at once. Common risk factors include:

  • Personal or family history of mood disorders, including depression, anxiety, bipolar disorder, or past postpartum depression
  • Medical or hormonal stressors after birth, such as thyroid issues, vitamin deficiencies, or pregnancy and delivery complications
  • High ongoing stress, including major life changes or feeling overwhelmed by the transition into parenthood
  • Past trauma or abuse
  • Limited support or relationship strain, including conflict with a partner or feeling emotionally alone
  • Sleep deprivation and physical exhaustion
  • Financial pressure or practical instability
  • Feeding challenges or an unplanned pregnancy, which can add extra emotional strain

Understanding risk factors is not about blame. It is about noticing when extra support could help sooner rather than later.

Postpartum Depression in Dads and Non-Birthing Parents

Postpartum depression is not limited to mothers. Fathers and other non-birthing parents (partners, adoptive parents, parents via surrogacy, any primary caregiver) can experience it too.[3] Sometimes it looks more like irritability, anger, withdrawal, throwing yourself into work, risky coping, or substance use, rather than obvious sadness. Feeling disconnected from your partner or baby, or quietly questioning your ability as a parent, can be part of it as well. If these patterns show up and do not ease, professional support can make a real difference.

If you are struggling during pregnancy or after birth, you do not have to carry it alone. The Lakes offers experienced, compassionate care for postpartum depression and other perinatal concerns, with treatment that is grounded in what works and shaped around your real life.

Whether you are dealing with postpartum depression, prenatal depression, postpartum anxiety, or simply feeling overwhelmed by the transition into parenthood, we are here to support you and your family with steady, practical help.

Consequences of Untreated Postpartum Depression


When postpartum depression is left untreated, it can affect the whole family. For the new parent, symptoms may continue to get worse as time goes on and make it harder to carry out daily functions, bond with the baby, and recover from both the emotional and physical stressors from giving birth. Untreated PPD ultimately increases the risk of future depression and/or suicide.[4]


Babies can be affected too, especially when a parent is struggling to feel present or emotionally available. Studies show that untreated PPD causes difficulties in bonding, and it increases the possibility of future emotional, behavioral, and developmental difficulties in the child.[5]

Families often feel the strain through increased stress, conflict, or disconnection between partners, and the emotional ripple can reach other children in the home. The good news is that early support reduces these risks and helps parents and babies heal together. 

 

Perinatal Support and Postpartum Depression Treatment at The Lakes

At The Lakes, we provide specialized, compassionate care for perinatal mental health challenges. Our clinicians understand the unique aspects of maternal mental health and provide evidence-based treatment tailored to the needs of expectant and new parents.

Our Approach: Specialized, Family-Centered Care

Our postpartum depression treatment programs follow clinical best practices established by the American College of Obstetricians and Gynecologists and incorporate evidence-based interventions proven effective for perinatal mood disorders.

What to Expect in Treatment

Starting treatment for postpartum depression can be daunting, especially when you are already exhausted or overwhelmed. Our goal is to meet you with warmth, clarity, and practical support. Care is built around your specific experience, your health, and what recovery needs to look like for you right now.

Comprehensive Assessment

Treatment begins with a thoughtful, in-depth evaluation from clinicians who understand perinatal and postpartum mental health. We will talk through what you are feeling, how long symptoms have been present, and how they are affecting daily life. We also review medical and pregnancy or delivery history, past mental health experiences, current stressors, available support, and any safety concerns for you and your baby. From there, your team works with you to create a plan that fits your needs, preferences, and level of care.

Evidence-Based Therapies

Therapy is a key part of recovery from postpartum depression. Depending on your situation, care may include:

  • Cognitive Behavioral Therapy (CBT) to help shift painful thought patterns, reduce self-criticism, and build steady coping tools
  • Interpersonal Therapy (IPT) to support relationship changes, role transitions, grief, and social connection
  • Individual psychotherapy to process birth experiences, identity changes, mixed emotions about parenthood, or trauma in a safe, grounded space
  • Partner or family therapy when helpful to reduce strain at home, build understanding, and strengthen support during recovery

Medication Support (When Helpful)

For some women, medication can play an important role in feeling better. If it seems appropriate, our psychiatry providers will talk with you about options based on symptom severity, your mental health history, breastfeeding considerations, and your personal preferences. You will always get clear, balanced guidance so you can make an informed decision without pressure.

Whole-Person Recovery Support

Alongside clinical treatment, we may recommend gentle, evidence-based lifestyle supports like light therapy, movement as tolerated, nutrition support, sleep restoration strategies, and mindfulness tools. These are meant to strengthen recovery, not replace professional care.

Postpartum Progress and Recovery

Recovery is absolutely possible. Many women start noticing meaningful improvement over weeks to months, including a steadier mood, more energy, stronger connection with their baby, and a return to feeling more like themselves. Progress is not always linear, so ongoing support through the postpartum period helps protect long-term wellness.

 

Why Choose The Lakes for Perinatal Mental Health Care?

Perinatal and postpartum mental health needs a kind of care that understands this season of life from the inside out. At The Lakes, support is designed specifically for pregnancy and the months after birth, with treatment that is clinically strong and also realistic for new parents. Here is what sets our program apart.

  • Specialized expertise in maternal mental health and perinatal mood disorders. You will work with clinicians who understand the emotional and physical shifts of pregnancy and postpartum, and who are trained to recognize the ways depression, anxiety, trauma, and mood changes can present during this time.
  • Evidence-based treatment that stays clear and focused. Care is grounded in approaches that are well supported for perinatal depression and anxiety. We use therapies such as CBT and IPT, and include medication support when appropriate, so your plan is built on what works, not what feels overwhelming.
  • Compassionate clinicians who get the unique challenges of this stage. We know postpartum symptoms often come with guilt, fear, isolation, or a sense of not feeling like yourself. Our team meets you with steadiness and respect, not judgment or quick fixes.
  • Family-centered support when it helps recovery. When you want it, we include partners or loved ones to reduce strain at home, build understanding, and strengthen the support system around you.
  • Flexible scheduling for real life with a baby. We offer appointment options that respect how unpredictable early parenthood can be, so care feels accessible instead of like another stressor.
  • Support groups to reduce isolation. Connecting with others who truly understand postpartum depression can be grounding and relieving. Groups offer shared experience, encouragement, and a reminder that you are not alone.
  • Coordination with obstetrics and gynecology providers. Your mental health care can be integrated with your pregnancy or postpartum medical care, so everyone involved is working together when needed.
  • Careful attention to pregnancy and breastfeeding safety. If medication is part of your plan, we talk through options thoughtfully, weighing benefits, risks, and your preferences in a clear and supportive way.
  • Crisis support when needed. If symptoms escalate or safety becomes a concern, we help you identify next steps quickly and connect you to the right level of care.

What are the signs of postpartum depression?

Postpartum depression can look different for everyone, but common signs include persistent sadness or numbness, anxiety or panic, irritability, feeling disconnected from your baby, changes in sleep or appetite, and a sense of hopelessness or guilt. If these feelings last more than two weeks or make it hard to function, it is a strong signal to reach out for support.

How is postpartum depression treated?

Treatment usually includes therapy, emotional support, and sometimes medication, depending on symptom severity. Many people benefit from approaches like CBT or interpersonal therapy that help with mood, identity shifts, and relationship stress after birth. A structured program can also provide stability, routine, and consistent care when symptoms feel overwhelming.

What types of therapy are most effective for perinatal and postpartum depression?

Evidence-based therapies such as cognitive behavioral therapy (CBT) and interpersonal therapy (IPT) are commonly used for perinatal and postpartum depression. These approaches help you manage intrusive thoughts, reduce shame, rebuild confidence, and navigate the major life changes that come with pregnancy and early parenting. Therapy may be offered individually, in groups, or both.

How long does postpartum depression usually last?

There is no single timeline. Some people feel noticeably better within a few months of consistent treatment, while others need longer support, especially if symptoms began during pregnancy, have been present for a while, or are tied to trauma or ongoing stress. The most important thing is getting the right level of care early, so symptoms do not deepen.

How serious is postpartum depression?

Postpartum depression is a real medical condition, not a personal weakness or something you should push through alone. When untreated, it can intensify and affect bonding, relationships, and daily functioning. With proper care, most people recover and feel like themselves again.

Where can someone get help for perinatal or postpartum depression?

Support can start with a licensed mental health professional who understands perinatal mood disorders. Many people begin with outpatient therapy, but if symptoms are severe, persistent, or affecting safety or daily functioning, a higher level of care may be needed. A specialized treatment program can offer focused therapy, medical support, and a safe space to stabilize and heal.

Sources

  1. Commonwealth of Pennsylvania Department of Health. (2025). Perinatal mood and anxiety disorders (PMADs). https://www.pa.gov/agencies/health/programs/maternal-health-and-infant-care/pmad
  2. Allen, C., Van, C. M., & Mossburg, S. E. (2023). Maternal safety and perinatal mental health. Patient Safety Network (PSNet), Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
  3. Darwin, Z., Vigoureux-Hughes, S., & Macleod, C. (2021). Father’s perspectives on family relationships and mental health treatment participation in the context of maternal postpartum depression. Frontiers in Psychology, 12, 705655. https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.705655/full
  4. Moreira, L. K. S., Moreira, C. V. L., Custódio, C. H. X., Dias, M. L. P., Rosa, D. A., Ferreira-Neto, M. L., Colombari, E., Costa, E. A., Fajemiroye, J. O., & Pedrino, G. R. (2023). Post-partum depression: From clinical understanding to preclinical assessments. Frontiers in Psychiatry, 14, 1173635. https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1173635/full
  5. Centers for Disease Control and Prevention. (2023). Identifying maternal depression. https://archive.cdc.gov/www_cdc_gov/reproductivehealth/vital-signs/identifying-maternal-depression/index.html