Pregnancy and the postpartum period can bring a wide range of emotional experiences — including anxiety, mood changes, intrusive thoughts, and feelings of overwhelm. When these symptoms begin to interfere with daily functioning or sense of self, they may reflect a Perinatal Mood and Anxiety Disorder (PMAD). PMADs are common, treatable conditions that can arise during pregnancy or within the first year postpartum. Therapy offers a grounded, nonjudgmental space to understand what you’re experiencing and receive support that aligns with your needs.
Clients often seek therapy for PMADs when they experience:
• Persistent anxiety or racing thoughts during pregnancy or postpartum
• Intrusive, unwanted thoughts — often distressing but not acted upon
• Excessive worry about the baby’s safety
• Sleep disturbances not solely due to newborn care
• Panic attacks or intense physiological anxiety
• Irritability, agitation, or emotional reactivity
• Feelings of hopelessness, guilt, or disconnection
• Difficulty bonding or feeling emotionally present
• Birth trauma symptoms following a difficult or unexpected delivery
• Overwhelm related to identity changes or caregiving demands
PMADs encompass a range of emotional conditions that can occur during pregnancy or postpartum. These may include:
• Postpartum Anxiety
• Postpartum Depression
• Pregnancy-related anxiety or depression
• Birth trauma and postpartum PTSD
• Postpartum OCD (intrusive thoughts with no intent to harm)
• Adjustment difficulties and identity shifts
These conditions are not personal failures; they are treatable experiences that many birthing parents and partners face.