Pregnancy Depression

women bonding in group therapy during treatment for pregnancy depression and intrusive thoughts

Prenatal Depression

Depression while pregnant, also known as prenatal depression, refers to prolonged feelings of sadness, hopelessness, or emotional distress during pregnancy. It often develops in the first trimester, but it can occur at any stage. Beyond typical pregnancy emotions or hormonal shifts, these feelings linger for weeks or months and can impact your ability to care for yourself or feel connected to your pregnancy. 

What Causes Depression While Pregnant?

There’s no single cause for experiencing depression while pregnant, but a combination of physical, emotional, and environmental factors can contribute.
 
Hormonal Changes: Shifts in estrogen and progesterone can affect brain chemistry and mood.
Personal or Family History: A previous experience with depression, anxiety, or trauma increases your risk.
Stressful Life Events: Relationship strain, financial worries, or an unplanned pregnancy can add emotional pressure.
Physical Discomfort: Morning sickness, poor sleep, and physical changes can wear you down emotionally.
Lack of Support: When mothers feel isolated or unsupported, depression can develop or worsen.
It’s easy to assume that sadness, fatigue, or worry are “normal” parts of pregnancy. But if these feelings are lasting longer than expected or making you unable to function day to day, it may be pregnancy depression.
 
Emotional Signs:
  • Crying more often than usual, even without a clear reason
  • Feeling sad, empty, or hopeless most of the day
  • Intense feelings of guilt, shame, or worthlessness
 
Physical Signs:
  • Extreme fatigue beyond typical pregnancy exhaustion
  • Changes in appetite (overeating or loss of interest in food)
  • Trouble sleeping despite feeling tired
 
Behavioral Signs:
  • Withdrawing from loved ones or avoiding social situations
  • Loss of interest in activities you once enjoyed
  • Thoughts of harming yourself or feelings that life isn’t worth living (seek immediate help)

Ask yourself:

  • Am I feeling sad, tearful, or hopeless most days?
  • Am I feeling more anxious than normal or unable to stop worrying?
  • Am I struggling to get through most days without a glimmer of hope or happiness?

 

If the answer to any of these questions is “yes,” it may be time to reach out for support. Untreated depression in pregnancy can affect both you and your baby. For you, symptoms may worsen and increase the risk of developing postpartum depression after birth. For your baby, research shows that untreated depression can lead to preterm birth, low birth weight, or developmental concerns.

By seeking help early, you can take care of yourself and your baby, creating a stronger, healthier foundation for your transition into motherhood. 

The Postpartum Den, outpatient treatment center for those with peripartum mood disorders

Treatment for Pregnancy Depression

If you’re experiencing peripartum depression, The Postpartum Den is here to provide compassionate support, along with other treatment options to help you feel better:

Talk to a Mental Health Professional. You can start by confidentially sharing your symptoms with a therapist at The Postpartum Den. Our clinicians can screen you and help you determine the best course of treatment.

Connect with a perinatal therapist. At The Postpartum Den, we offer evidence-based therapies like cognitive behavioral therapy (CBT) to help you manage symptoms, process overwhelming emotions, and develop effective coping strategies.

Find connection and community. Connecting with other pregnant women can make a world of difference. The Postpartum Den offers a supportive space where you can share your experience, feel understood, and know you’re not alone.

Relief, right now.

Redefine your pregnancy, get treatment for pregnancy depression without delay.

Tell us how we can help – we’ll respond fast.