Postpartum Anxiety at Night: Why It Gets Worse and What to Do
It starts around dinner time.
The day is winding down, you're feeding the baby, cleaning up the kitchen, or finally sitting down for a minute—and instead of feeling relieved that bedtime is approaching, you feel a familiar sense of dread.
You start thinking about tonight.
How many times am I going to wake up?
What if the baby doesn't sleep well?
What if I finally fall asleep and then have to get up again 45 minutes later?
How exhausted am I going to be tomorrow?
How am I supposed to function if I'm this tired again?
It starts around dinner time.
The day is winding down, you're feeding the baby, cleaning up the kitchen, or finally sitting down for a minute—and instead of feeling relieved that bedtime is approaching, you feel a familiar sense of dread.
You start thinking about tonight.
How many times am I going to wake up?
What if the baby doesn't sleep well?
What if I finally fall asleep and then have to get up again 45 minutes later?
How exhausted am I going to be tomorrow?
How am I supposed to function if I'm this tired again?
Maybe your baby actually sleeps fairly well now. Maybe they wake once or twice a night.
But your body remembers what it was like when they were a newborn.
The constant waking.
The broken sleep.
The foggy mornings.
The feeling that you were barely functioning.
And now, even months later, bedtime can bring back that same sense of "Here we go again."
This is what I sometimes think of as nighttime dread—the anxiety that starts before anything has actually happened.
You aren't necessarily anxious because your baby is currently awake.
You're anxious because you are anticipating being awakened.
And you're not necessarily afraid of the wake-up itself. You're afraid of what comes after it: the exhaustion, the fatigue, the loss of control, and the version of yourself you fear you will be the next day.
For some moms, the hardest part of nighttime isn't the actual night.
It's waiting for it to happen.
Why does postpartum anxiety—and nighttime dread—get worse at night?
There isn't one single reason that postpartum anxiety can feel worse at night. Usually, several things are happening at the same time.
1. Your brain remembers the newborn days
Even when your baby is a few months old and sleeping significantly better, your nervous system doesn't necessarily forget what those early weeks felt like.
If you spent weeks waking every one to two hours, feeding throughout the night, listening for every sound, and functioning on very little sleep, nighttime may have become associated with survival mode.
So when the sun starts going down, your brain may begin preparing for the worst.
It's almost like your body says:
"We remember what happens at night. We need to get ready."
And suddenly, you're anxious before your baby has even gone to sleep.
This can be especially confusing when you know logically that things are different now.
Your baby may be sleeping longer stretches.
You may only be getting up once or twice.
You may even have a partner who shares nighttime responsibilities.
And yet your body still reacts as though another long, exhausting newborn night is coming.
That doesn't mean you're being irrational.
It means your brain has learned to associate nighttime with exhaustion and uncertainty.
2. You're afraid of being exhausted tomorrow
Sometimes the fear isn't actually:
"What if my baby wakes up?"
It's:
"What if I'm exhausted tomorrow?"
You may start mentally calculating how much sleep you're going to get.
"If I fall asleep by 10, and the baby wakes at 1, then I have to get back to sleep, and what if they wake again at 4..."
Before you know it, you're doing sleep math in your head.
And the more you think about how tired you're going to be, the more alert you become.
You may start worrying about how you'll get through work, take care of your other children, exercise, get things done around the house, or simply function like yourself.
For moms who are used to being productive, capable, and on top of things, the possibility of being too tired to function at your normal level can feel especially threatening.
3. You're experiencing anxiety about something that hasn't happened yet
This is one of the frustrating things about nighttime dread.
Nothing may actually be wrong.
The baby is asleep.
The house is quiet.
You are safe.
And yet your brain is already preparing for tomorrow's exhaustion.
Anxiety loves to move into the future.
It asks you to solve a problem before you actually have one.
"What if tonight is bad?"
"What if I can't fall back asleep?"
"What if the baby wakes up three times?"
"What if I'm completely exhausted tomorrow?"
The problem is that trying to mentally prepare yourself for every possible outcome doesn't necessarily make you feel more prepared.
It often keeps your nervous system on high alert.
4. Your quiet time becomes worry time
During the day, there is plenty keeping you occupied.
The baby needs you. There are meals, bottles, breastfeeding, laundry, work, errands, texts, and approximately 47 tiny things that somehow need to be done.
You may be anxious during the day, but you can keep moving.
At night, everything gets quiet.
And suddenly there is space to think.
That can make it feel like your anxiety appears out of nowhere at night when, in reality, it may have been there underneath the busyness all day.
5. You're exhausted—but your brain is still "on"
New motherhood requires an incredible amount of vigilance.
You're listening for the baby. Watching for changes. Monitoring feeding, sleep, diapers, temperature, breathing, and all the other things you've suddenly become responsible for.
Your body may be completely exhausted while your brain still feels like it needs to stay alert.
And nighttime dread can make this even worse.
You may desperately want to sleep while simultaneously feeling like you need to stay mentally prepared for the next wake-up.
That can create a frustrating cycle:
You're exhausted → you anticipate being exhausted → your anxiety increases → you become more alert → sleep becomes harder → you're even more exhausted.
What can you do when nighttime dread starts?
The goal isn't to convince yourself that your baby definitely won't wake up.
You can't guarantee that.
And that's actually part of the work.
The goal is to become more comfortable with not knowing exactly what tonight will look like.
1. Notice when you're anticipating instead of responding
When you notice the dread starting around dinner, pause and ask:
"Is something happening right now, or am I anticipating something that might happen later?"
Right now, perhaps your baby is asleep.
Right now, you are sitting on the couch.
Right now, you are safe.
Your brain may be trying to prepare you for a difficult night, but you don't have to live through tomorrow's exhaustion before tomorrow arrives.
Try:
"I don't know how tonight will go. I don't need to figure that out right now."
2. Stop doing the sleep math
If you notice yourself calculating how many hours you might get, gently interrupt it.
You don't know exactly when your baby will wake.
You don't know how quickly you'll fall back asleep.
You don't know what tomorrow will actually feel like.
Sleep math can feel like preparation, but for an anxious brain, it often becomes another form of monitoring.
Instead:
"I'll sleep when I can. I'll handle tonight one wake-up at a time."
3. Remind yourself that this is not the newborn stage anymore
If your baby is several months old, it can help to intentionally remind your brain:
"This is not the newborn stage."
Your baby is older.
Things have changed.
You have more information now.
You know your baby better.
You have more experience.
And even if tonight isn't perfect, you have survived difficult nights before.
You don't have to convince yourself that tonight will be easy.
You can remind yourself that you can handle whatever tonight actually brings.
4. Let go of the demand that tomorrow must be productive
This can be especially important for moms who are used to being capable, organized, and productive.
You may be mentally preparing for everything you need to accomplish tomorrow before you've even gone to bed.
But maybe tomorrow doesn't need to be your most productive day.
Maybe the house can be messier.
Maybe dinner can be simple.
Maybe the workout can wait.
Maybe the to-do list can lose a few items.
Sometimes reducing the pressure you put on tomorrow can make tonight feel less threatening.
5. Notice what your anxiety is asking you to do
Nighttime anxiety often comes with urges:
Check. Calculate. Research. Monitor. Prepare. Ask for reassurance. Stay awake.
Those behaviors can provide a brief sense of relief, but they can also teach your brain that the anxiety was dangerous and that you needed to do something to make yourself feel safe.
Learning to tolerate some uncertainty—without immediately responding to every anxious urge—is an important part of breaking the cycle.
If your nighttime anxiety involves repeated checking, reassurance-seeking, intrusive thoughts, or rituals, this can sometimes overlap with postpartum OCD.
You don't have to dread the night
If your anxiety starts around dinner because you're already worrying about what the night might bring, you're not alone.
And you don't have to wait until your baby is sleeping poorly to deserve support.
Sometimes the problem isn't the number of times your baby wakes.
It's the fear of being exhausted, the anticipation of losing control, and the memory of how hard those newborn nights were.
Your baby may be sleeping better now, but your nervous system may still be catching up.
Therapy can help you understand why your brain is staying on high alert and learn how to respond differently when the nighttime dread starts.
If you're experiencing persistent postpartum anxiety, postpartum anxiety therapy can help you work on the worry, uncertainty, checking, racing thoughts, and fear that can make motherhood feel harder than it needs to.
You don't have to know exactly whether it's postpartum anxiety, postpartum OCD, or simply "normal mom worry" before reaching out.
You just have to know that you don't feel like yourself anymore and you want things to feel different.
You deserve to be able to enjoy your evenings without spending them worrying about how tired you're going to be tomorrow.
with care,
Alison
Postpartum Anxiety vs. Postpartum OCD: How to Tell the Difference
Maybe you can't stop worrying about your baby.
You check the monitor again. You Google that symptom one more time. You ask your partner, your pediatrician, or a friend, “Do you think this is normal?”
And even after someone reassures you, the worry comes back.
Or maybe you're having thoughts that scare you so much that you don't even want to tell anyone about them.
Maybe you can't stop worrying about your baby.
You check the monitor again. You Google that symptom one more time. You ask your partner, your pediatrician, or a friend, “Do you think this is normal?” over and over again.
And even after someone reassures you, the worry comes back.
Or maybe you're having thoughts that scare you so much that you don't even want to tell anyone about them.
What if I dropped my baby?
What if I accidentally hurt them?
What if I lose control?
What if having this thought means something is wrong with me?
You may have started wondering, “is this postpartum anxiety?”. But sometimes, what looks like postpartum anxiety may actually be postpartum OCD.
Postpartum anxiety and postpartum OCD can look very similar, and it's possible to experience both. Understanding the difference can help you get the right kind of support instead of spending months wondering why you can't simply “turn off” your anxiety.
What Is Postpartum Anxiety?
Postpartum anxiety is more than the normal worry that comes with becoming a parent.
Having a baby brings a large amount of responsibility and uncertainty. It's normal to wonder whether your baby is eating enough, sleeping safely, or meeting their developmental milestones.
Postpartum anxiety becomes more concerning when the worry becomes persistent, difficult to control, and starts interfering with your ability to rest, enjoy your baby, or function in daily life.
You might experience:
Constant “what if” thoughts
Feeling like something bad is always about to happen
Difficulty relaxing, even when your baby is safe
Racing thoughts or an inability to quiet your mind
Excessive worry about your baby's health or development
Worry about making the “wrong” parenting decision
Feeling on edge or constantly alert
Physical symptoms such as a racing heart, muscle tension, or difficulty sleeping
Repeatedly checking on your baby because you're worried something might be wrong
For some moms, postpartum anxiety looks like being unable to stop thinking about everything that could possibly go wrong.
You may still be functioning. You're caring for your baby. You're getting things done. You're showing up at work or keeping up with the household.
But internally, you feel exhausted from being on high alert all the time.
Learn more about postpartum anxiety therapy →
What Is Postpartum OCD?
Postpartum OCD is a form of obsessive-compulsive disorder that occurs during pregnancy or after having a baby.
Like other forms of OCD, it involves a cycle of obsessions and compulsions.
An obsession is an unwanted, intrusive thought, image, urge, or fear that creates significant distress or uncertainty.
A compulsion is something you do—physically or mentally—to try to reduce that distress, prevent something bad from happening, or convince yourself that everything is okay.
During the postpartum period, OCD often attaches itself to the things you care about most: your baby, your role as a mother, and your responsibility for keeping your baby safe.
For example, you might suddenly have the thought:
“What if I accidentally dropped my baby down the stairs?”
The thought itself is an intrusive thought.
But then your brain may start demanding certainty:
“Would I ever actually do that?”
“Why did I think that?”
“Does having that thought mean I secretly want it to happen?”
You might begin avoiding stairs while holding your baby, repeatedly checking that you're holding them correctly, asking your partner whether they think you're safe, mentally reviewing the situation, or Googling what intrusive thoughts mean.
You get temporary relief.
And then the thought comes back.
That's the OCD cycle.
Postpartum Anxiety vs. Postpartum OCD: What's the Difference?
The biggest difference isn't necessarily what you're afraid of.
It's often what happens after the fear or thought appears.
Both postpartum anxiety and postpartum OCD can involve worries about your baby's health, safety, or well-being.
The difference is often found in your response to the anxiety.
With postpartum anxiety, you may think:
“I'm worried something bad could happen to my baby.”
With postpartum OCD, the experience may sound more like:
“I had this horrible thought. What if it means something? I need to make sure it doesn't happen. I need to know for certain that I'm not dangerous.”
That can lead to compulsive behaviors such as:
Repeatedly checking your baby
Asking for reassurance
Googling symptoms or safety information
Avoiding certain activities or objects
Mentally reviewing something that happened
Trying to “figure out” whether a thought means something
Repeating phrases or prayers in your head
Checking your feelings to see whether you feel “like yourself”
Seeking certainty that you would never hurt your baby
Asking others to confirm that you're a good or safe mother
The important question isn't only:
“Am I anxious?”
It can also be:
“What am I doing to try to make the anxiety go away?”
If you find yourself repeatedly checking, researching, avoiding, seeking reassurance, or mentally analyzing your thoughts, OCD may be part of the picture.
And sometimes, it can be both.
Can You Have Postpartum Anxiety and Postpartum OCD at the Same Time?
Yes.
Mental health conditions don't always fit neatly into separate boxes.
A mom may have generalized postpartum anxiety and also experience postpartum OCD symptoms. Another mom may primarily struggle with OCD but describe herself as simply “an anxious person” because she doesn't recognize the obsessive-compulsive cycle.
This is one reason self-diagnosing based on a symptom checklist can be difficult.
The same behavior—such as checking your baby's breathing—could have different meanings depending on what is happening internally.
For example, occasionally checking on your sleeping baby because you're a new parent is understandable.
But if you're checking every few minutes, unable to sleep yourself, and repeatedly checking because you feel like you must be absolutely certain your baby is safe, that may be a sign that anxiety or OCD is taking over.
The goal isn't to determine whether you're “anxious enough” to need help.
It's to understand the pattern you're caught in.
What About Scary or Intrusive Thoughts?
This is one of the most scary parts of postpartum OCD for many moms.
You may have a thought or image about accidentally harming your baby.
You may imagine dropping your baby.
You may suddenly picture something terrible happening.
You may even have a thought about intentionally harming your baby that feels completely horrifying and completely inconsistent with who you are.
And then you may become terrified by the fact that you had the thought at all.
An intrusive thought is not the same thing as an intention to act.
In postpartum OCD, these thoughts are typically unwanted and distressing precisely because they conflict with what the person wants and values.
The thought becomes scary because your brain starts treating it as meaningful:
“Why would I think that if I didn't want it?”
“What if this means I'm dangerous?”
“What if I can't trust myself?”
Trying to answer those questions with absolute certainty can actually keep the cycle going.
You may spend hours analyzing the thought, checking your feelings, researching what it means, or asking someone else to reassure you.
The more you try to prove that the thought doesn't mean anything, the more important the thought can begin to feel.
This is one reason postpartum OCD can be so exhausting—and why specialized treatment matters.
If you're experiencing intrusive thoughts that are scary or difficult to understand, you don't have to figure out what they mean on your own.
Learn more about postpartum OCD and intrusive thoughts →
Why Reassurance Can Sometimes Make OCD Worse
When you're scared, reassurance feels like the obvious solution.
You ask your partner:
“Do you think I'm okay?”
“Would you tell me if you thought I was dangerous?”
“Do you think that thought means anything?”
They reassure you.
For a few minutes, you feel better.
But then the doubt comes back.
So you ask again.
This cycle can happen with other forms of reassurance, too. You may repeatedly Google symptoms, read parenting forums, check your baby's breathing, review conversations in your head, or search for evidence that you're a good mother.
The problem isn't that reassurance is inherently bad.
It's that when reassurance becomes something you need in order to feel certain or safe, it can become part of the OCD cycle.
Treatment helps you learn a different way of responding to uncertainty so that you don't have to spend your day trying to achieve 100% certainty.
How Is Postpartum OCD Treated?
Postpartum OCD is treatable.
One of the most effective evidence-based treatments for OCD is Exposure and Response Prevention (ERP), a specialized form of cognitive behavioral therapy. The International OCD Foundation identifies ERP as a first-line psychological treatment for OCD, including perinatal OCD.
ERP doesn't mean intentionally putting yourself or your baby in danger.
Instead, therapy helps you gradually approach the thoughts, situations, or uncertainties that OCD has taught you to fear while learning not to rely on compulsions or avoidance to feel safe.
Over time, you learn that you can experience uncertainty and uncomfortable thoughts without having to respond to them with checking, reassurance, avoidance, or mental rituals.
Learn more about ERP and postpartum OCD therapy →
When Should You Reach Out for Help?
You don't have to wait until your anxiety is completely overwhelming.
It may be time to consider postpartum mental health therapy if:
Your worries feel constant or impossible to shut off
You're spending significant time checking, researching, or seeking reassurance
You're avoiding normal activities because you're afraid something bad could happen
Intrusive thoughts are causing significant distress
You're spending hours analyzing or trying to “solve” your thoughts
Anxiety or OCD is interfering with sleep, relationships, work, or your ability to enjoy motherhood
You're telling yourself you should be able to handle this but can't seem to make it stop
You also don't need to know whether you have postpartum anxiety, postpartum OCD, or something else before reaching out.
That's part of what therapy can help you understand.
Postpartum Anxiety or OCD? You Don't Have to Figure It Out Alone.
If you're a new mom who feels like your brain won't turn off, you may be wondering why everyone else seems to be handling motherhood while you're constantly worrying, checking, or second-guessing yourself.
You aren't failing.
And having anxiety or intrusive thoughts doesn't make you a bad mom.
Sometimes, what looks like “just anxiety” is actually part of an OCD cycle. Sometimes it's postpartum anxiety. Sometimes it's both.
The good news is that you don't have to figure out the diagnosis by yourself—and you don't have to keep living in a constant state of worry and alarm.
I specialize in postpartum anxiety, intrusive thoughts, and postpartum OCD, providing virtual therapy for moms in Conroe, The Woodlands, North Houston, Montgomery County, and throughout Texas and Colorado.
Learn more about postpartum therapy →
If you're ready to talk through what you're experiencing, you can schedule a consultation →.
You deserve support that helps you feel more like yourself again—not just better at managing your anxiety.
with care,
Alison
Can Therapy Help Postpartum Anxiety?
You may have found yourself worrying constantly since having your baby. Maybe you are checking on your baby repeatedly, worrying that something bad is going to happen, or having a hard time relaxing even when everything seems to be okay.
Maybe you have thoughts that you know are unlikely, but you cannot seem to stop thinking about them.
Or maybe you are functioning well. You are taking care of your baby, getting things done, and everyone around you thinks you are doing fine. But internally, you feel anxious all the time.
If this sounds familiar, you may be wondering, can therapy help postpartum anxiety?
You may have found yourself worrying a lot since having your baby. Maybe you are checking on your baby repeatedly, worrying that something bad is going to happen, or having a hard time relaxing even when everything seems to be okay.
Maybe you have thoughts that you know are unlikely, but you cannot seem to stop thinking about them.
Or maybe you are functioning well. You are taking care of your baby, getting things done, and everyone around you thinks you are doing fine. But internally, you feel anxious all the time.
If this sounds familiar, you may be wondering, can therapy help postpartum anxiety?
The short answer is yes. Therapy can be an effective treatment for postpartum anxiety and can help you understand your anxiety, change unhelpful thought and behavior patterns, and learn ways to manage your symptoms.
What Is Postpartum Anxiety?
Postpartum anxiety is anxiety that occurs during pregnancy or after having a baby. Some worry is normal when you become a parent. Having a new baby comes with a lot of responsibility and uncertainty.
However, postpartum anxiety can become a problem when the worry becomes excessive, difficult to control, or begins interfering with your daily life.
Some common symptoms of postpartum anxiety include:
Constant worry about your baby
Fear that something bad will happen
Racing thoughts
Difficulty relaxing
Feeling restless or constantly “on edge”
Trouble sleeping because of worry
Repeatedly checking on your baby
Asking others for reassurance
Difficulty making decisions because you are afraid of making the wrong choice
Avoiding certain situations because they feel unsafe
Physical symptoms such as a racing heart, muscle tension, nausea, or difficulty breathing
Postpartum anxiety can also include intrusive thoughts.
Intrusive thoughts are unwanted thoughts, images, or impulses that pop into your mind. They can be especially upsetting when they involve your baby or something you are afraid could happen to your baby.
Having an intrusive thought does not mean you want it to happen. It also does not mean you will act on the thought.
How Is Postpartum Anxiety Different From Normal New-Mom Worry?
This can be difficult to determine because some worry is expected when you have a new baby.
You may worry about whether your baby is eating enough, whether they are sleeping safely, whether they are sick, or whether you are doing the “right” things.
The difference is often how much time and energy the worry takes up and how much it interferes with your life.
For example, you might notice that you:
Spend a significant amount of time researching your baby's symptoms
Constantly check to make sure your baby is breathing
Ask your partner repeatedly if they think your baby is okay
Avoid leaving the house because of fears about something going wrong
Have difficulty sleeping because your mind is constantly thinking about potential problems
Cannot enjoy time with your baby because you are focused on what could go wrong
If anxiety is taking up a significant amount of your day or keeping you from doing things you want or need to do, it may be worth talking with a therapist.
How Can Therapy Help Postpartum Anxiety?
Therapy for postpartum anxiety focuses on identifying what is contributing to the anxiety and learning ways to respond differently.
One of the first things you may do in therapy is identify your anxiety cycle.
For example:
Worry → Anxiety → Checking/Reassurance → Temporary Relief → More Worry
You may feel anxious about something happening to your baby. You check on your baby or ask someone for reassurance. Your anxiety decreases for a short time.
The problem is that your brain can learn from this experience that checking or reassurance is what keeps you safe.
This can lead to more checking and reassurance-seeking the next time you feel anxious.
Therapy can help you interrupt this cycle.
Cognitive Behavioral Therapy for Postpartum Anxiety
Cognitive Behavioral Therapy, or CBT, is one type of therapy commonly used to treat anxiety.
CBT looks at the connection between your thoughts, feelings, physical symptoms, and behaviors.
For example, you may have the thought:
“If I don't check on my baby, something bad could happen.”
This thought creates anxiety, which may lead you to check on your baby. Checking temporarily reduces the anxiety.
In therapy, you can learn to recognize these patterns and challenge unhelpful thinking. You can also learn different ways to respond to anxiety rather than automatically doing whatever makes the anxiety go away in the moment.
CBT can also help with perfectionism, which is common among new mothers.
You may feel like you have to do everything correctly, make the right decisions, or prevent every possible problem. Therapy can help you identify unrealistic expectations and develop more flexible ways of thinking.
Exposure and Response Prevention for Postpartum OCD
Sometimes postpartum anxiety includes symptoms of postpartum OCD.
Postpartum OCD can involve intrusive thoughts, images, or fears about something terrible happening to your baby. It can also involve compulsive behaviors such as checking, researching, avoiding, or repeatedly seeking reassurance.
When OCD is involved, Exposure and Response Prevention (ERP) may be an appropriate treatment.
ERP is a form of cognitive behavioral therapy that helps you gradually face fears or uncertainty while reducing the compulsive behaviors you use to feel safe.
The goal isn't to prove that nothing bad will ever happen.
Instead, you learn that you can experience uncertainty and anxiety without having to respond to it with compulsions.
This is an important distinction because reassurance can sometimes provide short-term relief but keep the OCD cycle going.
If you are experiencing intrusive thoughts, it is important to work with a therapist who understands the difference between intrusive thoughts associated with anxiety or OCD and other mental health concerns.
What Happens During Therapy for Postpartum Anxiety?
Your first sessions will typically focus on understanding what you are experiencing.
Your therapist may ask about:
When your anxiety started
What you are worrying about
How often you experience anxious thoughts
Whether you are experiencing intrusive thoughts
What you do when you become anxious
Your sleep
Your relationships and support system
How anxiety is affecting your daily life
What you would like to be different
From there, you and your therapist can develop a treatment plan.
Therapy is collaborative. Your therapist may teach you different strategies or introduce different interventions, but you should also be able to provide feedback about what is and isn't helpful.
You may try something between sessions and come back the next week to discuss how it went.
If it helped, you can continue using it. If it didn't help, you can figure out why, modify the approach, or try something different.
How Long Does Therapy Take for Postpartum Anxiety?
There isn't one specific amount of time that everyone needs therapy.
Some women benefit from short-term, focused treatment, while others need longer-term support.
The length of therapy depends on several factors, including:
How severe your anxiety is
How long you have been experiencing symptoms
Whether you are also experiencing depression or OCD
How much anxiety is interfering with your life
Your goals for therapy
How you respond to treatment
You also don't have to wait until your anxiety becomes severe before starting therapy.
In fact, addressing anxiety earlier may prevent it from becoming more established in your daily life.
Do I Need Therapy If I Am Still Functioning?
Yes, you can still benefit from therapy even if you are functioning.
One misconception about postpartum anxiety is that you have to be unable to care for your baby or unable to get through your day for your symptoms to “count.”
This isn't true.
You may be going to work, taking care of your children, keeping your house running, and appearing completely fine to everyone else while spending much of your day feeling anxious.
Sometimes high-functioning anxiety can be difficult to recognize because you are still getting everything done.
The question isn't only “Can I function?”
It’s also:
“How much energy is it taking me to function this way?”
If anxiety is taking up a significant amount of your mental energy, affecting your sleep, interfering with your relationships, or preventing you from enjoying your life, therapy may be helpful.
When Should You Seek Help for Postpartum Anxiety?
Consider talking with a therapist if your anxiety is:
Difficult to control
Interfering with sleep
Preventing you from enjoying your baby
Causing you to avoid activities or situations
Leading to frequent checking or reassurance-seeking
Taking up a significant amount of your day
Causing significant distress
Making you feel unlike yourself
You do not have to wait until you reach a breaking point.
A therapist can help you determine whether what you are experiencing is within the range of normal adjustment or whether you may benefit from treatment.
Can Postpartum Anxiety Get Better With Treatment?
Yes. Postpartum anxiety is treatable, and there are several effective treatment options available.
Therapy can help you understand why anxiety is happening, recognize the patterns that keep it going, and develop healthier ways of responding to anxious thoughts and uncertainty.
For some women, medication may also be part of treatment. A therapist can work alongside your physician, psychiatrist, or other medical provider when medication is appropriate.
The goal of treatment is not to make you a mother who never worries.
The goal is to help you feel more confident in your ability to handle the worries that come with motherhood without anxiety controlling your decisions, behaviors, or daily life.
You Don't Have to Keep Managing the Anxiety on Your Own
Having a baby is a major transition. It is normal to have questions, worries, and moments of uncertainty.
But if you feel like your mind is constantly looking for the next thing that could go wrong, or you are spending your days checking, researching, avoiding, or seeking reassurance, you may be dealing with more than typical new-mom worry.
Therapy can help with postpartum anxiety.
If you are experiencing postpartum anxiety, intrusive thoughts, or symptoms of postpartum OCD, working with a therapist who specializes in perinatal mental health can help you better understand what is happening and determine what treatment approach may be right for you.
If you are located in Conroe, The Woodlands, or surrounding Montgomery County, Texas, or are looking for telehealth support, reach out to learn more about therapy for postpartum anxiety and OCD.
You don't have to figure this out alone.
with care,
Alison