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PMADS (Prenatal Mood and Anxiety Disorder’s) are a spectrum of postpartum disorders including depression, anxiety, obsessive compulsive disorder, bipolar disorder, and postpartum psychosis.

  • It is estimated that 1 in 5 women, worldwide, experience some type of PMAD
  • 1 in 10 dads are estimated to develop depression during the postpartum period
  • Up to 50% of mothers do not seek mental health treatment
  • Without treatment, poor maternal mental health may have long term and negative consequences for mother, child and family.
  • Symptoms often develop during pregnancy or the first few days after childbirth, but may not develop for months after childbirth
  • Research shows that symptoms do not usually resolve without treatment

PMAD depression and anxiety symptoms include:

  • Anxiety or panic attacks
  • Persistent sadness
  • Changes in sleeping or eating patterns, including insomnia or loss of appetite
  • Chronic fatigue
  • Loss of interest in previously enjoyable activities (anhedonia)
  • Issues with concentration or decision-making
  • Separation anxiety
  • Irritable Mood or mood swings
  • Feelings of guilt, helplessness, hopelessness, or feeling “overwhelmed”
  • Avoidance behaviors

Postpartum OCD is estimated to affect 11% of new mothers, however, this percentage may be higher due to the limited education around experience surrounding assessment and treatment of the disorder. Symptoms include:

  • Obsessions (Intrusive thoughts or mental images typically related to the baby)
  • Compulsions (Behaviors performed to reduce the frequency and intensity of the obsessions)
  • Mothers are highly unlikely to act on these obsessions and typically present with a fear and disgust about the obsessions

Postpartum PTSD is estimated to affect 9% of women due to traumatic childbirth. Symptoms include:

  • Reliving of trauma via dreams/nightmares or flashbacks
  • Avoidance of thoughts, feelings, people, or any associated stimuli related to trauma
  • Persistent increased arousal, including hypervigilence, irritability, sleep issues, and/or exaggerated startle response

Perinatal Bipolar Disorder:

  • It is estimated that 22% of women with postpartum depression are actually suffering from postpartum bipolar disorder
  • More than 70% of women with bipolar disorder will become ill during pregnancy when stopping their medication

Postpartum Psychosis happens in 1-2 out of every 1,000 deliveries. Symptoms include:

  • Delusions (strange beliefs)
  • Hallucinations
  • Significant mood changes including irritability, hyperactivity, and decreased need for sleep
  • Treatment is crucial: 5% suicide rate and 4% infanticide rate associated with psychosis

Please Remember:

“You are not alone. You are not to blame. With help, you will be well.”

PSI Helpline: (800) 944-4PPD (4773) •

Parental Stress Line 1-800-632-8188

Psychiatric Crisis Services (Home based visits available)

  • Hampden County and surrounding communities, including Springfield, Chicopee, Holyoke: (413) 733-6661
  • Franklin County Crisis Services: (413) 774-5411, (800) 562-0112
  • Crisis Services of Hampshire County: (413) 586-5555
  • Westfield Crisis, West Springfield, Agawam, Westfield, Hilltowns: (413) 568-6386
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