Quick Answer Yes. Postpartum depression can begin months after giving birth, not only during the first few weeks with a newborn. The American College of Obstetricians and Gynecologists (ACOG) notes that postpartum depression can occur within the first year after having a baby, although it most commonly begins earlier. This...
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Why Am I So Anxious During Pregnancy? Understanding Prenatal Anxiety
Quick Answer Pregnancy can bring up a surprising amount of anxiety, even when everything seems to be going well. You might find yourself worrying before appointments, overthinking every new symptom, or wondering if your baby is okay. For some people, those worries come and go. For others, they start taking...
Doris Castro, LCSW
Licensed Clinical Social WorkerLCSW #69787Pronouns: she/her/hersSpecialtiesPerinatal & Reproductive Mental Health • Trauma and PTSD • Anxiety • Depression • Intergenerational Healing • Chronic Pain and Illness • Parenting • NeurodivergenceAbout MeHi, I’m a Licensed Clinical Social Worker and first-generation Latina committed to providing trauma-informed and culturally responsive mental health care....
Kathleen (Katie) Silva, ASW
Associate Clinical Social WorkerASW #115687Supervised by Emily Remba, LCSW #68029Pronoun: she/her/hersSpecialtiesPerinatal & Reproductive Mental Health • Postpartum and Matrescence • Infertility • Pregnancy Loss • Anxiety and Depression • Trauma • Grief and Loss • Parenting • Mood DisordersAbout MeHi, I’m Katie, an Associate Clinical Social Worker. I work with...
Shira Berdugo, AMFT
Registered Associate Marriage and Family TherapistAMFT #158162Supervised by Lorraine Balek-Beeson, LPCC #4057Pronouns: she/her/hersSpecialtiesPerinatal & Reproductive Mental Health • Anxiety and Depression • Trauma and PTSD • Relationship Issues • Boundaries and Communication • Self Esteem • Substance UseAbout MeHi, I’m Shira, a Registered Associate Marriage and Family Therapist based in...
Rachel Bigelow, APCC
Registered Associate Professional Clinical CounselorAPCC #20693Supervised by Lorraine Balek-Beeson, LPCC #4057Pronouns: she/her/hersSpecialtiesPerinatal & Reproductive Mental Health • Birth Trauma and NICU Support • Expressive Arts Therapy • Anxiety and Health Anxiety • Military and Military Spouse Life • Trauma • Parenting • Identity and Life TransitionsAbout MeHello and welcome! I’m...
When Should I See a Therapist for Postpartum Depression?
Quick Answer You do not need to wait until postpartum depression becomes severe before talking with a therapist. Consider reaching out if emotional changes after having a baby are persistent, distressing, affecting your relationships or daily life, or simply making you feel that you are not functioning or feeling like...
Is It Okay to Take a Break From Fertility Treatment?
Quick Answer Yes. Taking a break from fertility treatment can be a healthy and reasonable choice, especially when the emotional, physical, financial, or relationship stress has become overwhelming. A pause does not necessarily mean you are giving up. For some individuals and couples, stepping back creates space to recover emotionally,...
Returning to Work After Having a Baby: When Postpartum Anxiety Follows You to the Office
Quick Answer Returning to work after having a baby can intensify postpartum anxiety, even if you were looking forward to getting back to your career. Separation from your baby, childcare worries, sleep deprivation, pumping or feeding concerns, changes in identity, and pressure to perform at work can all make the...
How to Support a Partner With Postpartum Anxiety
Quick Answer If your partner is experiencing postpartum anxiety, one of the most helpful things you can do is take their fears seriously without reinforcing the anxiety itself. Listen without judgment, help reduce their mental and practical load, encourage rest when possible, and support them in connecting with a healthcare...
Postpartum Panic Attacks: Why They Happen and When to Seek Help
Quick Answer Postpartum panic attacks are sudden episodes of intense fear or anxiety that can occur after having a baby. They may cause a racing heart, shortness of breath, dizziness, shaking, nausea, chest discomfort, or a frightening feeling that something terrible is about to happen. A panic attack can feel...
Postpartum OCD vs. Postpartum Anxiety: What’s the Difference?
Quick Answer Postpartum anxiety and postpartum OCD can both involve intense worry, fear, and intrusive thoughts after having a baby, but they are not exactly the same. Postpartum anxiety often involves persistent or excessive worry about the baby’s health, safety, feeding, sleep, or your ability to parent. Postpartum OCD involves...
Secondary Infertility: Why Trying for Another Baby Can Still Bring Grief
Quick Answer Secondary infertility is the difficulty becoming pregnant or carrying another pregnancy after previously having a child. It can bring grief, guilt, anxiety, relationship stress, and loneliness, even when you deeply love and appreciate the child you already have. Parents experiencing secondary infertility are often told to be grateful...
Afraid You’re Developing Postpartum Psychosis? What New Parents Need to Know
Quick Answer Recent news stories about postpartum psychosis have understandably left many new parents feeling frightened. If you've experienced intrusive thoughts, postpartum anxiety, or overwhelming worry after having a baby, you may wonder whether you're developing postpartum psychosis. While those fears are understandable, intrusive thoughts and postpartum anxiety are not...
When Trying to Conceive Starts to Affect Your Work
Quick Answer Trying to conceive can affect much more than your personal life. Fertility appointments, the emotional ups and downs of treatment, the two-week wait, and repeated disappointments can make it difficult to concentrate, stay productive, or feel like yourself at work. Many people worry about taking time off for...
Postpartum Psychosis vs. Intrusive Thoughts: Understanding the Difference
Quick Answer Many new parents experience frightening intrusive thoughts after having a baby and worry that these thoughts mean they are developing postpartum psychosis. While both involve mental health after childbirth, they are not the same condition. In fact, research suggests that approximately 80–90% of new parents experience unwanted intrusive...
How to Cope With Fertility Appointment Anxiety
Quick Answer Fertility appointments can bring up anxiety long before you walk into the clinic. You may worry about receiving difficult news, making important decisions, understanding medical information, or hearing that another treatment didn't work. Even routine ultrasounds, blood work, and follow-up appointments can become emotionally overwhelming. These feelings are...
Setting Boundaries With Family While Trying to Conceive
Quick Answer Trying to conceive can bring emotional challenges that extend far beyond fertility appointments and pregnancy tests. Questions from family members, unsolicited advice, and pressure to provide updates can make an already stressful journey feel even more overwhelming. Setting healthy boundaries with parents, relatives, friends, and coworkers can help...
How to Handle Pregnancy Announcements While Trying to Conceive
Quick Answer Hearing a pregnancy announcement while you're trying to conceive can bring up a wave of emotions. You may feel genuinely happy for someone you care about while also experiencing sadness, jealousy, grief, anger, or disappointment about your own fertility journey. These mixed emotions are completely normal. They do...
Grieving the Timeline You Imagined for Growing Your Family
Quick Answer Many people who experience fertility challenges aren't only grieving the difficulty of getting pregnant. They're also grieving the timeline they always imagined for their lives. You may have pictured becoming a parent at a certain age, having children close together, or growing your family in a particular way....
How to Cope With a Negative Pregnancy Test Month After Month
Quick Answer Receiving a negative pregnancy test can be heartbreaking, especially when it happens month after month. The repeated cycle of hoping, waiting, testing, and feeling disappointed can affect your mood, relationships, confidence, and everyday life in ways that people outside your fertility journey may not fully understand. You may...
Why Am I So Anxious After Having a Baby?
Quick Answer Feeling anxious after having a baby is more common than many people realize. While some worry is a normal part of adjusting to parenthood, persistent anxiety, racing thoughts, difficulty sleeping, panic, or constant fear that something bad might happen can be signs of postpartum anxiety. Support is available,...
Postpartum Anxiety at Night: Why It Often Feels Worse After Dark
Quick Answer Many parents notice that postpartum anxiety feels significantly worse at night. When the distractions of the day fade away, anxious thoughts often become louder. Sleep deprivation, hormonal changes, nighttime caregiving responsibilities, and increased mental focus on worries can all contribute to heightened anxiety after dark. Key Takeaways Postpartum...
Why IVF Can Feel Like an Emotional Roller Coaster
Quick Answer IVF can be emotionally overwhelming because it combines uncertainty, medical treatment, financial investment, physical demands, and deeply personal hopes about growing a family. Many individuals experience anxiety, grief, stress, emotional highs and lows, and relationship challenges throughout the IVF process. Emotional support can help people navigate treatment with...
When Fertility Stress Starts Affecting Your Marriage
Quick Answer Fertility challenges can place significant emotional strain on a relationship. The uncertainty of trying to conceive, fertility treatment decisions, financial pressures, grief, and repeated disappointment can affect communication, intimacy, and emotional connection. While relationship stress during fertility struggles is common, support can help couples navigate these challenges together....

























