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Postpartum Depression vs Postpartum Anxiety

Postpartum anxiety and Postpartum depression occur right after giving birth to a baby, but both conditions are different in their own ways. Most importantly, this can occur to mother or father, both, even if it can happen to biological, surrogate, or even adopted parents. In postpartum anxiety and postpartum depression, one feels extreme sadness and hopelessness. They think that they are not going to be good parents, as they are not treating their child appropriately. On the other hand, postpartum anxiety gives excessive worry and nervousness about everything. They often fear that the baby can fall off the bed or might get hurt.

This article delves into the key differences between postpartum depression and postpartum anxiety on the grounds of their emotional, behavioral, diagnostic, and treatment differences.

Postpartum depression vs postpartum anxiety: Key Differences 

Here is the breakdown of differences in Postpartum depression and postpartum anxiety.

Emotional difference

Postpartum depression and Postpartum anxiety have some emotional differences. Both conditions can affect at the same time, but that is not always the case.

Postpartum depression 

Postpartum anxiety 

It causes trouble in focusing, feelings of shame, and guilt. It causes panic attacks and unreal thoughts.
Individuals struggle with appetite issues and sleep. In this particular state, restlessness and trouble sleeping are very common.
It stays for weeks or longer. It persists for weeks and longer.
It makes the individuals self-focused. It makes you more focused on the baby.

Difference in symptoms 

Postpartum depression is a subtype of Perinatal depression. Postpartum depression and Postpartum anxiety have some overlapping symptoms, which makes the diagnosis more challenging and difficult. However, both conditions have differences in symptoms.

These include:

Postpartum Depression 

Postpartum Anxiety 

Difficulty bonding with the baby. Parents become cautious about the baby.
It causes unwanted thoughts, but it is mild. Severe, unwanted, and intrusive thoughts can occur.
Suicidal thoughts are very common in this state. In this particular state, individuals don’t have suicidal thoughts.
It makes you become isolated and causes social withdrawal. It causes overthinking and a lack of interest.
It makes the individuals cry excessively over every small thing. It makes the sufferer think that they are losing control over everything.

Behavioral differences 

Postpartum depression and anxiety have different behavioral responses due to different core experiences. Both conditions can impact the overall family and the baby. Here are the behavioral differences between these two conditions.

Postpartum Depression 

Postpartum Anxiety 

It makes the individual become isolated. It makes the individual avoid certain people or places.
Individuals with this particular state are not conscious. It makes the individual become overly cautious about things that are not dangerous.
People with this state have suicidal thoughts It makes the individuals check things again and again.
It can contribute to controlling behaviors, but not necessarily. Individuals become controlling with postpartum anxiety.

Difference in prevalence 

Postpartum depression and postpartum anxiety have different prevalences. Postpartum depression is more common as compared to postpartum anxiety.

Here is how;

Postpartum depression 

Postpartum anxiety 

The prevalence rate of postpartum depression is around 8.7% to 27%. Postpartum anxiety is less common and falls between 11% to 27%.

Differences in terms of motivation 

Postpartum depression and postpartum anxiety both impact motivation, but the impact of motivation is different. In this particular scenario, postpartum depression is more critical than postpartum anxiety.

Here is how:

Postpartum Depression 

Postpartum Anxiety 

It makes the individuals demotivated, and they don’t feel pleasure in doing tasks. In this particular state, individuals have an interest in activities but have fear without any reason.
It makes the individual think that they are incapable of taking care of the baby. It makes the individuals overthink about the health concerns of the baby.

Differences in energy levels 

Postpartum depression and postpartum anxiety both impact energy, but they have different reasons for having decreased energy levels.

Here is how:

Postpartum depression 

Postpartum anxiety 

In this state, people have less energy due to emotional tiredness and lack of interest. In this state, people have been drained by overthinking and feel low in energy.

Differences in decision-making 

Postpartum depression and postpartum anxiety both affect the ability to make decisions, for different reasons.

Here is how:

Postpartum depression 

Postpartum anxiety 

Self-doubt is the major reason for not being able to decide efficiently. Fear and assumptions are the main reasons for impacting the decision-making process.

Differences in occurrence 

Postpartum depression and postpartum anxiety have significant differences in occurrence. The exact cause is still unknown, but there are some factors that might contribute to the development of both.

Here is how:

Postpartum depression 

Postpartum anxiety 

Hormones like estrogen and progesterone can trigger the PPD. Hormonal shift can impact postpartum anxiety.
Lack of social support. Stressful life events.
Difficult delivery or complications in pregnancy. A previous history of anxiety disorders.
Having a baby with special needs. Having a premature birth.
You’re a single parent. Previous pregnancy loss.

Differences in Diagnosis 

There is no specific test available to diagnose postpartum depression and postpartum anxiety. It can be diagnosed by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Here is how;

Postpartum depression 

Postpartum anxiety 

It can be diagnosed after analyzing the symptoms. If the symptoms of anxiety have been present for more than two weeks.
Thyroid tests and blood tests help in the diagnosis. Some screening tests help in diagnosis.

Differences in treatments 

Every person has a different tendency and a different severity of symptoms. Postpartum depression and postpartum anxiety are highly treatable with the right medications and therapies.

Medications

A healthcare professional prescribes antidepressant and anti-anxiety medication; these medications help in managing the brain chemicals that enhance your mood.

If you are a mother breastfeeding your child, then consult your mental healthcare provider before taking any medications.

Here are some medications that can be helpful;

Postpartum depression 
Postpartum anxiety
Sertraline Duloxetine
Fluoxetine  Paroxetine
Duloxetine desvenlafaxine
Desvenlafaxine Nortriptyline 
Wellbutrin  amitriptyline
Amitriptyline Imipramine

Psychotherapy 

Talk therapy is very effective for treating postpartum depression and postpartum anxiety. Sometimes, a healthcare professional combines two or three therapies to get the desired treatments according to an individual’s condition and needs.   

Here is how therapies are helpful;

Cognitive behavioral therapy

Cognitive behavioral therapy is one of the most effective therapies that helps in changing upsetting thoughts. It is based on the principle that thoughts, feelings, and behaviors are interconnected.

Here is how it’s helpful in postpartum depression and postpartum anxiety.

Postpartum depression 
Postpartum anxiety 
It changes the negative thoughts and reduces the sadness and irritation. CBT helps in reducing the excessive worry caused by anxiety.
It changes the upsetting thoughts into helpful ones. It challenges the unwanted thoughts in a way to reduce them.
It requires 12 to 26 sessions. It requires one-on-one sessions for the short term.

Interpersonal Therapy (IPT)

Interpersonal therapy is an evidence-based therapy that helps the therapist understand the emotions and feelings to address the difficult thought patterns.

Here is how interpersonal therapy is helpful;

Postpartum depression 

Postpartum anxiety 

It identifies the exact issues of sadness and grief. It addresses the exact cause of fear.
It aims to improve social isolation. It improves the mood by providing coping skills.

Dialectical Behavior Therapy (DBT)

It’s a form of CBT that aims to provide effective treatments for people suffering from postpartum depression and postpartum anxiety. This therapy helps individuals to accept their thoughts but still move on with them by changing them in a productive way.

Here is how it’s helpful;

Postpartum depression 

Postpartum anxiety 

It helps in managing emotions and learn to manage their emotional feelings. It helps in managing unwanted fear and reducing emotional vulnerability.
It helps in managing communication and interpersonal skills with the family. It helps to make a strong bond with the family and the baby.

Parent-Infant Psychotherapy

This talk therapy focuses on the bond and relationship between the mother and the child. It’s very effective for parents struggling with postpartum depression and postpartum anxiety.

Here is how;

Postpartum depression 

Postpartum anxiety 

It improves the interaction between mother and child. It reduces the anxiety related to the child.
It promotes attachment with the child. It reduces the avoidance of the baby.
It reduces parental stress. It reduces the anxiety that makes the parents fearful.

Support groups

Support groups play an important role in reducing the symptoms of postpartum depression and postpartum anxiety. It provides a sense of connection with others and reduces isolation. It provides a nurturing environment where you can talk about your issues without the fear of judgment and stigma. Individuals share their experience with others who are struggling with the same issues. People share tips and strategies with each other to overcome the symptoms of postpartum depression and postpartum anxiety.

Nurture your mind at Brain Power Wellness Institute 

Are you overwhelmed by intrusive thoughts and fears? Do you feel sad and have a lack of interest after becoming a parent? You might be suffering from postpartum depression or postpartum anxiety. Find exceptional care at Brain Power Wellness Institute. Our mental health experts utilize evidence-based therapeutic approaches in a home-like space to address the unique challenges.

Explore More on This Topic: Can Men Get Postpartum Depression?

Last thoughts 

Postpartum depression and postpartum anxiety are two separate conditions that are very common and occur right after giving birth to the baby. Both conditions are highly treatable with talk therapies and medications like SSRIs and SNRIs. This condition is deeper than baby blues, and it also affects the bond between the mother and the infant. Both conditions have similar symptoms, which causes difficulty in diagnosing the conditions. Moreover, connecting with friends and family or a support group can also help to overcome the isolation.

Book a consultation today to eliminate depressive and unwanted thoughts.

Frequently Asked Questions

How to recognize postpartum anxiety?

If you have excessive fear and worry regarding the baby, you might be suffering from postpartum anxiety. 

Is postpartum depression the same as baby blues?

No, it's deeper than baby blues. 

When does postpartum anxiety occur?

It occurs after the birth of a baby.

Do breastfeeding mothers take antidepressants?

It’s better to get advice from your healthcare provider, as medications can pass through the breastmilk and affect the baby. 

Do surrogate parents also get diagnosed with postpartum depression?

Yes, surrogate parents can also be diagnosed with postpartum depression. 

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