Understanding PMADs: More Than Just the "Baby Blues"
Perinatal Mood and Anxiety Disorders (PMADs) affect up to 1 in 5 mothers and 1 in 10 fathers. Despite how common they are, many parents suffer in silence because symptoms are often unrecognized or misunderstood.
If you are feeling overwhelmed, anxious, numb, or simply unlike yourself during pregnancy or in the first year postpartum, please hear this: You are not broken, you are not doing anything wrong, and you are not alone.
What are PMADs?
PMADs is an umbrella term that includes much more than just postpartum depression. These symptoms can surface during pregnancy or anytime within the first year after giving birth. Unlike the "baby blues," which typically resolve within two weeks, PMADs are more persistent and require dedicated support.
Common Signs and Symptoms
PMADs don't always look like sadness. They can present as:
Persistent Anxiety: Racing thoughts or a constant sense of "waiting for the other shoe to drop."
Panic Attacks: Physical symptoms like heart palpitations or shortness of breath.
Intrusive Thoughts: Scary or distressing "what if" thoughts that feel hard to control.
Postpartum Rage: Intense irritability or outbursts of anger.
Disconnection: Feeling distant or "numb" toward your baby or partner.
Insomnia: Being unable to sleep even when the baby is sleeping.
Hopelessness: A heavy sense of dread about the future.
Rooted in Biology, Not Character
As physician and midwife Dr. Aviva Romm explains, PMADs are often rooted in biological shifts rather than character flaws. Your body and brain are responding to massive transitions, including:
Drastic hormonal shifts
Nervous system overload
Chronic sleep deprivation
The ongoing stress of new parenthood
In Western culture, there is often an unrealistic expectation for parents to "bounce back" instantly. Postpartum care frequently centers on the baby’s health while overlooking the birthing person’s recovery. When this vital support is missing, symptoms can escalate.
Support and Healing are Possible
The most important thing to know is that PMADs are treatable. You do not have to "white-knuckle" your way through this. Early intervention makes a significant difference in your long-term well-being and your relationship with your family.
Effective approaches to healing often include:
Specialized Therapy: Working with a perinatal-trained mental health provider.
Nervous System Regulation: Prioritizing rest and gentle practices to calm the body.
Nutritional Support: Addressing depletion and supporting hormonal balance.
Herbal & Supplemental Support: Natural options to help stabilize mood and energy.
Community Care: Accepting practical help with meals, cleaning, or childcare.
You Deserve Care
If this resonates with you, please remember: You are not weak, and you are not failing your baby. Reaching out for help is a brave and powerful step toward feeling like yourself again.
Whether you talk to a midwife, a trusted friend, or a professional counselor, know that healing is possible. You do not have to do this alone.