The Baby Blues and Navigating Postpartum Anxiety and Depression: A Guide for New Parents

The journey into parenthood is often portrayed as a blissful experience, filled with joy and wonder. However, the reality for many new parents can be quite different. The arrival of a new baby can bring about a whirlwind of emotions, challenges, and adjustments that can take a toll on mental health. In fact, statistics show that a staggering 20% of new parents experience postpartum anxiety or depression, impacting individuals regardless of whether they are biological or adoptive parents.

In this podcast episode, we delve into the topic of postpartum anxiety and depression, exploring typical responses after the birth of a child, signs that indicate professional help may be needed, and avenues for seeking support. To provide insights into this important topic, we'll draw from a conversation between Dr. Heather England, an executive coach, psychotherapist, and relationship expert, and her colleague Michelle Tangeman, a licensed marriage and family therapist specializing in postpartum anxiety and depression.



Understanding Postpartum Anxiety and Depression

Postpartum anxiety and depression can manifest in various ways, impacting how individuals feel, their sense of identity, their relationships, and even their sex lives. The period following childbirth is marked by hormonal fluctuations, physical changes, sleep deprivation, and the immense responsibility of caring for a newborn. While it's normal to experience some level of mood fluctuations, persistent symptoms beyond the initial "baby blues" phase may indicate a more serious condition.


Typical Symptoms

Typical symptoms of postpartum anxiety and depression include:

  • Persistent feelings of sadness or irritability
  • Excessive worry and fear, particularly about the baby's well-being
  • Social withdrawal and isolation
  • Changes in appetite and sleep patterns
  • Feelings of guilt or inadequacy
  • Loss of interest in activities once enjoyed

Differentiating between the "baby blues" and postpartum mood disorders involves considering the duration and severity of symptoms. While the baby blues typically resolve within a couple of weeks, postpartum anxiety and depression persist and significantly impact daily functioning.

Risk factors for postpartum anxiety and depression include personal and family history, lack of support, history of pregnancy loss, and experiences of domestic violence or abuse. Recognizing these risk factors can help individuals prepare for potential challenges and seek support proactively.


Seeking Help and Support

For individuals experiencing persistent symptoms of postpartum anxiety or depression, seeking professional help is essential. Therapy, particularly cognitive-behavioral therapy (CBT) and interpersonal therapy, are the primary approaches recommended for treatment. CBT focuses on identifying and challenging negative thought patterns, replacing them with more adaptive ones.

When considering therapy, it's crucial to find a therapist who specializes in perinatal mental health and has received training in treating postpartum mood disorders. Organizations like Postpartum Support International provide resources and directories of clinicians with expertise in this area.

Support from loved ones also plays a vital role in recovery. Friends and family members can offer practical assistance, such as helping with childcare or household chores, as well as emotional support and validation. Encouraging open communication and offering non-judgmental assistance can make a significant difference for new parents struggling with postpartum mood disorders.



The transition to parenthood is a profound and transformative experience, accompanied by a range of emotions and challenges. Postpartum anxiety and depression are common yet often overlooked aspects of this journey, affecting individuals regardless of gender or parental status. By recognizing the signs and seeking appropriate support, new parents can navigate this period with greater resilience and well-being.

If you or someone you know is struggling with postpartum anxiety or depression, remember that help is available. Reach out to a trusted healthcare provider or mental health professional for support and guidance. You are not alone, and with the right support, healing and recovery are possible.



In this episode, Dr. Heather England and Michelle Tangeman discuss postpartum anxiety and depression. They explore the typical responses and challenges that new parents face after having a baby, including hormonal changes and the impact on relationships. They differentiate between baby blues and postpartum depression, emphasizing the importance of seeking help if symptoms persist beyond two weeks. The prevalence of postpartum mood disorders is highlighted, with one in five moms experiencing a perinatal mood and anxiety disorder. The episode concludes with practical tips for supporting a loved one and finding a competent therapist for postpartum mood disorders.



  • Postpartum anxiety and depression can have a significant impact on new parents' emotional well-being, identity, relationships, and sex life.
  • It is important to differentiate between baby blues and postpartum depression, with the latter characterized by persistent symptoms beyond two weeks.
  • Risk factors for postpartum mood disorders include personal and family history, lack of support, medication changes, history of domestic violence or abuse, and pregnancy loss.
  • Support from friends, family, and professionals is crucial in helping new parents navigate the challenges of the postpartum period.
  • Cognitive Behavioral Therapy (CBT) can be an effective treatment for postpartum mood disorders, helping individuals challenge negative thoughts and reduce symptoms.


Guest Bio:

Michelle Tangeman is a Licensed Marriage and Family Therapist and Board Certified Behavioral Analyst in private practice in the LA area. She is a child and family therapist in private practice at Michelle Tangeman Behavioral Health. Michelle has extensive experience in individualized behavior intervention, Functional Behavior Assessments, school-based services, family-focused intervention, early start services, and social skills training and provides these services to families across Ventura and Los Angeles counties. She has also completed the training as part of the Postpartum Support International’s Advanced Perinatal Mental Health Psychotherapy Training Program.

Additionally, Michelle founded an online education company, Thriving Toddler focused on helping as many people as possible become the parents they want to be.

Michelle is also a podcast host and the co-founder of the Parenting Understood podcast. Michelle and her co-host are passionate about teaching parents about evidence-based interventions grounded in science to make a positive impact on the parent-child relationship.



Beyond the Blues: Understanding and Treating Prenatal and Postpartum Depression & Anxiety

by Shoshana S. Bennett PhD and Pec Indman PA,EdD

PostPartum Support International

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