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Postpartum Depression

postpartum depression

Postpartum Depression

I’ve been privileged to guide countless women through the rollercoaster of motherhood. Among the joys and celebrations, there are challenges. One such challenge, often cloaked in silence and misunderstanding, is Postpartum Depression or PPD.


  • PPD is a mood disorder experienced by some new mothers after childbirth.
  • It delves deeper than fleeting moments of sadness; instead, it’s characterized by persistent feelings of sadness, hopelessness, and a diminishing interest in daily life.
  • Such feelings can profoundly affect a mother’s ability to care for herself and, in turn, her baby.
postpartum bipolar

Postpartum Depression Symptoms

Recognizing Postpartum Depression (PPD) is the first step towards healing. The signs vary but often include:

  • Fatigue that seems endless.
  • Sleep disturbances – either excessive sleeping or insomnia.
  • Changes in appetite – overeating or not eating enough.
  • Feelings of worthlessness or guilt.
  • Challenges in bonding with the newborn.

Women’s Health

Dr. Manriquez cares about you and wants you to be healthy through all phases of your life from maternity through menopause and beyond.

Substance Use

Dr. Manriquez specializes in caring for pregnant and parenting women with substance use disorders and is on the front lines of the opioid crisis.


Causes and Risk Factors:

PPD (Postpartum Depression) isn’t the result of one single factor but a complex mix of physical, emotional, and sometimes environmental elements:

  • Hormonal Changes: The sharp decline in hormones like estrogen and progesterone post-birth can influence mood.
  • Physical Strain: Childbirth is a monumental event. Sleep deprivation coupled with caring for a newborn can deepen feelings of exhaustion.
  • Emotional Challenges: Pressures, either self-imposed or from society, to be the ‘perfect’ mother, combined with potential lack of support, can magnify feelings of being overwhelmed.
postpartum bipolar


PPD touches 10-20% of new mothers, but I believe these figures only scratch the surface. The true number might be higher, masked by silence and stigma.

The Ripple Effects:

The tremors of PPD extend beyond the mother. It influences partners, who may feel side-lined or helpless, and even older siblings who might grapple with feelings of neglect. The entire family dynamic can shift, underscoring the need for community and familial support.

Comparison with “Baby Blues”:

While 80% of mothers might experience the “baby blues”, characterized by mood swings and tearfulness, it’s imperative to distinguish this from PPD. Baby blues are fleeting, usually receding within a fortnight, whereas PPD is more enduring and intense.

Seeking Help and Treatment:

Seeking help is strength incarnate. Multiple avenues offer solace and support:

Therapy – Sessions, especially cognitive behavioral therapy, can be transformative.

Medication – For some, antidepressants or related medications might be the path forward.

Support Groups – Bonding with mothers on similar journeys can offer unparalleled emotional camaraderie.

Self-care – Moments of solace, whether in meditation, reading, or merely soaking in the sun, can be rejuvenating.

The Role of Society: 

Our community structures can either alleviate or amplify the prevalence of PPD. The pillars of societal support, like extended maternity leave, accessible childcare, and reshaping the expectations around motherhood, can reshape the narrative around PPD.

Message to Partners and Families:

Your role is instrumental. Offer kindness, patience, understanding, and a hand to hold. Remember, PPD isn’t a reflection of a mother’s love or her capabilities; it’s a condition, and like all conditions, it requires empathy and support.

In our shared journey of understanding, I urge each of you – new mothers, families, partners, and friends – to lend your voice and hands to the narrative around PPD. Let’s create an environment of acceptance and support, ensuring every mother feels heard, seen, and cherished. With compassion, understanding, and the proper assistance, we can transcend the challenges of PPD, celebrating the joys and intricacies of motherhood.