Living With Postpartum Depression

Editor’s Note: For simplicity and ease of reading, in this community, we use the term “mothers” to refer to pregnant people and those who have given birth. But we want to acknowledge that not all people who can get pregnant identify as women and that some people who give birth identify as men or nonbinary. We also recognize that parenthood exists in many forms, including adoptive and foster parenthood. Health Union strives to create an inclusive space while providing accurate health information.

Bringing a new life into the world can be a miraculous and transformative experience. But some mothers may get an unexpected visitor: postpartum depression.

Postpartum depression, or PPD, is a form of depression that affects mothers within the first year after giving birth. Its symptoms may include:¹

• Persistent sadness
• Feelings of hopelessness
• Loss of interest in daily activities
• Changes in sleep and appetite
• Difficulty bonding with your baby

Coping with PPD can be challenging. The condition can affect many aspects of a person’s life. This article describes some of those affected areas. But remember that you are not alone, and help is available.

Work and postpartum depression

Balancing work and postpartum depression can be demanding. So, it is important to understand your workplace rights and options when living with PPD. There are several resources that can help.

Family and Medical Leave Act (FMLA)

FMLA allows eligible employees to take up to 12 weeks of unpaid leave in a 12-month period for medical or family reasons. PPD is a covered reason to take leave. This time away from work can give you time to focus on your mental health without risking your job security. Your provider and employer can help you establish this as a resource.²

Pregnant Workers Fairness Act

This act bans discrimination against pregnant employees. It also requires employers to provide reasonable accommodations for people with conditions related to pregnancy. These conditions include PPD.^3-5

Americans With Disabilities Act (ADA)

PPD can qualify as a disability under the ADA. This grants you protection against discrimination at work. You may be entitled to reasonable accommodations, such as flexible work hours or a quieter workspace.^4-6

The financial impact of postpartum depression

Medical bills, therapy costs, and potential loss of income can all take a financial toll on those with PPD. Here are some ways to reduce the financial burden.^7,8

Review your health insurance policy

Review your health insurance coverage to understand what mental health services are included. Make sure you are using all available benefits for treatment. You can call your insurance provider to understand what is available to you.⁷

Employer assistance programs

Some employers offer employee assistance programs (EAPs) that provide counseling and support for mental health issues. Ask your employer if it offers these services.⁸

Seek financial assistance

Local organizations and government programs may offer financial help for people living with mental health issues. Postpartum Support International can put you in touch with local resources that can help.

Sexual health and postpartum depression

PPD can impact a person’s sexual health in various ways. Transitioning into parenthood can take a toll on both partners. Many problems can arise, including:⁹

• Low sexual desire and satisfaction
• Trouble reaching an orgasm
• Pain during sex

A basic first step is having open and honest communication with your partner. Share your feelings, fears, and concerns about intimacy. Consider couples therapy or sex therapy. Mental health experts who specialize in sexual health can provide guidance and support.^9-11

Certain antidepressants used to treat PPD, like SSRIs, can interfere with your sex drive (libido). If you notice that a medicine has affected your desire to have sex, tell your doctor. They may be able to adjust your dose, switch you to another medicine, or suggest other options.¹¹

Other things to consider

Living with PPD can be a complex journey. Here are some other tips to help you along the way:¹

• Support system – Lean on friends and family for support. Join support groups or seek therapy to connect with others facing similar challenges.
• Self-care – Prioritize self-care activities that nurture your mental and emotional well-being. Engage in activities that make you feel good about yourself, both mentally and physically.
• Medicine and therapy – Discuss treatment options with a healthcare provider who specializes in PPD. Treatment may include therapy, prescription drugs, or a combination.