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Perinatal Mood and Anxiety Disorders

Becoming a parent is one of life’s most profound experiences, but let’s be honest -  it’s not always the blissful dream we imagine. Many new mamas face feelings of depression and anxiety. It’s so important to know you’re not alone in this!  The very good news is that this is very treatable and with the right type of care and support, you can feel better.

 

What Are PMADs?

Perinatal Mood and Anxiety Disorders (PMADs) are mental health conditions that can show up during pregnancy or after your baby arrives. They’re more common than you might think, and there are many ways to feel better. PMADs include a variety of challenges, such as:

  • Postpartum Depression (PPD): Persistent feelings of sadness, hopelessness, or emptiness that go beyond the "baby blues" and linger for weeks or months.

  • Perinatal Anxiety: Overwhelming worry or fear that feels impossible to shake, often paired with physical symptoms like a racing heart or trouble sleeping.

  • Postpartum OCD: Intrusive, repetitive thoughts or behaviors, often focused on keeping your baby safe.

  • Postpartum PTSD: Intense feelings of distress tied to a traumatic birth experience or complications.

  • Postpartum Bipolar Disorder: Dramatic mood swings that alternate between deep lows and intense highs.

 

Signs and Symptoms

It’s not always easy to spot PMADs, especially when parenthood already comes with so many ups and downs. Here are some signs to look out for:

  • Persistent sadness, irritability, or feeling "numb"

  • Constant worry or racing thoughts

  • Struggling to bond with your baby

  • Feeling overwhelmed or like you’re not a good enough parent

  • Trouble sleeping, beyond what’s expected with a newborn

  • Physical symptoms like fatigue, headaches, or changes in appetite

  • Thoughts of self-harm or harming your baby (these need immediate attention—help is available!)

 

Why PMADs Happen

PMADs can affect anyone, regardless of your background or circumstances. They’re often caused by a mix of hormonal changes, physical recovery after childbirth, sleep deprivation, and the emotional/relationship/identity shifts of becoming a parent. If you have a history of mental health challenges or limited support, you might be more vulnerable—but that in no way means that you’re to blame.

If you’re finding things tough, reaching out isn’t a sign of weakness—it’s an act of courage and love for yourself and your baby.   As a psychologist and a mama of three (including a new baby of my own in 2024), I am all too familiar with how overwhelming and stressful it can be to transition into mama-hood.  

 

My goal is to create a compassionate and non-judgmental space where you can express how you’re REALLY feeling.  We’ll work together to make a plan that feels right for you, using evidence-based approaches aimed at getting you feeling better quickly, and help you to better embrace the precious moments of being a mama (from the beautiful to the messy, and everything in between).

357 Morphy Avenue

Fairhope, Alabama 36532

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251.616.1040

hkozee@empower-therapy.com

Serving Alabama including Fairhope, Daphne, Spanish Fort, Foley, Mobile, Birmingham, Montgomery, Huntsville as well as

West Virginia, including Charleston, Huntington, Morgantown and Texas, including Austin, Houston, Dallas, El Paso.

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