# Perinatal Depression

Source: https://www.pregnancypowerhour.com/conditions/perinatal-depression
Last updated: 2026-07-15

> Perinatal depression refers to experiencing depression during pregnancy or in the period after birth, impacting mood, energy, and overall well-being.

## What it is

Perinatal depression is a mood disorder that can manifest anytime from conception through the first year postpartum, affecting how you feel, think, and interact with the world. It’s a common experience, touching roughly 15–20% of pregnancies and 10–15% of postpartum periods. It's important to recognize that depression during pregnancy, often called prenatal depression, is just as prevalent as postpartum depression, though it can sometimes be less recognized or discussed. As a doula, I often see clients grappling with these feelings, sometimes quietly, wondering if what they're experiencing is 'normal.' It's a significant part of the perinatal experience for many, and understanding it is the first step toward finding support.

## What it tends to feel like

While everyone's experience is unique, perinatal depression can often feel like a persistent low mood, a loss of interest in activities you once enjoyed, changes in sleep or appetite, feelings of worthlessness or guilt, or difficulty concentrating. It might manifest as increased anxiety, irritability, or a sense of being overwhelmed by tasks that once felt manageable. For some, it might mean struggling to engage with prenatal care or finding it hard to prioritize nutrition. It’s more than just feeling 'down' occasionally; it's a sustained shift that impacts daily life. Just as you might experience [Pregnancy Back Pain](/conditions/back-pain-pregnancy) or [Pregnancy Headaches](/conditions/pregnancy-headaches), emotional shifts are also real physical experiences in the body.

## What the evidence says helps

There are many avenues for support, and you get to decide which feels right for you. The Edinburgh Postnatal Depression Scale (EPDS) is a widely used screening tool that can help identify if you might be experiencing depression. Your care provider can offer this screening, and a score of 13 or higher often suggests likely depression. For mild to moderate cases, evidence suggests that non-medication options like Cognitive Behavioral Therapy (CBT) and interpersonal therapy can be very effective. Many parents find these approaches helpful for developing coping strategies and processing emotions. If medication is a consideration, Sertraline (Zoloft) has extensive safety data for use during pregnancy and breastfeeding, making it a commonly discussed option with providers. What I tell clients is that exploring all your options with your care team allows you to make an informed decision that aligns with your values and needs.

## Working with your care team

Your care team is your best resource for navigating perinatal depression. Organizations like ACOG recommend screening for depression at least once during pregnancy and again at both the one-month and three-month postpartum visits. However, access to this screening can vary, so it's always okay to initiate the conversation yourself. Untreated depression can carry risks, including lower engagement with prenatal care, increased substance use, poor nutrition, and even preterm birth, as well as potential difficulties with postpartum bonding. It's also vital to acknowledge that systemic barriers exist, with Black and Brown women experiencing higher rates of perinatal depression while often facing less access to treatment. Advocating for yourself and your well-being is a powerful step. If you're also dealing with other physical discomforts like [Pregnancy Dizziness and Lightheadedness](/conditions/dizziness-pregnancy), discussing the full picture with your provider can help them understand your overall experience.

Remember, seeking support is a sign of strength, and there are compassionate, evidence-based paths forward. Your provider is your best resource for your specific situation and to help you weigh all your options.