New Mom Anxiety: 7 Signs It's Time to Talk to Someone

The baby monitor is on. You've checked it three times in the last ten minutes. You know she's breathing—you just watched her chest rise and fall on the screen—but your heart is still racing and you can't shake the feeling that something terrible is about to happen.

Or maybe your anxiety doesn't center on the baby's safety. Maybe it's the constant loop of thoughts telling you you're doing everything wrong. Maybe it's the physical symptoms—the tight chest, the nausea, the feeling like you can't quite catch your breath.

Here's what I need you to know: some anxiety as a new mom is completely normal. Your brain is literally wired to be hypervigilant about this tiny human you're keeping alive. But there's a line between normal new-mom worry and clinical postpartum anxiety—and that line matters.

After working with new mothers for over 15 years, I've learned that most moms struggling with postpartum anxiety ask the same question: "Is this normal, or do I need help?"

Let me help you answer that question.

The Difference Between Normal Worry and Postpartum Anxiety 🤔

Every new parent experiences some level of anxiety. You're responsible for a helpless baby, you're sleep-deprived, and everything feels high-stakes. Occasional worries about SIDS, germs, or whether you're doing this parenting thing "right" are par for the course.

Normal new-parent anxiety looks like:

• Checking on the baby periodically

• Worrying about health/safety in reasonable ways

• Feeling nervous about new situations (first outing, first bath)

• Brief moments of "what if" thinking that pass quickly

• Anxiety that doesn't interfere with daily functioning

• Ability to feel reassured when baby is clearly okay

Postpartum anxiety (PPA) looks like:

• Constant, intrusive worries that won't turn off

• Checking behaviors that have become compulsive

• Physical symptoms (racing heart, dizziness, nausea) that happen frequently

• Inability to sleep even when you have the opportunity

• Avoiding situations because of overwhelming fear

• Intrusive, disturbing thoughts that scare you

• Feeling on edge or unable to relax, even for a moment

The key difference: Normal anxiety comes and goes. Postpartum anxiety is persistent, excessive, and interferes with your ability to function or enjoy your baby.

7 Clear Signs It's Time to Get Help 🚨

1. Your Worries Feel Impossible to Control

What it looks like:

You try to talk yourself down. You know logically that your baby is fine, that you're being "irrational"—but the worry doesn't stop. It keeps spiraling.

Maybe you've Googled the same symptoms five times today. Maybe you keep checking the baby monitor even though you know she's sleeping safely. Maybe you can't focus on anything else because your mind is stuck in a loop of worst-case scenarios.

Why it matters:

Normal worry responds to reassurance. Postpartum anxiety doesn't. If your logical brain can't override your anxious brain anymore, that's a sign you need professional support.

Real example from my practice:

Sarah would check her son's breathing 40-50 times per night, even with the monitor on. She knew it was "too much," but couldn't stop herself. The checking wasn't making her feel better—it was feeding the anxiety cycle.

2. You're Experiencing Physical Symptoms 💓

What it looks like:

• Racing or pounding heart

• Shortness of breath or feeling like you can't get enough air

• Dizziness or lightheadedness

• Nausea or stomach issues

• Trembling or shaking

• Chest tightness

• Hot flashes or chills

These aren't "just in your head"—anxiety creates very real physical responses. And when they happen frequently, they can become terrifying.

Why it matters:

Severe physical symptoms can trigger panic attacks or health anxiety (worrying something is medically wrong with you). This creates a vicious cycle where anxiety about anxiety makes everything worse.

Red flag: If you've been to the ER or urgent care multiple times for symptoms they couldn't find a medical cause for, anxiety might be the culprit.

3. You Can't Sleep—Even When the Baby Sleeps 😴

What it looks like:

Your partner says, "I'll take the next shift, try to sleep." But you lie there, eyes wide open, mind racing with worries. Or you finally drift off and wake up 20 minutes later in a panic, convinced something is wrong.

This isn't normal new-mom exhaustion or being woken by your baby. This is your anxiety hijacking your ability to rest, even when you have the opportunity.

Why it matters:

Sleep deprivation makes anxiety exponentially worse, and anxiety makes sleep impossible—it's a brutal feedback loop. Breaking this cycle usually requires professional intervention.

What this does to you:

Without adequate sleep, your brain can't regulate emotions, your body can't recover, and your anxiety will continue to escalate. This is often the tipping point where moms realize they need help.

4. You're Avoiding Things You Know You "Should" Be Doing 🚫

What it looks like:

• Turning down help from family because you don't trust anyone else with the baby

• Avoiding leaving the house because too many things could go wrong

• Not scheduling the baby's doctor appointments because the worry is overwhelming

• Skipping social events entirely (not just because you're tired—because the anxiety feels unmanageable)

• Refusing to let your partner take over baby care because you need to supervise everything

Why it matters:

Avoidance temporarily relieves anxiety, but long-term, it makes the anxiety worse. Your world gets smaller and smaller, and the things you're avoiding start to feel more and more dangerous—even when they're not.

Red flag: If your life has shrunk significantly since having your baby—not just because of logistics, but because of fear—that's postpartum anxiety.

5. You're Having Intrusive, Scary Thoughts 😨

What it looks like:

Sudden, unbidden thoughts about harm coming to your baby:

• Dropping the baby down the stairs

• Something terrible happening while you're driving

• Accidentally hurting your baby while caring for them

• Graphic mental images of accidents or illness

Here's what you need to know: Intrusive thoughts are a hallmark of postpartum anxiety (and postpartum OCD). They're disturbing, they feel "wrong," and they do NOT mean you want these things to happen.

Why it matters:

Many women are terrified to tell anyone about these thoughts because they're afraid someone will think they're dangerous. But intrusive thoughts are the opposite of intent—they're your brain's misfiring alarm system, not actual desires.

Critical distinction:

• Intrusive thoughts: Unwanted, distressing, ego-dystonic (not aligned with who you are)

• Psychotic thoughts: You believe these thoughts are real or feel compelled to act on them

If you're disturbed by the thoughts, that's anxiety. If you're not disturbed and feel these thoughts are reasonable, that's a psychiatric emergency—call 988 or go to the ER.

Most intrusive thoughts fall into the anxiety category and are highly treatable with therapy.

6. You're Constantly Seeking Reassurance (But It Doesn't Help) 🔄

What it looks like:

• Calling the pediatrician multiple times per week

• Asking your partner "Does the baby seem okay?" repeatedly

• Posting in online parenting groups constantly asking if X symptom is normal

• Researching symptoms obsessively

• Needing someone to tell you you're doing a good job—over and over

Why it matters:

Seeking reassurance is a compulsion—it provides momentary relief but strengthens the anxiety over time. The more you seek reassurance, the more your brain learns that these worries are legitimate threats that need constant checking.

What healthy reassurance looks like:

You ask once, you get an answer from a trusted source, and you're able to move on (at least for a while).

What anxiety-driven reassurance looks like:

You ask, you get reassurance, you feel better for five minutes, and then the doubt creeps back in. So you ask again. And again.

7. You Don't Feel Like Yourself Anymore 😔

What it looks like:

You used to be fairly easygoing. Now you feel tense all the time. You used to handle stress reasonably well. Now everything feels overwhelming.

Maybe your partner says, "You seem really on edge lately," or "I feel like I have to walk on eggshells." Maybe you snap at loved ones. Maybe you just feel like an anxious shell of your former self.

Why it matters:

This identity shift—from "me" to "anxious version of me"—is a strong indicator that anxiety has moved from occasional to clinical. You deserve to feel like yourself again.

Questions to ask:

• Would your pre-baby self recognize how you're feeling now?

• Do you feel controlled by anxiety rather than occasionally experiencing it?

• Are you constantly braced for something bad to happen?

If yes, it's time to reach out.

Risk Factors for Postpartum Anxiety ⚠️

While anyone can develop PPA, you're at higher risk if you:

• Have a history of anxiety or panic disorder (before or during pregnancy)

• Experienced significant pregnancy complications or a traumatic birth

• Have a family history of anxiety disorders

• Had a baby in the NICU or with health complications

• Are a first-time parent (the uncertainty amplifies anxiety)

• Experienced fertility struggles or pregnancy loss

• Lack strong support systems

• Are dealing with major life stressors (financial, relationship, etc.)

Having risk factors doesn't mean you'll develop PPA—but it does mean you should be extra attentive to symptoms and not brush them off as "just new mom nerves."

What About Postpartum OCD? 🔍

Postpartum OCD is a specific type of postpartum anxiety characterized by:

Obsessions: Intrusive, unwanted thoughts (often about harm coming to the baby)

Compulsions: Behaviors you do to neutralize the obsessions (checking, seeking reassurance, avoiding, mental rituals)

Common postpartum OCD themes:

• Contamination fears (excessive cleaning, fear of germs)

• Harm obsessions (intrusive thoughts about accidentally or intentionally hurting the baby)

• Symmetry/order needs (everything has to be "just right")

• Checking compulsions (constantly checking baby's breathing, temperature, etc.)

If this sounds like you, please know: postpartum OCD is very treatable with specific therapy (Exposure and Response Prevention, or ERP). You're not "crazy," and you're not going to act on intrusive thoughts.

When to Get Help: The Bottom Line ✅

You should reach out to a therapist or your doctor if:

• ✓ Anxiety is interfering with daily functioning

• ✓ You can't sleep even when you have the opportunity

• ✓ Physical symptoms are frequent or severe

• ✓ You're avoiding people, places, or activities because of anxiety

• ✓ You're experiencing intrusive, disturbing thoughts

• ✓ You're constantly seeking reassurance

• ✓ You don't feel like yourself anymore

• ✓ A loved one has expressed concern about your anxiety

You don't need to check every box. Even one or two persistent symptoms warrant professional support.

What Treatment Looks Like 💚

The great news: postpartum anxiety responds really well to treatment. Most women see significant improvement within 6-10 weeks.

Evidence-based treatments:

Cognitive Behavioral Therapy (CBT)

• Identifies thought patterns that fuel anxiety

• Teaches concrete coping skills

• Helps you challenge catastrophic thinking

Exposure and Response Prevention (ERP)

• Gold standard for postpartum OCD

• Gradually exposes you to feared situations while preventing compulsions

• Retrains your brain's threat response

Medication

• SSRIs are first-line treatment for moderate to severe PPA

• Most are safe for breastfeeding (discuss with your doctor)

• Often used in combination with therapy for best results

Support Groups

• Postpartum Support International offers free groups

• Connecting with other moms experiencing PPA reduces isolation

• Normalizes your experience

What to Do Right Now 📞

If you recognize yourself in this article:

Today:

1. Tell someone you trust—your partner, a friend, your mom. Say out loud: "I think I'm struggling with postpartum anxiety."

2. Call your OB or midwife and ask for a mental health screening and referral.

This week:

3. Contact a therapist who specializes in postpartum anxiety (search the PSI directory at postpartum.net)

4. Take the Edinburgh Postnatal Depression Scale (includes anxiety questions)—share results with your provider

If it's urgent:

• Postpartum Support International Hotline: 1-800-944-4773 (call or text)

• National Alliance on Mental Illness (NAMI) Helpline: 1-800-950-6264

• Crisis Text Line: Text HOME to 741741

You're Not "Just Anxious"—You're Experiencing a Treatable Condition 🌿

I've worked with so many mothers who spent months—sometimes the entire first year—suffering with postpartum anxiety because they thought:

• "All new moms feel this way"

• "I just need to toughen up"

• "It's not bad enough to need help"

• "I should be able to handle this on my own"

But here's the truth: postpartum anxiety is a clinical condition with physiological roots. It's not a personality flaw. It's not weakness. And it's not something you can willpower your way through.

Your brain chemistry has shifted. Your nervous system is stuck in overdrive. And no amount of deep breathing or "just relaxing" will fix that without proper treatment.

What Life Can Look Like After Treatment 🌟

Imagine:

• Feeling confident leaving your baby with your partner or a trusted caregiver

• Sleeping when your baby sleeps because your mind isn't racing

• Enjoying moments with your baby instead of constantly scanning for danger

• Feeling like yourself again—maybe even a stronger version than before

• Trusting your instincts without second-guessing everything

This isn't fantasy. This is what recovery looks like for most women who get treatment for postpartum anxiety.

Final Thoughts 💭

If you're reading this at 3 AM, holding your sleeping baby, wondering if what you're feeling is "normal"—listen to your gut. You sought out this article for a reason.

Postpartum anxiety doesn't have to be your reality for the entire first year. It doesn't have to steal your joy or make you feel like you're failing.

There's effective help available. Therapists who specialize in this. Medications that work. Other moms who get it.

You don't have to white-knuckle your way through new motherhood. You're allowed to feel better. You're allowed to ask for help.

And you're definitely not alone.

Resources:

📞 Postpartum Support International: 1-800-944-4773 - Free, confidential support 24/7

📞 Bloom Psychology: Specializing in postpartum anxiety and OCD - Virtual therapy available across Texas

🌐 PSI Therapist Directory: postpartum.net - Find a perinatal mental health specialist near you

📋 Edinburgh Postnatal Depression Scale: Free screening tool - ask your OB or find online

Dr. Jana Rundle is a licensed clinical psychologist at Bloom Psychology in Austin, Texas, specializing in postpartum mood and anxiety disorders. She provides evidence-based treatment for new mothers experiencing anxiety, OCD, panic, and birth trauma.