How to Talk to Your Partner About Postpartum Struggles

You're standing in the kitchen at midnight, crying over spilled breast milk, and your partner asks, "What's wrong?" You want to scream, "EVERYTHING!" but instead you say, "Nothing, I'm fine."

Or maybe you've tried to explain how bad you're feeling, and your partner responds with, "But the baby is healthy—what are you so upset about?" or "I'm tired too, you know."

Now you're even more alone than before. They don't get it. They can't see how hard this is. And you're starting to wonder if you'll ever feel connected to them again—or if they'll ever truly understand what you're going through.

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💡 Here's the Truth

Your partner probably wants to understand and help. But they have no idea how.

Most partners don't understand postpartum mental health struggles because they can't see inside your head, they weren't prepared for this reality, and nobody taught them how to support you through it.

But there are ways to communicate that actually work, that help your partner understand, reduce conflict, and rebuild connection during one of the hardest periods of your relationship.

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Why Your Partner Doesn't Understand (And It's Not Malicious) ❤️

Before we get into how to talk to your partner, it helps to understand why they're not getting it.

They Can't See the Invisible

You're awake with the baby
You're crying sometimes
You seem stressed

Your partner can't see:

The constant anxiety loop in your head
The intrusive thoughts that terrify you
The bone-deep exhaustion that makes every task feel impossible
The numbness where love should be
The guilt crushing you for feeling this way

Your partner can't see:

> Depression and anxiety are largely invisible. Your partner might genuinely not realize how bad it is unless you explicitly tell them.

They Think You're "Just Tired"

Most partners assume postpartum struggles = normal new parent exhaustion. Everyone's tired with a newborn, right?

They don't understand that postpartum depression/anxiety is qualitatively different from tiredness. It's:

A persistent inability to experience joy or hope
Constant intrusive thoughts or paralyzing worry
Feeling like you're drowning even when others would say you're doing fine
Physical symptoms like panic attacks, insomnia, appetite changes

> To them, "tired" is fixable with sleep. They don't realize you're dealing with a mental health condition that requires treatment, not just rest.

They Weren't Prepared for This

Their previously capable partner might struggle to make simple decisions
You might not feel instant love for the baby
You might have scary thoughts you're afraid to share
You might need help with everything, not just "extra" tasks
This could last weeks or months, not just a few hard days

Nobody warned your partner that:

They thought they'd be supporting a tired but happy new parent. The reality is shocking and scary for them too.

They Feel Helpless and Defensive

When your partner sees you struggling and doesn't know how to fix it, they often become defensive. This looks like:

Minimizing ("It's not that bad")
Comparing ("I'm tired too")
Problem-solving dismissively ("Just sleep when the baby sleeps")
Avoiding ("I'll just stay at work longer")

> This isn't because they don't care. It's because feeling helpless is uncomfortable, and defensiveness is a common response to that discomfort.

They're Scared

What if you don't get better?
What if this is permanent?
What if you hurt yourself?
What if I'm not enough to help you?
What if our relationship never recovers?

If you're really struggling, your partner might be terrified:

Fear often masquerades as frustration or withdrawal. Understanding this doesn't excuse unhelpful behavior, but it does help you approach the conversation differently.

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The Communication Traps That Make Things Worse

Before learning what works, let's identify what doesn't:

🚫 Trap 1: Venting Without Context

What it sounds like: "I can't do this anymore! You don't help! I'm drowning!"

Why it doesn't work: Your partner hears criticism and emergency, but doesn't know what you need or how to help. They get defensive, you get more frustrated, conflict escalates.

🚫 Trap 2: Expecting Them to Read Your Mind

What it looks like: You're silently seething because they didn't notice you needed help. When they ask what's wrong, you say "Nothing" or "You should know."

Why it doesn't work: Your partner genuinely might not know. Expecting them to intuit your needs sets both of you up for failure.

🚫 Trap 3: Comparing Pain

What it sounds like: "You have no idea how hard this is. You get to leave for work. You get to sleep."

Why it doesn't work: Even if true, it triggers defensiveness. They'll counter with their own struggles, and now you're competing over who has it worse instead of connecting.

🚫 Trap 4: Delivering Information Mid-Crisis

What it looks like: You're having a panic attack or crying breakdown, and you're trying to explain postpartum anxiety while in the thick of it.

Why it doesn't work: Neither of you can think clearly during crisis. The message gets lost in the emotion.

🚫 Trap 5: Using Absolutes

What it sounds like: "You NEVER help." "You ALWAYS dismiss me." "You DON'T CARE."

Why it doesn't work: Absolutes are rarely true and immediately make your partner defensive. They'll focus on disproving the absolute rather than hearing your underlying need.

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How to Actually Talk to Your Partner: A Framework ❤️

Here's a structured approach that increases the chances of being heard and understood:

✅ Step 1: Choose the Right Time

Good times:

When you're both relatively calm (not mid-crisis)
When you have 20-30 minutes uninterrupted
When partner isn't hungry, exhausted, or rushing somewhere
During a neutral moment (not right after a conflict)

Bad times:

During a fight
When one of you is about to leave for work
When the baby is screaming
When emotions are at peak intensity

Set it up: "I need to talk to you about how I've been feeling. Can we find 30 minutes tonight after the baby goes down?"

✅ Step 2: Lead with "I" Statements

Instead of "You never help," try: → "I'm feeling overwhelmed and I need more support."

Instead of "You don't understand," try: → "I don't think I've done a good job explaining how bad this has gotten."

Instead of "You're making this worse," try: → "When you say 'just relax,' I feel dismissed and more alone."

> Formula: "I feel [emotion] when [specific situation] because [impact]. I need [specific request]."

✅ Step 3: Name What You're Experiencing

Your partner needs specific information about what's happening in your head and body.

Example script:

"I want to explain what I've been experiencing, because I don't think I've made it clear how hard this has been. I'm not just tired, though I am exhausted. I'm dealing with [postpartum depression/anxiety/both], which means:

I have constant thoughts telling me I'm a terrible mother
I can't feel joy, even during moments that should be happy
I'm having panic attacks where I can't breathe and think something terrible is going to happen
I have intrusive thoughts that terrify me [if comfortable sharing]
I feel numb toward the baby, and the guilt about that is crushing

This isn't something I can just 'snap out of' or fix by sleeping more. It's a medical condition, and I need help—both professional treatment and support from you."

✅ Step 4: Be Specific About What Helps (and What Doesn't)

What helps:

"When you take the baby for a few hours so I can sleep, it helps."
"When you listen without trying to fix it, I feel less alone."
"When you acknowledge that this is hard, it validates what I'm going through."
"When you handle dinner and dishes, it removes one thing from my mental load."

What doesn't help:

"When you say 'it could be worse' or 'at least the baby is healthy,' it makes me feel like my feelings don't matter."
"When you suggest I'm being dramatic, I shut down and stop sharing."
"When you jump straight to solutions without acknowledging my feelings, I feel unheard."

✅ Step 5: Make Concrete Requests

❌ Vague: "I need you to help more." ✅ Concrete: "I need you to handle all night wake-ups on Friday and Saturday nights so I can get two full nights of sleep."

❌ Vague: "I need you to understand." ✅ Concrete: "I need you to read this article about postpartum depression so you understand what I'm dealing with."

❌ Vague: "Be more supportive." ✅ Concrete: "When I'm crying, I need you to just hold me and say 'this is really hard.' Don't try to fix it unless I ask."

✅ Step 6: Invite Them into Your Experience

"What would help you understand better?"
"What questions do you have about what I'm experiencing?"
"Is there anything you're scared about or struggling with?"

Ask for what they need:

"Would you be willing to come to a therapy session with me so the therapist can explain this?"
"Can we watch this video together about postpartum anxiety?"
"Will you read this page about PPD symptoms so you can recognize when I'm struggling?"

Offer education:

"I'm going to start therapy. Will you help me by taking the baby during my appointments?"
"My doctor suggested medication. I'm scared about it. Can we talk through the decision together?"

Include them in solutions:

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Example Conversations That Actually Work

Conversation 1: First Disclosure

You: "I need to tell you something, and it's hard to say. I've been struggling a lot more than I've let on. I think I have postpartum depression."

Partner: "What do you mean? You seem okay."

You: "I've been hiding how bad it is because I felt ashamed. But I'm not okay. I'm having really dark thoughts, I can't sleep even when the baby sleeps, and I feel completely numb. I love our baby, but I can't feel it. And I'm terrified."

Partner: "I had no idea. Why didn't you tell me?"

You: "I didn't know how, and I was afraid you'd think I was being dramatic or that something was wrong with me. But this is a real medical condition, and I need help—from a doctor and from you."

Partner: "What can I do?"

You: "For now, I need you to know that this is real and serious. I'm going to call my doctor tomorrow. And I need you to take over some things so I can focus on getting better. Can we talk through what that might look like?"

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Conversation 2: Asking for Specific Help

You: "I need to talk about the night wake-ups. I'm not getting enough sleep, and it's making my depression worse."

Partner: "But you're breastfeeding—what am I supposed to do?"

You: "I understand you can't breastfeed. But I can pump, and you can do one or two of the nighttime feedings with a bottle. That would give me one four-hour stretch of sleep, which my therapist says would help significantly."

Partner: "I have to work in the morning."

You: "I know. And I'm with the baby 24/7. We're both exhausted. But my mental health is deteriorating, and if I don't get more sleep, I'm not going to be able to function at all. Can we try this for two weeks and see if it helps?"

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Conversation 3: Addressing Dismissive Comments

Partner: "Why are you so upset? The baby is healthy. You should be happy."

You: [Deep breath] "I need you to stop saying that. I know the baby is healthy, and I'm grateful. But I have postpartum depression, which means my brain chemistry is messed up. I can't just choose to be happy. When you say things like that, it makes me feel like you think I'm choosing to feel this way, and that makes me feel more alone."

Partner: "I'm just trying to help you see the positive."

You: "I understand that's your intention. But what would actually help is if you acknowledged that this is really hard and that my feelings are valid, even if they don't make logical sense to you. Can you try saying 'this is really hard' instead of 'it could be worse'?"

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Conversation 4: When They're Scared

Partner: "I don't know what to do. I feel like I'm losing you."

You: "I know this is scary. I'm scared too. But I'm not gone—I'm just sick right now. And I'm getting help. The therapist says this is treatable and that I will get better. But I need you to be patient with me and keep showing up, even when it's hard."

Partner: "What if you don't get better?"

You: "I will. It might take time, but PPD is very treatable. And having your support is part of what will help me heal. Can we commit to getting through this together?"

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When Your Partner Reacts Poorly ❤️

Not all partners respond well initially. Here's how to handle common negative reactions:

"You're being dramatic."

Response: "I understand this might seem that way from the outside. But I'm describing symptoms of a diagnosable medical condition. I need you to take this seriously, because I'm really struggling."

"I'm tired too."

Response: "I believe you're exhausted. This isn't a competition. I'm not asking you to agree that I have it worse—I'm asking for specific help so I can get treatment and get better."

"Other women handle this fine."

Response: "Postpartum depression affects 1 in 7 women. It's extremely common. Comparing me to others doesn't help—it just makes me feel more ashamed and alone."

Silence or withdrawal

Response: "I know this is a lot to process. You don't have to have all the answers right now. But I need to know you're willing to try to understand and support me. Can you at least commit to that?"

Anger or blame

Response: "I can see you're upset. But I'm not doing this to you—I'm sick, and I need help. If you're angry or scared, I understand, but I can't carry your emotions and mine right now. Can we table this and come back when we're both calmer?"

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What to Do If Talking Doesn't Work

Sometimes, despite your best efforts, your partner doesn't respond supportively.

Try these escalations:

1. Written Communication

An email or letter explaining your experience
Sharing articles or resources about PPD/PPA
Texting during moments when talking feels too hard

Some people process better in writing. Try:

2. Third-Party Validation

A doctor's appointment where the doctor explains PPD
A therapy session where the therapist helps facilitate communication
A postpartum support group for partners

Bring your partner to:

> Sometimes partners need to hear from a professional that this is real and serious.

3. Involve a Trusted Person

Having that person talk to your partner about PPD
Asking them to encourage your partner to educate themselves
Getting them to validate that you need support

If your partner trusts a friend, family member, or religious leader, consider:

4. Set Boundaries

If your partner is actively harmful (dismissive, cruel, refusing to help):

"I understand you might not fully understand what I'm going through. But what I need right now is basic respect and support. If you can't provide that, I need space until you're ready to engage constructively."

5. Consider Couples Therapy

Help your partner understand PPD/PPA
Facilitate better communication
Address relationship dynamics making things worse
Create a plan for support

A skilled couples therapist can:

6. Prepare for the Possibility of Doing This Without Them

Lean on other support (friends, family, professionals, support groups)
Focus on your own healing
Consider whether this relationship is sustainable long-term

Heartbreakingly, not all partners step up. If yours doesn't:

> Your recovery doesn't depend on your partner's understanding. It helps enormously, but you can heal even if they don't fully support you.

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Rebuilding Connection After the Storm

Once you're getting treatment and starting to feel better, you'll need to rebuild the connection that was damaged during the hardest period.

Acknowledge the Damage

"I know the past few months have been really hard on our relationship. I was struggling and couldn't show up the way I wanted to, and I know that hurt you too."

Express Gratitude (If Earned)

"Thank you for taking on the night shifts. I couldn't have gotten through this without that."
"I appreciate you coming to therapy with me. It meant a lot."

Make Small Reconnections

15 minutes of conversation that isn't about the baby or logistics
A short walk together
Physical touch without expectation (hand-holding, hugging)
Watching a show or movie together

> Connection doesn't have to be grand gestures. Small, consistent moments rebuild intimacy.

Address Resentment

Both of you might be carrying resentment. Acknowledge it:

"I think we both have some resentment built up from this period. Can we talk about it and try to move forward?"

Commit to Ongoing Communication

"I want to get better at telling you when I'm struggling before it gets this bad. And I need you to check in with me regularly. Can we commit to that?"

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A Message for Partners Reading This ❤️

If you're a partner trying to understand:

Your partner didn't choose this. PPD/PPA is a medical condition, not a personality flaw or lack of gratitude.

You can't fix it, but you can support healing. Listen, validate, take on concrete tasks, encourage treatment, and be patient.

This is temporary. With treatment, most women recover fully from PPD/PPA. Your partner will come back to you—but they need time and support.

It's okay if you're struggling too. Supporting someone with PPD is hard. Get your own support (therapy, friends, support groups for partners).

The effort you put in now will pay off. Showing up during the hardest period builds trust and connection that strengthens your relationship for years to come.

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A Message for the Struggling Mother

Talking to your partner about your struggles takes immense courage. Even if they don't respond perfectly at first, you've done something brave by being honest.

You deserve support. You deserve understanding. And if your partner is willing to learn and try, that's enough to start.

If they're not, please know: Your healing doesn't require their participation. Lean on professionals, friends, family, and support groups. Do what you need to do to get better.

You will feel like yourself again. Your relationship can heal. But it starts with speaking your truth, even when it's terrifying.

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Resources 📚

Postpartum Support International

"For Partners: How to Show up the Postpartum Period" article
Postpartum Depression in Dads podcast
Books: The Postpartum Partner and What About Us?

Get Professional Support 🤝

Bloom Psychology

Dr. Jana Rundle is a licensed clinical psychologist and certified perinatal mental health specialist in Austin, Texas. We offer:

Individual Therapy
Self-paced E-Courses
Supportive online community
In-person sessions in Austin, telehealth offered throughout Texas

Schedule a free 15-minute consultation

Call us: 512-898-9510

You don't have to navigate this alone. Let us help you find your voice and rebuild your connection.

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*Dr. Jana Rundle is a clinical psychologist specializing in maternal mental health. She has helped hundreds of couples navigate the relationship strain of postpartum mental health struggles, and she believes that honest communication—even when imperfect—is the foundation of healing together.*