Interval Health
- Nov 7, 2023
- 3 min
Anxiety during pregnancy occurs more often than you think.
You probably feel very alone at this point in your pregnancy and maybe even guilty. After all, this is supposed to be one of the happiest times of your life. Pregnancy is idealized by society and you probably had expectations about what you would feel like or how you would experience pregnancy only to find your reality is much different.
For many, just getting pregnant was more of a challenge than anticipated and now that you are pregnant, you are faced with many challenging decisions to make in a short period of time. You may have yearned for a baby for some time only to be shocked to find you are feeling anxious, sad or tearful during this time. The reality of welcoming a baby into your family can suddenly feel very overwhelming once you are pregnant.
Commonly, we think the hard part starts when the baby arrives, but truthfully, for many, it gets hard early with morning sickness, feelings of fatigue and worry about how you will manage when the baby actually arrives. You may also find yourself arguing with your partner over what seems small or trivial and wondering how you will raise a child together if you cannot agree now.
Depression during pregnancy is quite common, we just don’t go around talking about it. We put on a happy face and do what we feel is expected of us. But statistics tell us that nearly 25% of women experience symptoms of depression at some point in their life and for nearly 20% of women, that time in their life is when they are pregnant.
Anxiety is depression’s close cousin and likes to tag along as well. Feelings of fear, worry or doom are common as is trouble shutting down your mind to fall asleep or concentrating on specific tasks. Up to 33% of pregnant women experience either anxiety or depression while pregnant.
We will begin by look at what is worrying you the most during your pregnancy and work towards evaluating why it is causing your distress and what you can do to free yourself from it. We will explore your history, your past relationships and your present relationships and work together to see how the two are interconnected. We will also take a deep look at how your thoughts and feelings impact your behaviors and how we can relieve some symptoms of depression and anxiety by working to unravel the thoughts that feed into your emotional state of being. This is formally referred to as Cognitive Behavioral Therapy (CBT). You will gain tools to help you cope with upsetting emotions and help seeing situations from a different perspective. This is your time however and what you make of it will determine your results.
You will become more self-aware of what is impacting you daily in your social interactions, be it with your partner, your co-workers, your family or friends and we will examine what is keeping you from moving forward with less worry or doubt. You will get the extra support you need to be more centered and balanced as you prepare to welcome a new member of your family into the world.
Anxiety can also be better managed by being able to do a bit of planning. In our work together, we will look at what resources you might need to support you during the postpartum period. Many of the worries clients have while pregnant center on what is going to happen when the baby arrives. Some of them are also focused on the health of the pregnancy and making it to delivery. Regardless of if your worries are centered on the present or the future, we will work together to get your through them.
I HAVE SO LITTLE FREE TIME. AND WHAT ABOUT THE COST?
Time constraints and finances are the two biggest barriers that prevent many people from getting help. But if you are feeling this way when you are pregnant, there is no better time than now to get relief. Women who are depressed during pregnancy but seek help are more likely to develop healthy coping skills and are more likely to get consistent prenatal care and eat a healthy diet – all of which have positive outcomes for your baby. Untreated depression during pregnancy can also contribute to premature birth, low birth weight and developmental problems.
Treatment is an investment in yourself. We can quantify how much therapy will cost, but the impact of not getting treatment for your anxiety is not as easily quantified—especially if your symptoms are severe.
COULD THIS JUST BE HORMONES AND WON’T IT JUST GO AWAY ON ITS OWN?
While it is true that hormones are changing and even “raging” during pregnancy, there is no single cause for prenatal depression. It is more so a combination of biological, environmental, and hormonal factors. You however did not cause this to happen to you, rather a combination of the factors just mentioned has occurred to cause it to develop. What we know about anxiety during pregnancy however, is that for most it does not resolve on its own. Rather, it tends to linger beneath the surface and pop up at unexpected, inopportune times. Now is the best time to get help so you can feel more like yourself when your little one joins this world.
I AM A VERY PRIVATE PERSON AND FIND IT HARD TO OPEN UP.
So am I. I get that it can be incredibly difficult to talk to a stranger about things you find hard to tell even your closest friend or partner. We will go at your pace and only talk about what is top of mind for you. This is your counseling after all and it will focus on helping you achieve your goals. You may even find that it is easier to open up once we get started. Many people tell me that I am fairly easy to talk to.
Filled with worry and concern since finding out you are pregnant?
Feeling uncertain about the transitions your family will encounter with the birth of a new baby?
Feel guilty for feeling like this?