How To Cope With Postpartum Scary Intrusive Thoughts

by

PP-scary-thoughts--1024x536

If you are reading this article you have probably recently had a baby, or care about a person who has, and I don’t need to tell you that having a baby is a big change in life, one that’s full of responsibility and life adjustments. Of course there is love and happiness but being a new parent can bring unexpected feelings and thoughts. Some new parents experience something called “postpartum intrusive thoughts.” These are sudden, unwanted, and disturbing ideas, often about harm happening to your baby that might pop into your mind when you’re least expecting it. When you’re just getting used to caring for your newborn, these thoughts can feel overwhelming and scary.

It’s important to know that you’re not alone and that thoughts don’t mean you are going to take action. They are just thoughts and in my many decades of experience, these types of thoughts happen because you care so much about your baby. For many of my clients, understanding what’s happening can lighten the burden they feel about having them and can also make these thoughts feel less powerful. Let’s take a closer look at these intrusive thoughts together and uncover why they happen and how to cope with them.

What Are Postpartum Intrusive Thoughts?

Intrusive thoughts can be surprising and unsettling. These thoughts often center around the idea of harm coming to the baby, whether it’s accidental or intentional. Some common examples might include worrying about the baby falling, getting hurt, or scenarios that are unsettling and distressing.

What makes these thoughts particularly shocking for new parents is their suddenness and intensity. You might find yourself having an image flash in your mind about dropping your baby, which can trigger fear and shame. It’s crucial to remember these thoughts are common, and they don’t mean you will act on them. Instead, they reflect concerns and anxieties that are normal during such a transformative period. Understanding them is the first step towards managing them better.

Causes of Postpartum Intrusive Thoughts

Postpartum intrusive thoughts can stem from several sources. Hormonal changes play a significant role, as after giving birth, there is a dramatic drop in estrogen and progesterone. This can affect your mood and thoughts. Stress and anxiety can also heighten these thoughts, especially as you adjust to the challenges of having a baby to care for.

Another cause could be a link between these thoughts and conditions like postpartum depression or anxiety disorders such as OCD. It’s like your mind’s way of trying to protect your baby by imagining risks, even if they are unlikely. Recognizing these factors can help you realize that it’s not about being a bad parent, but rather about navigating this new phase as best as you can. Understanding the causes gives you a starting point to address these thoughts and improve your well-being.

How to Cope with Intrusive Thoughts

Managing intrusive thoughts starts with acknowledging them but not letting them control you. They don’t mean you’re a bad parent; they’re just thoughts that come with the huge responsibility of caring for a baby. I see them as red flogs about something else that is happening. Maybe you are physically and/or emotionally exhausted? Do you other stressful things going on in your life at the moment? What is going on in your relationship? It is your total stress and fatigue that can make these types of thoughts happen. One effective method is to mentally recognize these thoughts and then set them aside, knowing they don’t have any real weight. Thoughts DO NOT = Action. Here are a few tips to help:

– Keep your mind engaged with activities that require focus, like puzzles or reading.

– Distract yourself by enjoying a walk, listening to your favorite music, or immersing yourself in a good book.

– Make sure you’re getting enough rest, as sleep plays a huge role in how you cope daily.

– Try to figure out what these thoughts are telling you you need that you are currently not getting.

– Don’t hesitate to ask for help. Whether it’s talking to a friend or seeking a therapist like myself who specializes in maternal mental health, reaching out can provide relief and perspective.

These steps make a difference in managing day-to-day stress and reducing the frequency of these thoughts.

Seeking Help and Professional Support

Recognizing when to seek professional help is key. If intrusive thoughts start affecting your daily life or your relationship with your baby, it’s time to talk to a therapist who is experienced in postpartum mental health. In particular cognitive-behavioral therapy, is research based therapy which has been shown to help treat intrusive thoughts and aid the transition to parenthood.

– Consider therapy with a maternal mental health specialist, where you can safely express concerns without judgment and receive the help and support to get through this.

– Medication might be suggested for some, providing relief in conjunction with therapy.

– Never underestimate the comfort of confiding in someone you trust. Even a quick chat with a loved one can offer a new perspective.

Remember, seeking help shows strength, not weakness. It’s an important step for both you and your baby’s well-being.

how-to-manage-pregnancy-and-postpartum-anxiety-with-text-1024x536

For more information about how effective Cognitive Behavioral Therapy is for Postpartum Anxiety Disorders read How To Manage Pregnancy & Postpartum Anxiety With CBT.

Finding Relief and Moving Forward

As unsettling as intrusive thoughts may appear, they don’t define you as a parent. Knowing they’re a common experience can bring some peace, and with time and the right strategies, their grip weakens. You’re doing a great job simply by recognizing what’s happening and seeking ways to improve your mental health.

Taking action on mental health creates a healthier environment for you and your child. If you find these thoughts bothering you, reaching out for help is always a good idea. Prioritizing your mental health not only benefits you but also enhances the time and care you give to those close to you.

Need more advice or support during postpartum life? I have written many articles about many aspects of being a new mom and a free booklet you can download about Pregnancy & Postpartum Stress, Anxiety & Depression (see below). I specialize in working with new parents and I see clients in person at my Northbrook office, or virtually throughout Illinois, Florida and the UK.

For more reading on this topic I highly recommend the book Good Moms Have Scary Thoughts by Karen Kleinman & Molly McIntyre.

Dr. Sarah Allen

Dr. Sarah Allen has 25+ years of experience in private practice helping women to transition to being the mom they want to be. She is the Founding Director of the statewide non-profit Postpartum Depression Alliance of IL. She also specializes in pregnancy loss & infertility & has published research on postpartum depression and traumatic childbirth.

If you would like to work with Sarah, please phone her at 847 791-7722 or on the form below.

If you would like to read more about me and my areas of specialty,  please visit Dr. Sarah Allen Bio. Dr. Allen’s professional license only allows her to work with clients who live in IL & FL & the UK and unfortunately does not allow her to give personalized advice via email to people who are not her clients. 

Dr. Allen sees clients in person in her Northbrook, IL office or remotely via video or phone.

    wall

    What Can I Read That Helps Me While I Am Waiting For My First Appointment With Sarah?

    If you feel that you may be experiencing pregnancy or postpartum mood disorder, or worry that you may be at risk of developing it, please download my free booklets below.

    See each specific webpage to download one or many.

    ScreeningTest3D-237x300-1-removebg-preview
    ppdgiude3Djpeg-237x300-1

    As featured in

    Warm & Knowledgeable.

    I highly recommend Dr. Allen! She is warm and so easy to talk to. She has lots of knowledge about women’s health.

    Kathryn Gardner, LCSW

    Excellent Therapist!

    Dr. Allen is a colleague of mine and she is an excellent therapist. She is warm, caring, and exceptional at her work. I refer clients to Dr. Allen and I highly recommend her if you are looking for a top notch therapist.

    Jodi Petchenik, LCSW

    Sarah Transformed Our Family’s Sleep and Sanity

    My baby didn’t sleep. She wouldn’t sleep more than a couple of hours at night and no more than 30 minutes during the day. I was completely overwhelmed and my husband and I were at each other’s throats. I was supposed to be going back to work but was barely functioning. Sarah helped us to learn how to get our baby sleeping and then she supported me in my transition back to work. She also helped my husband and I navigate how to share childcare and running the house fairly. She is a very knowledgeable therapist and has really helped us.

    Pam. L.

    Dr. Allen Helped Me to Feel More Empowered

    Dr. Allen has really helped me find my own voice. When I began therapy I would swing between being passive and doing whatever other people wanted me to do to being angry and frustrated. I have been on antidepressants for quite a few years but it wasn’t really working. Through therapy I have learned to listen to my own needs and to speak up. I used to worry that people wouldn’t like me if I didn’t agree with them but when Dr. Allen gave me the support I needed I challenged my fears. I spend a lot less time feeling angry and depressed now and I have really widened my social network. This is how I have always wanted to be but didn’t know how to get there. Dr. Allen has a very reassuring manner and makes you challenge yourself but by using small steps so you feel ready to do it. I have really come out of my shell and would recommend anyone who is feeling depressed to come and talk with her.

    Rebecca F.

    Trusted & Knowledgeable Therapist.

    When I need to refer any of my patients for talk therapy I immediately think of Dr. Allen as she is wonderful at helping people with severe and complex issues really get to the root of their problems. She is very caring and knowledgeable and I have found her extensive experience really helps people to change their lives for the better.

    Dr. Teresa Poprawski

    Dr. Allen is an expert in treating perinatal mood disorders.

    I refer as many patients as I can to Dr. Allen. She is an expert in treating perinatal mood disorders, and a well-trained and experienced therapist who is committed to working with her clients to develop a treatment plan designed for each individual. She exhibits genuine warmth, kindness and compassion for each of her clients. Dr. Allen has been a colleague of mine for more than 20 years, and I have great confidence when I refer patients to her.

    Leslie Lowell Stoutenburg

    I become empowered and a happier person.

    I began seeing Dr. Allen when my first child was around a year old. I had experienced a very traumatic birth, after a difficult pregnancy where I was on bed rest for a good portion of the time. The first year of my son’s life was spent worrying constantly. I also experienced flashbacks to the birth, which was an emergency C-section under general anesthesia. My son was in the NICU for several days following his birth, and I was not given very much information as to why. I remember thinking that he would die, or that something awful was going to happen.

    I experienced a great deal of anxiety that first year, and I thought that it was due to being a new mom. I wasn’t sleeping, I wasn’t eating as normal, and I remember being worried about leaving the house or taking my baby with me anywhere. I worried constantly about illness, germs, etc.

    The first day that I saw Dr. Allen, she gave me some questionnaires to fill out before we started talking. Then we sat down and talked about my experiences with my son’s birth and the early days of his life, and the year or so since then. I remember to this day the relief that I felt when she looked at me and said that I had PPD and PTSD, which was a result of the trauma I experienced during and immediately after the birth of my son. She explained how my brain had reacted to the stress of these events, and related it to why I was feeling the way that I felt. It made so much sense. Then, she described ways that I could get over the trauma, work through the feelings, and recover from PTSD and PPD. I felt so empowered, and so happy that the way I felt had a name, and that it was treatable. It also made me feel so validated in the ways that I had felt and reacted following my son’s birth. I wasn’t going crazy. My reaction was normal and natural. And with the help of Dr. Allen, and the type of therapy that she uses, I knew I could recover.

    It is over five years since that first visit with Dr. Allen, and I still use the tools that she taught me today to deal with stress. I credit her with helping me to become a more empowered, happier person.

    Elizabeth

    Overcoming PPD with Dr. Sarah’s Support

    When I had my first baby I had what I now know was postpartum depression but I didn’t get any help. It did go away after about 18mths but it was a miserable way to begin motherhood.  When I was pregnant with my second child I started to become depressed again and this time told my OB/GYN how I was feeling and she referred me to Sarah. By starting to deal with how I felt and change the way I was handling the stresses in my life, I was in a much better place when my baby was born. The second time round my PPD was much less severe and didn’t last as long. 

    Sarah was also really helpful in teaching me ways to make the transition of becoming a big sister easier for my oldest one too.   My husband came with me for some sessions and that really helped our relationship and we started working on parenting issues together.  Sarah’s counsel and support really helped our family transition to the good place we are all in today.

    Sarah C.

    If you are thinking about getting counseling and you’d like to talk to someone about the things that are troubling you, I am happy to help.