How To Prevent Pregnancy Anxiety and Depression

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How to prevent pregnancy anxiety and depression

We often think of pregnancy as a glowing, transformative period of life, but it can also bring challenges that are often not discussed openly. Anxiety and depression during pregnancy, commonly referred to as prenatal or perinatal mood disorders, are more common than many people realize. The good news is that preventative mental health care can be a powerful tool in managing and reducing these struggles, promoting emotional well-being for both you and your baby.

What is Preventative Mental Health Care?

Preventative mental health care involves taking proactive steps to support your emotional and psychological well-being. Think of it as caring for your mental health the same way you care for your physical health during pregnancy. It may include practices aimed at building resilience, seeking early support, and creating a nurturing environment to reduce the risk or impact of anxiety and depression.

Rather than waiting to address a crisis, preventative care focuses on maintaining balance and well-being ahead of time. This is particularly important during pregnancy when hormonal, physical, and emotional changes can make you more vulnerable to mental health concerns.

Why Does Preventative Care Matter During Pregnancy?

Studies show that up to 1 in 7 women experience anxiety or depression during pregnancy. These challenges, if left unaddressed, can continue postpartum and impact not only the mother but also the baby, affecting bonding, stress levels, and even physical health outcomes. Preventative mental health care ensures that you feel supported, empowered, and ready to tackle challenges before they escalate.

It’s important to remember there is no shame in needing support. Pregnancy is a major life shift, and ensuring mental wellness is just as important as managing physical health.

Practical Steps for Preventative Care

1. Build a Support Network

Pregnancy can sometimes feel isolating, but you don’t have to go through it alone. Lean on close friends, family, or a partner to provide emotional support. Connecting with people who truly listen can alleviate feelings of overwhelm.

Consider joining a birthing or parenting class, or participating in local or online support groups designed for expectant mothers. Communicating with others who understand your experiences can reduce feelings of isolation and provide valuable insights.

2. Educate Yourself About Mental Health During Pregnancy

Understanding the common emotional changes during pregnancy can help you identify when something doesn’t feel right. While mood swings are normal due to hormonal shifts, persistent sadness, feelings of overwhelm, or excessive worry might signal the early signs of anxiety or depression.

By being aware, you empower yourself to recognize symptoms early and seek support if needed.

For more information about pregnancy anxiety read The Facts About Pregnancy & Postpartum Anxiety

Is it PPD or something else?

For more information about different types of pregnancy and postpartum mood disorders read Is It Postpartum Depression Or Something Else?

3. Develop Healthy Coping Mechanisms

Finding ways to manage stress is essential for your mental health. Here are some healthy coping strategies to incorporate into your routine:

4. Establish Open Communication with Your Provider

Make mental well-being part of your regular conversations with your doctor or midwife. They can help screen for early signs of anxiety or depression and connect you with resources such as therapists or support groups.

If mental health concerns arise, reaching out for professional support early can make a significant difference in recovery. Many expectant mothers benefit from therapy, particularly cognitive-behavioral therapy (CBT), to address specific fears or overwhelming thoughts.

5. Maintain Proper Nutrition and Rest

Your body and mind are deeply connected. Eating nutrient-rich foods, staying hydrated, and prioritizing sleep can help stabilize moods and energy levels. Poor sleep and unbalanced eating habits can sometimes exacerbate feelings of anxiety or sadness, so focus on establishing a regular routine.

6. Set Realistic Expectations

Pregnancy and parenting are full of unknowns, and no one is perfect. It’s okay not to have everything figured out. Setting realistic expectations for yourself, practicing self-compassion, and allowing room for imperfection can reduce self-imposed pressure.

7. Seek Therapy as a Preventative Measure

Therapy isn’t only for crisis situations; it can be a powerful preventative tool. A counselor or psychologist can help you process emotions, manage fear or uncertainty about the pregnancy or birth, and equip you with coping strategies to reduce stress.

For more info about therapy for anxiety read How To Manage Pregnancy & Postpartum Anxiety With Therapy.

For more info about therapy for depression read How Therapy Treats Pregnancy & Postpartum Depression.

8. Connect with Your Partner

If you have a partner, open communication is key. Share your thoughts, worries, and emotions with them. Pregnancy is a shared experience, and mutual support can strengthen the bond between you both while reducing feelings of loneliness.

Recognizing When to Get Help

Taking preventative steps doesn’t guarantee that you’ll avoid all mental health challenges, but it gives you tools to address them earlier and more effectively. If you notice prolonged feelings of sadness, persistent worry, or difficulty functioning in daily life, reach out to a health professional as soon as possible.

Here are a few signs that you may need extra support:

Remember, asking for help is a sign of strength, not weakness. The sooner you seek support, the sooner you can find relief and regain balance.

Take the First Step Toward a Healthier Pregnancy

Pregnancy is a profound experience filled with highs and lows, but you don’t have to face it alone. Whether you’re experiencing mild anxiety or simply want to take proactive steps, support is available.

If you’re unsure where to start, reach out to me about discuss your own individual circumstance and we can make a plan. I’m here to guide and support you without judgment. I work with clients in person in Northbrook, a north suburb of Chicago, and virtually across Illinois, Florida and the U.K.

You deserve to feel supported, empowered, and prepared for the incredible role of parenthood. By prioritizing your mental health during pregnancy, you not only care for yourself but also set the stage for a strong and loving relationship with your baby.

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.

    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.

    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.