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The Hidden Struggle: What Postpartum Anxiety Looks Like

  • Writer: Linda Meier Abdelsayed, LMFT
    Linda Meier Abdelsayed, LMFT
  • May 14
  • 3 min read

Anxious mother co-sleeping with baby
Anxious mother co-sleeping with baby

Becoming a mother is often described as a joyful, life-changing experience. And while parts of that may be true, it’s also common to feel like you're drowning in a sea of worry, fear, and mental noise that no one else can see. If you’ve found yourself lying awake at night even while your baby sleeps, checking for signs they’re breathing for the tenth time, or mentally preparing for every possible disaster, you might be experiencing postpartum anxiety.



What Does Postpartum Anxiety Feel Like?


Unlike postpartum depression, postpartum anxiety doesn’t always look like sadness. It often shows up as excessive worry, racing thoughts, and a constant sense of unease. Many moms with postpartum anxiety seem “high-functioning” to the outside world—checking every box, managing every task—while secretly feeling like their thoughts are spiraling out of control.


Here are some of the most common signs of postpartum anxiety:

  • Persistent, overwhelming worry—especially about your baby’s health or safety

  • Racing thoughts that make it hard to fall asleep or stay asleep

  • Physical symptoms like a racing heart, chest tightness, or nausea

  • Feeling constantly “on edge” or hypervigilant

  • Avoiding certain situations or people due to fear

  • Difficulty concentrating or feeling mentally exhausted


A little worry is part of parenting, but if it’s interfering with your daily life or stealing your joy, it may be time to explore support options.


Why It Often Goes Unnoticed


Postpartum anxiety tends to fly under the radar. Culturally, we often expect new moms to be anxious. Comments like “That’s just part of being a mom” or “You’re just being careful” can invalidate the very real distress that many mothers feel. This makes it harder for people to recognize that what they're experiencing isn’t just normal worry—it's anxiety that deserves attention and care.


There are several reasons postpartum anxiety often gets missed:

  • It doesn’t always look “emotional.” Unlike depression, anxiety can show up as productivity, perfectionism, or even over-functioning.

  • It hides behind societal expectations. Moms are often praised for being “on top of everything,” even when that’s driven by fear rather than peace.

  • It’s overshadowed by postpartum depression. While depression has gained more awareness, anxiety is still frequently overlooked in postpartum screenings.

  • Support systems might not understand it. Friends or family might not realize how consuming anxiety can be, especially if it doesn’t match their experience.

  • Moms may internalize the pressure. You might think, “If I just try harder, I’ll feel better,” instead of recognizing that something deeper is going on.


All of this can lead to moms suffering in silence, thinking they’re the only ones feeling this way—or worse, believing they’re failing at motherhood.


When to Seek Support


Postpartum anxiety is treatable, and you don’t have to go through it alone. Consider reaching out if:

  • Your anxiety is affecting your ability to sleep, eat, or care for yourself

  • You feel stuck in a loop of “what if” thoughts that don’t stop

  • You’re avoiding things you once enjoyed out of fear or overwhelm

  • You feel disconnected, isolated, or exhausted from trying to “keep it together”


Therapy, peer support, mindfulness tools, and in some cases, medication, can make a meaningful difference. The most important thing to know is that asking for help is not a failure—it's an act of strength.


You Deserve to Feel Safe and Supported


The early days of motherhood are full of change. Your brain, body, and heart are adjusting to a completely new reality. If your mind feels like it’s always on high alert, that doesn’t mean you’re weak—it means you're responding to the intensity of this transition.


Your mental health matters. Not just for your baby, but for you. With the right support, peace is possible. You deserve to feel grounded, connected, and understood.


If this sounds like something you're going through, know this: You’re not overreacting—you’re responding to a new reality. Postpartum anxiety is real, and you don’t have to carry it alone.




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