Explains postnatal depression and other perinatal mental health problems, including possible causes, treatments and support options. Also has information for friends and family, including support and advice for partners.
OCD has two main parts: obsessions and compulsions.
It's normal to worry about your child's wellbeing and want to protect your baby while you are pregnant and after giving birth. But if you start to experience obsessive and compulsive symptoms that affect your daily life and wellbeing, you may be experiencing perinatal OCD.
The obsessions and compulsions you may experience are likely to relate to feelings about being a parent and your baby.
Examples of common perinatal obsessions include:
These thoughts can be very upsetting and frightening. It's important to remember that they are not your fault. Having an intrusive thought doesn't mean that you want to act on it, or that you will act on it.
Examples of common perinatal compulsions include:
It can be very hard to open up and talk to someone about your obsessions or compulsions. But there are treatments and support options which may help.
"I spent the first few months of my daughter's life consumed with anxiety that I would somehow contaminate her. My hands were raw from constant washing. I got the help I needed and am finally enjoying being a mummy."
The main types of talking therapy offered for OCD are:
ERP is a talking therapy that helps you understand how your OCD works and what you need to do to overcome it. Your therapist will help you confront your obsessions and learn how to resist the urge to carry out compulsions.
ERP is only available in certain areas of the country.
You may also be offered medication to treat any symptoms of anxiety.If you have any concerns about taking medication, you can talk to your doctor or pharmacist. This includes discussing any concerns about taking medication during pregnancy or while breastfeeding.
See our page on talking to your GP if you're worried about having this conversation.
Some people find that taking medication alongside a talking therapy can help them get the most out of their therapy.
If there are long waiting lists for talking therapies in your area, your doctor may recommend that you explore an alternative to therapy. These can help you manage your mental health while you are on the waiting list.
See our page on treatments for OCD for more information.
"During my second pregnancy, I had an experience seeing blood on a public toilet seat which led onto a severe obsession with the irrational thought that I had contracted HIV. This irrational thought took over my life. It turned into what felt like a huge monster."
See our page on self-care for OCD for a list of self-help resources that you might find helpful.
Having the support of those around you can make a big difference to how much you feel able to cope with your obsessions and compulsions.
If you feel comfortable, you could talk to them about your obsessions and compulsions. And you could talk about how you'd like them to respond and support you.
For more ideas, see our page on ways to look after your mental health when becoming a parent.
"I thought I was a horrible failure… I'd panic that they thought I would hurt him and then take him away. After this I became so obsessed that they would, I would watch him constantly and not sleep to make sure nothing happened to him."
This information was published in April 2020. We will revise it in 2023.
References and bibliography available on request.
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