Congratulations! You’ve just brought a beautiful baby into the world. This is a time of immense joy, love, and… unexpected thoughts? Intrusive thoughts postpartum are a surprisingly common experience, affecting up to 80% of new mothers. These can be scary and upsetting, but they absolutely don’t mean you’re a bad mom. 

Let’s dive in and understand what intrusive thoughts are, why they happen, and how to navigate them.

What are intrusive thoughts after having a baby?

Intrusive thoughts postpartum are exactly what they sound like: unwanted, upsetting ideas that pop into your head, often out of the blue. These thoughts can be violent, disturbing, or even nonsensical. 

They might focus on harming your baby, dropping them, or something else entirely. Here are some common examples:

  • “What if I accidentally drop the baby?”
  • “What if I smother the baby in my sleep?”
  • “Would it be better if I weren’t a mom?”
  • Intrusive thoughts related to cleanliness, germs, or your own safety.

It’s important to remember that having these thoughts doesn’t mean you want to act on them. In fact, the very reason they’re upsetting is because they go against your deepest feelings of love and care for your child.

How long do postpartum intrusive thoughts last?

The good news is, intrusive thoughts postpartum are usually temporary. They tend to be strongest in the first few weeks after giving birth, as your hormones are fluctuating wildly. Most women find that these thoughts gradually fade away within a few months.

However, if your intrusive thoughts are causing you significant distress, lasting for a long time, or are accompanied by other symptoms of anxiety or depression, it’s important to seek professional help.

Can pregnancy hormones cause intrusive thoughts?

Absolutely. Pregnancy and postpartum are times of hormonal upheaval, and these changes can significantly impact your brain chemistry and mood, leading to intrusive thoughts. 

Here’s a deeper dive into how hormones play a role:

Estrogen and Progesterone Plunge: 

During pregnancy, estrogen and progesterone levels soar to support fetal development. After delivery, these hormones take a dramatic nosedive. This rapid decrease can affect the production of neurotransmitters, the chemical messengers in your brain that regulate mood, anxiety, and even thought patterns. 

Studies suggest that a dip in these neurotransmitters, particularly serotonin, could be linked to the onset of intrusive thoughts.

The “Sensitive Period” for Anxiety: 

Research suggests that pregnancy and postpartum create a “sensitive period” for anxiety disorders. This means that women who may be predisposed to anxiety are more vulnerable to experiencing symptoms like intrusive thoughts during these hormonal fluctuations.

The Oxytocin Connection: 

Oxytocin, often referred to as the “love hormone,” plays a crucial role in bonding and attachment. While it’s essential for maternal care, some theories suggest that a surge in oxytocin postpartum could lead to an overprotective response, manifesting as intrusive thoughts about harming the baby.

Individual Brain Chemistry: 

It’s important to remember that everyone’s brain chemistry is unique. How someone reacts to hormonal changes can vary greatly. While some women experience a mild dip in mood, others may be more susceptible to developing intrusive thoughts or even postpartum depression.

Beyond Hormones: Other Factors Contributing to Intrusive Thoughts

Hormones are a major player, but they’re not the only story. Here are some additional factors that can contribute to intrusive thoughts postpartum:

  • Sleep Deprivation: Newborns don’t exactly follow a schedule! The sleep deprivation that comes with caring for a new baby can exacerbate anxiety and intrusive thoughts.
  • Stress and Adjustment: Becoming a parent is a major life change. The stress of adjusting to a new routine, coupled with the emotional rollercoaster of parenthood, can create a breeding ground for intrusive thoughts.
  • Past Anxiety or OCD: If you have a history of anxiety or OCD, you may be more likely to experience intrusive thoughts postpartum.

If your intrusive thoughts are causing you significant distress, interfering with your daily life, or are accompanied by other symptoms of anxiety or depression, it’s important to seek professional help. 

Is it normal to have intrusive thoughts during pregnancy?

Intrusive thoughts can occur during pregnancy as well as postpartum. The hormonal roller coaster you experience throughout pregnancy can trigger these unwanted thoughts. The key thing to remember is that these thoughts are just that: thoughts. 

They don’t reflect your reality or your love for your baby.

Here are some tips for coping with intrusive thoughts postpartum:

  • Acknowledge and Accept: Don’t try to fight the thoughts. Acknowledge them, and understand that they’re a normal part of the postpartum experience. Just because you have the thought doesn’t mean you want to act on it.
  • Talk it Out: Talking to your partner, a trusted friend, or a therapist can be incredibly helpful. Sharing your experience can provide relief and support. You might be surprised to learn how many other moms have had similar thoughts.
  • Focus on Self-Care: Prioritize your well-being. Get enough sleep, even if it means taking naps when the baby naps. Eat healthy foods, and make time for activities you enjoy, even if it’s just a few minutes a day. A rested and relaxed you will be better equipped to handle any challenges, including intrusive thoughts.
  • Challenge the Thoughts: Don’t let intrusive thoughts take control. Remind yourself that these are just fleeting ideas, and they don’t reflect reality. Ask yourself: “What is the evidence that this thought is true?” Usually, you’ll find there is none.
  • Practice Mindfulness: Mindfulness exercises like meditation or deep breathing can help you stay present and detach from intrusive thoughts. There are many free mindfulness apps available, or you can simply focus on your breath for a few minutes when you’re feeling overwhelmed.

Remember, You’re Not Alone

Intrusive thoughts postpartum are incredibly common, but they can feel very isolating. If you’re struggling, please reach out for help. There are many resources available, including therapists specializing in postpartum mental health, support groups, and online communities. Here are some resources that can help:

  • Postpartum Support International: PSI website
  • National Alliance on Mental Illness (NAMI): NAMI website
  • National Suicide Prevention Lifeline: 988 (US)

Intrusive thoughts can be a scary experience, but understanding them can help you manage them better. 

Here are some additional things to keep in mind:

  • Intrusive thoughts are not the same as obsessions. Obsessions are unwanted thoughts that you try to neutralize with compulsive behaviors. Intrusive thoughts, on the other hand, are just that – intrusive – but they don’t necessarily lead to compulsions.
  • Intrusive thoughts can be a sign of Perinatal OCD (POCD). POCD is a specific type of OCD that can develop during pregnancy or postpartum. It’s characterized by intrusive thoughts about harming the baby, often accompanied by a need for reassurance or repetitive behaviors to neutralize the anxiety. If you suspect you might have POCD, seeking professional help is crucial.
  • Intrusive thoughts don’t define you. These are just thoughts, and they don’t reflect your true character or your capacity to be a loving parent.

Finding Hope and Healing

Intrusive thoughts can feel overwhelming, but there is hope. Here are some additional resources that can be helpful on your journey:

  • Postpartum Depression Hotline: 1-800-994-4773 (US) – This hotline provides support, information, and referrals for moms struggling with postpartum mental health concerns.
  • National Alliance on Mental Illness (NAMI) HelpLine: 1-800-950-NAMI (6264) – NAMI offers support and resources for families dealing with mental illness, including postpartum OCD.
  • Postpartum Progress: Postpartum Progress website – This website offers a wealth of information and resources on postpartum mental health, including personal stories, articles from experts, and online support groups.

Remember, you are strong and capable. 

Intrusive thoughts are a common but challenging part of the postpartum experience. By understanding them, developing coping mechanisms, and building a support system, you can navigate this time and feel confident in your ability to care for your baby.