Why Perinatal Mental Health Matters for Both Parents

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Sleepless nights, endless diaper changes, and constant feedings—parenthood is exhausting. Yet, the most challenging struggles are often the ones no one talks about. Many new parents find themselves overwhelmed, anxious, or even depressed, but they keep silent, afraid of judgment. The focus always falls on the baby’s health, leaving parents to push their well-being aside. The expectation to "stay strong" leads many to suppress their emotions, worsening things. Despite how common these feelings are, few people discuss them openly. The stigma surrounding perinatal emotions makes it even harder to ask for help. Early addressing these struggles can make a difference for the entire family. This article explores why perinatal mental health matters for both parents, how to recognize warning signs, and ways to seek support. No one should struggle alone.

Why Perinatal Mental Health Affects Both Parents

We often assume that emotional struggles during pregnancy and after birth only affect mothers, but fathers also face significant challenges. The shift in responsibilities, financial stress, and constant sleep deprivation can take a toll on both parents.

Research published in Frontiers shows that 5% to 10% of fathers experience perinatal depression, while 5% to 15% struggle with perinatal anxiety. Though mothers undergo major hormonal shifts, fathers also experience biological changes. Testosterone levels tend to drop while oxytocin increases, affecting mood and emotional connection with the baby.

At the same time, heightened cortisol from stress, paired with chronic exhaustion, can trigger anxiety and depressive symptoms. The lifestyle changes that come with caring for a newborn can exacerbate existing mental health conditions in both parents, affecting their ability to provide a nurturing environment for their child.

How Perinatal Mental Health Impacts Baby’s Development

Parental mental health influences a baby’s emotional and cognitive development. Stress and anxiety in parents can lead to increased cortisol levels in infants, affecting their ability to self-soothe and regulate emotions. Babies are highly responsive to their environment, and parental distress can make them more irritable, restless, or difficult to console.

A stable and emotionally present parent fosters a strong bond, leading to a secure attachment. This connection shapes a child’s ability to trust, express emotions, and build healthy relationships later in life. When parents feel emotionally balanced, they engage more with their baby, creating positive interactions that support language and cognitive growth.

Studies indicate that prolonged exposure to stress hormones may impact brain structure, particularly areas linked to learning and memory. Early intervention helps prevent long-term developmental challenges. Seeking support besides the parents also benefits the child’s overall well-being.



The Impact of Stress and Anxiety on Relationships

The pressure of parenting can make even diminutive disagreements feel overwhelming. Stress and exhaustion often lead to short tempers, miscommunication, and emotional distance. Besides, the never-ending list of responsibilities can leave little time for meaningful connection, making both parents feel unseen or unappreciated.

Unspoken struggles can create tension. If one parent feels unsupported or unheard, resentment may build over time. Perinatal mental health directly affects how couples navigate these changes. Emotional exhaustion, anxiety, or depression can make it harder to show patience and empathy toward a partner, leading to feelings of isolation.

Shared support can reduce stress and strengthen relationships. Talking openly, dividing responsibilities, and checking in on each other’s well-being can ease tension.

How Past Health Habits Influence Perinatal Mental Health

mom looking down at baby, why perinatal mental health matters for both parents, therapy in raleigh nc

Mental and physical health before pregnancy play a crucial role in shaping emotional well-being during and after birth. Factors such as chronic stress, poor nutrition, and insufficient sleep can exacerbate mood disorders, increasing the risk of anxiety and depression. These issues may also disrupt hormone regulation, leading to fatigue, mood swings, and difficulty coping with the emotional demands of parenthood. Prolonged stress can even alter brain function, making emotional regulation more challenging once the baby arrives.

At the same time, substance use before pregnancy can have profound and lasting effects on both physical and mental health. Drug abuse, in particular, may complicate conception and overall well-being by contributing to hormonal imbalances, heightened stress levels, and an increased risk of complications such as miscarriage, premature birth, and developmental concerns. Beyond physical risks, substance use can trigger withdrawal symptoms, intensify anxiety, and lead to emotional instability, all of which can deeply affect your preconception health. Understanding these potential consequences empowers prospective parents to take proactive steps toward a healthier pregnancy.

Positive lifestyle changes such as maintaining a balanced diet, managing stress effectively, and avoiding harmful substances can significantly enhance physical strength and emotional resilience. By prioritizing well-being before conception, parents can create a healthier foundation for pregnancy and beyond.

Recognizing the Warning Signs of Mental Health Struggles

Mental health struggles during and after pregnancy can sometimes go unnoticed. Parents often push through exhaustion and emotional distress, assuming it's just part of the experience. While some mood changes are expected, persistent emotional shifts may indicate a deeper issue.

You should not ignore ongoing sadness, mood swings, and irritability. A parent who once found joy in daily activities may start withdrawing or feeling disconnected from loved ones. Frustrations can feel overwhelming, and a constant sense of guilt or worthlessness may take hold. Insomnia or excessive sleeping can also be signs of mental distress.

Physical symptoms like headaches, digestive issues, or chronic fatigue may appear without a clear cause. Anxiety can bring racing thoughts, excessive worry, or panic attacks, making it hard to relax or focus. Support from loved ones, therapy, or professional guidance can provide relief before symptoms escalate, improving emotional well-being and family stability.





Alt.tag: A woman covering her face with her hands

Caption: Bad mental health presents itself in physical symptoms as well in the form of headaches and fatigue

depressed father looking at newborn sleeping, why perinatal mental health matters for both parents, therapy in north carolina

How to Seek Help and Break the Stigma

Emotional struggles during pregnancy and after birth are common, yet many hesitate to ask for help due to shame or uncertainty. Society often expects parents to handle everything without complaint, making it harder to speak up.

Mental health care should never be treated as an afterthought. Seeking support is just as important as managing physical health. Therapy, counseling, and support groups provide guidance and reassurance, helping parents navigate emotional challenges. Speaking openly with a trusted friend or family member can also make a difference, relieving feelings of isolation.

Some parents worry that admitting to struggling will make them appear weak. The truth is that asking for help shows strength, not failure. Mental health care benefits parents and children, creating a more stable home environment. Breaking the stigma starts with honest conversations and prioritizing emotional well-being.

Simple Ways to Support Perinatal Mental Health at Home

Prioritizing rest, balanced meals and self-care helps parents manage their emotions and stay physically strong. Skipping meals or relying on caffeine and sugar for energy can lead to mood swings and increased anxiety. Taking time to eat well and stay hydrated supports mental and physical health.

Getting enough sleep is just as important. While newborns disrupt sleep patterns, finding ways to rest—even in short bursts—can prevent emotional burnout. Asking a partner, family member, or friend to step in for short breaks can make exhaustion more manageable.

Isolation can worsen stress, making it harder to cope. Creating a support system of friends, family, or local parenting groups can ease the emotional load. Even a simple check-in with a loved one can provide relief. Encouraging honest conversations about emotions builds stronger connections, helping parents feel understood and supported.

headshot of Shana Sobhani a therapist at well roots counseling, why perinatal mental health matters for both parents, therapy in Raleigh nc

Shana Sobhani

Student Intern

Conclusion

Perinatal mental health impacts every part of family life. Stress, anxiety, or depression can make parenting feel overwhelming, affecting both the child and the relationship between parents. Hence, taking care of emotional well-being benefits individuals and the entire household. Seeking support through therapy, loved ones, or parenting groups can ease emotional struggles and bring a sense of balance. Small changes like open communication and self-care help create a more positive home environment. Mental health should always be a priority, no matter the stage of parenthood. A supported parent raises a happier, healthier child.





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