Mental health issues during pregnancy can include depression, mood, or anxiety disorders, especially because some women discontinue medications during pregnancy. Those that are most at risk are women with histories of major depression. Pregnancy and postpartum is a risky time due to dramatic changes in hormones as well as lack of sleep and being overwhelmed with new responsibilities.
Postpartum depression is often characterized by severe mood swings, excessive crying, difficulty bonding with the baby, severe anxiety, withdrawal from family and friends, insomnia (or sleeping too much), overwhelming fatigue, intense anger, feelings of worthlessness, and lack of ability to think clearly. These symptoms of postpartum depression typically start within the first few weeks after birth, but can begin up to six months later, and lasts longer than two weeks. Untreated, it can last many months and more.
A counselor can help with pregnancy or postpartum issues by helping you find better ways to cope, solve problems, and respond more effectively to stressful situations. It is often also helpful to pair this with family or relationship therapy. With professional treatment, pregnancy and postpartum issues are typically resolved within six months.