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When to get help for postpartum depression

Reaching out is strength. Here's when to do it, and exactly who to contact.

Get help for postpartum depression if low mood, anxiety or loss of interest last more than two weeks, or sooner if symptoms are intense or frightening. Contact your OB-GYN, midwife, primary care doctor, or a mental-health professional. Seek help immediately — call or text 988 (US Suicide & Crisis Lifeline) or go to an emergency room — if you have thoughts of harming yourself or your baby, feel out of touch with reality, or see or hear things that aren't there.

Reach out to a provider if…

  • Symptoms last longer than two weeks
  • Your mood, anxiety or exhaustion is getting worse instead of better
  • You're struggling to care for yourself or your baby
  • You feel disconnected from your baby or from life
  • Anything simply feels wrong — trust that instinct

Good people to contact: your OB-GYN or midwife, your primary care doctor, your baby's pediatrician (they screen for this too), or a therapist. Asking is never an overreaction.

Get help immediately if…

These can be signs of a medical emergency, including postpartum psychosis. Do not wait — call your provider, call/text 988, or go to the ER:

  • Thoughts of harming yourself or your baby
  • Thoughts that your family would be better off without you
  • Seeing or hearing things that others don't
  • Feeling confused, paranoid, or out of touch with reality
  • Being unable to sleep at all for several days

Helpful resources (US)

  • 988 Suicide & Crisis Lifeline — call or text 988, 24/7.
  • Postpartum Support International (PSI) — helpline 1-800-944-4773 (call or text), and the free “PSI” directory of local providers.
  • National Maternal Mental Health Hotline — 1-833-TLC-MAMA (1-833-852-6262), free and confidential, 24/7.
Getting help does not make you a weak mother or a failing one. It makes you a mother taking care of herself so she can take care of her baby.

And while you build your care team, keep doing the gentle, foundational things that help — nourishing food, rest, and support. Emily Montague's food-first recovery method is here whenever you're ready.

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Common questions

Frequently asked

Who should I call about postpartum depression?

Start with your OB-GYN, midwife, primary care doctor, or your baby's pediatrician — all can help or refer you. Postpartum Support International (1-800-944-4773) and the National Maternal Mental Health Hotline (1-833-852-6262) are free resources.

What is a postpartum depression emergency?

Thoughts of harming yourself or your baby, feeling out of touch with reality, hallucinations, or several days without any sleep are emergencies. Call or text 988 or go to an emergency room immediately.

Emily Montague, The Postpartum Chef
Written & reviewed by

Emily Montague, The Postpartum Chef

Emily is a chef, mother of five and postpartum-recovery educator who revives the 2,000-year-old zuo yuezi ("sitting month") tradition for modern mothers. Her signature, food-first method helps women rebuild after birth and ease postpartum depression — and she now certifies doulas and midwives to cook it for their own clients.

Visit The Sitting Month →    Meet Emily →

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