Perinatal Anxiety: How to Recognize the Signs and Seek Help in Birmingham, AL

Perinatal anxiety is more common than many people realize, affecting individuals during pregnancy and up to a year after giving birth. In Birmingham, Alabama, growing awareness and access to maternal mental health resources are helping families recognize symptoms earlier and get the support they deserve. If you or someone you love feels overwhelmed, constantly worried, or unable to relax during pregnancy or postpartum, this guide can help you understand perinatal anxiety and where to find help.

What Is Perinatal Anxiety?

Perinatal anxiety refers to anxiety disorders that occur during pregnancy (prenatal anxiety) or after childbirth (postpartum anxiety). While some worry is normal during major life transitions, perinatal anxiety involves persistent, excessive fear or worry that interferes with daily functioning.

Unlike postpartum depression, anxiety can show up as racing thoughts, physical tension, or constant fear about the baby’s health, your ability to parent, or worst-case scenarios. Many parents experience anxiety without feeling depressed, which is why it can sometimes go unnoticed or untreated.

Common Signs and Symptoms of Perinatal Anxiety

Perinatal anxiety can look different from person to person. Common symptoms include:

• Constant worry that feels difficult to control

• Racing or intrusive thoughts, often focused on safety or health

• Feeling restless, on edge, or unable to relax

• Difficulty sleeping even when the baby is sleeping

• Physical symptoms such as rapid heartbeat, shortness of breath, nausea, or dizziness

• Avoidance of certain activities out of fear something bad will happen

• Feeling overwhelmed or panicked without a clear reason

If these symptoms persist for more than two weeks or worsen over time, it may be a sign of perinatal anxiety.

What Causes Perinatal Anxiety?

There is no single cause of perinatal anxiety. Instead, it often develops from a combination of factors, including:

• Hormonal changes during pregnancy and postpartum

• A personal or family history of anxiety

• Traumatic birth experiences or pregnancy complications

• Sleep deprivation

• Major life changes and increased responsibility

• Lack of social or emotional support

In Birmingham, AL, many parents juggle work, family expectations, and limited postpartum support, which can further contribute to anxiety during this vulnerable period.

Why Perinatal Anxiety Is Often Missed

Perinatal anxiety is frequently overlooked because symptoms may be dismissed as “normal new parent stress.” Many parents also feel guilt or shame about admitting they are struggling, especially when they believe they should feel happy or grateful.

Healthcare providers often screen more routinely for postpartum depression than anxiety, meaning individuals in Birmingham and beyond may go months without proper diagnosis or treatment.

When to Seek Help for Perinatal Anxiety

You deserve support if anxiety is interfering with your quality of life, relationships, or ability to enjoy pregnancy or parenthood. Consider seeking help if:

• Worry feels constant or uncontrollable

• Anxiety affects sleep, appetite, or concentration

• You avoid leaving the house or caring for yourself

• You experience panic attacks

• You feel emotionally disconnected from your baby or loved ones

Early intervention can significantly improve outcomes for both parent and baby.

Perinatal Anxiety Treatment Options in Birmingham, AL

If you are seeking help for perinatal anxiety in Birmingham, Alabama, there are several effective treatment options available.

Therapy for Perinatal Anxiety

Working with a licensed therapist who specializes in perinatal mental health can help you develop coping strategies, reduce anxious thoughts, and feel more grounded. Common approaches include:

• Cognitive Behavioral Therapy (CBT)

• Mindfulness-based therapy

• Trauma-informed therapy

• Supportive counseling for pregnancy and postpartum transitions

Sharp Wellness therapists offer in-person and telehealth sessions, making care more accessible for busy or overwhelmed parents.

Medication Support

For some individuals, medication may be a helpful part of treatment. A qualified medical provider can discuss options that are safe during pregnancy and breastfeeding when appropriate.

Support Groups and Community Resources

Peer support can be incredibly powerful. Connecting with other parents who understand perinatal anxiety can reduce isolation and provide reassurance that you are not alone.

How Therapy Can Help You Feel Like Yourself Again

Therapy for perinatal anxiety is not about eliminating all worry—it’s about helping you feel more in control, confident, and present. With support, many parents report:

• Reduced intrusive thoughts

• Improved sleep and emotional regulation

• Greater confidence in parenting decisions

• Increased enjoyment of pregnancy or postpartum life

• Stronger connection with their baby

Frequently Asked Questions About Perinatal Anxiety

Is perinatal anxiety the same as postpartum depression?

No. While both are perinatal mood and anxiety disorders, perinatal anxiety is primarily marked by excessive worry, fear, or panic rather than persistent sadness or low mood. Some individuals experience anxiety without depression, while others experience both at the same time.

Can perinatal anxiety happen during pregnancy?

Yes. Perinatal anxiety can occur during pregnancy (prenatal anxiety) as well as after childbirth. Many people begin experiencing symptoms while pregnant, especially if there are health concerns, previous pregnancy loss, or high stress levels.

How common is perinatal anxiety?

Perinatal anxiety is very common. Research suggests that anxiety disorders affect as many as 1 in 5 pregnant or postpartum individuals. Despite this, many cases go undiagnosed because symptoms are often minimized or mistaken for normal stress.

What does perinatal anxiety feel like?

Perinatal anxiety may feel like constant worry, racing thoughts, fear something bad will happen, or an inability to relax. Some people experience physical symptoms such as heart palpitations, shortness of breath, or nausea, while others struggle with intrusive or unwanted thoughts.

Will perinatal anxiety go away on its own?

For some, symptoms may lessen over time, but many people find that anxiety persists or worsens without support. Therapy and early intervention can significantly reduce symptoms and prevent anxiety from interfering with bonding, sleep, and overall well-being.

Is therapy for perinatal anxiety safe during pregnancy and postpartum?

Yes. Therapy is considered a safe and effective treatment for perinatal anxiety during both pregnancy and postpartum. Our therapists that specialize in perinatal mental health use evidence-based approaches that support both parent and baby.

Can I take medication for perinatal anxiety?

Medication can be helpful for some individuals. A medical provider can help determine whether medication is appropriate and discuss options that are considered safe during pregnancy or breastfeeding when needed.

How do I find help for perinatal anxiety in Birmingham, AL?

Reach out today to get scheduled with one of our licensed therapists in Birmingham. We offer both in-person services in Birmingham and virtual services to anyone in Alabama.

You Are Not Alone

Perinatal anxiety affects many families in Birmingham and throughout Alabama. Reaching out for help is a sign of strength, not failure. With the right support, you can move from constant worry to greater calm, confidence, and connection.

If you are struggling with anxiety during pregnancy or postpartum, consider reaching out to the Sharp Wellness team who specializes in perinatal mental health. You deserve care, understanding, and support during this important season of life.

If you or someone you love is experiencing thoughts of self-harm or is in immediate danger, please contact emergency services or call 988 for the Suicide & Crisis Lifeline.