Penelope Oberhardt, LCSW, PMH-C, Perinatal Mental Health Therapist

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Let's Talk About Intrusive Thoughts

Overcoming Intrusive Thoughts

You Are Not alone

It’s okay if your thoughts are alarming to you. It can feel overwhelming. Perhaps the thoughts lead to shame and you question yourself for having disturbing thoughts in the first place.

Know that these thoughts are not facts. Know that these thoughts are a result of extreme stress that you are experiencing amplified by lack of sleep and major hormone shifts. Know that it is common for scary thoughts to arise in the postpartum period.

If we tend to these thoughts with self compassion, we can lessen the intensity and power they have over us.

Postpartum intrusive thoughts or postpartum obsessions, are distressing and unwanted thoughts or mental images that occur in some individuals after giving birth. These thoughts are typically distressing and can cause significant anxiety, guilt, or fear. It's important to note that these thoughts are a common experience for many new parents, but they can be particularly distressing for those who are already predisposed to anxiety or obsessive-compulsive disorder (OCD).

Here are some key characteristics of intrusive thoughts postpartum:

1. Content: Intrusive thoughts often revolve around fears or worries related to the baby's safety or well-being. Common themes include fears of accidental harm to the baby, fears of neglect, or worries about the baby's health. For example, a new mother may have a disturbing thought about dropping her baby while carrying them, even though she has no intention of doing so.

2. Unwanted and Distressing: These thoughts are unwanted and distressing to the individual experiencing them. Parents who have these thoughts typically find them distressing and may feel guilty or ashamed for having them.

3. Repetitive: Intrusive thoughts can be repetitive and persistent, making it challenging for parents to dismiss or ignore them.

4. Anxiety-Inducing: These thoughts often lead to significant anxiety, and some individuals may develop rituals or compulsive behaviors in an attempt to alleviate their anxiety or prevent the feared event from happening.

5. Isolated Experience: Many parents who experience intrusive thoughts postpartum may feel isolated and afraid to share their thoughts with others due to fear of judgment or being perceived as a bad parent.

It's important to emphasize that having intrusive thoughts postpartum does not mean that someone is a danger to their baby or that they do not love their child. These thoughts are a result of hormonal and emotional changes that occur during and after pregnancy and are not indicative of one's true intentions or character.

If you or someone you know is experiencing intrusive thoughts postpartum and finds them distressing or debilitating, it's crucial to seek help and support from a healthcare provider, therapist, or counselor. Postpartum anxiety and OCD are treatable conditions, and various therapeutic approaches, including cognitive-behavioral therapy (CBT) and medication, can be effective in managing these symptoms. Additionally, joining a support group or speaking openly with trusted friends and family members can also provide emotional support during this challenging time.