[25F] Experiencing anxiety and panic attacks postpartum

Patient Description

A 25-year-old female reports experiencing significant anxiety and frequent panic attacks since the birth of her daughter. The labor was described as fast and painful, contributing to a sense of trauma. The anxiety is sudden and persistent, affecting daily life and overall happiness. Symptoms include heart palpitations, described as fluttering and sometimes pounding, occurring randomly and sometimes with physical exertion, such as walking. There is a family history of anxiety. The patient consumes caffeine but reports no significant change in anxiety levels when abstaining. No other substances are reported. The patient has not yet discussed these symptoms with a healthcare provider.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Postpartum Anxiety and Panic Disorder: It's common for new mothers to experience heightened anxiety and panic attacks after childbirth, especially if the birth was traumatic. Hormonal changes, sleep deprivation, and the stress of caring for a newborn can contribute to these feelings.

    • Treatment often involves therapy, such as cognitive-behavioral therapy (CBT), and sometimes medication. It's important to discuss these options with a healthcare provider.
  • Heart Palpitations: These can be related to anxiety and panic attacks. They often feel like fluttering or pounding in the chest.

    • Managing anxiety can help reduce palpitations. A healthcare provider might also evaluate other causes if needed.

What you can do

  1. Seek Support: Consider reaching out to a mental health professional to discuss your symptoms. Therapy can be very effective.
  2. Practice Relaxation Techniques: Techniques such as deep breathing, meditation, or yoga can help manage anxiety.
  3. Stay Active: Gentle exercise can improve mood and reduce anxiety.
  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your provider.
  5. Connect with Others: Talking to other new mothers or joining a support group can provide comfort and understanding.

What you should look out for

  • If your anxiety or panic attacks worsen or become unmanageable.
  • If you experience new symptoms, such as chest pain or shortness of breath.
  • If you feel overwhelmed or have thoughts of harming yourself or others, seek immediate help.

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan.

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8 mo ago

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People Also Ask


What are common symptoms of postpartum anxiety and panic disorder?

Common symptoms of postpartum anxiety and panic disorder include excessive worry, feelings of dread, panic attacks, heart palpitations, difficulty sleeping, and irritability. These symptoms can interfere with daily life and the ability to care for a newborn.


How can heart palpitations be related to anxiety?

Heart palpitations can be a physical manifestation of anxiety, often occurring during panic attacks. They feel like fluttering or pounding in the chest and can be triggered by stress or anxiety.


What are some effective treatments for managing anxiety after childbirth?

Effective treatments for managing anxiety after childbirth include therapy, such as cognitive-behavioral therapy (CBT), and sometimes medication. It's important to discuss these options with a healthcare provider to find the best approach.


How can lifestyle changes help in reducing anxiety and panic attacks?

Lifestyle changes such as practicing relaxation techniques (e.g., deep breathing, meditation), staying active with gentle exercise, and connecting with support groups can help reduce anxiety and improve overall well-being.


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