Perinatal Mental Health for Dads and Non-Birthing Partners

Paternal postpartum depression affects about 8–13% of dads — and can rise to 50% when the mother also has postpartum depression.

Your Perinatal Mental Health

  • What is paternal postpartum depression (PPD)?

    Paternal postpartum depression (PPD) refers to depression that fathers or non-birthing partners may experience after the birth of a child. Symptoms can include sadness, irritability, fatigue, changes in appetite, and feelings of detachment from the baby or partner. PPD in fathers is less recognized but is just as impactful, with studies suggesting it affects 8-13% of fathers during the first year postpartum.

  • What are the signs that a father or non-birthing partner may be struggling with mental health?

    Some signs that a father or non-birthing partner may be struggling with mental health include irritability, withdrawal from family or social activities, emotional numbness, sleep disturbances (either trouble sleeping or excessive sleep), loss of interest in previously enjoyable activities, and difficulty bonding with the baby. Partners are also less likely than birthing parents to report feelings of sadness.

    Men are more likely to mask depressive symptoms through avoidant or numbing behaviors such as substance use or overworking. Increased irritability and anger are also common indicators that they may be experiencing a perinatal mental health disorder.

  • Is it normal for me to feel this way even if I wasn't the one who gave birth?

    Yes, it is entirely normal. While you may not have gone through the physical experience of childbirth, the transition to parenthood is a major life change that affects both parents emotionally, mentally, and physically. Societal expectations often place pressure on fathers to stay strong and supportive, which can make it difficult to acknowledge or express emotional struggles. But paternal mental health challenges are real and valid, and seeking support is a sign of strength—not weakness.

  • What should I do if I think I have postpartum depression as a father or non-birthing partner?

    If you believe you are experiencing symptoms of depression, anxiety, or other mental health challenges, it’s crucial to seek help. Start by speaking with your healthcare provider or a mental health professional who specializes in perinatal care (see our provider directory below for great providers in Texas). Early intervention is key for recovery and for the well-being of both you and your family.

  • How common is postpartum depression in fathers?

    Postpartum depression in fathers is more common than many people realize, affecting up to 1 in 10 fathers. It is often under-diagnosed due to the societal focus on maternal mental health, despite the fact that paternal PPD can significantly impact family dynamics and child development.

  • Can fathers experience anxiety and mood disorders after the birth of a baby?

    Yes, fathers can experience anxiety and mood disorders, including postpartum anxiety, obsessive-compulsive disorder (OCD), and even post-traumatic stress disorder (PTSD) following childbirth. The challenges of adjusting to fatherhood, sleep deprivation, and relationship strain can contribute to these conditions.

  • Can therapy help fathers or non-birthing partners with PPD?

    Yes, therapy, particularly cognitive-behavioral therapy (CBT), can be very effective in treating PPD in fathers. Therapy can help with managing emotions, improving communication with partners, and developing coping strategies. Sometimes, medication may also be recommended in more severe cases.

  • How does paternal PPD affect the child’s development?

    Paternal depression can negatively affect a child’s social and emotional development, contributing to difficulties with attachment, behavioral issues, and impaired cognitive and emotional growth into adolescence. Children with depressed fathers may also face a higher risk of developing mental health challenges later in life. Evidence suggests that untreated paternal PPD can harm the father-mother-child triad, increasing the likelihood of developmental, relational, and long-term behavioral and emotional problems for the child.

  • What causes postpartum depression in partners?

    Several factors contribute to paternal perinatal mental health disorders in fathers, including hormonal changes (e.g., drops in testosterone), sleep deprivation, stress related to caregiving, financial pressures, relationship stress, and the transition to fatherhood. Additionally, if the mother is experiencing PPD, fathers are at increased risk.

Provider Directory for Fathers & Non-Birthing Parents

This is a small, trusted list of therapists in Texas with experience supporting fathers and non-birthing parents through the emotional and mental health challenges of parenthood. Whether you're adjusting to a new role, navigating relationship changes, or seeking support during the perinatal period, these providers offer compassionate, expert care tailored to your needs.

Please use the tags in the search bar to find a provider that best fits your needs. Providers that offer telehealth services can generally help anyone in the state, regardless of distance from their physical business location.

If you are interested in being listed on our “Provider Directory for Fathers & Non-Birthing Parents”, please apply here!

Supporting Your Partner’s Perinatal Mental Health

  • Is there a difference between maternal and paternal postpartum depression?

    While both maternal and paternal postpartum depression (PPD) share similar symptoms, such as depression, irritability, and emotional withdrawal, the causes and impacts can differ. For fathers, emotional distress may stem from the stress of supporting an unwell partner, feelings of inadequacy as a parent, or financial pressures. Additionally, men may be more likely to express anger and irritability rather than sadness, which can make diagnosis more difficult.

    Both parents share common risk factors, including stress, financial insecurity, substance abuse, lack of social support, and a personal or family history of mental health disorders; however, maternal PPD can also be triggered or worsened by sensitivity to hormonal changes during pregnancy and after childbirth.

  • How can I help my partner if she is struggling with postpartum depression or anxiety?

    Supporting a partner with postpartum depression or anxiety can be challenging, but your support plays a vital role in her recovery. Strengthening your co-parenting relationship benefits not only your partner, but also your child—reducing the risk of emotional difficulties later in life—and is linked to lower rates of paternal depression.

    Create a safe, non-judgmental space for open conversations, and offer practical help with baby care and household tasks. Encourage your partner to seek professional support, and remind her that needing help is completely normal. Be patient, listen actively, and reassure her that she’s not alone; what she’s experiencing is common and treatable. Validating her feelings and providing consistent support can ease the strain and help her feel more secure and understood.

  • What can I do to take care of myself while supporting my partner with a perinatal mental health disorder?

    Supporting a partner with a perinatal mental health disorder can take an emotional toll. It’s crucial for non-birthing partners to also seek support for their own mental health. Engage in self-care by making time for activities you enjoy, staying connected with friends or family, and seeking therapy if needed. It’s important to remember that your well-being affects your ability to care for both your partner and your baby, so prioritize self-care without feeling guilty. Be mindful that 24% to 50% of men whose partners have postpartum depression develop it themselves so get help if you see signs in yourself!

  • How can I be a supportive partner when I don’t fully understand what my partner is going through?

    It can be difficult to understand the full scope of what your partner is experiencing, but being empathetic and patient is key. Listen actively without trying to “fix” the situation or offer solutions unless asked. Acknowledge her emotions and remind her that she is not alone in this. Avoid minimizing her struggles (e.g., “You’ll get over this soon”) and instead validate her experience. It's also helpful to educate yourself on perinatal mental health disorders so you can be more informed and compassionate in your support.

  • How can we improve communication and reduce tension when my partner is struggling with a perinatal mental health disorder?

    Communication is often the first thing to suffer when one partner is dealing with a perinatal mental health disorder. Make a conscious effort to improve communication by expressing your feelings openly and calmly, but also listening to your partner without interrupting or trying to solve the problem immediately. Use "I" statements (e.g., "I feel concerned when you seem distant") to avoid sounding accusatory. It’s also helpful to have regular check-ins to talk about how both of you are feeling and what additional support might be needed.

  • What role does empathy play in supporting my partner with a postpartum mental health disorder?

    Empathy is crucial in supporting a partner with a PMHD. It helps build trust and emotional closeness, reducing feelings of isolation or shame that your partner may experience. By showing empathy, you acknowledge your partner's emotional state without judgment. This encourages openness and helps your partner feel understood, supported, and less alone. Responding with empathy can include simple actions, such as offering a hug, saying "I'm here for you," or validating their experience by saying, "I can see this is really hard for you."

Additional Resources

References

  1. Walsh, T. B., & Garfield, C. F. (2024). Perinatal Mental Health: Father inclusion at the local, state, and National Levels. Health Affairs, 43(4), 590–596. https://doi.org/10.1377/hlthaff.2023.01459

  2. Wainwright, S., Caskey, R., Rodriguez, A., Holicky, A., Wagner-Schuman, M., & Glassgow, A. E. (2023). Screening fathers for postpartum depression in a maternal-child health clinic: a program evaluation in a midwest urban academic medical center. BMC pregnancy and childbirth, 23(1), 675. https://doi.org/10.1186/s12884-023-05966-y

  3. Gotlib, I. H., & Hammen, C. L. (2009). Handbook of Depression (2nd ed.). The Guilford Press.

  4. Saharoy, R., Potdukhe, A., Wanjari, M., & Taksande, A. B. (2023). Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants. Cureus, 15(7), e41381. https://doi.org/10.7759/cureus.41381

  5. Goodman, J. H. (2004). Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. Journal of Advanced Nursing, 45(1), 26-35.

  6. Attia Hussein Mahmoud, H., Lakkimsetti, M., Barroso Alverde, M. J., Shukla, P. S., Nazeer, A. T., Shah, S., Chougule, Y., Nimawat, A., & Pradhan, S. (2024). Impact of Paternal Postpartum Depression on Maternal and Infant Health: A Narrative Review of the Literature. Cureus, 16(8), e66478. https://doi.org/10.7759/cureus.66478

  7. Ramchandani, P., Stein, A., Evans, J., O'Connor, T. G., & ALSPAC study team (2005). Paternal depression in the postnatal period and child development: a prospective population study. Lancet (London, England), 365(9478), 2201–2205. https://doi.org/10.1016/S0140-6736(05)66778-5

  8. Michael B. Wells, Lieny Jeon, Olov Aronson. (2023). Bidirectional associations between paternal postpartum depression symptoms and coparenting: A cross-lagged panel model of fathers of infants and toddlers. Journal of Affective Disorders, 324, 440-448. https://doi.org/10.1016/j.jad.2022.12.128.

  9. O'Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: current status and future directions. Annual review of clinical psychology, 9, 379–407. https://doi.org/10.1146/annurev-clinpsy-050212-185612

  10. Asenhed, L., Kilstam, J., Alehagen, S., & Baggens, C. (2014). Becoming a father is an emotional roller coaster - an analysis of first-time fathers' blogs. Journal of clinical nursing, 23(9-10), 1309–1317. https://doi.org/10.1111/jocn.12355