| Baby Blues | Postpartum Depression | Postpartum Psychosis | |
|---|---|---|---|
| How common | Up to 80% | ~1 in 7 (13%) | 1–2 in 1,000 |
| Onset | Days 2–5 | Weeks to months | Usually first 2 weeks |
| Duration | Resolves by ~2 weeks | Months if untreated | Rapid, escalating |
| Severity | Mild | Moderate–severe | Emergency |
| Reality contact | Intact | Intact | Lost (delusions/hallucinations) |
| Action | Rest, support, watch 2-wk mark | See a clinician | Call 911 immediately |
The single most useful cue is the two-week mark. Mood changes that fade by two weeks are usually the baby blues. Symptoms that persist beyond two weeks, deepen, or interfere with functioning point toward postpartum depression. Any loss of contact with reality — no matter how early — is postpartum psychosis and needs emergency care.
Learn more about each: the baby blues, postpartum depression, and postpartum psychosis.
Duration and severity. Baby blues are mild and resolve within two weeks; postpartum depression is more intense, lasts longer, and needs treatment.
Postpartum psychosis involves losing contact with reality — delusions, hallucinations, severe confusion — usually within the first two weeks. It is a medical emergency; call 911.
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