Paternal Postpartum Depression: Examining The Risk Factors And Prevalence Of Postpartum Depression In Dads

Medically reviewed by Dr. April Brewer, DBH, LPC
Updated March 10th, 2025 by BetterHelp Editorial Team

The journey into parenthood can be a joyous and fulfilling experience, but for some, significant emotional upheaval can also occur. While much attention has been given to postpartum depression (PPD) in mothers, the mental health of fathers and non-binary parents during this critical period may be overlooked. Below, examines research behind postpartum depression in new dads. In addition, discover the symptoms and risk factors associated with paternal depression and learn the importance of addressing mental health concerns in fathers. 

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Understanding postpartum depression

Postpartum depression is a mental illness and depressive disorder that typically arises after a child's birth. While PPD is commonly associated with mothers, the condition does not discriminate by biological sex or gender. Fathers and gender-nonconforming parents can also experience the emotional and physical toll of this condition in ways that are distinct from maternal experiences.

The transition to parenthood is often marked by sleepless nights, financial pressures, and the overwhelming responsibility of caring for a newborn. For some, these challenges incite mental health problems, including postpartum anxiety and depression. Emerging research reveals that paternal postpartum depression is both a real and pressing issue, affecting approximately one in 10 new fathers. Understanding the nuances of this condition, as well as the stigma that surrounds fathers experiencing it, can shed light on the importance of acknowledging and addressing postnatal depression symptoms in fathers. 

Postpartum depression symptoms

The symptoms of postpartum depression can vary widely, but there are several common symptoms that parents of any gender might experience, such as: 

  • Persistent sadness or low mood
  • Irritability or sudden mood swings
  • Fatigue and lack of energy
  • Difficulty sleeping or sleeping too much
  • Loss of interest in previously enjoyed activities 
  • Feelings of guilt, worthlessness, or hopelessness
  • Changes in appetite or weight
  • Difficulty bonding with the baby
  • Anxiety or excessive worry
  • Thoughts of self-harm or harming the baby

What is paternal postpartum depression? 

Paternal postpartum depression refers to the onset of depressive symptoms in fathers during the prenatal or postpartum period. Unlike maternal depression, which is often linked to hormonal changes, paternal depression is influenced by a combination of psychological, social, and biological factors.

Though both mothers and fathers may share common symptoms of postnatal depression, they may present differently, often making them harder to recognize in dads. For instance, men are more likely to exhibit irritability, anger, or increased risk-taking behaviors rather than overt sadness. Physical symptoms, such as headaches or digestive issues, may also accompany the emotional toll of paternal postnatal depression. Some fathers may withdraw from their families or throw themselves into work as a coping mechanism. 

A lack of public knowledge and mental health resources surrounding postpartum depression in dads can significantly contribute to difficulty recognizing its symptoms. Because the condition is so heavily associated with motherhood, new fathers may internalize symptoms and avoid seeking help due to fear, stigma, or an overall lack of awareness of the condition. However, research indicates that the prevalence of paternal postnatal depression is significant, with studies showing that approximately 10% of new fathers experience depressive symptoms. This condition not only affects the father’s well-being but also profoundly impacts the family dynamic and the child’s development.

Exploring research and risk factors

Numerous studies have sought to understand the risk factors associated with paternal postpartum depression. One key finding is that men with a history of mental illness or prior anxiety or depression are at an increased risk of developing the condition. Factors such as poor sleep quality, financial stress, and relationship difficulties can also exacerbate symptoms.

The Edinburgh Postnatal Depression Scale (EPDS) is a widely used tool for assessing depressive symptoms in both mothers and fathers. Research utilizing this scale has shown that fathers who score high on the EPDS during their partner’s pregnancy are more likely to experience postpartum depression after their child's birth.

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Recognizing anxiety and depression symptoms in dads

Identifying postpartum depression in fathers can be challenging, as many men are reluctant to discuss their emotional struggles. However, certain signs can serve as red flags. These signs may include sudden outbursts of anger, increased substance use, or a noticeable decline in motivation.

Postpartum anxiety is another common challenge for dads, characterized by excessive worry, nervousness, or panic attacks. Fathers experiencing these symptoms may be overwhelmed by the responsibilities of parenthood, leading to a sense of isolation or hopelessness.

Risk factors for postpartum depression in dads

Several factors can contribute to the development of paternal postnatal depression or anxiety, ranging from personal and family history to active external stressors.

Prior anxiety or depression

Men with a history of mental health problems, such as prior anxiety or depression, may be more susceptible to paternal postpartum depression. This statistic highlights the importance of screening for mental illness during the prenatal period, as early identification can lead to more effective treatment.

Family mental health history

A family history of mental health problems can also increase the likelihood of paternal depression. Genetic predispositions, combined with the stress of new parenthood, may incite the onset of depressive symptoms.

The importance of paternal and family mental health

The mental well-being of fathers is intrinsically linked to the entire family's health. When a father experiences prenatal and postpartum depression, it can strain relationships, hinder bonding with the child, and contribute to long-term behavioral health issues for the child. Addressing paternal mental health is about both supporting fathers and fostering a nurturing environment for the entire family. By addressing the stigma surrounding men’s mental health and prioritizing the emotional well-being of both parents, communities and individuals can create a foundation for healthier family dynamics.

Coping with the transition to fatherhood

Adjusting to fatherhood can be challenging. This period can be overwhelming for many parents, leading to thoughts of inadequacy or isolation. However, there are effective ways to manage the transition, including but not limited to the following: 

  1. Prioritize self-care: Ensuring adequate sleep, proper nutrition, and regular exercise can help you maintain mental and physical well-being.
  2. Communicate openly: Talking with a partner, family member, or friend about emotions and struggles may alleviate stress and provide support.
  3. Seek professional help: Consulting a therapist or joining a support group can offer guidance and reassurance.
  4. Engage in bonding activities: Spending quality time with the baby through contact, feeding, or playtime can strengthen the father-child connection.
  5. Set realistic expectations: Understanding that parenting comes with challenges and avoiding self-criticism can reduce stress and promote confidence.

The importance of raising awareness

Raising awareness about paternal postpartum depression can serve as an important first step to breaking down the stigma surrounding men’s mental health. By normalizing conversations about this challenge, more fathers can be encouraged to seek help, and more health care providers can equip themselves to handle these unique needs. 

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How therapy can help

Research shows that psychotherapy, such as cognitive-behavioral therapy (CBT), can be an effective tool for addressing paternal postpartum depression. Through therapy, fathers can explore their emotions in a judgment-free environment, develop healthy coping strategies, and strengthen their relationships with their partners and children.

In today’s digital age, online therapy through a platform like BetterHelp can offer convenient and accessible options for fathers seeking support. This mode of treatment allows individuals to receive care from the comfort of their homes, making it easier to fit therapy into their busy schedules as new parents. In addition, online sessions may be more cost-effective, which can be helpful for those with limited incomes. 

Research shows that online therapy is equally as effective as in-person sessions for treating conditions like depression and anxiety. Additionally, online therapy platforms offer access to a broader pool of professionals, making it easier to connect you with a therapist familiar with the challenges faced by new fathers and families. 

Takeaway

Paternal postpartum depression is a significant but often overlooked issue that affects countless families. By understanding the symptoms, risk factors, and treatment options, you may better support fathers during this critical period. Prioritizing mental health in fathers is not only about improving their well-being but also creating a healthier future for the entire family. If you’re struggling with your mental health after the birth, adoption, or fostering of a new child, consider reaching out to a therapist online or in your area for guidance and compassionate support.

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