While postpartum depression is most often associated with mothers, fathers can also experience depression and anxiety after the birth of a child—a condition sometimes referred to as paternal postpartum depression. Though less commonly recognised, recent studies show that about 8–10 per cent of new fathers experience significant depressive symptoms during the postpartum period, especially between three to six months after the baby is born.
Unlike mothers, fathers don’t go through the same hormonal changes, but they still face intense life adjustments, including sleep deprivation, increased financial pressure, new family responsibilities and stress about supporting both their partner and child. These factors can trigger emotional distress and mood disorders in men. The symptoms of paternal postpartum depression can closely mirror those seen in mothers: persistent sadness, fatigue, irritability, trouble sleeping, feelings of failure and difficulty bonding with the baby.
However, men often express their distress differently. They may show anger, withdraw emotionally or turn to substance use, which can make it harder to identify the issue. Despite this, a father’s mental health has a major impact on the overall wellbeing of the child and the family dynamic. When a father is feeling consistently low, hopeless or disconnected, it is just as important for him to seek help as it is for a mother.
Another related phenomenon is Couvade Syndrome, sometimes called ‘sympathetic pregnancy’. In this condition, expectant fathers may experience physical symptoms that mimic their partner’s pregnancy, such as nausea, abdominal pain, backache, mood changes and sleep issues. Though not considered a formal psychiatric disorder, Couvade Syndrome is recognised in some cultures as a psychosomatic response, possibly reflecting the father’s emotional identification with his partner or anxiety about becoming a parent.
To truly support families, fathers must be included in the conversation about postpartum mental health. Educating men during prenatal visits, involving them in parenting workshops and fostering a culture that encourages open discussion about emotional challenges can make a significant difference.
Meel is a psychiatrist