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Paternal perinatal depression: why it is rarely discussed

By boriskov · Published on October 19, 2025

Paternal perinatal depression: why it is rarely discussed

Psychiatrist Anna Konoreva says the term “male postpartum depression” is not entirely accurate in medical practice. Specialists therefore use the phrase “paternal perinatal depression”. According to her, this condition does exist, although society speaks about it far less often than it does about postpartum depression in women.

Konoreva explains that the causes of depression in fathers are broadly similar to those seen in mothers, but they also have their own specific features. In women after childbirth, the condition is more often linked to sharp hormonal changes, physical exhaustion, and postpartum recovery. In men, by contrast, psychological and social factors tend to come first.

“It may involve a reassessment of life priorities, a sharp change in one’s usual way of life, lack of sleep, increased responsibility, anxiety about the health of a partner and child, and fear of failing in the role of father,” the specialist explains.

Among the factors that can trigger the condition, she points to a major restructuring of everyday life and personal values. The birth of a child changes established routines, increases pressure, and demands a rapid adjustment to a new family role.

According to Konoreva, men with certain personal traits are especially vulnerable. She refers to those with high emotional sensitivity, anxiety, and strong empathy. These qualities can heighten internal strain during a period when the family is going through major changes.

The specialist also stresses that biological changes occurring in men during this period cannot be ruled out completely. In that sense, paternal perinatal depression is presented as a real condition shaped by several groups of factors at once.

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