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That is an excellent question in regard to postpartum women. All women after birth will experience some fluctuations in moods due to hormones which are surging and clearing out after birth. That is why women can be so fragile after they give birth. Regular baby blues should pass after the initial days up to a few weeks. If someone does not seem to be getting better they should seek help. I can give someone an excellent resource to call for support and amazing help. Different symptoms are more concerning than others. Anxiety, not being able to sleep, feeling overwhelmed can be things that many women feel after birth but that doesnt mean they have ppd. When symptoms become worse, such as the inability to bond with the baby, feelings of hopelessness, irrational thinking, obsessive scary thoughts, or feelings of grandeur, or delusional thinking-even just one of these listed, definitely raises the true concern for ppd. If anyone knows someone in such a situation, have them get in touch with me through our moderators. I will get them to where they need to be. You may be saving a whole family. These women are not going to just get over it, they need help.