The Follow-Up: Perinatal Rage

So many moms feel they must always be gentle, patient, and nurturing. When intense irritability, sudden anger, or rage bubbles up during pregnancy or the postpartum period, it’s easy to suffer in silence out of fear of judgment. Dr. Mona and Dr. Ashurina pull back the curtain on why parental rage happens, how to recognize the clinical signs of a flooded nervous system, and why getting help early—before reaching a crisis point—is the best thing you can do for yourself and your family. Here are the key takeaways from this episode: Perinatal Rage is Wrapped in Shame: Many mothers suffer in silence because societal expectations dictate that moms should always be gentle, patient, and nurturing, making it incredibly difficult to admit to feeling intense anger or rage. It Can Start During Pregnancy: Mood shifts and anxiety during the perinatal period are often incorrectly dismissed as "just hormones," but symptoms of depression, anxiety, and rage can actively begin during pregnancy. Depression Doesn't Always Look Like Sadness: Perinatal and postpartum depression can manifest as extreme irritability, hostility, snapping, and yelling over minor incidents rather than just tearfulness or isolation. Driven by Overstimulation and Unmet Needs: Rage is rarely a standalone issue; it is typically a combination of extreme sleep deprivation, sensory burnout, and unmet basic needs like adequate nutrition, rest, or feeling seen and validated. Don't Wait for a Crisis to Get Help: You do not need to be in an absolute crisis to benefit from mental health support; seeking out a therapist early makes navigating care much easier and helps you recover before reaching a breaking point. Want more? Listen to the full, original episode. Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠⁠Join the newsletter⁠⁠⁠⁠! Shop Dr. Mona’s favorite products: https://shopmy.us/shop/pedsdoctalk (paid link) And don’t forget to follow ⁠⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website. Learn more about your ad choices. Visit podcastchoices.com/adchoices