Ten Evidence-Based Ways to Protect Your Mental Health During Pregnancy

Pregnancy is one of the most physically and emotionally demanding experiences a person can go through. Yet mental health is still too often treated as secondary to physical health during the antenatal period, or only addressed once things have reached a crisis point. Up to 20% of pregnant women experience anxiety or depression during pregnancy itself, and we know that early recognition and support leads to better outcomes for both mother and child.

These ten tips are grounded in clinical evidence and international guidelines. They are not a substitute for professional care, but a starting point for understanding what actually helps, and what you are entitled to ask for.

1. Know that struggling is common, not a sign of failure

There is a powerful cultural expectation that pregnancy should feel joyful and straightforward. For a significant proportion of women, it does not. Anxiety and depression during pregnancy affect up to one in five women, yet many suffer in silence because they feel they should be grateful, or happy, or coping better. If you are not feeling the way you expected to feel, you are not failing. You are having a human experience that deserves acknowledgement and support.

2. Talk to your GP or midwife about how you are feeling, not just how your body is doing

Routine antenatal appointments tend to focus on physical markers: blood pressure, foetal development, weight. Mental health rarely gets the same airtime unless you bring it up. You do not need to wait to be asked. How you are feeling emotionally is a legitimate and important part of your care, and your GP or midwife is there to support that too. If you are struggling, say so. It is what they are there for.

3. Move your body, even gently

Exercise during pregnancy has a solid evidence base for reducing symptoms of depression and anxiety. It does not need to be intense. Walking, swimming, and pregnancy yoga all count. Beyond the direct mental health benefits, movement supports sleep, eases physical discomfort, and provides structure to the day, all of which matter when everything else feels uncertain. Check with your GP or midwife before starting or changing your exercise routine during pregnancy.

4. Prioritise sleep and ask for help with it

Poor sleep during pregnancy is so common it tends to get dismissed as something to put up with. But disrupted sleep is strongly linked to increased risk of depression and anxiety during the perinatal period, and it deserves proper attention. If you are struggling to sleep, whether because of physical discomfort, racing thoughts, or anxiety, bring it up with your GP or midwife. There are effective, non-medication approaches that can help, and you do not have to simply endure it.

5. Build and protect your social support

Feeling supported by the people around you is one of the strongest protective factors against perinatal depression. That does not mean performing wellness you do not have, or pretending to feel more positive than you do. It means being honest with the people close to you, accepting help when it is offered, and where possible, connecting with others who are going through something similar. Antenatal groups, whether in person or online, can provide a sense of community that genuinely makes a difference.

6. Try mindfulness or breathing practices

Mindfulness-based practices, including guided meditation, breathing exercises, and mindfulness yoga, have good evidence behind them for reducing anxiety during pregnancy. You do not need to commit to an intensive programme. Even short, regular practice, ten minutes a day done consistently, can have a meaningful impact.

7. Do not dismiss physical symptoms as just part of pregnancy

Severe nausea, exhaustion, and pain take a real toll on mental health. If your physical symptoms are significantly affecting your daily life, you are entitled to clinical support for them. Hyperemesis gravidarum (severe nausea and vomiting), for instance, affects up to 3% of pregnancies and is the leading cause of hospitalisation in the first half of pregnancy, yet it is frequently undertreated. Physical and mental health are not separate. When one suffers, the other usually does too.

8. Seek professional support early, not as a last resort

Cognitive behavioural therapy is one of the most well-evidenced treatments for perinatal anxiety and depression, and it works across a wide range of severity. So does interpersonal therapy. Waiting until you are in crisis before asking for help makes recovery harder and longer. If you are experiencing symptoms, Bossa Health experts can help. Getting support early is not an overreaction. It is the right call.

9. If you are on medication, do not stop without speaking to your GP

It is common for women managing a mental health condition with medication to feel unsure about whether to continue during pregnancy. Stopping abruptly and without guidance can carry real risks. The decision about medication during pregnancy is individual and complex, and it should always be made in conversation with your GP or a perinatal psychiatrist who can weigh up the full picture. Untreated mental illness during pregnancy also carries risks, and those deserve equal weight in the conversation.

10. Remember: the postnatal period is not a finish line

Postnatal depression does not always arrive in the first few weeks. Around 15% of mothers are still experiencing it between one and two years after giving birth, a rate broadly similar to the first year. Mental health does not resolve on a neat timeline, and the pressure to feel recovered by a certain point is its own kind of burden. If you are struggling at six months, twelve months, or beyond, that is still valid, still common, and still very treatable. Keep checking in with yourself, and keep talking to your GP or mental health professional.

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If you are concerned about your mental health during or after pregnancy, speak to your GP or midwife, or ask for a referral to a perinatal mental health specialist. You can also contact the PANDAS Foundation helpline on 0808 1961 776, or visit the Maternal Mental Health Alliance at maternalmentalhealthalliance.org for support and resources. Our experts at Bossa Health are also here for you whenever you need us.

The information in this article is intended for general informational purposes and does not constitute medical advice. Always consult a healthcare professional regarding your individual circumstances.

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Sources

American College of Obstetricians and Gynaecologists (ACOG) (2023). Treatment and Management of Mental Health Conditions During Pregnancy and Postpartum: Clinical Practice Guideline. Obstetrics and Gynaecology.

Austin, M.P., Highet, N. and the Expert Working Group (2021). Mental health care in the perinatal period: Australian clinical practice guideline. Centre of Perinatal Excellence.

Badcock, E. et al. (2025). Postnatal Depression Beyond 12 Months: A Systematic Review and Meta-Analysis. Acta Psychiatrica Scandinavica.

Barakat, R. et al. (2018). Physical exercise programme during pregnancy decreases perinatal depression risk: a randomised controlled trial. European Journal of Sport Science, 19(1), pp. 125–132.

Bedaso, A. et al. (2021). The relationship between social support and mental health problems during pregnancy: a systematic review and meta-analysis. Reproductive Health, 18(1), p. 162.

Canadian Network for Mood and Anxiety Treatments (CANMAT) (2024). Clinical Practice Guideline for the Management of Perinatal Mood, Anxiety, and Related Disorders. Canadian Journal of Psychiatry.

Fejzo, M. et al. (2022). Emerging Progress in Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum: Challenges and Opportunities. Frontiers in Medicine, 8, 809270.

Goodman, J.H. et al. (2016). Anxiety disorders during pregnancy: a systematic review. The Journal of Clinical Psychiatry, 77(7), pp. e951–965.

He, L.P. et al. (2023). The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis. Journal of Affective Disorders, 321, pp. 304–319.

National Institute for Health and Care Excellence (NICE). Antenatal and postnatal mental health: clinical management and service guidance. Clinical guideline CG192. London: NICE.

Shi, Z. and MacBeth, A. (2017). The Effectiveness of Mindfulness-Based Interventions on Maternal Perinatal Mental Health Outcomes: a Systematic Review. Mindfulness, 8(4), pp. 823–847.

StatPearls (2024). Hyperemesis Gravidarum. National Center for Biotechnology Information, National Library of Medicine.

Tomfohr-Madsen, L.M. et al. (2022). A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health. BMC Pregnancy and Childbirth, 22, p. 636.

Zhao, X. et al. (2025). Evidence-based clinical practice guidelines for prevention, screening and treatment of peripartum depression. BMJ Mental Health.