Mental Health & Emotional Wellbeing in Pregnancy — What You're Feeling Is More Common Than You Think
- Nicola Knuckles

- 4 days ago
- 4 min read
Research-supported, mum-of-three observations — not medical advice.

Pregnancy isn’t just a physical experience. It’s emotional, psychological and sometimes downright overwhelming — even when it’s deeply wanted. You’re growing a human, reorganising your entire future and trying to keep up with daily life… all while managing hormones that seem to have read too many Shakespearean tragedies.
If you’ve ever wondered, “Why am I crying at this advert?” or “Why does everything feel bigger than it is?” — you're not malfunctioning. You're pregnant, and your brain is adapting as quickly as your body.
Let’s talk honestly about the emotional side of pregnancy, backed by evidence and softened with lived experience.
Your Emotional Landscape: A Moving Target
Mood Swings That Make Zero Sense (and Total Sense)
One minute you’re calm, the next you’re welling up because your partner didn’t ask the right number of questions about your snack choices. Pregnancy hormones — especially oestrogen and progesterone — affect neurotransmitters, which can influence mood, sensitivity and emotional response.
It’s not “overreacting. ”It’s physiology meeting real life.
Anxiety About… Well, Everything
Pregnancy seems to come with its own internal search engine: Is this normal? What if something goes wrong? Why do I feel worried but I don’t even know what I’m worried about?
Mild anxiety is incredibly common, and often peaks in the first trimester and again as birth approaches.
Guilt, Pressure & Comparisons
Social media doesn’t help. The truth: no one is glowing all the time. And no one is meant to be endlessly grateful while also navigating nausea, exhaustion and existential thoughts about parenthood.
You’re allowed to feel however you feel — and your feelings don’t reflect your love for your baby.
Understanding Why Pregnancy Affects Your Mind
1. Hormones
They influence mood, sleep, appetite, and stress response. It’s a cocktail your body is adjusting to daily.
2. Identity Shifts
You’re stepping into a new role — even if this isn’t your first child. That change alone is huge.
3. Life Reorganisation
Finances, relationships, work, family, housing, health — everything comes into sharper focus.
4. A Very Normal Fear of the Unknown
Pregnancy is full of uncertainties. Even if you like control, pregnancy has a delightful way of ignoring your spreadsheets.
Understanding the “why” behind emotional changes can make them feel much less alarming.
Signs Your Feelings Are Common (But Still Worth Talking About)
Feeling tearful, sensitive or easily overwhelmed
Worrying more than usual
Difficulty switching off your thoughts
Feeling disconnected or “flat”
Trouble sleeping despite exhaustion
Feeling irritable without a clear reason
These experiences are shared by many pregnant women and fall within the spectrum of normal emotional adjustment — but that doesn’t mean you have to handle them alone.
When to Reach Out for Support
If you experience any of the following, it’s absolutely worth speaking to your midwife or GP:
Persistent low mood
Loss of interest in things you used to enjoy
Feeling hopeless or unusually anxious
Panic attacks
Thoughts that scare you
Feeling unable to cope day to day
These symptoms don’t reflect anything about you as a person — they reflect your nervous system under pressure. You deserve support early, not only after things feel unmanageable.
Where You Can Find Support (Local & National)
Midwives
Your first and most accessible point of support. They’re trained to discuss emotional wellbeing just as much as physical health.
GPs
Can support with mental health screening, referrals, and tailored care.
Talking Therapies
NHS Talking Therapies are available locally and do not require a long explanation or crisis — you can self-refer.
Charities & Support Organisations
Tommy’s – information & specialist support
PANDAS Foundation – perinatal mental health support
Mind – mental health information & guidance
Local to Farnborough
Under Frimley Health NHS Foundation Trust, you’ll have access to:
Perinatal mental health midwives
Community midwifery teams
Local NHS talking therapy services via Talking Therapies Surrey or Hampshire services
Support exists — and you’re meant to use it.
Practical Ways to Support Your Emotional Wellbeing
Stay Connected
Regular check-ins with friends, family or your partner make a big difference.
Keep Moving (Gently)
Walking, yoga or stretching supports mood-regulating neurotransmitters.
Protect Your Rest
Sleep isn’t indulgent — it’s foundational.
Set Boundaries
Unsolicited advice is practically a pregnancy hobby for some people. Protect your space, energy and peace.
Be Kind to Yourself
Pregnancy isn’t a productivity contest. Your body is creating a human being — everything else can soften, slow down or be rescheduled.
In Short
You’re not meant to feel blissful every minute of pregnancy. You’re meant to feel human — adjusting, adapting, questioning, evolving.
Your emotional wellbeing is just as important as your physical health, and reaching out for support is a strength, not a weakness. You’re doing better than you think.
References
NHS: Mental Health in Pregnancy – www.nhs.uk/pregnancy/related-conditions/mental-health
NHS Talking Therapies – www.nhs.uk/service-search/find-a-talking-therapies-service
Royal College of Obstetricians & Gynaecologists (RCOG) – www.rcog.org.uk
Tommy’s: Mental Health in Pregnancy – www.tommys.org
PANDAS Foundation – www.pandasfoundation.org.uk
Mind: Perinatal Mental Health – www.mind.org.uk



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