Teen Pregnancy and Perinatal Anxiety: Early Intervention Strategies

June 14, 2025

Authored by: Jayme Wium, Writer

Edited by: Emma Loker, B.S.

Anxiety during pregnancy doesn’t just affect adults. Teenagers, especially those facing unexpected or unsupported pregnancies, are deeply vulnerable, too. Studies show that teen pregnancy comes with increased mental health risks in the form of anxiety, low self-esteem, depression, and suicidal ideation. Unfortunately, despite this, many teen moms go without treatment.¹

During the perinatal period, around 10% to 20% of women experience depression and anxiety.² And the truth is: Perinatal anxiety in teens doesn’t just fade after birth. Lacking the tools to manage anxiety during teen pregnancy can shape how young mothers bond with their babies, how they recover, and how they cope with an already overwhelming season of life.

But whether you’re a pregnant teen struggling with anxiety, a parent concerned about your child’s anxiety, or a service provider, this guide will answer your questions about teen pregnancy and perinatal anxiety.

This guide walks through the following aspects of treating anxiety in teenage mothers:

The signs of anxiety in pregnant teens
How a mother’s anxiety affects an unborn child
Types of therapy for pregnant teens with anxiety
Stress management tips for pregnant adolescents

Signs of Anxiety in Pregnant Teens

Perinatal anxiety in teens doesn’t always announce itself – what shows up isn’t always fear or panic. It might be a quiet shift, something that slips under the radar at first.

Here are a few of the ways anxiety in teen pregnancy tends to show up:

Experiencing illness with no explanation: Nausea, headaches, stomach pain – it all lingers, even when tests come back normal.
Asking the same question repeatedly: Is the baby okay? What if something happens? While these types of questions are normal in pregnancy and after birth, if they start to interfere with your daily life, there may be something deeper happening.
Poor quality sleep patterns: Of course, having a baby comes with some sleep disruption. However, if it takes forever to fall asleep, or a teen wakes up too early and can’t calm down again, this could be a sign of anxiety.
Difficulty showing up: Anxious teens may start to miss school, appointments, and plans with friends. It’s not laziness, but avoidance, and it usually means they’re overwhelmed.
Unusual eating habits: Maybe they lose their appetite. Maybe they eat to feel better. Either way, the pattern changes, and weight changes may come with this.
Emotionally dysregulated: Small things feel too big, anger comes fast, and tears come out as if out of nowhere.
Difficulty focusing: School becomes difficult and concentration slips. They might seem distracted, but what’s really happening is mental overload.
Withdrawing: From friends, family, conversations, or even from the pregnancy itself. When anxiety climbs, connection often disappears – withdrawal may be the only thing that makes life feel manageable.

None of these signs of perinatal anxiety in teens prove anything on their own – and anxiety may look different for everyone. But when a few start adding up, or things are starting to feel off or unmanageable, it’s worth asking the question: What’s going on?

How Does a Mother’s Anxiety Affect an Unborn Child?

When anxiety is present during pregnancy, it can affect more than just how a teen feels. Teenage prenatal stress can also shape how the baby develops. The body doesn’t compartmentalize stress – when cortisol levels stay high, that hormone can reach the fetus through the placenta.³ And over time, that exposure can influence how the baby’s own stress system forms.

Some researchers have found that babies born to highly anxious mothers are more likely to arrive early or at a lower birth weight.¹ Others have linked prenatal stress to later emotional sensitivity in children, having an impact on their social, emotional, and cognitive functioning later down the line.⁴

But let’s get some things straight: Being anxious doesn’t automatically mean that you’re harming your baby, and anxiety isn’t your fault. The effects of anxiety don’t happen overnight, and they don’t come from one bad day – there’s time to address the matter and get the support you and your baby deserve.

Emotional Disorders During Pregnancy in Teens

Not every emotional shift during pregnancy is cause for concern, but some are. And for teens, who are already having to cope with major developmental changes, the emotional weight of pregnancy can tip things into deeper territory.

Depression is one of the most common issues that shows up, affecting 1 in 7 people during or after pregnancy.⁵ While depression in teen moms often does look like sadness, this isn’t always the case. Sometimes it’s flatness, or the teen who used to laugh at jokes now seems distant, tired, and disconnected. They might say they’re fine, but nothing seems to bring them joy – not friends, not music, not their baby.

Perinatal anxiety affects 1 in 5 pregnant women or new moms, and teen moms are even more at risk of this.⁶ Some teens can’t stop worrying, no matter how much reassurance they get. The anxiety might show up in panic attacks, spiraling thoughts, or the constant need to control little things just to feel okay.

In other cases, trauma plays a role in teen pregnancy and anxiety. A pregnancy that wasn’t chosen, or one layered on top of past abuse or neglect, can trigger symptoms that look like post-traumatic stress disorder (PTSD). In fact, trauma can impact more teen moms than you might think, with one study showing that nearly 50% of the teen moms involved met the criteria for PTSD.⁶ Teens struggling with the aftermath of trauma might startle easily, avoid touch, or shut down emotionally.

It’s easy to miss what’s happening underneath in teen moms. Moodiness can get written off, being associated with the hormone changes of teen years, and silence can be ignored. But when a pattern starts to form and begins to interfere with sleep, school, or connection, these may all indicate a need for support.

Types of Adolescent Maternal Anxiety Treatment

There’s no standard adolescent maternal anxiety treatment that suits every teen. Treatments often depend on the teen’s experience, how symptoms are showing up, and how comfortable they feel in certain types of therapies. Mental health screening for teen moms is typically recommended to pinpoint the best way forward.

A few common therapy approaches that have been helpful include:

CBT for Perinatal Anxiety in Teens

CBT for perinatal anxiety in teens has proven effective in reducing symptoms of anxiety including insomnia, moods, and cognitive function.⁷ It helps break the loop of anxious thoughts about the baby’s health and whether or not they will be a good parent. Instead, it teaches ways to challenge those beliefs before they take over.

CBT gives teens tools to know:

How to calm their body when panic hits
How to notice patterns that make things worse
How to take small steps back into things they’ve been avoiding

In practice, a CBT session might involve walking through a recent triggering situation and mapping out the thoughts that came with it. A teen might learn to test their assumptions – “What evidence do I have that something bad is happening?” – or rehearse coping skills to use next time they feel overwhelmed. For many teens, it’s their first experience feeling like their thoughts don’t have to control them.

Interpersonal Therapy (IPT) for Perinatal Anxiety in Teens

IPT focuses less on symptoms and more on connection. That matters during pregnancy, when a teen might feel completely alone, cut off from friends, or stuck in a family system that doesn’t feel safe.

This kind of therapy explores the people around them. It questions:

Who supports them?
Who drains them?
What needs to be said but never has been?

In a typical session, a therapist might help the teen role-play difficult conversations or unpack a relationship that feels confusing or unsafe. Together, they identify patterns – maybe the teen tends to isolate when hurt or keeps people close who reinforce shame. As those conversations start to shift, anxiety usually does too.

Mindfulness-Based Stress Reduction (MBSR)

For teens stuck in physical anxiety (tight chest, racing heart, feeling jumpy all the time) mindfulness can be a turning point. It teaches how to come back into the body without panic. Studies show that it’s an effective method of reducing pregnancy anxiety in women.⁸

MBSR is a structured, evidence-based approach that uses guided meditation, breathwork, and gentle movement to help reduce emotional and physical stress. In a session, a teen might be led through a body scan while lying down, learning to notice tension without trying to fix it. They might practice slow, diaphragmatic breathing or sit quietly while paying attention to sounds or sensations in the room.

These practices help train the nervous system to slow down instead of staying in fight-or-flight. Over time, teens begin to recognize when their body is signaling distress and learn how to respond.

Trauma-Informed Therapy

Some teens carry more than just the stress of pregnancy. Some have lived through abuse, neglect, or unsafe relationships. Pregnancy can resurface that history, even if it’s been buried for years.

Trauma-informed therapy moves carefully and doesn’t push a teen further than they’re ready for. It starts with creating stability by helping the teen feel emotionally and physically safe before anything else. Sessions may begin with grounding techniques, like feeling the weight of their body in the chair or focusing on what’s in the room, just to reestablish a sense of the present.

Instead of diving into traumatic memories, the early work might focus on naming emotions, identifying triggers, and learning what helps the teen come back to the center when anxiety rises. Over time, as trust builds, deeper work may unfold but only if and when the teen is ready. Teens can expect to use coping mechanisms and anxiety-soothing strategies in their sessions.

The goal of this is to help the teen reclaim a sense of safety in their body and in their relationships so that anxiety doesn’t have to stay in charge.

Stress Management for Pregnant Adolescents

Stress is part of every pregnancy, but for adolescents, it often hits harder. Some teens are juggling unstable housing, school pressure, family conflict, or fear about the future. When stress builds, it can change sleep patterns, appetite, decision-making, and even how the body carries a pregnancy.

Most teens don’t know what’s happening when their heart races or their stomach tightens. Often no one has taught them how cortisol works, or why small stressors feel enormous when the nervous system never gets a break.

This is where good support for perinatal anxiety in teens makes a difference. The most helpful stress management for pregnant adolescents tools are simple and repeatable. What matters is making them feel possible.

Breathing practices: Techniques like diaphragmatic breathing help calm the body. They lower heart rate, reduce muscle tension, and create just enough space to respond rather than react.
Sensory grounding: When anxiety spikes, holding something cold or focusing on five things in the room can bring attention out of panic and back into the present.
Safe movement: This might be a short walk, gentle stretching, or guided prenatal yoga. Movement helps release adrenaline and reduce restlessness without pushing the body too hard.
Skills and relationship-building therapy: Approaches like CBT help teens challenge anxious thoughts and learn what patterns make things worse. IPT supports emotional stress by helping teens strengthen or rethink their relationships. Both are effective, especially when trust builds early.
Parenting education: When teens learn what to expect—from labor to parenting basics – it often reduces fear. Anxiety resources for young mothers can help a teen have a calmer approach to the changes they’re experiencing. Knowing what’s normal and what’s not helps them feel more confident and less overwhelmed, especially in unfamiliar medical or caregiving situations.
Medication (if needed): In some cases, anxiety becomes too overwhelming to manage through therapy alone. Low-dose antidepressants may be considered, especially if sleep is disrupted or functioning breaks down. While SSRIs are considered generally safe during pregnancy, there is a risk to the infant in terms of neurodevelopment.⁹ These decisions involve a perinatal-informed prescriber and thoughtful support, and it’s not a one-size-fits-all approach.

External stress matters, too. If there’s no food in the house, if transportation is unreliable, or if the teen feels unsafe where they sleep, coping tools only go so far. That’s why support systems in the form of clinicians, schools, family, and community programs need to work together to reduce the pressure around the teen, not just inside them.

Reach Out to Mission Prep for More Guidance on Therapy for Pregnant Teens with Anxiety

No one expects to face pregnancy and anxiety at the same time, especially as a teenager. It can feel like too much, too fast. But the right kind of prenatal anxiety support for youth can ease that pressure. And it’s okay to ask for help.

At Mission Prep, we work with teens who are carrying more than they know how to name. We offer therapy for perinatal anxiety in teens based on each teen’s symptoms at the time. Sometimes that means starting with a conversation. Sometimes it means building trust before anything else.

If you’re a parent, a school counselor, or someone who cares about a teen going through this, you don’t have to figure it out alone. Mission Prep focuses on early intervention mental health teens need when anxiety begins to interfere with daily life, especially during complex transitions like pregnancy. Reach out to us via phone call for more information and guidance, or to book mental health screening for teen moms today.

References

Lesinskienė, S., Andruškevič, J., & Butvilaitė, A. (2025). Adolescent pregnancies and perinatal mental health—Needs and complex support options: A literature review. Journal of Clinical Medicine, 14(7), 2334. https://pmc.ncbi.nlm.nih.gov/articles/PMC11989341
Dowse, E., Chan, S., Ebert, L., Wynne, O., Thomas, S., Jones, D., Fealy, S., Evans, T.-J., & Oldmeadow, C. (2020). Impact of perinatal depression and anxiety on birth outcomes: A retrospective data analysis. Maternal and Child Health Journal, 24(6), 718–726. https://pubmed.ncbi.nlm.nih.gov/32303935/
Imperial College London. (2009, June 30). Stress in the womb can last a lifetime, say researchers behind new exhibit. Imperial News. https://www.imperial.ac.uk/news/70181/stress-womb-last-lifetime-researchers-behind/
Talge, N. M., Neal, C., Glover, V., & Early Stress, Translational Research and Prevention Science Network: Fetal and Neonatal Experience on Child and Adolescent Mental Health. (2007). Antenatal maternal stress and long-term effects on child neurodevelopment: How and why? Journal of Child Psychology and Psychiatry, 48(3–4), 245–261. https://pmc.ncbi.nlm.nih.gov/articles/PMC11016282/
Abdul Rahim, K., Egglestone, N. J., Tsagareli, I. G., Usmani, W., Meherali, S., & Lassi, Z. S. (2024). Mental health outcomes beyond the postpartum period among adolescent mothers: A systematic review and meta-analysis. Health Psychology and Behavioral Medicine, 12(1), 2305741. https://www.tandfonline.com/doi/full/10.1080/21642850.2024.2305741
Hodgkinson, S., Beers, L., Southammakosane, C., & Lewin, A. (2014). Addressing the mental health needs of pregnant and parenting adolescents. Pediatrics, 133(1), 114–122. https://doi.org/10.1542/peds.2013-0927
Mei, Q., Chen, X., Liu, L., & Xiao, G. (2024). An investigation into the correlation between early-to-mid pregnancy exercise combined with cognitive behavioral therapy and anxiety levels and quality of life in patients. The Journal of Obstetrics and Gynaecology Research, 50(3), 381–388. https://obgyn.onlinelibrary.wiley.com/doi/10.1111/jog.15858
Akca, E. I., Cengizhan, S. O., & Gökbulut, N. (2023). The effect of mindfulness-based stress reduction (MBSR) program on stress, anxiety, and prenatal attachment of the high-risk pregnant women. European Journal of Midwifery, 7(Suppl. 1). https://www.europeanjournalofmidwifery.eu/The-effect-of-mindfulness-based-stress-reduction-MBSR-program-on-stress-anxiety-and,172466,0,2.html
Upadhyaya, S., Brown, A., Cheslack-Postava, K., Gissler, M., Gyllenberg, D., Heinonen, E., Laitinen, J., McKeague, I., Hinkka-Yli-Salomäki, S., Sourander, A., Tornio, A., & Malm, H. (2023). Maternal SSRI use during pregnancy and offspring depression or anxiety disorders: A review of the literature and description of a study protocol for a register-based cohort study. Reproductive Toxicology, 118, 108365. https://www.sciencedirect.com/science/article/pii/S0890623823000394