Anxiety While Breastfeeding Is a Real Condition

Learn why you may feel anxiety when breastfeeding

Research on this condition is only about 10 years in the making. 

By Sarah Bradley

If you have negative thoughts while breastfeeding, you might be experiencing D-MER.

What Is Dysphoric Milk Ejection Reflex?

D-MER is an abrupt, intensely negative emotional response that some breastfeeding people experience just before let-down (aka the release of milk), says Alyssa Dweck, MD, ob-gyn and medical advisor for Intimina. It’s typically short-lived, disappearing within 10 minutes of a feeding session. You can experience D-MER regardless of whether you’re breastfeeding or pumping, since both cause the milk-ejection reflex.

What Are D-MER Symptoms?

Dweck says D-MER symptoms occur only before or during breastfeeding or pumping, and they may include:

• feelings of sadness or hopelessness

• anxiety

• irritable mood

• diminished self-esteem

• feelings of dread

• anger or agitation

The symptoms are typically mild or moderate, but some people report such severe symptoms that they have to stop breastfeeding, says Dweck. It’s even possible to have feelings of self-harm or suicidal thoughts, she adds, and it’s important to note that if you or someone you know is experiencing these feelings, you should seek medical care right away.

Read more to learn about what you can do for treatment of D-MER.

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