What symptom may indicate the presence of somatic issues in someone with perinatal distress?

The presence of somatic issues in someone experiencing perinatal distress can manifest in a variety of behaviors and symptoms. Faking wellness to please others is indicative of deeper psychological struggles, often associated with the desire to conform to societal expectations or to avoid burdening others with one's mental health challenges. This behavior can be a coping mechanism, where the individual feels compelled to present a façade of stability and well-being despite experiencing significant internal distress.

This symptom may reflect a disconnect between the individual's internal emotional state and their external presentation. People dealing with perinatal mental health issues may prioritize others' perceptions over their own emotional needs, leading them to mask their true feelings. This behavior is frequently observed in individuals battling anxiety, depression, or other mental health concerns during the perinatal period, where the pressure to appear "perfect" can be overwhelming.

The other options do not accurately represent somatic issues. Heightened auditory perception may suggest heightened anxiety or hypervigilance, increased laughter could be a sign of emotional dissociation or an inappropriate response to stress, and improved sleep quality typically indicates a positive change rather than a symptom of somatic distress. Thus, faking wellness stands out as a significant indicator of underlying somatic and emotional troubles.