Perinatal Anxiety And Depression Awareness Week is from November 6th to 12th.

This offers us an opportunity to remind our readers about the signs and symptoms of perinatal depression. It is important for new parents to know about ways to get support and treatment.

The ‘Baby Blues’ is a common experience for most new mums for a few days after having a baby. New motherhood is a daunting transition. Some ups and downs are expected and appropriate. A new mother’s body is recovering from birth, there are significant hormonal changes, interrupted sleep can feel intolerable, and you may not always be sure about what your baby needs from you.

Postnatal depression or anxiety, however, is a more serious mental health condition that can begin within 4 weeks of having a baby. The symptoms of depression need to occur for longer than two weeks. They impact on areas of day-to-day functioning such as relationships, bonding with your baby or self-care tasks. In addition, a personal or family history of depression can place you at a higher risk of developing postnatal depression. 

Here are the signs of post-natal depression to look out for:

• Experiencing difficult emotions (for example restless, irritable, sad, flat, hopeless, overwhelmed or empty)
• Tearfulness
• Having no energy or motivation to initiate or complete tasks
• Eating too little or too much; or experiencing a change in appetite
• Sleeping too little or too much; or feeling tired or fatigued
• Losing interest or pleasure in activities you used to enjoy
• Having trouble focusing or making decisions
• Withdrawing from friends and family
• Having difficulties concentrating/ remembering things
• Having physical symptoms (for example headaches, aches and pains, or stomach problems)
• Feeling worthless, guilty, or like you’re not doing a good-enough job as a mother
• The relationship with your baby may be impacted. You may not have as much interest in spending time with the baby or you may not feel connected to the baby.
• You may notice being less responsive, emotionally detached or feeling as if you are unable to soothe the baby.
• In severe cases, women may have unusual beliefs such as thinking that the baby is someone else’s baby or that there is something wrong with the baby.

“[My postpartum depression] gripped my heart to such an extent that I didn’t even have the desire to try to overcome it. I mean, I was flattened by it. I was devastated by it. And it wasn’t the ‘baby blues.’ And I was told it was the ‘baby blues’ at first. And so then, what was wrong with me was even worse. I thought, “Well then I must epitomize failure if I can’t even get past this. … [I want other moms to know that] it has nothing to do with your love for [your children]. … Pay attention to the feelings that you’re feeling and talk about it and ask your doctor. … Find out what medicine’s available. You don’t have to be miserable.”

Brooke Shields (on Oprah, 2005)

Also, it is important to remember that fathers can also experience post-natal depression. This can impact on their ability to interact with their child, support their spouses, or complete everyday tasks. 

Treatment for post-natal depression:

Reaching out for help and seeking treatment advice from a health professional such as a GP, midwife, psychologist or psychiatrist can help new parents to adjust to the multitude of changes that parenthood brings. It is important to get the right kind of support for post-natal depression so that you can really enjoy building a relationship with your new baby!

• Individual psychotherapy can help clients integrate their mothering role into their identity, and to access increased support from family members and friends. Other forms of psychological interventions such as Parent Guidance or Parent-Infant Psychotherapy can be useful to help new mothers when difficulties in feeding, soothing, sleep and bonding are experienced. Our team at Centre for Effective Living can assist you through this complex time.
• Psychiatrists and GPs can assist with prescribing medications that can help ease depression symptoms that are also safe for breast-feeding mothers.
• However, in severe instances where there are thoughts of hurting the baby or oneself it is imperative to get immediate professional assistance and possibly hospitalisation to ensure you and your baby are safe.
• With early intervention and treatment, research reports high rates of recovery for postnatal depression.

Some self-help tips:

Here are a few ways to support yourself through the stressful start of being a new parent. However, if you find your symptoms of post-natal depression are persistent please reach out for help from registered health professionals. 

• Self-care: Try to include at least one short activity during the day that allows you to fill up your own cup. For example, wash your hair, listen to an audiobook or take a walk.
• Look after your health: Adequate restful sleep, healthy nutrition, moderate exercise, and getting some time outdoors are all important ways to help your body recover from birth and the hard work of feeding and caring for a new-born. You will need to adjust routines to fit with the sleep needs of a new-born baby. However, it is important to try to get as much rest as possible.
• Lean on others for support: Stay connected to family and friends—even if you’d rather be alone. Isolation often makes the situation feel harder. So, let loved ones know what you need and how you’d like to be supported.
• Share your feelings: Being able to talk through your struggles can ease your burden and perhaps generate some more realistic expectations of parenthood! Join a mother’s group, talk to other new parents or share with a trusted friend. It can be reassuring to hear that other mums and dads share your worries.
• Find people who can help: Get assistance for extra tasks and responsibilities like childcare for older children, housework, and errands. This can free up space so you can get much needed rest or to just enjoy your time with your baby.
• Keep a diary: Keeping track of your emotions, thoughts and experiences can be helpful to notice your progress as you begin to feel better and build a meaningful relationship with your baby.
• Give yourself credit: Being a parent is hard work! So, remember to compliment yourself for the things you’re able to accomplish each day, no matter how small the success. Be kind and compassionate to yourself!
• Remember that you don’t have to be supermum!

Here are some other useful links:

• https://panda.org.au/get-support/support-dads
• https://gidgetfoundation.org.au/
• https://www.aaimh.org.au/
• https://www.health.nsw.gov.au/mentalhealth/services/parents/Pages/perinatal-infant-mental-health-services.aspx
• https://healthyfamilies.beyondblue.org.au/pregnancy-and-new-parents/maternal-mental-health-and-wellbeing/

Michelle Nortje

Michelle Nortje (M.A. Clin Psych, B.Psych Hons, B.Ed.Psych Hons, BA) is focused on establishing a therapeutic relationship that is safe, trusting and supportive. Michelle aims to use integrated psychological tools and approaches in order to help her clients make sense of their difficulties, gain insight into their patterns of behaviour and relating, and work towards co-constructed and workable goals. She uses Solution Focused Brief Therapy (SFBT), Cognitive Behaviour Therapy (CBT), Positive Psychology, mindfulness-based approaches, Dialectical Behaviour Therapy (DBT), Attachment theories and psychodynamic theories in order to tailor the therapy to best suit the client’s needs.

Michelle’s clinical training and diverse experience have equipped her to intervene in a variety of mental health issues and age groups. She has gained experience working as a clinical psychologist across non-profit, government hospital, school-based and private settings. Across all her roles, Michelle has expanded on her interest in working with children, adolescents and adults experiencing a range of mental health difficulties such as anxiety, depression, relationship difficulties, adjustment difficulties, trauma and grief.

Michelle is dedicated to consistent professional development by engaging in peer consultation groups, receiving regular supervision and expanding her knowledge through frequent webinars and courses in order to ensure effective interventions with her clients.