Postnatal depression

When does postnatal depression develop?

It usually develops within the first 4-6 weeks, but can start even several months following childbirth and can emerge at any time during the first year. It comes on either gradually or all of a sudden, and can range from being relatively mild to hard-hitting. Post natal depression is still an illness that is not widely understood by mums who experience it or by their family and friends. In fact, it is often viewed with shame by sufferers who may feel a 'failure' or a 'bad mother' because they feel unable to cope. In fact, the opposite is true, with all the evidence showing that mothers with post natal illness are at least as good at mothering as those without.

Symptoms to be aware of:

• Crying a lot, often over the smallest things
• Poor concentration
• Anxiety
• Guilt
• Lack of confidence in your ability as a mother or father
• Not enjoying being a parent
• Loss of appetite or overeating
• Extreme tiredness
• Irritability
• Fear of harming the baby, though the reality is that only in very rare cases is anyone harmed
• Sleeping problems
• No interest in sex
• Being hostile or indifferent to your husband or partner
• A sense of being overwhelmed and unable to cope
• Difficulty in making decisions or concentrating
• Physical symptoms, such as stomach pains, headaches and blurred vision

How is postnatal depression diagnosed?

Postnatal depression is usually diagnosed by a doctor based on what those who know you, tell him or her. Sometimes the doctor may do a blood test to rule out physical reasons for the symptoms, such as anaemia. A short questionnaire has been developed called the Edinburgh Post Natal Depression Scale and has 10 simple questions. Doctors and health visitors may ask a patient to fill it in if they suspect post natal depression.

Postnatal depression help

The most important thing you can do for yourself is believe that you will get better.

• Try to get as much rest as you can although this can be difficult with a small baby. Try to recruit the help of friends or family and readily accept any offers of help that come along. This is very important, as tiredness seems to make depression worse.
• Don't try to force yourself back to normal too quickly. Many mothers feel that by keeping busy such as going back to work, things will right themselves, but this can actually prolong the illness.
• Be kind to yourself. Don't force yourself to do things you don't really want to do or that upset you.
• Exercise. It can be difficult to be active when all you want to do is curl up and go to sleep but exercise releases endorphins.

Possible sources of help include the GP, midwife, health visitor, community psychiatric nurse, psychotherapist, counsellor or psychiatrist. Experts suggest that the best treatment for post natal depression may be a combination of practical support and advice, psychotherapy, counselling and, if necessary, anti-depressants. 

Support and advice 

Support and understanding from friends and relatives can help recovery and it is far better to talk about your feelings rather than bottling them up. Ask your health visitor about what is available in the area, such as self help or support groups which can provide lots of encouragement and advice. The NHS has lots of advice on postnatal depression. MIND has comprehensive advice on perinatal and postnatal depression and psychosis. The NCT website has lots of information that you may find helpful. The Panda Foundation can help you too and they have a helpline too. 

Counselling 

These treatments can be very effective and offer you the opportunity to explore any underlying factors that could have contributed to the post natal depression. Although the availability of counselling can depend on where you live, many GPs now have a counsellor or psychotherapist attached to their surgery. They can also refer to a psychologist or psychiatrist on the NHS. 

Watch this video for more tips 

 This page was update on March 2021