Postnatal depression
What is postnatal depression?
Many new parents feel tired or overwhelmed, but postnatal depression is different. In postnatal depression, you may have feelings of:
sadness
numbness
hopelessness
These symptoms affect your ability to cope with and enjoy your daily life.
Postnatal depression is common, affecting about 1 in 7 women in the first year after having a baby. Up to 1 in 10 fathers also experience depression around this time.
If you have symptoms of depression, there's lots of support available to help you get back to enjoying life and your new baby. Getting help early is best for both you and your baby.
What are the symptoms of postnatal depression?
People experience postnatal depression differently, but many people will have similar symptoms or difficulties. Sometimes, signs of depression are missed or dismissed as a normal part of life with a new baby. So, it's a good idea to be aware of the common signs of postnatal depression.
Common symptoms of postnatal depression you might notice include:
feeling low or numb
feeling helpless, hopeless or worthless
losing interest in others, including your new baby
changes in your sleep or appetite
having no interest or pleasure in things your normally enjoy
tiredness or problems with concentration and making decisions
thoughts of harming yourself or your baby
What is the difference between 'baby blues' and postnatal depression?
About 4 out of 5 new mums experience 'baby blues' in the first 3 to 5 days after having a baby. These feelings are usually due to the hormonal changes that happen during pregnancy and birth.
If you have 'baby blues', you may:
feel tearful, sensitive, anxious or overwhelmed
feel moody or irritable
have trouble sleeping
These feelings can be challenging, but they usually pass on their own within 10 days.
In postnatal depression, your symptoms:
last longer than 2 weeks
may be more severe
usually interfere with your ability to function normally
Unlike 'baby blues', postnatal depression doesn't usually go away on its own. This can be especially tough to cope with when you are recovering from birth and have a new baby to look after.
It can be hard to know if what you're feeling is normal or might be the start of something more serious. If you're not sure, it's a good idea to check in with your doctor or child health nurse.
What is the difference between postnatal anxiety and depression?
Both anxiety and depression are more common after the birth of a baby. Many people who have postnatal depression will have anxiety at the same time.
Some symptoms are similar, but anxiety and depression are different conditions that may need different treatments. Postnatal anxiety can cause feelings of worry or fear that are difficult to control. In both conditions, you may struggle to cope with your daily activities.
Am I at risk of postnatal depression?
There are some factors that can increase your chance of developing postnatal depression. These include:
a history or family history of mental illness
a lack of social support
previous trauma or a history of physical, sexual or emotional abuse
current or recent stressful life events
previous pregnancy losses
a difficult pregnancy or birth
a baby who is unwell or difficult to settle
Having one or more of these risk factors does not necessarily mean that you will develop postnatal depression.
If you have any of these risk factors, make sure you have enough practical and psychological support during your pregnancy and after your baby's birth. This can help to reduce your chance of developing depression and help you to cope better if you do become unwell.
How is postnatal depression diagnosed?
If you notice symptoms of postnatal depression, talk to your:
doctor
midwife
child health nurse
They may:
ask about how you have been feeling
give you a questionnaire to complete
ask to speak with your partner, if you have one
do a physical examination
How is postnatal depression treated?
There are several treatments for postnatal depression. Your treatment will depend on your symptoms and how severe they are.
Treatments include:
psychological therapies
antidepressant medicines
self-care measures
Your doctor will discuss with you the benefits and disadvantages of any treatment. This includes the impact of any medicines on breastfeeding.
Psychological therapy
Psychological therapy or counselling can help in the treatment of depression. Therapy aims to give you support, education and information on how to understand and cope with depression.
Therapies may include:
cognitive behavioural therapy (CBT)
interpersonal psychotherapy (IPT)
Medicines
In some cases, your doctor may prescribe antidepressant medicines to help treat depression.
Self-care measures
You can help improve your symptoms by:
getting practical help and emotional support from family and friends
eating a healthy diet
keeping active with physical activities you usually enjoy
planning for regular, quality sleep
using stress-management techniques, such as muscle relaxation and deep breathing
It can be difficult to establish and maintain a healthy lifestyle while recovering from birth and looking after your new baby. There is no shame in asking for and accepting help from family and friends.
Self-care is important to keep yourself physically and mentally healthy. Remember that looking after yourself benefits your whole family, especially your new baby.
Type of Doctor Department : Psychiatrist, psychologist or other mental health professional
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