How to seek help when experiencing postpartum depression

Motherhood is a life-changing experience filled with joy and love. However, for many new mothers, the postpartum period can also bring about unexpected feelings of sadness, anxiety, and hopelessness.

Farah, for example, was told by everyone how magical those first weeks would be. But instead of joy, she felt empty and anxious, often crying for reasons she couldn’t explain. No matter how much she loved her baby, she felt trapped in a fog of sadness.

If you find yourself struggling with these emotions and suspect you may be experiencing postpartum depression, know that you are not alone. Seeking help is a crucial step in managing this condition and ensuring the well-being of both you and your baby.

In this article, we'll help you understand postpartum depression, recognise the signs and symptoms, and how to ask for support during this challenging time.

It is normal for new mothers to feel some degree of emotional upheaval after childbirth. However, if you are experiencing a persistent and severe mood disorder that is significantly impacting your daily life and ability to care for yourself and your baby, it could be a sign of postpartum depression.

What is Postpartum Depression?

Postpartum depression is a complex mental health condition that surpasses the typical "baby blues" experienced by many new mothers. This condition typically develops within the first few weeks or months after giving birth. It is marked by a range of emotional, psychological, and physical symptoms that can vary in intensity.

Reasons for Postpartum Depression

Postpartum depression can be influenced by a combination of biological, psychological, and environmental factors. Some of the key reasons for postpartum depression include:

Hormonal changes: The rapid drop in oestrogen and progesterone levels after childbirth can trigger depressive symptoms.

• Genetic predisposition: A family history of depression or mood disorders increases the risk of developing postpartum depression.
• Previous mental health issues: Women who have experienced depression or anxiety before or during pregnancy are more likely to develop postpartum depression.
• Stressful life events: Difficult experiences such as relationship problems, financial stress, or a lack of support can contribute to postpartum depression.
• Sleep deprivation: The demands of caring for a newborn and the resulting lack of sleep can exacerbate symptoms of depression.

Understanding these postpartum depression causes can help you recognise that this is not a personal failing, but a legitimate medical condition that requires attention and treatment.

How Long Does Postpartum Depression Last?

The duration of postpartum depression varies from person to person and can last for several months or even up to a year if left untreated. However, with proper support and treatment, many women begin to feel better within a few weeks to a few months. It's essential to seek help as early as possible to manage symptoms effectively and prevent postpartum depression from becoming a long-term issue.

Recognising the signs and symptoms of postpartum depression is crucial for seeking timely help and support. It's important to understand that postpartum depression is different from the "baby blues," which are common and usually resolve within a few weeks after giving birth.

In some rare cases, mothers can also experience an extreme form of postpartum depression called postpartum psychosis. It only affects roughly 1 in 1,000 women after childbirth. Symptoms, such as severe agitation, confusion, paranoia, delusions, and insomnia, often appear quickly after delivery and can last for weeks or months. It requires emergency medical attention due to the risk of suicide or harm to the baby. Treatment typically includes hospitalisation, psychotherapy, and medication.

Common Symptoms of Postpartum Depression

If you're experiencing any of the following symptoms for more than two weeks after giving birth, you may be struggling with postpartum depression:

• Persistent feelings of sadness, emptiness, or hopelessness
• Loss of interest in activities you once enjoyed
• Difficulty bonding with your baby
• Anxiety, panic attacks, or excessive worry about your baby's health
• Trouble sleeping or sleeping too much
• Changes in appetite, leading to significant weight loss or gain
• Feeling overwhelmed, irritable, or angry
• Thoughts of harming yourself or your baby

It's important to remember that postpartum depression is not a sign of weakness or a reflection of your ability to be a good mother. It's a common and treatable condition that affects many women after childbirth.

You are not alone in your struggle with postpartum depression. The importance of seeking help cannot be overstated for your well-being and your baby's development. Untreated postpartum depression can have serious consequences, including difficulty bonding with your baby, strained relationships with family and friends, and an increased risk of future episodes of depression. In severe cases, postpartum depression can even lead to thoughts of self-harm or suicide.

Many women have overcome postpartum depression through effective treatments, such as therapy, medication, and support groups. By reaching out for help, you are taking an important step towards recovery and ensuring that you can be the best possible mother to your child.

Asking for help with postpartum depression is a courageous step towards recovery. Begin by acknowledging your feelings and identifying your needs. Open up to your partner, family, or close friends about how you are feeling and what kind of support you require. Accept help when offered, whether it's assistance with household chores, childcare, or emotional support. Connecting with support groups or online communities can provide a platform to share experiences and connect with other mothers facing similar challenges.

Asking for help and even accepting it when offered may feel daunting or guilty, but it is the first step towards healing and reclaiming your well-being. When you feel like the best version of yourself, you will be able to provide the best care to your baby.

Identifying Your Support Network

Identifying and leveraging your support network is essential during this challenging time. Inform your immediate family and close friends about your condition, as they can provide emotional support and care for the baby while you take breaks. Your doctors, including your obstetrician, primary care provider, or mental health professional, can offer guidance, treatment, and referrals to additional resources. By building a strong support network, you can better manage the symptoms of postpartum depression.

How to Talk to Your Doctor

Be honest when discussing postpartum depression with your doctor. Share your feelings, symptoms, and any changes you've noticed in your mood or behaviour. Be detailed about the duration of your symptoms and any triggers you've identified.

Your doctor may use screening tools like the Edinburgh Postnatal Depression Scale (EPDS) to assess your condition. Answer these questions honestly to help your doctor understand the severity of your symptoms. Don't hesitate to ask questions about treatment options, potential side effects, and the expected duration of treatment. 
 

There are several effective treatment options available for managing postpartum depression. The most appropriate course of action will depend on the severity of your symptoms and your individual needs. Your doctor can help you determine the best approach for your situation.

Postpartum Depression Medication

Postpartum depression medication, such as antidepressants, can be an effective treatment option for many women. Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed due to their safety profile and efficacy. SSRIs work by increasing the levels of serotonin in the brain, which can help regulate mood and alleviate symptoms of depression. It's important to note that antidepressants may take several weeks to reach their full effect, and some women may experience side effects like nausea, insomnia, or decreased libido. Your doctor will closely monitor your progress and adjust the dosage as needed.

Therapy and Counselling

Therapy and counselling are essential components of treating postpartum depression. Talking to a mental health professional can help you process your emotions, develop coping strategies, and improve communication with your loved ones. Cognitive Behavioural Therapy focuses on identifying and changing negative thought patterns and behaviours, while interpersonal therapy addresses relationship challenges that may contribute to depression. Some women find group therapy beneficial, as it provides a supportive environment to share experiences and learn from others. Online therapy sessions have also become increasingly popular as they offer flexibility and accessibility for new mothers. 

Neglecting self-care can be detrimental to new mothers, especially if experiencing postpartum depression. By indulging in self-care and using effective coping strategies you will be working towards becoming a better version of yourself. Here are some self-care and coping strategies to consider:

• Stay connected with loved ones and share your feelings to maintain a strong support system
• Eat nourishing, balanced meals rich in vitamins and minerals to support your overall well-being
• Engage in gentle physical activities like daily walks or yoga to boost your mood and reduce stress
• Incorporate stress-reducing practices such as meditation, deep breathing, or warm baths into your daily routine
• Prioritise rest and sleep whenever possible
• Take time for relaxing activities you enjoy, such as reading or watching your favourite show

By implementing a mix of these, you can better manage the symptoms of postpartum depression and improve your overall well-being.

Accessing the right resources and support can make all the difference for individuals struggling with postpartum depression. Discuss your symptoms with your doctor to create a comprehensive treatment plan that may include psychotherapy, medication, or both. Join local or online support groups, such as depression chatrooms, specifically for mothers dealing with this condition. Consider online or traditional talk therapy to address your concerns and feelings, and don't hesitate to ask for help from trusted family and friends.

Asking for help with postpartum depression is a brave and essential step towards recovery. By prioritising self-care, utilising coping strategies, and seeking support from doctors and loved ones, you can effectively manage your symptoms and improve your overall well-being. Remember, you are not alone in this journey.