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Experiencing a significant change, like having a baby, can be stressful for many individuals. While it's normal to feel down initially, if these feelings persist, it could be a sign of depression. It's crucial to seek assistance if you're feeling this way.
What is postpartum depression?
Postnatal depression, also known as Postpartum depression (PPD), is a form of depression that can affect women after they have given birth. This type of depression usually occurs within the first few months after delivery, but it can also develop later in the first year after birth. Family members can also suffer from low mood and depression as a result of having a baby, so problems can also affect others close to the child. At Lavendla, we can help.
Why do people get depressed after giving birth?
There is rarely a single cause of depression, but in postpartum depression, there are several factors at play. Hormones such as oestrogen and progesterone increase during pregnancy, and these hormones then drop after delivery, which can make you feel sad. This is normal, but you may have mixed feelings about wanting to be happy during this critical period.
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Other factors may include a problematic birth, doubts about parenting and nursing, difficulties with routines and other mental or medical problems. Other causes include genetic factors, stress, lack of sleep, and social influences. If you are experiencing symptoms, seeking help to have the best possible relationship with your child is essential.
You are not alone
Studies have shown that around 10% of our South African population suffers from PPD, and of that 10%, only 33.3% get treatment for it, so if you are feeling depressed, you are not alone. Many people do not seek help, so the number of unrecorded cases is probably high. You must seek help if you feel depressed so that you can get treatment.
Identifying symptoms and signs
The symptoms of postpartum depression are not so different from those of ordinary depression. Here are some symptoms:
- Sadness and grief: Feelings of sadness, hopelessness or emptiness.
- Loss of pleasure and interest: Loss of interest or pleasure in usually enjoyable activities.
- Difficulty sleeping: Difficulty sleeping or, conversely, increased sleepiness.
- Fatigue and loss of energy: Feeling of exhaustion and lack of energy.
- Changes in appetite: Decreased appetite or increased weight loss.
- Difficulty concentrating and making decisions: Reduced focus and cognitive challenges.
- Anxiety: Worry, tension or feelings of fear.
- Feelings of guilt or inadequacy: Feelings of being a bad parent or not being enough.
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Can you have anxiety in postpartum depression?
Anxiety is common when you have problems with depression. It is no different in postpartum depression, although it can be more stressful because you have just had a baby. Is it possible to get help with this, too? Talk to us at Lavendla, and we will help you.
Other problems that can occur after childbirth
Other mental health problems can develop after childbirth. These may include post-traumatic stress disorder (PTSD) or other severe issues such as psychosis. If you experience symptoms of psychosis, such as delusions, hearing voices or sounds, or disturbed thinking, it is essential to seek help immediately. You can go to an emergency room or call 0800 567 567.
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Treatment for postpartum depression
It is essential to seek professional help if you suspect that you are suffering from postpartum depression, both for you and for your baby, as it can affect attachment. There are various treatment options to deal with it, and psychotherapy is a standard treatment, but sometimes medication is also needed.
Cognitive Behavioural Therapy (CBT) has proven to be an effective treatment method, especially when combined with medication such as antidepressants. Talking to a professional therapist or psychologist can improve your well-being. Early detection and treatment are essential to facilitate recovery and promote a healthy attachment. It is also necessary for family members to get support if they need it.
We make the difficult easier
Experiencing difficult emotions after childbirth is common, and sometimes, you may need support. Getting help is an important step in improving your quality of life, both for yourself and your baby. It takes strength to seek help, and therapy is a proven method of dealing with different problems. By seeking professional help, you can make the difficult things a little easier. At Lavendla, we have therapists and psychologists who can help you.
If you or someone you know has thoughts of self-harm, call 0800 567 567 or seek emergency medical help immediately.
12 FAQs about Postpartum Depression
What is postpartum depression?
Postpartum depression has the same symptoms as regular depression, but this type of depression usually occurs within the first few months after delivery, but it can also develop later in the first year after birth.
What are the most common symptoms?
The most common symptoms include persistent sadness, lack of energy, sleep problems, anxiety, a reduced appetite and feelings of guilt and inadequacy. Consultation with a psychologist or doctor can help make a diagnosis.
How is postpartum depression diagnosed?
Diagnosing depression is usually done through interviews and questionnaires that assess your well-being. The most commonly used questionnaire is the Edinburgh Postnatal Depression Scale (EPDS), which measures symptoms of postnatal depression.
How is postnatal depression treated?
Treatment options often include a combination of medication, therapy and lifestyle changes. Cognitive Behavioural Therapy (CBT) is a common form of psychological treatment.
How long does postpartum depression last?
The length of time it takes to recover from depression depends on its severity, which can vary between mild, moderate and severe levels. Some may experience relief within a few weeks, while others need more prolonged treatment.
Can exercise help?
Yes, regular physical activity can help. Other lifestyle factors can also be beneficial, such as maintaining routines, eating well, trying to sleep, asking for help, and spending time with people you trust.
What are the risk factors for postpartum depression?
A difficult birth, doubts about parenting and care, difficulties with routines and other mental or medical problems can be risk factors. Other causes include genetics, stress, lack of sleep, and social aspects.
Can I be depressed as a family member?
Family members can also experience depression in connection with the birth of a child and the associated changes. In this case, it is also essential to seek help.
How common is postpartum depression?
Postpartum depression affects around 15% of the population, but the number of unrecorded cases can be high.
Where can I get help?
If you experience symptoms of depression, it is essential to seek professional help. Our psychologists and therapists are available for online or face-to-face sessions and can help you make the hard part easier.
What can I do if it feels hard after coming out of depression?
Sometimes, you can feel shame and sadness even when you are recovering from depression, and it can be helpful to talk to someone about it. If you become pregnant again, you can also speak to a midwife.
What other problems can occur during childbirth?
You may also experience anxiety, post-traumatic stress disorder (PTSD) or the severe condition of postpartum psychosis. If there are symptoms of psychosis, you should contact an emergency room or call 0800 567 567.
Tips for dealing with postpartum depression
Seeking help is a big step towards better health. It is a favourable decision to take control of how you feel. Here is an overview of the steps usually involved in therapy.
Step 1: An initial assessment session
The first meeting with your psychologist or therapist is usually a diagnostic evaluation to review your mental and physical health. You may be asked questions about your life situation, feelings, thoughts and behaviours. You may also be asked to complete assessment forms.
Step 2: Goal setting
This is where you and your therapist set concrete goals for the therapy, both short and long-term.
Step 3: Treatment
This is the start of the treatment phase, which may involve treatment such as Cognitive Behavioral Therapy (CBT) and medication if necessary. The therapy may include exercises and homework assignments to give you tools to change how you feel.
Step 4: Monitoring and evaluation
Treatment is monitored regularly to see how well the therapy is working. If necessary, the treatment plan can be adjusted or renewed.
Step 5: Ending and looking ahead
As the therapy ends, it is time to reflect on the progress. You will also receive a plan for using the tools and strategies you have learned in the future.
If you or someone close to you is seeking professional help for depression, don’t hesitate to book a session with one of our qualified psychologists or therapists. If you feel terrible and have thoughts of harming yourself, contact the emergency psychiatric services or call 0800 567 567.
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