Today is Time To Talk Day. Another important opportunity in the calendar to keep the mental health conversation going. And whilst I have no desire to become that broken record, ‘When I had PND…‘ (YAWN), actually? The conversation mustn’t go away just because the illness has. For this morning, there is someone (and a million more ‘someones’) waking up feeling desperate. And we, those that are well today, have a responsibility to make it ok for them to speak up and seek whatever help they need and deserve. This extract about PND is from The New Mum’s Notebook, the sanity saving journal for all new mums, no matter what round she’s on. There’s 10% off today with the code TIMETOTALK17.
Don’t be scared.
Around the four month motherhood mark, some new mums may be thriving. Others, not so much.
Some might even be feeling beside themselves and that can often be an indication that things aren’t quite right. So, let’s talk a little bit about post-natal depression (PND). Because it shouldn’t be something we’re scared of, or afraid to mention. It does happen unfortunately, to one in seven of us, but it can be treated very effectively and the sooner it’s diagnosed, the better.
All new mums deserve to understand what to look out for because it can be difficult to know, especially when you’re a mum for the very first time. How are you supposed to feel?
‘What is PND?’
PND is very different to the baby blues, which most, if not all, women experience in the first couple of weeks after birth, as their hormones literally crash. It is also more than feeling tired or occasionally low.
PND is different for everyone but typical symptoms include frequent tearfulness, anxiety of any form (health anxiety is common), panic (may include panic attacks), insomnia, extreme lethargy, trouble bonding with your baby (or detaching yourself from any other children) and a sense of doom or hopelessness. It can also manifest itself very physically with muscle aches, headaches and a general state of feeling unwell, leading new mums to think it must be something serious (that’s usually the health anxiety talking). Because what a lot of people don’t know is that when you’re very depressed, you can actually feel it. Another common factor is an overwhelming feeling that you just can’t cope. With things that never fathomed you before. It might be getting up in the morning. Dressing yourself and your baby. Doing the nursery/school run, if you have other children.
You just can’t seem to manage it.
‘How do I know?’
One of the cruellest things about PND is that when you’re in it, you can’t really see you’re in it.
You know you’re in a fog. You know you feel the worst you’ve ever felt. ‘But I’ve got a baby,’ you reason, ‘I’m not going to feel amazing, am I?’ Well, actually, yes you have got a baby but no, you shouldn’t feel like that. At this point, the support of someone who knows you really well is helpful.
Someone you can turn to and say, ‘I’m really, really struggling. Do you think I’m struggling?’
You can do this.
I’m not ashamed PND happened to me after my third baby. It was nothing I did. And it’s nothing you’ve done, either.
With a combination of antidepressants and CBT counselling, I now have coping mechanisms I never would have developed without it. PND isn’t a pleasant experience but the good news is you do get through it, once you get help. If you suspect you may have PND, speak to your doctor (ask them to do a full blood count to rule out any other cause). They can discuss treatment with you, which may take the form of counselling or a combination of counselling and medication. Don’t be afraid of medication, if this is recommended to you. You haven’t failed. It isn’t your fault. Sometimes after birth, the hormones are a bit wonky and your body fails to produce enough of the happy hormone, serotonin, so you need a little help. Either way, things won’t improve overnight but a few weeks in, you’ll start to feel a bit more like you.
Be patient with yourself. Recovery does take time. But you WILL get better.