I am currently pregnant and have a history of depression. I have not had a problem with depression in many years but am worried about experiencing post-partum depression. What can I do to prepare myself?
Post-partum depression (PPD) can affect anyone, although people with a prior history of depression and/or anxiety are thought to have a higher risk of experiencing the illness. So, it is important for someone with your history to take the appropriate steps to recognize the signs/symptoms of PPD and have an action plan if it does occur. First and foremost, there are certain things you can do now, while being pregnant, to minimize your chances of experiencing severe PPD. Early intervention and screening is key! Below I have listed some things that I would recommend you do prior to giving birth.
1. Talk to your doctor (OB-GYN) about your history of depression and your concerns about PPD.
2. Identify what was helpful to you in the past when you experienced depression (ie. seeing a therapist, psychiatrist, taking medication, attending a support group, etc.). If you still have a relationship with a therapist, it might be helpful to also speak with her/him about your concerns and current feelings. This is also a good time to discuss the possibility of seeing this therapist post-partum, if need be.
3. Set up a support network for yourself that you can utilize after giving birth. This may include family, friends, and a baby nurse or post-partum doula. I would also strongly suggest setting a goal of attending one organized activity where you can meet, socialize and gain support from other new mothers. Some examples of this are a new mother’s support group, breastfeeding support group, an infant class, or a playgroup. Your OB-GYN, pediatrician or local hospital might be able to make some recommendations for these types of groups. If you have difficulty locating activities in your area, you can always contact an organization such as Postpartum Support International (www.postpartum.net) for referrals.
4. Familiarize yourself with PPD symptoms. PPD symptoms are similar to those that you might have experienced in the past with depression (irritability, unexplained crying spells, difficulty accomplishing tasks, trouble falling asleep/staying asleep, lack of interest in activities that used to bring you happiness), but often include some new feelings, such as having difficulty bonding with your baby, disinterest in your baby, extreme anxiety about your baby’s functioning, and thoughts of hurting your baby or yourself.
5. Educate your immediate family about the above mentioned symptoms. It is certainly helpful to have a few supportive eyes and ears “watching your back” as well.
6. Develop an action plan for you and your family if you develop any of the PPD symptoms. You will need to devise a plan that is comfortable and unique to you. Some people have found it helpful to incorporate names and numbers of specific therapists, hospitals, and childcare options into their action plans. Overall, your plan should include the appropriate steps needed to acquire a safe and supportive network that will allow you to cope effectively with the symptoms of PPD.
Always remember that you are not alone and you are not to be blamed. Studies have shown that close to 10% of women experience post-partum depression and many women experience “baby blues”.
Some women experience symptoms of PPD days after giving birth, while others don’t until 1-3 months post-partum. No matter when you may experience these symptoms, it is important to get help and gain support!
Send your questions to deardori@charmedmag.com. Dori will answer your questions directly, and your privacy will be maintained. Permission will be requested for any questions published online.
Dori Chait, LCSW-C is a licensed clinical social worker. She has experience working in acute care settings, both with individuals who are medically fragile and psychiatric patients. Most recently, Ms. Chait was a therapist in an outpatient day program for individuals who are dually diagnosed. Currently, she is a stay at home mom.
