Monday 10 August 2015

Understanding Postnatal Depression and Post Traumatic Stress Disorder

I have heard lots of Mothers saying their partners, families or friends do not understand what they are going through. In an attempt to clear this up I have created a little blog:  

Please tick the statement you believe to be true:
Women with PND or PTSD

a) are finding motherhood difficult

b) are overwhelmed by the amount they have to do, now they have a baby

c) have a chemical/ hormonal imbalance which makes the simplest of tasks seem insurmountable, their world seem dark and their feelings out of control and confusing

I want you to imagine that someone has secretly gone into your brain and tinkered around with the wiring. Imagine they have turned off your ability to rationalise, to hope, to be happy and to love.

Now imagine you have been given your dream job. You knew the job would be demanding, with long hours and that there would be very little or no training. However, your coping mechanisms that should kick-in are non-existent. You are mentally incapable of enjoying the job, you cannot feel happy around other people and you begin to feel things are hopeless. You begin to think this job was the wrong choice and yearn to be back to your old self.

You start to feel extremely anxious and guilty that you are unable to cope with this new job. You worry that people are judging you and that you are not up to the task. You cannot understand why your unable to respond to the situation as you would have done before the re-wiring. You feel weak, confused, distressed and alone. You feel like no-one understands you, how could they? You do not even understand what is happening yourself. You feel the only option is to quit, escape or go back to a time before the job, when you were able to feel happiness, hope and love.

Now imagine that dream job is having and looking after a new baby. Imagine you have been left physically weak and mentally drained from the birth and now you have a small life in your hands. Imagine there is no escape, no rest and no recovery time. Imagine you cannot rationalise, feel hope, happiness or love. This is a glimpse of what Postnatal Depression feels like, it is very real and extremely terrifying and very hard for the person suffering to fully understand.

If a mother has also experienced a traumatic birth, where the baby’s life or her life has been threatened, or where medical intervention or a lack of care has taken place, she may also develop Post Traumatic Stress Disorder.

It is thought these illnesses occur due to an imbalance of chemicals in the brain. At a time when the mother desperately wants to feel happy and loving, she cannot. At a time when she wants to enjoy this new family unit, she cannot. These feelings can last for weeks, months or years. It is vitally important that she feels supported by the people around her, this support will aid her recovery.

Women affected may experience some or all of the following symptoms:

Postnatal Depression

    anxiety
    panic attacks
    sleeplessness
    extreme tiredness
    aches and pains
    feeling generally unwell
    memory loss or being unable to concentrate
    feelings of not being able to cope
    not being able to stop crying
    loss of appetite
    feelings of hopelessness
    not being able to enjoy anything
    loss of interest in the baby
    excessive anxiety about the baby

Post Traumatic Stress Disorder

   exposure to a traumatic event 
    nightmares
    flashbacks
    psychological distress
    negative mood
    altered sense of reality
    inability to remember important aspects of the event
    attempting to avoid symptoms and reminders of the event
    problems with concentration
    sleep disturbance 
    hyper-vigilance

There are simple questionnaires, which can be carried out by a medical professional, to diagnose PND or PTSD.