You CAN tackle post-natal depression: Gwyneth Paltrow says if you're left feeling like a zombie it doesn't make you a bad mother
21:14 GMT, 26 May 2012
When Gwyneth Paltrow recently admitted suffering from post-natal depression (PND), it no doubt struck a chord with 70,000 British women who have similar struggles every year.
‘I couldn’t connect to anyone,’ the 39-year-old said. ‘I felt like a zombie and very detached. I just didn’t know what was wrong with me. We think that it makes us bad mothers.’
She credits her husband, Coldplay singer Chris Martin, for urging her to get help – and doctors agree that supportive partners are as key to recovery as medical treatment.
Isolated: Gwyneth Paltrow, pictured with daughter Apple, says she couldn't connect with anyone'
Friends star Courteney Cox, 47, actress Sadie Frost, 46, and model Elle Macpherson, 48, also recently admitted to feeling the same. While most new mothers experience mood swings – dubbed ‘baby blues’ – PND is a serious diagnosable mental illness that, in severe cases, can have catastrophic consequences. Here, experts give their advice on how to beat the illness.
KNOW YOUR HISTORY
Like many depressive illnesses, a small percentage of PND cases are thought to be hereditary, according to Professor Louise Howard, consultant perinatal psychologist at Kings College London, South London and Maudsley NHS Trust.
‘The clearest predictor of PND is if a woman has any previous history of depression, and whether there’s a history of depression or PND in her family,’ she says.
‘Other factors such as a traumatic birth are also thought to contribute to a woman’s likelihood to develop PND.’
If there’s a risk, the GP or midwife should be made aware.
BABY BLUES OR PND
The baby blues are almost universal after birth, and usually mean feeling tearful and emotional, but don’t last more than a few weeks. This is due to fluctuating hormone levels.
‘Those feelings will generally be mixed in with euphoria at having had a child, too,’ adds Prof Howard. ‘Most women will feel emotional at this time, and very tired dealing with a newborn.
‘/05/26/article-2150343-001A04C21000044C-931_468x638.jpg” width=”468″ height=”638″ alt=”Coping: Actress Courteney Cox, seen holding her daughter Coco, has spoken of suffering with post-natal depression” class=”blkBorder” />
Coping: Actress Courteney Cox, seen holding her daughter Coco, has spoken of suffering with post-natal depression
WHEN TO ASK FOR HELP
‘If PND is disturbing your life to a degree that you can’t function normally, seek urgent professional help through your GP or health visitor,’ says Diane Nehme of the Association for Post-Natal Illness (APNI).
‘A combination of psychological therapy plus antidepressant or hormone-balancing drugs may be prescribed.’ Severe cases of PND are rare, with only one or two women in every 1,000 being admitted to hospital.
There is evidence from studies by Kings College, London, and the University of Bristol that psychological therapy is helpful in treating moderate PND, says Prof Howard. ‘In many areas of the country, health visitors provide on-the-spot counselling.’
According to Elaine Hanzak, trustee of the Joanne Bingley Memorial Foundation, post-natal support is crucial in preventing and overcoming PND.
‘Ante-natal classes are commonplace but there’s so much focus on the birth but little regard for the pressures and emotions a woman experience afterwards,’ she says. The National Childbirth Trust runs ‘early days’ courses. Call 0300 330 0017 or use the course finder at nct.org.uk to locate one.
The APNI provides a phoneline manned by specialist advisers. ‘They’re not there to diagnose but to provide an empathetic ear and offer advice,’ adds Nehme. Ring 020 7386 0868 if you need help.
CAN YOU GET PND TWICE
There are no precise figures for recurrence for PND but you’re more at risk of having PND if you’ve had it before, according to Nehme. ‘If you had PND previously, your GP may suggest counselling or offer you an antidepressant during the latter stages of pregnancy and weeks after the birth,’ she says. Hanzak adds: ‘PND isn’t your fault, you’re not alone and it will get better if you take proactive steps to tackle it.’
lapni.org, joebingleymemorial foundation.org.uk