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Post Natal Depression - A Reflective Tale

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Posted: 5 December 2017
Post Natal Depression - A Reflective Tale
Psychotherapist and Counsellor Sara Shoesmith writes about her personal experience of PND and how she came out of her Depression with determination and the right support.

It was happening, I was finally in labour. The long awaited time of welcoming my precious newborn was almost here. Most people describe those first moments as special, magical and amazing. When my daughter was born in April 2016, I felt fear, panic and terror. There was no bond, no empathy, and certainly no maternal instinct. I felt numb and it was as if all the life and personality I possessed had been stolen from me almost immediately. The moment my partner and I had been looking forward to so much was a far cry from our naive, ‘perfectionist’ expectations of early parenthood.

As someone who has always aspired to be a mother and to some extent planned my whole life around it, it was peculiar to feel the way I did. This prompted alarm bells to ring in my mind as I was not the Sara I knew. Only moments after Aarya was born I knew something was adrift and that I couldn’t cope. Quite quickly a small concern became an unavoidable reality.

I was having intrusive thoughts that I was too scared to share with anyone and feeling so anxious that I could barely function. After just two days I was virtually catatonic and having dissociative seizures. Three days on from that, I was taken away from my daughter and placed on suicide watch in an Acute Psychiatric ward. For those that don’t know what that means, I was on a high level of supervision that meant I had most of my belongings taken away from me and was checked every 15 minutes (even whilst sleeping). For me this was like some sort of barbaric, outdated sleep torture experiment.

At the time, myself and family were advised that this was the safest place for me and my newborn. The reality is, I was more terrified than ever before. Safe is not a word I would use to describe the horror I experienced. As a therapist, I know that being around other mentally ill people can have a hugely negative impact on you, you need the support of your family and the familiarity of home. As a mother, you also need to be with your infant as much as possible, despite not wanting to be. I don’t blame anyone for this decision, my partner and parents had an extremely difficult judgement call to make to keep both me and my baby safe. I’m sure I would have done the same in their position, they were terrified too and didn’t know what to do apart from trust the professionals.

I won’t go into too much more detail about my story as thats not why I am writing this article. I want other’s to read this and feel inspired and realise that you can go from this severe state to recovery in a relatively short period of time. I do not want to alarm anyone, my aim is merely to educate people about Post Natal Depression (PND) and increase it’s awareness. It is imperative that people know what signs to look out for and what can be done to reduce their suffering. Being aware of your feelings and emotions, like I was, is crucial for an early diagnosis and therefore early intervention. Here are some examples of feelings and/or behaviours to be aware of;

- Feelings of anxiety
- Fear of being alone
- Panic/terror/dread
- Wanting someone else to have/take your baby away
- Refusing to do certain baby related tasks
- Obsessive behaviours
- Emotional Numbness
- Loss of appetite or over eating
- Not being able to control worrying/excessive rumination
- Trouble falling or staying asleep
- Feelings of failure and being a bad mother
- Difficulty bonding with baby
- Hyperactivity and/or moments of reduced activity
- Intrusive thoughts/wanting to harm self or baby
- Suicidal thoughts
- Feeling unable to cope or go on
- Dissociation from reality/hallucinations
- Feeling overwhelmed with responsibility
- Loss of identity and vision for future
- Putting yourself before your infant
- Low mood and feelings of hopelessness

I am not, nor do I claim to be a medical professional, but I am a mummy, a human being who has been through this journey and come out the other side. Some people may not experience any of the above symptoms, some may experience several. I wanted to share these symptoms as a tool to help identify if there may be a problem. Partners can be helpful in identifying this too, as lots of things can go un-noticed by yourself, especially if you are trying to convince yourself nothing is wrong. My advice would be, if in any doubt, talk to someone, do not suffer in silence. Tell your GP - medication can help (it doesn’t deal with the cause but does help with symptoms). Try to get some Psychotherapy if you can, and try to find some local mum’s groups so you can talk to other people about it. Look after your body by getting sleep when you can and eating nutritious food. It’s easy to forget what your body has been through when all the focus is on your mental health.

Here’s the good news, things can and do improve. Here are some of the things that helped me get to the light at the end of the tunnel;

- A supportive partner
- A supportive family
- Being at home rather than in hospital
- Having a sense of normality and routine
- Not being given conflicting advice on how to look after my child
- Psychotherapy and Counselling at home
- Exercise and activity
- Nature (beaches, trees, water)
- Sharing my story with others
- Charitable organisations and helping others
- Networking with other mums and making friends through baby groups
- Food and Sleep
- Setting tiny (but achievable) short term goals
- Trying not to solve everything at once but take a step at a time
- Being creative (whether that be in an artistic way, musical way, writing etc)

PND is far more common than people think and it often goes untreated. If you or a family member have any history of mental health problems then please stress that point to your midwife and GP during pregnancy. Keep mentioning it if you have to. There is so much support that can be put in place to prevent risk. Unfortunately for me, it wasn’t the case which is why I feel compelled to continue to raise awareness and get people talking about the illness. The more we learn about PND the more effectively we can treat it. No matter how deep one falls into the pit of Depression there is always a way out. I am here to support anyone going through this difficult time, from a place of empathy and understanding.

I would like to take this opportunity to thank you for reading this. For every person that reads, shares or hears about my story, it could be another life saved. Take from it what you need and move forward with your life, I wish you the very best. Please do not hesitate to contact me should you wish. I am available for face to face Psychotherapy in Birmingham but also offer Skype sessions for those who are further afield.
Written by: Only Human Therapy
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