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Stabroek News

Depression due to childbirth
published: Wednesday | November 7, 2007


Wendel Abel

Depression is a common medical illness. Research has shown that depression is due to a decrease in the brain chemicals. The exact cause of the condition is unknown but the illness may pass on genetically through families.

Other factors which can influence the brain chemicals and cause depression are other medical illnesses for example, diabetes and cancer. In addition, commonly prescribed medication, stress, substance abuse and hormonal changes in the body may lead to depression. Depression is not due to demon possession; it is not due to punishment and it is not due to bad spells.

It is more common in women than men and affects one in five females and about one in 10 males. In addition, it affects all races, social classes and ages. A significant number of persons who visit their family doctors do so because of depression.

Post-partum depression

Post-partum depression refers to depression occurring in women after the birth of a child.

This may occur in women who previously had depression or it may occur for the first time. It is thought that post-partum depression is caused by hormones produced in pregnancy. These hormones are chemicals and they will cause chemical imbalances in the brain. Other factors that may lead to post-partum depression include feeling tired after the birth of a child, changing sleep patterns, feeling overwhelmed, stress from home and work and problems in one's relationship.

A woman who has post-partum depression may have problems coping, especially if her social support is lacking. She may feel overwhelmed and have difficulty caring for her children. In some instances, she may become so overwhelmed and feel so hopeless that she may hurt her child or children.

Features of depression

1. Feelings of sadness or depression.

2. Tearful or irritable.

3. Appetite change - most persons experience a decrease in appetit some persons will find they eat more when they are depressed.

4. Feeling tired easily.

5. Feelings of worthlessness or excessive guilt.

6. Difficulty in thinking or concentrating.

7. Thoughts of death, thoughts of hopelessness.

8. Suicidal ideation.

Can depression be treated?

Depression is a treatable condition. Today, we have more effective treatment available. Seeking treatment early in the course of the illness is important as this prevents the illness from becoming severe and longstanding. Early and appropriate treatment will prevent many of the consequences of depression such as substance abuse and suicide.

Treatments available

Most persons can be treated with a combination of medication and therapy. Talk therapy is very important especially for persons who may be having problems. Talk therapy alone may work only in cases of mild depression but persons with a severe form of the disorder will need medication.

In recent years, many newer medications have become available. These drugs are called antidepressants. Antidepressants are very effective in treating depression. They are relatively safe.

Are antidepressants addictive?

No, antidepressants are not addictive. But, in order to have the full benefit of these drugs, an individual will have to take them for at least six to nine months. It is important that you discuss with your doctor the best treatment option for you as what works for someone else may not work for you.

What should I do if I am suffering from depression?

If you or someone you know is suffering from depression:

Consult your doctor, a counsellor or a psychologist.

Women may want to talk to a midwife or their obstetrician.

Identify the problems that maybe causing your depression.

Learn to ventilate and discuss the problems you are facing.

Lifestyle changes will also help in your recovery.

Pay attention to your nutrition.

Ensure that you put aside adequate time for rest and relaxation.

Remember, there is no good health without good mental health.


Dr. Wendel Abel is a consultant psychiatrist and head, Section of Psychiatry, Dept. of Community Health and Psychiatry, University of the West Indies; email: yourhealth@gleanerjm.com.

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