My sister had a baby a couple of weeks ago and I can see she’s not herself and is hurting. I don't want to offend her by suggesting she get help, how can I help her?
When someone we love is suffering, it's natural to want to give advice. And at the same time, we may fear that our unsolicited advice will put them on the defense. However, given that the risks for untreated peripartum depression are so great (including preterm birth and social, emotional, and cognitive deficits in the baby years later, and the risk of suicide in a small number of new moms with peripartum mood disorders) it is crucial our loved one receive timely support. Some thoughts on how to help your sister: offer to spend time with her, let her take naps, join her for a walk, allow her to engage in self-care in the way she finds most effective (such as taking a shower, eating a meal in silence or with a friend or partner, or getting out of the house for a manicure or haircut). More
Is it possible for a new father to experience peripartum depression?
Absolutely. A new baby is an immense joy as well as a lot of work! It can be a stressor for the entire family. About 4 percent of fathers will experience symptoms of postpartum depression. New fathers with a personal or family history of depression, those feeling unprepared and those dealing with unemployment/ financial difficulties may be at greater risk. Struggling with work-life balance, difficulties with communication and division of labor in the family can all exacerbate the transition into fatherhood.
I am pregnant and have been diagnosed with peripartum depression. In addition to the psychotherapy my doctor recommended, what can I do for myself to keep me and my baby healthy?
Get as much support as possible, for example look for a new moms’ group or even the second or third time moms’ groups through your local hospital. Try to line up several reliable family members or friends to help or get hired help. Plan as much in advance as possible, take shifts, make selfcare a priority. Spend 15 minutes a day checking in with your partner about non-baby related issues. The basics are key—eating well, sleep, and exercise within reason. More
I’m concerned that a friend of mine, a new mother, is depressed. Being a new mother is tiring and stressful, but what signs or symptoms might raise a concern and mean it’s time to ask for help?
Some warning signs include not sleeping when the baby sleeps, constantly feeling overwhelmed, being unable to find joy and pleasure in anything, crying much of the time and feeling hopeless or helpless. She may think there is no end in sight. A new mom may feel regretful about having a baby or feel that she is incapable of taking care of herself or the baby. A new mom may often feel anxious and may become preoccupied with the baby getting germs or being harmed. These may also be symptoms of obsessive-compulsive behavior as well, which may occur in the perinatal period alongside symptoms of depression. In severe cases, a woman may even have thoughts of hurting herself or even the baby. If you see concerning signs, encourage her to seek help from a mental health professional. . More
About the Expert
Sudeepta Varma, M.D., PC, DFAPA, is a board certified psychiatrist with a private practice in Manhattan. She is also a clinical assistant professor of psychiatry at the NYU Langone Medical Center and a frequent media contributor. www.doctorsuevarma.com