Jane – Interview 07
Jane was at university when she first experienced mental health problems in the form of anxiety and panic attacks. Therapy helped these subside, but she then went on to experience postnatal depression (undiagnosed) with her first child, and both antenatal and postnatal depression with her second child. During her second pregnancy, Jane’s depression was diagnosed and treated, and she made a full recovery.
Jane attributes her experiences with anxiety and perinatal depression to a mix of factors including genetics, hormone fluctuations, personality, and life transitions. Her father has battled severe depression for much of his life, which she thinks has given her a propensity for the condition. Jane first experienced anxiety in her early 20s, linked to trying to fit in at university while balancing study, and some unresolved feelings about her parents; divorce when she was young. Symptoms included breathing difficulties and panic attacks, which Jane dealt with by quitting her part-time job, cutting back on social activities and moving back home. Her mother encouraged her to seek professional help and Jane saw a counsellor for a few months, which helped her get back on track;.
Several years passed during which Jane established her career and got married. In her late 20s she became pregnant, one of the first of her friends to have a baby. While pregnant Jane was preoccupied with work, and not focused on the impending change to her life. She had hoped for a natural birth, but had an emergency caesarean under general anaesthetic due to serious concerns about her baby. The shock and confusion of the experience overwhelmed Jane, and she recalls not coping as early as the first night in hospital. Back at home, her daughter slept little and was very unsettled; breastfeeding was difficult and after three months had to be abandoned; the family was socially isolated; and Jane was unable to discuss what she was going through with anyone outside of her mothers; group. Her maternal and child health nurse didn’t pick up on these issues and Jane was reluctant to ask for help, thanks to a determination to succeed; at motherhood as she had in other areas of her life. She coped by drinking (once her baby was fully bottle-fed) and shopping. Jane’s postnatal depression lasted 12 months and she emerged from it on her own. Although she regrets having lost; the first year of her daughter’s life, she quickly bonded with her after her symptoms had disappeared.
About halfway through her second pregnancy Jane was diagnosed her with antenatal depression. Her GP helped her develop a range of strategies to manage her symptoms as Jane didn’t want to take medication. These strategies included diet, exercise and asking for help as soon as she felt she needed it. The diagnosis shed light on what Jane had been through with her daughter, and meant that this second experience of perinatal depression was very different. She got through the rest of her pregnancy and the birth (an elective caesarean) with little difficulty, but her new baby also didn’t sleep well, and after about three months the panicky feelings; and circular, confusing thought patterns; she had experienced previously returned. Jane’s maternal & child health nurse booked her in to a mother and baby unit for two weeks and upon discharge, she started taking antidepressants (sertraline), joined a PND support group led by a psychologist, and saw a psychiatrist. After another three months, the support group had ended, her psychiatrist had moved away, and Jane was feeling well enough to stop her medication. Soon after, she felt she was back to her old self (before having children), but also changed by the experience.
Jane has been well ever since, but as her two episodes of depression were triggered by pregnancy, birth and becoming a parent, she sees hormonal changes as significant, and wonders how menopause will affect her. Looking back, she sees transition to parenthood as involving the death; of the ego. This was a difficult experience and one that challenged both Jane’s relationship with her first child and her marriage, but ultimately allowed her to grow and mature significantly as a person, and in this sense she regards her depression as a gift.