Akello – Interview 26

Akello described suffering emotional distress after giving birth to her children in Uganda. She later realised that this could be described as ‘postnatal depression’. She was diagnosed with depression in Australia in 2010 when she was put on antidepressant medication by her GP and referred to a psychologist as part of a mental health plan. Medication and counseling have been helpful and Akello now feels she is on the path to recovery.

Akello was born in Uganda, the youngest of eight children. At age six she was sent to boarding school. Although this was normal in Uganda, Akello was very unhappy. She was also teased a lot by her older siblings and discouraged from her dreams of being a film star. When she was 10 her father took a second wife because he wanted to have more sons. While culturally acceptable, this was emotionally very difficult to accept for Akello and her mother, and has had a lasting emotional impact on her, despite the situation between her mother and stepmother now being amicable.

Akello wanted to go to university but didn’t complete her school studies. She later wanted to return to study but her family discouraged her. She trained to be a nurse but wasn’t able to complete the course so studied to be a secretary. Akello began working, and met her husband. After the birth of their first child, she felt very sad and felt like crying all the time;. However, she didn’t talk to anyone about it because she was afraid to tell her family how she felt. She had a keen interest in reading and access to a library at work enabled her to read books about other women’s experiences with sadness after childbirth. Although this helped her learn about postnatal depression;, she thought other issues in her life were the cause of her sadness.

After giving birth to her second child Akello describes feeling numb; and as though her emotions had shut down;. In retrospect she thinks that she was so busy looking after her children by herself, working and running a household that she perhaps shelved her emotions rather than dealing with them at the time;. When her third child was born Akello was very ill. She felt numb, exhausted; and couldn’t breastfeed. Her GP sent her to a psychiatrist. In Uganda there is a lot of stigma around mental illness, and there is not even a word for depression in Akello’s first language. The psychiatrist gave her medication but she only took it for one month because it made her feel unwell.

Akello moved to Australia at the age of 39. The move was hard for her, in particular the loss of community life she had enjoyed in Uganda. Although joining a local church helped her regain a sense of community, she felt she was out of her comfort zone and missed her parents and siblings. Two years later she returned to Uganda for a wedding, expecting to feel better after seeing her family, but her feelings of sadness and isolation remained. By 2008 she was still struggling, which impacted on her ability to maintain employment. Many days she felt like she could not even get out of bed and had feelings of worthlessness;. She felt like she wasn’t a good mother or a good wife;, and worried about not having enough money. Weight gain resulting from comfort eating added to her unhappiness.

A colleague at work suggested she see a GP. Akello followed this advice and was diagnosed with depression and prescribed antidepressants. She also saw a psychologist. Akello describes herself as still on a journey of recovery;. She has learned to put herself first and be assertive with her husband and children. She has controlled her eating and shopping and doesn’t feel guilty about looking after her own wellbeing first Akello says finding time to be happy and joyous and helping people in her church community are also important aspects of her recovery.

Akello could not translate ‘depression’ into her own language. She described how people in her African country of origin hide mental health conditions because of fear of stigma, and talked about her friends’ attitudes towards antidepressants.

Age at interview 45

Gender Female

Age at diagnosis 44

Akello was first diagnosed with perinatal depression by a gynaecologist in her home country in…

Age at interview 45

Gender Female

Age at diagnosis 44

Akello started various jobs and courses, but struggled to remain engaged due to her depression.

Age at interview 45

Gender Female

Age at diagnosis 44

Akello was critical about her first psychologist, whom she found more businesslike than caring…

Age at interview 45

Gender Female

Age at diagnosis 44

After her GP left the practice, Akello considered herself lucky to find another one she liked…

Age at interview 45

Gender Female

Age at diagnosis 44

Akellos first experience with counselling in her country of origin in Africa encouraged her to…

Age at interview 45

Gender Female

Age at diagnosis 44

Akello established some boundaries with her children, so they became more self-sufficient and…

Age at interview 45

Gender Female

Age at diagnosis 44

Despite a complex set of life circumstances and difficult life events, Akello believed that her…

Age at interview 45

Gender Female

Age at diagnosis 44