Emma – Interview 41
Emma was diagnosed with postnatal depression following the birth of her second child. This came as a complete shock as was her first experience of mental health problems. Practical and emotional support from her mother and sister, talking therapy, and antidepressant medication helped Emma through this difficult period. After a year she felt she was back to her ‘old self’ and was able to cease her medication. She would like to see her counsellor again for some ‘maintenance therapy’.
Emma had a happy childhood growing up on a farm and then at boarding school in the city, where she formed a great group of friends. She completed her degree, then travelled and worked overseas with her boyfriend, now her husband. They returned to Australia and Emma had first child when she was 30.
Two weeks before the birth of her second child two years later, Emma suddenly experienced a debilitating sadness;, which manifested as uncontrollable crying and feelings of nausea;. These feelings came as shock; and Emma would have dismissed it as a passing phase, but for the severe insomnia that followed. A few days before her second son was born, she went to the hospital and was prescribed sleeping pills by the resident psychiatrist to help her sleep. She remained in hospital but her distress continued, even with the sleeping pills. After the birth she thought she might be experiencing postnatal depression, because she felt ‘so different’ from her normal state of mind. At discharge, the psychiatrist advised her to see if things improved – an approach she did not find helpful. However her distress became worse and despite being cared for by her mother and sister, she felt fearful and alone at home. She experienced suicidal thoughts and did not find her husband supportive during this time. Six weeks after giving birth she again visited the psychiatrist who diagnosed her with postnatal depression.
Emma was overwhelmed and shaken by the way diagnosis was conveyed to her, but also relieved that she could name her problem. She was prescribed sertraline, commenced counselling with a psychologist, saw her family GP regularly, and accessed a helpline for women with postnatal depression. Her mother and sister provided much appreciated support. Eventually Emma stopped her antidepressant medication because it was causing migraines. She then experienced severe side effects associated with stoping taking antidepressants, but she worked through this. She felt she was regaining clarity of thought;, a lessening of her anxiety, and feeling like her old self;. She has since taken sleeping tablets occasionally, but has not returned to antidepressant medication.
Since her experience Emma has discovered a family history of mental health problems and has spoken to an uncle who shared his experience of depression, which she found very healing. Emma’s mother and sister still provide her with emotional support. She advises mothers to take time to live in the moment and enjoy time with their children. Looking back on her experience, Emma acknowledged that her experience was life changing and she made a decision to simplify her life and enjoy spending time with her children, family and friends.