The Silent Struggle: Overcoming Postpartum Depression

The journey of motherhood can be overshadowed by postpartum depression (PPD), a silent struggle affecting millions worldwide. Two Jamaican mothers share their stories, shedding light on the challenges.

Motherhood is often portrayed as joyful and fulfilling, but for some, it is filled with difficulties that can lead to serious mental health problems. Postpartum depression (PPD) affects millions of women worldwide, yet it remains a largely unspoken topic due to stigma and misconceptions. PPD can manifest in various ways, often leaving mothers feeling isolated and overwhelmed. As a result, many mothers have been struggling in silence; and it often goes unnoticed and undiagnosed.

Through the stories of two mothers from Jamaica who suffered in silence, we delve into the depths of PPD, shedding light on the challenges encountered, the impact on mental health, and the importance of social support in recovery.

“Sometimes these things aren’t easy to notice. You feel a little off, a little tired, and you’re easier to get a little more frustrated and upset. You don’t really associate all of those things with postpartum depression. You wouldn’t think that they’re a part of it, when you’re running on 2 or 4 hours of sleep every day. When you have to be breastfeeding, and you’re not getting enough sleep, it takes a toll,” said Jane Doe*, a mother of two from Spanish Town, Jamaica.

Doe’s story started in January 2021 when she gave birth to her first child, but was able to recover quickly from PPD. Having postpartum depression in her first pregnancy increased the risk of it in the second. This time around she had similar symptoms and was further diagnosed with depression and anxiety. She says she felt uncomfortable sharing her experience even with professionals because she felt insecure she couldn’t take care of herself and her babies.

“I found myself in a very dark place and there weren’t many people to reach out to because of the fear of having to state that you’re not able to, and the inadequacy that comes along with it. Our grandparents and parents always tell you all the things that they had to do, in order to survive and to make their life work. When you can’t stay on top of it like they can- the chores like washing bottles and baby clothes, as well as tidying the house and cooking- you feel like you are less of a mother and less of a parent than they are,” said Doe*.

According to research done by the World Health Organization on March 30, 2022, PPD affects approximately 10-15% of mothers worldwide. Local Obstetrician and Gynecologist based in Kingston, Jamaica, Dr. Nastassia Tate, says that studies have shown that a history of anxiety, depression, or Premenstrual Dysphoric Disorder (PMDD) increases the risk of PPD. Additionally, she states that a lack of social support and stressful life events can contribute to the severity and persistence of PPD symptoms. She emphasizes the physiological triggers, hormonal changes, and risk factors contributing to its development. Such as a lack of social support, financial strain, and relationship issues. Consequently, if PPD persists beyond six weeks, then it becomes a more long term chronic condition. She also highlighted the importance of early detection and treatment, including therapy and medication, along with the need for a strong support system for mothers suffering from PPD.

“Postpartum depression is a serious mental health issue that affects about 10-25 percent of new mothers in Jamaica. While “baby blues” are common and typically resolve within two weeks of delivery, PPD is more severe and can last for months or even longer if not treated. PPD is frequently characterized by symptoms such as feelings of worthlessness, anhedonia- the inability to experience pleasure, sleep disturbances, and difficulties bonding with the newborn,” said Dr. Tate.

Another mother, Aaliyah McDonald’s journey with PPD began shortly after giving birth in July of 2022, marked by feelings of sadness, disinterest, and a lack of joy in motherhood. She attributes her PPD to a lack of social support, being the sole caretaker for her child. This lack of support led to burnout and severe PPD symptoms, including weight loss and emotional detachment from her child. Despite her love for her daughter, she struggled to connect emotionally, highlighting the impact of PPD on her maternal bond.

“I did an introspection, and went to the hospital where I was diagnosed. It was really bad, I could not even remember the last time I took a bath. I started therapy a few months later; I started to feel like myself around 9 or 10 months after having her, scary right? The worst effect of PPD for me was that I did not feel that “joy” of having her. I knew I loved her and I was happy but I felt nothing towards her for more than 9 months after her birth. I didn’t remember my name or age for a while, and I cried and prayed about it a lot,” said McDonald.

The disorder affects not only the mother’s health, but also the infant’s development and the family dynamic. Screening for PPD is critical and is usually recommended at 1 and 6 weeks after delivery to identify at-risk individuals and provide timely intervention. Treatment typically consists of therapy, medication, and support from healthcare providers, family, and friends. Early detection and intervention are critical for managing PPD and promoting the health of both mother and child. Prioritizing self-care through adequate rest and nutrition is essential. In addition, incorporating exercise and meditation can also make a significant difference.

“Bonding is a complex process that can be influenced by many factors. Effective management often involves cognitive therapy with a mental health professional, alongside strong support and reassurance from loved ones, and medication when necessary. It sounds hard when you have many new expectations, but it is what your body and mind needs to recover and to be the best, healthiest version of you, for you and your baby,” said Dr. Tate.

Mothers dealing with PPD face numerous challenges. The societal pressure to excel in all aspects of motherhood, combined with a lack of understanding and support, exacerbates the difficulties experienced by new mothers. By sharing these experiences, we can raise awareness about PPD, encourage open conversations, and emphasize the importance of compassion and support for mothers navigating motherhood’s challenges.

Jane Doe* – name used for confidentiality.

Contributed by: Sharian Blagrove