Postpartum Depression: Signs Every Family Should Recognise

The first few weeks after delivery are exhausting. Some tearfulness, mood swings and anxiety — the 'baby blues' — affect up to 80% of new mothers and usually resolve within two weeks. Postpartum depression (PPD) is different: it is persistent, more severe, and does not go away on its own.

Signs include: feeling sad or empty most of the day, losing interest in the baby or daily activities, severe anxiety or panic attacks, difficulty sleeping even when the baby sleeps, feelings of guilt or worthlessness, trouble concentrating, and in severe cases, thoughts of harming yourself or the baby.

PPD is not a character flaw or a sign of weakness. It is a medical condition caused by hormonal shifts, sleep deprivation, and the immense physical and emotional demands of new motherhood. Women with a history of depression, difficult pregnancies, lack of family support, or traumatic delivery are at higher risk.

Treatment works. Talking therapies (counselling or CBT) are effective for mild to moderate PPD. For moderate to severe cases, antidepressants that are safe during breastfeeding — such as sertraline — make a real difference, usually within two to four weeks. The decision to use medication is always discussed thoroughly.

What families can do: watch for the signs, ask directly ('How are you really feeling?'), take over night feeds where possible, and do not dismiss her feelings as hormonal. A mother who says she is struggling is asking for help — not attention.

If you recognise these signs in yourself or a family member, please call the clinic. PPD is treatable, and early intervention means faster recovery for both mother and baby.