Antenatal Depression – The One They Don’t Talk About

by Band Back Together | Dec 5, 2018 | Anxiety Disorders, Coping With Anxiety Disorders, Coping With Depression, Depression, Feelings, Generalized Anxiety Disorder Resources, Major Depressive Disorder, Mental Health, Postpartum Depression, Prenatal (Antenatal) Depression | 4 comments

Depression and I have been dancing partners for more than a decade now. Sometimes it’s a slow waltz, sometimes a spinning reel, and sometimes I get to sit off to one side and take a nice relaxing break from my dark friend.

Over the years I’ve learned to observe my own triggers and put safety valves in place. For example, I go to therapy once a year, even if I’m not depressed, just to keep tabs on the way I’m feeling. As soon as I discovered I was pregnant in 2008, I knew I had to keep a watchful eye on myself. I was prepared – absolutely certain – that I would end up with postpartum depression, and I was terrified of feeling as low as I could go with a baby to look after. When I hit rock bottom, I can hardly care for myself. How was I supposed to look after this tiny new person as well?

So, I lined up a therapy session at 34 weeks of pregnancy, aiming to build myself a nice set of mental defenses against the coming storm.

I went to my first session, wanting to talk about my anxiety over going on maternity leave. I loved my job, and I didn’t know how I could stand to be at home all day every day with a baby. We talked about it. I cried a little.

No, I didn’t. I cried a lot. I cried so much that I couldn’t even talk. I just sat there on the couch, sobbing so hard that my unborn baby started squirming, and the psychologist had to go get a second box of tissues. I did that for a whole hour, all the while trying to gasp out explanations for my behaviour. Hormones, obviously. Stress. Fear of change, of the unknown. I knew all my triggers.

Didn’t I?

Later that night, I was at home when there was a knock at my front door. There was a lady standing there who I recognised, although she didn’t know me. She was the niece of a work colleague – and she was a drug addict who was mixed up in all kinds of bad things that I’d been hearing about for weeks at work. She asked me if I could give her a lift into town. Odd request from someone you don’t know and I blurted out the question, “What for?”

She informed me that she was out of her anti-psychotic medication, and if she didn’t get to the pharmacy as soon as possible she was going to end up really sick.

Yikes. I threw out the first excuse I could think of – I told her I was pregnant and tired, and I couldn’t do it.

Mistake. Her eyes shot to my belly, and she spent the next couple of minutes telling me how lucky I was, and how she wanted her own baby, and… And by that point, my other mental dance partner was knocking loudly on the door of my brain – anxiety. I got her to leave, to go ask a different random stranger for that lift, and then I stayed awake. All. Night.

Convinced, utterly convinced, that she was coming back with a knife, and she was going to try to take my child from me.

By the time my next therapy session came around a week later, I wasn’t just a bawling mess- I was a shaking, hysterical, terrified mess, convinced that some kind of evil was heading my way. No ifs or buts about it, something bad was going to happen – from this girl, random strangers, an accident – I was sure that either my baby or I was in trouble, and no amount of logic or reasoning could sway my reptilian brain centre from this fear response.

And at that point I realised that this time, my depression and my anxiety had snuck around that safety valve, and I was in the extremely intense grip of something they hadn’t talked about in any of my childbirth classes:

Antenatal depression.

Before the baby arrives, you’re supposed to be the glowing mother-to-be, fondly looking forward to the arrival of your new little one, taking it easy, enjoying your last days of freedom. Sure, you might get depressed once you’re sleep deprived, struggling to breastfeed and awash with postpartum hormones, but before the birth – no, that’s all supposed to be sunshine and moonbeams.

I was ever so glad I’d gone to that first therapy session, because otherwise I would have been running up against all these feelings with a baby in my arms. Or not, as the case so happened – it turns out I wasn’t wrong about my dire predictions, and everything did in fact go horribly wrong. But by that stage, despite a crash c-section, my baby being airlifted away from me, a month in the NICU, I found myself able to handle some of the greatest stress I’ve ever experienced without breaking down. By that stage, I was seven weeks into my therapy course, taking antidepressants, and acknowledging my fears.

From the simplest (fear of being bored) to the most complex (fearing that I’d end up being too much like my own mother and would turn my daughter into just this kind of wreck), I had faced down those issues, broken them into pieces, examined them, and found that they weren’t as scary as I thought. I’d come to understand some of the most important rules of becoming a mother; first, you can’t control what happens, so you just have to roll with it; second, your best is absolutely good enough; third, you can’t predict the future, so there’s no point guessing.

So, I guess this leads me to a few points about my experience of antenatal depression:

1. It exists, and it’s not always the hormones. If you feel down, anxious or sad to a degree where it starts affecting your life or your enjoyment of life, go see someone about it. Your doctor, your therapist – it never hurts to talk, whether you conclude in the end that you’re depressed or not. You might end up with post-partum depression and be glad you put those defenses in place nice and early.
2. I was terrified of taking antidepressant drugs during pregnancy for fear they might cause problems for my child. There are safe antidepressants you can take, and my personal experience was that the pregnancy hormones meant I had greater need for the medication than on previous occasions. My daughter’s problems, FWIW, were most certainly unrelated to the drugs, although when I weaned her from breastfeeding at 18 months, I was still taking the medication and as a result she went through a withdrawal process over about a week. She was a most unpleasant character during that week, but both before and after that, she was/is the same happy, delightful little person she’s always been.
3. There’s no law saying you have to be delighted about everything baby-related. Birth? Bonding? Nappies? Cracked nipples? Pah! But in addition to those, of course, you get that milky new baby smell, smiles and cuddles, first words and steps and everything else that’s wonderful about kids. Taking a realistic view of the potential downers is important. Don’t expect it all to be utopia, but don’t expect it all to be terrible, either. Parenthood is, of course, a buffet that serves up a little awesome, a little awful, and you never know which you’re going to get.