Perinatal Depression

What is Perinatal Depression?

Perinatal depression refers to Depression that occurs during the perinatal period, which spans from pregnancy to one year postpartum. A person may experience depression during pregnancy (known as prenatal depression). If not adequately addressed, the depression may persist or worsen after the birth of the baby (postpartum depression). It is also possible to experience postpartum depression without having had antenatal depression.

Symptoms of Perinatal Depression

• Low mood
• Feelings of exhaustion
• Difficulty concentrating and making decisions
• Irritability or nervousness
• Low self-esteem – feeling worthless (“I’m not good enough as a mother/father”)
• Feelings of emptiness
• Despair
• Loss of interest in once enjoyable activities
• Difficulty interacting with others
• Aggression or indifference towards the partner and/or baby
• Insomnia that is not related to the baby’s needs
• Decreased interest in sex (after the doctor’s advised period)
• Increased or decreased appetite
• Suicidal thoughts

What is the difference between ‘Baby Blues’ and Perinatal Depression?

The arrival of a baby brings about physical (hormonal changes), emotional (stress/sadness), and behavioral changes (responsibilities, lack of sleep). It is a life event that can cause discomfort, anxiety, and sadness.

“Baby blues” refers to a temporary period of mood swings, irritability, and sadness within the first two weeks after childbirth.

However, if symptoms persist beyond two weeks, the person may be experiencing Perinatal Depression. Unlike the “baby blues,” Perinatal Depression involves more intense symptoms that are difficult to manage.

Psychotherapy for Perinatal Depression

Cognitive Behavioral Therapy (CBT) has been scientifically proven to be an effective treatment for Perinatal Depression. Additionally, Acceptance and Commitment Therapy (ACT) is an evidence-based approach for managing depression.

In therapy, we will explore the depressive symptoms you may be experiencing, whether they are occurring for the first time or have been present in the past and have intensified during the perinatal period. We will develop a treatment plan using evidence-based methods to address your specific challenges and meet your overall needs. For more information about my therapeutic approach, please refer to the relevant section of the website.

In some cases, treating depression may involve a combination of psychotherapy and psychiatric care, including medication.

Furthermore, our approach encourages collaboration with your obstetrician to ensure that your physical needs are also considered in the treatment process, ensuring you receive optimal and holistic support.

Regarding suicidal thoughts (Greece)

• International helplines: Lifeline offers a network of crisis helplines worldwide. You can visit their website to find local helplines in your country: Lifeline International
• Greek helplines: If you are experiencing suicidal thoughts, please call the 24-hour support line at 1018 – Kli or contact the psychiatric department of the nearest hospital. You can also call the National Emergency Service at 166 for immediate assistance.

Resources on Perinatal Depression

What is Perinatal Depression:

• Depression in Pregnancy, Tommy’s
• Antenatal and Postnatal Depression, PANDAS
• Postnatal Depression, NHS

Videos on Perinatal Depression: