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What is grief and how to cope with it

What is grief and how to cope with it

Written by Liza Linde, Clinical Psychologist
Mondia Health Woodlands, Bloemfontein
3 December 2024

Grief is defined as a natural and deeply personal response to loss.  It is the experience of coping with a loss, and the absorption, adjustment, acceptance and endurance of it.

The death of a loved one, loss of a job, end of a relationship, loss of health or even loss of identity all form part of the experience of grief.

Grief is unique to each person, as unique as our personality and our relationship with the person or situation was.  The task of grief is not to finish and move on but rather an element of yourself, an alternation of your being and a new way of seeing yourself.

The complexity of grief is often overlooked and seen as hanging onto the loss rather than the multifaceted nature of it.  Grief manifests itself emotionally, mentally and physically. Getting to know your grief and not fearing it is important. Grieve in whatever way feels right for you.  Meet yourself right where you are every single day.  Don’t allow the world around you to demand you to meet them where they need and want you to be. The more aware you are of your grief process the more equipped you will feel to create movement during a challenging time.

Grief awareness involves recognising that this emotional experience is normal and crucial for individuals, families and communities to normalise grief.   This will allow for open conversations about loss to take place and stigmatisation and isolation not to interfere with the process.  The more acknowledgement there is about grief, the less misunderstandings there will be and unrealistic expectations of how one must grieve.  Having an idea of what normal grief looks like helps in creating awareness.

It’s normal to:

  • Feel great one minute and feel you’re falling to pieces the next minute.
  • Avoid things and people that remind you of your loss.
  • You move in and out of acceptance, denial, bargaining, anger and depression, have been termed the five stages of grief. The five stages of grief model marks universal stages in learning to accept loss.  These stages are not linear in nature and rather emphasises the importance of flexibility in what you experience. (Elisabeth Kubler-Ross, 1969)
  • Not be interested in activities and a desire to be alone.
  • Feel like no one else can understand the magnitude of your loss and feel the pressure to get over it quickly.

When there is a lack of awareness and openness about grief, a lot of things are not talked about.  Secondary losses such as loss of support system, loss of financial security, loss of confidence, loss of faith, loss of dreams for the future are overlooked.

You might lose weight, you might put on weight, you might not sleep, you might sleep constantly, and you might notice you get ill more often.

You might have a delayed experience of grief.  Your grief might be complicated by other comorbid conditions such as depression, anxiety and substance abuse.  Grief (trauma) brain lasts for a long period and is often associated with brain fog and short term memory impairment.

People think that grief slowly gets smaller with time, however, grief stays the same size, but slowly life begins to grow bigger around it.

During the grief process when happiness is experienced, it is often accompanied by guilt. Being aware of the duality of grief helps to make space for all emotions to be experienced.  Even a sense of relief.

Grief burnout especially during the holidays is when a series of triggers, special days or anniversaries pile up on one another.

Grief awareness is about understanding that grieving is a unique, complex and ongoing process.  It’s vital to recognise that grief does not follow a fixed timeline and healing happens in its own time.  With empathy, acknowledgement and patience, individuals can better cope with grief, The goal being to form new connections with their life and their surroundings.

Here are some ways you can hold space for yourself during the grief process:

  • I allow myself to feel my grief and then let it go. Give space to feel my feelings.
  • My life continues and I am worthy of living to the fullest.
  • I find strength in reaching out for help as it’s okay that I need time to grieve.
  • Journaling about my grief to help me be aware of the hardest parts of my day and what my triggers are.

If you are feeling your grief process is too much and you don’t feel emotionally safe to cope with your day to day, please seek professional support.  Therapy, counselling and support groups are available.  Remember you are not alone and sharing your experience can reduce the intensity of your feelings. Validate what you are going through and reach out for help! 

For help or more information, contact any Mondia Health facility near you.  Visit www.mondiahealth.co.za or call the 24-hour helpline at 076 509 4011

Stress management in Children and Adolescents – handy tips on how to handle

Stress management in Children and Adolescents – handy tips on how to handle

Stress Management in Children and Adolescents

Written by Varsha Pillay

Facility Manager for Mondia Health Umhlanga

29 October 2024

Stress Awareness Day is on 6 November 2024.   Stress and the management thereof in Children and Adolescents are very relevant, especially at the end of the year,  with school and post matric examinations taking place.  

Stress management in children and adolescents is a critical aspect of their over-all wellbeing. As children navigate the challenges of growing up, they are increasingly exposed to various stressors that can impact their mental and physical health.

Chronic stress can lead to anxiety, depression and decreased academic performance, making it essential for parents, caregivers, and educators to equip children with effective stress management techniques.

As a parent, it is essential to help your children develop healthy coping mechanisms to manage stress and anxiety. Remember, every child is unique, so it is essential to introduce them to a variety of techniques to find what works best for them.

Below are some tips to help you help your children to relax.

  1. Model calm behaviour: Kids learn from what they see, so make sure you are modelling calm and relaxed behaviour yourself. Take deep breaths, count to 10 or take a break when you feel overwhelmed.
  2. Reframe your supporting conversations: Our brains register objects as pictures, hence saying things like “Do not stress’, immediately creates an image of stress. Rather use sentences such as “relax, you got this”, “focus, take a deep breath”.
  3. Encourage open conversation: Create a safe space where your child feels comfortable opening up about their feelings. Listen attentively to what they say and avoid interrupting or offering solutions right away.
  4. Teach relaxation techniques: Introduce simple relaxation techniques like deep breathing, progressive muscle relaxation or guided imagery. You can find plenty of child-friendly resources online, including videos and apps.
  5. Encourage physical activity: Regular exercise is a great stress- reliever for kids. Engage them in fun physical activities like dancing, jumping rope or playing their favourite sports.
  6. Create a calming environment: Help your child create a cozy and calming space in their bedroom or play area. This could include dim lighting, soft music, or a favourite stuffed animal.
  7. Practice mindfulness together: Engage in mindful activities like yoga, meditation or simply paying attention to their breath. You can find guided session online that are suitable for children.
  8. Offer positive affirmations: Help you child develop a positive self-image by repeating affirmations like “ I can handle this, I am strong, I am capable”
  9. Encourage creative expression: Allow your child to express their emotions through drawing and writing for example.
  10. Teach problem solving skills: Encourage your child to identify problems, brainstorm solutions and take action. This helps them feel in control and builds more confidence.
  11. Schedule downtime: Make sure that your child has enough rest time to recharge. Establish a consistent bedtime routine and create opportunities for relaxation during the day too.

Tips for children and Adolescents

  1. Deep breathing exercises: Take slow, deep breaths in through your nose and out through your mouth. This helps calm the mind and body.
  2. Physical activity: Regular exercise in crucial for healthy minds and bodies – dance, play your favourite sport to release endorphins which are natural mood-boosters
  3. Creative expression: Chanel emotion in a healthy way by drawing, painting or creating art to express your feelings.
  4. Talk it out: Have open conversations with a trusted adult, such as a parent, teacher or counsellor, talking about your feelings can help you process and release stress.
  5. Mindfulness: Techniques such as Focus on the present moment. Grounding techniques using your five senses- 5 things you can see, 4 things you can touch, 3 things you can hear, 2 things you can smell and 1 thing you can taste.
  6. Healthy sleep habits: Have a consistent bedtime routine – aim for 8 to 10 hours of sleep each night to help regulate stress hormones.
  7. Relaxation techniques: Progressive muscle relaxation, visualisation or guided imagery techniques can help you unwind and relax. Ask an adult to assist with online services.
  8. Positive self-talk: Practice positive affirmations. Look into a mirror and speak this affirmations to yourself – “I can handle this, I am strong and capable, I am the best, today is MY day,  I am a winner”
  9. Time Management: Prioritise tasks, break them down into smaller steps and take regular short breaks to avoid feeling overwhelmed.
  10. Laugh it off: Read a humorous book, watch funny videos. Laughter if a great way to relieve stress and boost your mood.

For more information about stress management and programs to support children and adults, please contact your nearest Mondia Health Facility.  Visit www.mondiahealth.co.za

Mental Health Awareness Month: Why We Must Prioritize Mental Wellness

Mental Health Awareness Month: Why We Must Prioritize Mental Wellness

Written by Marisa Hendersen, CEO of the Mondia Health Hospital Group

As we enter into Mental Health Awareness Month, it is crucial to spotlight the mental health crisis facing South Africa today. The country has one of the highest prevalence rates of mental health disorders in the world, yet it struggles with a shortage of mental health professionals, inadequate services, and limited resources. These challenges stem from a complex mix of economic, political, and educational factors, along with increasingly fast-paced modern lifestyles.

Mental health is not just about feeling good emotionally—it affects all aspects of life. Conditions like depression and anxiety can disrupt performance at work or school, strain relationships, and diminish the ability to contribute meaningfully to society. Depression alone has become a leading cause of disability in South Africa, impacting millions of people. Despite the growing global focus on mental health, individuals suffering from mental health conditions often face significant stigma and discrimination. It is time to raise awareness, reduce stigma, and improve access to quality mental health care in our country.

Mental health conditions such as depression, anxiety, and substance abuse disorders are widespread in South Africa, affecting all demographics. Studies show that up to 30% of South Africans will suffer from a mental illness at some point in their lives. Despite these alarming numbers, access to mental health care remains limited, with only 0.3 psychiatrists per 100,000 people, according to the South African Depression and Anxiety Group (SADAG).

The country’s public health system is woefully under-equipped to handle the demand for mental health services, with the private sector absorbing much of the need. This divide leaves many vulnerable people, particularly in rural and impoverished areas, without the care they need. The shortage of mental health professionals, coupled with resource constraints, exacerbates the problem. As a result, many people are left to cope with their mental health challenges on their own, leading to adverse outcomes such as unemployment, homelessness, and even suicide.

Depression has emerged as a common health issue and a leading cause of underperformance and disability in South Africa. Often misunderstood and stigmatized, it is essential to recognize that depression is a medical condition that requires proper treatment. Untreated depression can lead to serious physical, emotional, and social consequences. Unfortunately, the stigma around mental health disorders prevents many people from seeking the help they need.

“People with mental health conditions often experience stigma, discrimination, or even severe human rights violations,” says Marisa Henderson, CEO of Mondia Health, a psychiatric hospital group that provides comprehensive mental health and addiction treatment. “It is essential to increase awareness and reduce stigma around mental health, increase access to quality mental health care, and identify new treatments or improve existing treatments for all mental disorders.”

Mondia Health is committed to help address and alleviate the mental health challenges in South Africa. The hospital group offers treatment and support for individuals struggling with mental health and addiction issues. Their approach revolves around the belief that it is okay not to be okay and that seeking help is a sign of strength, not weakness. They work together in teams that include Psychiatrists, Psychologists, Occupational therapists, Social workers, Counsellors, Nurses and admin staff to ensure that patients get the best possible treatment, that is tailor-made to their specific needs.

Marisa Henderson and her team at Mondia Health aim to create an environment that supports mental well-being. While the Psychiatrists and Psychologists focus on the diagnosis and management of medication and symptoms, Mondia Health’s treatment programs are designed with a focus on holistic wellness and building necessary skills to be able to thrive, instead of just survive. Henderson explains, “At Mondia, we talk about ‘wellness’ a lot because it is at the heart of our approach. A wellness lifestyle enables us to provide a continuum of care to our patients, helping them thrive despite life’s ongoing external and internal challenges.”

Mondia Health incorporates a multi-dimensional approach to wellness that touches on various aspects of an individual’s life. Henderson and her team focus on these eight dimensions to promote a balanced, healthy lifestyle:

  1. Emotional Wellness: Managing emotions and fostering a positive self-image.
  2. Physical Wellness: Maintaining physical health through activity, nutrition, and sleep.
  3. Social Wellness: Building and maintaining supportive relationships.
  4. Intellectual Wellness: Continual learning and intellectual growth.
  5. Occupational Wellness: Finding personal satisfaction in one’s work and career.
  6. Financial Wellness: Managing financial resources effectively.
  7. Environmental Wellness: Understanding how our surroundings affect our health.
  8. Spiritual Wellness: Finding purpose and meaning in life.

This wellness framework emphasizes that good mental health is not simply the absence of illness but the presence of a well-rounded, balanced lifestyle. By addressing these eight dimensions, individuals can revitalize themselves and build resilience to cope with life’s inevitable challenges.

To break the cycle of stigma and discrimination surrounding mental health, it is essential to have open conversations. Mondia Health encourages everyone to acknowledge their mental health needs, seek support, and promote mental health awareness. In doing so, we can begin to tackle the mental health crisis in South Africa and ensure that everyone has access to the care and support they deserve.

As Viktor E. Frankl once said, “Those who have a ‘why’ to live can bear with almost any ‘how.'” Mondia Health embraces this philosophy, helping patients find their “why” through wellness-focused care, ensuring that they can navigate the “how” of life’s challenges.

During  Mental Health Awareness Month, let us all commit to fostering a culture of mental health awareness and care. Whether through supporting loved ones, seeking treatment, or promoting education about mental health, we all have a role to play.

Remember, it’s okay not to be okay, and seeking help is the first step toward healing.

For more information about Mondia Health facilities in your area, visit www.mondiahealth.co.za.  For immediate help with mental health, call Mondia Health 24-hour helpline at 076 509 4011.

Suicide – be aware!

Suicide – be aware!

Written by Mondia Corporate Care

18 September 2024

  1. 10 September 2024 is World Suicide Prevention Day. What is this all about?  

World Suicide Prevention Day is an awareness day always highlighted on the 10th of September every year, in order to provide worldwide commitment and action to prevent suicides, with various activities around the world since 2003.

  • According to the World Health Organisation, more than 720 000 people die due to suicide every year.
  • Suicide is the third leading cause of death among 15–29-year-olds.
  • Seventy-three percent (73%) of global suicides occur in low- and middle-income countries.
  • The reasons for suicide are multi-faceted, influenced by social, cultural, biological, psychological, and environmental factors present across the life-course.
  • For every suicide there are many more people who attempt suicide. A prior suicide attempt is an important risk factor for suicide in the general population.

 

  1. Why do people consider suicide?

To those who have not experienced severe feelings of depression and hopelessness, it is often difficult to understand what drives so many individuals to take their own lives.  A suicidal person is in so much pain that they cannot see any other option.

Suicide is a desperate attempt to escape suffering that has become unbearable. Blinded by feelings of helplessness, hopelessness and isolation, a suicidal person cannot see any way of finding relief except through death.

Despite their desire for the pain to stop, most suicidal people are deeply conflicted about ending their own lives.  They wish there was an alternative to suicide, but they just cannot see one.

 

  1. What are the main reasons for suicide or suicide attempts?

Depression, Substance Abuse, Bullying, Trauma, Stress, Domestic Violence and Physical illness can be a reason for suicide or suicide attempts.

Suicidal thoughts do not happen overnight and are not caused by a single reason.  People become suicidal for multiple reasons.  It is very important to remember that people who feel suicidal and attempt to die by suicide may, not necessarily want to die.  They may feel like a burden to those around them and believe nothing will ever change.

 

  1. What are the typical risk factors to know about, when it comes to suicide?

Suicide does not discriminate, anyone of any race, gender, age or socio- economic status may feel suicidal.  Even someone who seems to have it all, can be vulnerable to suicide.

Risk Factors: 

  • Mental Health issues, like Bipolar Disorder, Depression and Anxiety disorders
  • Gender based violence and abusive relationships
  • Physical Health conditions like a terminal illness or chronic illness.
  • A recent Trauma or life crisis like the death of a loved one.
  • Work stress, unemployment, or job loss
  • Relationship issues – fights, separations, break-up divorce etc.
  • Financial problems or debts
  • History is an important contributor.  Previous suicide attempts and a family history of suicide.

 

  1. Can suicide be prevented?

THE GOOD NEWS IS THAT AT LEAST 75% of SUICIDES can be prevented.

There are a few things you can look out for.   See the warning signs.

In most cases, a person who is feeling suicidal will show some warning signs.   These should always be taken seriously and acted on immediately:

  • Long-lasting sadness and mood swings
  • Withdrawing from others or isolation
  • Loss of interest in things they used to enjoy
  • Changes in personality, appearance, sleeping and eating patterns
  • Self-harmful behaviour like drinking and daring, having unsafe sex, increased use of drugs and alcohol.
  • Making preparations, like putting personal business in order, making a will, visiting friends and family members, giving away personal possessions.
  • Talking about death – saying things like “I want to die” , “ the world would be a better place without me” , “what’s the point” , “nothing will ever change”.
  • Assessing lethal means like buying a gun or stocking pills.
  • Every threat of suicide should be taken seriously.

 

  1. What should you do, when you recognise some of these warning signs in your own life?
  • Get professional help.
  • Call a crisis helpline for advice and referrals to see a mental health professional such as a psychiatrists, psychologist, social worker or GP.
  • Follow up on treatment. If a doctor prescribes medication, make sure you follow the treatment plan.
  • Make positive lifestyle changes, such as a healthy diet, getting plenty of sleep and getting out in the sun or into nature for at least 30 minutes each day.
  • Exercise is also extremely important as it releases good brain chemicals that make you feel well, relieves stress, and promotes emotional wellbeing.
  • Make a safety plan with steps to follow when you feel overwhelmed or suicidal again.  It should include contact numbers of your doctor or therapist, as well as friends and family members who will help in an emergency or who can help with coping strategies.

 

  1. Why we should not be afraid to reach out?
  • Talking about mental health show great strength.
  • It is okay to express how you are thinking or feeling.
  • It is okay to not feel okay.
  • It is okay to show you are struggling or want some help.

 

  1. How can you help a loved one, when you identify the warning signs?
  • Let the person know that you care about them, and that they are not alone.
  • Practice an empathetic response with a phrase like, “I can’t imagine how hard or painful this time is for you, but I’d like to try to understand”.
  • Avoid judgement – try not to criticize or blame the person. Avoid saying things like …”Why do you feel suicidal”, or “You shouldn’t feel this way”.
  • Ask about their reasons for living and dying and listen to their answer.  Try your best to explore reasons for living in greater detail.
  • Ask if they have a plan for ending their life.  If they have a plan, encourage them to seek help that they are comfortable with, e.g. see a therapist of doctor or contact a helpline.
  • If they do not have a plan, focus on the people they care about, who cares about them and reassure them that this feeling won’t last forever.
  • Be proactive.  People considering suicide often don’t believe they can be helped. So don’t wait for the person to reach out.  Drop by or call them.  Your support is vital.
  1. Where can you get help?

Please contact our 24-hour helpline at 076 509 4011 for immediate assistance or visit www.mondiahealth.co.za and get in touch for your nearest Mondia Health Facility, where you can be connected to a mental health specialist.

Sources:

www.mondiahealth.co.za

www.sadag.org (SADAG – South African Depression and Anxiety Group)

www.swho.int  (World Health Organization)

How to manage your stress during challenging times

How to manage your stress during challenging times

Written by Melissa Schoeman and Elizta du Plessis.  

Mondia Corporate Care

18 September 2024

Challenges are part of life. We cannot always choose the type of challenges we are faced with, or the date of their arrival, but we can be proactive and choose how we react and deal with them.

We often seek advice or outlets when we are amid a challenging time.

Imagine going grocery shopping, and only when you reach the cashier, you stop to ask yourself if you have money available in your wallet or in your bank account to pay for the groceries? We don’t, as it is too risky to show up unprepared. So, we usually make sure to take cash or take time to budget and check if we have funds available for the purchase.

Stress management should be approached in a similar way. Its about taking time to ensure you deposit coping skills and positive experiences into your “stress management account”. This account or store gives you a resource to rely on during challenging times.

If we start looking for resources to rely on when the challenge is already there, it makes it so much more difficult to figure out what coping skills work for you, as you are already overwhelmed, and your brain cannot take in new information.

At Mondia Health, we believe in using the 8 dimensions of wellness to establish a “stress management savings account” for yourself.

There are 8 dimensions of wellness:

  • Physical: Includes a lifestyle choice to ensure balance and being physically active in some way to avoid preventable diseases
  • Social: Making time for healthy relationships, social stability, and peace.
  • Emotional: Being aware of your emotions and motives, taking time to develop emotional intelligence.
  • Intellectual: Developing your knowledge and skills to live a stimulating life.
  • Spiritual: Give meaning and purpose to your life through connectedness with self, others, and a power greater than yourself.
  • Financial: Creating a sense of security. Finding ways to life within your means.
  • Occupational (work or school): Creating a healthy work-life balance, managing workplace stress, and building and maintaining relationships with your co-workers or peers.
  • Environmental: Interaction with nature and being more aware of your personal environment and the impact of it on your mood.

Just like planning your wardrobe and getting dressed every day, we suggest waking up every morning and intentionally planning an activity to promote one or more of your 8 dimensions of wellness.  This will accumulate savings into your wellness savings account.

For example: if you have 20 minutes that you usually spend on or driving, you can stack habits and use that time to invest in one of your wellness dimensions. During that 20-minute drive, you might phone a friend over your Bluetooth car speaker and invest in social wellness or listen to an interesting podcast for your intellectual wellness.

Worst case scenario, if a challenge should surface the following week, you can phone that same friend for support, as they are already filled in on your life. Perhaps the podcast you just listened to had great advice you can now practice.

Personally, I have first-hand experience that waking up 20 minutes earlier, and starting my day with 20 minutes stretching, or planning my day, sets the tone for my entire day.  If something unexpected happens that day, I can borrow some of the calmness from the gentle stretching and day planning from that morning.

Here are a few activity ideas for each dimension:

  • Physical: Jogging, Pilates, Stretching, ensuring enough sleep, Eating breakfast
  • Social: Spending time with friends, attending social events, phoning out of town relatives
  • Intellectual: Reading a good book, listening to a podcast, watching TEDx videos.
  • Financial: Budgeting, preparing lunches at home (spending responsibly).
  • Occupational: Planning your day ahead of time, drinking your coffee in a peaceful spot
  • Environmental: Declutter your desk, take a walk outside, listen to birdsong
  • Spiritual: Praying, meditating, volunteer work for a cause you believe in
  • Emotional: Reflecting on your day, time for selfcare and keeping a journal.

Stress management is very personal. What works for one person, does not work for another. Make sure you experiment with your 8 dimensions of wellness. Make a note of activities that made you feel lighter and keep it as a ‘cheat sheet’ for ideas to fall back on when life gets tough.

Sometimes professional help is needed to develop your personalized stress management plan, or if your situation is exceptionally challenging. You can reach out for help by contacting one of our national hospitals: https://www.mondiahealth.co.za

Post Partum Depression / Post Natal Depression

Post Partum Depression / Post Natal Depression

Written by Anne Wessels, Occupational Therapist, Mondia Health:  Dihlabeng

3 September 2024 

The birth of a baby can start a variety of powerful emotions, from excitement and joy to fear and anxiety. But it can also result in something you might not expect — depression. Having a baby is a life-changing experience. Being a parent is exciting but can also be tiring and overwhelming. It’s normal to have feelings of worry or doubt, especially if you are a first-time parent. However, if your feelings include extreme sadness or loneliness, severe mood swings and frequent crying spells, you may have postpartum depression. Postpartum depression is not a character flaw or a weakness. If you have postpartum depression, prompt treatment can help you manage your symptoms and help you bond with your baby.

What Is Postpartum Depression?

Postpartum depression affects 1 in 7 women due to physical, emotional, and behavioural changes following childbirth. There are three types of postpartum mood disorders: baby blues, postpartum depression, and, in much rarer cases, postpartum psychosis which may include hallucinations, delusions, dissociation, and disorganized thinking and behaviour.

“Baby blues”

After childbirth, 70% of new moms experience “baby blues,” which typically last up to two weeks whereafter the condition usually subsides without treatment. The best thing you can do is find support and ask for help from loved ones.

Symptoms of baby blues:

  • Mood swings
  • Anxiety
  • Sadness
  • Irritability
  • Feeling overwhelmed
  • Crying
  • Reduced concentration
  • Appetite problems
  • Trouble sleeping
  • Severe fatigue
  • Lower libido

Postpartum depression

Postpartum depression can be mistaken for baby blues at first, but the symptoms are more intense and last longer. They can interfere with your ability to care for your baby and handle daily tasks. Symptoms usually develop within the first few weeks after giving birth, but may start earlier (during pregnancy) or later (up to a year after birth). New fathers can also experience postpartum depression, with about 1 in 10 affected during the year their child is born.

Symptoms of Postpartum depression:

  • Depressed mood or feeling of emptiness
  • Severe mood swings
  • Crying all the time, often for no reason
  • Difficulty bonding with your baby
  • Withdrawing from family and friends
  • Loss of appetite or eating much more than usual
  • Inability to sleep, or sleeping too much
  • Overwhelming tiredness or loss of energy
  • Loss of interest and pleasure in activities you used to enjoy
  • Intense irritability and anger
  • Hopelessness
  • Feelings of worthlessness, shame, guilt or inadequacy
  • Reduced ability to think clearly, concentrate, or make decisions
  • Restlessness, excessive worrying or feeling on edge
  • Severe anxiety and panic attacks
  • Thoughts of harming yourself or your baby
  • Recurring thoughts of death or suicide
  • Thoughts of hurting someone else

Postpartum Depression Risk Factors:

  • A history of depression prior to becoming pregnant, or during pregnancy
  • Age at time of pregnancy (the younger you are, the higher the chances)
  • Ambivalence about the pregnancy
  • Children (the more you have, the more likely you are to be depressed in a later pregnancy)
  • Family history of mood disorders
  • Going through an extremely stressful event, like a job loss or health crisis
  • Having a child with special needs or health problems or a baby who cries a lot
  • Having twins or triplets
  • Limited social support
  • Living alone or being a single parent
  • Financial struggles
  • Marital or relationship conflict
  • Pregnancy complications like health conditions, difficult delivery or premature birth.

 Postpartum Depression Treatment

Treatment options include anti-anxiety or antidepressant medications, psychotherapy, counselling, or participation in a support group. Hospital admission is also often necessary. You may also be admitted to a treatment centre for several days until you’re stable. If you are breastfeeding, talk to your doctor about medication for depression, anxiety, or even psychosis.

Postpartum Depression Complications

If left untreated, postpartum depression may lead to the following:

  • You can have trouble bonding with your baby and don’t establish a connection with them.
  • Children of mothers with postpartum depression are more likely to have problems with sleeping and eating, crying more than usual, and delays in language development.
  • Your child may have behaviour or learning problems.
  • Your child may be at higher risk for obesity or developmental disorders.
  • Your baby may have impaired social skills.

Postpartum Depression Prevention

Postpartum depression isn’t entirely preventable. Here are some tips that can help prevent postpartum depression:

  • Be realistic about your expectations for yourself and your baby.
  • Limit visitors when you first go home.
  • Ask for help — let others know how they can help you.
  • Sleep or rest when your baby sleeps.
  • Exercise — take a walk and get out of the house for a break.
  • Keep in touch with your family and friends — don’t isolate yourself.
  • Foster your relationship with your partner — make time for each other.
  • Expect some good days and some bad days.
  • Follow a sensible diet; avoid alcohol and caffeine.
  • Find time for self-care and doing things you enjoy, like reading or other hobbies.
  • Get help with household chores or errands.

If you have postpartum depression, know that you are not alone, it’s not your fault and that help is out there. Your healthcare provider can manage your symptoms and help you feel better.  For more information or assistance, contact your nearest Mondia Health Facility.  Visit www.mondiahealth.co.za for more information.