Depression (including Postnatal Depression)

Depression is a common and serious mental health condition that negatively affects how a person feels, thinks, and behaves. It is characterised by persistent feelings of sadness, hopelessness, or emptiness, and can lead to a range of emotional and physical problems. Depression is more than just a passing mood or temporary feelings of sadness; it can interfere significantly with daily life and functioning. Postnatal depression (PND) is a type of depression that some individuals experience after giving birth. It typically develops within the first few weeks or months after childbirth but can sometimes appear later. This condition affects the emotional and psychological well-being of the parent and may interfere with their ability to care for their baby or themselves.

Key Features of Depression

  1. Emotional Symptoms:

    • Persistent sadness or low mood

    • Feelings of hopelessness or helplessness

    • Irritability or frustration

    • Loss of interest or pleasure in activities once enjoyed (anhedonia)

  2. Cognitive Symptoms:

    • Difficulty concentrating or making decisions

    • Negative thoughts or self-criticism

    • Recurrent thoughts of death or suicide

  3. Physical Symptoms:

    • Changes in appetite or weight (either loss or gain)

    • Sleep disturbances (insomnia or excessive sleeping)

    • Fatigue or lack of energy

    • Physical aches or pains without a clear medical cause

  4. Behavioral Symptoms:

    • Withdrawal from social activities or relationships

    • Decreased productivity at work or school

    • Neglect of personal care or responsibilities

Causes of Depression

Depression can result from a combination of factors, including:

  • Biological Factors: Imbalances in brain chemicals (neurotransmitters), genetic predisposition, or hormonal changes.

  • Psychological Factors: Stress, trauma, grief, or low self-esteem.

  • Environmental Factors: Financial problems, relationship conflicts, or lack of social support.

  • Medical Conditions: Chronic illness, pain, or certain medications.

Types of Depression

  • Major Depressive Disorder (MDD): Severe symptoms that last at least two weeks and interfere with daily life.

  • Persistent Depressive Disorder (PDD): A chronic form of depression lasting two years or more.

  • Postpartum Depression: Depression occurring after childbirth.

  • Seasonal Affective Disorder (SAD): Depression related to changes in seasons, typically in winter.

  • Bipolar Disorder: Episodes of depression alternating with periods of mania.

Treatments for Depression

Depression is treatable, and effective interventions include:

  1. Talk Therapy: A variety of modalities are available to suit different presentations and personalities.

  2. Medications: Antidepressants to help regulate brain chemistry.

  3. Lifestyle Changes: Regular exercise, a healthy diet, sufficient sleep, and stress management.

  4. Support Groups: Sharing experiences with others facing similar challenges.

If you suspect that you or someone you know has depression, seeking a comprehensive evaluation is the best first step. It can help to confirm the diagnosis and develop a tailored treatment plan. The Soke offers assessment and treatment pathways for both adults and children, in our Chelsea and Wimbledon sites. We also provide support and training for individuals & families, as well as as for organisations, who want to better manage the relationship with the diagnosed individual. Please contact our Client Services team to discuss your symptoms - or the symptoms of your loved one - so that they can guide you towards the most appropriate solution to suit your particular circumstances. They can also be reached on 020 7139 5051.