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    "result": {"data":{"sanityArticle":{"title":"Birth trauma and recovery ","_type":"article","datePublished":"14 February 2022","header":{"background":{"value":"#FFA688"},"headline":"Birth trauma and recovery  ","text":[{"_key":"d21de4deaac0","_type":"block","children":[{"_key":"acdd495ebba80","_type":"span","marks":[],"text":"During pregnancy, it's common to worry about what our birth experience will be like. Many of us expect that birthing our babies will be hard but rewarding work. 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It can also be a result of how you feel about your birthing experience."}],"markDefs":[],"style":"normal"},{"_key":"1d3e527df08d","_type":"block","children":[{"_key":"f8bc31e1832b","_type":"span","marks":["strong"],"text":"During your birth, you may have:"}],"markDefs":[],"style":"normal"},{"_key":"13514c263eb2","_type":"block","children":[{"_key":"bb4e96f70a7f","_type":"span","marks":[],"text":"Experienced pain or physical stress while giving birth."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"56617507eeab","_type":"block","children":[{"_key":"d5f9ee56f001","_type":"span","marks":[],"text":"Experienced emotional distress while giving birth."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5147844f77ec","_type":"block","children":[{"_key":"0d095a76ba9f","_type":"span","marks":[],"text":"Required medical intervention (any actions taken by your medical team if your baby’s health or your own is at risk)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"57a185bc44e2","_type":"block","children":[{"_key":"9773aefe6e75","_type":"span","marks":[],"text":"Felt shocked and unprepared for these sensations, feelings and interventions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b06896abb2e9","_type":"block","children":[{"_key":"ea72c95a110c","_type":"span","marks":[],"text":"Felt powerless, hurt, sad, abandoned, or frightened."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"91b920d0f442","_type":"block","children":[{"_key":"2937e82cb1fc","_type":"span","marks":[],"text":"Felt disrespected, unheard, or disregarded during the birth by healthcare providers, partners, or support people."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1a11f1b56d0e","_type":"block","children":[{"_key":"f8d39ed50ccd","_type":"span","marks":[],"text":"Feared for the safety of yourself or your baby during the labour or birth. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0664d0e71f08","_type":"block","children":[{"_key":"65277c036cc2","_type":"span","marks":[],"text":"Felt confused about the birth process and what was happening."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1c09cfa14b6d","_type":"block","children":[{"_key":"9199fed7e370","_type":"span","marks":[],"text":"Had a birth plan, but your birth experience was different from the birth you expected or hoped for."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e3f614168918","_type":"block","children":[{"_key":"3fd30bdbad9e","_type":"span","marks":[],"text":"Had inadequate pain relief."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a9f7d1ce34c9","_type":"block","children":[{"_key":"d7db652fa6d6","_type":"span","marks":[],"text":"Experienced ongoing physical complications from birth."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"258beed10044","_type":"block","children":[{"_key":"87b3cfe65816","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"282c8123fa61","_type":"block","children":[{"_key":"aa881a90c50e","_type":"span","marks":["strong"],"text":"TRAUMA IS AN INDIVIDUAL EXPERIENCE"}],"markDefs":[],"style":"h3"},{"_key":"bd9ded95330d","_type":"block","children":[{"_key":"2eed9fc0e167","_type":"span","marks":["strong"],"text":"Trauma is not always connected to physical pain, medical interventions or injury."}],"markDefs":[],"style":"normal"},{"_key":"dd876fb5d143","_type":"block","children":[{"_key":"712f16d05a35","_type":"span","marks":[],"text":"It’s common for parents and their partners to describe their labour as ‘normal’, even if they are left with confusing, ongoing symptoms such as anxiety or low mood. "}],"markDefs":[],"style":"normal"},{"_key":"878520c0d565","_type":"block","children":[{"_key":"d88da74ce3a7","_type":"span","marks":[],"text":"On the other hand, not everyone who experiences a medical emergency or intervention experiences their birth as traumatic."}],"markDefs":[],"style":"normal"},{"_key":"70e786950f34","_type":"block","children":[{"_key":"f0c3bf9643bb","_type":"span","marks":[],"text":"We know the emotional impact of the birth process can sometimes be overlooked within the medical system. Some parents may feel that their physical health receives a lot of attention while their emotional wellbeing may not be addressed to the same degree. Many parents end up pushing difficult feelings aside."}],"markDefs":[],"style":"normal"},{"_key":"8bc4a7d2adb2","_type":"quote","quote":"Most of the medical and support staff we spoke to afterwards seemed to be focused on the medical side of the birth rather than how we viewed the experience. This just made us feel worse, and that we just needed to accept it in silence and move on."},{"_key":"1ec89a0cb223","_type":"block","children":[{"_key":"7091ede12099","_type":"span","marks":[],"text":"If you’re finding it difficult to process your birthing experience or the birth felt distressing, your feelings are valid."}],"markDefs":[],"style":"normal"},{"_key":"aa5b11ab49fe","_type":"quote","attribution":"Lisa","quote":"I had my first panic attack the second day after the birth. On paper, my birth experience probably looked rather normal. It was traumatic for me."},{"_key":"8965842c5710","_type":"block","children":[{"_key":"a4420b3a0a63","_type":"span","marks":[],"text":"The way you feel about the whole experience can deeply affect your emotional wellbeing and mental health, attachment and bonding with your baby, and how you feel about being a parent."}],"markDefs":[],"style":"normal"},{"_key":"2628b0ee3cbe","_type":"block","children":[{"_key":"e47b8a67ac11","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"6c78d77b47ef","_type":"block","children":[{"_key":"30ee080f8adc","_type":"span","marks":[],"text":"BIRTH TRAUMA DOESN’T JUST AFFECT THE BIRTHING PARENT"}],"markDefs":[],"style":"h3"},{"_key":"a81936755782","_type":"block","children":[{"_key":"8a9526c2c610","_type":"span","marks":[],"text":"Babies can also be impacted by a traumatic birth. The use of tools to assist the birth, or traumatic events can be distressing for the baby and leave physical marks or injury. "}],"markDefs":[],"style":"normal"},{"_key":"91fa784783f8","_type":"block","children":[{"_key":"5d68f3a45d0d","_type":"span","marks":[],"text":"We also know that partners and other support people can feel traumatised by witnessing a traumatic birth. They may find it difficult to watch their loved one and their baby experiencing distress while birthing. They may feel powerless and unable or unsure of how to help their loved one. Partners also report feeling excluded from decision making and may feel overlooked or disregarded by medical and support teams. "}],"markDefs":[],"style":"normal"},{"_key":"210c6c70c23a","_type":"quote","attribution":"Chris, PANDA Community Champion","quote":"When bub was born, it was two and a half hours before I even touched him. I still feel traumatised by that. I was watching this student midwife holding Oscar up and going “Ohhh, aren’t you beautiful?” She got to cuddle and play with my kid before I did, and she didn’t even think to include me."},{"_key":"263d4beeaea5","_type":"block","children":[{"_key":"f7ce44144dfe","_type":"span","marks":[],"text":"Health care providers also commonly report the impacts of witnessing a traumatic birth on their emotional wellbeing. They may feel helpless or stressed by the situation. We encourage healthcare providers to discuss any distressing experiences with their supervisors. 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What about emotional support?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5634d68741cb","_type":"block","children":[{"_key":"241069a215430","_type":"span","marks":[],"text":"“I’d like to hear about your birth experience, because often our expectations of what will happen and the reality are very different. How was your birth?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec5f4720f6be","_type":"block","children":[{"_key":"839c22b650600","_type":"span","marks":[],"text":"“Feeding your baby can be hard and can create big demands on your time and energy no matter how you choose to feed. How are you coping with feeding your baby?” (this can also apply to starting solids. 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How are you feeling now that you (3 months, 6 months, 9 months) in to being a parent?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"67ccbcdbb628","_type":"block","children":[{"_key":"7d8b263ca2ea0","_type":"span","marks":["strong"],"text":"During the first year:"}],"markDefs":[],"style":"normal"},{"_key":"b03f146c3c39","_type":"block","children":[{"_key":"7ef2102d05770","_type":"span","marks":[],"text":"“Many parents find that months of interrupted sleep can start to take a toll. How are you feeling now that you (3 months, 6 months, 9 months) in to being a parent?”"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"dbbc628909d4","_type":"block","children":[{"_key":"ff845d3cc2ba0","_type":"span","marks":[],"text":"“Parenting can be quite isolating. Are you managing to get out and see friends and do things you enjoy?”"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"b7f47cf5edc2","_type":"block","children":[{"_key":"e58723a5825f0","_type":"span","marks":[],"text":"“How do you feel you are settling into your role as a parent?”"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"}],"question":[{"_key":"8656947b4a86","_type":"block","children":[{"_key":"6b6ce5fc328a0","_type":"span","marks":[],"text":"PANDA Practice Tips: Asking questions"}],"markDefs":[],"style":"normal"}]},{"_key":"b4bbbed656c0","_type":"faq","answer":[{"_key":"d51b97a49b5c","_type":"block","children":[{"_key":"1f4c39c5b5b80","_type":"span","marks":[],"text":"Often PANDA Helpline callers tell us that it’s been hard to find quality information about perinatal mental health challenges. 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This helps people get support in place when and if they need it\n"}],"markDefs":[],"style":"normal"},{"_key":"7cee859dca3d","_type":"block","children":[{"_key":"840246a2c676","_type":"span","marks":["strong"],"text":"Some helpful resources you can provide include:"},{"_key":"4f0f8793161f","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"},{"_key":"3a22fae1df8a","_type":"block","children":[{"_key":"512b609ae1f7","_type":"span","marks":["cf9e3a7a4dc7"],"text":"PANDA fact sheets and articles"},{"_key":"f5633960b069","_type":"span","marks":[],"text":"\n"},{"_key":"da9869ab197b","_type":"span","marks":["c5f1bc9f00bb"],"text":"PANDA Mental Health Checklist"},{"_key":"548bc2d2629e","_type":"span","marks":[],"text":"\n"},{"_key":"1308856ad0a4","_type":"span","marks":["e9bb2d436df9"],"text":"PANDA’s Mental Health Safe Plan"},{"_key":"a6c10ecd9555","_type":"span","marks":[],"text":"\n"},{"_key":"c82157d7de2b","_type":"span","marks":["84988fc7915d"],"text":"PANDA Parent and Baby Care Plan"},{"_key":"f85c6b544aa6","_type":"span","marks":[],"text":"\n"},{"_key":"c8c63d4beb38","_type":"span","marks":["8e7e060e681f"],"text":"Stories by people who have experienced perinatal mental health challenges"},{"_key":"d64aba26db9e","_type":"span","marks":[],"text":"\n"},{"_key":"2754d5905c63","_type":"span","marks":["8cc8f191af6c"],"text":"Pregnancy, Birth and Baby"},{"_key":"4f591acaeaf3","_type":"span","marks":[],"text":"\n"},{"_key":"d24585c42e01","_type":"span","marks":["e0ceb23e3677"],"text":"Raising Children Network"},{"_key":"4abc578a9375","_type":"span","marks":[],"text":"\n"},{"_key":"41a3a10f6683","_type":"span","marks":["815db298d564"],"text":"MumSpace - Perinatal Depression and Anxiety Support"},{"_key":"d2f2babe2f80","_type":"span","marks":[],"text":"\n"},{"_key":"35f73ad36bd8","_type":"span","marks":["f9ec5eb1c455"],"text":"HOME - DadSpace"},{"_key":"7aa5d056e5c5","_type":"span","marks":[],"text":"\n"}],"markDefs":[{"_key":"c5f1bc9f00bb","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/checklists/new-mums/"},{"_key":"e9bb2d436df9","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/mental-health-safe-plans-looking-after-yourself-and-your-loved-ones/"},{"_key":"84988fc7915d","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/parent-and-baby-care-plan/"},{"_key":"8e7e060e681f","_type":"link","blank":true,"document":{"_ref":"b7ccaec7-2753-4bd2-ab8d-6f8810ea3b4f","_type":"reference"},"linkType":"internal","url":"https://panda.org.au/stories/"},{"_key":"8cc8f191af6c","_type":"link","blank":true,"linkType":"external","url":"https://www.pregnancybirthbaby.org.au/"},{"_key":"e0ceb23e3677","_type":"link","blank":true,"linkType":"external","url":"https://raisingchildren.net.au/"},{"_key":"815db298d564","_type":"link","blank":true,"linkType":"external","url":"https://www.mumspace.com.au/"},{"_key":"f9ec5eb1c455","_type":"link","blank":true,"linkType":"external","url":"https://www.dadspace.com.au/"},{"_key":"cf9e3a7a4dc7","_type":"link","blank":true,"document":{"_ref":"832225a7-4aeb-49fc-bd68-7296172e2d82","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"question":[{"_key":"386f84527a9c","_type":"block","children":[{"_key":"4a411fba8a95","_type":"span","marks":[],"text":"Provide information and resources"}],"markDefs":[],"style":"normal"}]},{"_key":"4864cdbdfb8c","_type":"faq","answer":[{"_key":"72b5461337c4","_type":"block","children":[{"_key":"9eda1377a1de0","_type":"span","marks":[],"text":"Many people find it hard to talk about what they are experiencing. This includes intrusive thoughts of harm, suicidal ideation and other thoughts and feelings that people may find very difficult to share with you, or anyone else."}],"markDefs":[],"style":"normal"},{"_key":"ebc23abaa691","_type":"block","children":[{"_key":"692398a33a83","_type":"span","marks":[],"text":"If someone in your care chooses to trust you with their experience and story, it's important to listen closely and non-judgmentally to what they are saying.\nThis can encourage an honest conversation. As a healthcare provider, a more complete picture of what’s going on can be invaluable when you are collaborating on a personalised treatment or care plan."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"cb592e6e7a2b","_type":"block","children":[{"_key":"18e5d68b89470","_type":"span","marks":[],"text":"Manage your own responses to encourage sharing and honesty"}],"markDefs":[],"style":"normal"}]},{"_key":"267f4c961731","_type":"faq","answer":[{"_key":"563e1c4ab7e0","_type":"block","children":[{"_key":"d89500ba71450","_type":"span","marks":[],"text":"Often expecting and new parents will present a strong “mask of coping” with their family. friends and healthcare providers. It’s important to be attuned to the signs that someone may not be coping as well as usual, or adapting to pregnancy or parenthood as well as they’d hoped."}],"markDefs":[],"style":"normal"},{"_key":"e15791f4325d","_type":"block","children":[{"_key":"c8df6afd2f640","_type":"span","marks":["strong"],"text":"What to look for: Signs of perinatal mental health and wellbeing changes"}],"markDefs":[],"style":"normal"},{"_key":"4c9f979f8fd6","_type":"block","children":[{"_key":"b00fddb99e980","_type":"span","marks":[],"text":"You may notice changes to an expecting or new parent’s appearance, such as their body language and nonverbal expression, dress and personal hygiene. Or you may sense a change in the way they interact and communicate, from their tone of voice, speech and verbal expression to their thinking."}],"markDefs":[],"style":"normal"},{"_key":"53fff7d04dad","_type":"block","children":[{"_key":"552d7fba2cb00","_type":"span","marks":[],"text":"If you can see someone becoming more hesitant, tense or teary during your conversation, it’s always a good idea to pause a moment, share what you’re noticing, and ask if they’re okay."}],"markDefs":[],"style":"normal"},{"_key":"25603e4a848f","_type":"block","children":[{"_key":"46a150bf47320","_type":"span","marks":["strong"],"text":"What to listen for: Signs of perinatal mental health and wellbeing changes"}],"markDefs":[],"style":"normal"},{"_key":"5b6b0b47667f","_type":"block","children":[{"_key":"db6aecd51fc60","_type":"span","marks":[],"text":"Expecting and new parents may share these changes with you in conversation as well. These common statements made by expecting and new parents are possible signs they need extra support for their mental health and wellbeing:"}],"markDefs":[],"style":"normal"},{"_key":"dca987123b42","_type":"block","children":[{"_key":"615c0ad28e290","_type":"span","marks":[],"text":"“This isn’t what I expected at all\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"125cc39ac014","_type":"block","children":[{"_key":"c188b863e0310","_type":"span","marks":[],"text":"“I don’t feel a connection to my unborn baby – is that normal?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b102857c93bd","_type":"block","children":[{"_key":"9d0944af30930","_type":"span","marks":[],"text":"“I feel so tired and teary all the time, even if I’ve had enough sleep.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1ab7f441d519","_type":"block","children":[{"_key":"32328825d7a20","_type":"span","marks":[],"text":"“I feel so alone, even with family around. I miss my old life.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26fa98c8b25d","_type":"block","children":[{"_key":"ddd4df5712fe0","_type":"span","marks":[],"text":"“I can’t seem to switch off – there’s this feeling that something is horribly wrong.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e843117da0c4","_type":"block","children":[{"_key":"1826a24f53610","_type":"span","marks":[],"text":"“After the birth experience we had, I don’t want anyone else to care for my baby.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"73b4e14e1332","_type":"block","children":[{"_key":"8aad8ae7a1ff0","_type":"span","marks":[],"text":"“I’ve lost my appetite/I’m craving junk food, that usually happens when I’m stressed.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"03b2b16db368","_type":"block","children":[{"_key":"99b3577d7ee70","_type":"span","marks":[],"text":"“I don’t have words for how I’m feeling. I just don’t know.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"bd6e7b206493","_type":"block","children":[{"_key":"53ca4895767f","_type":"span","marks":[],"text":"Watch and listen"}],"markDefs":[],"style":"normal"}]},{"_key":"073fc61e8ca8","_type":"faq","answer":[{"_key":"c751705df92c","_type":"block","children":[{"_key":"53671b8463560","_type":"span","marks":[],"text":"It’s important to note that expecting and new parents may feel exhausted and stressed, and for many self-care has shifted in meaning or priority. Likewise, many people present ‘well’ during healthcare provider interactions but are feeling overwhelmed underneath a put-together exterior."}],"markDefs":[],"style":"normal"},{"_key":"01969bef7972","_type":"block","children":[{"_key":"a7601e6fb5590","_type":"span","marks":["strong"],"text":"Gently explore all signs of change."},{"_key":"a7601e6fb5591","_type":"span","marks":[],"text":" This includes asking the person how they are feeling as the conversation progresses, and allowing space for silence and pauses. Silence can be an opportunity and invitation for someone to share more."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"53bc98d02bc3","_type":"block","children":[{"_key":"02c03ab3227b0","_type":"span","marks":["strong"],"text":"Be inclusive."},{"_key":"02c03ab3227b1","_type":"span","marks":[],"text":" Culturally-inclusive support allows space for other beliefs and values in your care conversations. For example, in many cultures it’s a measure of respect when people avert their eyes or look down. In Western culture this might be interpreted as someone feeling withdrawn, bored, or anxious."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9cb879ca3c60","_type":"block","children":[{"_key":"945320d135210","_type":"span","marks":["strong"],"text":"Be direct. "},{"_key":"945320d135211","_type":"span","marks":[],"text":"For example: ‘I notice you keep looking at the floor as we’re talking about (your birth experience, settling baby, your appetite the past few weeks). It’s important to me that you feel comfortable, and I know some things can be hard to talk about. How are you feeling at the moment?’"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"cfa113d1d7d4","_type":"block","children":[{"_key":"0ca8762eade4","_type":"span","marks":[],"text":"PANDA Practice tips: Watching and listening"}],"markDefs":[],"style":"normal"}]},{"_key":"947cdfb730f7","_type":"faq","answer":[{"_key":"ca23936da339","_type":"block","children":[{"_key":"673f51f674350","_type":"span","marks":[],"text":"Suicide remains one of the leading causes of maternal death during the perinatal period in Australia. Mental health can also shift rapidly during pregnancy and early parenthood – feelings of hopelessness and despair can quickly change into thoughts of suicide and self-harm."}],"markDefs":[],"style":"normal"},{"_key":"906539880d3f","_type":"block","children":[{"_key":"bae7935826ab0","_type":"span","marks":[],"text":"Even if you ask directly if someone is having thoughts of suicide and they answer no, you may hear some of the statements below in your care conversations."}],"markDefs":[],"style":"normal"},{"_key":"c03c53dafdbe","_type":"block","children":[{"_key":"5aa93b7ff4e10","_type":"span","marks":[],"text":"If someone in your care expresses sentiments like these, it’s vital that you explore their wellbeing and safety."}],"markDefs":[],"style":"normal"},{"_key":"cdb701a17650","_type":"block","children":[{"_key":"a84656649ea70","_type":"span","marks":[],"text":"This may include asking again about suicide in your conversation. Sometimes people take a while to trust that they can share how they truly feel with healthcare providers. If you’re having a respectful, curious, non-judgemental discussion, you may find people choose to trust you with their experience as your care conversation progresses."}],"markDefs":[],"style":"normal"},{"_key":"6806296baffb","_type":"block","children":[{"_key":"9213696e096e0","_type":"span","marks":["strong"],"text":"Verbal signs of hopeless, despair, possible suicide ideation:"}],"markDefs":[],"style":"normal"},{"_key":"7da3f11c39a1","_type":"block","children":[{"_key":"a629b6f810d90","_type":"span","marks":[],"text":"“I feel helpless, I feel hopeless\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"90a5f14861ea","_type":"block","children":[{"_key":"f2c28a00a6650","_type":"span","marks":[],"text":"“Nothing will change, no one can help me. I’m beyond help.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68009c8fb8dd","_type":"block","children":[{"_key":"6f2654279b480","_type":"span","marks":[],"text":"“I just want to sleep all day… and not wake up.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"457042cff693","_type":"block","children":[{"_key":"7708dcbce1a80","_type":"span","marks":[],"text":"“I feel like running away or disappearing.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e02669accb1c","_type":"block","children":[{"_key":"b80364f3b0130","_type":"span","marks":[],"text":"“I can’t ever see things changing. I can’t do this anymore.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3607d8a62e03","_type":"block","children":[{"_key":"109e81e8eb1e0","_type":"span","marks":[],"text":"“I’m such a burden. They would be better off without me.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6887738f6492","_type":"block","children":[{"_key":"29bc586bf66a0","_type":"span","marks":[],"text":"“I just want this to end.\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"7ce7d371b261","_type":"block","children":[{"_key":"a73fdd4241940","_type":"span","marks":[],"text":"Signs of hopelessness or possible suicide ideation"}],"markDefs":[],"style":"normal"}]},{"_key":"6e71412be981","_type":"faq","answer":[{"_key":"c131c0bb8648","_type":"block","children":[{"_key":"ea99e3c56cfa0","_type":"span","marks":["strong"],"text":"Asking if someone is having thoughts of suicide or hurting themselves doesn’t increase the risk they will act on those thoughts. "},{"_key":"353926211ee3","_type":"span","marks":[],"text":"It’s often a relief to be asked about thoughts of suicide in a caring, curious and non-judgemental way."}],"markDefs":[],"style":"normal"},{"_key":"2b72169bbe96","_type":"block","children":[{"_key":"22da1300d5e50","_type":"span","marks":[],"text":"Asking about someone’s wellbeing and safety is the foundation of effective, meaningful perinatal mental health care. It really is that simple."}],"markDefs":[],"style":"normal"},{"_key":"4302c2c1de1c","_type":"block","children":[{"_key":"9d93ec1b5bc60","_type":"span","marks":[],"text":"Focus on being present with the person you’re supporting. Together, you can explore what they need to keep themself and their baby safe for now. Keep providing calm assurance that help is available."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"215584c2f734","_type":"block","children":[{"_key":"3a0165efa43b0","_type":"span","marks":[],"text":"It’s always a good idea to involve other support people in any risk management care plan:"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32b0b6ba0756","_type":"block","children":[{"_key":"278091ec7c9a0","_type":"span","marks":[],"text":"You can try calling the person’s supports and specialist mental health services if you are together, in person or online."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c3530d676c98","_type":"block","children":[{"_key":"f9373d481ea10","_type":"span","marks":[],"text":"If it’s between appointments or sessions and you have concerns, we encourage you to reach out directly to the person to provide support if time permits, and seek supervision and/or a secondary consultation as appropriate (e.g. PANDA, local mental health triage services)."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9eac731d0d8e","_type":"block","children":[{"_key":"9d258da66b95","_type":"span","marks":["e17ae05c0ae8"],"text":"Read more about perinatal sucide, including signs, safety and support options."}],"markDefs":[{"_key":"e17ae05c0ae8","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/perinatal-suicide-signs-safety-and-support-options/"}],"style":"normal"}],"question":[{"_key":"8b72c4caa304","_type":"block","children":[{"_key":"d8dc9aa05566","_type":"span","marks":[],"text":"PANDA Practice tips: hopeless or possible suicidal ideation"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"96eb64efea7a","_type":"block","children":[{"_key":"31d3bb3e83f70","_type":"span","marks":[],"text":"Individuals and families you’re supporting may not know that you can provide mental health support, treatment and/or referral. 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In Australia, the perinatal period is conception to 12 months after birth."}],"markDefs":[],"style":"normal"},{"_key":"61ef0c806b9d","_type":"block","children":[{"_key":"046177a29aba0","_type":"span","marks":[],"text":"Effective perinatal mental health care can make a real difference in a time of big changes. It can benefit parent/baby attachment, relationship challenges, and managing thoughts of harm to self or baby."}],"markDefs":[],"style":"normal"},{"_key":"17a5d23960d1","_type":"block","children":[{"_key":"246f89cf88780","_type":"span","marks":[],"text":"There are many care options available for expecting and new parents experiencing perinatal mental health challenges."}],"markDefs":[],"style":"normal"},{"_key":"a9cd7de2d6c9","_type":"block","children":[{"_key":"4c57ca2bb805","_type":"span","marks":[],"text":"This page is intended as a basic directory of many of the services available across Australia to support perinatal mental health. 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"}],"markDefs":[],"style":"normal"}],"question":[{"_key":"350630d10af7","_type":"block","children":[{"_key":"98bcd293e1760","_type":"span","marks":[],"text":"Step 5: Acute care and specialist support services"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"61d18ea10a58","_type":"block","children":[{"_key":"23c2254b8ac70","_type":"span","marks":[],"text":"Stepped perinatal mental health care spans a broad spectrum of support needs."}],"markDefs":[],"style":"normal"},{"_key":"f50942a22e19","_type":"block","children":[{"_key":"fc6dd61a062b0","_type":"span","marks":[],"text":"People’s support needs often change over time, and they may move between levels of care depending on their individual situation. People’s needs often span multiple levels of the stepped care model. For example, someone might benefit from peer support and self-care strategies during an inpatient admission for mental health."}],"markDefs":[],"style":"normal"},{"_key":"bfc350400ede","_type":"block","children":[{"_key":"8f53faf54f5f0","_type":"span","marks":[],"text":"By referring to (and working with) other integrated services that provide stepped care, you can be highly responsive to the mental health and support requirements of every person in your care."}],"markDefs":[],"style":"normal"},{"_key":"f21549bed11c","_type":"block","children":[{"_key":"d6e8a7b958eb0","_type":"span","marks":[],"text":"Below are some examples of perinatal mental health and wellbeing services you can refer to at every level of stepped care. 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Some people may start by accessing a helpline, then see their healthcare provider for a mental health treatment referral, and access online peer support while they are waiting for their first appointment or an admission."}],"markDefs":[],"style":"normal"},{"_key":"60a0fd3736cc","_type":"block","children":[{"_key":"b02a6d53266e0","_type":"span","marks":[],"text":"Other people start exploring supports online or self-manage their mental health for many months before accessing mental healthcare services."}],"markDefs":[],"style":"normal"},{"_key":"66b3068686b2","_type":"block","children":[{"_key":"d1b8069003770","_type":"span","marks":[],"text":"In all these scenarios, it’s vital that health care providers keep asking about wellbeing, exploring safety, and discussing preferred ways to manage mental health."}],"markDefs":[],"style":"normal"}]},{"_key":"1a581cbabb71","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"a68d8eab59ad","_type":"faq","answer":[{"_key":"48f514097ed7","_type":"block","children":[{"_key":"d29f4287a3af0","_type":"span","marks":[],"text":"People may feel reluctant to seek out or engage with supports and services for many reasons. Some people feel shame or fear. Others may be concerned about social or cultural stigma. Some may have had an adverse experience in the past or be uncomfortable with particular types of treatment. "}],"markDefs":[],"style":"normal"},{"_key":"3d6837d87bde","_type":"block","children":[{"_key":"760c4cde31310","_type":"span","marks":[],"text":"To help you start an open conversation, here is some language we use with callers that you might find useful:"}],"markDefs":[],"style":"normal"},{"_key":"499f612bba51","_type":"block","children":[{"_key":"94515d5f3ef00","_type":"span","marks":[],"text":"“How would you feel about talking to (a doctor/child health nurse/midwife/psychologist/psychiatrist/peer worker) about what you have shared with me today?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3df47458ab17","_type":"block","children":[{"_key":"5e81610df3740","_type":"span","marks":[],"text":"“We often find that people want help but there’s something stopping them from following up a referral. I’m wondering if there’s anything about talking to the (name relevant health care provider) that concerns you?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7795b7012c5c","_type":"block","children":[{"_key":"7a10fc4f548c0","_type":"span","marks":[],"text":"“Is there anything you are concerned about sharing with the (name relevant health care provider)? What can we do to make the conversation feel a bit easier?\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b24ff4b3e912","_type":"block","children":[{"_key":"39a5492cffe00","_type":"span","marks":[],"text":"Try exploring with them what they imagine life might be like in the coming months if they don’t access additional help, and then ask them to imagine what life might be like if they do seek support."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"240a8135d2d4","_type":"block","children":[{"_key":"c17a590a56ff","_type":"span","marks":[],"text":"Identify and address barriers"}],"markDefs":[],"style":"normal"}]},{"_key":"ad290f874b84","_type":"faq","answer":[{"_key":"daa5f94176c1","_type":"block","children":[{"_key":"4f8e302ca5ea0","_type":"span","marks":[],"text":"Callers to the PANDA National Helpline often say that they feel nervous about sharing symptoms and concerns with their health care providers. Many people also mention that they forget things they wanted to say or ask in appointments, and worry they’ve missed their opportunity to access support."}],"markDefs":[],"style":"normal"},{"_key":"14300ed5c16a","_type":"block","children":[{"_key":"3cca16188c960","_type":"span","marks":[],"text":"You can help expecting and new parents feel more confident they'll remember what they'd like to share - and ask - during appointments with other healthcare providers by exploring each person’s unique experiences and key concerns. You may like to help the person you’re supporting to create a list of key symptoms that will inform appropriate care options."}],"markDefs":[],"style":"normal"},{"_key":"252f3819be9f","_type":"block","children":[{"_key":"ddd33e1057290","_type":"span","marks":[],"text":"If you have used a screening measure as part of your assessment, give the person a copy of their results to share with other members of their care team."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ff27598441c0","_type":"block","children":[{"_key":"4ea47d2750940","_type":"span","marks":[],"text":"Help the person you’re supporting know what to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"9e578a21eeab","_type":"faq","answer":[{"_key":"8e9a99aaa95f","_type":"block","children":[{"_key":"85bdcfaa002e0","_type":"span","marks":[],"text":"There are many reasons why referrals may not work out. Follow-up is important to ensure that any referrals you’ve made are appropriate and successful. Sometimes people in your care may need you (with consent) to make appointments for them and/or share information with the healthcare provider/s you’re referring to. This enables you to share your observations and advocate for the person. It’s also a trauma-informed approach to care, because it may save the person you are supporting from having to repeat their story to healthcare providers each time they access a new service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"9310cae5e93b","_type":"block","children":[{"_key":"09e4a383460b0","_type":"span","marks":[],"text":"Follow up"}],"markDefs":[],"style":"normal"}]}],"title":"Encourage help seeking"},{"_key":"72b58c3dcfac","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"7b7d6b7131dd","_type":"faq","answer":[{"_key":"59a11770f830","_type":"block","children":[{"_key":"6d6e96ac97df0","_type":"span","marks":[],"text":"Ask the person you’re supporting how they feel about mental health care and treatment, and if they have any preferences about how they would like to be supported."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"1c07187f56e2","_type":"block","children":[{"_key":"97be2646a9360","_type":"span","marks":[],"text":"Consider things like accessibility, literacy and preferred language to inform where you make a referral."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0db731d3af63","_type":"block","children":[{"_key":"3d1fcc79f40b0","_type":"span","marks":[],"text":"Discuss any concerns about mental health referral that the person you’re supporting has shared. For example, some people are very concerned about child removal or hospitalisation and these fears can become barriers to supportive care."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"4414211a8713","_type":"block","children":[{"_key":"c29ba9043d8d0","_type":"span","marks":[],"text":"Think outside your usual referral pathways: Is there a service you aren’t familiar with that may be of particular benefit to the person you’re supporting? Ensure referrals are as personalised as possible, for example an Aboriginal person may prefer to be referred to an Aboriginal Community Controlled Health Organisation."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c48755672085","_type":"block","children":[{"_key":"34d8afa4d39d0","_type":"span","marks":[],"text":"By discussing options and offering choice, you empower the individual and family, and may increase the likelihood that they will access treatment that works for them."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1e89304c80fd","_type":"block","children":[{"_key":"ddcb08a960700","_type":"span","marks":[],"text":"Tips for providing inclusive and personalised care"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"84a938f52cfb","_type":"block","children":[{"_key":"4508128ae0050","_type":"span","marks":[],"text":"There are many support options depending on a person’s concerns, circumstances and preferences. 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"}],"markDefs":[],"style":"h3"},{"_key":"0121db318847","_type":"block","children":[{"_key":"587a11e5ec7c","_type":"span","marks":[],"text":"It can test the strength of your relationship with your partner. If this is your first baby, you’re shifting from being partners to becoming parents together. If you already have children, you’re adjusting to caring for another baby in a busy household. Add sleep deprivation to the mix, and even the strongest relationships can feel the strain."}],"markDefs":[],"style":"normal"},{"_key":"baa0962034cc","_type":"block","children":[{"_key":"e06b4753becd0","_type":"span","marks":[],"text":"You might be noticing unexpected differences in how you each want to care for your baby. Or you might have different ideas about managing paid work and unpaid parenting and household duties. 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Discuss what this division of parenting care and time looks like for each of you individually, and as a couple."}],"markDefs":[{"_key":"eef0feeb97a8","_type":"link","document":{"_ref":"e6e6a893-d5d8-4628-851b-989152d74fef","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"question":[{"_key":"ba0c8cf5d15f","_type":"block","children":[{"_key":"60aa8884a6090","_type":"span","marks":[],"text":"Parenting"}],"markDefs":[],"style":"normal"}]},{"_key":"123c48af8f56","_type":"faq","answer":[{"_key":"cb6caeb20f84","_type":"block","children":[{"_key":"e0f3388ba4980","_type":"span","marks":[],"text":"You could consider speaking to your employer about flexible working hours if this is a possibility for you."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"cdf30135ae31","_type":"block","children":[{"_key":"f86991fae7ac0","_type":"span","marks":[],"text":"Work"}],"markDefs":[],"style":"normal"}]},{"_key":"d49be27b8275","_type":"faq","answer":[{"_key":"f4f401d3b7c0","_type":"block","children":[{"_key":"7a84c894240c0","_type":"span","marks":[],"text":"If you’re caring for your partner and baby and feeling tired, stressed, or overwhelmed, it can be helpful to build your own support network of people you can talk to. Friends and family will want to be there for you at this time."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"909ede922a6b","_type":"block","children":[{"_key":"ffc4f2a95ff80","_type":"span","marks":[],"text":"Support network"}],"markDefs":[],"style":"normal"}]},{"_key":"478687c2bc3b","_type":"faq","answer":[{"_key":"61425c1b92ac","_type":"block","children":[{"_key":"dbd84308f173","_type":"span","marks":[],"text":"One of the most common issues couples talk about when they call PANDA is changes to their sex life, including less affection in their relationship."}],"markDefs":[],"style":"normal"},{"_key":"d8cb3eb28e67","_type":"block","children":[{"_key":"5dcd36fa9df6","_type":"span","marks":[],"text":"When your partner is pregnant or you’re both busy juggling work and parenthood commitments, it can leave very little time for you to connect with each other, including time for sexual connection and affection."}],"markDefs":[],"style":"normal"},{"_key":"289270ae8532","_type":"block","children":[{"_key":"43ef1e8a952f","_type":"span","marks":[],"text":"We speak to dads who tell us they’re so stressed and tired, they’re rarely in the mood for sex. 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One partner might desire more (or less) intimacy than the other, or affection at different times."}],"markDefs":[],"style":"normal"},{"_key":"3df4445fb50e","_type":"block","children":[{"_key":"111085325ca1","_type":"span","marks":[],"text":"If it’s your partner who is withdrawing and showing less desire for intimacy, it can be hard not to take it personally. You might feel hurt or rejected. If it’s you who’s feeling emotionally disconnected or experiencing a drop in libido, it can feel confronting and be difficult to talk about with your partner."}],"markDefs":[],"style":"normal"},{"_key":"e16255494c71","_type":"block","children":[{"_key":"330d3a141fd2","_type":"span","marks":[],"text":"Reassure your partner that you understand any changes to their desire for affection or sex right now. Be honest with them about how you’re feeling too, especially if you’ve noticed changes to your own libido. 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This time of life can also trigger mental health and wellbeing challenges you didn’t expect."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1b17ef3082a4","_type":"block","children":[{"_key":"3406ddc1fe0b","_type":"span","marks":[],"text":"Parenting myths vs facts"}],"markDefs":[],"style":"normal"},{"_key":"a10717aa4ae2","_type":"block","children":[{"_key":"fd7db504aba4","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"9e590badccca","_type":"faq","answer":[{"_key":"82d38b1f9735","_type":"block","children":[{"_key":"245aafd0a482","_type":"span","marks":[],"text":"It can be incredibly upsetting when you confide in someone about how you are feeling, and they’re dismissive or minimise your experience."}],"markDefs":[],"style":"normal"},{"_key":"eaa812f7d78f","_type":"block","children":[{"_key":"5be5ee906e8f","_type":"span","marks":[],"text":"This reflects their own thoughts and beliefs and is not a reflection on you. People who call PANDA’s Helpline often tell us that their family, friends and health providers haven’t listened to them, or have responded with unhelpful statements like:"}],"markDefs":[],"style":"normal"},{"_key":"c8fbb9361280","_type":"block","children":[{"_key":"c934eb4d6edd","_type":"span","marks":[],"text":"Of course parenting is tough. You just have to get through it."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"15e31f06b809","_type":"block","children":[{"_key":"70c1ce23a546","_type":"span","marks":[],"text":"It happens to everyone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cffaddffebf2","_type":"block","children":[{"_key":"11872037e2d6","_type":"span","marks":[],"text":"You’re just tired. Every parent gets tired – it comes with the territory."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7be79137a3e","_type":"block","children":[{"_key":"269bcb9184be","_type":"span","marks":[],"text":"Just have a cup of tea and put your feet up – you’ll feel better."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31bb67709362","_type":"block","children":[{"_key":"59c678a2f291","_type":"span","marks":[],"text":"Sleep will come, just give it time."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8b898a34aa6","_type":"block","children":[{"_key":"7e4fe215d00d","_type":"span","marks":[],"text":"Yes, it’s stressful, but it’s also just so rewarding! (it may not be)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ce772b47e7d0","_type":"block","children":[{"_key":"3e71dbef91e3","_type":"span","marks":[],"text":"You’ll feel better once you get some sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"03ac6a8934cf","_type":"block","children":[{"_key":"81927fb96816","_type":"span","marks":[],"text":"It’s hard for all parents, and you don’t hear everyone complaining, do you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f43870d3c9fb","_type":"block","children":[{"_key":"816b775d8c70","_type":"span","marks":[],"text":"Oh, lots of mums get by on much less sleep than you’re getting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"069190ac2fe2","_type":"block","children":[{"_key":"34ddfeac2c35","_type":"span","marks":[],"text":"If you confide in someone and feel their response minimises your feelings or experiences, or makes you feel ashamed or guilty, it’s important to continue to reach out for help. Every expecting or new parent deserves kindness, respect, and effective perinatal mental health care. "}],"markDefs":[],"style":"normal"},{"_key":"953bf6a8ac53","_type":"block","children":[{"_key":"0421d7e0a5a6","_type":"span","marks":[],"text":"We encourage you to keep reaching out until you feel you’re being heard and supported."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5c13efb1f8bf","_type":"block","children":[{"_key":"1750c0a04982","_type":"span","marks":[],"text":"Managing unhelpful comments"}],"markDefs":[],"style":"normal"},{"_key":"89fc1f667f21","_type":"block","children":[{"_key":"6f12240407e9","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"358b27d71b46","_type":"faq","answer":[{"_key":"52a4392081ec","_type":"block","children":[{"_key":"0da044381d2f0","_type":"span","marks":[],"text":"There are many different services and health professionals that can help support your mental health. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist. "}],"markDefs":[],"style":"normal"},{"_key":"50cc2ad4d2e9","_type":"button","link":{"_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"},"style":"box","text":"Learn more about talking to your doctor"}],"question":[{"_key":"10d6d580407f","_type":"block","children":[{"_key":"f86c63acd5a7","_type":"span","marks":[],"text":"Talking to your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"5618a09d8e0b","_type":"faq","answer":[{"_key":"6ba124c5174f","_type":"block","children":[{"_key":"02bc5eb50b20","_type":"span","marks":[],"text":"If a parent in your life confides in you that they’re having a hard time coping and are experiencing changes to their mental health such as distressing or overwhelming thoughts and feelings, some helpful responses include:"}],"markDefs":[],"style":"normal"},{"_key":"ab07c53825fd","_type":"block","children":[{"_key":"f91ed42a8705","_type":"span","marks":[],"text":"That sounds really hard. I’m here to talk about whatever you want to talk about."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2076ecf93790","_type":"block","children":[{"_key":"58039655744c","_type":"span","marks":[],"text":"It’s okay to feel the way you are feeling. Can I help you find a professional who might be able to put together a support plan with you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"903b99ba542f","_type":"block","children":[{"_key":"561d206fe606","_type":"span","marks":[],"text":"I know that perinatal mental health issues are way more common than most people think. You’re not alone and I’m here to support you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9a9cbcbf6534","_type":"block","children":[{"_key":"4a4c8bb50855","_type":"span","marks":[],"text":"I care about you, and it seems like you’re having a super stressful time. I think talking with someone who is an expert in perinatal health could be really helpful."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2648f8c2e61","_type":"block","children":[{"_key":"db28fc161dbd","_type":"span","marks":[],"text":"Can I do something practical to help, like cook you a meal or watch the baby for an hour?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8ca310252a49","_type":"block","children":[{"_key":"9f4e4ed3ed74","_type":"span","marks":[],"text":"I’m going to check in on you tomorrow and see how you’re going. We’ll get through this together."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6622db86d77f","_type":"block","children":[{"_key":"bf025864a1f8","_type":"span","marks":[],"text":"If someone tells you they aren’t coping with changes to their mental health, daily function or their ability to care for their baby by themselves, you should always take it seriously. Mental health is highly changeable during pregnancy and after having a baby, and can quickly escalate to an emergency, especially if left untreated. If someone tells you they are seriously afraid of harming themselves or someone else or is behaving in a way that is unusual, they may be experiencing postnatal psychosis. "}],"markDefs":[],"style":"normal"},{"_key":"d034dce19839","_type":"block","children":[{"_key":"c6f97e05bf42","_type":"span","marks":[],"text":"If you are concerned about someone’s safety, call 000 immediately."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"e184663e30eb","_type":"block","children":[{"_key":"68c8c0a77a5a","_type":"span","marks":[],"text":"What if someone confides in you about how they are feeling?"}],"markDefs":[],"style":"normal"}]}],"title":"Tips for talking about perinatal mental health"},{"_key":"5961c82b84c8","_type":"checklist","field":"content"},{"_key":"65c5084601e1","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"321bccd29d0a","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"},{"_key":"d4af139a7df8","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"For many new parents, talking about how they are feeling can be difficult, especially if some of your feelings 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Are you safe?” "}],"markDefs":[],"style":"normal"},{"_key":"47abd1b0995e","_type":"block","children":[{"_key":"ddb5274ce8ce","_type":"span","marks":[],"text":"Julie Borninkhof, PANDA CEO"}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"766cd23206da","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"78770bb0dc87","_type":"faq","answer":[{"_key":"5b7fffb038b4","_type":"block","children":[{"_key":"8046a68781fa0","_type":"span","marks":["strong"],"text":"During pregnancy:"}],"markDefs":[],"style":"normal"},{"_key":"f9c4f5620b78","_type":"block","children":[{"_key":"97fb3345eafd0","_type":"span","marks":[],"text":"“Perinatal mental health challenges are common - up to 1 in 5 mums and 1 in 10 dads experience symptoms of anxiety and/or depression during pregnancy or in early parenthood. 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Sometimes they felt their own risk factors went unnoticed."}],"markDefs":[],"style":"normal"},{"_key":"02a8efee6ac0","_type":"block","children":[{"_key":"6878a3928aab","_type":"span","marks":[],"text":"Health care providers play a key role in ensuring people have access to evidence-based information about perinatal mental health challenges.\nIdeally, these discussions should happen as early as possible. It could be during conversations about conception, pre-natal health, or during pregnancy. This helps people get support in place when and if they need it\n"}],"markDefs":[],"style":"normal"},{"_key":"7cee859dca3d","_type":"block","children":[{"_key":"840246a2c676","_type":"span","marks":["strong"],"text":"Some helpful resources you can provide include:"},{"_key":"4f0f8793161f","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"},{"_key":"3a22fae1df8a","_type":"block","children":[{"_key":"512b609ae1f7","_type":"span","marks":["cf9e3a7a4dc7"],"text":"PANDA fact sheets and articles"},{"_key":"f5633960b069","_type":"span","marks":[],"text":"\n"},{"_key":"da9869ab197b","_type":"span","marks":["c5f1bc9f00bb"],"text":"PANDA Mental Health Checklist"},{"_key":"548bc2d2629e","_type":"span","marks":[],"text":"\n"},{"_key":"1308856ad0a4","_type":"span","marks":["e9bb2d436df9"],"text":"PANDA’s Mental Health Safe Plan"},{"_key":"a6c10ecd9555","_type":"span","marks":[],"text":"\n"},{"_key":"c82157d7de2b","_type":"span","marks":["84988fc7915d"],"text":"PANDA Parent and Baby Care Plan"},{"_key":"f85c6b544aa6","_type":"span","marks":[],"text":"\n"},{"_key":"c8c63d4beb38","_type":"span","marks":["8e7e060e681f"],"text":"Stories by people who have experienced perinatal mental health challenges"},{"_key":"d64aba26db9e","_type":"span","marks":[],"text":"\n"},{"_key":"2754d5905c63","_type":"span","marks":["8cc8f191af6c"],"text":"Pregnancy, Birth and Baby"},{"_key":"4f591acaeaf3","_type":"span","marks":[],"text":"\n"},{"_key":"d24585c42e01","_type":"span","marks":["e0ceb23e3677"],"text":"Raising Children Network"},{"_key":"4abc578a9375","_type":"span","marks":[],"text":"\n"},{"_key":"41a3a10f6683","_type":"span","marks":["815db298d564"],"text":"MumSpace - Perinatal Depression and Anxiety Support"},{"_key":"d2f2babe2f80","_type":"span","marks":[],"text":"\n"},{"_key":"35f73ad36bd8","_type":"span","marks":["f9ec5eb1c455"],"text":"HOME - DadSpace"},{"_key":"7aa5d056e5c5","_type":"span","marks":[],"text":"\n"}],"markDefs":[{"_key":"c5f1bc9f00bb","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/checklists/new-mums/"},{"_key":"e9bb2d436df9","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/mental-health-safe-plans-looking-after-yourself-and-your-loved-ones/"},{"_key":"84988fc7915d","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/parent-and-baby-care-plan/"},{"_key":"8e7e060e681f","_type":"link","blank":true,"document":{"_ref":"b7ccaec7-2753-4bd2-ab8d-6f8810ea3b4f","_type":"reference"},"linkType":"internal","url":"https://panda.org.au/stories/"},{"_key":"8cc8f191af6c","_type":"link","blank":true,"linkType":"external","url":"https://www.pregnancybirthbaby.org.au/"},{"_key":"e0ceb23e3677","_type":"link","blank":true,"linkType":"external","url":"https://raisingchildren.net.au/"},{"_key":"815db298d564","_type":"link","blank":true,"linkType":"external","url":"https://www.mumspace.com.au/"},{"_key":"f9ec5eb1c455","_type":"link","blank":true,"linkType":"external","url":"https://www.dadspace.com.au/"},{"_key":"cf9e3a7a4dc7","_type":"link","blank":true,"document":{"_ref":"832225a7-4aeb-49fc-bd68-7296172e2d82","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"question":[{"_key":"386f84527a9c","_type":"block","children":[{"_key":"4a411fba8a95","_type":"span","marks":[],"text":"Provide information and resources"}],"markDefs":[],"style":"normal"}]},{"_key":"4864cdbdfb8c","_type":"faq","answer":[{"_key":"72b5461337c4","_type":"block","children":[{"_key":"9eda1377a1de0","_type":"span","marks":[],"text":"Many people find it hard to talk about what they are experiencing. This includes intrusive thoughts of harm, suicidal ideation and other thoughts and feelings that people may find very difficult to share with you, or anyone else."}],"markDefs":[],"style":"normal"},{"_key":"ebc23abaa691","_type":"block","children":[{"_key":"692398a33a83","_type":"span","marks":[],"text":"If someone in your care chooses to trust you with their experience and story, it's important to listen closely and non-judgmentally to what they are saying.\nThis can encourage an honest conversation. As a healthcare provider, a more complete picture of what’s going on can be invaluable when you are collaborating on a personalised treatment or care plan."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"cb592e6e7a2b","_type":"block","children":[{"_key":"18e5d68b89470","_type":"span","marks":[],"text":"Manage your own responses to encourage sharing and honesty"}],"markDefs":[],"style":"normal"}]},{"_key":"267f4c961731","_type":"faq","answer":[{"_key":"563e1c4ab7e0","_type":"block","children":[{"_key":"d89500ba71450","_type":"span","marks":[],"text":"Often expecting and new parents will present a strong “mask of coping” with their family. friends and healthcare providers. It’s important to be attuned to the signs that someone may not be coping as well as usual, or adapting to pregnancy or parenthood as well as they’d hoped."}],"markDefs":[],"style":"normal"},{"_key":"e15791f4325d","_type":"block","children":[{"_key":"c8df6afd2f640","_type":"span","marks":["strong"],"text":"What to look for: Signs of perinatal mental health and wellbeing changes"}],"markDefs":[],"style":"normal"},{"_key":"4c9f979f8fd6","_type":"block","children":[{"_key":"b00fddb99e980","_type":"span","marks":[],"text":"You may notice changes to an expecting or new parent’s appearance, such as their body language and nonverbal expression, dress and personal hygiene. Or you may sense a change in the way they interact and communicate, from their tone of voice, speech and verbal expression to their thinking."}],"markDefs":[],"style":"normal"},{"_key":"53fff7d04dad","_type":"block","children":[{"_key":"552d7fba2cb00","_type":"span","marks":[],"text":"If you can see someone becoming more hesitant, tense or teary during your conversation, it’s always a good idea to pause a moment, share what you’re noticing, and ask if they’re okay."}],"markDefs":[],"style":"normal"},{"_key":"25603e4a848f","_type":"block","children":[{"_key":"46a150bf47320","_type":"span","marks":["strong"],"text":"What to listen for: Signs of perinatal mental health and wellbeing changes"}],"markDefs":[],"style":"normal"},{"_key":"5b6b0b47667f","_type":"block","children":[{"_key":"db6aecd51fc60","_type":"span","marks":[],"text":"Expecting and new parents may share these changes with you in conversation as well. These common statements made by expecting and new parents are possible signs they need extra support for their mental health and wellbeing:"}],"markDefs":[],"style":"normal"},{"_key":"dca987123b42","_type":"block","children":[{"_key":"615c0ad28e290","_type":"span","marks":[],"text":"“This isn’t what I expected at all\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"125cc39ac014","_type":"block","children":[{"_key":"c188b863e0310","_type":"span","marks":[],"text":"“I don’t feel a connection to my unborn baby – is that normal?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b102857c93bd","_type":"block","children":[{"_key":"9d0944af30930","_type":"span","marks":[],"text":"“I feel so tired and teary all the time, even if I’ve had enough sleep.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1ab7f441d519","_type":"block","children":[{"_key":"32328825d7a20","_type":"span","marks":[],"text":"“I feel so alone, even with family around. I miss my old life.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26fa98c8b25d","_type":"block","children":[{"_key":"ddd4df5712fe0","_type":"span","marks":[],"text":"“I can’t seem to switch off – there’s this feeling that something is horribly wrong.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e843117da0c4","_type":"block","children":[{"_key":"1826a24f53610","_type":"span","marks":[],"text":"“After the birth experience we had, I don’t want anyone else to care for my baby.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"73b4e14e1332","_type":"block","children":[{"_key":"8aad8ae7a1ff0","_type":"span","marks":[],"text":"“I’ve lost my appetite/I’m craving junk food, that usually happens when I’m stressed.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"03b2b16db368","_type":"block","children":[{"_key":"99b3577d7ee70","_type":"span","marks":[],"text":"“I don’t have words for how I’m feeling. I just don’t know.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"bd6e7b206493","_type":"block","children":[{"_key":"53ca4895767f","_type":"span","marks":[],"text":"Watch and listen"}],"markDefs":[],"style":"normal"}]},{"_key":"073fc61e8ca8","_type":"faq","answer":[{"_key":"c751705df92c","_type":"block","children":[{"_key":"53671b8463560","_type":"span","marks":[],"text":"It’s important to note that expecting and new parents may feel exhausted and stressed, and for many self-care has shifted in meaning or priority. Likewise, many people present ‘well’ during healthcare provider interactions but are feeling overwhelmed underneath a put-together exterior."}],"markDefs":[],"style":"normal"},{"_key":"01969bef7972","_type":"block","children":[{"_key":"a7601e6fb5590","_type":"span","marks":["strong"],"text":"Gently explore all signs of change."},{"_key":"a7601e6fb5591","_type":"span","marks":[],"text":" This includes asking the person how they are feeling as the conversation progresses, and allowing space for silence and pauses. Silence can be an opportunity and invitation for someone to share more."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"53bc98d02bc3","_type":"block","children":[{"_key":"02c03ab3227b0","_type":"span","marks":["strong"],"text":"Be inclusive."},{"_key":"02c03ab3227b1","_type":"span","marks":[],"text":" Culturally-inclusive support allows space for other beliefs and values in your care conversations. For example, in many cultures it’s a measure of respect when people avert their eyes or look down. In Western culture this might be interpreted as someone feeling withdrawn, bored, or anxious."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9cb879ca3c60","_type":"block","children":[{"_key":"945320d135210","_type":"span","marks":["strong"],"text":"Be direct. "},{"_key":"945320d135211","_type":"span","marks":[],"text":"For example: ‘I notice you keep looking at the floor as we’re talking about (your birth experience, settling baby, your appetite the past few weeks). It’s important to me that you feel comfortable, and I know some things can be hard to talk about. How are you feeling at the moment?’"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"cfa113d1d7d4","_type":"block","children":[{"_key":"0ca8762eade4","_type":"span","marks":[],"text":"PANDA Practice tips: Watching and listening"}],"markDefs":[],"style":"normal"}]},{"_key":"947cdfb730f7","_type":"faq","answer":[{"_key":"ca23936da339","_type":"block","children":[{"_key":"673f51f674350","_type":"span","marks":[],"text":"Suicide remains one of the leading causes of maternal death during the perinatal period in Australia. Mental health can also shift rapidly during pregnancy and early parenthood – feelings of hopelessness and despair can quickly change into thoughts of suicide and self-harm."}],"markDefs":[],"style":"normal"},{"_key":"906539880d3f","_type":"block","children":[{"_key":"bae7935826ab0","_type":"span","marks":[],"text":"Even if you ask directly if someone is having thoughts of suicide and they answer no, you may hear some of the statements below in your care conversations."}],"markDefs":[],"style":"normal"},{"_key":"c03c53dafdbe","_type":"block","children":[{"_key":"5aa93b7ff4e10","_type":"span","marks":[],"text":"If someone in your care expresses sentiments like these, it’s vital that you explore their wellbeing and safety."}],"markDefs":[],"style":"normal"},{"_key":"cdb701a17650","_type":"block","children":[{"_key":"a84656649ea70","_type":"span","marks":[],"text":"This may include asking again about suicide in your conversation. Sometimes people take a while to trust that they can share how they truly feel with healthcare providers. If you’re having a respectful, curious, non-judgemental discussion, you may find people choose to trust you with their experience as your care conversation progresses."}],"markDefs":[],"style":"normal"},{"_key":"6806296baffb","_type":"block","children":[{"_key":"9213696e096e0","_type":"span","marks":["strong"],"text":"Verbal signs of hopeless, despair, possible suicide ideation:"}],"markDefs":[],"style":"normal"},{"_key":"7da3f11c39a1","_type":"block","children":[{"_key":"a629b6f810d90","_type":"span","marks":[],"text":"“I feel helpless, I feel hopeless\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"90a5f14861ea","_type":"block","children":[{"_key":"f2c28a00a6650","_type":"span","marks":[],"text":"“Nothing will change, no one can help me. I’m beyond help.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68009c8fb8dd","_type":"block","children":[{"_key":"6f2654279b480","_type":"span","marks":[],"text":"“I just want to sleep all day… and not wake up.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"457042cff693","_type":"block","children":[{"_key":"7708dcbce1a80","_type":"span","marks":[],"text":"“I feel like running away or disappearing.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e02669accb1c","_type":"block","children":[{"_key":"b80364f3b0130","_type":"span","marks":[],"text":"“I can’t ever see things changing. I can’t do this anymore.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3607d8a62e03","_type":"block","children":[{"_key":"109e81e8eb1e0","_type":"span","marks":[],"text":"“I’m such a burden. They would be better off without me.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6887738f6492","_type":"block","children":[{"_key":"29bc586bf66a0","_type":"span","marks":[],"text":"“I just want this to end.\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"7ce7d371b261","_type":"block","children":[{"_key":"a73fdd4241940","_type":"span","marks":[],"text":"Signs of hopelessness or possible suicide ideation"}],"markDefs":[],"style":"normal"}]},{"_key":"6e71412be981","_type":"faq","answer":[{"_key":"c131c0bb8648","_type":"block","children":[{"_key":"ea99e3c56cfa0","_type":"span","marks":["strong"],"text":"Asking if someone is having thoughts of suicide or hurting themselves doesn’t increase the risk they will act on those thoughts. "},{"_key":"353926211ee3","_type":"span","marks":[],"text":"It’s often a relief to be asked about thoughts of suicide in a caring, curious and non-judgemental way."}],"markDefs":[],"style":"normal"},{"_key":"2b72169bbe96","_type":"block","children":[{"_key":"22da1300d5e50","_type":"span","marks":[],"text":"Asking about someone’s wellbeing and safety is the foundation of effective, meaningful perinatal mental health care. It really is that simple."}],"markDefs":[],"style":"normal"},{"_key":"4302c2c1de1c","_type":"block","children":[{"_key":"9d93ec1b5bc60","_type":"span","marks":[],"text":"Focus on being present with the person you’re supporting. Together, you can explore what they need to keep themself and their baby safe for now. Keep providing calm assurance that help is available."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"215584c2f734","_type":"block","children":[{"_key":"3a0165efa43b0","_type":"span","marks":[],"text":"It’s always a good idea to involve other support people in any risk management care plan:"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32b0b6ba0756","_type":"block","children":[{"_key":"278091ec7c9a0","_type":"span","marks":[],"text":"You can try calling the person’s supports and specialist mental health services if you are together, in person or online."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c3530d676c98","_type":"block","children":[{"_key":"f9373d481ea10","_type":"span","marks":[],"text":"If it’s between appointments or sessions and you have concerns, we encourage you to reach out directly to the person to provide support if time permits, and seek supervision and/or a secondary consultation as appropriate (e.g. PANDA, local mental health triage services)."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9eac731d0d8e","_type":"block","children":[{"_key":"9d258da66b95","_type":"span","marks":["e17ae05c0ae8"],"text":"Read more about perinatal sucide, including signs, safety and support options."}],"markDefs":[{"_key":"e17ae05c0ae8","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/perinatal-suicide-signs-safety-and-support-options/"}],"style":"normal"}],"question":[{"_key":"8b72c4caa304","_type":"block","children":[{"_key":"d8dc9aa05566","_type":"span","marks":[],"text":"PANDA Practice tips: hopeless or possible suicidal ideation"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"96eb64efea7a","_type":"block","children":[{"_key":"31d3bb3e83f70","_type":"span","marks":[],"text":"Individuals and families you’re supporting may not know that you can provide mental health support, treatment and/or referral. 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experience mental health disorders like anxiety and depression during the perinatal period (a time usually defined as pregnancy through the first 12 months of a baby’s life)."}],"markDefs":[],"style":"normal"},{"_key":"b44ae6e28579","_type":"block","children":[{"_key":"1872c4bc42460","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"235531933a26","_type":"block","children":[{"_key":"b145f05028ff0","_type":"span","marks":[],"text":"Several factors make it difficult to estimate how many families are affected by perinatal mental health issues, including variations in data collection methods during research, and different ways of defining or diagnosing mental health issues. Despite this, there is agreement that mental health disorders in the perinatal period are common, are important public health issues, and can impact the health and wellbeing of the entire family(1)."}],"markDefs":[],"style":"normal"},{"_key":"42203433f80f","_type":"block","children":[{"_key":"43650a5ab25b0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"a02627f7dc7f","_type":"block","children":[{"_key":"e1677cd408ea0","_type":"span","marks":[],"text":"What we know"}],"markDefs":[],"style":"h4"},{"_key":"1714cf79b93d","_type":"block","children":[{"_key":"b7e6ef2824090","_type":"span","marks":[],"text":"For some parents, pregnancy and early parenthood is the first time they’ve ever experienced significant changes to their mental health. Others may come to pregnancy and parenting with a history of mental ill-health. Any mental health disorder present during pregnancy or the first 12 months after birth is considered a ‘perinatal mental health condition’, regardless of whether the person has experienced that mental health disorder previously."}],"markDefs":[],"style":"normal"},{"_key":"9ace02632569","_type":"block","children":[{"_key":"54ae292622b90","_type":"span","marks":[],"text":"Anxiety and depression are the most common mental health issues in the perinatal period. Until recently most research on mental health in the perinatal period focused primarily on postnatal depression, yet there is a growing body of research into other types of mental ill-health during the perinatal period, including pregnancy."}],"markDefs":[],"style":"normal"},{"_key":"97f561e32ad8","_type":"block","children":[{"_key":"d51de2dfe926","_type":"span","marks":[],"text":"Researchers are studying mental health disorders like perinatal anxiety and postnatal psychosis. There are new insights emerging about the perinatal mental health of fathers and non-birthing parents, and the mental health impact of complicated pregnancies and traumatic birth experiences. "}],"markDefs":[],"style":"normal"},{"_key":"3d6b85958e59","_type":"block","children":[{"_key":"db22501ef641","_type":"span","marks":[],"text":"Some studies are also focusing on the relationship between infant-parent bonding and attachment and mental ill-health during the perinatal period. These changes over the past few decades mean we’re beginning to broaden our understanding of the full scope of perinatal mental health and wellbeing, and efficacy of available treatment options."}],"markDefs":[],"style":"normal"},{"_key":"d86d2746d1e0","_type":"quote","quote":"Up to 1 in 5 women experience anxiety and/or depression during pregnancy, and/or following birth."},{"_key":"796fdb85eeef","_type":"block","children":[{"_key":"957953c003320","_type":"span","marks":[],"text":"Women’s mental health in the perinatal period"}],"markDefs":[],"style":"h4"},{"_key":"75c5c5032dbd","_type":"block","children":[{"_key":"2a72799f6ed90","_type":"span","marks":[],"text":"Research undertaken in Australia and internationally suggests that around 15-22% of women experience depression during pregnancy and/or following the birth of their baby (2–3). "}],"markDefs":[],"style":"normal"},{"_key":"5300d3000652","_type":"block","children":[{"_key":"809e8e813425","_type":"span","marks":[],"text":"Current research about perinatal anxiety suggests 1 in 5 women report anxiety symptoms during pregnancy, and between 4-20% of women experience symptoms of an anxiety disorder after giving birth (4). "}],"markDefs":[],"style":"normal"},{"_key":"c08180b71224","_type":"block","children":[{"_key":"4d1f412b517a","_type":"span","marks":[],"text":"Between 4.2-9.3% of women will experience both anxiety and depression (5)."}],"markDefs":[],"style":"normal"},{"_key":"e091e436a7c1","_type":"block","children":[{"_key":"bb5f9f7352500","_type":"span","marks":[],"text":"Therefore, up to1 in every 5 women may experience symptoms of anxiety, depression, or both during pregnancy and/or following birth."}],"markDefs":[],"style":"normal"},{"_key":"2295eef4389a","_type":"block","children":[{"_key":"d0a18db299350","_type":"span","marks":[],"text":"A small number of women will experience a rare but serious perinatal mental health disorder called postnatal psychosis. Research suggests that 1-2 women per 1000 women giving birth will experience postnatal psychosis (6). "}],"markDefs":[],"style":"normal"},{"_key":"17955d919870","_type":"block","children":[{"_key":"c7542c775a610","_type":"span","marks":[],"text":"Women may also experience other less common perinatal mental health disorders, such as Post Traumatic Stress Disorder (PTSD), mood disorders including bipolar and schizophrenic disorders (7-9). "}],"markDefs":[],"style":"normal"},{"_key":"25eaf6554ebf","_type":"block","children":[{"_key":"f4a0d28c5634","_type":"span","marks":[],"text":"The perinatal period is associated with an increased risk of both mental health relapse, and newly diagnosed mental health disorders. Research suggests many women diagnosed with mental health disorders become parents, and it is of utmost importance that their ongoing mental health care needs are identified and treated (10)."}],"markDefs":[],"style":"normal"},{"_key":"2b53c397a70a","_type":"quote","quote":"Postnatal psychosis affects one to two new mothers in every 1,000 who give birth"},{"_key":"748dc92e5fab","_type":"block","children":[{"_key":"ccbf226ecb300","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2ab9e6e026f2","_type":"block","children":[{"_key":"b20fae2b381c","_type":"span","marks":[],"text":"Men’s mental health in the perinatal period"}],"markDefs":[],"style":"h4"},{"_key":"f562210df201","_type":"block","children":[{"_key":"de058a4022840","_type":"span","marks":[],"text":"Though there is far less research available on paternal perinatal mental health, the last decade of research suggests up to 10%, or 1 in 10 expecting or new fathers will experience depression and/or anxiety during the perinatal period (11-14). "}],"markDefs":[],"style":"normal"},{"_key":"6149c6bb4d86","_type":"block","children":[{"_key":"ee9059b747d1","_type":"span","marks":[],"text":"A recent review estimates that the prevalence of anxiety in men in the perinatal period is 3.4%-25% (13). Similar to research findings about maternal mental health, often men experience both anxiety and depression during the perinatal period (12)."}],"markDefs":[],"style":"normal"},{"_key":"9b5c7e841881","_type":"block","children":[{"_key":"07cdeb244a990","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"0c3216f52a8b","_type":"block","children":[{"_key":"be6c45b329390","_type":"span","marks":[],"text":"Having a partner with a mental health disorder is a risk factor for paternal perinatal mental ill-health - and untreated paternal mental health issues are associated with adverse outcomes for maternal mental health during the perinatal period (11)."}],"markDefs":[],"style":"normal"},{"_key":"fd87749822a1","_type":"quote","quote":"Up to 1 in 10 expecting or new fathers experience depression and/or anxiety. "},{"_key":"3899b1d61b46","_type":"block","children":[{"_key":"e4b7dfa2bce9","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"53dbcc18fdac","_type":"block","children":[{"_key":"5900d4200ce1","_type":"span","marks":[],"text":"Having a partner experiencing mental ill-health is an important risk factor for both maternal and paternal perinatal mental health issues."}],"markDefs":[],"style":"h5"},{"_key":"f7976776e595","_type":"block","children":[{"_key":"11e01d7ede98","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"16b4178294b6","_type":"block","children":[{"_key":"b34ecb81feca0","_type":"span","marks":[],"text":"Priority populations"}],"markDefs":[],"style":"h4"},{"_key":"7c3dde6ed340","_type":"block","children":[{"_key":"7578bb1c55440","_type":"span","marks":[],"text":"Families from minority communities face additional risks for perinatal anxiety and depression, and barriers to accessing safe, appropriate services. Populations more at risk include LGBTIQA+ parented families, Aboriginal and Torres Strait Islander families, and culturally and linguistically diverse families (15-20)."}],"markDefs":[],"style":"normal"},{"_key":"33404c86a048","_type":"block","children":[{"_key":"3e0b11e703690","_type":"span","marks":[],"text":"Experiences of discrimination may increase isolation and discourage help-seeking at a time of particular risk for these vulnerable families. The importance of services acknowledging and responding to family diversity will be explored in greater detail in future position statements."}],"markDefs":[],"style":"normal"},{"_key":"7ee6451a2f84","_type":"block","children":[{"_key":"8c8e4c40dc800","_type":"span","marks":[],"text":"Summary"}],"markDefs":[],"style":"h4"},{"_key":"244985352633","_type":"block","children":[{"_key":"c5f5c83ef0750","_type":"span","marks":[],"text":"Perinatal mental health issues are common, and a crucial public health issue."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"25c5f95d0298","_type":"block","children":[{"_key":"5e004217d3eb0","_type":"span","marks":[],"text":"Estimates indicate that up to 1 in 5 women and up to 1 in 10 men will experience anxiety and/or depression in the perinatal period."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ebe84e3c5a11","_type":"block","children":[{"_key":"c562b73618fd0","_type":"span","marks":[],"text":"Some families, including LGBTQIA+ parented families, culturally and linguistically diverse and Aboriginal and Torres Strait Islander families face additional challenges to their mental health in the perinatal period."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"How common are mental health issues in the perinatal period?","image":{"_type":"imageWithAlt","alt":"Mum at the doctors with 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conditions."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"2e1f10515879","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"ac967c197a72","_type":"faq","answer":[{"_key":"ca8a95d57238","_type":"block","children":[{"_key":"dc793dc89640","_type":"span","marks":[],"text":"Austin, M. P., Highet, N., & Expert Working Group. (2019). Mental health care in the perinatal period: Australian Clinical Practice Guideline. Melbourne: Centre of Perinatal Excellence; 2017 [updated 3 July 2019]."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"13ebeca4343b","_type":"block","children":[{"_key":"136356a3870a","_type":"span","marks":[],"text":"Bryson, H., Perlen, S., Price, A., Mensah, F., Gold, L., Dakin, P., & Goldfeld, S. (2021). Patterns of maternal depression, anxiety, and stress symptoms from pregnancy to 5 years postpartum in an Australian cohort experiencing adversity. Archives of Women's Mental Health, 24(6), 987-997. doi: 10.1007/s00737-021-01145-0."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"c55b29567423","_type":"block","children":[{"_key":"a18b79f3b101","_type":"span","marks":[],"text":"Dennis, C. L., Falah-Hassani, K., & Shiri, R. (2017). Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. The British Journal of Psychiatry, 210(5), 315-323. doi: 10.1192/bjp.bp.116.187179."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"2f6ce5cd75a9","_type":"block","children":[{"_key":"8ee1498554d9","_type":"span","marks":[],"text":"Leach, L. S., Poyser, C., & Fairweather‐Schmidt, K. (2017). Maternal perinatal anxiety: A review of prevalence and correlates. Clinical Psychologist, 21(1), 4-19. doi: 10.1111/cp.12058."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"b022bbd6a889","_type":"block","children":[{"_key":"7bbcc9c2c551","_type":"span","marks":[],"text":"Falah-Hassani, K., Shiri, R., & Dennis, C. L. (2017). The prevalence of antenatal and postnatal co-morbid anxiety and depression: a meta-analysis. Psychological Medicine, 47(12), 2041-2053. doi:10.1017/S0033291717000617."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"8f8e58a3f240","_type":"block","children":[{"_key":"6dc65e66a43f","_type":"span","marks":[],"text":"VanderKruik, R., Barreix, M., Chou, D., Allen, T., Say, L., & Cohen, L. S. (2017). The global prevalence of postpartum psychosis: a systematic review. BMC Psychiatry, 17(1), 1-9. doi: 10.1186/s12888-017-1427-7."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0463ec92eeef","_type":"block","children":[{"_key":"8dbae60a644b","_type":"span","marks":[],"text":"Cook, N., Ayers, S., & Horsch, A. (2018). Maternal posttraumatic stress disorder during the perinatal period and child outcomes: A systematic review. Journal of Affective Disorders, 225, 18-31. doi: 10.1016/j.jad.2017.07.045."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"aa824475ec94","_type":"block","children":[{"_key":"0a41ef506bed","_type":"span","marks":[],"text":"Sharma, V., Sharma, P., & Sharma, S. (2020). Managing bipolar disorder during pregnancy and the postpartum period: a critical review of current practice. Expert Review of Neurotherapeutics, 20(4), 373-383. doi: 10.1080/14737175.2020.1743684."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"23d7e76c06e1","_type":"block","children":[{"_key":"bfbe1353ba24","_type":"span","marks":[],"text":"Davies, C., Segre, G., Estradé, A., Radua, J., De Micheli, A., Provenzani, U., ... & Fusar-Poli, P. (2020). Prenatal and perinatal risk and protective factors for psychosis: a systematic review and meta-analysis. The Lancet Psychiatry, 7(5), 399-410. doi: 10.1016/S2215-0366(20)30057-2."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0f0aa652a78d","_type":"block","children":[{"_key":"7379f4907015","_type":"span","marks":[],"text":"Howard, L. M., & Khalifeh, H. (2020). Perinatal mental health: a review of progress and challenges. World Psychiatry, 19(3), 313-327. doi: 10.1002/wps.20769."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"4ea0a3a2b1a3","_type":"block","children":[{"_key":"bc2ba5187036","_type":"span","marks":[],"text":"Giallo, R., D’Esposito, F., Christensen, D., Mensah, F., Cooklin, A., Wade, C., ... & Nicholson, J. M. (2012). Father mental health during the early parenting period: results of an Australian population based longitudinal study. Social Psychiatry and Psychiatric Epidemiology, 47(12), 1907-1916. doi: 10.1007/s00127-012-0510-0."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"a21ebbe86a3d","_type":"block","children":[{"_key":"cfc4db284d22","_type":"span","marks":[],"text":"Chhabra, J., McDermott, B., & Li, W. (2020). Risk factors for paternal perinatal depression and anxiety: A systematic review and meta-analysis. Psychology of Men & Masculinities, 21(4), 593. http://dx.doi.org/10.1037/men0000259."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"ea5a1789aed2","_type":"block","children":[{"_key":"126ab43ede1c","_type":"span","marks":[],"text":"Leiferman, J. A., Farewell, C. V., Jewell, J., Lacy, R., Walls, J., Harnke, B., & Paulson, J. F. (2021). Anxiety among fathers during the prenatal and postpartum period: a meta-analysis. Journal of Psychosomatic Obstetrics & Gynecology, 42(2), 152-161. doi:10.1080/0167482X.2021.1885025."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"5546d114f26c","_type":"block","children":[{"_key":"08845122ff8a","_type":"span","marks":[],"text":"Philpott, L. F., Savage, E., FitzGerald, S., & Leahy-Warren, P. (2019). Anxiety in fathers in the perinatal period: A systematic review. Midwifery, 76, 54-101. doi: 10.1016/j.midw.2019.05.013."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"6fba62777f16","_type":"block","children":[{"_key":"9d420ceca51f","_type":"span","marks":[],"text":"Kirubarajan, A., Barker, L. C., Leung, S., Ross, L. E., Zaheer, J., Park, B., ... & Lam, J. S. H. (2022). LGBTQ2S+ childbearing individuals and perinatal mental health: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology. doi: 10.1111/1471-0528.17103."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"a615e6266302","_type":"block","children":[{"_key":"b5b1ff477575","_type":"span","marks":[],"text":"Bhat, S. K., Marriott, R., Galbally, M., & Shepherd, C. C. (2020). Psychosocial disadvantage and residential remoteness is associated with Aboriginal women’s mental health prior to childbirth. International Journal of Population Data Science, 5(1). doi: 10.23889/ijpds.v5i1.1153."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"d48430a7caf0","_type":"block","children":[{"_key":"d72d2a93bf0b","_type":"span","marks":[],"text":"Lima, F., Shepherd, C., Wong, J., O’Donnell, M., & Marriott, R. (2019). Trends in mental health related contacts among mothers of Aboriginal children in Western Australia (1990–2013): a linked data population-based cohort study of over 40 000 children. BMJ Open, 9(7), e027733. doi: 10.1136/bmjopen-2018-027733."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"ddbc38010fa8","_type":"block","children":[{"_key":"32c77333467a","_type":"span","marks":[],"text":"Chamberlain, C., Gee, G., Brown, S. J., Atkinson, J., Herrman, H., Gartland, D., ... & Nicholson, J. (2019). Healing the past by nurturing the future—co-designing perinatal strategies for Aboriginal and Torres Strait islander parents experiencing complex trauma: framework and protocol for a community-based participatory action research study. BMJ Open, 9(6), e028397. doi: 10.1136/bmjopen-2018-028397."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0241eb4910be","_type":"block","children":[{"_key":"a7c07067cd44","_type":"span","marks":[],"text":"Heslehurst, N., Brown, H., Pemu, A., Coleman, H., & Rankin, J. (2018). Perinatal health outcomes and care among asylum seekers and refugees: a systematic review of systematic reviews. BMC Medicine, 16(1), 1-25. doi: 10.1186/s12916-018-1064-0."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"fdfc709bcfb8","_type":"block","children":[{"_key":"f84849f86797","_type":"span","marks":[],"text":"Sullivan, C., Vaughan, C., & Wright, J. (2020). Migrant and refugee women’s mental health in Australia: A literature review. School of Population and Global Health, University of Melbourne: Melbourne, Australia."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"}],"question":[{"_key":"af2162c60bef","_type":"block","children":[{"_key":"a9e730d70f98","_type":"span","marks":[],"text":"Detailed references from this article"}],"markDefs":[],"style":"normal"}]}],"title":"References"},{"_key":"f4eb7fbb5357","_type":"articleCollection","background":{"title":"brightTeal40","value":"#C3EDEA"},"eyebrow":"Articles","population":"select","posts":[{"_key":"6e7b74615bdf","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},{"_key":"0aa065ec62b6","_ref":"1e855afd-2d29-428e-998e-efa710e2a026","_type":"reference"},{"_key":"74c7c68da101","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"}]}],"relatedArticles":[{"_id":"b1cb382b-dab8-44f5-a8f2-1109d03f2980","_type":"article","_rev":"YnHcRrfS97TenynEl53SBJ","_createdAt":"2022-02-14T07:41:36Z","_updatedAt":"2024-06-03T02:02:39Z","categories":[{"_key":"c4a9cc27ba48","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"}],"category":{"_ref":"-9446b37b-ec7b-5141-8ec5-d2a370b76d8c","_type":"reference"},"content":[{"_key":"783c7fb38d5d","_type":"block","children":[{"_key":"5299b5f01bf40","_type":"span","marks":[],"text":"If you or your partner are pregnant and struggling with the transition to parenthood, it’s a good idea to chat to someone. If you’re having a tricky time adjusting to the many changes of pregnancy, talking to a loved one or a trusted health professional can help."}],"markDefs":[],"style":"normal"},{"_key":"37acf696c656","_type":"block","children":[{"_key":"7110f0089f31","_type":"span","marks":[],"text":"It’s normal to feel stressed and uncertain during pregnancy. There are so many changes you may be adjusting to, such as physical and hormonal changes, emotional shifts, plus major adjustments to relationships, work and social life. If your feelings are worrying you or affecting your ability to function in daily life, you may be experiencing symptoms of antenatal anxiety or depression. This is nothing to be ashamed of. Antenatal mental health concerns are common."}],"markDefs":[],"style":"normal"},{"_key":"bb9ee733b0ac","_type":"block","children":[{"_key":"fb9ab95e702e","_type":"span","marks":[],"text":"Getting some support now means you can start to feel better."}],"markDefs":[],"style":"normal"},{"_key":"c1db1c18abae","_type":"quote","quote":"Don’t be afraid or ashamed to reach out for the help you need - the help is there. You’ll get better, you’ll find yourself again, and you’ll feel more love for your tiny human than you could ever imagine is possible."},{"_key":"cb6483440c81","_type":"block","children":[{"_key":"4031bfdd6a840","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"h4"},{"_key":"62e015f6ea54","_type":"block","children":[{"_key":"c61df735fc9c","_type":"span","marks":[],"text":"Anxiety and depression during pregnancy: Everyone is different"}],"markDefs":[],"style":"h4"},{"_key":"d8f1b1f270de","_type":"block","children":[{"_key":"4a5be38d04150","_type":"span","marks":[],"text":"We know everyone experiences antenatal anxiety and depression differently.  The way it affects you can depend on a range of factors."}],"markDefs":[],"style":"normal"},{"_key":"f4c4d2f8bf74","_type":"block","children":[{"_key":"dae26e1746490","_type":"span","marks":[],"text":"Your own genetics and unique emotional, mental and physical traits may play a part, plus external factors like your:"}],"markDefs":[],"style":"normal"},{"_key":"ef335c58448c","_type":"block","children":[{"_key":"e2be7535719c0","_type":"span","marks":[],"text":"General health and wellbeing during pregnancy."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"119256779461","_type":"block","children":[{"_key":"7e755e041f3e0","_type":"span","marks":[],"text":"Own experience of being parented when you were a child."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"383abea34c0a","_type":"block","children":[{"_key":"a22b0dd8221f0","_type":"span","marks":[],"text":"Relationships"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8c9b76e33d1","_type":"block","children":[{"_key":"4100fa320c3e0","_type":"span","marks":[],"text":"Stressful life situations can have an impact too."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"171fd703261d","_type":"quote","quote":"I started feeling very sad – lonely and anxious too. Nothing like I had been expecting to feel just before the arrival of our baby."},{"_key":"17ea03140153","_type":"block","children":[{"_key":"114b12d528720","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"h4"},{"_key":"4e02ed221c1e","_type":"block","children":[{"_key":"5b5cd30f40e8","_type":"span","marks":[],"text":"Seeking advice"}],"markDefs":[],"style":"h4"},{"_key":"dda1010eeaa4","_type":"block","children":[{"_key":"c90e3d034d9e0","_type":"span","marks":[],"text":"If you’re an expecting parent worried about your emotional and mental wellbeing, it’s important to seek support from a trusted health professional."}],"markDefs":[],"style":"normal"},{"_key":"aa4d68f4f898","_type":"block","children":[{"_key":"c2d40d889def","_type":"span","marks":[],"text":"We recommend you see your doctor first, but it’s also a great idea to speak with other health professionals like your midwife or obstetrician for information and advice."}],"markDefs":[],"style":"normal"},{"_key":"f2c0d018b53d","_type":"block","children":[{"_key":"53e474a79ee1","_type":"span","marks":[],"text":"Your doctor can help you understand what’s happening and discuss the best treatment options for you. These might include:"}],"markDefs":[],"style":"normal"},{"_key":"e1d5c03cc820","_type":"block","children":[{"_key":"f8c6de94cdec0","_type":"span","marks":[],"text":"Counselling."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2887c445bba","_type":"block","children":[{"_key":"b7a1eb05d7160","_type":"span","marks":[],"text":"Self-care strategies."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e3258799de00","_type":"block","children":[{"_key":"789ec1f9291c0","_type":"span","marks":[],"text":"Medication."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"96a25462ef95","_type":"block","children":[{"_key":"f5e52ad6b9770","_type":"span","marks":[],"text":"Peer supports (e.g. "},{"_key":"0db949df7a51","_type":"span","marks":["b231bd88f4ec"],"text":"virtual courses and peer groups"},{"_key":"f284ddb573f7","_type":"span","marks":[],"text":") "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"b231bd88f4ec","_type":"link","blank":true,"linkType":"external","url":"https://peachtree.org.au/onlinegroups/"}],"style":"normal"},{"_key":"a329a334df0c","_type":"block","children":[{"_key":"210084c57d320","_type":"span","marks":[],"text":"Information and access to perinatal mental health resources. (linkto PANDA resources page, or page with Mumspace, Mum2BMoodBooster etc on it)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3d514414615e","_type":"block","children":[{"_key":"6ab8529421310","_type":"span","marks":[],"text":"If you’re experiencing moderate to severe symptoms of antenatal anxiety and depression, your antenatal care team may also refer you to a mental health service based at your maternity hospital."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"be3b1375aeb6","_type":"block","children":[{"_key":"bcf640acbd300","_type":"span","marks":[],"text":"It’s also important for your doctor to rule out the possibility of any other physical conditions. Some issues which may contribute to feelings of depression, anxiety, low energy or lack of motivation include:"}],"markDefs":[],"style":"normal"},{"_key":"affb51de5230","_type":"block","children":[{"_key":"cf2a39f2f285","_type":"span","marks":[],"text":"Low iron and vitamin deficiencies"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ed0c8a6be45f","_type":"block","children":[{"_key":"c21e0681d69d","_type":"span","marks":[],"text":"Thyroid problems"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e6f0e00b5d0b","_type":"block","children":[{"_key":"d55056f2dff7","_type":"span","marks":["0f3e52e7f989"],"text":"Gestational diabetes"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"0f3e52e7f989","_type":"link","blank":true,"linkType":"external","url":"https://www.diabetesaustralia.com.au/about-diabetes/gestational-diabetes/"}],"style":"normal"},{"_key":"4213ef361edf","_type":"block","children":[{"_key":"8036b6bda24b","_type":"span","marks":["32038eed04fb"],"text":"Hyperemesis"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"32038eed04fb","_type":"link","linkType":"external","url":"https://www.hyperemesisaustralia.org.au/"}],"style":"normal"},{"_key":"2d19ca2c8061","_type":"block","children":[{"_key":"44dafdf17aa50","_type":"span","marks":[],"text":"Distressing or overwhelming thoughts and feelings can resolve if identified and treated. "},{"_key":"8c95aaf5a3e8","_type":"span","marks":["strong"],"text":"Please remember that if you don’t feel heard by your health professional or you’re not satisfied with the advice and treatment you receive, it’s always worth seeking a second opinion."}],"markDefs":[],"style":"normal"},{"_key":"231808187a51","_type":"block","children":[{"_key":"8d6ba4da2f85","_type":"span","marks":[],"text":"If you’re in any doubt, call the PANDA National Helpline. Our telephone counsellors will listen carefully to your concerns and explore different care pathways with you, including additional referral options if you need them."}],"markDefs":[],"style":"normal"},{"_key":"579a396a1cd2","_type":"quote","quote":"My advice to anyone in this position, is to seek help, don't suffer alone."},{"_key":"0de2a1499550","_type":"block","children":[{"_key":"8f953c1ea6dd0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"67f75b195f30","_type":"block","children":[{"_key":"aeac3a0ba4bb","_type":"span","marks":[],"text":"Concerned about medication? Try to be as informed as possible."}],"markDefs":[],"style":"h4"},{"_key":"daaef8bcd666","_type":"block","children":[{"_key":"a2758845ac360","_type":"span","marks":[],"text":"Some people feel concerned or fearful about taking medications for mental health, like anti-anxiety medications or antidepressants. It’s natural to have concerns about possible side effects for you and your unborn baby. People may also feel uncertain or think that there’s something wrong or shameful about taking medication for mental health due to misconceptions."}],"markDefs":[],"style":"normal"},{"_key":"fe8828ab4784","_type":"block","children":[{"_key":"2d69e7bfb0630","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2d0bd06ba7d3","_type":"block","children":[{"_key":"7f9656e9bd220","_type":"span","marks":[],"text":"Sometimes there’s stigma about taking medications for mental health as well. Media, friends, family,or even your own beliefs can make you think that somehow you should be able to cope without medication. You may also be sitting with stigma about medications for mental health that come from your background and culture. "}],"markDefs":[],"style":"normal"},{"_key":"49dbfbd77f89","_type":"block","children":[{"_key":"d168e619cd06","_type":"span","marks":[],"text":"Stigma is judging others or yourself as though there’s something wrong withtaking medication to feel better – when really there is absolutely nothing to hide or be ashamed of."}],"markDefs":[],"style":"normal"},{"_key":"2c32c49d0b10","_type":"block","children":[{"_key":"eb71a7756241","_type":"span","marks":[],"text":"It’s normal to feel uneasy though – you want the best for yourself and your bub. We encourage you to get as much information as possible about any medication that’s being recommended to you. It’s important this information comes from a trusted professional source who has experience with medications for mental health, like your doctor or obstetrician."}],"markDefs":[],"style":"normal"},{"_key":"ce3b2b50ed57","_type":"block","children":[{"_key":"1746fc6147b5","_type":"span","marks":[],"text":"Many of our Helpline callers report feeling like medications were life-changing for them during the perinatal period."}],"markDefs":[],"style":"normal"},{"_key":"d5ae8b8c5a0d","_type":"block","children":[{"_key":"3d799e716f56","_type":"span","marks":[],"text":"Expert advice on medication use in the perinatal period can also be obtained from Medications Information Helplines which are available in each state. We discourage you from seeking information about medications from unreliable sources on the internet."}],"markDefs":[],"style":"normal"},{"_key":"98ab31affd4c","_type":"button","link":{"_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"},"style":"box","text":"Find more information about medications"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Getting support during pregnancy","image":{"_type":"imageWithAlt","alt":"Pregnant mum looking uneasy","asset":{"_ref":"image-80f2f46689cf7ccadf7102c97e6baa15bcdf420f-3334x3334-png","_type":"reference"}},"text":[{"_key":"32120c45f1e8","_type":"block","children":[{"_key":"1bff0ff6e40d0","_type":"span","marks":[],"text":"During pregnancy, specialist support is available for your mental health and wellbeing."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"3be3396afcc3","_type":"checklist","field":"content"},{"_key":"e062fd50aacf","_type":"helpLine","field":"content"},{"_key":"085905cd4154","_type":"chatBotModule","field":"content"}],"relatedArticles":[{"_key":"9702c3eabd54","_ref":"c5fde9ed-60c5-4709-8a28-29b7e866ad3f","_type":"reference"},{"_key":"8979d646270e","_ref":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"reference"},{"_key":"5e9d0c87688e","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"During pregnancy, specialist support is available for your mental health and wellbeing.","metaTitle":"Getting help: Support during pregnancy","socialImage":{"_type":"image","asset":{"_ref":"image-82531a1a60df1b7679a2435a4e486883e9534526-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"005338c0957a","_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},{"_key":"38241328505a","_ref":"34a10849-fbc5-40db-be3b-bdadad30177e","_type":"reference"},{"_key":"d7ec51f051af","_ref":"4911b17f-e3fb-4af2-b0a4-ee72e55ec38c","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"getting-help-support-during-pregnancy"},"tags":[{"_key":"35714a66efd3","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"},{"_key":"d5e88d4dc9e2","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"94c1ff0e9988","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"}],"title":"Getting help: Support during pregnancy","id":"-d46931c4-7fbb-5e73-803f-dfdfa9f369a0","children":[],"internal":{"type":"SanityArticle","contentDigest":"26470a9ae9d7bb780852121d2ec448d6","owner":"gatsby-source-sanity","counter":164},"parent":null,"__gatsby_resolved":{"slug":{"current":"getting-help-support-during-pregnancy"}}},{"_id":"e3e4eb2d-29b8-4375-982d-1acc2d22b0c2","_type":"article","_rev":"euacLC0mXPhoRWtm8wIURq","_createdAt":"2022-02-14T08:19:50Z","_updatedAt":"2023-09-18T00:51:44Z","categories":[{"_key":"43090f5639ba","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"54814789718f","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"category":{"_ref":"-2be506a5-df12-5306-ab62-d66056112f83","_type":"reference"},"content":[{"_key":"b21b73926952","_type":"block","children":[{"_key":"b7a83bb12a970","_type":"span","marks":[],"text":"Sometimes the challenges of being a new parent leave you feeling exhausted. Many new parents experience some trouble adjusting to parenthood. Yet a big dip in your mental health at this time can seriously affect your ability to function in daily life and to look after yourself and your baby."}],"markDefs":[],"style":"normal"},{"_key":"d260272dba1f","_type":"block","children":[{"_key":"3931e5b5b6f6","_type":"span","marks":[],"text":"If your thoughts and feelings are worrying you, affecting your daily function or stopping you from enjoying life, you may be experiencing symptoms of postnatal anxiety or depression. This is nothing to be ashamed of, as postnatal mental health concerns are common."}],"markDefs":[],"style":"normal"},{"_key":"d41528396204","_type":"quote","attribution":"Sam, TAS","quote":"You’re not a burden. Everyone deserves help. It doesn’t matter how minor or major you think things are. Everyone deserves it. So take help if it’s there. Don’t think you’re not worthy of help."}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Getting help: Support after birth ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-65a0d7715e51fc1bf780d6e981df58bd84a42ddc-2500x2000-jpg","_type":"reference"}},"text":[{"_key":"b52d95eff726","_type":"block","children":[{"_key":"dc0e3bad44fa0","_type":"span","marks":[],"text":"After you’ve had your baby, specialist support is available for your mental health and wellbeing."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"6473edd4c302","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"57fc20af9a63","_type":"block","children":[{"_key":"7ec431fc3bd70","_type":"span","marks":[],"text":"Postnatal anxiety and depression: Everyone is different"}],"markDefs":[],"style":"h4"},{"_key":"47302b456eeb","_type":"block","children":[{"_key":"4120ce29fb940","_type":"span","marks":[],"text":"We know that people experience changes to their postnatal mental health in different ways – everyone's experience is unique.The way your mental health is affected after becoming a parent can depend on a range of factors."}],"markDefs":[],"style":"normal"},{"_key":"2ec2094e9b8f","_type":"block","children":[{"_key":"faa5e527e0c9","_type":"span","marks":[],"text":"Your own genetics and unique emotional, mental and physical traits may play a part, plus external factors like your:"}],"markDefs":[],"style":"normal"},{"_key":"a3af7d0abfb8","_type":"block","children":[{"_key":"07b5233101ab0","_type":"span","marks":[],"text":"Birth experience, especially if it was traumatic "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d9cce2415bbf","_type":"block","children":[{"_key":"1247888da82b0","_type":"span","marks":[],"text":"Relationships"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52600eb8b837","_type":"block","children":[{"_key":"5c765951e4b60","_type":"span","marks":[],"text":"Stressful life situations can have an impact too."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"60cbb6892f9c","_type":"button","link":{"_type":"link","document":{"_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Learn more about signs and symptoms"},{"_key":"37402af45f7f","_type":"block","children":[{"_key":"532aeaeed8a10","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2e20f4f16e38","_type":"block","children":[{"_key":"2c45456007ee","_type":"span","marks":[],"text":"There are also different degrees of postnatal mental ill-health. Some people experience mild postnatal anxiety or depression, while others have more severe symptoms including postnatal psychosis (link). No matter how unwell you feel, postnatal mental health concerns can affect your enjoyment of being a new parent, your bond with your baby and your ability to function in daily life."}],"markDefs":[],"style":"normal"},{"_key":"00e376a7e677","_type":"block","children":[{"_key":"293382cf70e3","_type":"span","marks":[],"text":"You don’t have to manage everything alone though. The sooner you seek help by talking to someone, the quicker you can begin treatment and start feeling better."}],"markDefs":[],"style":"normal"},{"_key":"b33d8c811b66","_type":"block","children":[{"_key":"5b0ceadade0d","_type":"span","marks":[],"text":"The mild to severe range of postnatal anxiety and depression symptoms means there is no one-size-fits-all approach to mental health recovery. This means:"}],"markDefs":[],"style":"normal"},{"_key":"97c90ba0ed0a","_type":"block","children":[{"_key":"b3025c6ca96f0","_type":"span","marks":[],"text":"Everyone responds to treatment differently."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7b85dcb1dca4","_type":"block","children":[{"_key":"0517a167146f0","_type":"span","marks":[],"text":"What works well for someone else may not be the best care plan for you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c83a4c3ed6b7","_type":"block","children":[{"_key":"55ff20f109220","_type":"span","marks":[],"text":"Your recovery plan will be personalised and adapted to meet your individual needs as a person and a new parent."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3b8e777100bb","_type":"block","children":[{"_key":"a340454076780","_type":"span","marks":[],"text":"Your voice matters. You’re the expert on your own life, and your care team will consult you about what might work best for you.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"7d930a93e882","_type":"freeText","text":[{"_key":"0393619de94d","_type":"block","children":[{"_key":"a0c2bbd707d80","_type":"span","marks":[],"text":"Seeking support"}],"markDefs":[],"style":"h4"},{"_key":"857f1bfe5fda","_type":"block","children":[{"_key":"ef834f00d02e0","_type":"span","marks":[],"text":"If you’re a new parent worried about your emotional and mental wellbeing, it’s important to seek support from a trusted health professional."}],"markDefs":[],"style":"normal"},{"_key":"95e216b22d7b","_type":"block","children":[{"_key":"9d2baa334e99","_type":"span","marks":[],"text":"We recommend you see your doctor first, but it’s also a great idea to speak with other health professionals like your maternal and child health nurse for information and advice."}],"markDefs":[],"style":"normal"},{"_key":"73990fc41004","_type":"quote","attribution":"Natasha, WA","quote":"Asking for help had been so hard for me to do. But once I let go of that need to be perfect and in control and asked for help, I was actually able to take back control of my life."},{"_key":"17f34ad7fe3c","_type":"block","children":[{"_key":"6723ca2ba2d10","_type":"span","marks":[],"text":"Your doctor can help you "},{"_key":"be525a6bc55b","_type":"span","marks":["c30ca9fb41e4"],"text":"understand"},{"_key":"f0780d546363","_type":"span","marks":[],"text":" what’s happening and discuss the best treatment options for you. These might include:"}],"markDefs":[{"_key":"c30ca9fb41e4","_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"b15a072290a7","_type":"block","children":[{"_key":"c3e512c235840","_type":"span","marks":["a94f12fe697a"],"text":"Counselling"},{"_key":"046a827b5030","_type":"span","marks":[],"text":" "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"a94f12fe697a","_type":"link","document":{"_ref":"b769769d-ee6c-42d0-9dfe-8b41e1625715","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"0ccf712907ba","_type":"block","children":[{"_key":"275a916999e6","_type":"span","marks":["63f3fdba400f"],"text":"Self-care strategies"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"63f3fdba400f","_type":"link","document":{"_ref":"ea5008f7-a47e-4676-9ae0-c723bfd48898","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"089ee13caef1","_type":"block","children":[{"_key":"7837c471911e0","_type":"span","marks":["edff656a1859"],"text":"Medication"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"edff656a1859","_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"e8bd7f90be51","_type":"block","children":[{"_key":"97c5f19a7c160","_type":"span","marks":["b4cb23f03a14"],"text":"Peer supports"},{"_key":"7f85069ed4f2","_type":"span","marks":[],"text":" (eg. virtual courses and peer groups)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"b4cb23f03a14","_type":"link","linkType":"external","url":"https://peachtree.org.au/onlinegroups/"}],"style":"normal"},{"_key":"4aac5f4af9b6","_type":"block","children":[{"_key":"6b37e0d18fb10","_type":"span","marks":[],"text":"Information and access to "},{"_key":"ec691d5bf5f9","_type":"span","marks":["813f0caa7817"],"text":"perinatal mental health resources "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"813f0caa7817","_type":"link","linkType":"external","url":"https://www.mumspace.com.au/"}],"style":"normal"},{"_key":"69cac61fb7f7","_type":"block","children":[{"_key":"188d62727588","_type":"span","marks":[],"text":"It’s also important for your doctor to rule out the possibility of any other physical conditions. Low iron, vitamin deficiencies or thyroid problems are some issues may contribute to feelings of depression, anxiety, low energy or lack of motivation. Worrisome thoughts and feelings can resolve if identified and treated."}],"markDefs":[],"style":"normal"},{"_key":"ae2aa8f43002","_type":"block","children":[{"_key":"a17b902477a1","_type":"span","marks":[],"text":"Please remember that if you don’t feel heard by your health professional or you’re not satisfied with the advice and treatment you receive, it’s always worth seeking a second opinion."}],"markDefs":[],"style":"normal"},{"_key":"a8a11b336c98","_type":"block","children":[{"_key":"c0ce9e7f91b7","_type":"span","marks":[],"text":"If you’re in any doubt, call the PANDA National Helpline. Our telephone counsellors will listen carefully to your concerns and explore pathways to care with you, including additional referral options if you need them."}],"markDefs":[],"style":"normal"}]},{"_key":"508f0e7c96f7","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"6a9bf057eae7","_type":"block","children":[{"_key":"0afbf0d184810","_type":"span","marks":[],"text":"Concerned about medication? Try to be as informed as possible."}],"markDefs":[],"style":"h4"},{"_key":"e7ed27c76807","_type":"block","children":[{"_key":"82605e3f9c610","_type":"span","marks":[],"text":"Some people feel concerned or fearful about taking medications for mental health, like anti-anxiety meds or antidepressants. It’s natural to have concerns about possible side effects and how long you might need to take medication. People may also feel uncertain or think that there’s something wrong or shameful about taking medication for mental health due to misconceptions and stigma."}],"markDefs":[],"style":"normal"},{"_key":"f6944a299f7f","_type":"block","children":[{"_key":"d657befa1a13","_type":"span","marks":[],"text":"Stigma is judging others or yourself as though there’s something wrong with taking medication to feel better – when really there is absolutely nothing to hide or be ashamed of.Sometimes there’s stigma about taking medications for mental health as well, from friends, family, or beliefs you have that come from your background and culture."}],"markDefs":[],"style":"normal"},{"_key":"ab7e30883d6e","_type":"quote","attribution":"Joanne, WA","quote":"I was initially against taking medication, especially as I was still breastfeeding. They presented to me research done by the hospital to demonstrate the amount of medication that would be transferred. They prescribed the medication and I started taking it and within a few weeks my mindset started to improve."},{"_key":"e30dbc296623","_type":"block","children":[{"_key":"2ede652449330","_type":"span","marks":[],"text":"It’s normal to feel uneasy – you want the best for yourself and your baby. We encourage you to get as much information as possible about the medication that is being recommended to you. It’s important this information comes from a trusted professional source who has experience with medications for mental health, like your doctor or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"64404a34a6fc","_type":"block","children":[{"_key":"1c4bcd2d87df","_type":"span","marks":[],"text":"Expert advice on medication use in the perinatal period can also be obtained from Medications Information Helplines which are available in each state. "}],"markDefs":[],"style":"normal"},{"_key":"97d1d32c63ff","_type":"block","children":[{"_key":"b801f3964560","_type":"span","marks":[],"text":"We discourage you from seeking information about medications from unreliable sources on the internet."}],"markDefs":[],"style":"normal"},{"_key":"22f78a67cdbe","_type":"button","link":{"_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Medications information helplines"}]},{"_key":"de35bcda2ad6","_type":"articleCollection","background":{"title":"orange60","value":"#FFA688"},"eyebrow":"Articles"},{"_key":"a12f24b1c106","_type":"storyCollection","background":{"title":"peach80","value":"#FFD29D"},"eyebrow":"Stories"}],"relatedArticles":[{"_key":"c735b45e2ed5","_ref":"a938dce0-5aad-4627-9531-dcff4c2e7795","_type":"reference"},{"_key":"ad51bf1a88b0","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},{"_key":"d36475ae9706","_ref":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"After you’ve had your baby, specialist support is available for your mental health and wellbeing."},"showFeedbackForm":true,"sidebarPosts":[{"_key":"09c51e59afcd","_ref":"3a24135f-caa6-4390-b28b-c32e50ac7b53","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"getting-help-support-after-birth"},"tags":[{"_key":"5ddfff2e8d3c","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"8c067585b16b","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"0e295babed6a","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"}],"title":"Getting help: Support after birth ","id":"-1d180bee-736f-5bfd-a805-313681c3c880","children":[],"internal":{"type":"SanityArticle","contentDigest":"5104e9889dec04ec24c5d8849afbfdfb","owner":"gatsby-source-sanity","counter":75},"parent":null,"__gatsby_resolved":{"slug":{"current":"getting-help-support-after-birth"}}},{"_id":"9aa50a2e-c32f-4dda-a8ac-8da56d0b6bf6","_type":"article","_rev":"Qn539eY6AyPDWnV3QW7eAf","_createdAt":"2022-02-14T07:25:34Z","_updatedAt":"2024-05-27T00:11:15Z","categories":[{"_key":"5ad8ce5ff1db","_ref":"f72ed5fd-4128-46cf-b3ca-bdf1ed7b9837","_type":"reference"}],"category":{"_ref":"-86f74096-b6a0-55a1-833a-27fdc4f9c109","_type":"reference"},"content":[{"_key":"89e5f7d7830e","_type":"block","children":[{"_key":"651e0dd902510","_type":"span","marks":[],"text":"Perinatal anxiety and depression can affect any person and their family, regardless of culture, age, or socio-economic situation. While you can’t “fix” what your partner is going through, you can support them while they seek help and receive treatment. "}],"markDefs":[],"style":"normal"},{"_key":"8a30cb5071a0","_type":"block","children":[{"_key":"42ce628253de0","_type":"span","marks":[],"text":"If you are finding it stressful or challenging to support your partner, help is available for you too."}],"markDefs":[],"style":"normal"},{"_key":"bd1f8c405d65","_type":"block","children":[{"_key":"46777b43c567","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"9fea368db7a2","_type":"block","children":[{"_key":"844b1f18aba50","_type":"span","marks":[],"text":"Impact on relationships and wellbeing"}],"markDefs":[],"style":"h4"},{"_key":"caac9ad89c58","_type":"block","children":[{"_key":"572e57f6295c0","_type":"span","marks":[],"text":"Perinatal anxiety and depression can impact all areas of wellbeing: physical, emotional and social. Overwhelm, exhaustion, loss of confidence, fear of leaving the house or being with other people can all take its toll. Relationships with partners, family and friends can be impacted."}],"markDefs":[],"style":"normal"},{"_key":"7928f58f3de9","_type":"block","children":[{"_key":"73179dba1797","_type":"span","marks":[],"text":"The longer a parent experiencing mental health issues goes without seeking treatment, the more likely it is that their partner may experience changes to their mental health too."}],"markDefs":[],"style":"normal"},{"_key":"863f1e9ffe56","_type":"block","children":[{"_key":"7aeabb510b710","_type":"span","marks":[],"text":"If you’re feeling overwhelmed and unable to cope due to changes in your mental health, it can be difficult to find the patience and energy to connect with babies, children and loved ones. It’s difficult to parent if you are feeling agitated, unsettled or lacking in motivation. This is why seeking help early is so important."}],"markDefs":[],"style":"normal"},{"_key":"4532d64ad8a2","_type":"block","children":[{"_key":"d77c74c6aed10","_type":"span","marks":[],"text":"It can be an unexpected shock if your partner is struggling with symptoms of perinatal anxiety or depression. Our culture portrays the pregnancy, birth and the perinatal period as a time of joy and elation. Most new parents, even if they don’t experience mental health challenges, will experience some degree of fatigue, overwhelm, irritability, stress and worry as they adjust to life as a parent."}],"markDefs":[],"style":"normal"},{"_key":"c32c9b8a7f2d","_type":"block","children":[{"_key":"7098adda69dc","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f34dde481531","_type":"block","children":[{"_key":"ca3d9d28d9ae0","_type":"span","marks":[],"text":"If your partner is experiencing mental health challenges during pregnancy or early parenthood, you might feel:"}],"markDefs":[],"style":"h4"},{"_key":"50f4d3113349","_type":"block","children":[{"_key":"4d67260d8a600","_type":"span","marks":[],"text":"Confused or uncertain about what to say or do to help"}],"markDefs":[],"style":"h5"},{"_key":"63bf3fb658ca","_type":"quote","quote":"I don’t know what to say in case I make things worse"},{"_key":"a4444d23af97","_type":"block","children":[{"_key":"64581e12215c0","_type":"span","marks":[],"text":"Useless"}],"markDefs":[],"style":"h5"},{"_key":"01ba69372a4b","_type":"quote","quote":"Nothing I say or do seems to help!"},{"_key":"2cca12465f2b","_type":"block","children":[{"_key":"045695b4fe830","_type":"span","marks":[],"text":"Frustrated and angry"}],"markDefs":[],"style":"h5"},{"_key":"9c807f4cb55b","_type":"quote","quote":"Why are they being like this when I am trying so hard?"},{"_key":"60f111b97604","_type":"block","children":[{"_key":"dedd015523280","_type":"span","marks":[],"text":"Overwhelmed"}],"markDefs":[],"style":"h5"},{"_key":"c12029d08f57","_type":"quote","quote":"It’s all too much"},{"_key":"9b5b342fc0c3","_type":"block","children":[{"_key":"3b22e2b22fa50","_type":"span","marks":[],"text":"Alienated"}],"markDefs":[],"style":"h5"},{"_key":"4563647f9a55","_type":"quote","quote":"I have no idea how to relate to this experience."},{"_key":"ed5659ddf40c","_type":"block","children":[{"_key":"687030e220f50","_type":"span","marks":[],"text":"Unsure about how or when to help"}],"markDefs":[],"style":"h5"},{"_key":"b86a1289c4b4","_type":"quote","quote":"Am I interfering? Should I be helping more? Should I be letting them have space?"},{"_key":"86124c9b094d","_type":"block","children":[{"_key":"1b452a8cf87b0","_type":"span","marks":[],"text":"A sense of loss"}],"markDefs":[],"style":"h5"},{"_key":"b94848ea018f","_type":"quote","quote":"When is my partner going to be their ‘old self’?"},{"_key":"cca635ff54d9","_type":"block","children":[{"_key":"dffd49b822fa0","_type":"span","marks":[],"text":"A loss of support"}],"markDefs":[],"style":"h5"},{"_key":"6bc667fb6afe","_type":"quote","quote":"My partner and I were so close. I feel like they're no longer there for me."},{"_key":"25571a389b23","_type":"block","children":[{"_key":"af14044210e30","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"5ade8609d2ce","_type":"block","children":[{"_key":"d8d6c0e5834f0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"40b7e023f4d8","_type":"block","children":[{"_key":"932ad12870c5","_type":"span","marks":[],"text":"It’s important to remember that perinatal anxiety and depression are mental health disorders. "}],"markDefs":[],"style":"h4"},{"_key":"82a6b592662b","_type":"block","children":[{"_key":"95246cb2a906","_type":"span","marks":[],"text":"Try not to take any out of character behaviour personally. We also encourage you to look after your own physical, mental and emotional wellbeing. This ensures you’re in the best possible position to care for your partner and family during a challenging time."}],"markDefs":[],"style":"normal"},{"_key":"860a641e50cb","_type":"block","children":[{"_key":"d466699692be0","_type":"span","marks":[],"text":"Lots of parents feel uncertain about who they can talk to about what their partner is going through. We still have a long way to go to accepting mental health in the same way we deal with physical health. It’s a good idea to check in with your partner about how they feel about you telling other people. "}],"markDefs":[],"style":"normal"},{"_key":"a7e1b270cf9b","_type":"block","children":[{"_key":"75f3e248c17c","_type":"span","marks":[],"text":"It can help to remember that perinatal anxiety and/or depression are common. You might be surprised to find out who else has experienced mental health challenges during the transition to parenthood."}],"markDefs":[],"style":"normal"},{"_key":"b493a7c4ad6e","_type":"block","children":[{"_key":"55c66a2c04cf","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"33f6f0277bb1","_type":"block","children":[{"_key":"ac3ed0dfcd00","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"teal100","value":"#236D6D"},"headline":"Tips for caring for your partner","image":{"_type":"imageWithAlt","alt":"Mum and dad cuddling baby","asset":{"_ref":"image-2cbf6c0a91e3accc6de8811e756628c457aabbae-2500x1660-jpg","_type":"reference"}},"text":[{"_key":"b07ec6bf146b","_type":"block","children":[{"_key":"3ade792e70e20","_type":"span","marks":[],"text":"Caring for someone with perinatal anxiety or depression can be confusing, stressful and demanding. While you can’t “fix” what your partner is going through, you can support them while they seek help and receive treatment. "}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"1e5f0309cad3","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"2ce7c5e1300d","_type":"faq","answer":[{"_key":"931c145d6b01","_type":"block","children":[{"_key":"28b5c5aef0910","_type":"span","marks":[],"text":"This might mean getting up to do night feeds, nappy changes and settling. Or encouraging your partner to go to bed early while you put the baby and other children to bed."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"0fac05ab1f27","_type":"block","children":[{"_key":"9d15d90ff3640","_type":"span","marks":[],"text":"Support their sleep"}],"markDefs":[],"style":"normal"}]},{"_key":"6dbea1866ca4","_type":"faq","answer":[{"_key":"5cdd61b4e126","_type":"block","children":[{"_key":"8818427ad28e0","_type":"span","marks":[],"text":"Help them make appointments, drive them to appointments and attend as their support person if possible. If you can't care for your baby/children during your partner's appointments, arrange for a loved one to have the children. This gives your partner space to focus on their health care needs."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"3e732e42a9a3","_type":"block","children":[{"_key":"7e47dca53e9c0","_type":"span","marks":[],"text":"Assist your partner to seek help"}],"markDefs":[],"style":"normal"}]},{"_key":"8b662fa8ab75","_type":"faq","answer":[{"_key":"dc1763c6e276","_type":"block","children":[{"_key":"15394f3940180","_type":"span","marks":[],"text":"This could mean taking the kids for an hour while your partner goes for a walk or has a rest."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"93ac657f3e2c","_type":"block","children":[{"_key":"6745bfa2ab960","_type":"span","marks":[],"text":"Take on extra care of the baby or older children"}],"markDefs":[],"style":"normal"}]},{"_key":"8a7e7daaf6af","_type":"faq","answer":[{"_key":"a15a715a886e","_type":"block","children":[{"_key":"f5181a4fa1590","_type":"span","marks":[],"text":"Babies generate an increase in domestic work, including cleaning, laundry, food preparation, and “life admin” like family finances and making healthcare appointments. Managing these tasks can be a huge support to your partner."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"2307a61dddb6","_type":"block","children":[{"_key":"da2b714f4d680","_type":"span","marks":[],"text":"Do more around the house"}],"markDefs":[],"style":"normal"}]},{"_key":"bbb3eed8cf1c","_type":"faq","answer":[{"_key":"35e84782e9d3","_type":"block","children":[{"_key":"bd8f83a7b32d0","_type":"span","marks":[],"text":"Spend some time preparing meals for the week (e.g. family dinners and school lunches for older children)."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"fb00bc4f034e","_type":"block","children":[{"_key":"65c3035a82d90","_type":"span","marks":[],"text":"Cook meals to share"}],"markDefs":[],"style":"normal"}]},{"_key":"6623b8fdde6a","_type":"faq","answer":[{"_key":"f1872d89667c","_type":"block","children":[{"_key":"45616c8608de0","_type":"span","marks":[],"text":"They could cook a meal, take the baby for a walk or just come over for a cup of tea and a chat."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"53b7b8f9e228","_type":"block","children":[{"_key":"47fef63b12130","_type":"span","marks":[],"text":"Call on friends or family for help and support."}],"markDefs":[],"style":"normal"}]},{"_key":"376d082b532d","_type":"faq","answer":[{"_key":"fc806c75ccc0","_type":"block","children":[{"_key":"2fda77b642340","_type":"span","marks":[],"text":"Sometimes people experiencing mental health challenges find it hard to reach out to the people they love. Encourage your partner to catch up with their friends and family and do things that make them happy."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"0ea9b0f7c085","_type":"block","children":[{"_key":"472474613cde0","_type":"span","marks":[],"text":"Encourage your partner to see friends and loved ones."}],"markDefs":[],"style":"normal"}]},{"_key":"dafac7b61e84","_type":"faq","answer":[{"_key":"ac999e0b6d2e","_type":"block","children":[{"_key":"8e86ff973eec0","_type":"span","marks":[],"text":"If your partner is experiencing mental health challenges and you find yourself feeling frustrated, irritable, resentful or overwhelmed, it's important to seek out support for your own mental health. Caregiver fatigue and burnout is common for partners caring for a loved one in mental health distress, but professional support is available."}],"markDefs":[],"style":"normal"},{"_key":"9244f1124579","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://counselling.carergateway.gov.au/s/"},"style":"box","text":"Support for carers"},{"_key":"de3b423977bb","_type":"block","children":[{"_key":"0a084dae16c00","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"question":[{"_key":"3d0d8b17fec5","_type":"block","children":[{"_key":"211404e6bf2f0","_type":"span","marks":[],"text":"Manage your own feelings and wellbeing."}],"markDefs":[],"style":"normal"}]}],"title":"Practical strategies to support your partner"},{"_key":"e1cccc314676","_type":"freeText","text":[{"_key":"53744728c040","_type":"block","children":[{"_key":"241eb4507a4b","_type":"span","marks":[],"text":"Partners and carers can also call PANDA's Helpline if you need to talk 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is a national telephone counselling service delivered by professional counsellors and dedicated peer support volunteers with a lived experience of perinatal mental health conditions. When you call, your call will be answered by a counsellor, or you may be asked to leave us a message during peak times."}],"markDefs":[],"style":"normal"},{"_key":"2ad286e2501a","_type":"block","children":[{"_key":"c21008e4220b0","_type":"span","marks":[],"text":"In every call you have with PANDA, we listen to your story. Everyone’s parenthood journey is unique, and we want to know about you and your experience."}],"markDefs":[],"style":"normal"},{"_key":"f0ad9db91b41","_type":"block","children":[{"_key":"c01378ab67180","_type":"span","marks":[],"text":"We provide you with a reassuring, confidential space for you to talk openly and honestly about your thoughts, feelings and experiences around pregnancy and parenthood. 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","image":{"_type":"imageWithAlt","alt":"illustration of mum on phone while holding her baby","asset":{"_ref":"image-885b5eb38f693819a76ea74c94d8b89f2fdcb163-5001x5001-png","_type":"reference"}},"text":[{"_key":"ed109e5eafa1","_type":"block","children":[{"_key":"e57a343822c30","_type":"span","marks":[],"text":"When you call PANDA, we’ll provide a safe, caring and confidential space for you to talk through any concerns you may have as an expecting or new parent, or support person."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"cd72814a0a50","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"ce20058466ce","_type":"faq","answer":[{"_key":"d578f70320eb","_type":"block","children":[{"_key":"324f85351a0a0","_type":"span","marks":[],"text":"Most people call PANDA to seek support for themselves. 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Others call because they’re concerned they may be experiencing symptoms of perinatal anxiety or depression."}],"markDefs":[],"style":"normal"},{"_key":"0323bdd23345","_type":"block","children":[{"_key":"2bd25471bbbb0","_type":"span","marks":[],"text":"Some of the common concerns we hear are:"}],"markDefs":[],"style":"normal"},{"_key":"47af9e1dde8d","_type":"block","children":[{"_key":"1cfd759144210","_type":"span","marks":[],"text":"I don’t know what’s going on, but I just don’t feel like myself."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"24a5b0750ccd","_type":"block","children":[{"_key":"401ca5d055620","_type":"span","marks":[],"text":"I’m so tired all the time. I don’t know how much longer I can keep doing this."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2d5a44940899","_type":"block","children":[{"_key":"955797f2584f0","_type":"span","marks":[],"text":"I can’t stop thinking about the birth. It was nothing like what I had planned."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32afe61f77a8","_type":"block","children":[{"_key":"662bae49fdda0","_type":"span","marks":[],"text":"I just yelled at my toddler. I hate this, I’m not being the parent I want to be."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"87fa4ba10609","_type":"block","children":[{"_key":"ad7b3988b8d10","_type":"span","marks":[],"text":"I don’t enjoy being a parent. I feel so guilty and ashamed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7c91aa595fbd","_type":"block","children":[{"_key":"06a3a00035ad0","_type":"span","marks":[],"text":"I’m struggling in my relationship... everything has changed since the birth of my baby."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"46580fb5f6f6","_type":"block","children":[{"_key":"c930a9c7e8000","_type":"span","marks":[],"text":"I’m not sure I should be having this baby, and I’m not sure if I want to."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ab4791e26765","_type":"block","children":[{"_key":"3a0273387a8c0","_type":"span","marks":[],"text":"I had thoughts of driving into a tree this morning and it scared me. I need help."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"9928177a5b06","_type":"block","children":[{"_key":"62c5ab7316e7","_type":"span","marks":[],"text":"Why would I call PANDA? "}],"markDefs":[],"style":"normal"}]},{"_key":"8fab9f4acfc3","_type":"faq","answer":[{"_key":"296a531f8485","_type":"block","children":[{"_key":"435a662f4f7b","_type":"span","marks":[],"text":"Everyone who calls PANDA is trying to make sense of unfamiliar thoughts and feelings. "}],"markDefs":[],"style":"normal"},{"_key":"ff631aeba3b8","_type":"block","children":[{"_key":"13f438a9c625","_type":"span","marks":[],"text":"You don’t need a referral or a diagnosis of perinatal mental illness to call PANDA. "}],"markDefs":[],"style":"normal"},{"_key":"9a8046cb8331","_type":"block","children":[{"_key":"0a033de35487","_type":"span","marks":[],"text":"We don’t provide you with a diagnosis – that’s not our role. We’ll help you understand what’s happening for you and your family. "}],"markDefs":[],"style":"normal"},{"_key":"2eb9d21f4113","_type":"block","children":[{"_key":"40c7cb85fbcf","_type":"span","marks":[],"text":"We’ll listen to what you think might be helpful and provide information and support options for you to consider."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1c025fea9e25","_type":"block","children":[{"_key":"1e1301d37c48","_type":"span","marks":[],"text":"Do I need a referral or diagnosis to call PANDA? "}],"markDefs":[],"style":"normal"}]},{"_key":"1ecb985c5b78","_type":"faq","answer":[{"_key":"7fb1247f7da5","_type":"block","children":[{"_key":"e2274380b9890","_type":"span","marks":[],"text":"When you call the PANDA helpline, you may hear a recording talking about PANDA services. This means that you are in the queue to speak with one of our counsellors.You might hear a recording asking if you’d like to leave a message for us with your contact details. We encourage you to do this, as leaving us a message holds your place in the queue and we’ll call you back as soon as a counsellor becomes available."}],"markDefs":[],"style":"normal"},{"_key":"4f9551d49bf1","_type":"block","children":[{"_key":"dbdd735779a60","_type":"span","marks":[],"text":"When you speak to one of counsellors, we'll ask you for some basic contact details and ask a few questions about what prompted you to call the Helpline. We’ll also ask about your own and your baby’s safety and wellbeing. While you can choose to remain anonymous, most of our callers prefer to share their contact details, especially if we’re helping you to find community-based supports in your area."}],"markDefs":[],"style":"normal"},{"_key":"4185d7d15248","_type":"block","children":[{"_key":"77d2f8d201370","_type":"span","marks":[],"text":"Our counsellors will encourage you to tell us your story. 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Some people experience mild postnatal anxiety or depression, while others have more severe symptoms including postnatal psychosis (link). No matter how unwell you feel, postnatal mental health concerns can affect your enjoyment of being a new parent, your bond with your baby and your ability to function in daily life."}],"markDefs":[],"style":"normal"},{"_key":"00e376a7e677","_type":"block","children":[{"_key":"293382cf70e3","_type":"span","marks":[],"text":"You don’t have to manage everything alone though. The sooner you seek help by talking to someone, the quicker you can begin treatment and start feeling better."}],"markDefs":[],"style":"normal"},{"_key":"b33d8c811b66","_type":"block","children":[{"_key":"5b0ceadade0d","_type":"span","marks":[],"text":"The mild to severe range of postnatal anxiety and depression symptoms means there is no one-size-fits-all approach to mental health recovery. This means:"}],"markDefs":[],"style":"normal"},{"_key":"97c90ba0ed0a","_type":"block","children":[{"_key":"b3025c6ca96f0","_type":"span","marks":[],"text":"Everyone responds to treatment differently."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7b85dcb1dca4","_type":"block","children":[{"_key":"0517a167146f0","_type":"span","marks":[],"text":"What works well for someone else may not be the best care plan for you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c83a4c3ed6b7","_type":"block","children":[{"_key":"55ff20f109220","_type":"span","marks":[],"text":"Your recovery plan will be personalised and adapted to meet your individual needs as a person and a new parent."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3b8e777100bb","_type":"block","children":[{"_key":"a340454076780","_type":"span","marks":[],"text":"Your voice matters. You’re the expert on your own life, and your care team will consult you about what might work best for you.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"7d930a93e882","_type":"freeText","text":[{"_key":"0393619de94d","_type":"block","children":[{"_key":"a0c2bbd707d80","_type":"span","marks":[],"text":"Seeking support"}],"markDefs":[],"style":"h4"},{"_key":"857f1bfe5fda","_type":"block","children":[{"_key":"ef834f00d02e0","_type":"span","marks":[],"text":"If you’re a new parent worried about your emotional and mental wellbeing, it’s important to seek support from a trusted health professional."}],"markDefs":[],"style":"normal"},{"_key":"95e216b22d7b","_type":"block","children":[{"_key":"9d2baa334e99","_type":"span","marks":[],"text":"We recommend you see your doctor first, but it’s also a great idea to speak with other health professionals like your maternal and child health nurse for information and advice."}],"markDefs":[],"style":"normal"},{"_key":"73990fc41004","_type":"quote","attribution":"Natasha, WA","quote":"Asking for help had been so hard for me to do. But once I let go of that need to be perfect and in control and asked for help, I was actually able to take back control of my life."},{"_key":"17f34ad7fe3c","_type":"block","children":[{"_key":"6723ca2ba2d10","_type":"span","marks":[],"text":"Your doctor can help you "},{"_key":"be525a6bc55b","_type":"span","marks":["c30ca9fb41e4"],"text":"understand"},{"_key":"f0780d546363","_type":"span","marks":[],"text":" what’s happening and discuss the best treatment options for you. These might include:"}],"markDefs":[{"_key":"c30ca9fb41e4","_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"b15a072290a7","_type":"block","children":[{"_key":"c3e512c235840","_type":"span","marks":["a94f12fe697a"],"text":"Counselling"},{"_key":"046a827b5030","_type":"span","marks":[],"text":" "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"a94f12fe697a","_type":"link","document":{"_ref":"b769769d-ee6c-42d0-9dfe-8b41e1625715","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"0ccf712907ba","_type":"block","children":[{"_key":"275a916999e6","_type":"span","marks":["63f3fdba400f"],"text":"Self-care strategies"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"63f3fdba400f","_type":"link","document":{"_ref":"ea5008f7-a47e-4676-9ae0-c723bfd48898","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"089ee13caef1","_type":"block","children":[{"_key":"7837c471911e0","_type":"span","marks":["edff656a1859"],"text":"Medication"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"edff656a1859","_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"e8bd7f90be51","_type":"block","children":[{"_key":"97c5f19a7c160","_type":"span","marks":["b4cb23f03a14"],"text":"Peer supports"},{"_key":"7f85069ed4f2","_type":"span","marks":[],"text":" (eg. virtual courses and peer groups)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"b4cb23f03a14","_type":"link","linkType":"external","url":"https://peachtree.org.au/onlinegroups/"}],"style":"normal"},{"_key":"4aac5f4af9b6","_type":"block","children":[{"_key":"6b37e0d18fb10","_type":"span","marks":[],"text":"Information and access to "},{"_key":"ec691d5bf5f9","_type":"span","marks":["813f0caa7817"],"text":"perinatal mental health resources "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"813f0caa7817","_type":"link","linkType":"external","url":"https://www.mumspace.com.au/"}],"style":"normal"},{"_key":"69cac61fb7f7","_type":"block","children":[{"_key":"188d62727588","_type":"span","marks":[],"text":"It’s also important for your doctor to rule out the possibility of any other physical conditions. Low iron, vitamin deficiencies or thyroid problems are some issues may contribute to feelings of depression, anxiety, low energy or lack of motivation. Worrisome thoughts and feelings can resolve if identified and treated."}],"markDefs":[],"style":"normal"},{"_key":"ae2aa8f43002","_type":"block","children":[{"_key":"a17b902477a1","_type":"span","marks":[],"text":"Please remember that if you don’t feel heard by your health professional or you’re not satisfied with the advice and treatment you receive, it’s always worth seeking a second opinion."}],"markDefs":[],"style":"normal"},{"_key":"a8a11b336c98","_type":"block","children":[{"_key":"c0ce9e7f91b7","_type":"span","marks":[],"text":"If you’re in any doubt, call the PANDA National Helpline. Our telephone counsellors will listen carefully to your concerns and explore pathways to care with you, including additional referral options if you need them."}],"markDefs":[],"style":"normal"}]},{"_key":"508f0e7c96f7","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"6a9bf057eae7","_type":"block","children":[{"_key":"0afbf0d184810","_type":"span","marks":[],"text":"Concerned about medication? Try to be as informed as possible."}],"markDefs":[],"style":"h4"},{"_key":"e7ed27c76807","_type":"block","children":[{"_key":"82605e3f9c610","_type":"span","marks":[],"text":"Some people feel concerned or fearful about taking medications for mental health, like anti-anxiety meds or antidepressants. It’s natural to have concerns about possible side effects and how long you might need to take medication. People may also feel uncertain or think that there’s something wrong or shameful about taking medication for mental health due to misconceptions and stigma."}],"markDefs":[],"style":"normal"},{"_key":"f6944a299f7f","_type":"block","children":[{"_key":"d657befa1a13","_type":"span","marks":[],"text":"Stigma is judging others or yourself as though there’s something wrong with taking medication to feel better – when really there is absolutely nothing to hide or be ashamed of.Sometimes there’s stigma about taking medications for mental health as well, from friends, family, or beliefs you have that come from your background and culture."}],"markDefs":[],"style":"normal"},{"_key":"ab7e30883d6e","_type":"quote","attribution":"Joanne, WA","quote":"I was initially against taking medication, especially as I was still breastfeeding. They presented to me research done by the hospital to demonstrate the amount of medication that would be transferred. They prescribed the medication and I started taking it and within a few weeks my mindset started to improve."},{"_key":"e30dbc296623","_type":"block","children":[{"_key":"2ede652449330","_type":"span","marks":[],"text":"It’s normal to feel uneasy – you want the best for yourself and your baby. We encourage you to get as much information as possible about the medication that is being recommended to you. It’s important this information comes from a trusted professional source who has experience with medications for mental health, like your doctor or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"64404a34a6fc","_type":"block","children":[{"_key":"1c4bcd2d87df","_type":"span","marks":[],"text":"Expert advice on medication use in the perinatal period can also be obtained from Medications Information Helplines which are available in each state. "}],"markDefs":[],"style":"normal"},{"_key":"97d1d32c63ff","_type":"block","children":[{"_key":"b801f3964560","_type":"span","marks":[],"text":"We discourage you from seeking information about medications from unreliable sources on the internet."}],"markDefs":[],"style":"normal"},{"_key":"22f78a67cdbe","_type":"button","link":{"_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Medications information helplines"}]},{"_key":"de35bcda2ad6","_type":"articleCollection","background":{"title":"orange60","value":"#FFA688"},"eyebrow":"Articles"},{"_key":"a12f24b1c106","_type":"storyCollection","background":{"title":"peach80","value":"#FFD29D"},"eyebrow":"Stories"}],"relatedArticles":[{"_key":"c735b45e2ed5","_ref":"a938dce0-5aad-4627-9531-dcff4c2e7795","_type":"reference"},{"_key":"ad51bf1a88b0","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},{"_key":"d36475ae9706","_ref":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"After you’ve had your baby, specialist support is available for your mental health and wellbeing."},"showFeedbackForm":true,"sidebarPosts":[{"_key":"09c51e59afcd","_ref":"3a24135f-caa6-4390-b28b-c32e50ac7b53","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"getting-help-support-after-birth"},"tags":[{"_key":"5ddfff2e8d3c","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"8c067585b16b","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"0e295babed6a","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"}],"title":"Getting help: Support after birth ","id":"-1d180bee-736f-5bfd-a805-313681c3c880","children":[],"internal":{"type":"SanityArticle","contentDigest":"5104e9889dec04ec24c5d8849afbfdfb","owner":"gatsby-source-sanity","counter":75},"parent":null,"__gatsby_resolved":{"slug":{"current":"getting-help-support-after-birth"}}}],"seo":{"_type":"seo","metaDescription":"Postnatal anxiety can be mild, moderate or severe. The symptoms can begin suddenly after birth or gradually in the weeks and months after.","metaTitle":"Postnatal anxiety: Signs and symptoms","socialImage":{"_type":"image","asset":{"_ref":"image-07dad758d9677eee1a7f4b40632263ab3b54ac06-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_id":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"article","_rev":"e9oiR2gkW2DFWuAPqnrG0m","_createdAt":"2022-02-14T08:41:12Z","_updatedAt":"2024-03-28T04:19:13Z","categories":[{"_key":"4b362e7d570b","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"e97e44188629","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"1e789ffcf782","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"07ab5855d59f","_type":"block","children":[{"_key":"13d14b745218","_type":"span","marks":[],"text":"It's best to talk about it"}],"markDefs":[],"style":"h4"},{"_key":"072dc643cc26","_type":"block","children":[{"_key":"67acb364f305","_type":"span","marks":[],"text":"If you’re a new parent or expecting a baby, and you’re worried about how you’re feeling, then talking to your doctor can be a good place to start. Below we provide tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"},{"_key":"e42fa248ecd7","_type":"block","children":[{"_key":"02c26121b73f","_type":"span","marks":[],"text":"The doctor’s role"}],"markDefs":[],"style":"h4"},{"_key":"e40616d99ec5","_type":"block","children":[{"_key":"74a9061ef424","_type":"span","marks":[],"text":"There are many different services and health professionals that can help. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"9a06c1026a02","_type":"block","children":[{"_key":"b1daffe9a386","_type":"span","marks":[],"text":"Finding the right doctor"}],"markDefs":[],"style":"h4"},{"_key":"4aa4b2bd4415","_type":"block","children":[{"_key":"d174f7739c5c","_type":"span","marks":[],"text":"Do you have a regular doctor with whom you can share your concerns? If not, it’s worth looking for a doctor with a special interest in mental health. Ask family and friends for recommendations of doctors who understand mental health, or ring local practices and ask about their doctors. We can help: call the PANDA National Perinatal Anxiety & Depression Helpline on 1300 726 306 and we will help you to find a doctor in your area."}],"markDefs":[],"style":"normal"},{"_key":"b2c3c95b941e","_type":"block","children":[{"_key":"7598b9b306cd","_type":"span","marks":[],"text":"Making an appointment"}],"markDefs":[],"style":"h4"},{"_key":"6e6e07ab72c3","_type":"block","children":[{"_key":"7dae98646b34","_type":"span","marks":[],"text":"If possible, request a double appointment and let them know it’s about a possible mental health issue. Don’t hesitate to ask for an urgent appointment or cancellation. Mental health issues can be serious, and symptoms can change quickly (see below for what to do if you feel worse before the appointment). Ask for an interpreter if you need one. Many people prefer to talk about sensitive issues in their first language, even if they can speak some English"}],"markDefs":[],"style":"normal"},{"_key":"40eb43c26d8f","_type":"block","children":[{"_key":"1536ab6a270b","_type":"span","marks":[],"text":"Consider taking someone"}],"markDefs":[],"style":"h4"},{"_key":"c61251f6b827","_type":"block","children":[{"_key":"c0ba816a8c03","_type":"span","marks":[],"text":"Consider taking a trusted person with you to the appointment, like a partner, friend or family member . A common symptom of anxiety or depression is difficulty taking in or remembering information. A trusted person can take notes for you, and might help you to feel more confident about sharing your concerns."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Talking to your doctor","image":{"_type":"imageWithAlt","alt":"Mum seeing doctor with baby","asset":{"_ref":"image-f12faa68ea2bd2a18594e7c59bdb785fb44d43a2-500x417-png","_type":"reference"}},"text":[{"_key":"d757fe214ce4","_type":"block","children":[{"_key":"d9b3853b7454","_type":"span","marks":[],"text":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"47c962839d97","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"f6d9d0db4055","_type":"faq","answer":[{"_key":"148b115c894f","_type":"block","children":[{"_key":"95ae5c273ff70","_type":"span","marks":[],"text":"If you’re still not sure about sharing your thoughts or feelings with your doctor, it can help to talk with a loved one or friend first. You can also call the PANDA Helpline. Our counsellors are skilled at helping you to explore your feelings, and to practice aloud the things you want to tell your doctor."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"59c4cff19a3d","_type":"block","children":[{"_key":"1a8177ac599b0","_type":"span","marks":[],"text":"Practice the conversation first"}],"markDefs":[],"style":"normal"}]},{"_key":"72490974baf0","_type":"faq","answer":[{"_key":"effbc4dd9b95","_type":"block","children":[{"_key":"877fbb2811ce0","_type":"span","marks":[],"text":"It’s important to tell your doctor about any changes in your thoughts, feelings and behaviours since becoming an expecting or new parent. Remember, these things do not make you a bad parent, but are potential symptoms of a common, treatable health condition. Let the doctor know if you have felt this way and/or been diagnosed with depression, anxiety or another mental health condition before. It’s also important to tell the doctor if you have had previous thoughts of suicide, or if you have lost someone to suicide."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"92847b9f3fdf","_type":"block","children":[{"_key":"e556c7ae5842","_type":"span","marks":[],"text":"What to tell your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"d70aa326f74c","_type":"faq","answer":[{"_key":"afb1d1c51263","_type":"block","children":[{"_key":"5d702f25140b0","_type":"span","marks":[],"text":"Your doctor should be non-judgemental, respectful and supportive.. They should assess you by asking questions about your symptoms, your and your family’s mental health history, your physical health and lifestyle (e.g. exercise, sleep, use of alcohol or drugs), your living situation, major emotional or psychological experiences, and treatment preferences."}],"markDefs":[],"style":"normal"},{"_key":"2bd7c207cd94","_type":"block","children":[{"_key":"00465bc565fa0","_type":"span","marks":[],"text":"After assessment, your doctor should be able to provide a diagnosis (although sometimes more tests are needed before they can make a diagnosis) and a treatment plan. They should explain your different treatment options, and why they are referring you to any specialist services."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"334374aa9b9f","_type":"block","children":[{"_key":"73478b791f18","_type":"span","marks":[],"text":"What to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"3311e258bd75","_type":"faq","answer":[{"_key":"a5ba4ec70e4a","_type":"block","children":[{"_key":"91c17bbeb02a0","_type":"span","marks":[],"text":"You have the right to fully understand your diagnosis and recommended treatment. You could ask:"}],"markDefs":[],"style":"normal"},{"_key":"4bc3162dd3c5","_type":"block","children":[{"_key":"1e674db35e500","_type":"span","marks":[],"text":"What are my options for treatment? Which do you think are best for me?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29499fa2c097","_type":"block","children":[{"_key":"f88a2e215afc0","_type":"span","marks":[],"text":"What are possible side effects of any medications?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c5c37f91fd5","_type":"block","children":[{"_key":"ff7d9457d7b10","_type":"span","marks":[],"text":"How much better might I feel, and how soon?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"785afab243a2","_type":"block","children":[{"_key":"754e2b27ec420","_type":"span","marks":[],"text":"Who are you referring me to? What do they do? How much will it cost? If I have private health insurance, will it be covered? (also check your policy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52a13d009398","_type":"block","children":[{"_key":"9711d2285d470","_type":"span","marks":[],"text":"Are there other ways that I can care for myself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1059035e92d4","_type":"block","children":[{"_key":"f9cd51760cd20","_type":"span","marks":[],"text":"Can you talk with my other health care providers about shared care? (e.g. obstetrician, midwife, Maternal and Child Health/Child and Family Health Nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77e4e12946dd","_type":"block","children":[{"_key":"01336c0ee6de0","_type":"span","marks":[],"text":"Your doctor can refer you to services like counsellors, psychologists, psychiatrists, social workers and occupational therapists. They might give you a mental health care plan, which gives you some Medicare rebates to help you access counselling. For a higher level of care, they might refer you to a Mother Baby Unit — a hospital unit where you stay with your baby — or to another hospital-based psychiatric service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5e39c53e4e16","_type":"block","children":[{"_key":"6e7d757729f3","_type":"span","marks":[],"text":"Questions to ask"}],"markDefs":[],"style":"normal"}]},{"_key":"0fe6884d9fa5","_type":"faq","answer":[{"_key":"a0f34745db53","_type":"block","children":[{"_key":"a2c2141ba0ce0","_type":"span","marks":[],"text":"Not all doctors have the same experience, confidence or qualifications in supporting patients with mental health issues. If the first doctor you see doesn’t help you enough, please don’t give up. You have a right to get the support you need, to feel better and enjoy your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"11105b443a24","_type":"block","children":[{"_key":"d722bb40d5090","_type":"span","marks":[],"text":"Call the PANDA National Helpline any time: to find a doctor or other service, for supportive counselling, or to discuss other support options like playgroups or support groups. You can call for yourself or about someone else you are concerned about."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"31a628481730","_type":"block","children":[{"_key":"f1f0b7bb1fe4","_type":"span","marks":[],"text":"If you don't get what you need"}],"markDefs":[],"style":"normal"}]},{"_key":"55f55b8dc810","_type":"faq","answer":[{"_key":"27705a63f8eb","_type":"block","children":[{"_key":"7dea9d64d2d30","_type":"span","marks":[],"text":"If you need urgent help before your appointment, call emergency services on triple zero (000) or go to your local hospital emergency department. The symptoms and severity of mental illness can sometimes change quickly. Don’t hesitate to seek urgent help if needed."}],"markDefs":[],"style":"normal"},{"_key":"5edf7645473e","_type":"block","children":[{"_key":"693b5731952c0","_type":"span","marks":[],"text":"You can call the PANDA National Perinatal Anxiety & Depression Helpline for support and ongoing counselling on 1300 726 306, Monday to Friday, 9am to 7.30pm AEST/ADST. You can call about yourself or someone else."}],"markDefs":[],"style":"normal"},{"_key":"00f3c1bfa15b","_type":"block","children":[{"_key":"b740844eb25f0","_type":"span","marks":[],"text":"If you need someone to talk with outside PANDA’s hours, call Suicide Call Back Service on 1300 659 467, Suicide Line on 1300 651 251, or Lifeline on 131114."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ee768dd29217","_type":"block","children":[{"_key":"e5933b44caca","_type":"span","marks":[],"text":"If you feel worse"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"c360ec98f5bf","_type":"block","children":[{"_key":"684a02e0b0a60","_type":"span","marks":[],"text":"People often forget things that they wanted to tell or ask their doctor during their appointment. 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Many new parents experience some trouble adjusting to parenthood. Yet a big dip in your mental health at this time can seriously affect your ability to function in daily life and to look after yourself and your baby."}],"markDefs":[],"style":"normal"},{"_key":"d260272dba1f","_type":"block","children":[{"_key":"3931e5b5b6f6","_type":"span","marks":[],"text":"If your thoughts and feelings are worrying you, affecting your daily function or stopping you from enjoying life, you may be experiencing symptoms of postnatal anxiety or depression. This is nothing to be ashamed of, as postnatal mental health concerns are common."}],"markDefs":[],"style":"normal"},{"_key":"d41528396204","_type":"quote","attribution":"Sam, TAS","quote":"You’re not a burden. Everyone deserves help. It doesn’t matter how minor or major you think things are. Everyone deserves it. So take help if it’s there. Don’t think you’re not worthy of help."}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Getting help: Support after birth ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-65a0d7715e51fc1bf780d6e981df58bd84a42ddc-2500x2000-jpg","_type":"reference"}},"text":[{"_key":"b52d95eff726","_type":"block","children":[{"_key":"dc0e3bad44fa0","_type":"span","marks":[],"text":"After you’ve had your baby, specialist support is available for your mental health and wellbeing."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"6473edd4c302","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"57fc20af9a63","_type":"block","children":[{"_key":"7ec431fc3bd70","_type":"span","marks":[],"text":"Postnatal anxiety and depression: Everyone is different"}],"markDefs":[],"style":"h4"},{"_key":"47302b456eeb","_type":"block","children":[{"_key":"4120ce29fb940","_type":"span","marks":[],"text":"We know that people experience changes to their postnatal mental health in different ways – everyone's experience is unique.The way your mental health is affected after becoming a parent can depend on a range of factors."}],"markDefs":[],"style":"normal"},{"_key":"2ec2094e9b8f","_type":"block","children":[{"_key":"faa5e527e0c9","_type":"span","marks":[],"text":"Your own genetics and unique emotional, mental and physical traits may play a part, plus external factors like your:"}],"markDefs":[],"style":"normal"},{"_key":"a3af7d0abfb8","_type":"block","children":[{"_key":"07b5233101ab0","_type":"span","marks":[],"text":"Birth experience, especially if it was traumatic "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d9cce2415bbf","_type":"block","children":[{"_key":"1247888da82b0","_type":"span","marks":[],"text":"Relationships"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52600eb8b837","_type":"block","children":[{"_key":"5c765951e4b60","_type":"span","marks":[],"text":"Stressful life situations can have an impact too."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"60cbb6892f9c","_type":"button","link":{"_type":"link","document":{"_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Learn more about signs and symptoms"},{"_key":"37402af45f7f","_type":"block","children":[{"_key":"532aeaeed8a10","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2e20f4f16e38","_type":"block","children":[{"_key":"2c45456007ee","_type":"span","marks":[],"text":"There are also different degrees of postnatal mental ill-health. Some people experience mild postnatal anxiety or depression, while others have more severe symptoms including postnatal psychosis (link). No matter how unwell you feel, postnatal mental health concerns can affect your enjoyment of being a new parent, your bond with your baby and your ability to function in daily life."}],"markDefs":[],"style":"normal"},{"_key":"00e376a7e677","_type":"block","children":[{"_key":"293382cf70e3","_type":"span","marks":[],"text":"You don’t have to manage everything alone though. The sooner you seek help by talking to someone, the quicker you can begin treatment and start feeling better."}],"markDefs":[],"style":"normal"},{"_key":"b33d8c811b66","_type":"block","children":[{"_key":"5b0ceadade0d","_type":"span","marks":[],"text":"The mild to severe range of postnatal anxiety and depression symptoms means there is no one-size-fits-all approach to mental health recovery. This means:"}],"markDefs":[],"style":"normal"},{"_key":"97c90ba0ed0a","_type":"block","children":[{"_key":"b3025c6ca96f0","_type":"span","marks":[],"text":"Everyone responds to treatment differently."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7b85dcb1dca4","_type":"block","children":[{"_key":"0517a167146f0","_type":"span","marks":[],"text":"What works well for someone else may not be the best care plan for you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c83a4c3ed6b7","_type":"block","children":[{"_key":"55ff20f109220","_type":"span","marks":[],"text":"Your recovery plan will be personalised and adapted to meet your individual needs as a person and a new parent."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3b8e777100bb","_type":"block","children":[{"_key":"a340454076780","_type":"span","marks":[],"text":"Your voice matters. You’re the expert on your own life, and your care team will consult you about what might work best for you.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"7d930a93e882","_type":"freeText","text":[{"_key":"0393619de94d","_type":"block","children":[{"_key":"a0c2bbd707d80","_type":"span","marks":[],"text":"Seeking support"}],"markDefs":[],"style":"h4"},{"_key":"857f1bfe5fda","_type":"block","children":[{"_key":"ef834f00d02e0","_type":"span","marks":[],"text":"If you’re a new parent worried about your emotional and mental wellbeing, it’s important to seek support from a trusted health professional."}],"markDefs":[],"style":"normal"},{"_key":"95e216b22d7b","_type":"block","children":[{"_key":"9d2baa334e99","_type":"span","marks":[],"text":"We recommend you see your doctor first, but it’s also a great idea to speak with other health professionals like your maternal and child health nurse for information and advice."}],"markDefs":[],"style":"normal"},{"_key":"73990fc41004","_type":"quote","attribution":"Natasha, WA","quote":"Asking for help had been so hard for me to do. But once I let go of that need to be perfect and in control and asked for help, I was actually able to take back control of my life."},{"_key":"17f34ad7fe3c","_type":"block","children":[{"_key":"6723ca2ba2d10","_type":"span","marks":[],"text":"Your doctor can help you "},{"_key":"be525a6bc55b","_type":"span","marks":["c30ca9fb41e4"],"text":"understand"},{"_key":"f0780d546363","_type":"span","marks":[],"text":" what’s happening and discuss the best treatment options for you. These might include:"}],"markDefs":[{"_key":"c30ca9fb41e4","_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"b15a072290a7","_type":"block","children":[{"_key":"c3e512c235840","_type":"span","marks":["a94f12fe697a"],"text":"Counselling"},{"_key":"046a827b5030","_type":"span","marks":[],"text":" "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"a94f12fe697a","_type":"link","document":{"_ref":"b769769d-ee6c-42d0-9dfe-8b41e1625715","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"0ccf712907ba","_type":"block","children":[{"_key":"275a916999e6","_type":"span","marks":["63f3fdba400f"],"text":"Self-care strategies"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"63f3fdba400f","_type":"link","document":{"_ref":"ea5008f7-a47e-4676-9ae0-c723bfd48898","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"089ee13caef1","_type":"block","children":[{"_key":"7837c471911e0","_type":"span","marks":["edff656a1859"],"text":"Medication"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"edff656a1859","_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"e8bd7f90be51","_type":"block","children":[{"_key":"97c5f19a7c160","_type":"span","marks":["b4cb23f03a14"],"text":"Peer supports"},{"_key":"7f85069ed4f2","_type":"span","marks":[],"text":" (eg. virtual courses and peer groups)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"b4cb23f03a14","_type":"link","linkType":"external","url":"https://peachtree.org.au/onlinegroups/"}],"style":"normal"},{"_key":"4aac5f4af9b6","_type":"block","children":[{"_key":"6b37e0d18fb10","_type":"span","marks":[],"text":"Information and access to "},{"_key":"ec691d5bf5f9","_type":"span","marks":["813f0caa7817"],"text":"perinatal mental health resources "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"813f0caa7817","_type":"link","linkType":"external","url":"https://www.mumspace.com.au/"}],"style":"normal"},{"_key":"69cac61fb7f7","_type":"block","children":[{"_key":"188d62727588","_type":"span","marks":[],"text":"It’s also important for your doctor to rule out the possibility of any other physical conditions. Low iron, vitamin deficiencies or thyroid problems are some issues may contribute to feelings of depression, anxiety, low energy or lack of motivation. Worrisome thoughts and feelings can resolve if identified and treated."}],"markDefs":[],"style":"normal"},{"_key":"ae2aa8f43002","_type":"block","children":[{"_key":"a17b902477a1","_type":"span","marks":[],"text":"Please remember that if you don’t feel heard by your health professional or you’re not satisfied with the advice and treatment you receive, it’s always worth seeking a second opinion."}],"markDefs":[],"style":"normal"},{"_key":"a8a11b336c98","_type":"block","children":[{"_key":"c0ce9e7f91b7","_type":"span","marks":[],"text":"If you’re in any doubt, call the PANDA National Helpline. Our telephone counsellors will listen carefully to your concerns and explore pathways to care with you, including additional referral options if you need them."}],"markDefs":[],"style":"normal"}]},{"_key":"508f0e7c96f7","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"6a9bf057eae7","_type":"block","children":[{"_key":"0afbf0d184810","_type":"span","marks":[],"text":"Concerned about medication? Try to be as informed as possible."}],"markDefs":[],"style":"h4"},{"_key":"e7ed27c76807","_type":"block","children":[{"_key":"82605e3f9c610","_type":"span","marks":[],"text":"Some people feel concerned or fearful about taking medications for mental health, like anti-anxiety meds or antidepressants. It’s natural to have concerns about possible side effects and how long you might need to take medication. People may also feel uncertain or think that there’s something wrong or shameful about taking medication for mental health due to misconceptions and stigma."}],"markDefs":[],"style":"normal"},{"_key":"f6944a299f7f","_type":"block","children":[{"_key":"d657befa1a13","_type":"span","marks":[],"text":"Stigma is judging others or yourself as though there’s something wrong with taking medication to feel better – when really there is absolutely nothing to hide or be ashamed of.Sometimes there’s stigma about taking medications for mental health as well, from friends, family, or beliefs you have that come from your background and culture."}],"markDefs":[],"style":"normal"},{"_key":"ab7e30883d6e","_type":"quote","attribution":"Joanne, WA","quote":"I was initially against taking medication, especially as I was still breastfeeding. They presented to me research done by the hospital to demonstrate the amount of medication that would be transferred. They prescribed the medication and I started taking it and within a few weeks my mindset started to improve."},{"_key":"e30dbc296623","_type":"block","children":[{"_key":"2ede652449330","_type":"span","marks":[],"text":"It’s normal to feel uneasy – you want the best for yourself and your baby. We encourage you to get as much information as possible about the medication that is being recommended to you. It’s important this information comes from a trusted professional source who has experience with medications for mental health, like your doctor or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"64404a34a6fc","_type":"block","children":[{"_key":"1c4bcd2d87df","_type":"span","marks":[],"text":"Expert advice on medication use in the perinatal period can also be obtained from Medications Information Helplines which are available in each state. "}],"markDefs":[],"style":"normal"},{"_key":"97d1d32c63ff","_type":"block","children":[{"_key":"b801f3964560","_type":"span","marks":[],"text":"We discourage you from seeking information about medications from unreliable sources on the internet."}],"markDefs":[],"style":"normal"},{"_key":"22f78a67cdbe","_type":"button","link":{"_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Medications information helplines"}]},{"_key":"de35bcda2ad6","_type":"articleCollection","background":{"title":"orange60","value":"#FFA688"},"eyebrow":"Articles"},{"_key":"a12f24b1c106","_type":"storyCollection","background":{"title":"peach80","value":"#FFD29D"},"eyebrow":"Stories"}],"relatedArticles":[{"_id":"a938dce0-5aad-4627-9531-dcff4c2e7795","_type":"article","_rev":"gH4Th5cZY0KlCYrWtexryh","_createdAt":"2022-02-22T00:15:38Z","_updatedAt":"2024-07-04T05:07:12Z","categories":[{"_key":"7b2df4f650d5","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"}],"content":[{"_key":"a4a63e6bfe11","_type":"block","children":[{"_key":"8081f186267e0","_type":"span","marks":[],"text":"Sometimes our hopes and dreams for our birth experience don't match the reality of what happens when we have a baby. Birth complications can include physical and emotional difficulties and it can be hard to process. "}],"markDefs":[],"style":"normal"},{"_key":"3bcf6b49059e","_type":"block","children":[{"_key":"0c4ceccd098a0","_type":"span","marks":[],"text":"Sometimes during the birth process, things might have been rushed or didn’t go to plan. You might have felt you hadn’t really understood what was happening or what you were giving consent to. You might have felt powerless or that you had no control over the situation."}],"markDefs":[],"style":"normal"},{"_key":"115849a4470d","_type":"block","children":[{"_key":"1e895e18d1ed0","_type":"span","marks":[],"text":"Here you'll find information about experiencing a complicated birth, and some tips to help you find extra support if you need it."}],"markDefs":[],"style":"normal"},{"_key":"7797b3a8abc6","_type":"quote","quote":"I thought the birth would go a certain way and it just didn’t turn out how I expected."}],"datePublished":"2022-02-21","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Complicated births","image":{"_type":"imageWithAlt","asset":{"_ref":"image-1902e03f3f91598a64f0cd7c00c9ee1cacd1612d-2400x1600-jpg","_type":"reference"}},"text":[{"_key":"4cb45a23789f","_type":"block","children":[{"_key":"17f9bf4f3b39","_type":"span","marks":[],"text":"Giving birth can lead to a range of complex feelings, especially when the experience is a difficult or traumatic one."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"ae961b55e1e1","_type":"freeText","text":[{"_key":"2972e3f8aaa2","_type":"block","children":[{"_key":"cb46face57ab","_type":"span","marks":[],"text":"What is intervention?"}],"markDefs":[],"style":"h3"},{"_key":"314bf630cd2a","_type":"block","children":[{"_key":"e06c0ac4eb120","_type":"span","marks":[],"text":"Sometimes during the birth, health care providers may identify an increased risk or possibility of risk to the health of mother and/or baby. After an assessment, healthcare providers may advise that the safest option is to use methods or tools to assist the birth. They will discuss the options and risks with the parents and together a decision is made whether to assist the birth. This is known as an ‘intervention’."}],"markDefs":[],"style":"normal"},{"_key":"fa73ca833e06","_type":"block","children":[{"_key":"4e5c48a4ab9c0","_type":"span","marks":[],"text":"Types of interventions might include an induction, pain relief, an emergency caesarean section, an episiotomy, blood transfusion or the use of forceps or a vacuum."}],"markDefs":[],"style":"normal"}]},{"_key":"2daa6e19b577","_type":"freeText","text":[{"_key":"8ca4dbe835bf","_type":"block","children":[{"_key":"ebe55194e2470","_type":"span","marks":[],"text":"Acknowledging our individual responses to a complicated birth"}],"markDefs":[],"style":"h3"},{"_key":"5a9f0036ff51","_type":"block","children":[{"_key":"664d4101dca00","_type":"span","marks":[],"text":"Our individual responses to these kinds of interventions can be extremely complex and very personal. Some people find their experiences with interventions more difficult to process. Often parents express that it was not the intervention itself that was traumatic, but feeling like they didn’t have a say in the decisions that were made, feeling uninformed, or feeling they didn’t consent to procedures that occurred."}],"markDefs":[],"style":"normal"},{"_key":"4170c7b65d03","_type":"quote","attribution":"Bao","quote":"I feel like we were very naïve going into things, and that just made us feel like we had to trust in the doctors and the system and go along with it. We just felt very overwhelmed and carried along by everything that was happening."},{"_key":"c663c14c1e68","_type":"block","children":[{"_key":"6c303c8796440","_type":"span","marks":[],"text":"We know that up to one in three women giving birth in Australia experience their birth as traumatic."}],"markDefs":[],"style":"normal"},{"_key":"6a5b4f72787f","_type":"block","children":[{"_key":"bca005799a700","_type":"span","marks":[],"text":"Every birthing parent will have their own unique response to the birth. 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They might say, “a healthy child is all that matters.”"}],"markDefs":[],"style":"normal"},{"_key":"90acf9df382d","_type":"block","children":[{"_key":"de885927f1b40","_type":"span","marks":[],"text":"This kind of advice is often not helpful. Your feelings do matter. If you experienced a difficult birth, either as the birthing or non-birthing parent, it is important that this is acknowledged and that you're given opportunities to talk through your experiences and process what has happened. Talking about your experience and feelings around your birth in a safe and non-judgmental space can be therapeutic. 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Sometimes this can affect how we bond with our new baby. "}],"markDefs":[],"style":"normal"},{"_key":"075f49938e96","_type":"block","children":[{"_key":"d7aaed5e9261","_type":"span","marks":[],"text":"Sometimes difficult emotions about the birth don’t arrive until we’ve had time to settle into our new reality and we’ve had time to reflect. 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The severity depends on the intensity, frequency and type of symptoms, and how much they interfere with you day-to-day functioning. "}],"markDefs":[],"style":"normal"},{"_key":"4451594b5ca7","_type":"block","children":[{"_key":"1698b140e648","_type":"span","marks":[],"text":"Everyone’s experience of perinatal anxiety and depression is unique"}],"markDefs":[],"style":"h4"},{"_key":"da77fd2db42a","_type":"block","children":[{"_key":"b399333f29d1","_type":"span","marks":[],"text":"We know that everyone experiences symptoms of perinatal anxiety and depression differently. The way it affects you can depend on a range of factors. Your own physical, emotional and mental make-up and stressful external situations may impact your risk of developing symptoms of perinatal anxiety and/or depression."}],"markDefs":[],"style":"normal"},{"_key":"c4963cada187","_type":"block","children":[{"_key":"a03278220b2d","_type":"span","marks":[],"text":"There are also different degrees of mental health decline. Some people experience mild symptoms, while others experience moderate to severe symptoms. Some mums experiencing symptoms of perinatal anxiety and/or depression may also develop symptoms of postnatal psychosis."}],"markDefs":[],"style":"normal"},{"_key":"6a0daa27bc0b","_type":"block","children":[{"_key":"8af7e7e4f9a9","_type":"span","marks":[],"text":"If you are experiencing any of these symptoms (or any others) that are affecting your daily function and mental and emotional wellbeing after your baby's birth, it’s a good idea to talk to someone."}],"markDefs":[],"style":"normal"},{"_key":"a61cbedf141e","_type":"block","children":[{"_key":"02b9baba1082","_type":"span","marks":[],"text":"If you don’t feel comfortable speaking with family and friends just yet, you can call PANDA. 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Many health services are working towards better LGBTIQA+ inclusion."}],"markDefs":[],"style":"normal"},{"_key":"922a476a4bd6","_type":"block","children":[{"_key":"a46ef9a00bae","_type":"span","marks":[],"text":"The experiences of LGBTIQA+ PANDA Helpline callers, show that you may need to educate some of your care providers about your family’s support needs."}],"markDefs":[],"style":"normal"}]},{"_key":"b9a10b0f2afc","_type":"textImage","background":{"title":"peach80","value":"#FFD29D"},"contentOrder":"textFirst","headline":"How PANDA can help","image":{"_type":"imageWithCaption","asset":{"_ref":"image-5779cb2a1bfe13225c1ed115649861a41656699c-2500x1500-jpg","_type":"reference"}},"text":[{"_key":"d80304c92781","_type":"block","children":[{"_key":"3def98fdec670","_type":"span","marks":[],"text":"PANDA has LGBTIQA+ staff and volunteers throughout our organisation, and our Helpline counsellors and peer support volunteers are committed to providing inclusive care to all callers from the LGBTIQA+ community. 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"}],"markDefs":[],"style":"normal"},{"_key":"a9d62a42366b","_type":"quote","quote":"As our son didn't enjoy sleeping or feeding, it was a perfect storm of emotions and tiredness."},{"_key":"1e1300d7f653","_type":"block","children":[{"_key":"2e7b1e1b04930","_type":"span","marks":[],"text":"My husband and I found we were 'on edge' a lot, which meant we were arguing a lot and not seeing the joy in parenthood. I was also being proud and didn't want to admit how much I was struggling because parenting isn't easy so I just needed to 'get on with it'. "}],"markDefs":[],"style":"normal"},{"_key":"e10f884d95e2","_type":"block","children":[{"_key":"55b8b1f305c7","_type":"span","marks":[],"text":"When my son was around 4 months, he was going through a developmental leap (not sleeping and cranky) and I just knew it was time for help. "}],"markDefs":[],"style":"normal"},{"_key":"8d0b2ecbf9e5","_type":"block","children":[{"_key":"e659dbecec23","_type":"span","marks":[],"text":"I was blessed with an excellent GP who wanted to support but could tell I wasn't ready to hear her. She referred me to a psychologist quite early on, but it didn't feel helpful at the time, so I kept pushing through. After a couple more months I was able to accept the help, our GP referred us to the local mother baby unit and helped us access support at the parenting centre, as ell as insisting on weekly visits to check in with me."}],"markDefs":[],"style":"normal"},{"_key":"84d7513d5264","_type":"quote","quote":"Throughout this time I also accessed the PANDA helpline on a particularly bad evening, which was excellent practical advice and support which I appreciated more than the person on the other end of the phone will ever know."},{"_key":"d4be2a1e6268","_type":"block","children":[{"_key":"d2c86cdfa1a70","_type":"span","marks":[],"text":"The PANDA counsellor picked up quickly how sensitive and fragile I was, she was so kind, gentle and caring which made me feel really heard and understood - exactly what I needed. She gave me a specific task to do after making myself a hot tea and taking some deep breaths, completing this made me feel in control of my life and I was able to do the task with a baby in my arms. "}],"markDefs":[],"style":"normal"},{"_key":"b5dab739daac","_type":"imageWithCaption","asset":{"_ref":"image-a180a6afbe4b5a39831d62bcad738609b6c76454-2316x3088-jpg","_type":"reference"}},{"_key":"40c6f4e4a986","_type":"block","children":[{"_key":"8a7a244e45340","_type":"span","marks":[],"text":"Getting help in the Mother Baby Unit was a turning point for me. "}],"markDefs":[],"style":"normal"},{"_key":"70ca5c1dbfa1","_type":"block","children":[{"_key":"f541d53f68fe","_type":"span","marks":[],"text":"I realised that the professional help I had to get my son's eating and sleeping on track was beyond what I could have done at home. From there I was able to take better care of myself and my family. 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Below we provide tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"},{"_key":"e42fa248ecd7","_type":"block","children":[{"_key":"02c26121b73f","_type":"span","marks":[],"text":"The doctor’s role"}],"markDefs":[],"style":"h4"},{"_key":"e40616d99ec5","_type":"block","children":[{"_key":"74a9061ef424","_type":"span","marks":[],"text":"There are many different services and health professionals that can help. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"9a06c1026a02","_type":"block","children":[{"_key":"b1daffe9a386","_type":"span","marks":[],"text":"Finding the right doctor"}],"markDefs":[],"style":"h4"},{"_key":"4aa4b2bd4415","_type":"block","children":[{"_key":"d174f7739c5c","_type":"span","marks":[],"text":"Do you have a regular doctor with whom you can share your concerns? If not, it’s worth looking for a doctor with a special interest in mental health. Ask family and friends for recommendations of doctors who understand mental health, or ring local practices and ask about their doctors. We can help: call the PANDA National Perinatal Anxiety & Depression Helpline on 1300 726 306 and we will help you to find a doctor in your area."}],"markDefs":[],"style":"normal"},{"_key":"b2c3c95b941e","_type":"block","children":[{"_key":"7598b9b306cd","_type":"span","marks":[],"text":"Making an appointment"}],"markDefs":[],"style":"h4"},{"_key":"6e6e07ab72c3","_type":"block","children":[{"_key":"7dae98646b34","_type":"span","marks":[],"text":"If possible, request a double appointment and let them know it’s about a possible mental health issue. Don’t hesitate to ask for an urgent appointment or cancellation. Mental health issues can be serious, and symptoms can change quickly (see below for what to do if you feel worse before the appointment). Ask for an interpreter if you need one. Many people prefer to talk about sensitive issues in their first language, even if they can speak some English"}],"markDefs":[],"style":"normal"},{"_key":"40eb43c26d8f","_type":"block","children":[{"_key":"1536ab6a270b","_type":"span","marks":[],"text":"Consider taking someone"}],"markDefs":[],"style":"h4"},{"_key":"c61251f6b827","_type":"block","children":[{"_key":"c0ba816a8c03","_type":"span","marks":[],"text":"Consider taking a trusted person with you to the appointment, like a partner, friend or family member . A common symptom of anxiety or depression is difficulty taking in or remembering information. A trusted person can take notes for you, and might help you to feel more confident about sharing your concerns."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Talking to your doctor","image":{"_type":"imageWithAlt","alt":"Mum seeing doctor with baby","asset":{"_ref":"image-f12faa68ea2bd2a18594e7c59bdb785fb44d43a2-500x417-png","_type":"reference"}},"text":[{"_key":"d757fe214ce4","_type":"block","children":[{"_key":"d9b3853b7454","_type":"span","marks":[],"text":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"47c962839d97","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"f6d9d0db4055","_type":"faq","answer":[{"_key":"148b115c894f","_type":"block","children":[{"_key":"95ae5c273ff70","_type":"span","marks":[],"text":"If you’re still not sure about sharing your thoughts or feelings with your doctor, it can help to talk with a loved one or friend first. You can also call the PANDA Helpline. Our counsellors are skilled at helping you to explore your feelings, and to practice aloud the things you want to tell your doctor."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"59c4cff19a3d","_type":"block","children":[{"_key":"1a8177ac599b0","_type":"span","marks":[],"text":"Practice the conversation first"}],"markDefs":[],"style":"normal"}]},{"_key":"72490974baf0","_type":"faq","answer":[{"_key":"effbc4dd9b95","_type":"block","children":[{"_key":"877fbb2811ce0","_type":"span","marks":[],"text":"It’s important to tell your doctor about any changes in your thoughts, feelings and behaviours since becoming an expecting or new parent. Remember, these things do not make you a bad parent, but are potential symptoms of a common, treatable health condition. Let the doctor know if you have felt this way and/or been diagnosed with depression, anxiety or another mental health condition before. It’s also important to tell the doctor if you have had previous thoughts of suicide, or if you have lost someone to suicide."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"92847b9f3fdf","_type":"block","children":[{"_key":"e556c7ae5842","_type":"span","marks":[],"text":"What to tell your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"d70aa326f74c","_type":"faq","answer":[{"_key":"afb1d1c51263","_type":"block","children":[{"_key":"5d702f25140b0","_type":"span","marks":[],"text":"Your doctor should be non-judgemental, respectful and supportive.. They should assess you by asking questions about your symptoms, your and your family’s mental health history, your physical health and lifestyle (e.g. exercise, sleep, use of alcohol or drugs), your living situation, major emotional or psychological experiences, and treatment preferences."}],"markDefs":[],"style":"normal"},{"_key":"2bd7c207cd94","_type":"block","children":[{"_key":"00465bc565fa0","_type":"span","marks":[],"text":"After assessment, your doctor should be able to provide a diagnosis (although sometimes more tests are needed before they can make a diagnosis) and a treatment plan. They should explain your different treatment options, and why they are referring you to any specialist services."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"334374aa9b9f","_type":"block","children":[{"_key":"73478b791f18","_type":"span","marks":[],"text":"What to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"3311e258bd75","_type":"faq","answer":[{"_key":"a5ba4ec70e4a","_type":"block","children":[{"_key":"91c17bbeb02a0","_type":"span","marks":[],"text":"You have the right to fully understand your diagnosis and recommended treatment. You could ask:"}],"markDefs":[],"style":"normal"},{"_key":"4bc3162dd3c5","_type":"block","children":[{"_key":"1e674db35e500","_type":"span","marks":[],"text":"What are my options for treatment? Which do you think are best for me?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29499fa2c097","_type":"block","children":[{"_key":"f88a2e215afc0","_type":"span","marks":[],"text":"What are possible side effects of any medications?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c5c37f91fd5","_type":"block","children":[{"_key":"ff7d9457d7b10","_type":"span","marks":[],"text":"How much better might I feel, and how soon?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"785afab243a2","_type":"block","children":[{"_key":"754e2b27ec420","_type":"span","marks":[],"text":"Who are you referring me to? What do they do? How much will it cost? If I have private health insurance, will it be covered? (also check your policy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52a13d009398","_type":"block","children":[{"_key":"9711d2285d470","_type":"span","marks":[],"text":"Are there other ways that I can care for myself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1059035e92d4","_type":"block","children":[{"_key":"f9cd51760cd20","_type":"span","marks":[],"text":"Can you talk with my other health care providers about shared care? (e.g. obstetrician, midwife, Maternal and Child Health/Child and Family Health Nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77e4e12946dd","_type":"block","children":[{"_key":"01336c0ee6de0","_type":"span","marks":[],"text":"Your doctor can refer you to services like counsellors, psychologists, psychiatrists, social workers and occupational therapists. They might give you a mental health care plan, which gives you some Medicare rebates to help you access counselling. For a higher level of care, they might refer you to a Mother Baby Unit — a hospital unit where you stay with your baby — or to another hospital-based psychiatric service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5e39c53e4e16","_type":"block","children":[{"_key":"6e7d757729f3","_type":"span","marks":[],"text":"Questions to ask"}],"markDefs":[],"style":"normal"}]},{"_key":"0fe6884d9fa5","_type":"faq","answer":[{"_key":"a0f34745db53","_type":"block","children":[{"_key":"a2c2141ba0ce0","_type":"span","marks":[],"text":"Not all doctors have the same experience, confidence or qualifications in supporting patients with mental health issues. If the first doctor you see doesn’t help you enough, please don’t give up. You have a right to get the support you need, to feel better and enjoy your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"11105b443a24","_type":"block","children":[{"_key":"d722bb40d5090","_type":"span","marks":[],"text":"Call the PANDA National Helpline any time: to find a doctor or other service, for supportive counselling, or to discuss other support options like playgroups or support groups. You can call for yourself or about someone else you are concerned about."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"31a628481730","_type":"block","children":[{"_key":"f1f0b7bb1fe4","_type":"span","marks":[],"text":"If you don't get what you need"}],"markDefs":[],"style":"normal"}]},{"_key":"55f55b8dc810","_type":"faq","answer":[{"_key":"27705a63f8eb","_type":"block","children":[{"_key":"7dea9d64d2d30","_type":"span","marks":[],"text":"If you need urgent help before your appointment, call emergency services on triple zero (000) or go to your local hospital emergency department. The symptoms and severity of mental illness can sometimes change quickly. Don’t hesitate to seek urgent help if needed."}],"markDefs":[],"style":"normal"},{"_key":"5edf7645473e","_type":"block","children":[{"_key":"693b5731952c0","_type":"span","marks":[],"text":"You can call the PANDA National Perinatal Anxiety & Depression Helpline for support and ongoing counselling on 1300 726 306, Monday to Friday, 9am to 7.30pm AEST/ADST. You can call about yourself or someone else."}],"markDefs":[],"style":"normal"},{"_key":"00f3c1bfa15b","_type":"block","children":[{"_key":"b740844eb25f0","_type":"span","marks":[],"text":"If you need someone to talk with outside PANDA’s hours, call Suicide Call Back Service on 1300 659 467, Suicide Line on 1300 651 251, or Lifeline on 131114."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ee768dd29217","_type":"block","children":[{"_key":"e5933b44caca","_type":"span","marks":[],"text":"If you feel worse"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"c360ec98f5bf","_type":"block","children":[{"_key":"684a02e0b0a60","_type":"span","marks":[],"text":"People often forget things that they wanted to tell or ask their doctor during their appointment. It can be helpful to prepare by writing a list of your symptoms, concerns, and questions."}],"markDefs":[],"style":"normal"}],"title":"Prepare for the appointment"},{"_key":"5e8b1caa6593","_type":"fileCollection","files":[{"_key":"c5748ae691a4","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"cta":"Download","file":{"_type":"file","asset":{"_ref":"file-bec93bd9eb58ae8f35d03b5767093abeb1effd70-pdf","_type":"reference"}},"title":"Talking to your doctor"}],"title":"Factsheets"},{"_key":"f7e660518986","_type":"checklist","field":"content"},{"_key":"780165dc53a5","_type":"helpLine","field":"content"}],"relatedArticles":[{"_id":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQDQF","_createdAt":"2022-02-14T08:25:19Z","_updatedAt":"2023-12-18T00:01:32Z","categories":[{"_key":"3635c35407c6","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"210b86426c5f","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"b81740fa0326","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"category":{"_ref":"-2be506a5-df12-5306-ab62-d66056112f83","_type":"reference"},"content":[{"_key":"7a71d9fa8734","_type":"block","children":[{"_key":"90db8d4c3ea90","_type":"span","marks":[],"text":"When you’re pregnant or caring for a new baby, you may need to take medications to treat a range of conditions, from your physical to mental health. "}],"markDefs":[],"style":"normal"},{"_key":"99b76ce6b462","_type":"block","children":[{"_key":"22651dda1cf6","_type":"span","marks":[],"text":"Medication for nausea and gestational diabetes is common during pregnancy. Many new mums take medication during birth recovery and to support lactation if they’re breastfeeding."}],"markDefs":[],"style":"normal"},{"_key":"7460b15f7e56","_type":"block","children":[{"_key":"73ef8bff22b0","_type":"span","marks":[],"text":"Sometimes, you may need to take medication for your mental health as well. One of your health professionals (eg your doctor, obstetrician, psychologist or psychiatrist) may have recommended that you consider taking medication to treat symptoms of anxiety, depression, or another mental health concern. It’s natural to have questions."}],"markDefs":[],"style":"normal"},{"_key":"f9dc9e8e84d1","_type":"block","children":[{"_key":"37b947fe2f7e","_type":"span","marks":[],"text":"You may be wondering about side effects from medication, either for yourself or your baby. This is a common concern during pregnancy and for parents who are breastfeeding."}],"markDefs":[],"style":"normal"},{"_key":"0f1d0c1526d8","_type":"block","children":[{"_key":"f8d1d4c3674f","_type":"span","marks":[],"text":"Maybe you’ve never taken medication for your mental health before, or not had a positive experience previously. There may also be stigma (negative associations) with medications for mental health in your social circle or culture."}],"markDefs":[],"style":"normal"},{"_key":"a7ab888df22a","_type":"block","children":[{"_key":"6acb42e1011b","_type":"span","marks":[],"text":"Often it’s seen as perfectly acceptable to take medications for a physical condition, like a headache or diabetes, but there are still some taboos around treating mental health with medication. This needs to change – taking care of your mental health is just as important as treating any physical health conditions."}],"markDefs":[],"style":"normal"},{"_key":"f354a1c56bdb","_type":"block","children":[{"_key":"748c70d508b1","_type":"span","marks":[],"text":"Untreated mental health can be a risk to you and your baby. It’s incredibly hard to manage parenting when you’re also trying to cope with changes to your mental health that are affecting your daily function."}],"markDefs":[],"style":"normal"},{"_key":"ac12e93faf77","_type":"block","children":[{"_key":"41517f83d224","_type":"span","marks":[],"text":"There are a range of treatment options available for mental health, including counselling and medication. We know from decades of research that there are many medications used to treat mental health during pregnancy and after having a baby that are safe to take. Certain medications have a low risk profile in terms of transmission (either to your unborn baby, or via breastmilk transfer)."}],"markDefs":[],"style":"normal"},{"_key":"a4b1804c1d4b","_type":"block","children":[{"_key":"a2413019953e0","_type":"span","marks":["strong"],"text":"We do not provide medication advice on the PANDA Helpline – but we do provide a space for you to talk through your options, thoughts, and feelings about taking medication."}],"markDefs":[],"style":"normal"},{"_key":"1be5af53df38","_type":"block","children":[{"_key":"252930a7a01c0","_type":"span","marks":[],"text":"We can also help you link to services that provide advice about medication use during pregnancy and after your baby is born. We encourage you to talk to your doctor for information and advice about medication. Some specialist medication advice services are also listed at the bottom of this page."}],"markDefs":[],"style":"normal"},{"_key":"c575dddeddb9","_type":"block","children":[{"_key":"d187761bb737","_type":"span","marks":[],"text":"Being informed about medications is essential – it’s important you feel confident and comfortable about any medication you are taking."}],"markDefs":[],"style":"normal"},{"_key":"73a89a2c0445","_type":"block","children":[{"_key":"cefcbd8bf986","_type":"span","marks":[],"text":"Medication is a broad term that encompasses a whole range of substances, not just medicine that you swallow."}],"markDefs":[],"style":"normal"},{"_key":"fa5d3a9b83cc","_type":"block","children":[{"_key":"f352b80dd872","_type":"span","marks":[],"text":"Medication can take the form of:"}],"markDefs":[],"style":"normal"},{"_key":"99413cb14e12","_type":"block","children":[{"_key":"689d02872d880","_type":"span","marks":[],"text":"Tablets and capsules, either available over the counter or by prescription."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"688a8ada9d5d","_type":"block","children":[{"_key":"a3058709fce20","_type":"span","marks":[],"text":"Liquid medication, either ingested or administered via injection (eg, an iron infusion at your doctor, or medication to induce labour)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"812cc1a471fa","_type":"block","children":[{"_key":"41b2cadc89ac0","_type":"span","marks":[],"text":"Inhalants, like nasal sprays or asthma medication."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f09f3d948da0","_type":"block","children":[{"_key":"85f93a3931720","_type":"span","marks":[],"text":"Ointments or patches you apply to your skin."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31758210aeb5","_type":"block","children":[{"_key":"b5aca75605c60","_type":"span","marks":[],"text":"Suppositories you insert in your body."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"06dc7208fa4f","_type":"block","children":[{"_key":"4456468d759e0","_type":"span","marks":[],"text":"Vitamins and supplements."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32d64fb8bc1a","_type":"block","children":[{"_key":"e76b4a8dd0bc0","_type":"span","marks":[],"text":"Herbal preparations, including tinctures and teas."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29027f541ad8","_type":"block","children":[{"_key":"ece0c15f3c070","_type":"span","marks":[],"text":"Your doctor or local pharmacist can provide you with information about medication use for yourself and your baby. You can also request a referral from your doctor for a home medicines review. This is a free service."}],"markDefs":[],"style":"normal"},{"_key":"042661870aaf","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.healthdirect.gov.au/home-medicines-review"},"style":"arrow","text":"Home medicines review"},{"_key":"65cb3f3dd93b","_type":"block","children":[{"_key":"d0de40d0314e0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"c402ebfae3e2","_type":"block","children":[{"_key":"0b633db9c8200","_type":"span","marks":[],"text":"Your doctor will refer you to a local accredited pharmacist to discuss your use of any prescription medicines, over the counter medication, and vitamins and supplements."}],"markDefs":[],"style":"normal"},{"_key":"7f89f4449abd","_type":"block","children":[{"_key":"5c84935e2404","_type":"span","marks":[],"text":"The pharmacist will:"}],"markDefs":[],"style":"normal"},{"_key":"a7edeb61c76e","_type":"block","children":[{"_key":"01643f531ff70","_type":"span","marks":[],"text":"Answer any questions you have"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e923a67a385e","_type":"block","children":[{"_key":"943eb4f8eee70","_type":"span","marks":[],"text":"Check that you are using medicines correctly (eg, dosage and time of day, storage)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9e4dde2dc3ca","_type":"block","children":[{"_key":"213b9e1bec2a0","_type":"span","marks":[],"text":"May recommend changes to your medication"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2cd3d07d3ff4","_type":"block","children":[{"_key":"71983885c8a40","_type":"span","marks":[],"text":"Provide a report to your GP"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f52f70bc11b9","_type":"block","children":[{"_key":"8fae93b6e4920","_type":"span","marks":[],"text":"You doctor will then create a personalised Medication Management Plan for you. You’ll receive a copy of your plan to share with any health professionals who are caring for you. You can request a free home medicines review every 12 months."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Medication use in the perinatal period","image":{"_type":"imageWithAlt","alt":"Mum on phone to doctor","asset":{"_ref":"image-e4b233589ba1e25e7bb521eebca29a5358a592dc-600x600-png","_type":"reference"}},"text":[{"_key":"c0c1e97aa463","_type":"block","children":[{"_key":"23c12dfd96ca0","_type":"span","marks":[],"text":"It’s common to have questions about medication use during the perinatal period. Specialist health professional supports are available to provide advice and guidance on what’s best for you and your baby."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"9811727d73b0","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"ebb1eefca70d","_type":"faq","answer":[{"_key":"1e76626253b5","_type":"block","children":[{"_key":"5e693e8300230","_type":"span","marks":[],"text":"The medication advice line is provided by the Australian Government’s Department of Health. 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Excludes public holidays."}],"markDefs":[],"style":"normal"},{"_key":"bf2e572f71b0","_type":"block","children":[{"_key":"e4ca57511d680","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"1e6f793cb5f2","_type":"block","children":[{"_key":"af41779a3f760","_type":"span","marks":["strong"],"text":"Regional NSW"}],"markDefs":[],"style":"normal"},{"_key":"8e04a7e8440c","_type":"block","children":[{"_key":"acd0683b81180","_type":"span","marks":[],"text":"This medication advice helpline is provided by the Royal Hospital for Women. 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The plan may include strategies to care for your emotional and psychological wellbeing, and referrals to mental health specialists."}],"markDefs":[],"style":"normal"},{"_key":"8d14a7dd61b6","_type":"block","children":[{"_key":"7d120769f57c0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"53308e543d2b","_type":"block","children":[{"_key":"c821a2a80af90","_type":"span","marks":["strong"],"text":"Every Medicare card holder in Australia is eligible for a Medicare rebate for:"}],"markDefs":[],"style":"normal"},{"_key":"6ca8f26a9d48","_type":"block","children":[{"_key":"03a9c724f5210","_type":"span","marks":[],"text":"10 sessions of individual in-person or telehealth counselling sessions per calendar year (psychological therapy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3a7218dd3da0","_type":"block","children":[{"_key":"cb5531ef1a850","_type":"span","marks":[],"text":"10 sessions of group therapy sessions per calendar year"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"efd0363ca842","_type":"block","children":[{"_key":"47d22dc5655d0","_type":"span","marks":[],"text":"These sessions might be with a psychologist, accredited mental health social worker or other allied health practitioner like a mental health nurse or occupational therapist."}],"markDefs":[],"style":"normal"},{"_key":"2617389cd55d","_type":"block","children":[{"_key":"2a68a8e9b67d0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"b414f8f7a041","_type":"block","children":[{"_key":"f0ae6e6c845e0","_type":"span","marks":[],"text":"Due to the ongoing impacts of the Covid-19 pandemic:"}],"markDefs":[],"style":"normal"},{"_key":"4ab02638c128","_type":"block","children":[{"_key":"12953201a8c90","_type":"span","marks":[],"text":"Until 30 June 2022 10 additional individual psychological therapy sessions (including telehealth) are available to all people eligible for services under the Better Access initiative."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"faa7a6acb40b","_type":"block","children":[{"_key":"8fee192bb29d0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"83a9f7cd7086","_type":"block","children":[{"_key":"1c9953eeb17d0","_type":"span","marks":[],"text":"The Medicare rebate may cover the entire cost of your counselling (bulk billed), or it might cover a portion of the fees, and you pay the rest (gap fee)."}],"markDefs":[],"style":"normal"},{"_key":"dda289ed4f00","_type":"block","children":[{"_key":"482f33b530c60","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"6a828743cd56","_type":"block","children":[{"_key":"a678b9576ed10","_type":"span","marks":[],"text":"First Step: Book an appointment with your doctor"}],"markDefs":[],"style":"h4"},{"_key":"49c0b1e371bb","_type":"block","children":[{"_key":"bd911d46b8b80","_type":"span","marks":[],"text":"Doctors regularly create Mental Health Care Plans for patients experiencing mental health conditions like anxiety and depression. If you don’t have a regular GP, or you don’t feel comfortable speaking to your family doctor about your mental health, it’s also okay and very common to see a different doctor who specialises in mental health."}],"markDefs":[],"style":"normal"},{"_key":"453660a5a364","_type":"block","children":[{"_key":"cd335dbdd6ba0","_type":"span","marks":[],"text":"You can find a doctor in your area using the Health Direct Service Finder directory"}],"markDefs":[],"style":"normal"},{"_key":"6e6f89692a9d","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":" https://www.healthdirect.gov.au/australian-health-services"},"style":"box","text":"Search for a GP "},{"_key":"9c40aa99cf0e","_type":"block","children":[{"_key":"4e3e884ceb150","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bb72fd14e44d","_type":"block","children":[{"_key":"a7a4e37869530","_type":"span","marks":[],"text":"Health Direct also has listings for other allied health practitioners like psychologists, or you might like to find someone who specialises in perinatal mental health using the e-COPE Directory."}],"markDefs":[],"style":"normal"},{"_key":"d650cf325277","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://directory.cope.org.au/#/"},"style":"box","text":"Visit the eCope directory"},{"_key":"500e3b097897","_type":"block","children":[{"_key":"5b90a3673d680","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"d81f60724a14","_type":"block","children":[{"_key":"378195c028540","_type":"span","marks":[],"text":"It’s best to book a longer appointment when you see your doctor to discuss your Mental Health Treatment Plan so that you’re not rushed when you go in. Your doctor will talk to you about your concerns, andget you to complete a questionnaire before you create your care plan together."}],"markDefs":[],"style":"normal"},{"_key":"98ca9b439ae3","_type":"block","children":[{"_key":"19b79338f64a","_type":"span","marks":[],"text":"You might like to take a support person to your appointment. They can sit in the car or waiting room for emotional support or come into the appointment with you. This can be helpful if you have a little one or other children with you too."}],"markDefs":[],"style":"normal"},{"_key":"b5ac84a03e5c","_type":"block","children":[{"_key":"fbb950cb4f03","_type":"span","marks":[],"text":"It’s normal to feel nervous or overwhelmed when talking to health professionals about your mental health, You might feel worried you’ll forget to tell your doctor about everything that’s been happening. PANDA created Mental Health Checklists to help you start the conversation. It’s anonymous, takes 5 minutes to complete, and you can email a copy of your results to yourself."}],"markDefs":[],"style":"normal"},{"_key":"1712712ea178","_type":"block","children":[{"_key":"f9c39a3b1e2f0","_type":"span","marks":[],"text":"Once you’ve created your Mental Health Treatment Plan with your GP, you’ll see the mental health practitioner of your choice. After the 6th session, you’ll return to your GP for a review to see if you feel like you need another 4 sessions of counselling."}],"markDefs":[],"style":"normal"},{"_key":"9c759996154c","_type":"block","children":[{"_key":"6f959cd7db2d","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bf9dbcb3db56","_type":"block","children":[{"_key":"8b6864cc75b00","_type":"span","marks":[],"text":"The process of getting a Mental Health Treatment Plan is easy, but if you still have questions or concerns, please call the PANDA Helpline and we can have a chat about options or the referral process together."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"How to get a mental health treatment plan ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-91007c7e9749740af92a9694cbc36256e1588354-2364x2214-jpg","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.06823529411764706,"right":0.06553398058252424,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":0.8824115157638853,"width":0.8662307252998287,"x":0.5013506567675614,"y":0.44120575788194266}},"text":[{"_key":"81982157ef50","_type":"block","children":[{"_key":"4afb68958eb30","_type":"span","marks":[],"text":"How to access government subsidised mental health care for all Australians."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"3353f2a59d4b","_type":"checklist","field":"content"},{"_key":"1d56f37589d9","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"05f23a63930f","_ref":"9aa50a2e-c32f-4dda-a8ac-8da56d0b6bf6","_type":"reference"},{"_key":"12b3ef6f4cb2","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},{"_key":"33f04c12415b","_ref":"ea5008f7-a47e-4676-9ae0-c723bfd48898","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"How to access government subsidised mental health care for all Australians.","socialImage":{"_type":"image","asset":{"_ref":"image-0dd11e645bdcd669aea8a6ee0b34f594cc6e393c-1200x630-jpg","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"030c57ef7e33","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"},{"_key":"5fcaf943105c","_ref":"d0725516-984a-4e9f-be02-cee0c1b10fe9","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"how-to-get-a-mental-health-treatment-plan"},"tags":[{"_key":"b2cf12a551bf","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"0f02d4192e09","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"}],"title":"How to get a mental health treatment plan ","id":"-b41bc6ba-795a-50a7-8d17-001f77f8df44","children":[],"internal":{"type":"SanityArticle","contentDigest":"fff86aa2ae3f70ec899b678d7069a212","owner":"gatsby-source-sanity","counter":77},"parent":null,"__gatsby_resolved":{"slug":{"current":"how-to-get-a-mental-health-treatment-plan"}}}],"seo":{"_type":"seo","metaDescription":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation.","metaTitle":"Talking to your doctor","socialImage":{"_type":"image","asset":{"_ref":"image-edcabb975680e1848598b04a6a7ca8809c9fe916-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_id":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQXuP","_createdAt":"2022-02-14T08:38:55Z","_updatedAt":"2023-12-18T00:06:41Z","categories":[{"_key":"2f7366e48144","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"99bb9f0233f1","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"5512f58d4f51","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"9fe63e27c764","_type":"block","children":[{"_key":"7807962c884e0","_type":"span","marks":[],"text":"If you are experiencing symptoms of perinatal anxiety, depression, obsessive-compulsive disorder or psychosis, some of the thoughts and feelings you may be experiencing can be extremely frightening. Many people may feel afraid to share these thoughts with their partner or family."}],"markDefs":[],"style":"normal"},{"_key":"2ab6b9eb11c5","_type":"block","children":[{"_key":"fe2a04307248","_type":"span","marks":[],"text":"Difficult emotions in the perinatal period can trigger a lot of shame, guilt and sadness. The image you may have had of what you’d be like as a parent probably didn’t include feeling low, crying, or wishing you could take a break from parenting. Yet our callers commonly report having those emotions and thoughts. These thoughts and feelings don’t mean you don’t love your baby, and they don’t mean you are a bad person or parent."}],"markDefs":[],"style":"normal"},{"_key":"cfb728281771","_type":"block","children":[{"_key":"a389d1d09102","_type":"span","marks":[],"text":"In fact, up to 1 in 5 expecting or new mums and up to 1 in 10 expecting or new dads will develop symptoms of perinatal anxiety and/or depression. Perinatal mental health issues are much more common than many people realise. Even if you aren’t experiencing significant changes to your mental health, it’s still common to experience distressing thoughts and emotions, including worry, doubt and sadness."}],"markDefs":[],"style":"normal"},{"_key":"c371fe7fc8ac","_type":"block","children":[{"_key":"6703e5ca9c2b","_type":"span","marks":[],"text":"If you’re struggling with your mental and emotional wellbeing, you might feel confused about whether what you are experiencing is “normal”. You might be unsure of how to start talking about your feelings, or you might feel concerned about what people will think."}],"markDefs":[],"style":"normal"},{"_key":"15ca978969d1","_type":"block","children":[{"_key":"5984a0014f7f","_type":"span","marks":[],"text":"It’s okay to talk about what you’re feeling. Starting the conversation with someone you trust, such as your partner or a friend, can be a first step on the road to seeking professional support."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Talking about perinatal mental health ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-862cdcdd0d02086d49c44f0987ad3af0f3c8cef5-4000x2667-jpg","_type":"reference"}},"text":[{"_key":"87b2c04a8220","_type":"block","children":[{"_key":"8c277cb548eb0","_type":"span","marks":[],"text":"For many new parents, talking about how they are feeling can be difficult. You may never have experienced feelings and thoughts like this before, and are not sure how to express them."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"ffa010bdf9c7","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"859c67d77707","_type":"faq","answer":[{"_key":"bb54d421653a","_type":"block","children":[{"_key":"923105162d0a","_type":"span","marks":[],"text":"Callers to PANDA’s National Perinatal Mental Health Helpline often tell us they’ve tried to talk to others about their difficulties during pregnancy or early parenthood, but they haven’t been able to."}],"markDefs":[],"style":"normal"},{"_key":"3b247e77ebfe","_type":"block","children":[{"_key":"676d1ea81c7b","_type":"span","marks":[],"text":"Some people find it hard to talk about what they are going through but hope those around them will see they are having difficulties and ask them about it. This is especially so in encounters with health professionals."}],"markDefs":[],"style":"normal"},{"_key":"88bc8a453e2f","_type":"block","children":[{"_key":"841896f672df","_type":"span","marks":[],"text":"People often expect GPs, obstetricians, child and family nurses, midwives and others who work with expecting and new parents to easilyeasily identify when their patients are experiencing changes to their emotional and mental health and wellbeing. Many people, including some health professionals, may feel uncomfortable with other people's emotional distress, and may have a limited understanding of how to navigate conversations about perinatal mental health and wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"d7e3ea83436b","_type":"block","children":[{"_key":"0507962925f7","_type":"span","marks":[],"text":"If you’re finding it difficult to talk with your health professional about your challenges while pregnant or as a new parent, PANDA’s Helpline can provide a safe, secure space to speak about your concerns."}],"markDefs":[],"style":"normal"},{"_key":"94b56960190c","_type":"block","children":[{"_key":"4b19e7e69da1","_type":"span","marks":[],"text":"PANDA’s counsellors are caring, compassionate, andwill listen to your story. Together, you and your PANDA counsellor can explore a range of support options and figure out what might be helpful in looking after your emotional and mental wellbeing."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d05bdf32dd3b","_type":"block","children":[{"_key":"c76fc85fc509","_type":"span","marks":[],"text":"Barriers to accessing help and support"}],"markDefs":[],"style":"normal"}]},{"_key":"1968fbc9db39","_type":"faq","answer":[{"_key":"7738680c05de","_type":"block","children":[{"_key":"554ed1fcecbb","_type":"span","marks":[],"text":"Our culture glorifies pregnancy, parenting and motherhood. Media, social media, movies, TV and advertising tend to portray parenthood as being fun, easy, fulfilling and joyful. While there are moments where being a parent is all these things, being pregnant or caring for a baby can alsobe stressful, tiring and challenging. "}],"markDefs":[],"style":"normal"},{"_key":"4b200a2c5a32","_type":"block","children":[{"_key":"9b09b9c35559","_type":"span","marks":[],"text":"Pregnancy and parenthood can be a time of immense struggle, trauma and pain. This time of life can also trigger mental health and wellbeing challenges you didn’t expect."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1b17ef3082a4","_type":"block","children":[{"_key":"3406ddc1fe0b","_type":"span","marks":[],"text":"Parenting myths vs facts"}],"markDefs":[],"style":"normal"},{"_key":"a10717aa4ae2","_type":"block","children":[{"_key":"fd7db504aba4","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"9e590badccca","_type":"faq","answer":[{"_key":"82d38b1f9735","_type":"block","children":[{"_key":"245aafd0a482","_type":"span","marks":[],"text":"It can be incredibly upsetting when you confide in someone about how you are feeling, and they’re dismissive or minimise your experience."}],"markDefs":[],"style":"normal"},{"_key":"eaa812f7d78f","_type":"block","children":[{"_key":"5be5ee906e8f","_type":"span","marks":[],"text":"This reflects their own thoughts and beliefs and is not a reflection on you. People who call PANDA’s Helpline often tell us that their family, friends and health providers haven’t listened to them, or have responded with unhelpful statements like:"}],"markDefs":[],"style":"normal"},{"_key":"c8fbb9361280","_type":"block","children":[{"_key":"c934eb4d6edd","_type":"span","marks":[],"text":"Of course parenting is tough. You just have to get through it."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"15e31f06b809","_type":"block","children":[{"_key":"70c1ce23a546","_type":"span","marks":[],"text":"It happens to everyone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cffaddffebf2","_type":"block","children":[{"_key":"11872037e2d6","_type":"span","marks":[],"text":"You’re just tired. Every parent gets tired – it comes with the territory."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7be79137a3e","_type":"block","children":[{"_key":"269bcb9184be","_type":"span","marks":[],"text":"Just have a cup of tea and put your feet up – you’ll feel better."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31bb67709362","_type":"block","children":[{"_key":"59c678a2f291","_type":"span","marks":[],"text":"Sleep will come, just give it time."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8b898a34aa6","_type":"block","children":[{"_key":"7e4fe215d00d","_type":"span","marks":[],"text":"Yes, it’s stressful, but it’s also just so rewarding! (it may not be)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ce772b47e7d0","_type":"block","children":[{"_key":"3e71dbef91e3","_type":"span","marks":[],"text":"You’ll feel better once you get some sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"03ac6a8934cf","_type":"block","children":[{"_key":"81927fb96816","_type":"span","marks":[],"text":"It’s hard for all parents, and you don’t hear everyone complaining, do you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f43870d3c9fb","_type":"block","children":[{"_key":"816b775d8c70","_type":"span","marks":[],"text":"Oh, lots of mums get by on much less sleep than you’re getting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"069190ac2fe2","_type":"block","children":[{"_key":"34ddfeac2c35","_type":"span","marks":[],"text":"If you confide in someone and feel their response minimises your feelings or experiences, or makes you feel ashamed or guilty, it’s important to continue to reach out for help. Every expecting or new parent deserves kindness, respect, and effective perinatal mental health care. "}],"markDefs":[],"style":"normal"},{"_key":"953bf6a8ac53","_type":"block","children":[{"_key":"0421d7e0a5a6","_type":"span","marks":[],"text":"We encourage you to keep reaching out until you feel you’re being heard and supported."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5c13efb1f8bf","_type":"block","children":[{"_key":"1750c0a04982","_type":"span","marks":[],"text":"Managing unhelpful comments"}],"markDefs":[],"style":"normal"},{"_key":"89fc1f667f21","_type":"block","children":[{"_key":"6f12240407e9","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"358b27d71b46","_type":"faq","answer":[{"_key":"52a4392081ec","_type":"block","children":[{"_key":"0da044381d2f0","_type":"span","marks":[],"text":"There are many different services and health professionals that can help support your mental health. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist. "}],"markDefs":[],"style":"normal"},{"_key":"50cc2ad4d2e9","_type":"button","link":{"_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"},"style":"box","text":"Learn more about talking to your doctor"}],"question":[{"_key":"10d6d580407f","_type":"block","children":[{"_key":"f86c63acd5a7","_type":"span","marks":[],"text":"Talking to your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"5618a09d8e0b","_type":"faq","answer":[{"_key":"6ba124c5174f","_type":"block","children":[{"_key":"02bc5eb50b20","_type":"span","marks":[],"text":"If a parent in your life confides in you that they’re having a hard time coping and are experiencing changes to their mental health such as distressing or overwhelming thoughts and feelings, some helpful responses include:"}],"markDefs":[],"style":"normal"},{"_key":"ab07c53825fd","_type":"block","children":[{"_key":"f91ed42a8705","_type":"span","marks":[],"text":"That sounds really hard. I’m here to talk about whatever you want to talk about."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2076ecf93790","_type":"block","children":[{"_key":"58039655744c","_type":"span","marks":[],"text":"It’s okay to feel the way you are feeling. Can I help you find a professional who might be able to put together a support plan with you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"903b99ba542f","_type":"block","children":[{"_key":"561d206fe606","_type":"span","marks":[],"text":"I know that perinatal mental health issues are way more common than most people think. You’re not alone and I’m here to support you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9a9cbcbf6534","_type":"block","children":[{"_key":"4a4c8bb50855","_type":"span","marks":[],"text":"I care about you, and it seems like you’re having a super stressful time. I think talking with someone who is an expert in perinatal health could be really helpful."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2648f8c2e61","_type":"block","children":[{"_key":"db28fc161dbd","_type":"span","marks":[],"text":"Can I do something practical to help, like cook you a meal or watch the baby for an hour?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8ca310252a49","_type":"block","children":[{"_key":"9f4e4ed3ed74","_type":"span","marks":[],"text":"I’m going to check in on you tomorrow and see how you’re going. We’ll get through this together."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6622db86d77f","_type":"block","children":[{"_key":"bf025864a1f8","_type":"span","marks":[],"text":"If someone tells you they aren’t coping with changes to their mental health, daily function or their ability to care for their baby by themselves, you should always take it seriously. Mental health is highly changeable during pregnancy and after having a baby, and can quickly escalate to an emergency, especially if left untreated. If someone tells you they are seriously afraid of harming themselves or someone else or is behaving in a way that is unusual, they may be experiencing postnatal psychosis. "}],"markDefs":[],"style":"normal"},{"_key":"d034dce19839","_type":"block","children":[{"_key":"c6f97e05bf42","_type":"span","marks":[],"text":"If you are concerned about someone’s safety, call 000 immediately."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"e184663e30eb","_type":"block","children":[{"_key":"68c8c0a77a5a","_type":"span","marks":[],"text":"What if someone confides in you about how they are feeling?"}],"markDefs":[],"style":"normal"}]}],"title":"Tips for talking about perinatal mental health"},{"_key":"5961c82b84c8","_type":"checklist","field":"content"},{"_key":"65c5084601e1","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"321bccd29d0a","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"},{"_key":"d4af139a7df8","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"For many new parents, talking about how they are feeling can be difficult, especially if some of your feelings are negative, scary or doubtful.","socialImage":{"_type":"image","asset":{"_ref":"image-502b9c9832b34b86ac3719a1ab45490aef9eb02d-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_key":"a1599f8f5a81","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},{"_key":"191d4aff7280","_ref":"6db1ae16-57eb-45a1-9f7f-e53fd09a8427","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"talking-about-perinatal-mental-health"},"tags":[{"_key":"3bc6694cf754","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"cc6c475baea2","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"bafe6aefb39f","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"}],"title":"Talking about perinatal mental health","id":"-112e2cce-b8f8-5ac4-b938-9a64d0a38a63","children":[],"internal":{"type":"SanityArticle","contentDigest":"84de5c772288a0a8c1232ba3d2505c0b","owner":"gatsby-source-sanity","counter":144},"parent":null,"__gatsby_resolved":{"slug":{"current":"talking-about-perinatal-mental-health"}}},{"_id":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQEKh","_createdAt":"2022-02-14T07:39:29Z","_updatedAt":"2023-12-18T00:02:01Z","categories":[{"_key":"a1e91dbee1af","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"f9bef91f9170","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"566b88f3a855","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"4072caa04804","_type":"block","children":[{"_key":"95f9c26183260","_type":"span","marks":[],"text":"Expecting a baby or becoming a parent is a huge life change, full of excitement and challenges. Mental health distress including anxiety and depression is common and affect 1 in 5 birth parents and 1 in 10 non-birth parents."}],"markDefs":[],"style":"normal"},{"_key":"49d51bba2f18","_type":"block","children":[{"_key":"b56dfe36a12a","_type":"span","marks":[],"text":"With so much change happening, parenthood can feel be confusing. Sometimes it’s tricky to recognise if you need more support."}],"markDefs":[],"style":"normal"},{"_key":"f311ce0b672e","_type":"quote","quote":"It’s the hardest job in the world and it does take adjustment. Don’t feel ashamed or blame yourself for how you feel. Don’t try to do it alone. Seek out services, even just a call to a counsellor. "},{"_key":"3bf7c3c7b56d","_type":"block","children":[{"_key":"e558e642cff80","_type":"span","marks":[],"text":"Perinatal mental health distress can occur any time - from planning to conception, and throughout the postnatal period."}],"markDefs":[],"style":"normal"},{"_key":"4aa724c77ea6","_type":"block","children":[{"_key":"17ab5019c8fb","_type":"span","marks":[],"text":"Symptoms are diverse; they can be mild, moderate or severe, and can change quickly. The most common symptoms people experience are anxiety and depression."}],"markDefs":[],"style":"normal"},{"_key":"bdb9cf1a410c","_type":"block","children":[{"_key":"0b5cadfe21800","_type":"span","marks":[],"text":"Perinatal mental health concerns are common and treatable. They can happen to anyone. The sooner you can get the right support for yourself and your family, the more likely you are to experience a quick recovery."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Emotional and mental wellbeing for LGBTIQA+ parents","image":{"_type":"imageWithAlt","alt":"2 mums cuddling","asset":{"_ref":"image-00253d44de992d73cea3d719747a4e5fa234f070-3334x3334-png","_type":"reference"}},"text":[{"_key":"87d2d3195258","_type":"block","children":[{"_key":"0e82735d31a10","_type":"span","marks":[],"text":"All expecting and new parents deserve inclusive, appropriate support for their wellbeing – including LGBTIQA+ parents."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"fdf6c80ad11e","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"72e47bcfecf0","_type":"block","children":[{"_key":"afc766ac2da80","_type":"span","marks":[],"text":"What puts you at risk?"}],"markDefs":[],"style":"h4"},{"_key":"944487f800e2","_type":"quote","quote":"My partner returned to work and I was left at home on my own, trying to heal physically and having to look after this little baby - even though I had no idea what to do. It all came crashing down and I realised I was nowhere near being okay. I felt really flat and had this incredible sense of isolation. "},{"_key":"4afceae010bd","_type":"block","children":[{"_key":"7975792f2aa20","_type":"span","marks":[],"text":"Many of the risk factors can affect anyone. On the PANDA Helpline, callers often share experiences including fertility issues, losing a baby or pregnancy, a difficult pregnancy, a traumatic birth, feeding or settling difficulties, prior mental health issues or trauma, difficult or absent family relationships, financial stress, isolation or family violence."}],"markDefs":[],"style":"normal"},{"_key":"da4e1428a12b","_type":"block","children":[{"_key":"6da62c0ea9420","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"4176a920e0aa","_type":"block","children":[{"_key":"89f24147405e0","_type":"span","marks":[],"text":"As an LGBTIQA+ expecting or new parent, you may face added risks, such as the challenge of accessing inclusive care from fertility, surrogacy, antenatal or birth services."}],"markDefs":[],"style":"normal"},{"_key":"bb309ede6223","_type":"quote","quote":"The hardest part for my partner has always been the use of the term ‘dads’ when referring to non-birth parents. She found it so ingrained in the medical system and it made her feel less relevant and less important. [It] prevented her from reaching out."},{"_key":"729f1fcbb76a","_type":"block","children":[{"_key":"2bbb5de1b71d0","_type":"span","marks":[],"text":"LGBTIQA+ people often have to advocate for their needs to care providers who have limited knowledge about LGBTIQA+ parent families, or safe, appropriate care for trans, gender diverse and/or intersex clients. It’s exhausting, and it can stop people voicing their needs, or even accessing care."}],"markDefs":[],"style":"normal"},{"_key":"3a87eadd400c","_type":"quote","quote":"Having children means you are perpetually coming out: to childcare, to doctors, to school mums. It was uncomfortable always making decisions about whether to ‘come out’ or let it slide. Being a new mum is exhausting enough, add postnatal depression and sometimes claiming my identity felt too much. "},{"_key":"3ebc690a396a","_type":"block","children":[{"_key":"ee0afa5d47ed0","_type":"span","marks":[],"text":"‘Minority stress’ is a term for the mental health impacts of exclusion, discrimination, mistreatment and stigma. It can arise from direct personal experiences, and from broader social stigma."}],"markDefs":[],"style":"normal"},{"_key":"ef590823a855","_type":"block","children":[{"_key":"670a95dbb704","_type":"span","marks":[],"text":"Minority stress contributes to mental distress and stops people getting help. LGBTIQA+ people mayalso hesitate to access mainstream services during a crisis, due to fear of discrimination."}],"markDefs":[],"style":"normal"}]},{"_key":"a950ef13f591","_type":"checklist","field":"content"},{"_key":"4ad25d37d420","_type":"freeText","text":[{"_key":"5c68c2989c1c","_type":"block","children":[{"_key":"208710c3e98e0","_type":"span","marks":[],"text":"Getting help if you need it"}],"markDefs":[],"style":"h4"},{"_key":"9c1ffdaffe57","_type":"quote","quote":"My partner came out as trans when our baby was about five months old. It was such a relief, but it was a few big months. Exhaustion, isolation, and confusion started to take hold of me, and I had come to be aware of some unresolved trauma that was really kicking me around. I lay in bed feeling so, so sad – day, after day, after day. "},{"_key":"2b0ac846fc8c","_type":"block","children":[{"_key":"76bc14fd375e","_type":"span","marks":[],"text":"It’s important to be aware of the risks and potential symptoms, and to seek help if you’re worried about yourself or a loved one."}],"markDefs":[],"style":"normal"},{"_key":"2181bac477cd","_type":"block","children":[{"_key":"b5d88cc83b8a","_type":"span","marks":[],"text":"There are many pathways to getting help. 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Many new parents experience some trouble adjusting to parenthood. Yet a big dip in your mental health at this time can seriously affect your ability to function in daily life and to look after yourself and your baby."}],"markDefs":[],"style":"normal"},{"_key":"d260272dba1f","_type":"block","children":[{"_key":"3931e5b5b6f6","_type":"span","marks":[],"text":"If your thoughts and feelings are worrying you, affecting your daily function or stopping you from enjoying life, you may be experiencing symptoms of postnatal anxiety or depression. This is nothing to be ashamed of, as postnatal mental health concerns are common."}],"markDefs":[],"style":"normal"},{"_key":"d41528396204","_type":"quote","attribution":"Sam, TAS","quote":"You’re not a burden. Everyone deserves help. It doesn’t matter how minor or major you think things are. Everyone deserves it. So take help if it’s there. 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Some people experience mild postnatal anxiety or depression, while others have more severe symptoms including postnatal psychosis (link). No matter how unwell you feel, postnatal mental health concerns can affect your enjoyment of being a new parent, your bond with your baby and your ability to function in daily life."}],"markDefs":[],"style":"normal"},{"_key":"00e376a7e677","_type":"block","children":[{"_key":"293382cf70e3","_type":"span","marks":[],"text":"You don’t have to manage everything alone though. The sooner you seek help by talking to someone, the quicker you can begin treatment and start feeling better."}],"markDefs":[],"style":"normal"},{"_key":"b33d8c811b66","_type":"block","children":[{"_key":"5b0ceadade0d","_type":"span","marks":[],"text":"The mild to severe range of postnatal anxiety and depression symptoms means there is no one-size-fits-all approach to mental health recovery. 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You’re the expert on your own life, and your care team will consult you about what might work best for you.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"7d930a93e882","_type":"freeText","text":[{"_key":"0393619de94d","_type":"block","children":[{"_key":"a0c2bbd707d80","_type":"span","marks":[],"text":"Seeking support"}],"markDefs":[],"style":"h4"},{"_key":"857f1bfe5fda","_type":"block","children":[{"_key":"ef834f00d02e0","_type":"span","marks":[],"text":"If you’re a new parent worried about your emotional and mental wellbeing, it’s important to seek support from a trusted health professional."}],"markDefs":[],"style":"normal"},{"_key":"95e216b22d7b","_type":"block","children":[{"_key":"9d2baa334e99","_type":"span","marks":[],"text":"We recommend you see your doctor first, but it’s also a great idea to speak with other health professionals like your maternal and child health nurse for information and advice."}],"markDefs":[],"style":"normal"},{"_key":"73990fc41004","_type":"quote","attribution":"Natasha, WA","quote":"Asking for help had been so hard for me to do. 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Low iron, vitamin deficiencies or thyroid problems are some issues may contribute to feelings of depression, anxiety, low energy or lack of motivation. Worrisome thoughts and feelings can resolve if identified and treated."}],"markDefs":[],"style":"normal"},{"_key":"ae2aa8f43002","_type":"block","children":[{"_key":"a17b902477a1","_type":"span","marks":[],"text":"Please remember that if you don’t feel heard by your health professional or you’re not satisfied with the advice and treatment you receive, it’s always worth seeking a second opinion."}],"markDefs":[],"style":"normal"},{"_key":"a8a11b336c98","_type":"block","children":[{"_key":"c0ce9e7f91b7","_type":"span","marks":[],"text":"If you’re in any doubt, call the PANDA National Helpline. Our telephone counsellors will listen carefully to your concerns and explore pathways to care with you, including additional referral options if you need them."}],"markDefs":[],"style":"normal"}]},{"_key":"508f0e7c96f7","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"6a9bf057eae7","_type":"block","children":[{"_key":"0afbf0d184810","_type":"span","marks":[],"text":"Concerned about medication? Try to be as informed as possible."}],"markDefs":[],"style":"h4"},{"_key":"e7ed27c76807","_type":"block","children":[{"_key":"82605e3f9c610","_type":"span","marks":[],"text":"Some people feel concerned or fearful about taking medications for mental health, like anti-anxiety meds or antidepressants. It’s natural to have concerns about possible side effects and how long you might need to take medication. People may also feel uncertain or think that there’s something wrong or shameful about taking medication for mental health due to misconceptions and stigma."}],"markDefs":[],"style":"normal"},{"_key":"f6944a299f7f","_type":"block","children":[{"_key":"d657befa1a13","_type":"span","marks":[],"text":"Stigma is judging others or yourself as though there’s something wrong with taking medication to feel better – when really there is absolutely nothing to hide or be ashamed of.Sometimes there’s stigma about taking medications for mental health as well, from friends, family, or beliefs you have that come from your background and culture."}],"markDefs":[],"style":"normal"},{"_key":"ab7e30883d6e","_type":"quote","attribution":"Joanne, WA","quote":"I was initially against taking medication, especially as I was still breastfeeding. They presented to me research done by the hospital to demonstrate the amount of medication that would be transferred. They prescribed the medication and I started taking it and within a few weeks my mindset started to improve."},{"_key":"e30dbc296623","_type":"block","children":[{"_key":"2ede652449330","_type":"span","marks":[],"text":"It’s normal to feel uneasy – you want the best for yourself and your baby. We encourage you to get as much information as possible about the medication that is being recommended to you. It’s important this information comes from a trusted professional source who has experience with medications for mental health, like your doctor or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"64404a34a6fc","_type":"block","children":[{"_key":"1c4bcd2d87df","_type":"span","marks":[],"text":"Expert advice on medication use in the perinatal period can also be obtained from Medications Information Helplines which are available in each state. "}],"markDefs":[],"style":"normal"},{"_key":"97d1d32c63ff","_type":"block","children":[{"_key":"b801f3964560","_type":"span","marks":[],"text":"We discourage you from seeking information about medications from unreliable sources on the internet."}],"markDefs":[],"style":"normal"},{"_key":"22f78a67cdbe","_type":"button","link":{"_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Medications information helplines"}]},{"_key":"de35bcda2ad6","_type":"articleCollection","background":{"title":"orange60","value":"#FFA688"},"eyebrow":"Articles"},{"_key":"a12f24b1c106","_type":"storyCollection","background":{"title":"peach80","value":"#FFD29D"},"eyebrow":"Stories"}],"relatedArticles":[{"_key":"c735b45e2ed5","_ref":"a938dce0-5aad-4627-9531-dcff4c2e7795","_type":"reference"},{"_key":"ad51bf1a88b0","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},{"_key":"d36475ae9706","_ref":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"After you’ve had your baby, specialist support is available for your mental health and wellbeing."},"showFeedbackForm":true,"sidebarPosts":[{"_key":"09c51e59afcd","_ref":"3a24135f-caa6-4390-b28b-c32e50ac7b53","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"getting-help-support-after-birth"},"tags":[{"_key":"5ddfff2e8d3c","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"8c067585b16b","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"0e295babed6a","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"}],"title":"Getting help: Support after birth ","id":"-1d180bee-736f-5bfd-a805-313681c3c880","children":[],"internal":{"type":"SanityArticle","contentDigest":"5104e9889dec04ec24c5d8849afbfdfb","owner":"gatsby-source-sanity","counter":75},"parent":null,"__gatsby_resolved":{"slug":{"current":"getting-help-support-after-birth"}}},{"_id":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"article","_rev":"e9oiR2gkW2DFWuAPqnrG0m","_createdAt":"2022-02-14T08:41:12Z","_updatedAt":"2024-03-28T04:19:13Z","categories":[{"_key":"4b362e7d570b","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"e97e44188629","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"1e789ffcf782","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"07ab5855d59f","_type":"block","children":[{"_key":"13d14b745218","_type":"span","marks":[],"text":"It's best to talk about it"}],"markDefs":[],"style":"h4"},{"_key":"072dc643cc26","_type":"block","children":[{"_key":"67acb364f305","_type":"span","marks":[],"text":"If you’re a new parent or expecting a baby, and you’re worried about how you’re feeling, then talking to your doctor can be a good place to start. Below we provide tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"},{"_key":"e42fa248ecd7","_type":"block","children":[{"_key":"02c26121b73f","_type":"span","marks":[],"text":"The doctor’s role"}],"markDefs":[],"style":"h4"},{"_key":"e40616d99ec5","_type":"block","children":[{"_key":"74a9061ef424","_type":"span","marks":[],"text":"There are many different services and health professionals that can help. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"9a06c1026a02","_type":"block","children":[{"_key":"b1daffe9a386","_type":"span","marks":[],"text":"Finding the right doctor"}],"markDefs":[],"style":"h4"},{"_key":"4aa4b2bd4415","_type":"block","children":[{"_key":"d174f7739c5c","_type":"span","marks":[],"text":"Do you have a regular doctor with whom you can share your concerns? If not, it’s worth looking for a doctor with a special interest in mental health. Ask family and friends for recommendations of doctors who understand mental health, or ring local practices and ask about their doctors. We can help: call the PANDA National Perinatal Anxiety & Depression Helpline on 1300 726 306 and we will help you to find a doctor in your area."}],"markDefs":[],"style":"normal"},{"_key":"b2c3c95b941e","_type":"block","children":[{"_key":"7598b9b306cd","_type":"span","marks":[],"text":"Making an appointment"}],"markDefs":[],"style":"h4"},{"_key":"6e6e07ab72c3","_type":"block","children":[{"_key":"7dae98646b34","_type":"span","marks":[],"text":"If possible, request a double appointment and let them know it’s about a possible mental health issue. Don’t hesitate to ask for an urgent appointment or cancellation. Mental health issues can be serious, and symptoms can change quickly (see below for what to do if you feel worse before the appointment). Ask for an interpreter if you need one. Many people prefer to talk about sensitive issues in their first language, even if they can speak some English"}],"markDefs":[],"style":"normal"},{"_key":"40eb43c26d8f","_type":"block","children":[{"_key":"1536ab6a270b","_type":"span","marks":[],"text":"Consider taking someone"}],"markDefs":[],"style":"h4"},{"_key":"c61251f6b827","_type":"block","children":[{"_key":"c0ba816a8c03","_type":"span","marks":[],"text":"Consider taking a trusted person with you to the appointment, like a partner, friend or family member . A common symptom of anxiety or depression is difficulty taking in or remembering information. A trusted person can take notes for you, and might help you to feel more confident about sharing your concerns."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Talking to your doctor","image":{"_type":"imageWithAlt","alt":"Mum seeing doctor with baby","asset":{"_ref":"image-f12faa68ea2bd2a18594e7c59bdb785fb44d43a2-500x417-png","_type":"reference"}},"text":[{"_key":"d757fe214ce4","_type":"block","children":[{"_key":"d9b3853b7454","_type":"span","marks":[],"text":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"47c962839d97","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"f6d9d0db4055","_type":"faq","answer":[{"_key":"148b115c894f","_type":"block","children":[{"_key":"95ae5c273ff70","_type":"span","marks":[],"text":"If you’re still not sure about sharing your thoughts or feelings with your doctor, it can help to talk with a loved one or friend first. You can also call the PANDA Helpline. Our counsellors are skilled at helping you to explore your feelings, and to practice aloud the things you want to tell your doctor."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"59c4cff19a3d","_type":"block","children":[{"_key":"1a8177ac599b0","_type":"span","marks":[],"text":"Practice the conversation first"}],"markDefs":[],"style":"normal"}]},{"_key":"72490974baf0","_type":"faq","answer":[{"_key":"effbc4dd9b95","_type":"block","children":[{"_key":"877fbb2811ce0","_type":"span","marks":[],"text":"It’s important to tell your doctor about any changes in your thoughts, feelings and behaviours since becoming an expecting or new parent. Remember, these things do not make you a bad parent, but are potential symptoms of a common, treatable health condition. Let the doctor know if you have felt this way and/or been diagnosed with depression, anxiety or another mental health condition before. It’s also important to tell the doctor if you have had previous thoughts of suicide, or if you have lost someone to suicide."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"92847b9f3fdf","_type":"block","children":[{"_key":"e556c7ae5842","_type":"span","marks":[],"text":"What to tell your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"d70aa326f74c","_type":"faq","answer":[{"_key":"afb1d1c51263","_type":"block","children":[{"_key":"5d702f25140b0","_type":"span","marks":[],"text":"Your doctor should be non-judgemental, respectful and supportive.. They should assess you by asking questions about your symptoms, your and your family’s mental health history, your physical health and lifestyle (e.g. exercise, sleep, use of alcohol or drugs), your living situation, major emotional or psychological experiences, and treatment preferences."}],"markDefs":[],"style":"normal"},{"_key":"2bd7c207cd94","_type":"block","children":[{"_key":"00465bc565fa0","_type":"span","marks":[],"text":"After assessment, your doctor should be able to provide a diagnosis (although sometimes more tests are needed before they can make a diagnosis) and a treatment plan. They should explain your different treatment options, and why they are referring you to any specialist services."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"334374aa9b9f","_type":"block","children":[{"_key":"73478b791f18","_type":"span","marks":[],"text":"What to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"3311e258bd75","_type":"faq","answer":[{"_key":"a5ba4ec70e4a","_type":"block","children":[{"_key":"91c17bbeb02a0","_type":"span","marks":[],"text":"You have the right to fully understand your diagnosis and recommended treatment. You could ask:"}],"markDefs":[],"style":"normal"},{"_key":"4bc3162dd3c5","_type":"block","children":[{"_key":"1e674db35e500","_type":"span","marks":[],"text":"What are my options for treatment? Which do you think are best for me?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29499fa2c097","_type":"block","children":[{"_key":"f88a2e215afc0","_type":"span","marks":[],"text":"What are possible side effects of any medications?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c5c37f91fd5","_type":"block","children":[{"_key":"ff7d9457d7b10","_type":"span","marks":[],"text":"How much better might I feel, and how soon?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"785afab243a2","_type":"block","children":[{"_key":"754e2b27ec420","_type":"span","marks":[],"text":"Who are you referring me to? What do they do? How much will it cost? If I have private health insurance, will it be covered? (also check your policy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52a13d009398","_type":"block","children":[{"_key":"9711d2285d470","_type":"span","marks":[],"text":"Are there other ways that I can care for myself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1059035e92d4","_type":"block","children":[{"_key":"f9cd51760cd20","_type":"span","marks":[],"text":"Can you talk with my other health care providers about shared care? (e.g. obstetrician, midwife, Maternal and Child Health/Child and Family Health Nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77e4e12946dd","_type":"block","children":[{"_key":"01336c0ee6de0","_type":"span","marks":[],"text":"Your doctor can refer you to services like counsellors, psychologists, psychiatrists, social workers and occupational therapists. They might give you a mental health care plan, which gives you some Medicare rebates to help you access counselling. For a higher level of care, they might refer you to a Mother Baby Unit — a hospital unit where you stay with your baby — or to another hospital-based psychiatric service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5e39c53e4e16","_type":"block","children":[{"_key":"6e7d757729f3","_type":"span","marks":[],"text":"Questions to ask"}],"markDefs":[],"style":"normal"}]},{"_key":"0fe6884d9fa5","_type":"faq","answer":[{"_key":"a0f34745db53","_type":"block","children":[{"_key":"a2c2141ba0ce0","_type":"span","marks":[],"text":"Not all doctors have the same experience, confidence or qualifications in supporting patients with mental health issues. If the first doctor you see doesn’t help you enough, please don’t give up. You have a right to get the support you need, to feel better and enjoy your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"11105b443a24","_type":"block","children":[{"_key":"d722bb40d5090","_type":"span","marks":[],"text":"Call the PANDA National Helpline any time: to find a doctor or other service, for supportive counselling, or to discuss other support options like playgroups or support groups. You can call for yourself or about someone else you are concerned about."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"31a628481730","_type":"block","children":[{"_key":"f1f0b7bb1fe4","_type":"span","marks":[],"text":"If you don't get what you need"}],"markDefs":[],"style":"normal"}]},{"_key":"55f55b8dc810","_type":"faq","answer":[{"_key":"27705a63f8eb","_type":"block","children":[{"_key":"7dea9d64d2d30","_type":"span","marks":[],"text":"If you need urgent help before your appointment, call emergency services on triple zero (000) or go to your local hospital emergency department. The symptoms and severity of mental illness can sometimes change quickly. Don’t hesitate to seek urgent help if needed."}],"markDefs":[],"style":"normal"},{"_key":"5edf7645473e","_type":"block","children":[{"_key":"693b5731952c0","_type":"span","marks":[],"text":"You can call the PANDA National Perinatal Anxiety & Depression Helpline for support and ongoing counselling on 1300 726 306, Monday to Friday, 9am to 7.30pm AEST/ADST. You can call about yourself or someone else."}],"markDefs":[],"style":"normal"},{"_key":"00f3c1bfa15b","_type":"block","children":[{"_key":"b740844eb25f0","_type":"span","marks":[],"text":"If you need someone to talk with outside PANDA’s hours, call Suicide Call Back Service on 1300 659 467, Suicide Line on 1300 651 251, or Lifeline on 131114."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ee768dd29217","_type":"block","children":[{"_key":"e5933b44caca","_type":"span","marks":[],"text":"If you feel worse"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"c360ec98f5bf","_type":"block","children":[{"_key":"684a02e0b0a60","_type":"span","marks":[],"text":"People often forget things that they wanted to tell or ask their doctor during their appointment. It can be helpful to prepare by writing a list of your symptoms, concerns, and questions."}],"markDefs":[],"style":"normal"}],"title":"Prepare for the appointment"},{"_key":"5e8b1caa6593","_type":"fileCollection","files":[{"_key":"c5748ae691a4","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"cta":"Download","file":{"_type":"file","asset":{"_ref":"file-bec93bd9eb58ae8f35d03b5767093abeb1effd70-pdf","_type":"reference"}},"title":"Talking to your doctor"}],"title":"Factsheets"},{"_key":"f7e660518986","_type":"checklist","field":"content"},{"_key":"780165dc53a5","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"d47730980313","_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},{"_key":"334300bb2126","_ref":"6db1ae16-57eb-45a1-9f7f-e53fd09a8427","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation.","metaTitle":"Talking to your doctor","socialImage":{"_type":"image","asset":{"_ref":"image-edcabb975680e1848598b04a6a7ca8809c9fe916-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_key":"03d97dabb92a","_ref":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"reference"},{"_key":"d1a03409be84","_ref":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"talking-to-your-doctor"},"tags":[{"_key":"cbd98d59e44e","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"},{"_key":"31ba9b178809","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"05deaeda4ed0","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"}],"title":"Talking to your doctor","id":"-592aeba9-9c48-5c33-9b43-5b33c564b821","children":[],"internal":{"type":"SanityArticle","contentDigest":"4f877d2f8eea899d6bff1d47cd41ccbd","owner":"gatsby-source-sanity","counter":165},"parent":null,"__gatsby_resolved":{"slug":{"current":"talking-to-your-doctor"}}}],"seo":{"_type":"seo","metaDescription":"Postnatal depression can be mild, moderate or severe. 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Many new parents experience some trouble adjusting to parenthood. Yet a big dip in your mental health at this time can seriously affect your ability to function in daily life and to look after yourself and your baby."}],"markDefs":[],"style":"normal"},{"_key":"d260272dba1f","_type":"block","children":[{"_key":"3931e5b5b6f6","_type":"span","marks":[],"text":"If your thoughts and feelings are worrying you, affecting your daily function or stopping you from enjoying life, you may be experiencing symptoms of postnatal anxiety or depression. This is nothing to be ashamed of, as postnatal mental health concerns are common."}],"markDefs":[],"style":"normal"},{"_key":"d41528396204","_type":"quote","attribution":"Sam, TAS","quote":"You’re not a burden. Everyone deserves help. It doesn’t matter how minor or major you think things are. Everyone deserves it. So take help if it’s there. Don’t think you’re not worthy of help."}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Getting help: Support after birth ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-65a0d7715e51fc1bf780d6e981df58bd84a42ddc-2500x2000-jpg","_type":"reference"}},"text":[{"_key":"b52d95eff726","_type":"block","children":[{"_key":"dc0e3bad44fa0","_type":"span","marks":[],"text":"After you’ve had your baby, specialist support is available for your mental health and wellbeing."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"6473edd4c302","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"57fc20af9a63","_type":"block","children":[{"_key":"7ec431fc3bd70","_type":"span","marks":[],"text":"Postnatal anxiety and depression: Everyone is different"}],"markDefs":[],"style":"h4"},{"_key":"47302b456eeb","_type":"block","children":[{"_key":"4120ce29fb940","_type":"span","marks":[],"text":"We know that people experience changes to their postnatal mental health in different ways – everyone's experience is unique.The way your mental health is affected after becoming a parent can depend on a range of factors."}],"markDefs":[],"style":"normal"},{"_key":"2ec2094e9b8f","_type":"block","children":[{"_key":"faa5e527e0c9","_type":"span","marks":[],"text":"Your own genetics and unique emotional, mental and physical traits may play a part, plus external factors like your:"}],"markDefs":[],"style":"normal"},{"_key":"a3af7d0abfb8","_type":"block","children":[{"_key":"07b5233101ab0","_type":"span","marks":[],"text":"Birth experience, especially if it was traumatic "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d9cce2415bbf","_type":"block","children":[{"_key":"1247888da82b0","_type":"span","marks":[],"text":"Relationships"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52600eb8b837","_type":"block","children":[{"_key":"5c765951e4b60","_type":"span","marks":[],"text":"Stressful life situations can have an impact too."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"60cbb6892f9c","_type":"button","link":{"_type":"link","document":{"_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Learn more about signs and symptoms"},{"_key":"37402af45f7f","_type":"block","children":[{"_key":"532aeaeed8a10","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2e20f4f16e38","_type":"block","children":[{"_key":"2c45456007ee","_type":"span","marks":[],"text":"There are also different degrees of postnatal mental ill-health. Some people experience mild postnatal anxiety or depression, while others have more severe symptoms including postnatal psychosis (link). No matter how unwell you feel, postnatal mental health concerns can affect your enjoyment of being a new parent, your bond with your baby and your ability to function in daily life."}],"markDefs":[],"style":"normal"},{"_key":"00e376a7e677","_type":"block","children":[{"_key":"293382cf70e3","_type":"span","marks":[],"text":"You don’t have to manage everything alone though. The sooner you seek help by talking to someone, the quicker you can begin treatment and start feeling better."}],"markDefs":[],"style":"normal"},{"_key":"b33d8c811b66","_type":"block","children":[{"_key":"5b0ceadade0d","_type":"span","marks":[],"text":"The mild to severe range of postnatal anxiety and depression symptoms means there is no one-size-fits-all approach to mental health recovery. This means:"}],"markDefs":[],"style":"normal"},{"_key":"97c90ba0ed0a","_type":"block","children":[{"_key":"b3025c6ca96f0","_type":"span","marks":[],"text":"Everyone responds to treatment differently."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7b85dcb1dca4","_type":"block","children":[{"_key":"0517a167146f0","_type":"span","marks":[],"text":"What works well for someone else may not be the best care plan for you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c83a4c3ed6b7","_type":"block","children":[{"_key":"55ff20f109220","_type":"span","marks":[],"text":"Your recovery plan will be personalised and adapted to meet your individual needs as a person and a new parent."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3b8e777100bb","_type":"block","children":[{"_key":"a340454076780","_type":"span","marks":[],"text":"Your voice matters. You’re the expert on your own life, and your care team will consult you about what might work best for you.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"7d930a93e882","_type":"freeText","text":[{"_key":"0393619de94d","_type":"block","children":[{"_key":"a0c2bbd707d80","_type":"span","marks":[],"text":"Seeking support"}],"markDefs":[],"style":"h4"},{"_key":"857f1bfe5fda","_type":"block","children":[{"_key":"ef834f00d02e0","_type":"span","marks":[],"text":"If you’re a new parent worried about your emotional and mental wellbeing, it’s important to seek support from a trusted health professional."}],"markDefs":[],"style":"normal"},{"_key":"95e216b22d7b","_type":"block","children":[{"_key":"9d2baa334e99","_type":"span","marks":[],"text":"We recommend you see your doctor first, but it’s also a great idea to speak with other health professionals like your maternal and child health nurse for information and advice."}],"markDefs":[],"style":"normal"},{"_key":"73990fc41004","_type":"quote","attribution":"Natasha, WA","quote":"Asking for help had been so hard for me to do. But once I let go of that need to be perfect and in control and asked for help, I was actually able to take back control of my life."},{"_key":"17f34ad7fe3c","_type":"block","children":[{"_key":"6723ca2ba2d10","_type":"span","marks":[],"text":"Your doctor can help you "},{"_key":"be525a6bc55b","_type":"span","marks":["c30ca9fb41e4"],"text":"understand"},{"_key":"f0780d546363","_type":"span","marks":[],"text":" what’s happening and discuss the best treatment options for you. These might include:"}],"markDefs":[{"_key":"c30ca9fb41e4","_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"b15a072290a7","_type":"block","children":[{"_key":"c3e512c235840","_type":"span","marks":["a94f12fe697a"],"text":"Counselling"},{"_key":"046a827b5030","_type":"span","marks":[],"text":" "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"a94f12fe697a","_type":"link","document":{"_ref":"b769769d-ee6c-42d0-9dfe-8b41e1625715","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"0ccf712907ba","_type":"block","children":[{"_key":"275a916999e6","_type":"span","marks":["63f3fdba400f"],"text":"Self-care strategies"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"63f3fdba400f","_type":"link","document":{"_ref":"ea5008f7-a47e-4676-9ae0-c723bfd48898","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"089ee13caef1","_type":"block","children":[{"_key":"7837c471911e0","_type":"span","marks":["edff656a1859"],"text":"Medication"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"edff656a1859","_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"e8bd7f90be51","_type":"block","children":[{"_key":"97c5f19a7c160","_type":"span","marks":["b4cb23f03a14"],"text":"Peer supports"},{"_key":"7f85069ed4f2","_type":"span","marks":[],"text":" (eg. virtual courses and peer groups)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"b4cb23f03a14","_type":"link","linkType":"external","url":"https://peachtree.org.au/onlinegroups/"}],"style":"normal"},{"_key":"4aac5f4af9b6","_type":"block","children":[{"_key":"6b37e0d18fb10","_type":"span","marks":[],"text":"Information and access to "},{"_key":"ec691d5bf5f9","_type":"span","marks":["813f0caa7817"],"text":"perinatal mental health resources "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"813f0caa7817","_type":"link","linkType":"external","url":"https://www.mumspace.com.au/"}],"style":"normal"},{"_key":"69cac61fb7f7","_type":"block","children":[{"_key":"188d62727588","_type":"span","marks":[],"text":"It’s also important for your doctor to rule out the possibility of any other physical conditions. Low iron, vitamin deficiencies or thyroid problems are some issues may contribute to feelings of depression, anxiety, low energy or lack of motivation. Worrisome thoughts and feelings can resolve if identified and treated."}],"markDefs":[],"style":"normal"},{"_key":"ae2aa8f43002","_type":"block","children":[{"_key":"a17b902477a1","_type":"span","marks":[],"text":"Please remember that if you don’t feel heard by your health professional or you’re not satisfied with the advice and treatment you receive, it’s always worth seeking a second opinion."}],"markDefs":[],"style":"normal"},{"_key":"a8a11b336c98","_type":"block","children":[{"_key":"c0ce9e7f91b7","_type":"span","marks":[],"text":"If you’re in any doubt, call the PANDA National Helpline. Our telephone counsellors will listen carefully to your concerns and explore pathways to care with you, including additional referral options if you need them."}],"markDefs":[],"style":"normal"}]},{"_key":"508f0e7c96f7","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"6a9bf057eae7","_type":"block","children":[{"_key":"0afbf0d184810","_type":"span","marks":[],"text":"Concerned about medication? Try to be as informed as possible."}],"markDefs":[],"style":"h4"},{"_key":"e7ed27c76807","_type":"block","children":[{"_key":"82605e3f9c610","_type":"span","marks":[],"text":"Some people feel concerned or fearful about taking medications for mental health, like anti-anxiety meds or antidepressants. It’s natural to have concerns about possible side effects and how long you might need to take medication. People may also feel uncertain or think that there’s something wrong or shameful about taking medication for mental health due to misconceptions and stigma."}],"markDefs":[],"style":"normal"},{"_key":"f6944a299f7f","_type":"block","children":[{"_key":"d657befa1a13","_type":"span","marks":[],"text":"Stigma is judging others or yourself as though there’s something wrong with taking medication to feel better – when really there is absolutely nothing to hide or be ashamed of.Sometimes there’s stigma about taking medications for mental health as well, from friends, family, or beliefs you have that come from your background and culture."}],"markDefs":[],"style":"normal"},{"_key":"ab7e30883d6e","_type":"quote","attribution":"Joanne, WA","quote":"I was initially against taking medication, especially as I was still breastfeeding. They presented to me research done by the hospital to demonstrate the amount of medication that would be transferred. They prescribed the medication and I started taking it and within a few weeks my mindset started to improve."},{"_key":"e30dbc296623","_type":"block","children":[{"_key":"2ede652449330","_type":"span","marks":[],"text":"It’s normal to feel uneasy – you want the best for yourself and your baby. We encourage you to get as much information as possible about the medication that is being recommended to you. It’s important this information comes from a trusted professional source who has experience with medications for mental health, like your doctor or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"64404a34a6fc","_type":"block","children":[{"_key":"1c4bcd2d87df","_type":"span","marks":[],"text":"Expert advice on medication use in the perinatal period can also be obtained from Medications Information Helplines which are available in each state. "}],"markDefs":[],"style":"normal"},{"_key":"97d1d32c63ff","_type":"block","children":[{"_key":"b801f3964560","_type":"span","marks":[],"text":"We discourage you from seeking information about medications from unreliable sources on the internet."}],"markDefs":[],"style":"normal"},{"_key":"22f78a67cdbe","_type":"button","link":{"_type":"link","document":{"_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Medications information helplines"}]},{"_key":"de35bcda2ad6","_type":"articleCollection","background":{"title":"orange60","value":"#FFA688"},"eyebrow":"Articles"},{"_key":"a12f24b1c106","_type":"storyCollection","background":{"title":"peach80","value":"#FFD29D"},"eyebrow":"Stories"}],"relatedArticles":[{"_id":"a938dce0-5aad-4627-9531-dcff4c2e7795","_type":"article","_rev":"gH4Th5cZY0KlCYrWtexryh","_createdAt":"2022-02-22T00:15:38Z","_updatedAt":"2024-07-04T05:07:12Z","categories":[{"_key":"7b2df4f650d5","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"}],"content":[{"_key":"a4a63e6bfe11","_type":"block","children":[{"_key":"8081f186267e0","_type":"span","marks":[],"text":"Sometimes our hopes and dreams for our birth experience don't match the reality of what happens when we have a baby. Birth complications can include physical and emotional difficulties and it can be hard to process. "}],"markDefs":[],"style":"normal"},{"_key":"3bcf6b49059e","_type":"block","children":[{"_key":"0c4ceccd098a0","_type":"span","marks":[],"text":"Sometimes during the birth process, things might have been rushed or didn’t go to plan. You might have felt you hadn’t really understood what was happening or what you were giving consent to. You might have felt powerless or that you had no control over the situation."}],"markDefs":[],"style":"normal"},{"_key":"115849a4470d","_type":"block","children":[{"_key":"1e895e18d1ed0","_type":"span","marks":[],"text":"Here you'll find information about experiencing a complicated birth, and some tips to help you find extra support if you need it."}],"markDefs":[],"style":"normal"},{"_key":"7797b3a8abc6","_type":"quote","quote":"I thought the birth would go a certain way and it just didn’t turn out how I expected."}],"datePublished":"2022-02-21","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Complicated births","image":{"_type":"imageWithAlt","asset":{"_ref":"image-1902e03f3f91598a64f0cd7c00c9ee1cacd1612d-2400x1600-jpg","_type":"reference"}},"text":[{"_key":"4cb45a23789f","_type":"block","children":[{"_key":"17f9bf4f3b39","_type":"span","marks":[],"text":"Giving birth can lead to a range of complex feelings, especially when the experience is a difficult or traumatic one."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"ae961b55e1e1","_type":"freeText","text":[{"_key":"2972e3f8aaa2","_type":"block","children":[{"_key":"cb46face57ab","_type":"span","marks":[],"text":"What is intervention?"}],"markDefs":[],"style":"h3"},{"_key":"314bf630cd2a","_type":"block","children":[{"_key":"e06c0ac4eb120","_type":"span","marks":[],"text":"Sometimes during the birth, health care providers may identify an increased risk or possibility of risk to the health of mother and/or baby. After an assessment, healthcare providers may advise that the safest option is to use methods or tools to assist the birth. They will discuss the options and risks with the parents and together a decision is made whether to assist the birth. This is known as an ‘intervention’."}],"markDefs":[],"style":"normal"},{"_key":"fa73ca833e06","_type":"block","children":[{"_key":"4e5c48a4ab9c0","_type":"span","marks":[],"text":"Types of interventions might include an induction, pain relief, an emergency caesarean section, an episiotomy, blood transfusion or the use of forceps or a vacuum."}],"markDefs":[],"style":"normal"}]},{"_key":"2daa6e19b577","_type":"freeText","text":[{"_key":"8ca4dbe835bf","_type":"block","children":[{"_key":"ebe55194e2470","_type":"span","marks":[],"text":"Acknowledging our individual responses to a complicated birth"}],"markDefs":[],"style":"h3"},{"_key":"5a9f0036ff51","_type":"block","children":[{"_key":"664d4101dca00","_type":"span","marks":[],"text":"Our individual responses to these kinds of interventions can be extremely complex and very personal. Some people find their experiences with interventions more difficult to process. Often parents express that it was not the intervention itself that was traumatic, but feeling like they didn’t have a say in the decisions that were made, feeling uninformed, or feeling they didn’t consent to procedures that occurred."}],"markDefs":[],"style":"normal"},{"_key":"4170c7b65d03","_type":"quote","attribution":"Bao","quote":"I feel like we were very naïve going into things, and that just made us feel like we had to trust in the doctors and the system and go along with it. We just felt very overwhelmed and carried along by everything that was happening."},{"_key":"c663c14c1e68","_type":"block","children":[{"_key":"6c303c8796440","_type":"span","marks":[],"text":"We know that up to one in three women giving birth in Australia experience their birth as traumatic."}],"markDefs":[],"style":"normal"},{"_key":"6a5b4f72787f","_type":"block","children":[{"_key":"bca005799a700","_type":"span","marks":[],"text":"Every birthing parent will have their own unique response to the birth. Birth-related trauma can affect dads and non-birthing parents too. "}],"markDefs":[],"style":"normal"},{"_key":"635d456f0fc9","_type":"block","children":[{"_key":"21174ca993ec0","_type":"span","marks":[],"text":"It might even be something that a person watching from the outside might not consider to be distressing or traumatic. It’s important to know that trauma is an individual experience. It can affect every person differently, even within one family."}],"markDefs":[],"style":"normal"},{"_key":"86364ecc5e66","_type":"block","children":[{"_key":"ea64cd7c9a750","_type":"span","marks":["strong"],"text":"If your experience of the birth-related event was traumatic, your feelings are valid."}],"markDefs":[],"style":"normal"},{"_key":"443629260d54","_type":"block","children":[{"_key":"70fee131c8780","_type":"span","marks":[],"text":"You might have felt frightened, unsafe, powerless or unheard. 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They might say, “a healthy child is all that matters.”"}],"markDefs":[],"style":"normal"},{"_key":"90acf9df382d","_type":"block","children":[{"_key":"de885927f1b40","_type":"span","marks":[],"text":"This kind of advice is often not helpful. Your feelings do matter. If you experienced a difficult birth, either as the birthing or non-birthing parent, it is important that this is acknowledged and that you're given opportunities to talk through your experiences and process what has happened. Talking about your experience and feelings around your birth in a safe and non-judgmental space can be therapeutic. 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Sometimes this can affect how we bond with our new baby. "}],"markDefs":[],"style":"normal"},{"_key":"075f49938e96","_type":"block","children":[{"_key":"d7aaed5e9261","_type":"span","marks":[],"text":"Sometimes difficult emotions about the birth don’t arrive until we’ve had time to settle into our new reality and we’ve had time to reflect. 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The severity depends on the intensity, frequency and type of symptoms, and how much they interfere with you day-to-day functioning. "}],"markDefs":[],"style":"normal"},{"_key":"4451594b5ca7","_type":"block","children":[{"_key":"1698b140e648","_type":"span","marks":[],"text":"Everyone’s experience of perinatal anxiety and depression is unique"}],"markDefs":[],"style":"h4"},{"_key":"da77fd2db42a","_type":"block","children":[{"_key":"b399333f29d1","_type":"span","marks":[],"text":"We know that everyone experiences symptoms of perinatal anxiety and depression differently. The way it affects you can depend on a range of factors. Your own physical, emotional and mental make-up and stressful external situations may impact your risk of developing symptoms of perinatal anxiety and/or depression."}],"markDefs":[],"style":"normal"},{"_key":"c4963cada187","_type":"block","children":[{"_key":"a03278220b2d","_type":"span","marks":[],"text":"There are also different degrees of mental health decline. Some people experience mild symptoms, while others experience moderate to severe symptoms. Some mums experiencing symptoms of perinatal anxiety and/or depression may also develop symptoms of postnatal psychosis."}],"markDefs":[],"style":"normal"},{"_key":"6a0daa27bc0b","_type":"block","children":[{"_key":"8af7e7e4f9a9","_type":"span","marks":[],"text":"If you are experiencing any of these symptoms (or any others) that are affecting your daily function and mental and emotional wellbeing after your baby's birth, it’s a good idea to talk to someone."}],"markDefs":[],"style":"normal"},{"_key":"a61cbedf141e","_type":"block","children":[{"_key":"02b9baba1082","_type":"span","marks":[],"text":"If you don’t feel comfortable speaking with family and friends just yet, you can call PANDA. 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Below we provide tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"},{"_key":"e42fa248ecd7","_type":"block","children":[{"_key":"02c26121b73f","_type":"span","marks":[],"text":"The doctor’s role"}],"markDefs":[],"style":"h4"},{"_key":"e40616d99ec5","_type":"block","children":[{"_key":"74a9061ef424","_type":"span","marks":[],"text":"There are many different services and health professionals that can help. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"9a06c1026a02","_type":"block","children":[{"_key":"b1daffe9a386","_type":"span","marks":[],"text":"Finding the right doctor"}],"markDefs":[],"style":"h4"},{"_key":"4aa4b2bd4415","_type":"block","children":[{"_key":"d174f7739c5c","_type":"span","marks":[],"text":"Do you have a regular doctor with whom you can share your concerns? If not, it’s worth looking for a doctor with a special interest in mental health. Ask family and friends for recommendations of doctors who understand mental health, or ring local practices and ask about their doctors. We can help: call the PANDA National Perinatal Anxiety & Depression Helpline on 1300 726 306 and we will help you to find a doctor in your area."}],"markDefs":[],"style":"normal"},{"_key":"b2c3c95b941e","_type":"block","children":[{"_key":"7598b9b306cd","_type":"span","marks":[],"text":"Making an appointment"}],"markDefs":[],"style":"h4"},{"_key":"6e6e07ab72c3","_type":"block","children":[{"_key":"7dae98646b34","_type":"span","marks":[],"text":"If possible, request a double appointment and let them know it’s about a possible mental health issue. Don’t hesitate to ask for an urgent appointment or cancellation. Mental health issues can be serious, and symptoms can change quickly (see below for what to do if you feel worse before the appointment). Ask for an interpreter if you need one. Many people prefer to talk about sensitive issues in their first language, even if they can speak some English"}],"markDefs":[],"style":"normal"},{"_key":"40eb43c26d8f","_type":"block","children":[{"_key":"1536ab6a270b","_type":"span","marks":[],"text":"Consider taking someone"}],"markDefs":[],"style":"h4"},{"_key":"c61251f6b827","_type":"block","children":[{"_key":"c0ba816a8c03","_type":"span","marks":[],"text":"Consider taking a trusted person with you to the appointment, like a partner, friend or family member . A common symptom of anxiety or depression is difficulty taking in or remembering information. A trusted person can take notes for you, and might help you to feel more confident about sharing your concerns."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Talking to your doctor","image":{"_type":"imageWithAlt","alt":"Mum seeing doctor with baby","asset":{"_ref":"image-f12faa68ea2bd2a18594e7c59bdb785fb44d43a2-500x417-png","_type":"reference"}},"text":[{"_key":"d757fe214ce4","_type":"block","children":[{"_key":"d9b3853b7454","_type":"span","marks":[],"text":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"47c962839d97","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"f6d9d0db4055","_type":"faq","answer":[{"_key":"148b115c894f","_type":"block","children":[{"_key":"95ae5c273ff70","_type":"span","marks":[],"text":"If you’re still not sure about sharing your thoughts or feelings with your doctor, it can help to talk with a loved one or friend first. You can also call the PANDA Helpline. Our counsellors are skilled at helping you to explore your feelings, and to practice aloud the things you want to tell your doctor."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"59c4cff19a3d","_type":"block","children":[{"_key":"1a8177ac599b0","_type":"span","marks":[],"text":"Practice the conversation first"}],"markDefs":[],"style":"normal"}]},{"_key":"72490974baf0","_type":"faq","answer":[{"_key":"effbc4dd9b95","_type":"block","children":[{"_key":"877fbb2811ce0","_type":"span","marks":[],"text":"It’s important to tell your doctor about any changes in your thoughts, feelings and behaviours since becoming an expecting or new parent. Remember, these things do not make you a bad parent, but are potential symptoms of a common, treatable health condition. Let the doctor know if you have felt this way and/or been diagnosed with depression, anxiety or another mental health condition before. It’s also important to tell the doctor if you have had previous thoughts of suicide, or if you have lost someone to suicide."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"92847b9f3fdf","_type":"block","children":[{"_key":"e556c7ae5842","_type":"span","marks":[],"text":"What to tell your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"d70aa326f74c","_type":"faq","answer":[{"_key":"afb1d1c51263","_type":"block","children":[{"_key":"5d702f25140b0","_type":"span","marks":[],"text":"Your doctor should be non-judgemental, respectful and supportive.. They should assess you by asking questions about your symptoms, your and your family’s mental health history, your physical health and lifestyle (e.g. exercise, sleep, use of alcohol or drugs), your living situation, major emotional or psychological experiences, and treatment preferences."}],"markDefs":[],"style":"normal"},{"_key":"2bd7c207cd94","_type":"block","children":[{"_key":"00465bc565fa0","_type":"span","marks":[],"text":"After assessment, your doctor should be able to provide a diagnosis (although sometimes more tests are needed before they can make a diagnosis) and a treatment plan. They should explain your different treatment options, and why they are referring you to any specialist services."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"334374aa9b9f","_type":"block","children":[{"_key":"73478b791f18","_type":"span","marks":[],"text":"What to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"3311e258bd75","_type":"faq","answer":[{"_key":"a5ba4ec70e4a","_type":"block","children":[{"_key":"91c17bbeb02a0","_type":"span","marks":[],"text":"You have the right to fully understand your diagnosis and recommended treatment. You could ask:"}],"markDefs":[],"style":"normal"},{"_key":"4bc3162dd3c5","_type":"block","children":[{"_key":"1e674db35e500","_type":"span","marks":[],"text":"What are my options for treatment? Which do you think are best for me?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29499fa2c097","_type":"block","children":[{"_key":"f88a2e215afc0","_type":"span","marks":[],"text":"What are possible side effects of any medications?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c5c37f91fd5","_type":"block","children":[{"_key":"ff7d9457d7b10","_type":"span","marks":[],"text":"How much better might I feel, and how soon?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"785afab243a2","_type":"block","children":[{"_key":"754e2b27ec420","_type":"span","marks":[],"text":"Who are you referring me to? What do they do? How much will it cost? If I have private health insurance, will it be covered? (also check your policy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52a13d009398","_type":"block","children":[{"_key":"9711d2285d470","_type":"span","marks":[],"text":"Are there other ways that I can care for myself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1059035e92d4","_type":"block","children":[{"_key":"f9cd51760cd20","_type":"span","marks":[],"text":"Can you talk with my other health care providers about shared care? (e.g. obstetrician, midwife, Maternal and Child Health/Child and Family Health Nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77e4e12946dd","_type":"block","children":[{"_key":"01336c0ee6de0","_type":"span","marks":[],"text":"Your doctor can refer you to services like counsellors, psychologists, psychiatrists, social workers and occupational therapists. They might give you a mental health care plan, which gives you some Medicare rebates to help you access counselling. For a higher level of care, they might refer you to a Mother Baby Unit — a hospital unit where you stay with your baby — or to another hospital-based psychiatric service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5e39c53e4e16","_type":"block","children":[{"_key":"6e7d757729f3","_type":"span","marks":[],"text":"Questions to ask"}],"markDefs":[],"style":"normal"}]},{"_key":"0fe6884d9fa5","_type":"faq","answer":[{"_key":"a0f34745db53","_type":"block","children":[{"_key":"a2c2141ba0ce0","_type":"span","marks":[],"text":"Not all doctors have the same experience, confidence or qualifications in supporting patients with mental health issues. If the first doctor you see doesn’t help you enough, please don’t give up. You have a right to get the support you need, to feel better and enjoy your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"11105b443a24","_type":"block","children":[{"_key":"d722bb40d5090","_type":"span","marks":[],"text":"Call the PANDA National Helpline any time: to find a doctor or other service, for supportive counselling, or to discuss other support options like playgroups or support groups. You can call for yourself or about someone else you are concerned about."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"31a628481730","_type":"block","children":[{"_key":"f1f0b7bb1fe4","_type":"span","marks":[],"text":"If you don't get what you need"}],"markDefs":[],"style":"normal"}]},{"_key":"55f55b8dc810","_type":"faq","answer":[{"_key":"27705a63f8eb","_type":"block","children":[{"_key":"7dea9d64d2d30","_type":"span","marks":[],"text":"If you need urgent help before your appointment, call emergency services on triple zero (000) or go to your local hospital emergency department. The symptoms and severity of mental illness can sometimes change quickly. Don’t hesitate to seek urgent help if needed."}],"markDefs":[],"style":"normal"},{"_key":"5edf7645473e","_type":"block","children":[{"_key":"693b5731952c0","_type":"span","marks":[],"text":"You can call the PANDA National Perinatal Anxiety & Depression Helpline for support and ongoing counselling on 1300 726 306, Monday to Friday, 9am to 7.30pm AEST/ADST. You can call about yourself or someone else."}],"markDefs":[],"style":"normal"},{"_key":"00f3c1bfa15b","_type":"block","children":[{"_key":"b740844eb25f0","_type":"span","marks":[],"text":"If you need someone to talk with outside PANDA’s hours, call Suicide Call Back Service on 1300 659 467, Suicide Line on 1300 651 251, or Lifeline on 131114."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ee768dd29217","_type":"block","children":[{"_key":"e5933b44caca","_type":"span","marks":[],"text":"If you feel worse"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"c360ec98f5bf","_type":"block","children":[{"_key":"684a02e0b0a60","_type":"span","marks":[],"text":"People often forget things that they wanted to tell or ask their doctor during their appointment. It can be helpful to prepare by writing a list of your symptoms, concerns, and questions."}],"markDefs":[],"style":"normal"}],"title":"Prepare for the appointment"},{"_key":"5e8b1caa6593","_type":"fileCollection","files":[{"_key":"c5748ae691a4","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"cta":"Download","file":{"_type":"file","asset":{"_ref":"file-bec93bd9eb58ae8f35d03b5767093abeb1effd70-pdf","_type":"reference"}},"title":"Talking to your doctor"}],"title":"Factsheets"},{"_key":"f7e660518986","_type":"checklist","field":"content"},{"_key":"780165dc53a5","_type":"helpLine","field":"content"}],"relatedArticles":[{"_id":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQDQF","_createdAt":"2022-02-14T08:25:19Z","_updatedAt":"2023-12-18T00:01:32Z","categories":[{"_key":"3635c35407c6","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"210b86426c5f","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"b81740fa0326","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"category":{"_ref":"-2be506a5-df12-5306-ab62-d66056112f83","_type":"reference"},"content":[{"_key":"7a71d9fa8734","_type":"block","children":[{"_key":"90db8d4c3ea90","_type":"span","marks":[],"text":"When you’re pregnant or caring for a new baby, you may need to take medications to treat a range of conditions, from your physical to mental health. "}],"markDefs":[],"style":"normal"},{"_key":"99b76ce6b462","_type":"block","children":[{"_key":"22651dda1cf6","_type":"span","marks":[],"text":"Medication for nausea and gestational diabetes is common during pregnancy. Many new mums take medication during birth recovery and to support lactation if they’re breastfeeding."}],"markDefs":[],"style":"normal"},{"_key":"7460b15f7e56","_type":"block","children":[{"_key":"73ef8bff22b0","_type":"span","marks":[],"text":"Sometimes, you may need to take medication for your mental health as well. One of your health professionals (eg your doctor, obstetrician, psychologist or psychiatrist) may have recommended that you consider taking medication to treat symptoms of anxiety, depression, or another mental health concern. It’s natural to have questions."}],"markDefs":[],"style":"normal"},{"_key":"f9dc9e8e84d1","_type":"block","children":[{"_key":"37b947fe2f7e","_type":"span","marks":[],"text":"You may be wondering about side effects from medication, either for yourself or your baby. This is a common concern during pregnancy and for parents who are breastfeeding."}],"markDefs":[],"style":"normal"},{"_key":"0f1d0c1526d8","_type":"block","children":[{"_key":"f8d1d4c3674f","_type":"span","marks":[],"text":"Maybe you’ve never taken medication for your mental health before, or not had a positive experience previously. There may also be stigma (negative associations) with medications for mental health in your social circle or culture."}],"markDefs":[],"style":"normal"},{"_key":"a7ab888df22a","_type":"block","children":[{"_key":"6acb42e1011b","_type":"span","marks":[],"text":"Often it’s seen as perfectly acceptable to take medications for a physical condition, like a headache or diabetes, but there are still some taboos around treating mental health with medication. This needs to change – taking care of your mental health is just as important as treating any physical health conditions."}],"markDefs":[],"style":"normal"},{"_key":"f354a1c56bdb","_type":"block","children":[{"_key":"748c70d508b1","_type":"span","marks":[],"text":"Untreated mental health can be a risk to you and your baby. It’s incredibly hard to manage parenting when you’re also trying to cope with changes to your mental health that are affecting your daily function."}],"markDefs":[],"style":"normal"},{"_key":"ac12e93faf77","_type":"block","children":[{"_key":"41517f83d224","_type":"span","marks":[],"text":"There are a range of treatment options available for mental health, including counselling and medication. We know from decades of research that there are many medications used to treat mental health during pregnancy and after having a baby that are safe to take. Certain medications have a low risk profile in terms of transmission (either to your unborn baby, or via breastmilk transfer)."}],"markDefs":[],"style":"normal"},{"_key":"a4b1804c1d4b","_type":"block","children":[{"_key":"a2413019953e0","_type":"span","marks":["strong"],"text":"We do not provide medication advice on the PANDA Helpline – but we do provide a space for you to talk through your options, thoughts, and feelings about taking medication."}],"markDefs":[],"style":"normal"},{"_key":"1be5af53df38","_type":"block","children":[{"_key":"252930a7a01c0","_type":"span","marks":[],"text":"We can also help you link to services that provide advice about medication use during pregnancy and after your baby is born. We encourage you to talk to your doctor for information and advice about medication. Some specialist medication advice services are also listed at the bottom of this page."}],"markDefs":[],"style":"normal"},{"_key":"c575dddeddb9","_type":"block","children":[{"_key":"d187761bb737","_type":"span","marks":[],"text":"Being informed about medications is essential – it’s important you feel confident and comfortable about any medication you are taking."}],"markDefs":[],"style":"normal"},{"_key":"73a89a2c0445","_type":"block","children":[{"_key":"cefcbd8bf986","_type":"span","marks":[],"text":"Medication is a broad term that encompasses a whole range of substances, not just medicine that you swallow."}],"markDefs":[],"style":"normal"},{"_key":"fa5d3a9b83cc","_type":"block","children":[{"_key":"f352b80dd872","_type":"span","marks":[],"text":"Medication can take the form of:"}],"markDefs":[],"style":"normal"},{"_key":"99413cb14e12","_type":"block","children":[{"_key":"689d02872d880","_type":"span","marks":[],"text":"Tablets and capsules, either available over the counter or by prescription."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"688a8ada9d5d","_type":"block","children":[{"_key":"a3058709fce20","_type":"span","marks":[],"text":"Liquid medication, either ingested or administered via injection (eg, an iron infusion at your doctor, or medication to induce labour)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"812cc1a471fa","_type":"block","children":[{"_key":"41b2cadc89ac0","_type":"span","marks":[],"text":"Inhalants, like nasal sprays or asthma medication."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f09f3d948da0","_type":"block","children":[{"_key":"85f93a3931720","_type":"span","marks":[],"text":"Ointments or patches you apply to your skin."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31758210aeb5","_type":"block","children":[{"_key":"b5aca75605c60","_type":"span","marks":[],"text":"Suppositories you insert in your body."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"06dc7208fa4f","_type":"block","children":[{"_key":"4456468d759e0","_type":"span","marks":[],"text":"Vitamins and supplements."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32d64fb8bc1a","_type":"block","children":[{"_key":"e76b4a8dd0bc0","_type":"span","marks":[],"text":"Herbal preparations, including tinctures and teas."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29027f541ad8","_type":"block","children":[{"_key":"ece0c15f3c070","_type":"span","marks":[],"text":"Your doctor or local pharmacist can provide you with information about medication use for yourself and your baby. You can also request a referral from your doctor for a home medicines review. This is a free service."}],"markDefs":[],"style":"normal"},{"_key":"042661870aaf","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.healthdirect.gov.au/home-medicines-review"},"style":"arrow","text":"Home medicines review"},{"_key":"65cb3f3dd93b","_type":"block","children":[{"_key":"d0de40d0314e0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"c402ebfae3e2","_type":"block","children":[{"_key":"0b633db9c8200","_type":"span","marks":[],"text":"Your doctor will refer you to a local accredited pharmacist to discuss your use of any prescription medicines, over the counter medication, and vitamins and supplements."}],"markDefs":[],"style":"normal"},{"_key":"7f89f4449abd","_type":"block","children":[{"_key":"5c84935e2404","_type":"span","marks":[],"text":"The pharmacist will:"}],"markDefs":[],"style":"normal"},{"_key":"a7edeb61c76e","_type":"block","children":[{"_key":"01643f531ff70","_type":"span","marks":[],"text":"Answer any questions you have"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e923a67a385e","_type":"block","children":[{"_key":"943eb4f8eee70","_type":"span","marks":[],"text":"Check that you are using medicines correctly (eg, dosage and time of day, storage)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9e4dde2dc3ca","_type":"block","children":[{"_key":"213b9e1bec2a0","_type":"span","marks":[],"text":"May recommend changes to your medication"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2cd3d07d3ff4","_type":"block","children":[{"_key":"71983885c8a40","_type":"span","marks":[],"text":"Provide a report to your GP"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f52f70bc11b9","_type":"block","children":[{"_key":"8fae93b6e4920","_type":"span","marks":[],"text":"You doctor will then create a personalised Medication Management Plan for you. You’ll receive a copy of your plan to share with any health professionals who are caring for you. You can request a free home medicines review every 12 months."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Medication use in the perinatal period","image":{"_type":"imageWithAlt","alt":"Mum on phone to doctor","asset":{"_ref":"image-e4b233589ba1e25e7bb521eebca29a5358a592dc-600x600-png","_type":"reference"}},"text":[{"_key":"c0c1e97aa463","_type":"block","children":[{"_key":"23c12dfd96ca0","_type":"span","marks":[],"text":"It’s common to have questions about medication use during the perinatal period. Specialist health professional supports are available to provide advice and guidance on what’s best for you and your baby."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"9811727d73b0","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"ebb1eefca70d","_type":"faq","answer":[{"_key":"1e76626253b5","_type":"block","children":[{"_key":"5e693e8300230","_type":"span","marks":[],"text":"The medication advice line is provided by the Australian Government’s Department of Health. This service gives information and advice to parents about medication use during the perinatal period."}],"markDefs":[],"style":"normal"},{"_key":"b5acdc552024","_type":"block","children":[{"_key":"aac02ad096570","_type":"span","marks":["25808176d7a5"],"text":"National Medicines Line"}],"markDefs":[{"_key":"25808176d7a5","_type":"link","blank":true,"linkType":"external","url":"https://www.nps.org.au/medicines-line"}],"style":"normal"},{"_key":"b864e14baf5b","_type":"block","children":[{"_key":"cc341a5758240","_type":"span","marks":[],"text":"Phone: 1300 633 424"}],"markDefs":[],"style":"normal"},{"_key":"6b8d6dadfe22","_type":"block","children":[{"_key":"f4c59f74e6a90","_type":"span","marks":[],"text":"Available: 9am – 5pm AEST, Monday to Friday. 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Your doctor will talk to you about your concerns, andget you to complete a questionnaire before you create your care plan together."}],"markDefs":[],"style":"normal"},{"_key":"98ca9b439ae3","_type":"block","children":[{"_key":"19b79338f64a","_type":"span","marks":[],"text":"You might like to take a support person to your appointment. They can sit in the car or waiting room for emotional support or come into the appointment with you. This can be helpful if you have a little one or other children with you too."}],"markDefs":[],"style":"normal"},{"_key":"b5ac84a03e5c","_type":"block","children":[{"_key":"fbb950cb4f03","_type":"span","marks":[],"text":"It’s normal to feel nervous or overwhelmed when talking to health professionals about your mental health, You might feel worried you’ll forget to tell your doctor about everything that’s been happening. PANDA created Mental Health Checklists to help you start the conversation. It’s anonymous, takes 5 minutes to complete, and you can email a copy of your results to yourself."}],"markDefs":[],"style":"normal"},{"_key":"1712712ea178","_type":"block","children":[{"_key":"f9c39a3b1e2f0","_type":"span","marks":[],"text":"Once you’ve created your Mental Health Treatment Plan with your GP, you’ll see the mental health practitioner of your choice. After the 6th session, you’ll return to your GP for a review to see if you feel like you need another 4 sessions of counselling."}],"markDefs":[],"style":"normal"},{"_key":"9c759996154c","_type":"block","children":[{"_key":"6f959cd7db2d","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bf9dbcb3db56","_type":"block","children":[{"_key":"8b6864cc75b00","_type":"span","marks":[],"text":"The process of getting a Mental Health Treatment Plan is easy, but if you still have questions or concerns, please call the PANDA Helpline and we can have a chat about options or the referral process together."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"How to get a mental health treatment plan ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-91007c7e9749740af92a9694cbc36256e1588354-2364x2214-jpg","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.06823529411764706,"right":0.06553398058252424,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":0.8824115157638853,"width":0.8662307252998287,"x":0.5013506567675614,"y":0.44120575788194266}},"text":[{"_key":"81982157ef50","_type":"block","children":[{"_key":"4afb68958eb30","_type":"span","marks":[],"text":"How to access government subsidised mental health care for all Australians."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"3353f2a59d4b","_type":"checklist","field":"content"},{"_key":"1d56f37589d9","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"05f23a63930f","_ref":"9aa50a2e-c32f-4dda-a8ac-8da56d0b6bf6","_type":"reference"},{"_key":"12b3ef6f4cb2","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},{"_key":"33f04c12415b","_ref":"ea5008f7-a47e-4676-9ae0-c723bfd48898","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"How to access government subsidised mental health care for all Australians.","socialImage":{"_type":"image","asset":{"_ref":"image-0dd11e645bdcd669aea8a6ee0b34f594cc6e393c-1200x630-jpg","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"030c57ef7e33","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"},{"_key":"5fcaf943105c","_ref":"d0725516-984a-4e9f-be02-cee0c1b10fe9","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"how-to-get-a-mental-health-treatment-plan"},"tags":[{"_key":"b2cf12a551bf","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"0f02d4192e09","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"}],"title":"How to get a mental health treatment plan ","id":"-b41bc6ba-795a-50a7-8d17-001f77f8df44","children":[],"internal":{"type":"SanityArticle","contentDigest":"fff86aa2ae3f70ec899b678d7069a212","owner":"gatsby-source-sanity","counter":77},"parent":null,"__gatsby_resolved":{"slug":{"current":"how-to-get-a-mental-health-treatment-plan"}}}],"seo":{"_type":"seo","metaDescription":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation.","metaTitle":"Talking to your doctor","socialImage":{"_type":"image","asset":{"_ref":"image-edcabb975680e1848598b04a6a7ca8809c9fe916-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_id":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQXuP","_createdAt":"2022-02-14T08:38:55Z","_updatedAt":"2023-12-18T00:06:41Z","categories":[{"_key":"2f7366e48144","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"99bb9f0233f1","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"5512f58d4f51","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"9fe63e27c764","_type":"block","children":[{"_key":"7807962c884e0","_type":"span","marks":[],"text":"If you are experiencing symptoms of perinatal anxiety, depression, obsessive-compulsive disorder or psychosis, some of the thoughts and feelings you may be experiencing can be extremely frightening. Many people may feel afraid to share these thoughts with their partner or family."}],"markDefs":[],"style":"normal"},{"_key":"2ab6b9eb11c5","_type":"block","children":[{"_key":"fe2a04307248","_type":"span","marks":[],"text":"Difficult emotions in the perinatal period can trigger a lot of shame, guilt and sadness. The image you may have had of what you’d be like as a parent probably didn’t include feeling low, crying, or wishing you could take a break from parenting. Yet our callers commonly report having those emotions and thoughts. These thoughts and feelings don’t mean you don’t love your baby, and they don’t mean you are a bad person or parent."}],"markDefs":[],"style":"normal"},{"_key":"cfb728281771","_type":"block","children":[{"_key":"a389d1d09102","_type":"span","marks":[],"text":"In fact, up to 1 in 5 expecting or new mums and up to 1 in 10 expecting or new dads will develop symptoms of perinatal anxiety and/or depression. Perinatal mental health issues are much more common than many people realise. Even if you aren’t experiencing significant changes to your mental health, it’s still common to experience distressing thoughts and emotions, including worry, doubt and sadness."}],"markDefs":[],"style":"normal"},{"_key":"c371fe7fc8ac","_type":"block","children":[{"_key":"6703e5ca9c2b","_type":"span","marks":[],"text":"If you’re struggling with your mental and emotional wellbeing, you might feel confused about whether what you are experiencing is “normal”. You might be unsure of how to start talking about your feelings, or you might feel concerned about what people will think."}],"markDefs":[],"style":"normal"},{"_key":"15ca978969d1","_type":"block","children":[{"_key":"5984a0014f7f","_type":"span","marks":[],"text":"It’s okay to talk about what you’re feeling. Starting the conversation with someone you trust, such as your partner or a friend, can be a first step on the road to seeking professional support."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Talking about perinatal mental health ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-862cdcdd0d02086d49c44f0987ad3af0f3c8cef5-4000x2667-jpg","_type":"reference"}},"text":[{"_key":"87b2c04a8220","_type":"block","children":[{"_key":"8c277cb548eb0","_type":"span","marks":[],"text":"For many new parents, talking about how they are feeling can be difficult. You may never have experienced feelings and thoughts like this before, and are not sure how to express them."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"ffa010bdf9c7","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"859c67d77707","_type":"faq","answer":[{"_key":"bb54d421653a","_type":"block","children":[{"_key":"923105162d0a","_type":"span","marks":[],"text":"Callers to PANDA’s National Perinatal Mental Health Helpline often tell us they’ve tried to talk to others about their difficulties during pregnancy or early parenthood, but they haven’t been able to."}],"markDefs":[],"style":"normal"},{"_key":"3b247e77ebfe","_type":"block","children":[{"_key":"676d1ea81c7b","_type":"span","marks":[],"text":"Some people find it hard to talk about what they are going through but hope those around them will see they are having difficulties and ask them about it. This is especially so in encounters with health professionals."}],"markDefs":[],"style":"normal"},{"_key":"88bc8a453e2f","_type":"block","children":[{"_key":"841896f672df","_type":"span","marks":[],"text":"People often expect GPs, obstetricians, child and family nurses, midwives and others who work with expecting and new parents to easilyeasily identify when their patients are experiencing changes to their emotional and mental health and wellbeing. Many people, including some health professionals, may feel uncomfortable with other people's emotional distress, and may have a limited understanding of how to navigate conversations about perinatal mental health and wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"d7e3ea83436b","_type":"block","children":[{"_key":"0507962925f7","_type":"span","marks":[],"text":"If you’re finding it difficult to talk with your health professional about your challenges while pregnant or as a new parent, PANDA’s Helpline can provide a safe, secure space to speak about your concerns."}],"markDefs":[],"style":"normal"},{"_key":"94b56960190c","_type":"block","children":[{"_key":"4b19e7e69da1","_type":"span","marks":[],"text":"PANDA’s counsellors are caring, compassionate, andwill listen to your story. Together, you and your PANDA counsellor can explore a range of support options and figure out what might be helpful in looking after your emotional and mental wellbeing."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d05bdf32dd3b","_type":"block","children":[{"_key":"c76fc85fc509","_type":"span","marks":[],"text":"Barriers to accessing help and support"}],"markDefs":[],"style":"normal"}]},{"_key":"1968fbc9db39","_type":"faq","answer":[{"_key":"7738680c05de","_type":"block","children":[{"_key":"554ed1fcecbb","_type":"span","marks":[],"text":"Our culture glorifies pregnancy, parenting and motherhood. Media, social media, movies, TV and advertising tend to portray parenthood as being fun, easy, fulfilling and joyful. While there are moments where being a parent is all these things, being pregnant or caring for a baby can alsobe stressful, tiring and challenging. "}],"markDefs":[],"style":"normal"},{"_key":"4b200a2c5a32","_type":"block","children":[{"_key":"9b09b9c35559","_type":"span","marks":[],"text":"Pregnancy and parenthood can be a time of immense struggle, trauma and pain. This time of life can also trigger mental health and wellbeing challenges you didn’t expect."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1b17ef3082a4","_type":"block","children":[{"_key":"3406ddc1fe0b","_type":"span","marks":[],"text":"Parenting myths vs facts"}],"markDefs":[],"style":"normal"},{"_key":"a10717aa4ae2","_type":"block","children":[{"_key":"fd7db504aba4","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"9e590badccca","_type":"faq","answer":[{"_key":"82d38b1f9735","_type":"block","children":[{"_key":"245aafd0a482","_type":"span","marks":[],"text":"It can be incredibly upsetting when you confide in someone about how you are feeling, and they’re dismissive or minimise your experience."}],"markDefs":[],"style":"normal"},{"_key":"eaa812f7d78f","_type":"block","children":[{"_key":"5be5ee906e8f","_type":"span","marks":[],"text":"This reflects their own thoughts and beliefs and is not a reflection on you. People who call PANDA’s Helpline often tell us that their family, friends and health providers haven’t listened to them, or have responded with unhelpful statements like:"}],"markDefs":[],"style":"normal"},{"_key":"c8fbb9361280","_type":"block","children":[{"_key":"c934eb4d6edd","_type":"span","marks":[],"text":"Of course parenting is tough. You just have to get through it."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"15e31f06b809","_type":"block","children":[{"_key":"70c1ce23a546","_type":"span","marks":[],"text":"It happens to everyone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cffaddffebf2","_type":"block","children":[{"_key":"11872037e2d6","_type":"span","marks":[],"text":"You’re just tired. Every parent gets tired – it comes with the territory."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7be79137a3e","_type":"block","children":[{"_key":"269bcb9184be","_type":"span","marks":[],"text":"Just have a cup of tea and put your feet up – you’ll feel better."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31bb67709362","_type":"block","children":[{"_key":"59c678a2f291","_type":"span","marks":[],"text":"Sleep will come, just give it time."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8b898a34aa6","_type":"block","children":[{"_key":"7e4fe215d00d","_type":"span","marks":[],"text":"Yes, it’s stressful, but it’s also just so rewarding! (it may not be)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ce772b47e7d0","_type":"block","children":[{"_key":"3e71dbef91e3","_type":"span","marks":[],"text":"You’ll feel better once you get some sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"03ac6a8934cf","_type":"block","children":[{"_key":"81927fb96816","_type":"span","marks":[],"text":"It’s hard for all parents, and you don’t hear everyone complaining, do you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f43870d3c9fb","_type":"block","children":[{"_key":"816b775d8c70","_type":"span","marks":[],"text":"Oh, lots of mums get by on much less sleep than you’re getting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"069190ac2fe2","_type":"block","children":[{"_key":"34ddfeac2c35","_type":"span","marks":[],"text":"If you confide in someone and feel their response minimises your feelings or experiences, or makes you feel ashamed or guilty, it’s important to continue to reach out for help. Every expecting or new parent deserves kindness, respect, and effective perinatal mental health care. "}],"markDefs":[],"style":"normal"},{"_key":"953bf6a8ac53","_type":"block","children":[{"_key":"0421d7e0a5a6","_type":"span","marks":[],"text":"We encourage you to keep reaching out until you feel you’re being heard and supported."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5c13efb1f8bf","_type":"block","children":[{"_key":"1750c0a04982","_type":"span","marks":[],"text":"Managing unhelpful comments"}],"markDefs":[],"style":"normal"},{"_key":"89fc1f667f21","_type":"block","children":[{"_key":"6f12240407e9","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"358b27d71b46","_type":"faq","answer":[{"_key":"52a4392081ec","_type":"block","children":[{"_key":"0da044381d2f0","_type":"span","marks":[],"text":"There are many different services and health professionals that can help support your mental health. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist. "}],"markDefs":[],"style":"normal"},{"_key":"50cc2ad4d2e9","_type":"button","link":{"_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"},"style":"box","text":"Learn more about talking to your doctor"}],"question":[{"_key":"10d6d580407f","_type":"block","children":[{"_key":"f86c63acd5a7","_type":"span","marks":[],"text":"Talking to your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"5618a09d8e0b","_type":"faq","answer":[{"_key":"6ba124c5174f","_type":"block","children":[{"_key":"02bc5eb50b20","_type":"span","marks":[],"text":"If a parent in your life confides in you that they’re having a hard time coping and are experiencing changes to their mental health such as distressing or overwhelming thoughts and feelings, some helpful responses include:"}],"markDefs":[],"style":"normal"},{"_key":"ab07c53825fd","_type":"block","children":[{"_key":"f91ed42a8705","_type":"span","marks":[],"text":"That sounds really hard. I’m here to talk about whatever you want to talk about."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2076ecf93790","_type":"block","children":[{"_key":"58039655744c","_type":"span","marks":[],"text":"It’s okay to feel the way you are feeling. Can I help you find a professional who might be able to put together a support plan with you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"903b99ba542f","_type":"block","children":[{"_key":"561d206fe606","_type":"span","marks":[],"text":"I know that perinatal mental health issues are way more common than most people think. You’re not alone and I’m here to support you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9a9cbcbf6534","_type":"block","children":[{"_key":"4a4c8bb50855","_type":"span","marks":[],"text":"I care about you, and it seems like you’re having a super stressful time. I think talking with someone who is an expert in perinatal health could be really helpful."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2648f8c2e61","_type":"block","children":[{"_key":"db28fc161dbd","_type":"span","marks":[],"text":"Can I do something practical to help, like cook you a meal or watch the baby for an hour?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8ca310252a49","_type":"block","children":[{"_key":"9f4e4ed3ed74","_type":"span","marks":[],"text":"I’m going to check in on you tomorrow and see how you’re going. We’ll get through this together."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6622db86d77f","_type":"block","children":[{"_key":"bf025864a1f8","_type":"span","marks":[],"text":"If someone tells you they aren’t coping with changes to their mental health, daily function or their ability to care for their baby by themselves, you should always take it seriously. Mental health is highly changeable during pregnancy and after having a baby, and can quickly escalate to an emergency, especially if left untreated. If someone tells you they are seriously afraid of harming themselves or someone else or is behaving in a way that is unusual, they may be experiencing postnatal psychosis. "}],"markDefs":[],"style":"normal"},{"_key":"d034dce19839","_type":"block","children":[{"_key":"c6f97e05bf42","_type":"span","marks":[],"text":"If you are concerned about someone’s safety, call 000 immediately."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"e184663e30eb","_type":"block","children":[{"_key":"68c8c0a77a5a","_type":"span","marks":[],"text":"What if someone confides in you about how they are feeling?"}],"markDefs":[],"style":"normal"}]}],"title":"Tips for talking about perinatal mental health"},{"_key":"5961c82b84c8","_type":"checklist","field":"content"},{"_key":"65c5084601e1","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"321bccd29d0a","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"},{"_key":"d4af139a7df8","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"For many new parents, talking about how they are feeling can be difficult, especially if some of your feelings are negative, scary or doubtful.","socialImage":{"_type":"image","asset":{"_ref":"image-502b9c9832b34b86ac3719a1ab45490aef9eb02d-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_key":"a1599f8f5a81","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},{"_key":"191d4aff7280","_ref":"6db1ae16-57eb-45a1-9f7f-e53fd09a8427","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"talking-about-perinatal-mental-health"},"tags":[{"_key":"3bc6694cf754","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"cc6c475baea2","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"bafe6aefb39f","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"}],"title":"Talking about perinatal mental health","id":"-112e2cce-b8f8-5ac4-b938-9a64d0a38a63","children":[],"internal":{"type":"SanityArticle","contentDigest":"84de5c772288a0a8c1232ba3d2505c0b","owner":"gatsby-source-sanity","counter":144},"parent":null,"__gatsby_resolved":{"slug":{"current":"talking-about-perinatal-mental-health"}}},{"_id":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQEKh","_createdAt":"2022-02-14T07:39:29Z","_updatedAt":"2023-12-18T00:02:01Z","categories":[{"_key":"a1e91dbee1af","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"f9bef91f9170","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"566b88f3a855","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"4072caa04804","_type":"block","children":[{"_key":"95f9c26183260","_type":"span","marks":[],"text":"Expecting a baby or becoming a parent is a huge life change, full of excitement and challenges. Mental health distress including anxiety and depression is common and affect 1 in 5 birth parents and 1 in 10 non-birth parents."}],"markDefs":[],"style":"normal"},{"_key":"49d51bba2f18","_type":"block","children":[{"_key":"b56dfe36a12a","_type":"span","marks":[],"text":"With so much change happening, parenthood can feel be confusing. Sometimes it’s tricky to recognise if you need more support."}],"markDefs":[],"style":"normal"},{"_key":"f311ce0b672e","_type":"quote","quote":"It’s the hardest job in the world and it does take adjustment. Don’t feel ashamed or blame yourself for how you feel. Don’t try to do it alone. Seek out services, even just a call to a counsellor. "},{"_key":"3bf7c3c7b56d","_type":"block","children":[{"_key":"e558e642cff80","_type":"span","marks":[],"text":"Perinatal mental health distress can occur any time - from planning to conception, and throughout the postnatal period."}],"markDefs":[],"style":"normal"},{"_key":"4aa724c77ea6","_type":"block","children":[{"_key":"17ab5019c8fb","_type":"span","marks":[],"text":"Symptoms are diverse; they can be mild, moderate or severe, and can change quickly. The most common symptoms people experience are anxiety and depression."}],"markDefs":[],"style":"normal"},{"_key":"bdb9cf1a410c","_type":"block","children":[{"_key":"0b5cadfe21800","_type":"span","marks":[],"text":"Perinatal mental health concerns are common and treatable. They can happen to anyone. The sooner you can get the right support for yourself and your family, the more likely you are to experience a quick recovery."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Emotional and mental wellbeing for LGBTIQA+ parents","image":{"_type":"imageWithAlt","alt":"2 mums cuddling","asset":{"_ref":"image-00253d44de992d73cea3d719747a4e5fa234f070-3334x3334-png","_type":"reference"}},"text":[{"_key":"87d2d3195258","_type":"block","children":[{"_key":"0e82735d31a10","_type":"span","marks":[],"text":"All expecting and new parents deserve inclusive, appropriate support for their wellbeing – including LGBTIQA+ parents."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"fdf6c80ad11e","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"72e47bcfecf0","_type":"block","children":[{"_key":"afc766ac2da80","_type":"span","marks":[],"text":"What puts you at risk?"}],"markDefs":[],"style":"h4"},{"_key":"944487f800e2","_type":"quote","quote":"My partner returned to work and I was left at home on my own, trying to heal physically and having to look after this little baby - even though I had no idea what to do. It all came crashing down and I realised I was nowhere near being okay. I felt really flat and had this incredible sense of isolation. "},{"_key":"4afceae010bd","_type":"block","children":[{"_key":"7975792f2aa20","_type":"span","marks":[],"text":"Many of the risk factors can affect anyone. On the PANDA Helpline, callers often share experiences including fertility issues, losing a baby or pregnancy, a difficult pregnancy, a traumatic birth, feeding or settling difficulties, prior mental health issues or trauma, difficult or absent family relationships, financial stress, isolation or family violence."}],"markDefs":[],"style":"normal"},{"_key":"da4e1428a12b","_type":"block","children":[{"_key":"6da62c0ea9420","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"4176a920e0aa","_type":"block","children":[{"_key":"89f24147405e0","_type":"span","marks":[],"text":"As an LGBTIQA+ expecting or new parent, you may face added risks, such as the challenge of accessing inclusive care from fertility, surrogacy, antenatal or birth services."}],"markDefs":[],"style":"normal"},{"_key":"bb309ede6223","_type":"quote","quote":"The hardest part for my partner has always been the use of the term ‘dads’ when referring to non-birth parents. She found it so ingrained in the medical system and it made her feel less relevant and less important. [It] prevented her from reaching out."},{"_key":"729f1fcbb76a","_type":"block","children":[{"_key":"2bbb5de1b71d0","_type":"span","marks":[],"text":"LGBTIQA+ people often have to advocate for their needs to care providers who have limited knowledge about LGBTIQA+ parent families, or safe, appropriate care for trans, gender diverse and/or intersex clients. It’s exhausting, and it can stop people voicing their needs, or even accessing care."}],"markDefs":[],"style":"normal"},{"_key":"3a87eadd400c","_type":"quote","quote":"Having children means you are perpetually coming out: to childcare, to doctors, to school mums. It was uncomfortable always making decisions about whether to ‘come out’ or let it slide. Being a new mum is exhausting enough, add postnatal depression and sometimes claiming my identity felt too much. "},{"_key":"3ebc690a396a","_type":"block","children":[{"_key":"ee0afa5d47ed0","_type":"span","marks":[],"text":"‘Minority stress’ is a term for the mental health impacts of exclusion, discrimination, mistreatment and stigma. It can arise from direct personal experiences, and from broader social stigma."}],"markDefs":[],"style":"normal"},{"_key":"ef590823a855","_type":"block","children":[{"_key":"670a95dbb704","_type":"span","marks":[],"text":"Minority stress contributes to mental distress and stops people getting help. LGBTIQA+ people mayalso hesitate to access mainstream services during a crisis, due to fear of discrimination."}],"markDefs":[],"style":"normal"}]},{"_key":"a950ef13f591","_type":"checklist","field":"content"},{"_key":"4ad25d37d420","_type":"freeText","text":[{"_key":"5c68c2989c1c","_type":"block","children":[{"_key":"208710c3e98e0","_type":"span","marks":[],"text":"Getting help if you need it"}],"markDefs":[],"style":"h4"},{"_key":"9c1ffdaffe57","_type":"quote","quote":"My partner came out as trans when our baby was about five months old. It was such a relief, but it was a few big months. Exhaustion, isolation, and confusion started to take hold of me, and I had come to be aware of some unresolved trauma that was really kicking me around. I lay in bed feeling so, so sad – day, after day, after day. "},{"_key":"2b0ac846fc8c","_type":"block","children":[{"_key":"76bc14fd375e","_type":"span","marks":[],"text":"It’s important to be aware of the risks and potential symptoms, and to seek help if you’re worried about yourself or a loved one."}],"markDefs":[],"style":"normal"},{"_key":"2181bac477cd","_type":"block","children":[{"_key":"b5d88cc83b8a","_type":"span","marks":[],"text":"There are many pathways to getting help. 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It’s important to find and advocate for care that feels safe, inclusive and supportive to you."}],"markDefs":[],"style":"normal"}]},{"_key":"954fb2994a4a","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"2af8722ecfb7","_type":"block","children":[{"_key":"e1af1c34f0970","_type":"span","marks":[],"text":"Finding safe, inclusive care"}],"markDefs":[],"style":"h4"},{"_key":"f0588244bf39","_type":"block","children":[{"_key":"ad794fbec3b60","_type":"span","marks":[],"text":"As much as possible, look for care providers who can provide inclusive care:"}],"markDefs":[],"style":"normal"},{"_key":"eb767fd8d50b","_type":"block","children":[{"_key":"b173ac4a76070","_type":"span","marks":[],"text":"LGBTIQA+ health services and peer support services like QLife can help you find doctors and other health professionals who are LGBTIQA+ allies."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"53eed47aa968","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://qlife.org.au/"},"style":"arrow","text":"Visit QLife"},{"_key":"0ec19a47938d","_type":"block","children":[{"_key":"d443804312540","_type":"span","marks":[],"text":"Community-run LGBTIQA+ parent support and play groups can also be a great source of information and support."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0e2626b0050d","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://raisingchildren.net.au/grown-ups/services-support/services-families/rainbow-families-services"},"style":"arrow","text":"Raising Children Network for LGBTQI+ families"},{"_key":"9b3ce3814d89","_type":"block","children":[{"_key":"228f6c779bb50","_type":"span","marks":[],"text":"Joining a support group or speaking to trusted and caring health professionals can help reduce the sense of isolation so many new parents feel."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b07307269991","_type":"block","children":[{"_key":"b1d60fc45efc0","_type":"span","marks":[],"text":"In the perinatal period, people often need to access more health services than before parenthood. Many health services are working towards better LGBTIQA+ inclusion."}],"markDefs":[],"style":"normal"},{"_key":"922a476a4bd6","_type":"block","children":[{"_key":"a46ef9a00bae","_type":"span","marks":[],"text":"The experiences of LGBTIQA+ PANDA Helpline callers, show that you may need to educate some of your care providers about your family’s support needs."}],"markDefs":[],"style":"normal"}]},{"_key":"b9a10b0f2afc","_type":"textImage","background":{"title":"peach80","value":"#FFD29D"},"contentOrder":"textFirst","headline":"How PANDA can help","image":{"_type":"imageWithCaption","asset":{"_ref":"image-5779cb2a1bfe13225c1ed115649861a41656699c-2500x1500-jpg","_type":"reference"}},"text":[{"_key":"d80304c92781","_type":"block","children":[{"_key":"3def98fdec670","_type":"span","marks":[],"text":"PANDA has LGBTIQA+ staff and volunteers throughout our organisation, and our Helpline counsellors and peer support volunteers are committed to providing inclusive care to all callers from the LGBTIQA+ community. You can call the Helpline about yourself or someone you know. Our counsellors will listen and help you take the first steps towards recovery."}],"markDefs":[],"style":"normal"},{"_key":"0adc8f6cbff7","_type":"block","children":[{"_key":"e4c33aad2e29","_type":"span","marks":[],"text":"This may include helping you locate LGBTIQA+ specialist/inclusive services or supporting you to advocate for your needs in mainstream services. You may also like to check out our Mental Health Checklists, which you can use to explore potential symptoms affecting you or a loved one. 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"}],"markDefs":[],"style":"normal"},{"_key":"70b87ca9af47","_type":"block","children":[{"_key":"d19fbb68f752","_type":"span","marks":[],"text":"For people who are already feeling a bit down or anxious, drinking more alcohol might make you feel worse and can contribute to symptoms of depression or anxiety."}],"markDefs":[],"style":"normal"},{"_key":"4b2a0528b586","_type":"block","children":[{"_key":"0b86b350e828","_type":"span","marks":[],"text":"In addition to experiencing worsening mental health, alcohol is also associated with an increased risk of suicide."}],"markDefs":[],"style":"normal"},{"_key":"0de4943d8dfa","_type":"block","children":[{"_key":"d32d46a33462","_type":"span","marks":[],"text":"If you feel like alcohol use is impacting your mental health, you can contact one of the support services listed at the end of this article."}],"markDefs":[],"style":"normal"},{"_key":"60295a87a607","_type":"block","children":[{"_key":"5b1e624bb27c0","_type":"span","marks":["strong"],"text":"Produced in collaboration with the "},{"_key":"31a134911b64","_type":"span","marks":["strong","c335e5b0224e"],"text":"Alcohol and Drug Foundation"},{"_key":"34d737994af3","_type":"span","marks":["strong"],"text":"."}],"markDefs":[{"_key":"c335e5b0224e","_type":"link","blank":true,"linkType":"external","url":"https://adf.org.au/"}],"style":"normal"},{"_key":"31b9050b6eae","_type":"quote","attribution":"Chris, PANDA Community Champion","quote":"Drinking alcohol wasn't the best way to manage, and I wish I hadn’t done it. 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If you are on bedrest a simplified self-care routine might be wiping your face with a cool cloth and having a quick wash with some baby wipes"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"532917a8aa81","_type":"block","children":[{"_key":"78109401228d","_type":"span","marks":[],"text":"Using alarms and a calendar to schedule self-care reminders."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"7e4ee9f80122","_type":"block","children":[{"_key":"2db053654e3f","_type":"span","marks":[],"text":"Physical self-care"}],"markDefs":[],"style":"normal"}]},{"_key":"c6e210c552c8","_type":"faq","answer":[{"_key":"758a76acc47a","_type":"block","children":[{"_key":"68cf723d3dd20","_type":"span","marks":[],"text":"Spending time with your family, friends and wider social network is self-care. Speaking with work colleagues during parental leave or after you’ve had your baby may be helpful for some people. For others, joining an in-person or online parent group, playgroup or social gatherings might be helpful. Sometimes workshops about things you’re interested in can be a way to look after your social care needs."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"79240ff05af1","_type":"block","children":[{"_key":"9cc63e21dad5","_type":"span","marks":[],"text":"Social self-care"}],"markDefs":[],"style":"normal"}]},{"_key":"25d3dba844f2","_type":"faq","answer":[{"_key":"f787c7ae2359","_type":"block","children":[{"_key":"72376a7dd6780","_type":"span","marks":[],"text":"Looking after your practical care needs can include daily household tasks and money management. It could be asking for help with chores, dividing up household tasks with other members of your family or friends or automating bill payments. It may be finding community-based welfare and financial aid supports if your budget is stretched. Finding ways to simplify how you plan and do practical daily life tasks can create space in the day for you to spend more time looking after your other care needs."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1c28c48da72f","_type":"block","children":[{"_key":"9e94ddf991e7","_type":"span","marks":[],"text":"Practical self-care"}],"markDefs":[],"style":"normal"}]},{"_key":"328443f4e1a1","_type":"faq","answer":[{"_key":"51abfdd612de","_type":"block","children":[{"_key":"11c7a2be3b1f","_type":"span","marks":[],"text":"Whatever you feel brings meaning to your life, provides a sense of purpose, and is aligned with your personal values sits in this category of care. For some people spiritual self-care may be spending time outside in nature or having time alone to self-reflect. Some people value spending time with their faith-based communities, for others it may be supporting a charity that is important to them."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"8c8bdaa03a48","_type":"block","children":[{"_key":"b6ec0e9ed24c","_type":"span","marks":[],"text":"Spiritual self-care"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"02762e8705bc","_type":"block","children":[{"_key":"d27dc7167d980","_type":"span","marks":[],"text":"Everyone needs regular meals, water, rest, and movement. Beyond these basic building blocks of a care routine, there are many different self-care activities you can try. The right combination of care strategies may help you manage your wellbeing by decreasing stress. Effective self-care may also bring an increased sense of connectedness, purpose and hope to your life."}],"markDefs":[],"style":"normal"}],"title":"Simple self-care ideas"},{"_key":"cdb0579cce89","_type":"quote","attribution":"Rachael, PANDA Community Champion","quote":"I created a triage to do list for daily/weekly life which sits on the fridge so everyone who comes in the house can see what needs to be done at any given time with a quick look around to confirm if it’s been done or not."},{"_key":"2f61826b228f","_type":"freeText","text":[{"_key":"ca1d5390dec5","_type":"block","children":[{"_key":"ae060ebe5fbf0","_type":"span","marks":[],"text":"Things to try when self-care feels overwhelming\n"}],"markDefs":[],"style":"h4"},{"_key":"c52f963df3e5","_type":"block","children":[{"_key":"6bd56220c36e","_type":"span","marks":[],"text":"Sometimes it may feel hard, almost impossible, to find the energy and motivation to practice self-care. Thinking about where to start and what to do for self-care may feel overwhelming."}],"markDefs":[],"style":"normal"},{"_key":"cd8c55ddd632","_type":"block","children":[{"_key":"4eb5f404804e0","_type":"span","marks":[],"text":"It might be easy to criticise yourself if you’re having a difficult day and can’t manage your usual self-care activities. Maybe you missed your morning shower because you were up half the night with an unsettled baby."}],"markDefs":[],"style":"normal"},{"_key":"0fc8d0935981","_type":"block","children":[{"_key":"030c9943dbf40","_type":"span","marks":[],"text":"Your self-care activity on this kind of day might be:"}],"markDefs":[],"style":"normal"},{"_key":"7387d657be87","_type":"block","children":[{"_key":"eaf81353b4a00","_type":"span","marks":[],"text":"Giving yourself permission to have a pyjama day"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aac000c37e2b","_type":"block","children":[{"_key":"ae2e1b14b8c50","_type":"span","marks":[],"text":"Washing your face and popping some comfy clothes on"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"21eb6a652d1a","_type":"block","children":[{"_key":"5c2c0eaf16d10","_type":"span","marks":[],"text":"Asking family or a friend to care for your baby during the day or night so you have a moment to shower or have a sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c8a8e3b17bc","_type":"block","children":[{"_key":"04d382db5d870","_type":"span","marks":[],"text":"Occasionally judgement creeps into conversation about self-care. For example: “Real self-care isn’t about bubble baths and massages, that’s just indulgent”. But for some people a warm shower, bath, or five minutes on the couch giving yourself a gentle neck or hand massage is genuine, practical and relaxing daily self-care."}],"markDefs":[],"style":"normal"}]},{"_key":"06b4340bdc13","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"8e6010293eae","_type":"faq","answer":[{"_key":"90fe151bcc7a","_type":"block","children":[{"_key":"f8f1066f8944","_type":"span","marks":[],"text":"Sometimes relationships can be unsupportive. For example you might have experienced: "}],"markDefs":[],"style":"normal"},{"_key":"dc81415e26d2","_type":"block","children":[{"_key":"38662dc9af6d","_type":"span","marks":[],"text":"A family member or friend who insists on calling or visiting when you’ve told them you’d rather do it another time, and/or repeatedly offers unwanted advice and observations about how you’re managing everything. You may feel unsettled, judged or criticised, exhausted, frustrated or questioning yourself as a person or parent."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"072feac8472a","_type":"block","children":[{"_key":"04a835975dc0","_type":"span","marks":[],"text":"A healthcare provider who you feel doesn’t listen or is dismissive of your questions and concerns. You may feel unsettled, judged or criticised, exhausted, frustrated or questioning yourself as a person or parent."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6c32d3799814","_type":"block","children":[{"_key":"f2b4d7aa98ce","_type":"span","marks":[],"text":"To help you manage this relationship you could try "},{"_key":"ef24b9cbd8ca","_type":"span","marks":["strong"],"text":"chatting to the person directly about your support needs."},{"_key":"0f85ef70f7eb","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"36e961b45083","_type":"block","children":[{"_key":"633aaf0c4292","_type":"span","marks":[],"text":"This can be helpful if you feel that they’re trying their best, but you need a different kind of support from them. An example of this is when people offer you advice instead of empathy and genuine curiosity about your support needs."}],"markDefs":[],"style":"normal"},{"_key":"6552324c1eb8","_type":"block","children":[{"_key":"85a287d466a40","_type":"span","marks":[],"text":"You could try saying “I know you're doing everything you can to support me, but advice doesn’t feel helpful right now. I really need you to be here with me, and just listen while I share what’s happening.”"}],"markDefs":[],"style":"normal"}],"question":[{"_key":"33e50264b2a6","_type":"block","children":[{"_key":"c7bb899447d4","_type":"span","marks":[],"text":"Setting boundaries when your support needs aren't being met"}],"markDefs":[],"style":"normal"}]},{"_key":"17fbd9eb2e17","_type":"faq","answer":[{"_key":"56cbdfb195c6","_type":"block","children":[{"_key":"5437a2b494550","_type":"span","marks":[],"text":"Sometimes catching up with people in your life may feel exhausting or overwhelming. You could try switching in-person visits for video and phone calls for a while, including telehealth appointments if available. You can choose to increase or decrease contact at any time, including the ways you connect with different people."}],"markDefs":[],"style":"normal"},{"_key":"03c28a2c2206","_type":"block","children":[{"_key":"582ba0d643910","_type":"span","marks":[],"text":"If you haven’t seen anyone in person for a while and this type of contact is increasing feelings of isolation, try the opposite and meet up in person."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"6914b4e707db","_type":"block","children":[{"_key":"9b921f92a218","_type":"span","marks":[],"text":"Consider changing the way you are in contact with people"}],"markDefs":[],"style":"normal"}]},{"_key":"725a6d0c9eae","_type":"faq","answer":[{"_key":"b4df5637c57a","_type":"block","children":[{"_key":"91964b5580c7","_type":"span","marks":[],"text":"Talk to somebody else who you trust about your concerns. You could chat to someone like a friend or healthcare provider. This can be a helpful way to explore ways to communicate your support needs and establish new boundaries with other people in your life. These discussions give you a chance to practice having difficult conversations, and to get some feedback about the lack of support you’re experiencing and different ways to address it."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"93fd463c00a9","_type":"block","children":[{"_key":"36aa221bf1ec","_type":"span","marks":[],"text":"Talk to someone"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"005f67ce8881","_type":"block","children":[{"_key":"560c68a23770","_type":"span","marks":[],"text":"Good support people ask you what you need. They listen with care, curiosity and compassion. If you tell them what kind of support you need, they help you access that – whether it’s a chat or cup of tea, help booking an appointment, or a moment to yourself."}],"markDefs":[],"style":"normal"},{"_key":"499d4e9ccb61","_type":"block","children":[{"_key":"07c04fb5f661","_type":"span","marks":[],"text":"People who are kind, patient, and interested in your wellbeing belong in our inner circle of caring community. They might be health care providers, loved ones, or another parent at playgroup. Your community of care might include people you’ve known for years, and new people you’ve met during pregnancy and early parenthood."}],"markDefs":[],"style":"normal"}],"title":"Finding the right support people"},{"_key":"bfa87ecb4faa","_type":"quote","attribution":"Alice, PANDA community Champion","quote":"Like when you’re on an aeroplane and they tell you to always fit your own oxygen mask first - I can only bring full compassion and patience to others when I have given them to myself."},{"_key":"65f625a7cf46","_type":"freeText","text":[{"_key":"c887b788be96","_type":"block","children":[{"_key":"dbc98de105280","_type":"span","marks":[],"text":"Give yourself time"}],"markDefs":[],"style":"h4"},{"_key":"dc3d27d74fa7","_type":"block","children":[{"_key":"8ad39c64716a","_type":"span","marks":[],"text":"\nAs our children grow and evolve, so do our own personal support needs. Life keeps changing, and as it does we all need to adapt to new circumstances and routines."}],"markDefs":[],"style":"normal"},{"_key":"14ba297d5a10","_type":"block","children":[{"_key":"b5aa22593bf90","_type":"span","marks":[],"text":"As life happens and different challenges come up, our self-care needs may change over time. That’s normal. Self-care strategies that you’ve used for years, last month, or this week may feel less useful today in future. This doesn't mean you can’t do self-care. It’s likely a sign that you may need to adjust your self-care strategies to meet the changing parts of life."}],"markDefs":[],"style":"normal"},{"_key":"2a92d03ca990","_type":"block","children":[{"_key":"8ced6cf5dcdb0","_type":"span","marks":[],"text":"Caring for yourself can be hard work sometimes. It may feel hard to prioritise your own mental health and wellbeing support needs, especially if you’re used to putting everybody else’s needs ahead of your own. It could be a nap, warm cup of tea or a guided grounding exercise, freezing some easy meals for your family or speaking to your GP. Self-care is simply looking after yourself."}],"markDefs":[],"style":"normal"},{"_key":"44da65c8eed9","_type":"block","children":[{"_key":"bce2ac9967640","_type":"span","marks":[],"text":"As the expert in your life, you’re the one who decides what self-care looks like in your day-to-day routine. If you’d like some support to find different self-care strategies, you can call the PANDA Helpline and speak with one of our counsellors about your support and wellbeing needs."}],"markDefs":[],"style":"normal"}]},{"_key":"4991aa39574a","_type":"quickLinks","links":[{"_key":"60e4a459c178","_type":"imageLink","image":{"_type":"imageWithAlt","asset":{"_ref":"image-69fce3d1b5811670b89ee36565ddc5e1a268a5dc-4168x4168-png","_type":"reference"}},"link":{"_type":"link","blank":true,"document":{"_ref":"fa05b6c8-cff7-4280-8e53-7b9a60f954e0","_type":"reference"},"linkType":"internal"},"title":"Building your community of care "}]},{"_key":"03534890f4b2","_type":"articleCollection","categoryOrTag":{"_ref":"93c6a6d9-0f5a-45ab-a76e-08706724c63d","_type":"reference"},"eyebrow":"Articles","population":"latest","posts":[{"_key":"da5600201837","_ref":"0a3e3a32-ac67-4c85-95f2-93434357b077","_type":"reference"},{"_key":"6277060272da","_ref":"efe73a01-6ad4-47b7-9eda-a342c978b3e7","_type":"reference"},{"_key":"58ad27192a2a","_ref":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"reference"}]},{"_key":"bcdb21605a9a","_type":"textImage","background":{"title":"peach20","value":"#F3E5D8"},"contentOrder":"imageFirst","eyebrow":"PANDA Community Champion story","headline":"How Alice practises self-care","image":{"_type":"imageWithCaption","asset":{"_ref":"image-7d8e72d0791e1764e96437288003a03b09412c2f-616x462-jpg","_type":"reference"}},"text":[{"_key":"999e53781330","_type":"block","children":[{"_key":"7162a4a471b30","_type":"span","marks":[],"text":"\"I have a debilitating health condition that required lots of rehab after pregnancy, so I did meditation or sat by the edge of the beach even in wild weather to feel connected to something bigger.\""}],"markDefs":[],"style":"normal"},{"_key":"18a5524279c9","_type":"button","link":{"_type":"link","blank":true,"document":{"_ref":"a1ea04af-a727-4049-b76f-e5e3388e7ca7","_type":"reference"},"linkType":"internal"},"style":"box","text":"Read more "}]},{"_key":"e112f533e7e3","_type":"helpLine","field":"content"}],"seo":{"_type":"seo","metaDescription":"It’s important that self-care feels achievable, effective, and right for you. 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Below we provide tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"},{"_key":"e42fa248ecd7","_type":"block","children":[{"_key":"02c26121b73f","_type":"span","marks":[],"text":"The doctor’s role"}],"markDefs":[],"style":"h4"},{"_key":"e40616d99ec5","_type":"block","children":[{"_key":"74a9061ef424","_type":"span","marks":[],"text":"There are many different services and health professionals that can help. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"9a06c1026a02","_type":"block","children":[{"_key":"b1daffe9a386","_type":"span","marks":[],"text":"Finding the right doctor"}],"markDefs":[],"style":"h4"},{"_key":"4aa4b2bd4415","_type":"block","children":[{"_key":"d174f7739c5c","_type":"span","marks":[],"text":"Do you have a regular doctor with whom you can share your concerns? If not, it’s worth looking for a doctor with a special interest in mental health. Ask family and friends for recommendations of doctors who understand mental health, or ring local practices and ask about their doctors. We can help: call the PANDA National Perinatal Anxiety & Depression Helpline on 1300 726 306 and we will help you to find a doctor in your area."}],"markDefs":[],"style":"normal"},{"_key":"b2c3c95b941e","_type":"block","children":[{"_key":"7598b9b306cd","_type":"span","marks":[],"text":"Making an appointment"}],"markDefs":[],"style":"h4"},{"_key":"6e6e07ab72c3","_type":"block","children":[{"_key":"7dae98646b34","_type":"span","marks":[],"text":"If possible, request a double appointment and let them know it’s about a possible mental health issue. Don’t hesitate to ask for an urgent appointment or cancellation. Mental health issues can be serious, and symptoms can change quickly (see below for what to do if you feel worse before the appointment). Ask for an interpreter if you need one. Many people prefer to talk about sensitive issues in their first language, even if they can speak some English"}],"markDefs":[],"style":"normal"},{"_key":"40eb43c26d8f","_type":"block","children":[{"_key":"1536ab6a270b","_type":"span","marks":[],"text":"Consider taking someone"}],"markDefs":[],"style":"h4"},{"_key":"c61251f6b827","_type":"block","children":[{"_key":"c0ba816a8c03","_type":"span","marks":[],"text":"Consider taking a trusted person with you to the appointment, like a partner, friend or family member . A common symptom of anxiety or depression is difficulty taking in or remembering information. A trusted person can take notes for you, and might help you to feel more confident about sharing your concerns."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Talking to your doctor","image":{"_type":"imageWithAlt","alt":"Mum seeing doctor with baby","asset":{"_ref":"image-f12faa68ea2bd2a18594e7c59bdb785fb44d43a2-500x417-png","_type":"reference"}},"text":[{"_key":"d757fe214ce4","_type":"block","children":[{"_key":"d9b3853b7454","_type":"span","marks":[],"text":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"47c962839d97","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"f6d9d0db4055","_type":"faq","answer":[{"_key":"148b115c894f","_type":"block","children":[{"_key":"95ae5c273ff70","_type":"span","marks":[],"text":"If you’re still not sure about sharing your thoughts or feelings with your doctor, it can help to talk with a loved one or friend first. You can also call the PANDA Helpline. Our counsellors are skilled at helping you to explore your feelings, and to practice aloud the things you want to tell your doctor."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"59c4cff19a3d","_type":"block","children":[{"_key":"1a8177ac599b0","_type":"span","marks":[],"text":"Practice the conversation first"}],"markDefs":[],"style":"normal"}]},{"_key":"72490974baf0","_type":"faq","answer":[{"_key":"effbc4dd9b95","_type":"block","children":[{"_key":"877fbb2811ce0","_type":"span","marks":[],"text":"It’s important to tell your doctor about any changes in your thoughts, feelings and behaviours since becoming an expecting or new parent. Remember, these things do not make you a bad parent, but are potential symptoms of a common, treatable health condition. Let the doctor know if you have felt this way and/or been diagnosed with depression, anxiety or another mental health condition before. It’s also important to tell the doctor if you have had previous thoughts of suicide, or if you have lost someone to suicide."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"92847b9f3fdf","_type":"block","children":[{"_key":"e556c7ae5842","_type":"span","marks":[],"text":"What to tell your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"d70aa326f74c","_type":"faq","answer":[{"_key":"afb1d1c51263","_type":"block","children":[{"_key":"5d702f25140b0","_type":"span","marks":[],"text":"Your doctor should be non-judgemental, respectful and supportive.. They should assess you by asking questions about your symptoms, your and your family’s mental health history, your physical health and lifestyle (e.g. exercise, sleep, use of alcohol or drugs), your living situation, major emotional or psychological experiences, and treatment preferences."}],"markDefs":[],"style":"normal"},{"_key":"2bd7c207cd94","_type":"block","children":[{"_key":"00465bc565fa0","_type":"span","marks":[],"text":"After assessment, your doctor should be able to provide a diagnosis (although sometimes more tests are needed before they can make a diagnosis) and a treatment plan. They should explain your different treatment options, and why they are referring you to any specialist services."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"334374aa9b9f","_type":"block","children":[{"_key":"73478b791f18","_type":"span","marks":[],"text":"What to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"3311e258bd75","_type":"faq","answer":[{"_key":"a5ba4ec70e4a","_type":"block","children":[{"_key":"91c17bbeb02a0","_type":"span","marks":[],"text":"You have the right to fully understand your diagnosis and recommended treatment. You could ask:"}],"markDefs":[],"style":"normal"},{"_key":"4bc3162dd3c5","_type":"block","children":[{"_key":"1e674db35e500","_type":"span","marks":[],"text":"What are my options for treatment? Which do you think are best for me?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29499fa2c097","_type":"block","children":[{"_key":"f88a2e215afc0","_type":"span","marks":[],"text":"What are possible side effects of any medications?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c5c37f91fd5","_type":"block","children":[{"_key":"ff7d9457d7b10","_type":"span","marks":[],"text":"How much better might I feel, and how soon?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"785afab243a2","_type":"block","children":[{"_key":"754e2b27ec420","_type":"span","marks":[],"text":"Who are you referring me to? What do they do? How much will it cost? If I have private health insurance, will it be covered? (also check your policy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52a13d009398","_type":"block","children":[{"_key":"9711d2285d470","_type":"span","marks":[],"text":"Are there other ways that I can care for myself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1059035e92d4","_type":"block","children":[{"_key":"f9cd51760cd20","_type":"span","marks":[],"text":"Can you talk with my other health care providers about shared care? (e.g. obstetrician, midwife, Maternal and Child Health/Child and Family Health Nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77e4e12946dd","_type":"block","children":[{"_key":"01336c0ee6de0","_type":"span","marks":[],"text":"Your doctor can refer you to services like counsellors, psychologists, psychiatrists, social workers and occupational therapists. They might give you a mental health care plan, which gives you some Medicare rebates to help you access counselling. For a higher level of care, they might refer you to a Mother Baby Unit — a hospital unit where you stay with your baby — or to another hospital-based psychiatric service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5e39c53e4e16","_type":"block","children":[{"_key":"6e7d757729f3","_type":"span","marks":[],"text":"Questions to ask"}],"markDefs":[],"style":"normal"}]},{"_key":"0fe6884d9fa5","_type":"faq","answer":[{"_key":"a0f34745db53","_type":"block","children":[{"_key":"a2c2141ba0ce0","_type":"span","marks":[],"text":"Not all doctors have the same experience, confidence or qualifications in supporting patients with mental health issues. If the first doctor you see doesn’t help you enough, please don’t give up. You have a right to get the support you need, to feel better and enjoy your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"11105b443a24","_type":"block","children":[{"_key":"d722bb40d5090","_type":"span","marks":[],"text":"Call the PANDA National Helpline any time: to find a doctor or other service, for supportive counselling, or to discuss other support options like playgroups or support groups. You can call for yourself or about someone else you are concerned about."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"31a628481730","_type":"block","children":[{"_key":"f1f0b7bb1fe4","_type":"span","marks":[],"text":"If you don't get what you need"}],"markDefs":[],"style":"normal"}]},{"_key":"55f55b8dc810","_type":"faq","answer":[{"_key":"27705a63f8eb","_type":"block","children":[{"_key":"7dea9d64d2d30","_type":"span","marks":[],"text":"If you need urgent help before your appointment, call emergency services on triple zero (000) or go to your local hospital emergency department. The symptoms and severity of mental illness can sometimes change quickly. Don’t hesitate to seek urgent help if needed."}],"markDefs":[],"style":"normal"},{"_key":"5edf7645473e","_type":"block","children":[{"_key":"693b5731952c0","_type":"span","marks":[],"text":"You can call the PANDA National Perinatal Anxiety & Depression Helpline for support and ongoing counselling on 1300 726 306, Monday to Friday, 9am to 7.30pm AEST/ADST. You can call about yourself or someone else."}],"markDefs":[],"style":"normal"},{"_key":"00f3c1bfa15b","_type":"block","children":[{"_key":"b740844eb25f0","_type":"span","marks":[],"text":"If you need someone to talk with outside PANDA’s hours, call Suicide Call Back Service on 1300 659 467, Suicide Line on 1300 651 251, or Lifeline on 131114."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ee768dd29217","_type":"block","children":[{"_key":"e5933b44caca","_type":"span","marks":[],"text":"If you feel worse"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"c360ec98f5bf","_type":"block","children":[{"_key":"684a02e0b0a60","_type":"span","marks":[],"text":"People often forget things that they wanted to tell or ask their doctor during their appointment. It can be helpful to prepare by writing a list of your symptoms, concerns, and questions."}],"markDefs":[],"style":"normal"}],"title":"Prepare for the appointment"},{"_key":"5e8b1caa6593","_type":"fileCollection","files":[{"_key":"c5748ae691a4","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"cta":"Download","file":{"_type":"file","asset":{"_ref":"file-bec93bd9eb58ae8f35d03b5767093abeb1effd70-pdf","_type":"reference"}},"title":"Talking to your doctor"}],"title":"Factsheets"},{"_key":"f7e660518986","_type":"checklist","field":"content"},{"_key":"780165dc53a5","_type":"helpLine","field":"content"}],"relatedArticles":[{"_id":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQDQF","_createdAt":"2022-02-14T08:25:19Z","_updatedAt":"2023-12-18T00:01:32Z","categories":[{"_key":"3635c35407c6","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"210b86426c5f","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"b81740fa0326","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"category":{"_ref":"-2be506a5-df12-5306-ab62-d66056112f83","_type":"reference"},"content":[{"_key":"7a71d9fa8734","_type":"block","children":[{"_key":"90db8d4c3ea90","_type":"span","marks":[],"text":"When you’re pregnant or caring for a new baby, you may need to take medications to treat a range of conditions, from your physical to mental health. "}],"markDefs":[],"style":"normal"},{"_key":"99b76ce6b462","_type":"block","children":[{"_key":"22651dda1cf6","_type":"span","marks":[],"text":"Medication for nausea and gestational diabetes is common during pregnancy. Many new mums take medication during birth recovery and to support lactation if they’re breastfeeding."}],"markDefs":[],"style":"normal"},{"_key":"7460b15f7e56","_type":"block","children":[{"_key":"73ef8bff22b0","_type":"span","marks":[],"text":"Sometimes, you may need to take medication for your mental health as well. One of your health professionals (eg your doctor, obstetrician, psychologist or psychiatrist) may have recommended that you consider taking medication to treat symptoms of anxiety, depression, or another mental health concern. It’s natural to have questions."}],"markDefs":[],"style":"normal"},{"_key":"f9dc9e8e84d1","_type":"block","children":[{"_key":"37b947fe2f7e","_type":"span","marks":[],"text":"You may be wondering about side effects from medication, either for yourself or your baby. This is a common concern during pregnancy and for parents who are breastfeeding."}],"markDefs":[],"style":"normal"},{"_key":"0f1d0c1526d8","_type":"block","children":[{"_key":"f8d1d4c3674f","_type":"span","marks":[],"text":"Maybe you’ve never taken medication for your mental health before, or not had a positive experience previously. There may also be stigma (negative associations) with medications for mental health in your social circle or culture."}],"markDefs":[],"style":"normal"},{"_key":"a7ab888df22a","_type":"block","children":[{"_key":"6acb42e1011b","_type":"span","marks":[],"text":"Often it’s seen as perfectly acceptable to take medications for a physical condition, like a headache or diabetes, but there are still some taboos around treating mental health with medication. This needs to change – taking care of your mental health is just as important as treating any physical health conditions."}],"markDefs":[],"style":"normal"},{"_key":"f354a1c56bdb","_type":"block","children":[{"_key":"748c70d508b1","_type":"span","marks":[],"text":"Untreated mental health can be a risk to you and your baby. It’s incredibly hard to manage parenting when you’re also trying to cope with changes to your mental health that are affecting your daily function."}],"markDefs":[],"style":"normal"},{"_key":"ac12e93faf77","_type":"block","children":[{"_key":"41517f83d224","_type":"span","marks":[],"text":"There are a range of treatment options available for mental health, including counselling and medication. We know from decades of research that there are many medications used to treat mental health during pregnancy and after having a baby that are safe to take. Certain medications have a low risk profile in terms of transmission (either to your unborn baby, or via breastmilk transfer)."}],"markDefs":[],"style":"normal"},{"_key":"a4b1804c1d4b","_type":"block","children":[{"_key":"a2413019953e0","_type":"span","marks":["strong"],"text":"We do not provide medication advice on the PANDA Helpline – but we do provide a space for you to talk through your options, thoughts, and feelings about taking medication."}],"markDefs":[],"style":"normal"},{"_key":"1be5af53df38","_type":"block","children":[{"_key":"252930a7a01c0","_type":"span","marks":[],"text":"We can also help you link to services that provide advice about medication use during pregnancy and after your baby is born. We encourage you to talk to your doctor for information and advice about medication. Some specialist medication advice services are also listed at the bottom of this page."}],"markDefs":[],"style":"normal"},{"_key":"c575dddeddb9","_type":"block","children":[{"_key":"d187761bb737","_type":"span","marks":[],"text":"Being informed about medications is essential – it’s important you feel confident and comfortable about any medication you are taking."}],"markDefs":[],"style":"normal"},{"_key":"73a89a2c0445","_type":"block","children":[{"_key":"cefcbd8bf986","_type":"span","marks":[],"text":"Medication is a broad term that encompasses a whole range of substances, not just medicine that you swallow."}],"markDefs":[],"style":"normal"},{"_key":"fa5d3a9b83cc","_type":"block","children":[{"_key":"f352b80dd872","_type":"span","marks":[],"text":"Medication can take the form of:"}],"markDefs":[],"style":"normal"},{"_key":"99413cb14e12","_type":"block","children":[{"_key":"689d02872d880","_type":"span","marks":[],"text":"Tablets and capsules, either available over the counter or by prescription."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"688a8ada9d5d","_type":"block","children":[{"_key":"a3058709fce20","_type":"span","marks":[],"text":"Liquid medication, either ingested or administered via injection (eg, an iron infusion at your doctor, or medication to induce labour)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"812cc1a471fa","_type":"block","children":[{"_key":"41b2cadc89ac0","_type":"span","marks":[],"text":"Inhalants, like nasal sprays or asthma medication."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f09f3d948da0","_type":"block","children":[{"_key":"85f93a3931720","_type":"span","marks":[],"text":"Ointments or patches you apply to your skin."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31758210aeb5","_type":"block","children":[{"_key":"b5aca75605c60","_type":"span","marks":[],"text":"Suppositories you insert in your body."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"06dc7208fa4f","_type":"block","children":[{"_key":"4456468d759e0","_type":"span","marks":[],"text":"Vitamins and supplements."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32d64fb8bc1a","_type":"block","children":[{"_key":"e76b4a8dd0bc0","_type":"span","marks":[],"text":"Herbal preparations, including tinctures and teas."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29027f541ad8","_type":"block","children":[{"_key":"ece0c15f3c070","_type":"span","marks":[],"text":"Your doctor or local pharmacist can provide you with information about medication use for yourself and your baby. You can also request a referral from your doctor for a home medicines review. This is a free service."}],"markDefs":[],"style":"normal"},{"_key":"042661870aaf","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.healthdirect.gov.au/home-medicines-review"},"style":"arrow","text":"Home medicines review"},{"_key":"65cb3f3dd93b","_type":"block","children":[{"_key":"d0de40d0314e0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"c402ebfae3e2","_type":"block","children":[{"_key":"0b633db9c8200","_type":"span","marks":[],"text":"Your doctor will refer you to a local accredited pharmacist to discuss your use of any prescription medicines, over the counter medication, and vitamins and supplements."}],"markDefs":[],"style":"normal"},{"_key":"7f89f4449abd","_type":"block","children":[{"_key":"5c84935e2404","_type":"span","marks":[],"text":"The pharmacist will:"}],"markDefs":[],"style":"normal"},{"_key":"a7edeb61c76e","_type":"block","children":[{"_key":"01643f531ff70","_type":"span","marks":[],"text":"Answer any questions you have"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e923a67a385e","_type":"block","children":[{"_key":"943eb4f8eee70","_type":"span","marks":[],"text":"Check that you are using medicines correctly (eg, dosage and time of day, storage)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9e4dde2dc3ca","_type":"block","children":[{"_key":"213b9e1bec2a0","_type":"span","marks":[],"text":"May recommend changes to your medication"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2cd3d07d3ff4","_type":"block","children":[{"_key":"71983885c8a40","_type":"span","marks":[],"text":"Provide a report to your GP"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f52f70bc11b9","_type":"block","children":[{"_key":"8fae93b6e4920","_type":"span","marks":[],"text":"You doctor will then create a personalised Medication Management Plan for you. You’ll receive a copy of your plan to share with any health professionals who are caring for you. You can request a free home medicines review every 12 months."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Medication use in the perinatal period","image":{"_type":"imageWithAlt","alt":"Mum on phone to doctor","asset":{"_ref":"image-e4b233589ba1e25e7bb521eebca29a5358a592dc-600x600-png","_type":"reference"}},"text":[{"_key":"c0c1e97aa463","_type":"block","children":[{"_key":"23c12dfd96ca0","_type":"span","marks":[],"text":"It’s common to have questions about medication use during the perinatal period. Specialist health professional supports are available to provide advice and guidance on what’s best for you and your baby."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"9811727d73b0","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"ebb1eefca70d","_type":"faq","answer":[{"_key":"1e76626253b5","_type":"block","children":[{"_key":"5e693e8300230","_type":"span","marks":[],"text":"The medication advice line is provided by the Australian Government’s Department of Health. This service gives information and advice to parents about medication use during the perinatal period."}],"markDefs":[],"style":"normal"},{"_key":"b5acdc552024","_type":"block","children":[{"_key":"aac02ad096570","_type":"span","marks":["25808176d7a5"],"text":"National Medicines Line"}],"markDefs":[{"_key":"25808176d7a5","_type":"link","blank":true,"linkType":"external","url":"https://www.nps.org.au/medicines-line"}],"style":"normal"},{"_key":"b864e14baf5b","_type":"block","children":[{"_key":"cc341a5758240","_type":"span","marks":[],"text":"Phone: 1300 633 424"}],"markDefs":[],"style":"normal"},{"_key":"6b8d6dadfe22","_type":"block","children":[{"_key":"f4c59f74e6a90","_type":"span","marks":[],"text":"Available: 9am – 5pm AEST, Monday to Friday. Excludes NSW public holidays."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"98c902c860df","_type":"block","children":[{"_key":"5303efe7bafb0","_type":"span","marks":[],"text":"National"}],"markDefs":[],"style":"normal"}]},{"_key":"84bdb3a3c289","_type":"faq","answer":[{"_key":"545e90300fdc","_type":"block","children":[{"_key":"480808751e760","_type":"span","marks":[],"text":"This medication advice helpline is provided by the Canberra Hospital. 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Excludes public holidays."}],"markDefs":[],"style":"normal"},{"_key":"bf2e572f71b0","_type":"block","children":[{"_key":"e4ca57511d680","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"1e6f793cb5f2","_type":"block","children":[{"_key":"af41779a3f760","_type":"span","marks":["strong"],"text":"Regional NSW"}],"markDefs":[],"style":"normal"},{"_key":"8e04a7e8440c","_type":"block","children":[{"_key":"acd0683b81180","_type":"span","marks":[],"text":"This medication advice helpline is provided by the Royal Hospital for Women. 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If you don’t have a regular GP, or you don’t feel comfortable speaking to your family doctor about your mental health, it’s also okay and very common to see a different doctor who specialises in mental health."}],"markDefs":[],"style":"normal"},{"_key":"453660a5a364","_type":"block","children":[{"_key":"cd335dbdd6ba0","_type":"span","marks":[],"text":"You can find a doctor in your area using the Health Direct Service Finder directory"}],"markDefs":[],"style":"normal"},{"_key":"6e6f89692a9d","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":" https://www.healthdirect.gov.au/australian-health-services"},"style":"box","text":"Search for a GP "},{"_key":"9c40aa99cf0e","_type":"block","children":[{"_key":"4e3e884ceb150","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bb72fd14e44d","_type":"block","children":[{"_key":"a7a4e37869530","_type":"span","marks":[],"text":"Health Direct also has listings for other allied health practitioners like psychologists, or you might like to find someone who specialises in perinatal mental health using the e-COPE Directory."}],"markDefs":[],"style":"normal"},{"_key":"d650cf325277","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://directory.cope.org.au/#/"},"style":"box","text":"Visit the eCope directory"},{"_key":"500e3b097897","_type":"block","children":[{"_key":"5b90a3673d680","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"d81f60724a14","_type":"block","children":[{"_key":"378195c028540","_type":"span","marks":[],"text":"It’s best to book a longer appointment when you see your doctor to discuss your Mental Health Treatment Plan so that you’re not rushed when you go in. Your doctor will talk to you about your concerns, andget you to complete a questionnaire before you create your care plan together."}],"markDefs":[],"style":"normal"},{"_key":"98ca9b439ae3","_type":"block","children":[{"_key":"19b79338f64a","_type":"span","marks":[],"text":"You might like to take a support person to your appointment. They can sit in the car or waiting room for emotional support or come into the appointment with you. This can be helpful if you have a little one or other children with you too."}],"markDefs":[],"style":"normal"},{"_key":"b5ac84a03e5c","_type":"block","children":[{"_key":"fbb950cb4f03","_type":"span","marks":[],"text":"It’s normal to feel nervous or overwhelmed when talking to health professionals about your mental health, You might feel worried you’ll forget to tell your doctor about everything that’s been happening. PANDA created Mental Health Checklists to help you start the conversation. It’s anonymous, takes 5 minutes to complete, and you can email a copy of your results to yourself."}],"markDefs":[],"style":"normal"},{"_key":"1712712ea178","_type":"block","children":[{"_key":"f9c39a3b1e2f0","_type":"span","marks":[],"text":"Once you’ve created your Mental Health Treatment Plan with your GP, you’ll see the mental health practitioner of your choice. After the 6th session, you’ll return to your GP for a review to see if you feel like you need another 4 sessions of counselling."}],"markDefs":[],"style":"normal"},{"_key":"9c759996154c","_type":"block","children":[{"_key":"6f959cd7db2d","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bf9dbcb3db56","_type":"block","children":[{"_key":"8b6864cc75b00","_type":"span","marks":[],"text":"The process of getting a Mental Health Treatment Plan is easy, but if you still have questions or concerns, please call the PANDA Helpline and we can have a chat about options or the referral process together."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"How to get a mental health treatment plan ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-91007c7e9749740af92a9694cbc36256e1588354-2364x2214-jpg","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.06823529411764706,"right":0.06553398058252424,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":0.8824115157638853,"width":0.8662307252998287,"x":0.5013506567675614,"y":0.44120575788194266}},"text":[{"_key":"81982157ef50","_type":"block","children":[{"_key":"4afb68958eb30","_type":"span","marks":[],"text":"How to access government subsidised mental health care for all Australians."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"3353f2a59d4b","_type":"checklist","field":"content"},{"_key":"1d56f37589d9","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"05f23a63930f","_ref":"9aa50a2e-c32f-4dda-a8ac-8da56d0b6bf6","_type":"reference"},{"_key":"12b3ef6f4cb2","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},{"_key":"33f04c12415b","_ref":"ea5008f7-a47e-4676-9ae0-c723bfd48898","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"How to access government subsidised mental health care for all Australians.","socialImage":{"_type":"image","asset":{"_ref":"image-0dd11e645bdcd669aea8a6ee0b34f594cc6e393c-1200x630-jpg","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"030c57ef7e33","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"},{"_key":"5fcaf943105c","_ref":"d0725516-984a-4e9f-be02-cee0c1b10fe9","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"how-to-get-a-mental-health-treatment-plan"},"tags":[{"_key":"b2cf12a551bf","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"0f02d4192e09","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"}],"title":"How to get a mental health treatment plan ","id":"-b41bc6ba-795a-50a7-8d17-001f77f8df44","children":[],"internal":{"type":"SanityArticle","contentDigest":"fff86aa2ae3f70ec899b678d7069a212","owner":"gatsby-source-sanity","counter":77},"parent":null,"__gatsby_resolved":{"slug":{"current":"how-to-get-a-mental-health-treatment-plan"}}}],"seo":{"_type":"seo","metaDescription":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation.","metaTitle":"Talking to your doctor","socialImage":{"_type":"image","asset":{"_ref":"image-edcabb975680e1848598b04a6a7ca8809c9fe916-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_id":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQXuP","_createdAt":"2022-02-14T08:38:55Z","_updatedAt":"2023-12-18T00:06:41Z","categories":[{"_key":"2f7366e48144","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"99bb9f0233f1","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"5512f58d4f51","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"9fe63e27c764","_type":"block","children":[{"_key":"7807962c884e0","_type":"span","marks":[],"text":"If you are experiencing symptoms of perinatal anxiety, depression, obsessive-compulsive disorder or psychosis, some of the thoughts and feelings you may be experiencing can be extremely frightening. Many people may feel afraid to share these thoughts with their partner or family."}],"markDefs":[],"style":"normal"},{"_key":"2ab6b9eb11c5","_type":"block","children":[{"_key":"fe2a04307248","_type":"span","marks":[],"text":"Difficult emotions in the perinatal period can trigger a lot of shame, guilt and sadness. The image you may have had of what you’d be like as a parent probably didn’t include feeling low, crying, or wishing you could take a break from parenting. Yet our callers commonly report having those emotions and thoughts. These thoughts and feelings don’t mean you don’t love your baby, and they don’t mean you are a bad person or parent."}],"markDefs":[],"style":"normal"},{"_key":"cfb728281771","_type":"block","children":[{"_key":"a389d1d09102","_type":"span","marks":[],"text":"In fact, up to 1 in 5 expecting or new mums and up to 1 in 10 expecting or new dads will develop symptoms of perinatal anxiety and/or depression. Perinatal mental health issues are much more common than many people realise. Even if you aren’t experiencing significant changes to your mental health, it’s still common to experience distressing thoughts and emotions, including worry, doubt and sadness."}],"markDefs":[],"style":"normal"},{"_key":"c371fe7fc8ac","_type":"block","children":[{"_key":"6703e5ca9c2b","_type":"span","marks":[],"text":"If you’re struggling with your mental and emotional wellbeing, you might feel confused about whether what you are experiencing is “normal”. You might be unsure of how to start talking about your feelings, or you might feel concerned about what people will think."}],"markDefs":[],"style":"normal"},{"_key":"15ca978969d1","_type":"block","children":[{"_key":"5984a0014f7f","_type":"span","marks":[],"text":"It’s okay to talk about what you’re feeling. Starting the conversation with someone you trust, such as your partner or a friend, can be a first step on the road to seeking professional support."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Talking about perinatal mental health ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-862cdcdd0d02086d49c44f0987ad3af0f3c8cef5-4000x2667-jpg","_type":"reference"}},"text":[{"_key":"87b2c04a8220","_type":"block","children":[{"_key":"8c277cb548eb0","_type":"span","marks":[],"text":"For many new parents, talking about how they are feeling can be difficult. You may never have experienced feelings and thoughts like this before, and are not sure how to express them."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"ffa010bdf9c7","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"859c67d77707","_type":"faq","answer":[{"_key":"bb54d421653a","_type":"block","children":[{"_key":"923105162d0a","_type":"span","marks":[],"text":"Callers to PANDA’s National Perinatal Mental Health Helpline often tell us they’ve tried to talk to others about their difficulties during pregnancy or early parenthood, but they haven’t been able to."}],"markDefs":[],"style":"normal"},{"_key":"3b247e77ebfe","_type":"block","children":[{"_key":"676d1ea81c7b","_type":"span","marks":[],"text":"Some people find it hard to talk about what they are going through but hope those around them will see they are having difficulties and ask them about it. This is especially so in encounters with health professionals."}],"markDefs":[],"style":"normal"},{"_key":"88bc8a453e2f","_type":"block","children":[{"_key":"841896f672df","_type":"span","marks":[],"text":"People often expect GPs, obstetricians, child and family nurses, midwives and others who work with expecting and new parents to easilyeasily identify when their patients are experiencing changes to their emotional and mental health and wellbeing. Many people, including some health professionals, may feel uncomfortable with other people's emotional distress, and may have a limited understanding of how to navigate conversations about perinatal mental health and wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"d7e3ea83436b","_type":"block","children":[{"_key":"0507962925f7","_type":"span","marks":[],"text":"If you’re finding it difficult to talk with your health professional about your challenges while pregnant or as a new parent, PANDA’s Helpline can provide a safe, secure space to speak about your concerns."}],"markDefs":[],"style":"normal"},{"_key":"94b56960190c","_type":"block","children":[{"_key":"4b19e7e69da1","_type":"span","marks":[],"text":"PANDA’s counsellors are caring, compassionate, andwill listen to your story. Together, you and your PANDA counsellor can explore a range of support options and figure out what might be helpful in looking after your emotional and mental wellbeing."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d05bdf32dd3b","_type":"block","children":[{"_key":"c76fc85fc509","_type":"span","marks":[],"text":"Barriers to accessing help and support"}],"markDefs":[],"style":"normal"}]},{"_key":"1968fbc9db39","_type":"faq","answer":[{"_key":"7738680c05de","_type":"block","children":[{"_key":"554ed1fcecbb","_type":"span","marks":[],"text":"Our culture glorifies pregnancy, parenting and motherhood. Media, social media, movies, TV and advertising tend to portray parenthood as being fun, easy, fulfilling and joyful. While there are moments where being a parent is all these things, being pregnant or caring for a baby can alsobe stressful, tiring and challenging. "}],"markDefs":[],"style":"normal"},{"_key":"4b200a2c5a32","_type":"block","children":[{"_key":"9b09b9c35559","_type":"span","marks":[],"text":"Pregnancy and parenthood can be a time of immense struggle, trauma and pain. This time of life can also trigger mental health and wellbeing challenges you didn’t expect."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1b17ef3082a4","_type":"block","children":[{"_key":"3406ddc1fe0b","_type":"span","marks":[],"text":"Parenting myths vs facts"}],"markDefs":[],"style":"normal"},{"_key":"a10717aa4ae2","_type":"block","children":[{"_key":"fd7db504aba4","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"9e590badccca","_type":"faq","answer":[{"_key":"82d38b1f9735","_type":"block","children":[{"_key":"245aafd0a482","_type":"span","marks":[],"text":"It can be incredibly upsetting when you confide in someone about how you are feeling, and they’re dismissive or minimise your experience."}],"markDefs":[],"style":"normal"},{"_key":"eaa812f7d78f","_type":"block","children":[{"_key":"5be5ee906e8f","_type":"span","marks":[],"text":"This reflects their own thoughts and beliefs and is not a reflection on you. People who call PANDA’s Helpline often tell us that their family, friends and health providers haven’t listened to them, or have responded with unhelpful statements like:"}],"markDefs":[],"style":"normal"},{"_key":"c8fbb9361280","_type":"block","children":[{"_key":"c934eb4d6edd","_type":"span","marks":[],"text":"Of course parenting is tough. You just have to get through it."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"15e31f06b809","_type":"block","children":[{"_key":"70c1ce23a546","_type":"span","marks":[],"text":"It happens to everyone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cffaddffebf2","_type":"block","children":[{"_key":"11872037e2d6","_type":"span","marks":[],"text":"You’re just tired. Every parent gets tired – it comes with the territory."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7be79137a3e","_type":"block","children":[{"_key":"269bcb9184be","_type":"span","marks":[],"text":"Just have a cup of tea and put your feet up – you’ll feel better."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31bb67709362","_type":"block","children":[{"_key":"59c678a2f291","_type":"span","marks":[],"text":"Sleep will come, just give it time."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8b898a34aa6","_type":"block","children":[{"_key":"7e4fe215d00d","_type":"span","marks":[],"text":"Yes, it’s stressful, but it’s also just so rewarding! (it may not be)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ce772b47e7d0","_type":"block","children":[{"_key":"3e71dbef91e3","_type":"span","marks":[],"text":"You’ll feel better once you get some sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"03ac6a8934cf","_type":"block","children":[{"_key":"81927fb96816","_type":"span","marks":[],"text":"It’s hard for all parents, and you don’t hear everyone complaining, do you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f43870d3c9fb","_type":"block","children":[{"_key":"816b775d8c70","_type":"span","marks":[],"text":"Oh, lots of mums get by on much less sleep than you’re getting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"069190ac2fe2","_type":"block","children":[{"_key":"34ddfeac2c35","_type":"span","marks":[],"text":"If you confide in someone and feel their response minimises your feelings or experiences, or makes you feel ashamed or guilty, it’s important to continue to reach out for help. Every expecting or new parent deserves kindness, respect, and effective perinatal mental health care. "}],"markDefs":[],"style":"normal"},{"_key":"953bf6a8ac53","_type":"block","children":[{"_key":"0421d7e0a5a6","_type":"span","marks":[],"text":"We encourage you to keep reaching out until you feel you’re being heard and supported."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5c13efb1f8bf","_type":"block","children":[{"_key":"1750c0a04982","_type":"span","marks":[],"text":"Managing unhelpful comments"}],"markDefs":[],"style":"normal"},{"_key":"89fc1f667f21","_type":"block","children":[{"_key":"6f12240407e9","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"358b27d71b46","_type":"faq","answer":[{"_key":"52a4392081ec","_type":"block","children":[{"_key":"0da044381d2f0","_type":"span","marks":[],"text":"There are many different services and health professionals that can help support your mental health. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist. "}],"markDefs":[],"style":"normal"},{"_key":"50cc2ad4d2e9","_type":"button","link":{"_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"},"style":"box","text":"Learn more about talking to your doctor"}],"question":[{"_key":"10d6d580407f","_type":"block","children":[{"_key":"f86c63acd5a7","_type":"span","marks":[],"text":"Talking to your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"5618a09d8e0b","_type":"faq","answer":[{"_key":"6ba124c5174f","_type":"block","children":[{"_key":"02bc5eb50b20","_type":"span","marks":[],"text":"If a parent in your life confides in you that they’re having a hard time coping and are experiencing changes to their mental health such as distressing or overwhelming thoughts and feelings, some helpful responses include:"}],"markDefs":[],"style":"normal"},{"_key":"ab07c53825fd","_type":"block","children":[{"_key":"f91ed42a8705","_type":"span","marks":[],"text":"That sounds really hard. I’m here to talk about whatever you want to talk about."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2076ecf93790","_type":"block","children":[{"_key":"58039655744c","_type":"span","marks":[],"text":"It’s okay to feel the way you are feeling. Can I help you find a professional who might be able to put together a support plan with you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"903b99ba542f","_type":"block","children":[{"_key":"561d206fe606","_type":"span","marks":[],"text":"I know that perinatal mental health issues are way more common than most people think. You’re not alone and I’m here to support you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9a9cbcbf6534","_type":"block","children":[{"_key":"4a4c8bb50855","_type":"span","marks":[],"text":"I care about you, and it seems like you’re having a super stressful time. I think talking with someone who is an expert in perinatal health could be really helpful."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2648f8c2e61","_type":"block","children":[{"_key":"db28fc161dbd","_type":"span","marks":[],"text":"Can I do something practical to help, like cook you a meal or watch the baby for an hour?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8ca310252a49","_type":"block","children":[{"_key":"9f4e4ed3ed74","_type":"span","marks":[],"text":"I’m going to check in on you tomorrow and see how you’re going. We’ll get through this together."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6622db86d77f","_type":"block","children":[{"_key":"bf025864a1f8","_type":"span","marks":[],"text":"If someone tells you they aren’t coping with changes to their mental health, daily function or their ability to care for their baby by themselves, you should always take it seriously. Mental health is highly changeable during pregnancy and after having a baby, and can quickly escalate to an emergency, especially if left untreated. If someone tells you they are seriously afraid of harming themselves or someone else or is behaving in a way that is unusual, they may be experiencing postnatal psychosis. "}],"markDefs":[],"style":"normal"},{"_key":"d034dce19839","_type":"block","children":[{"_key":"c6f97e05bf42","_type":"span","marks":[],"text":"If you are concerned about someone’s safety, call 000 immediately."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"e184663e30eb","_type":"block","children":[{"_key":"68c8c0a77a5a","_type":"span","marks":[],"text":"What if someone confides in you about how they are feeling?"}],"markDefs":[],"style":"normal"}]}],"title":"Tips for talking about perinatal mental health"},{"_key":"5961c82b84c8","_type":"checklist","field":"content"},{"_key":"65c5084601e1","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"321bccd29d0a","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"},{"_key":"d4af139a7df8","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"For many new parents, talking about how they are feeling can be difficult, especially if some of your feelings are negative, scary or doubtful.","socialImage":{"_type":"image","asset":{"_ref":"image-502b9c9832b34b86ac3719a1ab45490aef9eb02d-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_key":"a1599f8f5a81","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},{"_key":"191d4aff7280","_ref":"6db1ae16-57eb-45a1-9f7f-e53fd09a8427","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"talking-about-perinatal-mental-health"},"tags":[{"_key":"3bc6694cf754","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"cc6c475baea2","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"bafe6aefb39f","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"}],"title":"Talking about perinatal mental health","id":"-112e2cce-b8f8-5ac4-b938-9a64d0a38a63","children":[],"internal":{"type":"SanityArticle","contentDigest":"84de5c772288a0a8c1232ba3d2505c0b","owner":"gatsby-source-sanity","counter":144},"parent":null,"__gatsby_resolved":{"slug":{"current":"talking-about-perinatal-mental-health"}}},{"_id":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQEKh","_createdAt":"2022-02-14T07:39:29Z","_updatedAt":"2023-12-18T00:02:01Z","categories":[{"_key":"a1e91dbee1af","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"f9bef91f9170","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"566b88f3a855","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"4072caa04804","_type":"block","children":[{"_key":"95f9c26183260","_type":"span","marks":[],"text":"Expecting a baby or becoming a parent is a huge life change, full of excitement and challenges. Mental health distress including anxiety and depression is common and affect 1 in 5 birth parents and 1 in 10 non-birth parents."}],"markDefs":[],"style":"normal"},{"_key":"49d51bba2f18","_type":"block","children":[{"_key":"b56dfe36a12a","_type":"span","marks":[],"text":"With so much change happening, parenthood can feel be confusing. Sometimes it’s tricky to recognise if you need more support."}],"markDefs":[],"style":"normal"},{"_key":"f311ce0b672e","_type":"quote","quote":"It’s the hardest job in the world and it does take adjustment. Don’t feel ashamed or blame yourself for how you feel. Don’t try to do it alone. Seek out services, even just a call to a counsellor. "},{"_key":"3bf7c3c7b56d","_type":"block","children":[{"_key":"e558e642cff80","_type":"span","marks":[],"text":"Perinatal mental health distress can occur any time - from planning to conception, and throughout the postnatal period."}],"markDefs":[],"style":"normal"},{"_key":"4aa724c77ea6","_type":"block","children":[{"_key":"17ab5019c8fb","_type":"span","marks":[],"text":"Symptoms are diverse; they can be mild, moderate or severe, and can change quickly. The most common symptoms people experience are anxiety and depression."}],"markDefs":[],"style":"normal"},{"_key":"bdb9cf1a410c","_type":"block","children":[{"_key":"0b5cadfe21800","_type":"span","marks":[],"text":"Perinatal mental health concerns are common and treatable. They can happen to anyone. The sooner you can get the right support for yourself and your family, the more likely you are to experience a quick recovery."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Emotional and mental wellbeing for LGBTIQA+ parents","image":{"_type":"imageWithAlt","alt":"2 mums cuddling","asset":{"_ref":"image-00253d44de992d73cea3d719747a4e5fa234f070-3334x3334-png","_type":"reference"}},"text":[{"_key":"87d2d3195258","_type":"block","children":[{"_key":"0e82735d31a10","_type":"span","marks":[],"text":"All expecting and new parents deserve inclusive, appropriate support for their wellbeing – including LGBTIQA+ parents."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"fdf6c80ad11e","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"72e47bcfecf0","_type":"block","children":[{"_key":"afc766ac2da80","_type":"span","marks":[],"text":"What puts you at risk?"}],"markDefs":[],"style":"h4"},{"_key":"944487f800e2","_type":"quote","quote":"My partner returned to work and I was left at home on my own, trying to heal physically and having to look after this little baby - even though I had no idea what to do. It all came crashing down and I realised I was nowhere near being okay. I felt really flat and had this incredible sense of isolation. "},{"_key":"4afceae010bd","_type":"block","children":[{"_key":"7975792f2aa20","_type":"span","marks":[],"text":"Many of the risk factors can affect anyone. On the PANDA Helpline, callers often share experiences including fertility issues, losing a baby or pregnancy, a difficult pregnancy, a traumatic birth, feeding or settling difficulties, prior mental health issues or trauma, difficult or absent family relationships, financial stress, isolation or family violence."}],"markDefs":[],"style":"normal"},{"_key":"da4e1428a12b","_type":"block","children":[{"_key":"6da62c0ea9420","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"4176a920e0aa","_type":"block","children":[{"_key":"89f24147405e0","_type":"span","marks":[],"text":"As an LGBTIQA+ expecting or new parent, you may face added risks, such as the challenge of accessing inclusive care from fertility, surrogacy, antenatal or birth services."}],"markDefs":[],"style":"normal"},{"_key":"bb309ede6223","_type":"quote","quote":"The hardest part for my partner has always been the use of the term ‘dads’ when referring to non-birth parents. 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"},{"_key":"3ebc690a396a","_type":"block","children":[{"_key":"ee0afa5d47ed0","_type":"span","marks":[],"text":"‘Minority stress’ is a term for the mental health impacts of exclusion, discrimination, mistreatment and stigma. It can arise from direct personal experiences, and from broader social stigma."}],"markDefs":[],"style":"normal"},{"_key":"ef590823a855","_type":"block","children":[{"_key":"670a95dbb704","_type":"span","marks":[],"text":"Minority stress contributes to mental distress and stops people getting help. LGBTIQA+ people mayalso hesitate to access mainstream services during a crisis, due to fear of discrimination."}],"markDefs":[],"style":"normal"}]},{"_key":"a950ef13f591","_type":"checklist","field":"content"},{"_key":"4ad25d37d420","_type":"freeText","text":[{"_key":"5c68c2989c1c","_type":"block","children":[{"_key":"208710c3e98e0","_type":"span","marks":[],"text":"Getting help if you need it"}],"markDefs":[],"style":"h4"},{"_key":"9c1ffdaffe57","_type":"quote","quote":"My partner came out as trans when our baby was about five months old. It was such a relief, but it was a few big months. Exhaustion, isolation, and confusion started to take hold of me, and I had come to be aware of some unresolved trauma that was really kicking me around. I lay in bed feeling so, so sad – day, after day, after day. 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Many health services are working towards better LGBTIQA+ inclusion."}],"markDefs":[],"style":"normal"},{"_key":"922a476a4bd6","_type":"block","children":[{"_key":"a46ef9a00bae","_type":"span","marks":[],"text":"The experiences of LGBTIQA+ PANDA Helpline callers, show that you may need to educate some of your care providers about your family’s support needs."}],"markDefs":[],"style":"normal"}]},{"_key":"b9a10b0f2afc","_type":"textImage","background":{"title":"peach80","value":"#FFD29D"},"contentOrder":"textFirst","headline":"How PANDA can help","image":{"_type":"imageWithCaption","asset":{"_ref":"image-5779cb2a1bfe13225c1ed115649861a41656699c-2500x1500-jpg","_type":"reference"}},"text":[{"_key":"d80304c92781","_type":"block","children":[{"_key":"3def98fdec670","_type":"span","marks":[],"text":"PANDA has LGBTIQA+ staff and volunteers throughout our organisation, and our Helpline counsellors and peer support volunteers are committed to providing inclusive care to all callers from the LGBTIQA+ community. 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Some general rules for sleep hygiene include:"}],"markDefs":[],"style":"normal"},{"_key":"ed70065c932c","_type":"block","children":[{"_key":"10f07f16a50e0","_type":"span","marks":[],"text":"Go to bed at the same time each day"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3e327e6cc907","_type":"block","children":[{"_key":"f305d6b6d9eb0","_type":"span","marks":[],"text":"Avoid exercise before bed"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"20e592706620","_type":"block","children":[{"_key":"2a68262df64d0","_type":"span","marks":[],"text":"Make the bedroom as restful an environment as possible"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"979019a0383f","_type":"block","children":[{"_key":"6bea81ed017a0","_type":"span","marks":[],"text":"Avoid screentime or other stimulating activities just before bed"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f707b5d76e1","_type":"block","children":[{"_key":"f90bbacca5290","_type":"span","marks":[],"text":"Avoid caffeine and other stimulants in the evening"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6d138ce66aaf","_type":"block","children":[{"_key":"7e5722507d420","_type":"span","marks":[],"text":"Try a warm bath or shower two hours before bed to regulate your body temperature for sleep"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"732c5b82eed9","_type":"block","children":[{"_key":"051f5bd787570","_type":"span","marks":[],"text":"Avoid a nap in the evening"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9b25598eed8b","_type":"block","children":[{"_key":"a0989ebcf1350","_type":"span","marks":[],"text":"If you can’t sleep, get up and do something quiet in another room."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e16b716d4d2d","_type":"block","children":[{"_key":"c4444ab7a4250","_type":"span","marks":[],"text":"Quick naps can improve your alertness and help in decision-making, creativity and sensory perception. Short naps, such as 20 minutes, are less likely to disrupt your sleep at night."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"7a65add50199","_type":"block","children":[{"_key":"3e95dffc35e9","_type":"span","marks":[],"text":"Sleep"}],"markDefs":[],"style":"normal"}]},{"_key":"53c349786f11","_type":"faq","answer":[{"_key":"8cff2cdf45d1","_type":"block","children":[{"_key":"e2563177a7e40","_type":"span","marks":[],"text":"Some parents find themselves snacking on convenience food. We know that setting realistic goals helps. Healthy, home-cooked food for every meal may not be an achievable goal so set goals for your family that are manageable and allow for something easier, such as eggs on toast or toasted sandwiches, on difficult days."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"f70e86041210","_type":"block","children":[{"_key":"a3688b12848b","_type":"span","marks":[],"text":"Eating"}],"markDefs":[],"style":"normal"}]},{"_key":"60632704539c","_type":"faq","answer":[{"_key":"ebf7dbb657b8","_type":"block","children":[{"_key":"2d4fd5d809920","_type":"span","marks":[],"text":"For some people, regular physical exercise is highly beneficial. We know that it can increase serotonin levels - a hormone that contributes to general happiness and wellbeing. We also know that getting out of the house into fresh air and sunshine can lift mood and boost vitamin D."}],"markDefs":[],"style":"normal"},{"_key":"57fa70d82e76","_type":"block","children":[{"_key":"07b133ecbcca0","_type":"span","marks":[],"text":"However, setting achievable goals is important. These goals depend on personal circumstances, previous exercise history and physical recovery from birth."}],"markDefs":[],"style":"normal"},{"_key":"b73d613cb4c2","_type":"block","children":[{"_key":"e4d345e507600","_type":"span","marks":[],"text":"It can be helpful to schedule in exercise time. When your baby is small, this could be as simple as aiming for a short walk in the morning with the baby in the pram.\n"}],"markDefs":[],"style":"normal"},{"_key":"68b1f82210fa","_type":"block","children":[{"_key":"c3d0287d70200","_type":"span","marks":[],"text":"For some mums, childbirth impacts on pelvic floor function. Physiotherapists can help with assessment, treatment and strengthening exercises if this is an issue. If you have any concerns about your physical recovery, it is important to consult a doctor before you undertake any strenuous exercise after birth."}],"markDefs":[],"style":"normal"},{"_key":"b462bb8e8b9e","_type":"block","children":[{"_key":"954437711ace0","_type":"span","marks":[],"text":"Exercise may also mean something gentler to some people, such as breathing exercises, meditation or a yoga class. Some people find these beneficial."}],"markDefs":[],"style":"normal"},{"_key":"065f1477f1ac","_type":"block","children":[{"_key":"ce54fc054faf0","_type":"span","marks":[],"text":"Many websites and phone apps provide short guided meditations or relaxation exercises, some specifically for new parents."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"176a1d21f62c","_type":"block","children":[{"_key":"d612ed72f8cb","_type":"span","marks":[],"text":"Exercise and getting outdoors"}],"markDefs":[],"style":"normal"}]},{"_key":"e1ad1a4b940c","_type":"faq","answer":[{"_key":"01c7bb978397","_type":"block","children":[{"_key":"df28c6638ab70","_type":"span","marks":[],"text":"Being at home with a baby after years of being in a busy workplace can be an isolating experience for some parents. New and existing social networks can help you feel connected to other adults."}],"markDefs":[],"style":"normal"},{"_key":"6188e2cf7e28","_type":"block","children":[{"_key":"2d53049ae4860","_type":"span","marks":[],"text":"New mothers’ groups and playgroups are one avenue. Others include free activities, such as story time at the local library, while other people seek connection through online groups, such as supportive Facebook pages."}],"markDefs":[],"style":"normal"},{"_key":"9ba749dc6df1","_type":"block","children":[{"_key":"6b51824391920","_type":"span","marks":[],"text":"If you are struggling with postnatal mental health issues, there might be a supported playgroup you may be able to attend in your area. These are often run by a health worker or social worker and attended by other parents who have been struggling."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d58ff8ad22a1","_type":"block","children":[{"_key":"cfbdd6eb1bf80","_type":"span","marks":[],"text":"Social network"}],"markDefs":[],"style":"normal"}]},{"_key":"8a3ae7590dcd","_type":"faq","answer":[{"_key":"c4d3211f9ca7","_type":"block","children":[{"_key":"086fa755fef90","_type":"span","marks":[],"text":"Time out means different things to everyone. But in general, it is important that parents who are primary carers have a break from the caring role at times. We speak to many parents who experience barriers to this. Sometimes the barrier is a time constraint, sometimes it is driven by a parent feeling guilty or feeling like they shouldn’t need time out from their family."}],"markDefs":[],"style":"normal"},{"_key":"6e22834d258f","_type":"block","children":[{"_key":"a012a00aefc60","_type":"span","marks":[],"text":"Some families find the best way to create time out is to structure it i.e. a set time or activity each week for the primary carer. The additional benefit is that the other parent or carer gets one-on-one time with the baby or child, which can also help with their bonding and confidence. Generally, a parent needing time to themselves gets most benefit if the rest of the family is out of the house, or if the parent can go out themselves.\n"}],"markDefs":[],"style":"normal"},{"_key":"b7990a68d0da","_type":"block","children":[{"_key":"053a0021b20a0","_type":"span","marks":[],"text":"Some ideas for nurturing time out are:"}],"markDefs":[],"style":"normal"},{"_key":"56ba9b987f54","_type":"block","children":[{"_key":"64c70fa975640","_type":"span","marks":[],"text":"A class or activity outside the home"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8bcc751f8c62","_type":"block","children":[{"_key":"aa4760525cad0","_type":"span","marks":[],"text":"Engaging in a hobby/craft that is enjoyable"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7731aa4331e3","_type":"block","children":[{"_key":"360ea11afa620","_type":"span","marks":[],"text":"Taking a relaxing bath"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"235b3796281e","_type":"block","children":[{"_key":"fd454c6b5eb40","_type":"span","marks":[],"text":"Going for a walk"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1cc20204f970","_type":"block","children":[{"_key":"f96d16bcdf5f0","_type":"span","marks":[],"text":"Going shopping"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cb1663bd9f79","_type":"block","children":[{"_key":"4909c02fc3b10","_type":"span","marks":[],"text":"Listening to music"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1b0103c0016f","_type":"block","children":[{"_key":"bcfbf4eaf37c0","_type":"span","marks":[],"text":"Reading a book/magazine"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bd98f5d98f8b","_type":"block","children":[{"_key":"e02c1d556e0d0","_type":"span","marks":[],"text":"Watching a movie"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"a209cb3d4bac","_type":"block","children":[{"_key":"5cfb45060b4d","_type":"span","marks":[],"text":"Time out"}],"markDefs":[],"style":"normal"}]},{"_key":"fc0cd9abb7f7","_type":"faq","answer":[{"_key":"83a04d5277f8","_type":"block","children":[{"_key":"4a195952340b0","_type":"span","marks":[],"text":"For parents, recognising that you are struggling is the first step. For some, this may manifest as obvious symptoms of anxiety, depression or other issues such as obsessive compulsive disorder. For others, it may be more subtle, just a sense of not quite coping, feeling low in energy or not feeling yourself."}],"markDefs":[],"style":"normal"},{"_key":"ba5c7a6a6d93","_type":"block","children":[{"_key":"9841339a985a0","_type":"span","marks":[],"text":"Callers to the helpline often comment on their relief at being able to talk about what is on their mind. For some people, it is helpful to talk to family or friends. But often, for varied reasons, this is not helpful or possible."}],"markDefs":[],"style":"normal"},{"_key":"791773a70081","_type":"block","children":[{"_key":"8974e71dfbbb0","_type":"span","marks":[],"text":"Discussing your concerns with a mental health professional or a helpline such as PANDA is a good option in these cases. It is helpful, if possible, to build a positive relationship with a local doctor. New parents with babies often visit their doctor for the baby’s sake but we encourage callers to connect for their own sake too. Doctors are often the first point of professional contact for mental health concerns."}],"markDefs":[],"style":"normal"},{"_key":"f60234fafa5f","_type":"block","children":[{"_key":"2ac171c3e4020","_type":"span","marks":[],"text":"Self-care is partly about reaching out to others when we need it. There are other options for professional support beyond a doctor – facilitated playgroups, psychologists and counsellors – that your doctor or PANDA can help you access."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"f9a7f93091c8","_type":"block","children":[{"_key":"2751bf6aec65","_type":"span","marks":[],"text":"Mental health / professional support"}],"markDefs":[],"style":"normal"}]}]},{"_key":"e6dd3b47399d","_type":"checklist","field":"content"},{"_key":"670729d1b46d","_type":"fileCollection","files":[{"_key":"c222e18d51a7","_type":"download","background":{"title":"brightTeal20","value":"#E1F9F7"},"cta":"Download PDF","file":{"_type":"file","asset":{"_ref":"file-521b1dd9bb1a75772cd48611e6017e18d67d6bbb-pdf","_type":"reference"}},"title":"Wellbeing and self care factsheet"}]}],"relatedArticles":[{"_id":"3dd5d15a-dcef-45b9-8e91-c6dab35b5c2f","_type":"article","_rev":"b2NLSlubeLq6eTXi7g1r8d","_createdAt":"2022-02-07T02:58:36Z","_updatedAt":"2024-01-08T03:32:09Z","categories":[{"_key":"5550f14c1786","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"d1e1987267e2","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"category":{"_ref":"-2be506a5-df12-5306-ab62-d66056112f83","_type":"reference"},"content":[{"_key":"3192fe05240f","_type":"block","children":[{"_key":"51e56dcca4160","_type":"span","marks":[],"text":"New parents can have high expectations about the kind of love they are going to immediately feel for their baby. Media and popular culture create an unrealistic narrative of love at first sight, a depth of emotion you have never felt, and feelings of absolute joy and elation. This can add to the pressure new parents feel to love or bond with their baby instantly."}],"markDefs":[],"style":"normal"},{"_key":"5b2252966c55","_type":"block","children":[{"_key":"6b90c6067437","_type":"span","marks":[],"text":"However, many new mums and dads don’t feel that kind of connection straight away."}],"markDefs":[],"style":"normal"},{"_key":"17e15b877d54","_type":"block","children":[{"_key":"b934e227e2e8","_type":"span","marks":[],"text":"After having a baby, both parents are adjusting to many changes in their lives, so it’s not surprising that it can take time to feel a connection to this new little being."}],"markDefs":[],"style":"normal"},{"_key":"d57b52d32931","_type":"block","children":[{"_key":"2fda6d2d3406","_type":"span","marks":[],"text":"Like any other type of relationship, real bonding between mums, dads and bubs can take time. This is completely normal. It is also common for one parent’s connection to take longer than the other."}],"markDefs":[],"style":"normal"},{"_key":"76c3d115d197","_type":"block","children":[{"_key":"ab76ac4f1524","_type":"span","marks":[],"text":"Telephone counsellors on PANDA’s Helpline often hear dads and non-birth parents tell us they are not connecting with their baby until much later. We know this is common, simply because babies often require a lot of attention from their mum in the early days for feeding or settling."}],"markDefs":[],"style":"normal"},{"_key":"a7e13a1f354e","_type":"block","children":[{"_key":"de83e54448e8","_type":"span","marks":[],"text":"More than 1 in 3 callers to the PANDA Helpline tell us they don’t feel an instant bond with their baby. If you’re feeling this way, please give yourself and your bub some time to get to know each other."}],"markDefs":[],"style":"normal"},{"_key":"9c6d09faf0c2","_type":"block","children":[{"_key":"3a68f7126359","_type":"span","marks":[],"text":"It’s unlikely you’d fall instantly in love with someone you met for the first time – and it’s the same with meeting your baby. Every parent has a unique relationship with their little one, and it’s normal to take some time to feel things out, and slowly nurture and grow the bond between you."}],"markDefs":[],"style":"normal"},{"_key":"afcc735e9796","_type":"block","children":[{"_key":"d74f310a6f460","_type":"span","marks":[],"text":"Why does bonding take time?"}],"markDefs":[],"style":"h3"},{"_key":"0a3d88385ab2","_type":"block","children":[{"_key":"c9319637ae510","_type":"span","marks":[],"text":"Like every human, your baby has their own personality. And like any person you have just met, it takes time to get to know them and understand them. The relationship you build with your baby will deepen as you spend time together.\n\nBecoming a parent can also create difficult emotions. Exhaustion, burnout, sadness, grief, loss and ambivalence are common, and these emotions can be heightened by a difficult pregnancy or birth experience.\n\nBecoming a parent is one the biggest physical and emotional transitions you will ever make in your life. Be gentle and compassionate with yourself – try talking to yourself like you’re speaking to a close friend who has the same concerns to you. Give yourself time to get to know your baby and get used to your new role as parent."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-06","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Connecting with your baby","image":{"_type":"imageWithAlt","alt":"Parents on playmat with baby","asset":{"_ref":"image-bda586ff5e0dc79a3c16c768466afec7ae6fc63a-2500x1667-jpg","_type":"reference"}},"text":[{"_key":"66d72a030382","_type":"block","children":[{"_key":"02798e8b4d960","_type":"span","marks":[],"text":"Becoming a parent is one of the biggest changes you’ll ever experience. Like any new relationship, it can take time to build a connection with your baby."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"3d54b100e5de","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"259ba31e0bf7","_type":"faq","answer":[{"_key":"deec962d93e9","_type":"block","children":[{"_key":"a64ff520d2bf0","_type":"span","marks":[],"text":"Eye gazing (looking into your baby’s eyes)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8f7ad168f790","_type":"block","children":[{"_key":"7e078b6f46060","_type":"span","marks":[],"text":"Looking into each other’s faces. Try ‘mirroring’ your baby’s expression (imitating what they do), wait a moment and see how baby responds."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f3f9a38fbd12","_type":"block","children":[{"_key":"cd0b66ba882b0","_type":"span","marks":[],"text":"Try seeing the world through your baby’s eyes. What (or who) are they looking at?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1cf041afada3","_type":"block","children":[{"_key":"1812426cb2a40","_type":"span","marks":[],"text":"Smiling – babies love smiles as they feel safe, loved and reassured."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d7757321144a","_type":"block","children":[{"_key":"1d940b7b1f8a0","_type":"span","marks":[],"text":"Take a walk outside together, or a drive."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"3f26360a44a0","_type":"block","children":[{"_key":"6a499b35b4bf0","_type":"span","marks":[],"text":"Sight"}],"markDefs":[],"style":"normal"}]},{"_key":"cec9c41875b1","_type":"faq","answer":[{"_key":"8953f44078b4","_type":"block","children":[{"_key":"e997686ea47b0","_type":"span","marks":[],"text":"Talk to your baby in a soft, reassuring voice. Tell your baby what you are doing as you move around or care for them (eg during a feed or nappy change)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d77d33ede8c0","_type":"block","children":[{"_key":"ee01862ff99c0","_type":"span","marks":[],"text":"If your baby is cooing or gurgling, try imitating them and see what happens (this is called ‘mirroring’). You might be surprised how good (and funny) the conversation can be."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c21ee888ccbb","_type":"block","children":[{"_key":"4e102957eade0","_type":"span","marks":[],"text":"Sing or hum to your baby. If you do this while cuddling bub, they will also be soothed by your heartbeat, breathing and the vibrations from your body as you make different sounds."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f0127afc8f4a","_type":"block","children":[{"_key":"af8429a468fd0","_type":"span","marks":[],"text":"Play music for your baby and pay attention to how they respond to different kinds of music."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"22eaa236a601","_type":"block","children":[{"_key":"0d1b91ee4d6a0","_type":"span","marks":[],"text":"White noise during naps can help soothe and settle your baby. It reminds them of being in the womb."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"d6d25f67a460","_type":"block","children":[{"_key":"85f9a7828aff0","_type":"span","marks":[],"text":"Sound"}],"markDefs":[],"style":"normal"}]},{"_key":"90deb8b43990","_type":"faq","answer":[{"_key":"b023e655b827","_type":"block","children":[{"_key":"1f65ef2eadb00","_type":"span","marks":[],"text":"Babies love the smell of those closest to them, and they are drawn to familiar scents. Smelling your baby’s skin, clothes and blankets can create neural pathways of connection in your brain too. We do NOT recommend smelling stinky nappies though."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"0967ac82fc2d","_type":"block","children":[{"_key":"6c2fb8072a040","_type":"span","marks":[],"text":"Scent"}],"markDefs":[],"style":"normal"}]},{"_key":"690999e6c851","_type":"faq","answer":[{"_key":"27a47e836f6c","_type":"block","children":[{"_key":"93f2ac8682870","_type":"span","marks":[],"text":"Feeding is a great opportunity for bonding. Try looking into your baby’s face, gently stroking their arms or legs, holding their hands or feet while feeding them."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"3753d3a2647c","_type":"block","children":[{"_key":"d3cb8113684a0","_type":"span","marks":[],"text":"Taste"}],"markDefs":[],"style":"normal"}]},{"_key":"cac8df100fa5","_type":"faq","answer":[{"_key":"6b18e36a7862","_type":"block","children":[{"_key":"8286e6bc1c8f0","_type":"span","marks":[],"text":"Bath time"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"861435315762","_type":"block","children":[{"_key":"8cc2fc2ccb970","_type":"span","marks":[],"text":"Cuddles"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61b6863855a3","_type":"block","children":[{"_key":"dd40c0fd8bbc0","_type":"span","marks":[],"text":"Infant massage: "},{"_key":"87958ac15f79","_type":"span","marks":["5cf87f373038"],"text":"instructional video from a registered midwife"},{"_key":"2943b2031714","_type":"span","marks":[],"text":"  "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5cf87f373038","_type":"link","blank":true,"linkType":"external","url":"https://www.kidspot.com.au/baby/baby-care/baby-massage/news-story/61291e8725b8a1ad0405f202997ead9c"}],"style":"normal"},{"_key":"d532900a742a","_type":"block","children":[{"_key":"a542250d73bb0","_type":"span","marks":[],"text":"Using a baby carrier"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ba18811d6a46","_type":"block","children":[{"_key":"e6a0531cfd870","_type":"span","marks":[],"text":"Dancing, rocking or swaying together with baby in your arms"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a7df18119dc8","_type":"block","children":[{"_key":"e19845cfe9080","_type":"span","marks":[],"text":"Laying in a recliner or bed together, skin to skin"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"6f084ad808f4","_type":"block","children":[{"_key":"5a14ca3add170","_type":"span","marks":[],"text":"Touch"}],"markDefs":[],"style":"normal"}]}],"title":"Ideas for bonding with your baby"},{"_key":"c9dd0080a995","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"cd1b4b8dec1d","_type":"block","children":[{"_key":"80fc161d81d20","_type":"span","marks":[],"text":"Bonding ideas for parents away from their babies"}],"markDefs":[],"style":"h3"},{"_key":"6a5f08b34a48","_type":"block","children":[{"_key":"62914a6296220","_type":"span","marks":[],"text":"Sometimes parents need to be away from their babies. This applies for FIFO workers, during holidays, NICU or hospital stays - any situation when someone else is caring for your baby."}],"markDefs":[],"style":"normal"},{"_key":"e297d8a64285","_type":"block","children":[{"_key":"18fbd0be3a400","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2da83b480f87","_type":"block","children":[{"_key":"330e9a00c7f60","_type":"span","marks":[],"text":"Here are some ideas to stay connected and keep bonding:"}],"markDefs":[],"style":"normal"},{"_key":"adbaeabf2943","_type":"block","children":[{"_key":"39378b1e9ef70","_type":"span","marks":[],"text":"Phone and video calls – babies love the sound of their parents’ voices and seeing their faces."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"db4d50b31cf8","_type":"block","children":[{"_key":"3b7b6cfb5db50","_type":"span","marks":[],"text":"Pre-record voicemail messages, or record lullabies or bedtime stories. 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My bond with my son has gone from strength to strength and it is like a cloud has lifted from above my head."},{"_key":"e747751489b9","_type":"block","children":[{"_key":"59e4bd42131a0","_type":"span","marks":[],"text":"If you are concerned that your emotional or mental state might be affecting your ability to connect with your baby, or that your feelings about bonding with your baby are impacting your mental health, please call PANDA’s Helpline. "}],"markDefs":[],"style":"normal"},{"_key":"1fccd4632dd9","_type":"block","children":[{"_key":"814c411e271b0","_type":"span","marks":[],"text":"PANDA’s Helpline is a safe and secure place to express your concerns. 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Taking purposeful breaks throughout the day to look after yourself ensures you can parent in the way you’d like to - and keep yourself and your baby safe. The plan includes a range of self-calming strategies you can use when caring for your baby."}],"markDefs":[],"style":"normal"},{"_key":"dd302887a3b3","_type":"block","children":[{"_key":"2079d54e529c0","_type":"span","marks":[],"text":"The feedback we get from callers to our Helpline is that this safety plan has been a game-changer for them. It can be used frequently throughout the day, whenever you need it. The plan is also effective with toddlers and older children. We hope you find it helpful too."}],"markDefs":[],"style":"normal"},{"_key":"a5f74b77102d","_type":"block","children":[{"_key":"ae0bb1f17525","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"6668444190aa","_type":"quote","quote":"I LEFT HIM SAFELY IN HIS PRAM INSIDE, WHILE I WENT OUTSIDE. I CALLED PANDA STRAIGHT AWAY. 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For example:\n• take some deep breaths whilst counting from 20 backwards\n• get some fresh air\n• splash some cool water on your face\n• have a drink or a snack\n• text a friend\n• name and describe 5 things you can see, hear or feel around you (this can help to ‘ground’ you in the present moment)."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"c922251eeccf","_type":"block","children":[{"_key":"09cbceb1d367","_type":"span","marks":[],"text":"When you feel calmer, return to your baby."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"cb2ca5205c26","_type":"block","children":[{"_key":"8e641d1bf7cd","_type":"span","marks":[],"text":"Give them verbal reassurance and cuddles to confirm that they’re safe, and you’re there for them."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Parent and baby care plan","image":{"_type":"imageWithAlt","asset":{"_ref":"image-ac354e5534d97ca782e31e8e27338fdbb885f325-2500x1667-jpg","_type":"reference"}},"text":[{"_key":"5d6e6d1247d4","_type":"block","children":[{"_key":"4538a98db9c70","_type":"span","marks":[],"text":"PANDA’s guide to managing overwhelming thoughts and feelings while caring for yourself and your baby. 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You’re doing really well.” "}],"markDefs":[],"style":"normal"},{"_key":"6a9859a825ed","_type":"block","children":[{"_key":"ff26b7a0b5a5","_type":"span","marks":[],"text":"When you feel ready, return to the exercise."}],"markDefs":[],"style":"normal"},{"_key":"9911d5466d06","_type":"block","children":[{"_key":"780e4c4ee8fc0","_type":"span","marks":[],"text":"Take some deep breaths, and use this moment to 'breathe' your way into the feeling"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"43a4e3d89dab","_type":"block","children":[{"_key":"1efca6f909ef0","_type":"span","marks":[],"text":"Name the emotion if it helps."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"be5d0021ee05","_type":"block","children":[{"_key":"73b5403391aa0","_type":"span","marks":[],"text":"Notice where the feeling is in your body."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"15be8377456e","_type":"block","children":[{"_key":"cd4c3f8c3a2d0","_type":"span","marks":[],"text":"Pay attention to how those parts of your body feel (e.g tense, relaxed, aching, tingly, cool or warm)."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"403bff655fb0","_type":"block","children":[{"_key":"179dec30f8930","_type":"span","marks":[],"text":"You might like to physically hold and soothe the ‘feeling’ part of your body with your hands."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"7a271f1977e8","_type":"block","children":[{"_key":"f5b394e04cbe0","_type":"span","marks":[],"text":"Pay attention to any thoughts you have about the upsetting emotion, e.g. “When will my baby ever stop crying?”"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"d472a396500e","_type":"block","children":[{"_key":"4141db5338c00","_type":"span","marks":[],"text":"Remind yourself that you are okay and that this feeling will pass."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"15e23849bb54","_type":"block","children":[{"_key":"0e92e5e49be10","_type":"span","marks":[],"text":"Take a few deep breaths again."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"2634d16b8e1f","_type":"block","children":[{"_key":"a15ab54c7d840","_type":"span","marks":[],"text":"Slowly bring yourself back into the room"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0a59c143f51f","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://self-compassion.org/"},"style":"arrow","text":"Learn more about self-compassion"}],"question":[{"_key":"26e096e1c4a6","_type":"block","children":[{"_key":"69cf9205356a","_type":"span","marks":[],"text":"Wellbeing exercise 2"}],"markDefs":[],"style":"normal"}]},{"_key":"d97b2b3856f8","_type":"faq","answer":[{"_key":"f64a13720d66","_type":"block","children":[{"_key":"e520edb724300","_type":"span","marks":[],"text":"You might like to start keeping a mood journal. Write down answers to the following questions and you can track how you’re coping with strong feelings over time."}],"markDefs":[],"style":"normal"},{"_key":"ee12114deb8c","_type":"block","children":[{"_key":"862e9a74a86d0","_type":"span","marks":[],"text":"How did this exercise feel?"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"9605953cab65","_type":"block","children":[{"_key":"af433cab23c60","_type":"span","marks":[],"text":"Which feelings came up?"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"e4addefb1c02","_type":"block","children":[{"_key":"e936959e79710","_type":"span","marks":[],"text":"Where they were in your body?"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"d25e53dff127","_type":"block","children":[{"_key":"8a3c914cbb180","_type":"span","marks":[],"text":"How did the emotions feel in your body?"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"2f66c91601ba","_type":"block","children":[{"_key":"74e5480b4dac0","_type":"span","marks":[],"text":"Did you experience feelings of compassion towards the feeling, or were there barriers to this? What were they?"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"48f3f5c4c89e","_type":"block","children":[{"_key":"46c442015c550","_type":"span","marks":[],"text":"Did you experience feelings of compassion towards yourself, or were there barriers to this? What were they?"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"426ce0c93893","_type":"block","children":[{"_key":"66acbb0a03b50","_type":"span","marks":[],"text":"Write down anything else that felt helpful (or unhelpful) during the exercise.\n"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"}],"question":[{"_key":"2f4adea02d3b","_type":"block","children":[{"_key":"dba96fd11dc9","_type":"span","marks":[],"text":"Wellbeing exercise 3"}],"markDefs":[],"style":"normal"}]}],"title":"Wellbeing exercise: Sitting with strong feelings"},{"_key":"b8ec9e65ce58","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"4dc770966d51","_type":"block","children":[{"_key":"aae5750f3e5a","_type":"span","marks":[],"text":"Now it’s time to give yourself some self-compassion for doing the exercise. Thank yourself for taking the time to look after you. Have a cup of tea or a snack (an activated digestive tract can help ‘ground’ us in our bodies after dealing with strong emotions).\n"}],"markDefs":[],"style":"normal"},{"_key":"7ffe5030f0c4","_type":"block","children":[{"_key":"9f0c8763905a","_type":"span","marks":[],"text":"Many Helpline callers tell us “I felt a bit silly” or “I didn’t do it right, I felt bored/annoyed”. Noticing any feelings - no matter what came up - means you’ve successfully completed the exercise. "}],"markDefs":[],"style":"normal"},{"_key":"dfde9d657fec","_type":"block","children":[{"_key":"bbc3974ecf47","_type":"span","marks":[],"text":"The aim of this is to be real with ourselves about how we’re feeling. Gentle and kind, no judgement, and no matter what those feelings are. Just paying attention to whatever comes up for you."}],"markDefs":[],"style":"normal"}]},{"_key":"b645aec7a201","_type":"textImage","background":{"title":"brightTeal100","value":"#49C5B1"},"contentOrder":"textFirst","image":{"_type":"imageWithCaption","asset":{"_ref":"image-67415d36755a659af8af10ece7ba228074eb05ec-3334x3334-png","_type":"reference"}},"text":[{"_key":"5b5e7ad3518c","_type":"block","children":[{"_key":"b93878680892","_type":"span","marks":[],"text":"Accepting and regulating your own feelings is an excellent emotional wellbeing plan – and it’s also a wonderful parenting tool."}],"markDefs":[],"style":"normal"},{"_key":"2374aba50415","_type":"block","children":[{"_key":"ad33e75a58eb","_type":"span","marks":[],"text":"Be kind to yourself as you practice sitting with your emotions. Learning to cope with strong feeling links to the value of being a ‘good enough’ parent. Being self-compassionate as you explore your emotions also sets you up well to deal with the range of emotions that come up at all stages of parenthood."}],"markDefs":[],"style":"normal"}]}],"relatedArticles":[{"_key":"3d533749ef0b","_ref":"41b862de-8310-4501-8a82-1005cfa42214","_type":"reference"},{"_key":"e7b197af9f2c","_ref":"3dd5d15a-dcef-45b9-8e91-c6dab35b5c2f","_type":"reference"},{"_key":"3faf695792b0","_ref":"919d14b4-c8ac-48a8-a61b-50fc0f0b956d","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"Feelings come and go – learning how to cope with unwanted or distressing emotions is a big part of the journey to parenthood.","metaTitle":"Coping with strong emotions as a new parent","socialImage":{"_type":"image","asset":{"_ref":"image-a658837311b14d5e921b5962e3ef37661727dac9-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"16c0deeca6ce","_ref":"94051b00-5116-4df3-a887-3e21f6f84400","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"coping-with-strong-emotions-as-a-new-parent"},"tags":[{"_key":"b6c354d4a86e","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"d01bb8523bfa","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"b453a55593c3","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"}],"title":"Coping with strong emotions as a new parent","id":"-a3afc190-a9f5-5349-993f-6428f0e92c94","children":[],"internal":{"type":"SanityArticle","contentDigest":"61daac0cd210d7c90fd00c4fe93b0784","owner":"gatsby-source-sanity","counter":128},"parent":null,"__gatsby_resolved":{"slug":{"current":"coping-with-strong-emotions-as-a-new-parent"}}}],"seo":{"_type":"seo","metaDescription":"Stress, interrupted sleep and 24-hour demands can take their toll. But they become more manageable when we are able to care for and nurture ourselves too.","metaTitle":"Wellbeing and self care for expecting and new parents","socialImage":{"_type":"image","asset":{"_ref":"image-fb293ea1f9e0854c4fb1feb7b1ee57bc9caae1da-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_id":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"article","_rev":"e9oiR2gkW2DFWuAPqnrG0m","_createdAt":"2022-02-14T08:41:12Z","_updatedAt":"2024-03-28T04:19:13Z","categories":[{"_key":"4b362e7d570b","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"e97e44188629","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"1e789ffcf782","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"07ab5855d59f","_type":"block","children":[{"_key":"13d14b745218","_type":"span","marks":[],"text":"It's best to talk about it"}],"markDefs":[],"style":"h4"},{"_key":"072dc643cc26","_type":"block","children":[{"_key":"67acb364f305","_type":"span","marks":[],"text":"If you’re a new parent or expecting a baby, and you’re worried about how you’re feeling, then talking to your doctor can be a good place to start. Below we provide tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"},{"_key":"e42fa248ecd7","_type":"block","children":[{"_key":"02c26121b73f","_type":"span","marks":[],"text":"The doctor’s role"}],"markDefs":[],"style":"h4"},{"_key":"e40616d99ec5","_type":"block","children":[{"_key":"74a9061ef424","_type":"span","marks":[],"text":"There are many different services and health professionals that can help. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"9a06c1026a02","_type":"block","children":[{"_key":"b1daffe9a386","_type":"span","marks":[],"text":"Finding the right doctor"}],"markDefs":[],"style":"h4"},{"_key":"4aa4b2bd4415","_type":"block","children":[{"_key":"d174f7739c5c","_type":"span","marks":[],"text":"Do you have a regular doctor with whom you can share your concerns? If not, it’s worth looking for a doctor with a special interest in mental health. Ask family and friends for recommendations of doctors who understand mental health, or ring local practices and ask about their doctors. We can help: call the PANDA National Perinatal Anxiety & Depression Helpline on 1300 726 306 and we will help you to find a doctor in your area."}],"markDefs":[],"style":"normal"},{"_key":"b2c3c95b941e","_type":"block","children":[{"_key":"7598b9b306cd","_type":"span","marks":[],"text":"Making an appointment"}],"markDefs":[],"style":"h4"},{"_key":"6e6e07ab72c3","_type":"block","children":[{"_key":"7dae98646b34","_type":"span","marks":[],"text":"If possible, request a double appointment and let them know it’s about a possible mental health issue. Don’t hesitate to ask for an urgent appointment or cancellation. Mental health issues can be serious, and symptoms can change quickly (see below for what to do if you feel worse before the appointment). Ask for an interpreter if you need one. Many people prefer to talk about sensitive issues in their first language, even if they can speak some English"}],"markDefs":[],"style":"normal"},{"_key":"40eb43c26d8f","_type":"block","children":[{"_key":"1536ab6a270b","_type":"span","marks":[],"text":"Consider taking someone"}],"markDefs":[],"style":"h4"},{"_key":"c61251f6b827","_type":"block","children":[{"_key":"c0ba816a8c03","_type":"span","marks":[],"text":"Consider taking a trusted person with you to the appointment, like a partner, friend or family member . A common symptom of anxiety or depression is difficulty taking in or remembering information. A trusted person can take notes for you, and might help you to feel more confident about sharing your concerns."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Talking to your doctor","image":{"_type":"imageWithAlt","alt":"Mum seeing doctor with baby","asset":{"_ref":"image-f12faa68ea2bd2a18594e7c59bdb785fb44d43a2-500x417-png","_type":"reference"}},"text":[{"_key":"d757fe214ce4","_type":"block","children":[{"_key":"d9b3853b7454","_type":"span","marks":[],"text":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"47c962839d97","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"f6d9d0db4055","_type":"faq","answer":[{"_key":"148b115c894f","_type":"block","children":[{"_key":"95ae5c273ff70","_type":"span","marks":[],"text":"If you’re still not sure about sharing your thoughts or feelings with your doctor, it can help to talk with a loved one or friend first. You can also call the PANDA Helpline. Our counsellors are skilled at helping you to explore your feelings, and to practice aloud the things you want to tell your doctor."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"59c4cff19a3d","_type":"block","children":[{"_key":"1a8177ac599b0","_type":"span","marks":[],"text":"Practice the conversation first"}],"markDefs":[],"style":"normal"}]},{"_key":"72490974baf0","_type":"faq","answer":[{"_key":"effbc4dd9b95","_type":"block","children":[{"_key":"877fbb2811ce0","_type":"span","marks":[],"text":"It’s important to tell your doctor about any changes in your thoughts, feelings and behaviours since becoming an expecting or new parent. Remember, these things do not make you a bad parent, but are potential symptoms of a common, treatable health condition. Let the doctor know if you have felt this way and/or been diagnosed with depression, anxiety or another mental health condition before. It’s also important to tell the doctor if you have had previous thoughts of suicide, or if you have lost someone to suicide."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"92847b9f3fdf","_type":"block","children":[{"_key":"e556c7ae5842","_type":"span","marks":[],"text":"What to tell your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"d70aa326f74c","_type":"faq","answer":[{"_key":"afb1d1c51263","_type":"block","children":[{"_key":"5d702f25140b0","_type":"span","marks":[],"text":"Your doctor should be non-judgemental, respectful and supportive.. They should assess you by asking questions about your symptoms, your and your family’s mental health history, your physical health and lifestyle (e.g. exercise, sleep, use of alcohol or drugs), your living situation, major emotional or psychological experiences, and treatment preferences."}],"markDefs":[],"style":"normal"},{"_key":"2bd7c207cd94","_type":"block","children":[{"_key":"00465bc565fa0","_type":"span","marks":[],"text":"After assessment, your doctor should be able to provide a diagnosis (although sometimes more tests are needed before they can make a diagnosis) and a treatment plan. They should explain your different treatment options, and why they are referring you to any specialist services."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"334374aa9b9f","_type":"block","children":[{"_key":"73478b791f18","_type":"span","marks":[],"text":"What to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"3311e258bd75","_type":"faq","answer":[{"_key":"a5ba4ec70e4a","_type":"block","children":[{"_key":"91c17bbeb02a0","_type":"span","marks":[],"text":"You have the right to fully understand your diagnosis and recommended treatment. You could ask:"}],"markDefs":[],"style":"normal"},{"_key":"4bc3162dd3c5","_type":"block","children":[{"_key":"1e674db35e500","_type":"span","marks":[],"text":"What are my options for treatment? Which do you think are best for me?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29499fa2c097","_type":"block","children":[{"_key":"f88a2e215afc0","_type":"span","marks":[],"text":"What are possible side effects of any medications?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c5c37f91fd5","_type":"block","children":[{"_key":"ff7d9457d7b10","_type":"span","marks":[],"text":"How much better might I feel, and how soon?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"785afab243a2","_type":"block","children":[{"_key":"754e2b27ec420","_type":"span","marks":[],"text":"Who are you referring me to? What do they do? How much will it cost? If I have private health insurance, will it be covered? (also check your policy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52a13d009398","_type":"block","children":[{"_key":"9711d2285d470","_type":"span","marks":[],"text":"Are there other ways that I can care for myself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1059035e92d4","_type":"block","children":[{"_key":"f9cd51760cd20","_type":"span","marks":[],"text":"Can you talk with my other health care providers about shared care? (e.g. obstetrician, midwife, Maternal and Child Health/Child and Family Health Nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77e4e12946dd","_type":"block","children":[{"_key":"01336c0ee6de0","_type":"span","marks":[],"text":"Your doctor can refer you to services like counsellors, psychologists, psychiatrists, social workers and occupational therapists. They might give you a mental health care plan, which gives you some Medicare rebates to help you access counselling. For a higher level of care, they might refer you to a Mother Baby Unit — a hospital unit where you stay with your baby — or to another hospital-based psychiatric service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5e39c53e4e16","_type":"block","children":[{"_key":"6e7d757729f3","_type":"span","marks":[],"text":"Questions to ask"}],"markDefs":[],"style":"normal"}]},{"_key":"0fe6884d9fa5","_type":"faq","answer":[{"_key":"a0f34745db53","_type":"block","children":[{"_key":"a2c2141ba0ce0","_type":"span","marks":[],"text":"Not all doctors have the same experience, confidence or qualifications in supporting patients with mental health issues. If the first doctor you see doesn’t help you enough, please don’t give up. You have a right to get the support you need, to feel better and enjoy your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"11105b443a24","_type":"block","children":[{"_key":"d722bb40d5090","_type":"span","marks":[],"text":"Call the PANDA National Helpline any time: to find a doctor or other service, for supportive counselling, or to discuss other support options like playgroups or support groups. You can call for yourself or about someone else you are concerned about."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"31a628481730","_type":"block","children":[{"_key":"f1f0b7bb1fe4","_type":"span","marks":[],"text":"If you don't get what you need"}],"markDefs":[],"style":"normal"}]},{"_key":"55f55b8dc810","_type":"faq","answer":[{"_key":"27705a63f8eb","_type":"block","children":[{"_key":"7dea9d64d2d30","_type":"span","marks":[],"text":"If you need urgent help before your appointment, call emergency services on triple zero (000) or go to your local hospital emergency department. The symptoms and severity of mental illness can sometimes change quickly. Don’t hesitate to seek urgent help if needed."}],"markDefs":[],"style":"normal"},{"_key":"5edf7645473e","_type":"block","children":[{"_key":"693b5731952c0","_type":"span","marks":[],"text":"You can call the PANDA National Perinatal Anxiety & Depression Helpline for support and ongoing counselling on 1300 726 306, Monday to Friday, 9am to 7.30pm AEST/ADST. You can call about yourself or someone else."}],"markDefs":[],"style":"normal"},{"_key":"00f3c1bfa15b","_type":"block","children":[{"_key":"b740844eb25f0","_type":"span","marks":[],"text":"If you need someone to talk with outside PANDA’s hours, call Suicide Call Back Service on 1300 659 467, Suicide Line on 1300 651 251, or Lifeline on 131114."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ee768dd29217","_type":"block","children":[{"_key":"e5933b44caca","_type":"span","marks":[],"text":"If you feel worse"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"c360ec98f5bf","_type":"block","children":[{"_key":"684a02e0b0a60","_type":"span","marks":[],"text":"People often forget things that they wanted to tell or ask their doctor during their appointment. 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Although I was struggling with antenatal depression, I did not use alcohol whilst pregnant. However, after my daughter was born, it yet again became a go to."}],"markDefs":[],"style":"normal"},{"_key":"0bec689213cf","_type":"block","children":[{"_key":"873b0b53ea710","_type":"span","marks":[],"text":"I never received any advice regarding alcohol use before or after pregnancy - despite health professionals knowing I struggled with alcohol use in the past, and it was usually when my mental health deteriorated."}],"markDefs":[],"style":"normal"},{"_key":"2509554df715","_type":"block","children":[{"_key":"18af491a31eb0","_type":"span","marks":[],"text":"I have seen conflicting information on social media, where some people think that it is okay, and others don't. I made the choice not to drink at all during pregnancy, because I knew whatever I was ingesting affects my baby too. "}],"markDefs":[],"style":"normal"},{"_key":"5b1b5238cffb","_type":"block","children":[{"_key":"deede9219e020","_type":"span","marks":[],"text":"After the birth, I didn't feel connected to anyone -especially my daughter. I would spend days in bed and in the evenings, I would have a drink. I didn't drink to get drunk -I never have -but I needed something that made me chill. At the time, I thought it was making me feel better. Although it was never a huge amount of alcohol, it was the frequency and secrecy."}],"markDefs":[],"style":"normal"},{"_key":"c9ae27c46665","_type":"block","children":[{"_key":"43ab849494730","_type":"span","marks":[],"text":"I was connected with the perinatal mental health team whilst pregnant and I think that made me stay on track. However, after my daughter was born I no longer had that support. I struggled majorly to the point of severe self-harm and suicidal ideation. And so, alcohol became the go to - I did what got me through."}],"markDefs":[],"style":"normal"},{"_key":"34ce0f17c4aa","_type":"block","children":[{"_key":"1094538a61d80","_type":"span","marks":[],"text":"Finding the right support "}],"markDefs":[],"style":"h4"},{"_key":"377f57ebf0eb","_type":"block","children":[{"_key":"01c912e600260","_type":"span","marks":[],"text":"I had a three week stay in the mother and baby mental health unit. I learned new techniques and during that time, I didn't have a single drink. "}],"markDefs":[],"style":"normal"},{"_key":"45c61b28a83e","_type":"quote","quote":"It took a lot of effort in that time, and I had to be brutally honest about what was going on for me."},{"_key":"7b0c7daea932","_type":"block","children":[{"_key":"fbaf7da30621","_type":"span","marks":[],"text":" But I’ve always believed honesty is the best policy, and if I hadn't been honest, I wouldn't have got the help I needed. Through sheer determination, I was able to stay on track. However, I relapsed earlier this year. I am now seeking further professional support. Alcohol is one of those things: Dependency creeps up on you and before you know it, it's hard to say no."}],"markDefs":[],"style":"normal"},{"_key":"d55d82b87a4b","_type":"block","children":[{"_key":"84aecdc87d0a0","_type":"span","marks":[],"text":"A message for parents"}],"markDefs":[],"style":"h4"},{"_key":"76dac0297883","_type":"block","children":[{"_key":"4b6f448369b90","_type":"span","marks":[],"text":"One of the tips that has helped me, was making sure I had stock of my favourite non-alcoholic drink so when I fancied a drink, I would drink that instead. However, seeking professional help from a doctor, psychologist or even at the hospital has been the best support."}],"markDefs":[],"style":"normal"},{"_key":"3bb46ccc97eb","_type":"block","children":[{"_key":"ea0c04f168a00","_type":"span","marks":[],"text":"If you think you may have a problem, please speak to someone."}],"markDefs":[],"style":"normal"},{"_key":"ddc699b0f910","_type":"quote","quote":"There is help out there, and you are not alone."},{"_key":"0a039518aeb3","_type":"block","children":[{"_key":"c13e42ce8c5b0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"datePublished":"2024-01-15","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Lauren’s story: Mental health and alcohol in the perinatal period ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-19eb506118ee0875036e7465cc6ca628883b5afc-5184x3456-jpg","_type":"reference"}}},"relatedStories":[{"_id":"a9657436-2179-43e0-bbe4-758cf8e0ddf8","_type":"story","_rev":"S4oNAU3gCxGtMoGLlGPJ3g","_createdAt":"2023-06-14T09:29:27Z","_updatedAt":"2024-08-20T01:42:10Z","categories":[{"_key":"da617a08ae5d","_ref":"f72ed5fd-4128-46cf-b3ca-bdf1ed7b9837","_type":"reference"},{"_key":"52e400491099","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"}],"content":[{"_key":"870cf37438ac","_type":"block","children":[{"_key":"9bca6cc099570","_type":"span","marks":[],"text":"I’m Chris. I’m 47 now, but I was 42 when my partner Suzi and I had our son Oscar. We’re both registered nurses, and our family lives in regional Victoria."}],"markDefs":[],"style":"normal"},{"_key":"7dabac5d2d7f","_type":"block","children":[{"_key":"b4e95d468d2d0","_type":"span","marks":[],"text":"We’d been together a year when we found out that Suz was pregnant. It was such a shock. Suzi didn’t think she was able to get pregnant, after multiple rounds of unsuccessful IVF with a previous partner. To be honest, I never really wanted to be a parent. Probably because of my own parents, my own upbringing. It was just never on the cards for me, and we both thought that ship had sailed for different reasons."}],"markDefs":[],"style":"normal"},{"_key":"a9ee78707414","_type":"block","children":[{"_key":"391a3b82ce870","_type":"span","marks":[],"text":"But then we had Oscar. There’s a new sense of purpose when you become a parent, it broadens your scope. It’s such deep, deep love. Even though it was something I never thought I wanted, I now don't know what I would have done without Oscar, and without my partner – they’ve changed my life."}],"markDefs":[],"style":"normal"},{"_key":"952a361cf52f","_type":"block","children":[{"_key":"73bd41e715a2","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"ede5e8f1331e","_type":"block","children":[{"_key":"92be9059b1860","_type":"span","marks":[],"text":"My Dad was diagnosed with brain cancer in January 2018, then in April I found out that we were pregnant. Dealing with dad dying and the fact we were about to have a baby was one of the hardest things I've ever had to go through. Dad died in September, then Oscar was born two months later. I didn’t cope well with the situation, but I did the best I could with the tools I had at the time."}],"markDefs":[],"style":"normal"},{"_key":"84e1bc0d318d","_type":"block","children":[{"_key":"5028aca9952a0","_type":"span","marks":[],"text":"There was something special about visiting Dad with Suz - this beautiful, glowing pregnant woman, full of new life, her presence in this space of someone dying."}],"markDefs":[],"style":"normal"},{"_key":"5d1dfaa357c4","_type":"block","children":[{"_key":"d72cdc929a170","_type":"span","marks":[],"text":"Managing mental health as a couple"}],"markDefs":[],"style":"h4"},{"_key":"4e81943f8350","_type":"block","children":[{"_key":"42ff833916d60","_type":"span","marks":[],"text":"When Suz became pregnant and when Dad got sick, that strengthened our relationship. Going into it Suz and I both had a history of mental health issues. We received great mental health support all the way through pregnancy and after the birth because our care team knew about it."}],"markDefs":[],"style":"normal"},{"_key":"072bb8bba823","_type":"block","children":[{"_key":"2705207c8bee0","_type":"span","marks":[],"text":"My mum died by suicide when I was little. I knew she’d died, but only found out the rest when I was a teenager. Because that was part of my story, it was on my radar. Going into the perinatal period knowing that suicide was part of the landscape, as horrible as it is,it gave me more awareness."}],"markDefs":[],"style":"normal"},{"_key":"14a1284dd8df","_type":"block","children":[{"_key":"7fec07711a7b0","_type":"span","marks":[],"text":"We had pre-emptive conversations. We had our toolkit, based on how we’d each managed our mental health up until that point. It felt reassuring to know that if this or that happens, we’ve got a bit of a plan."}],"markDefs":[],"style":"normal"},{"_key":"e312931df04a","_type":"block","children":[{"_key":"50ea9e8590fd0","_type":"span","marks":[],"text":"Self-care for dads"}],"markDefs":[],"style":"h4"},{"_key":"a3cc52ad4d91","_type":"block","children":[{"_key":"49e50915876b0","_type":"span","marks":[],"text":"I've focused more on addressing my mental health issues since Oscar has come along. It’s such a positive - I’m doing things with him in mind now, to be the best sort of role model, and dad, and friend that I can be."}],"markDefs":[],"style":"normal"},{"_key":"052ab31b6914","_type":"block","children":[{"_key":"e6f41ca4de6b0","_type":"span","marks":[],"text":"I haven't always done the best job of looking after myself. In the early stages I would drink, but that was absolutely not helpful. Looking back, I feel like that was actually quite selfish. Everyone needs a release and drinking a few beers was like a reward, thinking my partner would be fine looking after bub."}],"markDefs":[],"style":"normal"},{"_key":"1f0806815988","_type":"block","children":[{"_key":"e327616616230","_type":"span","marks":[],"text":"It’s not just the time you spend drinking though. It’s also the way you pull up in the morning, needing time to recover. You have impaired judgement as soon as you’ve consumed alcohol, so that puts extra stress on your partner too, even if they don’t say anything about it."}],"markDefs":[],"style":"normal"},{"_key":"0aad9b03dd4f","_type":"block","children":[{"_key":"5bcfa272a2370","_type":"span","marks":[],"text":"It wasn't the best way to manage, and I wish I hadn’t done it. If I could change something, it would be that. I just needed to find different ways to have a release."}],"markDefs":[],"style":"normal"},{"_key":"dbc6767905ac","_type":"block","children":[{"_key":"e0d4dc003bae0","_type":"span","marks":[],"text":"Time to look after yourself is important, and it takes some organising and negotiation. You’ve got to take it in turns with that kind of thing. Especially in that early stage when looking after a baby is a constant thing, a 24/7 job."}],"markDefs":[],"style":"normal"},{"_key":"ba0ac7bcd120","_type":"block","children":[{"_key":"e37d9628d02a0","_type":"span","marks":[],"text":"It’s saying “I’m gonna take some time now, for myself.” Even if that's taking the dog for a walk for half an hour, or just having a nap when you need it."}],"markDefs":[],"style":"normal"},{"_key":"1ee9a21491aa","_type":"block","children":[{"_key":"2fb37346add50","_type":"span","marks":[],"text":"Time away, quiet time to allow yourself to think and reflect. But self-care is also enjoying your new baby, having time with your family. For me it was also just watching my partner be such an awesome parent."}],"markDefs":[],"style":"normal"},{"_key":"765d113bfbcb","_type":"block","children":[{"_key":"38a45dcfa55c0","_type":"span","marks":[],"text":"I just feel that I've been blessed with such a beautiful human that surprises me every day. Oscar is so loving, so intelligent. He's got a wicked sense of humour. "}],"markDefs":[],"style":"normal"},{"_key":"e91db0d09090","_type":"block","children":[{"_key":"71c5599b6c82","_type":"span","marks":[],"text":"And I'm a proud dad."}],"markDefs":[],"style":"normal"},{"_key":"02a388294bef","_type":"block","children":[{"_key":"6e24273cf0e7","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f3964c06d39f","_type":"quote","quote":"You've got to make the time to spend with your baby. You can't force magical things to happen in a half hour period. Parenthood can be quite boring, the monotony of the routine, but in the middle of all that something magical happens. "}],"datePublished":"2023-06-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Chris' Story","image":{"_type":"imageWithAlt","alt":"Chris laying down with newborn baby","asset":{"_ref":"image-16d2e0c0b8852ebf8d646648c3aa7a4cd11eb147-2048x1536-jpg","_type":"reference"}},"text":[{"_key":"24363aeedf51","_type":"block","children":[{"_key":"753891a105250","_type":"span","marks":[],"text":"I think maybe it's a male pride thing, but you just can't solve all your problems by yourself. You’ve got to reach out, especially when you feel like you’re both struggling."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"5d19b3c80900","_type":"video","youTubeUrl":"https://youtu.be/FHuyKvuLv88"},{"_key":"9dc471a769fb","_type":"articleCollection","background":{"title":"brightTeal40","value":"#C3EDEA"},"eyebrow":"Articles","population":"select","posts":[{"_key":"7eb334d2c9d4","_ref":"421a9561-4b20-49f6-ba43-d83aade5b600","_type":"reference"},{"_key":"07ec47f2927d","_ref":"e6e6a893-d5d8-4628-851b-989152d74fef","_type":"reference"},{"_key":"35f4b8770b8a","_ref":"10b7738e-1d41-4751-b5eb-e9e83a40dda2","_type":"reference"}]},{"_key":"156d319e6f93","_type":"helpLine","field":"content"}],"seo":{"_type":"seo","metaDescription":"I think maybe it's a male pride thing, but you just can't solve all your problems by yourself. 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I have a wonderful husband and two beautiful children, a pigeon pair who are 6 and 4. I live in regional Central Queensland and I am a childhood survivor of domestic violence."}],"markDefs":[],"style":"normal"},{"_key":"161d25ed27cd","_type":"block","children":[{"_key":"182fbbd9af2f0","_type":"span","marks":[],"text":"My whole life, I have struggled with what I now know is anxiety, Obsessive Compulsive Disorder (OCD) and Complex Post Traumatic Stress Disorder (C-PTSD). I thought I was the efficient person at work who was a strong leader and got things done despite the stress it caused me and the tears shed in hidden spaces."}],"markDefs":[],"style":"normal"},{"_key":"3613ded8e6ee","_type":"block","children":[{"_key":"9d80c58e01390","_type":"span","marks":[],"text":"I gave birth to my second child in 2019. I had a beautiful, complication-free birth, and my baby boy was calm and healthy. However, people quickly started pointing out how much he looked like my father, who significantly physically and emotionally abused me, my mum and siblings, before dying by suicide when I was 12."}],"markDefs":[],"style":"normal"},{"_key":"79100cb21d77","_type":"quote","quote":"Initially, I would just shake off those comments, but before long, I was unable to put my baby down for fear he would die. "},{"_key":"d6a0bfc2b0b1","_type":"block","children":[{"_key":"e8b0bb63a815","_type":"span","marks":[],"text":"I couldn't leave the house, and most alarmingly, I would look at my baby and see my father and wonder ‘how could I ever love him?’. All while loving him more than anything and fearing that I would lose him too. My husband advocated for me, and I was referred to a psychologist."}],"markDefs":[],"style":"normal"},{"_key":"e98e64632b0f","_type":"block","children":[{"_key":"66e2f4f524070","_type":"span","marks":[],"text":"This was my second child, and after an easy postpartum journey the first time, I was not expecting to be hit with postnatal mental health issues the second time around."}],"markDefs":[],"style":"normal"},{"_key":"f106805784cc","_type":"block","children":[{"_key":"9066b9e593860","_type":"span","marks":[],"text":"Upon meeting with the psychologist, it soon became clear that I was actually suffering from a significant flare-up of C-PTSD brought on by the comments about my baby looking like my father. "}],"markDefs":[],"style":"normal"},{"_key":"973041333331","_type":"block","children":[{"_key":"5713b9ff2bdf0","_type":"span","marks":[],"text":"Our families were not aware of my suffering as I didn't want anyone to know, so my husband and I needed to keep up appearances, which always added more stress. When I finally felt confident enough to tell my family, it ended in a falling out with a close family member. We now have not spoken for over two years, which hurts my heart every day."}],"markDefs":[],"style":"normal"},{"_key":"d96af7497281","_type":"block","children":[{"_key":"7ea35fd9c6780","_type":"span","marks":[],"text":"My husband could see that I was suffering. He would find me crying, shaking and not coping. He would have to physically take our son from me at bedtime and put him down to sleep because my arms and mind had a vice grip on him that would not allow me to put him down in case he never woke up again."}],"markDefs":[],"style":"normal"},{"_key":"49c792831daf","_type":"block","children":[{"_key":"a0f95404f1890","_type":"span","marks":[],"text":"One day when preparing for our 4-week appointment with the community nurses, my husband told me that if I was not truthful with them about how I was feeling, he would tell them because one way or another, I was getting help that day."}],"markDefs":[],"style":"normal"},{"_key":"1e007f185646","_type":"block","children":[{"_key":"a2ff52015b650","_type":"span","marks":[],"text":"I also confided in a friend about my struggles, and she gave me the name of a psychologist she had been seeing and assured me she would be able to help. I was nervous, as the only other time I had seen a psychologist, it didn't help, and I ceased attending."}],"markDefs":[],"style":"normal"},{"_key":"1ea8b61c308a","_type":"block","children":[{"_key":"3d65c9c846720","_type":"span","marks":[],"text":"At my first appointment, I was met by a warm, motherly, yet no bars held, South African Psychologist. She wears fabulous dresses and glasses, yet she is warm and empathetic. She was the one for me!"}],"markDefs":[],"style":"normal"},{"_key":"00856ad52480","_type":"block","children":[{"_key":"70c456f3a8cf0","_type":"span","marks":[],"text":"Nothing I told her about my life shocked her. "}],"markDefs":[],"style":"normal"},{"_key":"072aab111a3a","_type":"quote","quote":"She assured me that I was not a bad mother because of the thoughts I was having, and she enveloped me in her care."},{"_key":"3c32366de718","_type":"block","children":[{"_key":"4da70cdd89360","_type":"span","marks":[],"text":"Over four years later, I still see her, and she is part of the reason I am now studying to be a psychologist."}],"markDefs":[],"style":"normal"},{"_key":"cd1b655ba766","_type":"block","children":[{"_key":"f108fe406396","_type":"span","marks":[],"text":"It was a slow burn because I had over 20 years of untreated trauma to unpack. Over time, I learned to understand why I am the way I am, and it has made my life, and my husbands so much easier. When I feel a certain way and I don't know why, I have the tools now to take stock and investigate within and find the reason why. I still have anxiety related to my son, and keeping him safe. But it is much less now, and I understand my little behaviours around this."}],"markDefs":[],"style":"normal"},{"_key":"1bac0285584a","_type":"block","children":[{"_key":"15b28a910f7e0","_type":"span","marks":[],"text":"I found it very difficult to leave the house on my own with my children for the first six months of my sons life. I slowly found places that I felt safe to go with my children and once a week we would go out for babycinos and coffee."}],"markDefs":[],"style":"normal"},{"_key":"d316272f9269","_type":"block","children":[{"_key":"3f14d3f669080","_type":"span","marks":[],"text":"I continue to see my therapist at least every two months and more when I am struggling. I try to do yoga as often as I can, be mindful in my activities and interactions, and be kind to myself when things are hard."}],"markDefs":[],"style":"normal"},{"_key":"70de9cce616d","_type":"block","children":[{"_key":"91d07f42f2540","_type":"span","marks":[],"text":"I have a wonderful group of friends who I can turn to and who would be here for me in a heartbeat. Cultivating this mindset and having the confidence to be open about my mental health has not been easy, but it has been worth it. I am now able to do things that, once upon a time I would have not even considered."}],"markDefs":[],"style":"normal"},{"_key":"187002122bd1","_type":"block","children":[{"_key":"190dbfa96d3a0","_type":"span","marks":[],"text":"My message for parents experiencing mental health challenges it this: It's ok - these thoughts and feelings you have now do not make you a bad person or parent. Having children is really tough, especially when it is your first. Asking for help can be scary, but it is the best thing you can do for yourself and your baby. The first step is the hardest step, but you can do it. You are a good parent, I am proud of you, and you've got this."}],"markDefs":[],"style":"normal"},{"_key":"f2e8a06716fe","_type":"quote","quote":"These thoughts and feelings you have now do not make you a bad person or parent"}],"datePublished":"2023-10-19","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Megan's story: Complex Post Traumatic Stress Disorder as a new parent","image":{"_type":"imageWithAlt","alt":"Megan's family","asset":{"_ref":"image-08bed01e87668945aeb63c5091481f1393bd0a9e-5472x3648-jpg","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0.1669595782073814,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.8330404217926186,"x":0.4165202108963093,"y":0.5}},"text":[{"_key":"b2af9fa1d774","_type":"block","children":[{"_key":"af09c512dc06","_type":"span","marks":[],"text":"\"I would look at my baby and see my father and wonder ‘how could I ever love him?’. 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Shortly after arriving, I met my now-husband. We got married after four years and had a baby in July 2022. Aside from my in-laws and my daughter, I have no family here."}],"markDefs":[],"style":"normal"},{"_key":"89fd2f8fd3a1","_type":"block","children":[{"_key":"5293e514eb140","_type":"span","marks":[],"text":"Experiencing a traumatic birth"}],"markDefs":[],"style":"h4"},{"_key":"1b36e9330148","_type":"block","children":[{"_key":"4d988eeac3a00","_type":"span","marks":[],"text":"I had my first panic attack the second day after the birth. On paper, my birth experience probably looked rather normal. It was traumatic for me. My daughter was head down but facing forward (posterior), which resulted in a very painful labour with no progress. So, I was asked to make decisions quickly. I opted for an epidural and induction. She was born shortly after, but I was just exhausted and not happy. There was not a lot of sleep, and I was often alone in the hospital. It was, overall, a bad experience."}],"markDefs":[],"style":"normal"},{"_key":"a6230ad35218","_type":"block","children":[{"_key":"1341504cb9e9","_type":"span","marks":[],"text":"So, I asked to speak to a social worker there. After she left, I had a panic attack. The nurses suggested I go on a walk. Unfortunately, they were either not trained or had no time to help. I was discharged two hours later. At home, I cried hysterically. I got better the next few days because I was able to sleep."}],"markDefs":[],"style":"normal"},{"_key":"90c130b5ea1a","_type":"block","children":[{"_key":"4bb2246732ef0","_type":"span","marks":[],"text":"I thought pregnancy and parenthood would be tough, but I could swing it."}],"markDefs":[],"style":"normal"},{"_key":"3a770c2fcd25","_type":"quote","quote":"I did not take into account how intense the recovery from pregnancy and birth would be, nor the toll it would take on my mental health."},{"_key":"f1103baa871d","_type":"block","children":[{"_key":"da7f0e8e128b","_type":"span","marks":[],"text":"This was the darkest place I've ever been to."}],"markDefs":[],"style":"normal"},{"_key":"816aaf2ad321","_type":"block","children":[{"_key":"b9859ab3348a0","_type":"span","marks":[],"text":"When my mother went back to our home country two weeks later, I had a breakdown with constant panic attacks and depression. I couldn't eat, get out of bed, or hold my daughter. 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I didn’t want to suffer anymore."}],"markDefs":[],"style":"normal"},{"_key":"ead9a721758f","_type":"block","children":[{"_key":"518519ac9f610","_type":"span","marks":[],"text":"I made an appointment with my GP, who put me on a mental health plan and prescribed me antidepressants and some emergency medications at the first appointment. I was able to get a therapy appointment the same week. This goes to show that health professionals take these things very seriously and are eager to help us as fast as possible."}],"markDefs":[],"style":"normal"},{"_key":"dbc651f8c41a","_type":"block","children":[{"_key":"e8d2041548ca0","_type":"span","marks":[],"text":"Things improved quickly in some ways. My mood came up again, but there were bad days too. It took a while to get the medication right. Once the depression waned, I started having intrusive (unintentional and unwanted) thoughts of harm coming to my baby. At first, I imagined her bumping her head while I carried her. It evolved from there. One morning, I was in the kitchen, and a voice told me to stab her. I was terrified and had a massive panic attack. I was worried I was losing my mind. I went for a two-hour walk with my daughter while on the phone with my mum. My doctor then referred me to a psychiatrist who increased my dose and diagnosed postnatal obsessive-compulsive disorder (OCD). The thoughts disappeared. In therapy, I worked through those thoughts as well. Turns out, I get them when I think I am an incompetent mother."}],"markDefs":[],"style":"normal"},{"_key":"3c75d0043619","_type":"block","children":[{"_key":"13038357617b0","_type":"span","marks":[],"text":"I am still in therapy and on anti-depressants. In my everyday life, I pay attention to signs of me being exhausted, stressed or down. These are the times I am most vulnerable."}],"markDefs":[],"style":"normal"},{"_key":"097694d67241","_type":"block","children":[{"_key":"a7bb9887be1d0","_type":"span","marks":[],"text":"Practicing self-care"}],"markDefs":[],"style":"h4"},{"_key":"a64d6fb8985d","_type":"block","children":[{"_key":"1919849718940","_type":"span","marks":[],"text":"There are many little one-percenters that improve my overall health: walks, meditation, gardening, socialising, allowing myself and my partner some slack in the household, etc."}],"markDefs":[],"style":"normal"},{"_key":"d2d16d50bd79","_type":"quote","quote":"I felt ashamed about my violent intrusive thoughts. However, there was nothing to be ashamed of."},{"_key":"0978483a6f7f","_type":"block","children":[{"_key":"cfbcd306d90a","_type":"span","marks":[],"text":"For parents who might be struggling, you will get better. You are working hard and doing your best. You are never alone. I didn't choose nor want this, and neither do you."}],"markDefs":[],"style":"normal"},{"_key":"bcf27c3b4d3e","_type":"block","children":[{"_key":"de7fb6eec079","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"datePublished":"2024-01-08","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Lisa’s story: Recovering from a traumatic birth ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-4db76682b4b6b775b6559c66468d2493069d915e-1600x900-jpg","_type":"reference"}},"text":[{"_key":"12dd52a6bfba","_type":"block","children":[{"_key":"1acae5d59769","_type":"span","marks":[],"text":"\"On paper, my birth experience probably looked rather normal. 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Often people drink alcohol in combination with other substances like tobacco, cannabis, and prescription and illicit drugs."}],"markDefs":[],"style":"normal"},{"_key":"2d5e42781b51","_type":"block","children":[{"_key":"688df992e1480","_type":"span","marks":[],"text":"Alcohol can affect our thoughts, feelings and behaviour. Alcohol use is often associated with enjoyable feelings because it stimulates the release of dopamine in our brains, the ‘pleasure and reward’ hormone. Yet the more we drink alcohol, the less dopamine our brain produces. "}],"markDefs":[],"style":"normal"},{"_key":"70b87ca9af47","_type":"block","children":[{"_key":"d19fbb68f752","_type":"span","marks":[],"text":"For people who are already feeling a bit down or anxious, drinking more alcohol might make you feel worse and can contribute to symptoms of depression or anxiety."}],"markDefs":[],"style":"normal"},{"_key":"4b2a0528b586","_type":"block","children":[{"_key":"0b86b350e828","_type":"span","marks":[],"text":"In addition to experiencing worsening mental health, alcohol is also associated with an increased risk of suicide."}],"markDefs":[],"style":"normal"},{"_key":"0de4943d8dfa","_type":"block","children":[{"_key":"d32d46a33462","_type":"span","marks":[],"text":"If you feel like alcohol use is impacting your mental health, you can contact one of the support services listed at the end of this article."}],"markDefs":[],"style":"normal"},{"_key":"60295a87a607","_type":"block","children":[{"_key":"5b1e624bb27c0","_type":"span","marks":["strong"],"text":"Produced in collaboration with the "},{"_key":"31a134911b64","_type":"span","marks":["strong","c335e5b0224e"],"text":"Alcohol and Drug Foundation"},{"_key":"34d737994af3","_type":"span","marks":["strong"],"text":"."}],"markDefs":[{"_key":"c335e5b0224e","_type":"link","blank":true,"linkType":"external","url":"https://adf.org.au/"}],"style":"normal"},{"_key":"31b9050b6eae","_type":"quote","attribution":"Chris, PANDA Community Champion","quote":"Drinking alcohol wasn't the best way to manage, and I wish I hadn’t done it. If I could change something, it would be that. I just needed to find different ways to have a release. Time to look after yourself is important, whether that’s walking the dog or having a nap."}],"datePublished":"2023-12-19","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Alcohol use in the perinatal period: Support for all parents ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-5fa2c89ec442d97d78839cc2bb08ed2d947f87f6-2592x3888-jpg","_type":"reference"}}},"modules":[{"_key":"1783e3850d22","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"e0206eda62ff","_type":"faq","answer":[{"_key":"1c3a50acb329","_type":"block","children":[{"_key":"f5e86bd8d7ea0","_type":"span","marks":["strong"],"text":"The best time to reduce alcohol intake is when you’re planning to become pregnant."},{"_key":"b6825c802b8f","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"1bd5b9773d4b","_type":"block","children":[{"_key":"0f9247f5b008","_type":"span","marks":[],"text":"If your pregnancy is unplanned, it’s best to stop drinking as soon as you discover you are pregnant."}],"markDefs":[],"style":"normal"},{"_key":"7be2410b745d","_type":"block","children":[{"_key":"4a5c99bc1f710","_type":"span","marks":[],"text":"When pregnancy is confirmed, many parents want to reduce or stop drinking alcohol. If alcohol is a big part of your lifestyle, it’s okay to seek support to help you cut back "}],"markDefs":[],"style":"normal"},{"_key":"f6b53f4493f0","_type":"block","children":[{"_key":"a5ed17aee0070","_type":"span","marks":["strong"],"text":"Conflicting information from different healthcare providers may be confusing. Sometimes people are told that ‘an occasional alcoholic drink’ is okay but we know from decades of research that there is no safe amount of alcohol to consume when trying for a baby, during pregnancy and when breastfeeding."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5365b4f81c91","_type":"block","children":[{"_key":"6f6fd388646a","_type":"span","marks":[],"text":"Alcohol during pregnancy"}],"markDefs":[],"style":"normal"}]},{"_key":"adf9b7c06d08","_type":"faq","answer":[{"_key":"304a6fe9f6ef","_type":"block","children":[{"_key":"be4c7f81f3450","_type":"span","marks":[],"text":"When you’re already feeling sleep-deprived caring for a new baby, it may be tempting to drink alcohol before bed. Although drinking alcohol may make us feel drowsy and fall asleep at first, it can reduce the overall quality and duration of sleep."}],"markDefs":[],"style":"normal"},{"_key":"365c98f4fa28","_type":"block","children":[{"_key":"02a7dbeb90630","_type":"span","marks":[],"text":"Being alcohol-affected when you go to bed may make it difficult for you to wake up when needed to care for your baby and other children overnight."}],"markDefs":[],"style":"normal"},{"_key":"e8613d2b305c","_type":"block","children":[{"_key":"3c81df0104940","_type":"span","marks":[],"text":"Feeling hungover the next day while caring for your baby may also intensify a cycle of poor sleep and daytime exhaustion."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1cabe656cf50","_type":"block","children":[{"_key":"d991502d09730","_type":"span","marks":[],"text":"Alcohol and sleep"}],"markDefs":[],"style":"normal"}]},{"_key":"b6b698bd09f7","_type":"faq","answer":[{"_key":"322def2f7f44","_type":"block","children":[{"_key":"7a19ea7cc8010","_type":"span","marks":[],"text":"It’s important that you never co-sleep with your baby while you’re alcohol or substance affected."}],"markDefs":[],"style":"normal"},{"_key":"e2389c86cec9","_type":"block","children":[{"_key":"c3531cd451310","_type":"span","marks":[],"text":"If you’ve drunk alcohol or used other drugs (including prescription medications), you can become tired quickly and fall asleep while cuddling your baby."}],"markDefs":[],"style":"normal"},{"_key":"ab999ee07ec3","_type":"block","children":[{"_key":"289baa7da1110","_type":"span","marks":["11650c42d394"],"text":"Accidentally co-sleeping"},{"_key":"289baa7da1111","_type":"span","marks":[],"text":" in a chair, or on the couch while you’re alcohol and/or substance-affected carries an increased risk of injury to your little one, including fatal sleeping accidents."}],"markDefs":[{"_key":"11650c42d394","_type":"link","blank":true,"href":"https://rednose.org.au/news/accidental-co-sleeping","linkType":"external","url":"https://rednose.org.au/news/accidental-co-sleeping"}],"style":"normal"},{"_key":"4fcec897668b","_type":"block","children":[{"_key":"71884fcc99560","_type":"span","marks":[],"text":"The safest place for your bub to sleep is in their cot or bassinette. 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"}],"markDefs":[],"style":"normal"},{"_key":"550b99b86da3","_type":"block","children":[{"_key":"8ce40f1d1392","_type":"span","marks":[],"text":"It takes courage to admit to someone else that you’re feeling distressed or overwhelmed, and not coping as well as usual. Many expecting and new parents report feelings of isolation, shame and self-blame when they’re having thoughts of suicide. This can stop people from reaching out for support when they need it the most.\n\nIn Australia, suicide is a leading cause of maternal death during pregnancy and the first year after birth. Emerging research suggests fathers and non-birthing parents are also at increased risk of experiencing thoughts of suicide during the transition to parenthood.\n\nPANDA is committed to having conversations about suicide prevention and risk management in the perinatal period. It’s essential that expecting and new parents can speak openly and honestly about how they’re feeling, and access effective support to help manage distressing thoughts and feelings as soon as possible."}],"markDefs":[],"style":"normal"},{"_key":"184bdea01d1f","_type":"block","children":[{"_key":"1360c90aeb4d","_type":"span","marks":[],"text":"\n"},{"_key":"ccce7d67b699","_type":"span","marks":["strong"],"text":"Talking about suicide doesn’t increase the risk that someone will attempt to take their own life – but it can increase safety by reducing feelings of isolation and hopelessness."}],"markDefs":[],"style":"normal"},{"_key":"1b6468acf3f3","_type":"block","children":[{"_key":"d7deb96db034","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"d3308b5d16d2","_type":"block","children":[{"_key":"8f9912066314","_type":"span","marks":[],"text":"Providing space for someone to talk openly about feeling suicidal is an opportunity for:"}],"markDefs":[],"style":"normal"},{"_key":"1b9c284a3a1e","_type":"block","children":[{"_key":"0d5b79447890","_type":"span","marks":[],"text":"Connection"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4e9b95258d76","_type":"block","children":[{"_key":"e90900beb200","_type":"span","marks":[],"text":"Reassurance"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cec8c2c41029","_type":"block","children":[{"_key":"a63ede044226","_type":"span","marks":[],"text":"Safe support"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d7260d0ccb90","_type":"block","children":[{"_key":"ce718d1084cc","_type":"span","marks":[],"text":"Hope for change"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"95db960099ba","_type":"block","children":[{"_key":"40db9ceab9ce","_type":"span","marks":[],"text":"Thoughts of suicide are common during pregnancy and the first year of a baby’s life. On the PANDA Helpline, we provide over 40,000 counselling calls to expecting and new parents and their support people every year. We offer suicide prevention support in around 20% of those calls.\n\nThat’s 1 in 5 people needing support from PANDA to talk about suicide. Some people are experiencing thoughts of suicide themselves and reaching out for help. Other people want to know how they can support a loved one in distress.\n\nOur Helpline counsellors are experienced and comfortable in talking about suicide. We understand that people are often nervous about sharing frightening thoughts and feelings. Our counsellors create a caring, nonjudgmental space for you to discuss your concerns.\n"}],"markDefs":[],"style":"normal"},{"_key":"28e1964be325","_type":"block","children":[{"_key":"7951bb9f45bc0","_type":"span","marks":[],"text":"We’ll work together with you to create a personalised mental health safe plan to help manage distress, including ways to cope with thoughts of suicide."}],"markDefs":[],"style":"normal"},{"_key":"f09034cba882","_type":"button","link":{"_type":"link","blank":true,"document":{"_id":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"article","_rev":"wOo252sIOQQ29dCH6ugnlG","_createdAt":"2022-02-14T07:27:37Z","_updatedAt":"2024-01-08T04:49:06Z","categories":[{"_key":"7f3f1395014b","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"4415bc44038e","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"12a2c3c6354b","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"cf9ab8067adb","_type":"block","children":[{"_key":"7a26732ea8500","_type":"span","marks":[],"text":"The PANDA National Helpline is available 9am – 7:30pm AEST, but we’re not a crisis service. We understand that it’s often the early hours of the morning when our callers are feeling overwhelmed, unable to cope, and need support services they can access for immediate help."}],"markDefs":[],"style":"normal"},{"_key":"745bc224fc5d","_type":"block","children":[{"_key":"1f0ba379f1dd0","_type":"span","marks":[],"text":"Below are two mental health safe plans that can be used any time of the day or night."}],"markDefs":[],"style":"normal"},{"_key":"7f17a2fea1a4","_type":"block","children":[{"_key":"a136da2ffb120","_type":"span","marks":[],"text":"The first safe plan is for you if you’re having a hard time coping. There’s also a safe plan for people who are caring for a loved one experiencing mental health difficulties."}],"markDefs":[],"style":"normal"},{"_key":"a02ba8b009a3","_type":"block","children":[{"_key":"0b041dfc97970","_type":"span","marks":[],"text":"We encourage you to share your safe plan with anyone that’s supporting you. That might be your partner, family, friends or a trusted health professional."}],"markDefs":[],"style":"normal"},{"_key":"0a992d1d1440","_type":"block","children":[{"_key":"58a80b69273f","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Mental health safe plans","image":{"_type":"imageWithAlt","alt":"mum admiring her sleeping baby","asset":{"_ref":"image-44b1c552b4ddca5cc1fb896d9fe21b7e93524796-2500x2000-jpg","_type":"reference"}},"text":[{"_key":"94343f14dcae","_type":"block","children":[{"_key":"cb95de9afb220","_type":"span","marks":[],"text":"24/7 mental health supports are available. Learn about mental health safe plans you can use day or night."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"5730cbb1c899","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"ab48739001be","_type":"faq","answer":[{"_key":"544027c04c4c","_type":"block","children":[{"_key":"5dbf04bb559b0","_type":"span","marks":[],"text":"This Mental Health Safe Plan was created for you to use whenever you need some extra support. 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gravidarum"},{"_key":"37881a38ee7d","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"0f7cfab587b6","_type":"link","blank":true,"linkType":"external","url":"https://www.hyperemesisaustralia.org.au/"}],"style":"normal"},{"_key":"e2c0ad2b99f8","_type":"block","children":[{"_key":"95d93cf6f3820","_type":"span","marks":[],"text":"High-risk pregnancy."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"111c83f91d3b","_type":"block","children":[{"_key":"d9335376e25a0","_type":"span","marks":["strong"],"text":"Post-birth"}],"markDefs":[],"style":"normal"},{"_key":"3a777e965f1f","_type":"block","children":[{"_key":"38038ef284960","_type":"span","marks":[],"text":"Diagnosis of postnatal depression, bipolar disorder and/or postnatal psychosis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8b9c4579346d","_type":"block","children":[{"_key":"09a95eff1d5b0","_type":"span","marks":[],"text":"Traumatic birth experience."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f3be7c2505a6","_type":"block","children":[{"_key":"30cc1e66cb910","_type":"span","marks":[],"text":"Caring or a premature or unwell baby."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1f93aea1a5bc","_type":"block","children":[{"_key":"17c7f089c51b0","_type":"span","marks":[],"text":"Being a parent of multiple babies."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"99b59b354593","_type":"block","children":[{"_key":"48c94a23be9d0","_type":"span","marks":[],"text":"Bonding and attachment issues."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1473e15c4db6","_type":"block","children":[{"_key":"731d41f7ef4c0","_type":"span","marks":[],"text":"Feeling overwhelmed as a parent (sleep deprivation, mental health changes, feeding and sleep/settle difficulties)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2c3e37c88138","_type":"block","children":[{"_key":"a944512194be0","_type":"span","marks":[],"text":"Grief and loss about hopes/expectations vs the reality of parenthood."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9cfc1a715d23","_type":"block","children":[{"_key":"1f55ccdec99b0","_type":"span","marks":[],"text":"Self-esteem issues: feeling inadequate, or a sense of failure (often about being a parent)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7faf37c147da","_type":"block","children":[{"_key":"8a32ee5d6fdc0","_type":"span","marks":[],"text":"Feelings of hopelessness or defeat, being ‘trapped’, utterly alone, and ashamed are common amongst people experiencing thoughts of suicide - especially if high hopes of what pregnancy and parenthood might be like do not match the reality of life with a baby."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"9936eb31823d","_type":"block","children":[{"_key":"3ddeb6a4b7be0","_type":"span","marks":[],"text":"Perinatal suicide: Risk factors"}],"markDefs":[],"style":"normal"}]},{"_key":"345bb6e3df1e","_type":"faq","answer":[{"_key":"480750f83f4e","_type":"block","children":[{"_key":"7f70b928475a0","_type":"span","marks":[],"text":"It may seem simple, but just having someone to talk to – who listens to you with curiosity, compassion, without judgement – can decrease the risk of suicidality.\n\nDuring pregnancy and early parenthood, having support people for yourself and your baby is also protective. A strong support network can include family, social contacts and perinatal health professionals.\n\nFind people you feel safe to talk with and be around. Thoughts of suicide may be easier to manage when you’re connected to people who care for you and your baby. A support network can help you look after your own physical and mental health, and emotional and social wellbeing whilst you’re caring for your baby."}],"markDefs":[],"style":"normal"},{"_key":"378795951bf3","_type":"block","children":[{"_key":"3ce3d00af5d6","_type":"span","marks":[],"text":"Your support network may include:"}],"markDefs":[],"style":"normal"},{"_key":"fc74dde25c6e","_type":"block","children":[{"_key":"1d67741d3626","_type":"span","marks":[],"text":"Your partner, family and friends."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2635b15edc16","_type":"block","children":[{"_key":"910447a4ba87","_type":"span","marks":[],"text":"Health professionals (like your midwife, GP, counsellor, child health nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c3d02dc2aa90","_type":"block","children":[{"_key":"56ba1aaf0b75","_type":"span","marks":[],"text":"Peer supports (new parents’ group, online support).\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"783ba8649e50","_type":"block","children":[{"_key":"3d6207c8879d","_type":"span","marks":[],"text":"The transition from a busy work and social life to being at home by yourself with a new baby can feel isolating and overwhelming. Having loved ones around to share in caregiving responsibilities, give you a break, and have a chat to, can reduce feelings of isolation, self-doubt, and hopelessness.\n\nSometimes relationships shift when you’re having a baby, especially if people in your social network aren’t parents themselves. You may find it helpful to meet other new parents by joining a playgroup or online support group for expecting and new parents."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ea075538d70d","_type":"block","children":[{"_key":"a8bc61f003bf0","_type":"span","marks":[],"text":"Perinatal suicide: Protective factors"}],"markDefs":[],"style":"normal"}]},{"_key":"3e71731e7f7b","_type":"faq","answer":[{"_key":"fac3de4131ef","_type":"block","children":[{"_key":"0f27b13999a20","_type":"span","marks":[],"text":"Often, there are physical changes and behavioural signs that indicate an expecting or new parent isn’t coping as well as usual and could benefit from extra support.\n\nWarning signs include, but are not limited to:"}],"markDefs":[],"style":"normal"},{"_key":"f5cc51f204a3","_type":"block","children":[{"_key":"41502e1c4c6c","_type":"span","marks":["71da5245780a"],"text":"Symptoms of anxiety and depression"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"71da5245780a","_type":"link","blank":true,"document":{"_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"23bc8daa93e9","_type":"block","children":[{"_key":"0a29ec239ecb","_type":"span","marks":[],"text":"Reduced interest in personal hygiene and appearance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"258851b685d7","_type":"block","children":[{"_key":"bde305a67c12","_type":"span","marks":[],"text":"Noticeable changes to sleep and appetite/weight patterns."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d19dba64071b","_type":"block","children":[{"_key":"c46bc148c3aa","_type":"span","marks":[],"text":"Social withdrawal (partner, family, friends)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"332eea94d106","_type":"block","children":[{"_key":"f3588fd2d0b7","_type":"span","marks":[],"text":"Missing healthcare appointments (ante and postnatal care, mental health)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d908fc01eb7f","_type":"block","children":[{"_key":"3ffe5bbdf1cb","_type":"span","marks":[],"text":"Ceasing activities that were previously important (like your hobbies, playgroup)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"05cd59c1901f","_type":"block","children":[{"_key":"c61cd345930b","_type":"span","marks":[],"text":"Reckless behaviours (such as driving, conflict with others, increased alcohol and/or drug use)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fae24301d6c1","_type":"block","children":[{"_key":"a7027fd81c9f","_type":"span","marks":[],"text":"Saying goodbye to loved ones, starting to give away treasured possessions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4024ab218569","_type":"block","children":[{"_key":"1123c21205fe0","_type":"span","marks":[],"text":"You may notice other behavioural warning signs that someone isn’t coping as well as usual. Trust your senses if you think something is wrong and you feel concerned."}],"markDefs":[],"style":"normal"},{"_key":"926f58fc28db","_type":"block","children":[{"_key":"5e51ba5b09f1","_type":"span","marks":[],"text":"Below are some ways you might like to approach a conversation with the person you’re supporting. We encourage you to consider speaking with a health professional or calling a helpline for information and guidance on ways to support your loved one as well."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"c9060b7c9494","_type":"block","children":[{"_key":"bcfbd832e9890","_type":"span","marks":[],"text":"Perinatal suicide: Warning signs (non-verbal)"}],"markDefs":[],"style":"normal"}]},{"_key":"d73e22d18c69","_type":"faq","answer":[{"_key":"e3ae14ddec0a","_type":"block","children":[{"_key":"8adb0eb31f420","_type":"span","marks":[],"text":"Some expecting and new parents may talk openly that they’re thinking about suicide, but often the verbal warning signs are less direct.\n\nStatements indicating hopelessness, despair, inability to cope, feelings of inadequacy, failure, shame, or being a burden on others are often a sign that extra support is needed.\n\nIf you’ve been having thoughts like those listed below, or you hear a loved one saying these things, it may be a sign they’re feeling distressed and/or thinking about suicide:"}],"markDefs":[],"style":"normal"},{"_key":"840295f0ba6b","_type":"block","children":[{"_key":"b44358f3ecaf","_type":"span","marks":[],"text":"I’ve had enough. I can’t do this anymore."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"20cebefcb3df","_type":"block","children":[{"_key":"4c7c0ea926a90","_type":"span","marks":[],"text":"I just want to escape."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2c2b7bd1c4eb","_type":"block","children":[{"_key":"52d15b479e580","_type":"span","marks":[],"text":"I feel like leaving. I wish I could disappear."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8620d8992062","_type":"block","children":[{"_key":"69a891ad808a0","_type":"span","marks":[],"text":"They wouldn’t even notice if I was gone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c1c1ce7f46b","_type":"block","children":[{"_key":"c85caf5045580","_type":"span","marks":[],"text":"I feel so broken inside. I’m damaged and I always will be."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b30eb51673c9","_type":"block","children":[{"_key":"2680f171b9860","_type":"span","marks":[],"text":"What’s the point? Things are never going to change. I give up."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6f7cf17581ad","_type":"block","children":[{"_key":"8551eb90a7620","_type":"span","marks":[],"text":"I’m such a failure at everything. I’m a terrible parent, my baby deserves better."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b772ae45cc0c","_type":"block","children":[{"_key":"0910d223313f0","_type":"span","marks":[],"text":"I have no idea what I’m doing. I feel useless at parenting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"697169409996","_type":"block","children":[{"_key":"c6de1878e4540","_type":"span","marks":[],"text":"I feel so lonely, even though I’m never alone because I’m always with my baby. Nobody knows and nobody really cares."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d2aa3c7f8a4","_type":"block","children":[{"_key":"a7b661de673a0","_type":"span","marks":[],"text":"Everyone would be better off without me."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fa31f90bcd47","_type":"block","children":[{"_key":"68832fe888b00","_type":"span","marks":["strong"],"text":"Please know that you’re not alone, because support is available."},{"_key":"2e14eb616e11","_type":"span","marks":[],"text":" Although things may feel bleak or hopeless right now, with the right help those feelings and thoughts can and will shift. Mental health support can help you explore new ways to cope with distressing thoughts and feelings, and start feeling less isolated and defeated by life’s circumstances.\n\nRather than trying to cope by yourself, you can create positive change (and increase safety for yourself and your baby) by allowing other people to help care for you when life has rocked your foundations. This includes support people caring for someone experiencing distressing or frightening thoughts and feelings."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"4765823ddf0f","_type":"block","children":[{"_key":"961e67dee5fc0","_type":"span","marks":[],"text":"Perinatal suicide: Warning signs (verbal)"}],"markDefs":[],"style":"normal"}]},{"_key":"bb4aad6a7600","_type":"faq","answer":[{"_key":"48399b71c4a8","_type":"block","children":[{"_key":"0d5c1702cdda0","_type":"span","marks":[],"text":"Having thoughts of suicide doesn’t make you a ‘bad’ or unfit parent, it simply means you’re human and having a hard time. The urge to seek help for thoughts of suicide makes you a caring, protective parent – it shows how much you care about your baby and family’s wellbeing. Seeking help is the first step towards feeling better, by looking after yourself and your baby.\n\nBecoming a parent is a major step in life, full of unknowns and new challenges. It can be difficult to cope with all the changes by yourself.\n\nIf you’re feeling overwhelmed, hopeless, and alone, telling someone else how you’re feeling can help you to "},{"_key":"24e57e234176","_type":"span","marks":["b40cc76a6a15"],"text":"cope with strong emotions"},{"_key":"38705126cedc","_type":"span","marks":[],"text":" and other sources of stress. One of the quickest paths to recovery and managing your mental health is linking in with supports.\n\nMany parents who call the PANDA Helpline report feeling afraid to admit they were having thoughts of suicide to anyone, because they were concerned about what might happen if they did.\n\nYet talking to someone who cares - having space to share distressing thoughts and feelings, and exploring potential support options - often brings relief, comfort, and genuine hope that change is possible.\n\nWhen you feel ready, we encourage you to reach out for support. You might like to talk to:"}],"markDefs":[{"_key":"b40cc76a6a15","_type":"link","blank":true,"document":{"_ref":"310776fc-166b-416c-8958-8fbbf1b695b2","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"09c88f0a6e58","_type":"block","children":[{"_key":"fe333edc12070","_type":"span","marks":[],"text":"A trusted loved one (your partner, a family member or friend)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"200f1de2e4dd","_type":"block","children":[{"_key":"864dd21a35c90","_type":"span","marks":[],"text":"One of PANDA’s Helpline telephone counsellors."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ef8517161641","_type":"block","children":[{"_key":"29d7f5ddb2ad0","_type":"span","marks":[],"text":"A health care provider (GP, social worker, psychologist, psychiatrist)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cdc570e8927a","_type":"block","children":[{"_key":"41f142dc9e73","_type":"span","marks":[],"text":"A suicide support crisis line (see contacts at the bottom of this page)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"564986033acb","_type":"block","children":[{"_key":"fd6603a8a0740","_type":"span","marks":[],"text":"Seeking support for yourself"}],"markDefs":[],"style":"normal"}]},{"_key":"1d7ea1b017c5","_type":"faq","answer":[{"_key":"bf7e674de7b5","_type":"block","children":[{"_key":"e482682367020","_type":"span","marks":[],"text":"If you’re concerned a loved one is experiencing thoughts of suicide, there are some steps you can take to ensure they’re safe and supported."}],"markDefs":[],"style":"normal"},{"_key":"907ad7f5e51a","_type":"block","children":[{"_key":"298f618895970","_type":"span","marks":["strong"],"text":"Talking about thoughts of suicide"},{"_key":"4353d0e54b1a","_type":"span","marks":[],"text":"\n\nRemember, asking about suicide can increase someone’s safety by reducing feelings of isolation and shame.\n\nHaving a direct conversation and asking these questions won’t increase your loved one’s risk of acting on their thoughts. Instead, it gives you an opportunity to show how much you care, are there for them and their baby, and are willing to help them find support.\n\nHaving an open and honest conversation can also bring immense relief to the person who is feeling overwhelmed and has been trying to manage everything by themselves.\n\nAs a support person, you can provide reassurance that it’s safe to talk to you, and you’ll be there for them no matter what they’re concerned about. But don’t forget, caring for someone at risk of suicide can have an impact on your own mental health, so be sure to watch out for your own wellbeing.\n"}],"markDefs":[],"style":"normal"},{"_key":"856c1be9acb8","_type":"block","children":[{"_key":"7faaec3fab450","_type":"span","marks":["strong"],"text":"Some questions to ask your loved one include:"}],"markDefs":[],"style":"normal"},{"_key":"ea29e5e9230c","_type":"block","children":[{"_key":"0933753e937d0","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that scare you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e1b4c78fa88d","_type":"block","children":[{"_key":"ab2788c51bcc","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that make you worry about your own or your baby's safety?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c884db225dd7","_type":"block","children":[{"_key":"8b826017356a0","_type":"span","marks":["strong"],"text":"If your loved one answers ‘yes’ or ‘maybe’ to these questions, if you feel up to it, it can be helpful to keeping exploring how they’re feeling by gently asking direct questions about suicide:"}],"markDefs":[],"style":"normal"},{"_key":"b44b60f30ee7","_type":"block","children":[{"_key":"3c31d77934de0","_type":"span","marks":[],"text":"Do you have any thoughts of suicide or hurting yourself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"779534e41e2d","_type":"block","children":[{"_key":"3503859b29b10","_type":"span","marks":[],"text":"Have you thought about ways you might hurt yourself/take your own life?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bb9055163b11","_type":"block","children":[{"_key":"c5042e22f264","_type":"span","marks":[],"text":"Whatever their answer is, again it’s crucial that you let your loved one know that you care, and you’re there to support them. When someone is having thoughts of suicide, it can be a relief to be asked these questions, especially if any answers are received in a supportive and nonjudgmental way."}],"markDefs":[],"style":"normal"},{"_key":"e0aab08dde93","_type":"block","children":[{"_key":"fcbd739032c4","_type":"span","marks":[],"text":"Frequent reassurances may also encourage your loved one to keep sharing with you. You can also provide physical comfort like a hug, or hold their hand while you talk."}],"markDefs":[],"style":"normal"},{"_key":"0a1d860f6e77","_type":"block","children":[{"_key":"1e9d967e5f9f0","_type":"span","marks":["strong"],"text":"Safety planning questions"}],"markDefs":[],"style":"normal"},{"_key":"b7ca07d03d54","_type":"block","children":[{"_key":"216ce4d557a00","_type":"span","marks":[],"text":"What have you been doing to keep yourself and your baby safe?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9b8fa623c660","_type":"block","children":[{"_key":"d03bbc5893ce0","_type":"span","marks":[],"text":"How have you been coping with these thoughts and feelings? Has anything been helpful?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68a8d066c099","_type":"block","children":[{"_key":"067ef203b1a10","_type":"span","marks":[],"text":"What helps to stop you carrying out your thoughts or plan?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9e4083954628","_type":"block","children":[{"_key":"d8cb386ffb4e0","_type":"span","marks":[],"text":"What would you do if you felt that you couldn't stop yourself from acting out your thoughts?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"17405b7dbf5c","_type":"block","children":[{"_key":"3cd9c9b0771f0","_type":"span","marks":[],"text":"At this point, you might like to tell your loved one they’re doing a great job of looking after themselves and their baby. Even if they tell you it doesn’t feel that way, reassurances that focus on their coping skills as a person and parent can be comforting and help them to focus on their existing strengths, rather than feelings like despair or shame."}],"markDefs":[],"style":"normal"},{"_key":"515682583aa5","_type":"block","children":[{"_key":"02b53c940ac90","_type":"span","marks":["strong"],"text":"Recommended safety planning steps:"}],"markDefs":[],"style":"normal"},{"_key":"5c2c6820777a","_type":"block","children":[{"_key":"a627fee2dcd3","_type":"span","marks":[],"text":"Call one of the suicide support services listed at the bottom of this page to seek advice as a support person."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3d817d0527e2","_type":"block","children":[{"_key":"a6e747ff0ef5","_type":"span","marks":[],"text":"You might like to suggest to your loved one that you call a suicide support service together (with the phone on speaker) so you can provide background emotional support whilst they speak with a crisis counsellor."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"41418cac09bc","_type":"block","children":[{"_key":"36ba11b8feaf","_type":"span","marks":[],"text":"Use "},{"_key":"d4e2a63dd627","_type":"span","marks":["fdaf789390f9"],"text":"PANDA’s Mental Health Safe Plan"},{"_key":"d6af2d0e8c1d","_type":"span","marks":[],"text":" to contact professional mental health support services via phone for guidance on what to do next."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"fdaf789390f9","_type":"link","blank":true,"document":{"_ref":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"7b256c1fcafe","_type":"block","children":[{"_key":"4485d07c0731","_type":"span","marks":[],"text":"Encourage your loved one to see their GP or a trusted health professional (like a psychologist or psychiatrist) as soon as possible for mental health support."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a0c671ffcb64","_type":"block","children":[{"_key":"9bd3bf932d37","_type":"span","marks":[],"text":"If your loved one tells you they have a plan, remove any harmful means from the house."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2b203d0caaa9","_type":"block","children":[{"_key":"753533d52eed","_type":"span","marks":[],"text":"Ensure you or another support person can stay with your loved one and their baby, so that they are not alone with their thoughts. It’s important to do this until they are able to access professional mental health care."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d4260aaf619f","_type":"block","children":[{"_key":"87b680c7ab300","_type":"span","marks":[],"text":"It’s also vital that you look after yourself while you’re supporting someone else. This includes staying connected to your own support network, and taking breaks to look after your own mental health and wellbeing. 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"},{"_key":"d829b8314180","_type":"span","marks":[],"text":"– 13 11 14\nPhone, online, and text-based crisis support available."}],"markDefs":[{"_key":"43d2f13a8100","_type":"link","blank":true,"linkType":"external","url":"https://www.lifeline.org.au/"}],"style":"normal"},{"_key":"c05d8bbdb12b","_type":"block","children":[{"_key":"9b9a902e05af0","_type":"span","marks":["strong","c00bdf650049"],"text":"Suicide Call Back Service"},{"_key":"7a6691f87609","_type":"span","marks":[],"text":" - 1300 659 467 \nPhone and online counselling available.\n"}],"markDefs":[{"_key":"c00bdf650049","_type":"link","blank":true,"linkType":"external","url":"https://www.suicidecallbackservice.org.au/phone-and-online-counselling/"}],"style":"normal"},{"_key":"6da7511b92cf","_type":"block","children":[{"_key":"421bf1935fed","_type":"span","marks":[],"text":"If you (or someone you’re supporting) has been bereaved by suicide, in addition to the numbers above you can also contact these national suicide 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changes."}],"markDefs":[],"style":"normal"},{"_key":"e6e597746f88","_type":"block","children":[{"_key":"7347c7852503","_type":"span","marks":[],"text":"Sometimes reaching out for support yourself is the first step on the path to getting your loved one some help."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal20","value":"#E1F9F7"},"headline":"Supporting the safety of a loved one struggling with their mental health","image":{"_type":"imageWithAlt","alt":"dad bottle feeding baby","asset":{"_ref":"image-7851f333190ac8c7624d87bf28da3d7c17b4d00b-2500x2000-jpg","_type":"reference"}},"text":[{"_key":"199aa478b8e5","_type":"block","children":[{"_key":"66cf25a308e50","_type":"span","marks":[],"text":"When you want to be a good support but you’re not sure how, PANDA is here to help. 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For instance, some new parents are so distressed in their mental health they cannot meet their baby’s physical or emotional needs. Some parents may think or talk about hurting themselves or their baby."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0c0c19d97b4b","_type":"quote","attribution":"Kylie","quote":"I'm very lucky as I’ve got a great family, an excellent psychiatrist, a great GP and a great psychologist who all stick by me and support me greatly. 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Expressing alarm or judgement may stop your loved one from confiding in you and being honest."}],"markDefs":[],"style":"normal"},{"_key":"fbeaa72aed26","_type":"block","children":[{"_key":"ee43253e9de5","_type":"span","marks":[],"text":"It’s important to know that being asked these questions won’t increase your loved one’s risk of carrying through with upsetting thoughts. Having a direct conversation about mental health risks can increase safety, as it gives you and your loved one a chance to talk about support options. Having an open and honest conversation can also bring a sense of relief to the person who is feeling overwhelmed and has been trying to manage everything by themselves."}],"markDefs":[],"style":"normal"},{"_key":"ad7118596ac9","_type":"block","children":[{"_key":"cb243fc14d57","_type":"span","marks":[],"text":"For many people who are experiencing difficulties, it can be a relief to be asked these questions and have permission to speak honestly about their thoughts, – especially if their answers are received in an open, trusting and supportive way."}],"markDefs":[],"style":"normal"},{"_key":"ec52faa2296c","_type":"block","children":[{"_key":"5159a77b8dc4","_type":"span","marks":[],"text":"Some examples of questions to ask your loved one include:"}],"markDefs":[],"style":"normal"}],"title":"Important questions to ask your loved one"},{"_key":"0102aac333d4","_type":"quote","attribution":"Maya","quote":"Supportive professional care, and the love and assistance of my family, were the key to my recovery."},{"_key":"2f088bfe7dca","_type":"freeText","eyebrow":"Safety planning","text":[{"_key":"400b24edc0d8","_type":"block","children":[{"_key":"1f438929d421","_type":"span","marks":[],"text":"Safety planning"}],"markDefs":[],"style":"h3"},{"_key":"bd993b9f6ae5","_type":"block","children":[{"_key":"385fcae5793f","_type":"span","marks":[],"text":"If your loved one has responded to any of the questions above in a way that’s concerning, it’s important to encourage them to keep talking about how they’re feeling while you put a safe plan into action."}],"markDefs":[],"style":"normal"},{"_key":"8cfe0d119452","_type":"block","children":[{"_key":"018b77d2f889","_type":"span","marks":[],"text":"Recommended safety planning steps:"}],"markDefs":[],"style":"normal"},{"_key":"703e0d84a04a","_type":"block","children":[{"_key":"f01118cbf52a","_type":"span","marks":[],"text":"Use PANDA’s "},{"_key":"c1531e1a215e","_type":"span","marks":["9227c8209941"],"text":"Mental Health Safe Plan"},{"_key":"8183a35227d3","_type":"span","marks":[],"text":" to contact professional support services via phone for guidance on what to do next."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9227c8209941","_type":"link","document":{"_ref":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"f1f192838ca4","_type":"block","children":[{"_key":"e1ed860c9dd5","_type":"span","marks":[],"text":"Arrange for your loved one to see their GP or a trusted health professional (e.g. psychologist, psychiatrist) as soon as possible for mental health assessment and support."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"007a84792c42","_type":"block","children":[{"_key":"af83973b08c3","_type":"span","marks":[],"text":"Ensure you or another support person stays with your loved one and their baby until they receive professional mental health support."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5e2dbd61e6fc","_type":"button","link":{"_type":"link","document":{"_ref":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Mental health safe plan"},{"_key":"523f6a7e3bd3","_type":"block","children":[{"_key":"80018a6d564f","_type":"span","marks":[],"text":"If your loved one is having thoughts of harming themselves or their baby, it’s essential that someone else is there to care for the baby so your loved one can focus on looking after themselves. Do not leave your loved one alone with their baby until professional support has been organised and accessed."}],"markDefs":[],"style":"normal"},{"_key":"6ba75450f8cf","_type":"block","children":[{"_key":"fda72989036b","_type":"span","marks":[],"text":"If the risk is more immediate, your loved one and their baby may need to be admitted to hospital via ambulance and emergency department. You may want to drive them to the nearest hospital emergency department yourself. 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It can deliver a lot of love, joy and fulfilment but it can also create demands and responsibilities that feel relentless, difficult and scary. "}],"markDefs":[],"style":"normal"},{"_key":"035ea7aaf907","_type":"block","children":[{"_key":"5f3bc01900f9","_type":"span","marks":[],"text":"Sometimes, parents have difficulty adjusting to the many physical, emotional, psychological and social challenges of parenting."}],"markDefs":[],"style":"normal"},{"_key":"175c85af0455","_type":"block","children":[{"_key":"412e30e8760c","_type":"span","marks":[],"text":"On the helpline, we hear from parents who are consumed by caring for their children and doing a wonderful job of it. But self-care has become a low priority."}],"markDefs":[],"style":"normal"},{"_key":"daab50e9c843","_type":"block","children":[{"_key":"b2fe057b1a14","_type":"span","marks":[],"text":"We know that the stress, interrupted sleep and 24-hour demands can take their toll. But they become more manageable when we are able to care for and nurture ourselves too. "}],"markDefs":[],"style":"normal"},{"_key":"12e6904873f2","_type":"block","children":[{"_key":"8bf2c5852ad7","_type":"span","marks":[],"text":"Some aspects of self-care are covered here, including sleep, diet, exercise, time out and social supports."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-24","header":{"_type":"pageHeader","headline":"Wellbeing and self-care ","image":{"_type":"imageWithAlt","alt":"Mum holding baby up and kissing on the cheek","asset":{"_ref":"image-31544bad9e7c38876638fe53c51e77cf89d91356-2500x1800-jpg","_type":"reference"}},"text":[{"_key":"6a7cc988da75","_type":"block","children":[{"_key":"a6fceda6aee2","_type":"span","marks":[],"text":"Self-care tips for expecting and new parents"}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"46b374abde4e","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"9f0e23764221","_type":"faq","answer":[{"_key":"ebe90338ea1c","_type":"block","children":[{"_key":"fc6639335d4f0","_type":"span","marks":[],"text":"For many parents, interrupted sleep can take a mental, physical and emotional toll. Some general rules for sleep hygiene include:"}],"markDefs":[],"style":"normal"},{"_key":"ed70065c932c","_type":"block","children":[{"_key":"10f07f16a50e0","_type":"span","marks":[],"text":"Go to bed at the same time each day"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3e327e6cc907","_type":"block","children":[{"_key":"f305d6b6d9eb0","_type":"span","marks":[],"text":"Avoid exercise before bed"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"20e592706620","_type":"block","children":[{"_key":"2a68262df64d0","_type":"span","marks":[],"text":"Make the bedroom as restful an environment as possible"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"979019a0383f","_type":"block","children":[{"_key":"6bea81ed017a0","_type":"span","marks":[],"text":"Avoid screentime or other stimulating activities just before bed"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f707b5d76e1","_type":"block","children":[{"_key":"f90bbacca5290","_type":"span","marks":[],"text":"Avoid caffeine and other stimulants in the evening"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6d138ce66aaf","_type":"block","children":[{"_key":"7e5722507d420","_type":"span","marks":[],"text":"Try a warm bath or shower two hours before bed to regulate your body temperature for sleep"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"732c5b82eed9","_type":"block","children":[{"_key":"051f5bd787570","_type":"span","marks":[],"text":"Avoid a nap in the evening"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9b25598eed8b","_type":"block","children":[{"_key":"a0989ebcf1350","_type":"span","marks":[],"text":"If you can’t sleep, get up and do something quiet in another room."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e16b716d4d2d","_type":"block","children":[{"_key":"c4444ab7a4250","_type":"span","marks":[],"text":"Quick naps can improve your alertness and help in decision-making, creativity and sensory perception. Short naps, such as 20 minutes, are less likely to disrupt your sleep at night."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"7a65add50199","_type":"block","children":[{"_key":"3e95dffc35e9","_type":"span","marks":[],"text":"Sleep"}],"markDefs":[],"style":"normal"}]},{"_key":"53c349786f11","_type":"faq","answer":[{"_key":"8cff2cdf45d1","_type":"block","children":[{"_key":"e2563177a7e40","_type":"span","marks":[],"text":"Some parents find themselves snacking on convenience food. We know that setting realistic goals helps. Healthy, home-cooked food for every meal may not be an achievable goal so set goals for your family that are manageable and allow for something easier, such as eggs on toast or toasted sandwiches, on difficult days."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"f70e86041210","_type":"block","children":[{"_key":"a3688b12848b","_type":"span","marks":[],"text":"Eating"}],"markDefs":[],"style":"normal"}]},{"_key":"60632704539c","_type":"faq","answer":[{"_key":"ebf7dbb657b8","_type":"block","children":[{"_key":"2d4fd5d809920","_type":"span","marks":[],"text":"For some people, regular physical exercise is highly beneficial. We know that it can increase serotonin levels - a hormone that contributes to general happiness and wellbeing. We also know that getting out of the house into fresh air and sunshine can lift mood and boost vitamin D."}],"markDefs":[],"style":"normal"},{"_key":"57fa70d82e76","_type":"block","children":[{"_key":"07b133ecbcca0","_type":"span","marks":[],"text":"However, setting achievable goals is important. These goals depend on personal circumstances, previous exercise history and physical recovery from birth."}],"markDefs":[],"style":"normal"},{"_key":"b73d613cb4c2","_type":"block","children":[{"_key":"e4d345e507600","_type":"span","marks":[],"text":"It can be helpful to schedule in exercise time. When your baby is small, this could be as simple as aiming for a short walk in the morning with the baby in the pram.\n"}],"markDefs":[],"style":"normal"},{"_key":"68b1f82210fa","_type":"block","children":[{"_key":"c3d0287d70200","_type":"span","marks":[],"text":"For some mums, childbirth impacts on pelvic floor function. Physiotherapists can help with assessment, treatment and strengthening exercises if this is an issue. If you have any concerns about your physical recovery, it is important to consult a doctor before you undertake any strenuous exercise after birth."}],"markDefs":[],"style":"normal"},{"_key":"b462bb8e8b9e","_type":"block","children":[{"_key":"954437711ace0","_type":"span","marks":[],"text":"Exercise may also mean something gentler to some people, such as breathing exercises, meditation or a yoga class. Some people find these beneficial."}],"markDefs":[],"style":"normal"},{"_key":"065f1477f1ac","_type":"block","children":[{"_key":"ce54fc054faf0","_type":"span","marks":[],"text":"Many websites and phone apps provide short guided meditations or relaxation exercises, some specifically for new parents."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"176a1d21f62c","_type":"block","children":[{"_key":"d612ed72f8cb","_type":"span","marks":[],"text":"Exercise and getting outdoors"}],"markDefs":[],"style":"normal"}]},{"_key":"e1ad1a4b940c","_type":"faq","answer":[{"_key":"01c7bb978397","_type":"block","children":[{"_key":"df28c6638ab70","_type":"span","marks":[],"text":"Being at home with a baby after years of being in a busy workplace can be an isolating experience for some parents. New and existing social networks can help you feel connected to other adults."}],"markDefs":[],"style":"normal"},{"_key":"6188e2cf7e28","_type":"block","children":[{"_key":"2d53049ae4860","_type":"span","marks":[],"text":"New mothers’ groups and playgroups are one avenue. Others include free activities, such as story time at the local library, while other people seek connection through online groups, such as supportive Facebook pages."}],"markDefs":[],"style":"normal"},{"_key":"9ba749dc6df1","_type":"block","children":[{"_key":"6b51824391920","_type":"span","marks":[],"text":"If you are struggling with postnatal mental health issues, there might be a supported playgroup you may be able to attend in your area. These are often run by a health worker or social worker and attended by other parents who have been struggling."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d58ff8ad22a1","_type":"block","children":[{"_key":"cfbdd6eb1bf80","_type":"span","marks":[],"text":"Social network"}],"markDefs":[],"style":"normal"}]},{"_key":"8a3ae7590dcd","_type":"faq","answer":[{"_key":"c4d3211f9ca7","_type":"block","children":[{"_key":"086fa755fef90","_type":"span","marks":[],"text":"Time out means different things to everyone. But in general, it is important that parents who are primary carers have a break from the caring role at times. We speak to many parents who experience barriers to this. Sometimes the barrier is a time constraint, sometimes it is driven by a parent feeling guilty or feeling like they shouldn’t need time out from their family."}],"markDefs":[],"style":"normal"},{"_key":"6e22834d258f","_type":"block","children":[{"_key":"a012a00aefc60","_type":"span","marks":[],"text":"Some families find the best way to create time out is to structure it i.e. a set time or activity each week for the primary carer. The additional benefit is that the other parent or carer gets one-on-one time with the baby or child, which can also help with their bonding and confidence. Generally, a parent needing time to themselves gets most benefit if the rest of the family is out of the house, or if the parent can go out themselves.\n"}],"markDefs":[],"style":"normal"},{"_key":"b7990a68d0da","_type":"block","children":[{"_key":"053a0021b20a0","_type":"span","marks":[],"text":"Some ideas for nurturing time out are:"}],"markDefs":[],"style":"normal"},{"_key":"56ba9b987f54","_type":"block","children":[{"_key":"64c70fa975640","_type":"span","marks":[],"text":"A class or activity outside the home"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8bcc751f8c62","_type":"block","children":[{"_key":"aa4760525cad0","_type":"span","marks":[],"text":"Engaging in a hobby/craft that is enjoyable"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7731aa4331e3","_type":"block","children":[{"_key":"360ea11afa620","_type":"span","marks":[],"text":"Taking a relaxing bath"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"235b3796281e","_type":"block","children":[{"_key":"fd454c6b5eb40","_type":"span","marks":[],"text":"Going for a walk"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1cc20204f970","_type":"block","children":[{"_key":"f96d16bcdf5f0","_type":"span","marks":[],"text":"Going shopping"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cb1663bd9f79","_type":"block","children":[{"_key":"4909c02fc3b10","_type":"span","marks":[],"text":"Listening to music"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1b0103c0016f","_type":"block","children":[{"_key":"bcfbf4eaf37c0","_type":"span","marks":[],"text":"Reading a book/magazine"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bd98f5d98f8b","_type":"block","children":[{"_key":"e02c1d556e0d0","_type":"span","marks":[],"text":"Watching a movie"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"a209cb3d4bac","_type":"block","children":[{"_key":"5cfb45060b4d","_type":"span","marks":[],"text":"Time out"}],"markDefs":[],"style":"normal"}]},{"_key":"fc0cd9abb7f7","_type":"faq","answer":[{"_key":"83a04d5277f8","_type":"block","children":[{"_key":"4a195952340b0","_type":"span","marks":[],"text":"For parents, recognising that you are struggling is the first step. For some, this may manifest as obvious symptoms of anxiety, depression or other issues such as obsessive compulsive disorder. For others, it may be more subtle, just a sense of not quite coping, feeling low in energy or not feeling yourself."}],"markDefs":[],"style":"normal"},{"_key":"ba5c7a6a6d93","_type":"block","children":[{"_key":"9841339a985a0","_type":"span","marks":[],"text":"Callers to the helpline often comment on their relief at being able to talk about what is on their mind. For some people, it is helpful to talk to family or friends. But often, for varied reasons, this is not helpful or possible."}],"markDefs":[],"style":"normal"},{"_key":"791773a70081","_type":"block","children":[{"_key":"8974e71dfbbb0","_type":"span","marks":[],"text":"Discussing your concerns with a mental health professional or a helpline such as PANDA is a good option in these cases. It is helpful, if possible, to build a positive relationship with a local doctor. New parents with babies often visit their doctor for the baby’s sake but we encourage callers to connect for their own sake too. Doctors are often the first point of professional contact for mental health concerns."}],"markDefs":[],"style":"normal"},{"_key":"f60234fafa5f","_type":"block","children":[{"_key":"2ac171c3e4020","_type":"span","marks":[],"text":"Self-care is partly about reaching out to others when we need it. There are other options for professional support beyond a doctor – facilitated playgroups, psychologists and counsellors – that your doctor or PANDA can help you access."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"f9a7f93091c8","_type":"block","children":[{"_key":"2751bf6aec65","_type":"span","marks":[],"text":"Mental health / professional support"}],"markDefs":[],"style":"normal"}]}]},{"_key":"e6dd3b47399d","_type":"checklist","field":"content"},{"_key":"670729d1b46d","_type":"fileCollection","files":[{"_key":"c222e18d51a7","_type":"download","background":{"title":"brightTeal20","value":"#E1F9F7"},"cta":"Download PDF","file":{"_type":"file","asset":{"_ref":"file-521b1dd9bb1a75772cd48611e6017e18d67d6bbb-pdf","_type":"reference"}},"title":"Wellbeing and self care factsheet"}]}],"relatedArticles":[{"_key":"587f6b60ce6a","_ref":"3dd5d15a-dcef-45b9-8e91-c6dab35b5c2f","_type":"reference"},{"_key":"8d78bc173209","_ref":"9b76e69e-6f98-4dcc-afba-4d1c93912f37","_type":"reference"},{"_key":"9944eb31b1a5","_ref":"310776fc-166b-416c-8958-8fbbf1b695b2","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"Stress, interrupted sleep and 24-hour demands can take their toll. But they become more manageable when we are able to care for and nurture ourselves too.","metaTitle":"Wellbeing and self care for expecting and new parents","socialImage":{"_type":"image","asset":{"_ref":"image-fb293ea1f9e0854c4fb1feb7b1ee57bc9caae1da-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"183830e529d9","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"wellbeing-and-self-care"},"tags":[{"_key":"a0025bea6694","_ref":"93c6a6d9-0f5a-45ab-a76e-08706724c63d","_type":"reference"}],"title":"Wellbeing and self care","id":"-3e6ee661-411f-5a64-8cfd-ab7d430f3e5d","children":[],"internal":{"type":"SanityArticle","contentDigest":"f85c541efa3a05a2b98e8bc7ca90e22a","owner":"gatsby-source-sanity","counter":90},"parent":null,"__gatsby_resolved":{"slug":{"current":"wellbeing-and-self-care"}}},{"_id":"d0725516-984a-4e9f-be02-cee0c1b10fe9","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQadl","_createdAt":"2022-02-14T08:24:13Z","_updatedAt":"2023-12-18T00:08:58Z","categories":[{"_key":"bc44f8b2eb0d","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"5c4d87a5caad","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"f5cabb33122c","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"},{"_key":"73957676a2e1","_ref":"f3a1efdb-0e5d-4871-83d7-1d7f66ee6107","_type":"reference"}],"content":[{"_key":"583ec696565c","_type":"block","children":[{"_key":"fd0f603ac6cd0","_type":"span","marks":[],"text":"Background"}],"markDefs":[],"style":"h4"},{"_key":"1294ae2e15d2","_type":"block","children":[{"_key":"db05b1f75cf30","_type":"span","marks":[],"text":"It’s difficult to know exactly how many parents experience mental health disorders like anxiety and depression during the perinatal period (a time usually defined as pregnancy through the first 12 months of a baby’s life)."}],"markDefs":[],"style":"normal"},{"_key":"b44ae6e28579","_type":"block","children":[{"_key":"1872c4bc42460","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"235531933a26","_type":"block","children":[{"_key":"b145f05028ff0","_type":"span","marks":[],"text":"Several factors make it difficult to estimate how many families are affected by perinatal mental health issues, including variations in data collection methods during research, and different ways of defining or diagnosing mental health issues. Despite this, there is agreement that mental health disorders in the perinatal period are common, are important public health issues, and can impact the health and wellbeing of the entire family(1)."}],"markDefs":[],"style":"normal"},{"_key":"42203433f80f","_type":"block","children":[{"_key":"43650a5ab25b0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"a02627f7dc7f","_type":"block","children":[{"_key":"e1677cd408ea0","_type":"span","marks":[],"text":"What we know"}],"markDefs":[],"style":"h4"},{"_key":"1714cf79b93d","_type":"block","children":[{"_key":"b7e6ef2824090","_type":"span","marks":[],"text":"For some parents, pregnancy and early parenthood is the first time they’ve ever experienced significant changes to their mental health. Others may come to pregnancy and parenting with a history of mental ill-health. Any mental health disorder present during pregnancy or the first 12 months after birth is considered a ‘perinatal mental health condition’, regardless of whether the person has experienced that mental health disorder previously."}],"markDefs":[],"style":"normal"},{"_key":"9ace02632569","_type":"block","children":[{"_key":"54ae292622b90","_type":"span","marks":[],"text":"Anxiety and depression are the most common mental health issues in the perinatal period. Until recently most research on mental health in the perinatal period focused primarily on postnatal depression, yet there is a growing body of research into other types of mental ill-health during the perinatal period, including pregnancy."}],"markDefs":[],"style":"normal"},{"_key":"97f561e32ad8","_type":"block","children":[{"_key":"d51de2dfe926","_type":"span","marks":[],"text":"Researchers are studying mental health disorders like perinatal anxiety and postnatal psychosis. There are new insights emerging about the perinatal mental health of fathers and non-birthing parents, and the mental health impact of complicated pregnancies and traumatic birth experiences. "}],"markDefs":[],"style":"normal"},{"_key":"3d6b85958e59","_type":"block","children":[{"_key":"db22501ef641","_type":"span","marks":[],"text":"Some studies are also focusing on the relationship between infant-parent bonding and attachment and mental ill-health during the perinatal period. These changes over the past few decades mean we’re beginning to broaden our understanding of the full scope of perinatal mental health and wellbeing, and efficacy of available treatment options."}],"markDefs":[],"style":"normal"},{"_key":"d86d2746d1e0","_type":"quote","quote":"Up to 1 in 5 women experience anxiety and/or depression during pregnancy, and/or following birth."},{"_key":"796fdb85eeef","_type":"block","children":[{"_key":"957953c003320","_type":"span","marks":[],"text":"Women’s mental health in the perinatal period"}],"markDefs":[],"style":"h4"},{"_key":"75c5c5032dbd","_type":"block","children":[{"_key":"2a72799f6ed90","_type":"span","marks":[],"text":"Research undertaken in Australia and internationally suggests that around 15-22% of women experience depression during pregnancy and/or following the birth of their baby (2–3). "}],"markDefs":[],"style":"normal"},{"_key":"5300d3000652","_type":"block","children":[{"_key":"809e8e813425","_type":"span","marks":[],"text":"Current research about perinatal anxiety suggests 1 in 5 women report anxiety symptoms during pregnancy, and between 4-20% of women experience symptoms of an anxiety disorder after giving birth (4). "}],"markDefs":[],"style":"normal"},{"_key":"c08180b71224","_type":"block","children":[{"_key":"4d1f412b517a","_type":"span","marks":[],"text":"Between 4.2-9.3% of women will experience both anxiety and depression (5)."}],"markDefs":[],"style":"normal"},{"_key":"e091e436a7c1","_type":"block","children":[{"_key":"bb5f9f7352500","_type":"span","marks":[],"text":"Therefore, up to1 in every 5 women may experience symptoms of anxiety, depression, or both during pregnancy and/or following birth."}],"markDefs":[],"style":"normal"},{"_key":"2295eef4389a","_type":"block","children":[{"_key":"d0a18db299350","_type":"span","marks":[],"text":"A small number of women will experience a rare but serious perinatal mental health disorder called postnatal psychosis. Research suggests that 1-2 women per 1000 women giving birth will experience postnatal psychosis (6). "}],"markDefs":[],"style":"normal"},{"_key":"17955d919870","_type":"block","children":[{"_key":"c7542c775a610","_type":"span","marks":[],"text":"Women may also experience other less common perinatal mental health disorders, such as Post Traumatic Stress Disorder (PTSD), mood disorders including bipolar and schizophrenic disorders (7-9). "}],"markDefs":[],"style":"normal"},{"_key":"25eaf6554ebf","_type":"block","children":[{"_key":"f4a0d28c5634","_type":"span","marks":[],"text":"The perinatal period is associated with an increased risk of both mental health relapse, and newly diagnosed mental health disorders. Research suggests many women diagnosed with mental health disorders become parents, and it is of utmost importance that their ongoing mental health care needs are identified and treated (10)."}],"markDefs":[],"style":"normal"},{"_key":"2b53c397a70a","_type":"quote","quote":"Postnatal psychosis affects one to two new mothers in every 1,000 who give birth"},{"_key":"748dc92e5fab","_type":"block","children":[{"_key":"ccbf226ecb300","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2ab9e6e026f2","_type":"block","children":[{"_key":"b20fae2b381c","_type":"span","marks":[],"text":"Men’s mental health in the perinatal period"}],"markDefs":[],"style":"h4"},{"_key":"f562210df201","_type":"block","children":[{"_key":"de058a4022840","_type":"span","marks":[],"text":"Though there is far less research available on paternal perinatal mental health, the last decade of research suggests up to 10%, or 1 in 10 expecting or new fathers will experience depression and/or anxiety during the perinatal period (11-14). "}],"markDefs":[],"style":"normal"},{"_key":"6149c6bb4d86","_type":"block","children":[{"_key":"ee9059b747d1","_type":"span","marks":[],"text":"A recent review estimates that the prevalence of anxiety in men in the perinatal period is 3.4%-25% (13). Similar to research findings about maternal mental health, often men experience both anxiety and depression during the perinatal period (12)."}],"markDefs":[],"style":"normal"},{"_key":"9b5c7e841881","_type":"block","children":[{"_key":"07cdeb244a990","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"0c3216f52a8b","_type":"block","children":[{"_key":"be6c45b329390","_type":"span","marks":[],"text":"Having a partner with a mental health disorder is a risk factor for paternal perinatal mental ill-health - and untreated paternal mental health issues are associated with adverse outcomes for maternal mental health during the perinatal period (11)."}],"markDefs":[],"style":"normal"},{"_key":"fd87749822a1","_type":"quote","quote":"Up to 1 in 10 expecting or new fathers experience depression and/or anxiety. "},{"_key":"3899b1d61b46","_type":"block","children":[{"_key":"e4b7dfa2bce9","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"53dbcc18fdac","_type":"block","children":[{"_key":"5900d4200ce1","_type":"span","marks":[],"text":"Having a partner experiencing mental ill-health is an important risk factor for both maternal and paternal perinatal mental health issues."}],"markDefs":[],"style":"h5"},{"_key":"f7976776e595","_type":"block","children":[{"_key":"11e01d7ede98","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"16b4178294b6","_type":"block","children":[{"_key":"b34ecb81feca0","_type":"span","marks":[],"text":"Priority populations"}],"markDefs":[],"style":"h4"},{"_key":"7c3dde6ed340","_type":"block","children":[{"_key":"7578bb1c55440","_type":"span","marks":[],"text":"Families from minority communities face additional risks for perinatal anxiety and depression, and barriers to accessing safe, appropriate services. Populations more at risk include LGBTIQA+ parented families, Aboriginal and Torres Strait Islander families, and culturally and linguistically diverse families (15-20)."}],"markDefs":[],"style":"normal"},{"_key":"33404c86a048","_type":"block","children":[{"_key":"3e0b11e703690","_type":"span","marks":[],"text":"Experiences of discrimination may increase isolation and discourage help-seeking at a time of particular risk for these vulnerable families. The importance of services acknowledging and responding to family diversity will be explored in greater detail in future position statements."}],"markDefs":[],"style":"normal"},{"_key":"7ee6451a2f84","_type":"block","children":[{"_key":"8c8e4c40dc800","_type":"span","marks":[],"text":"Summary"}],"markDefs":[],"style":"h4"},{"_key":"244985352633","_type":"block","children":[{"_key":"c5f5c83ef0750","_type":"span","marks":[],"text":"Perinatal mental health issues are common, and a crucial public health issue."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"25c5f95d0298","_type":"block","children":[{"_key":"5e004217d3eb0","_type":"span","marks":[],"text":"Estimates indicate that up to 1 in 5 women and up to 1 in 10 men will experience anxiety and/or depression in the perinatal period."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ebe84e3c5a11","_type":"block","children":[{"_key":"c562b73618fd0","_type":"span","marks":[],"text":"Some families, including LGBTQIA+ parented families, culturally and linguistically diverse and Aboriginal and Torres Strait Islander families face additional challenges to their mental health in the perinatal period."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"How common are mental health issues in the perinatal period?","image":{"_type":"imageWithAlt","alt":"Mum at the doctors with baby","asset":{"_ref":"image-7065493e6fbcb3f89f4faa028852afccc0f6d9cf-5001x5001-png","_type":"reference"}},"text":[{"_key":"b39cd74d4057","_type":"block","children":[{"_key":"7a71911f95e00","_type":"span","marks":[],"text":"Several factors make it difficult to estimate how many families are affected by perinatal mental health issues, including variations in data collection methods during research, and different ways of defining or diagnosing mental health conditions."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"2e1f10515879","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"ac967c197a72","_type":"faq","answer":[{"_key":"ca8a95d57238","_type":"block","children":[{"_key":"dc793dc89640","_type":"span","marks":[],"text":"Austin, M. P., Highet, N., & Expert Working Group. (2019). Mental health care in the perinatal period: Australian Clinical Practice Guideline. Melbourne: Centre of Perinatal Excellence; 2017 [updated 3 July 2019]."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"13ebeca4343b","_type":"block","children":[{"_key":"136356a3870a","_type":"span","marks":[],"text":"Bryson, H., Perlen, S., Price, A., Mensah, F., Gold, L., Dakin, P., & Goldfeld, S. (2021). Patterns of maternal depression, anxiety, and stress symptoms from pregnancy to 5 years postpartum in an Australian cohort experiencing adversity. Archives of Women's Mental Health, 24(6), 987-997. doi: 10.1007/s00737-021-01145-0."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"c55b29567423","_type":"block","children":[{"_key":"a18b79f3b101","_type":"span","marks":[],"text":"Dennis, C. L., Falah-Hassani, K., & Shiri, R. (2017). Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. The British Journal of Psychiatry, 210(5), 315-323. doi: 10.1192/bjp.bp.116.187179."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"2f6ce5cd75a9","_type":"block","children":[{"_key":"8ee1498554d9","_type":"span","marks":[],"text":"Leach, L. S., Poyser, C., & Fairweather‐Schmidt, K. (2017). Maternal perinatal anxiety: A review of prevalence and correlates. Clinical Psychologist, 21(1), 4-19. doi: 10.1111/cp.12058."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"b022bbd6a889","_type":"block","children":[{"_key":"7bbcc9c2c551","_type":"span","marks":[],"text":"Falah-Hassani, K., Shiri, R., & Dennis, C. L. (2017). The prevalence of antenatal and postnatal co-morbid anxiety and depression: a meta-analysis. Psychological Medicine, 47(12), 2041-2053. doi:10.1017/S0033291717000617."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"8f8e58a3f240","_type":"block","children":[{"_key":"6dc65e66a43f","_type":"span","marks":[],"text":"VanderKruik, R., Barreix, M., Chou, D., Allen, T., Say, L., & Cohen, L. S. (2017). The global prevalence of postpartum psychosis: a systematic review. BMC Psychiatry, 17(1), 1-9. doi: 10.1186/s12888-017-1427-7."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0463ec92eeef","_type":"block","children":[{"_key":"8dbae60a644b","_type":"span","marks":[],"text":"Cook, N., Ayers, S., & Horsch, A. (2018). Maternal posttraumatic stress disorder during the perinatal period and child outcomes: A systematic review. Journal of Affective Disorders, 225, 18-31. doi: 10.1016/j.jad.2017.07.045."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"aa824475ec94","_type":"block","children":[{"_key":"0a41ef506bed","_type":"span","marks":[],"text":"Sharma, V., Sharma, P., & Sharma, S. (2020). Managing bipolar disorder during pregnancy and the postpartum period: a critical review of current practice. Expert Review of Neurotherapeutics, 20(4), 373-383. doi: 10.1080/14737175.2020.1743684."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"23d7e76c06e1","_type":"block","children":[{"_key":"bfbe1353ba24","_type":"span","marks":[],"text":"Davies, C., Segre, G., Estradé, A., Radua, J., De Micheli, A., Provenzani, U., ... & Fusar-Poli, P. (2020). Prenatal and perinatal risk and protective factors for psychosis: a systematic review and meta-analysis. The Lancet Psychiatry, 7(5), 399-410. doi: 10.1016/S2215-0366(20)30057-2."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0f0aa652a78d","_type":"block","children":[{"_key":"7379f4907015","_type":"span","marks":[],"text":"Howard, L. M., & Khalifeh, H. (2020). Perinatal mental health: a review of progress and challenges. World Psychiatry, 19(3), 313-327. doi: 10.1002/wps.20769."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"4ea0a3a2b1a3","_type":"block","children":[{"_key":"bc2ba5187036","_type":"span","marks":[],"text":"Giallo, R., D’Esposito, F., Christensen, D., Mensah, F., Cooklin, A., Wade, C., ... & Nicholson, J. M. (2012). Father mental health during the early parenting period: results of an Australian population based longitudinal study. Social Psychiatry and Psychiatric Epidemiology, 47(12), 1907-1916. doi: 10.1007/s00127-012-0510-0."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"a21ebbe86a3d","_type":"block","children":[{"_key":"cfc4db284d22","_type":"span","marks":[],"text":"Chhabra, J., McDermott, B., & Li, W. (2020). Risk factors for paternal perinatal depression and anxiety: A systematic review and meta-analysis. Psychology of Men & Masculinities, 21(4), 593. http://dx.doi.org/10.1037/men0000259."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"ea5a1789aed2","_type":"block","children":[{"_key":"126ab43ede1c","_type":"span","marks":[],"text":"Leiferman, J. A., Farewell, C. V., Jewell, J., Lacy, R., Walls, J., Harnke, B., & Paulson, J. F. (2021). Anxiety among fathers during the prenatal and postpartum period: a meta-analysis. Journal of Psychosomatic Obstetrics & Gynecology, 42(2), 152-161. doi:10.1080/0167482X.2021.1885025."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"5546d114f26c","_type":"block","children":[{"_key":"08845122ff8a","_type":"span","marks":[],"text":"Philpott, L. F., Savage, E., FitzGerald, S., & Leahy-Warren, P. (2019). Anxiety in fathers in the perinatal period: A systematic review. Midwifery, 76, 54-101. doi: 10.1016/j.midw.2019.05.013."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"6fba62777f16","_type":"block","children":[{"_key":"9d420ceca51f","_type":"span","marks":[],"text":"Kirubarajan, A., Barker, L. C., Leung, S., Ross, L. E., Zaheer, J., Park, B., ... & Lam, J. S. H. (2022). LGBTQ2S+ childbearing individuals and perinatal mental health: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology. doi: 10.1111/1471-0528.17103."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"a615e6266302","_type":"block","children":[{"_key":"b5b1ff477575","_type":"span","marks":[],"text":"Bhat, S. K., Marriott, R., Galbally, M., & Shepherd, C. C. (2020). Psychosocial disadvantage and residential remoteness is associated with Aboriginal women’s mental health prior to childbirth. International Journal of Population Data Science, 5(1). doi: 10.23889/ijpds.v5i1.1153."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"d48430a7caf0","_type":"block","children":[{"_key":"d72d2a93bf0b","_type":"span","marks":[],"text":"Lima, F., Shepherd, C., Wong, J., O’Donnell, M., & Marriott, R. (2019). Trends in mental health related contacts among mothers of Aboriginal children in Western Australia (1990–2013): a linked data population-based cohort study of over 40 000 children. BMJ Open, 9(7), e027733. doi: 10.1136/bmjopen-2018-027733."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"ddbc38010fa8","_type":"block","children":[{"_key":"32c77333467a","_type":"span","marks":[],"text":"Chamberlain, C., Gee, G., Brown, S. J., Atkinson, J., Herrman, H., Gartland, D., ... & Nicholson, J. (2019). Healing the past by nurturing the future—co-designing perinatal strategies for Aboriginal and Torres Strait islander parents experiencing complex trauma: framework and protocol for a community-based participatory action research study. BMJ Open, 9(6), e028397. doi: 10.1136/bmjopen-2018-028397."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0241eb4910be","_type":"block","children":[{"_key":"a7c07067cd44","_type":"span","marks":[],"text":"Heslehurst, N., Brown, H., Pemu, A., Coleman, H., & Rankin, J. (2018). Perinatal health outcomes and care among asylum seekers and refugees: a systematic review of systematic reviews. BMC Medicine, 16(1), 1-25. doi: 10.1186/s12916-018-1064-0."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"fdfc709bcfb8","_type":"block","children":[{"_key":"f84849f86797","_type":"span","marks":[],"text":"Sullivan, C., Vaughan, C., & Wright, J. (2020). Migrant and refugee women’s mental health in Australia: A literature review. School of Population and Global Health, University of Melbourne: Melbourne, Australia."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"}],"question":[{"_key":"af2162c60bef","_type":"block","children":[{"_key":"a9e730d70f98","_type":"span","marks":[],"text":"Detailed references from this article"}],"markDefs":[],"style":"normal"}]}],"title":"References"},{"_key":"f4eb7fbb5357","_type":"articleCollection","background":{"title":"brightTeal40","value":"#C3EDEA"},"eyebrow":"Articles","population":"select","posts":[{"_key":"6e7b74615bdf","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},{"_key":"0aa065ec62b6","_ref":"1e855afd-2d29-428e-998e-efa710e2a026","_type":"reference"},{"_key":"74c7c68da101","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"}]}],"relatedArticles":[{"_key":"f86ae7c4112c","_ref":"b1cb382b-dab8-44f5-a8f2-1109d03f2980","_type":"reference"},{"_key":"d8033d2bc843","_ref":"e3e4eb2d-29b8-4375-982d-1acc2d22b0c2","_type":"reference"},{"_key":"f1af8d2f933b","_ref":"9aa50a2e-c32f-4dda-a8ac-8da56d0b6bf6","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"For some parents, pregnancy and early parenthood is the first time they’ve ever experienced significant changes to their mental health.","metaTitle":"How common are mental health issues in the perinatal period?","socialImage":{"_type":"image","asset":{"_ref":"image-edcabb975680e1848598b04a6a7ca8809c9fe916-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"a6d892de965f","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"how-common-are-mental-health-issues-in-the-perinatal-period"},"tags":[{"_key":"df14dbc81fed","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"13ce61a5c667","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"},{"_key":"6fb5a97444af","_ref":"9b2f81d1-948b-4eef-995c-0e856620264d","_type":"reference"}],"title":"How common are mental health issues in the perinatal period?","id":"-88eb4875-947b-5d8c-a0aa-0159a4991a72","children":[],"internal":{"type":"SanityArticle","contentDigest":"d2f4725057a27b937e4f6013aca7a05b","owner":"gatsby-source-sanity","counter":156},"parent":null,"__gatsby_resolved":{"slug":{"current":"how-common-are-mental-health-issues-in-the-perinatal-period"}}},{"_id":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"article","_rev":"e9oiR2gkW2DFWuAPqnrG0m","_createdAt":"2022-02-14T08:41:12Z","_updatedAt":"2024-03-28T04:19:13Z","categories":[{"_key":"4b362e7d570b","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"e97e44188629","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"1e789ffcf782","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"07ab5855d59f","_type":"block","children":[{"_key":"13d14b745218","_type":"span","marks":[],"text":"It's best to talk about it"}],"markDefs":[],"style":"h4"},{"_key":"072dc643cc26","_type":"block","children":[{"_key":"67acb364f305","_type":"span","marks":[],"text":"If you’re a new parent or expecting a baby, and you’re worried about how you’re feeling, then talking to your doctor can be a good place to start. Below we provide tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"},{"_key":"e42fa248ecd7","_type":"block","children":[{"_key":"02c26121b73f","_type":"span","marks":[],"text":"The doctor’s role"}],"markDefs":[],"style":"h4"},{"_key":"e40616d99ec5","_type":"block","children":[{"_key":"74a9061ef424","_type":"span","marks":[],"text":"There are many different services and health professionals that can help. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"9a06c1026a02","_type":"block","children":[{"_key":"b1daffe9a386","_type":"span","marks":[],"text":"Finding the right doctor"}],"markDefs":[],"style":"h4"},{"_key":"4aa4b2bd4415","_type":"block","children":[{"_key":"d174f7739c5c","_type":"span","marks":[],"text":"Do you have a regular doctor with whom you can share your concerns? If not, it’s worth looking for a doctor with a special interest in mental health. Ask family and friends for recommendations of doctors who understand mental health, or ring local practices and ask about their doctors. We can help: call the PANDA National Perinatal Anxiety & Depression Helpline on 1300 726 306 and we will help you to find a doctor in your area."}],"markDefs":[],"style":"normal"},{"_key":"b2c3c95b941e","_type":"block","children":[{"_key":"7598b9b306cd","_type":"span","marks":[],"text":"Making an appointment"}],"markDefs":[],"style":"h4"},{"_key":"6e6e07ab72c3","_type":"block","children":[{"_key":"7dae98646b34","_type":"span","marks":[],"text":"If possible, request a double appointment and let them know it’s about a possible mental health issue. Don’t hesitate to ask for an urgent appointment or cancellation. Mental health issues can be serious, and symptoms can change quickly (see below for what to do if you feel worse before the appointment). Ask for an interpreter if you need one. Many people prefer to talk about sensitive issues in their first language, even if they can speak some English"}],"markDefs":[],"style":"normal"},{"_key":"40eb43c26d8f","_type":"block","children":[{"_key":"1536ab6a270b","_type":"span","marks":[],"text":"Consider taking someone"}],"markDefs":[],"style":"h4"},{"_key":"c61251f6b827","_type":"block","children":[{"_key":"c0ba816a8c03","_type":"span","marks":[],"text":"Consider taking a trusted person with you to the appointment, like a partner, friend or family member . A common symptom of anxiety or depression is difficulty taking in or remembering information. A trusted person can take notes for you, and might help you to feel more confident about sharing your concerns."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Talking to your doctor","image":{"_type":"imageWithAlt","alt":"Mum seeing doctor with baby","asset":{"_ref":"image-f12faa68ea2bd2a18594e7c59bdb785fb44d43a2-500x417-png","_type":"reference"}},"text":[{"_key":"d757fe214ce4","_type":"block","children":[{"_key":"d9b3853b7454","_type":"span","marks":[],"text":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"47c962839d97","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"f6d9d0db4055","_type":"faq","answer":[{"_key":"148b115c894f","_type":"block","children":[{"_key":"95ae5c273ff70","_type":"span","marks":[],"text":"If you’re still not sure about sharing your thoughts or feelings with your doctor, it can help to talk with a loved one or friend first. You can also call the PANDA Helpline. Our counsellors are skilled at helping you to explore your feelings, and to practice aloud the things you want to tell your doctor."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"59c4cff19a3d","_type":"block","children":[{"_key":"1a8177ac599b0","_type":"span","marks":[],"text":"Practice the conversation first"}],"markDefs":[],"style":"normal"}]},{"_key":"72490974baf0","_type":"faq","answer":[{"_key":"effbc4dd9b95","_type":"block","children":[{"_key":"877fbb2811ce0","_type":"span","marks":[],"text":"It’s important to tell your doctor about any changes in your thoughts, feelings and behaviours since becoming an expecting or new parent. Remember, these things do not make you a bad parent, but are potential symptoms of a common, treatable health condition. Let the doctor know if you have felt this way and/or been diagnosed with depression, anxiety or another mental health condition before. It’s also important to tell the doctor if you have had previous thoughts of suicide, or if you have lost someone to suicide."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"92847b9f3fdf","_type":"block","children":[{"_key":"e556c7ae5842","_type":"span","marks":[],"text":"What to tell your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"d70aa326f74c","_type":"faq","answer":[{"_key":"afb1d1c51263","_type":"block","children":[{"_key":"5d702f25140b0","_type":"span","marks":[],"text":"Your doctor should be non-judgemental, respectful and supportive.. They should assess you by asking questions about your symptoms, your and your family’s mental health history, your physical health and lifestyle (e.g. exercise, sleep, use of alcohol or drugs), your living situation, major emotional or psychological experiences, and treatment preferences."}],"markDefs":[],"style":"normal"},{"_key":"2bd7c207cd94","_type":"block","children":[{"_key":"00465bc565fa0","_type":"span","marks":[],"text":"After assessment, your doctor should be able to provide a diagnosis (although sometimes more tests are needed before they can make a diagnosis) and a treatment plan. They should explain your different treatment options, and why they are referring you to any specialist services."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"334374aa9b9f","_type":"block","children":[{"_key":"73478b791f18","_type":"span","marks":[],"text":"What to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"3311e258bd75","_type":"faq","answer":[{"_key":"a5ba4ec70e4a","_type":"block","children":[{"_key":"91c17bbeb02a0","_type":"span","marks":[],"text":"You have the right to fully understand your diagnosis and recommended treatment. You could ask:"}],"markDefs":[],"style":"normal"},{"_key":"4bc3162dd3c5","_type":"block","children":[{"_key":"1e674db35e500","_type":"span","marks":[],"text":"What are my options for treatment? Which do you think are best for me?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29499fa2c097","_type":"block","children":[{"_key":"f88a2e215afc0","_type":"span","marks":[],"text":"What are possible side effects of any medications?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c5c37f91fd5","_type":"block","children":[{"_key":"ff7d9457d7b10","_type":"span","marks":[],"text":"How much better might I feel, and how soon?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"785afab243a2","_type":"block","children":[{"_key":"754e2b27ec420","_type":"span","marks":[],"text":"Who are you referring me to? What do they do? How much will it cost? If I have private health insurance, will it be covered? (also check your policy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52a13d009398","_type":"block","children":[{"_key":"9711d2285d470","_type":"span","marks":[],"text":"Are there other ways that I can care for myself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1059035e92d4","_type":"block","children":[{"_key":"f9cd51760cd20","_type":"span","marks":[],"text":"Can you talk with my other health care providers about shared care? (e.g. obstetrician, midwife, Maternal and Child Health/Child and Family Health Nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77e4e12946dd","_type":"block","children":[{"_key":"01336c0ee6de0","_type":"span","marks":[],"text":"Your doctor can refer you to services like counsellors, psychologists, psychiatrists, social workers and occupational therapists. They might give you a mental health care plan, which gives you some Medicare rebates to help you access counselling. For a higher level of care, they might refer you to a Mother Baby Unit — a hospital unit where you stay with your baby — or to another hospital-based psychiatric service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5e39c53e4e16","_type":"block","children":[{"_key":"6e7d757729f3","_type":"span","marks":[],"text":"Questions to ask"}],"markDefs":[],"style":"normal"}]},{"_key":"0fe6884d9fa5","_type":"faq","answer":[{"_key":"a0f34745db53","_type":"block","children":[{"_key":"a2c2141ba0ce0","_type":"span","marks":[],"text":"Not all doctors have the same experience, confidence or qualifications in supporting patients with mental health issues. If the first doctor you see doesn’t help you enough, please don’t give up. You have a right to get the support you need, to feel better and enjoy your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"11105b443a24","_type":"block","children":[{"_key":"d722bb40d5090","_type":"span","marks":[],"text":"Call the PANDA National Helpline any time: to find a doctor or other service, for supportive counselling, or to discuss other support options like playgroups or support groups. You can call for yourself or about someone else you are concerned about."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"31a628481730","_type":"block","children":[{"_key":"f1f0b7bb1fe4","_type":"span","marks":[],"text":"If you don't get what you need"}],"markDefs":[],"style":"normal"}]},{"_key":"55f55b8dc810","_type":"faq","answer":[{"_key":"27705a63f8eb","_type":"block","children":[{"_key":"7dea9d64d2d30","_type":"span","marks":[],"text":"If you need urgent help before your appointment, call emergency services on triple zero (000) or go to your local hospital emergency department. The symptoms and severity of mental illness can sometimes change quickly. Don’t hesitate to seek urgent help if needed."}],"markDefs":[],"style":"normal"},{"_key":"5edf7645473e","_type":"block","children":[{"_key":"693b5731952c0","_type":"span","marks":[],"text":"You can call the PANDA National Perinatal Anxiety & Depression Helpline for support and ongoing counselling on 1300 726 306, Monday to Friday, 9am to 7.30pm AEST/ADST. You can call about yourself or someone else."}],"markDefs":[],"style":"normal"},{"_key":"00f3c1bfa15b","_type":"block","children":[{"_key":"b740844eb25f0","_type":"span","marks":[],"text":"If you need someone to talk with outside PANDA’s hours, call Suicide Call Back Service on 1300 659 467, Suicide Line on 1300 651 251, or Lifeline on 131114."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ee768dd29217","_type":"block","children":[{"_key":"e5933b44caca","_type":"span","marks":[],"text":"If you feel worse"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"c360ec98f5bf","_type":"block","children":[{"_key":"684a02e0b0a60","_type":"span","marks":[],"text":"People often forget things that they wanted to tell or ask their doctor during their appointment. It can be helpful to prepare by writing a list of your symptoms, concerns, and questions."}],"markDefs":[],"style":"normal"}],"title":"Prepare for the appointment"},{"_key":"5e8b1caa6593","_type":"fileCollection","files":[{"_key":"c5748ae691a4","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"cta":"Download","file":{"_type":"file","asset":{"_ref":"file-bec93bd9eb58ae8f35d03b5767093abeb1effd70-pdf","_type":"reference"}},"title":"Talking to your doctor"}],"title":"Factsheets"},{"_key":"f7e660518986","_type":"checklist","field":"content"},{"_key":"780165dc53a5","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"d47730980313","_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},{"_key":"334300bb2126","_ref":"6db1ae16-57eb-45a1-9f7f-e53fd09a8427","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation.","metaTitle":"Talking to your doctor","socialImage":{"_type":"image","asset":{"_ref":"image-edcabb975680e1848598b04a6a7ca8809c9fe916-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_key":"03d97dabb92a","_ref":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"reference"},{"_key":"d1a03409be84","_ref":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"talking-to-your-doctor"},"tags":[{"_key":"cbd98d59e44e","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"},{"_key":"31ba9b178809","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"05deaeda4ed0","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"}],"title":"Talking to your doctor","id":"-592aeba9-9c48-5c33-9b43-5b33c564b821","children":[],"internal":{"type":"SanityArticle","contentDigest":"4f877d2f8eea899d6bff1d47cd41ccbd","owner":"gatsby-source-sanity","counter":165},"parent":null,"__gatsby_resolved":{"slug":{"current":"talking-to-your-doctor"}}}],"seo":{"_type":"seo","metaDescription":"When you want to be a good support but you’re not sure how, PANDA is here to help. We’re sharing ways you can safely support a loved one.","metaTitle":"Caring for loved ones at risk of perinatal mental health issues","socialImage":{"_type":"image","asset":{"_ref":"image-865d92afcfaf1a5b220b380a0548cf8e85aed1c7-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_id":"9aa50a2e-c32f-4dda-a8ac-8da56d0b6bf6","_type":"article","_rev":"Qn539eY6AyPDWnV3QW7eAf","_createdAt":"2022-02-14T07:25:34Z","_updatedAt":"2024-05-27T00:11:15Z","categories":[{"_key":"5ad8ce5ff1db","_ref":"f72ed5fd-4128-46cf-b3ca-bdf1ed7b9837","_type":"reference"}],"category":{"_ref":"-86f74096-b6a0-55a1-833a-27fdc4f9c109","_type":"reference"},"content":[{"_key":"89e5f7d7830e","_type":"block","children":[{"_key":"651e0dd902510","_type":"span","marks":[],"text":"Perinatal anxiety and depression can affect any person and their family, regardless of culture, age, or socio-economic situation. While you can’t “fix” what your partner is going through, you can support them while they seek help and receive treatment. "}],"markDefs":[],"style":"normal"},{"_key":"8a30cb5071a0","_type":"block","children":[{"_key":"42ce628253de0","_type":"span","marks":[],"text":"If you are finding it stressful or challenging to support your partner, help is available for you too."}],"markDefs":[],"style":"normal"},{"_key":"bd1f8c405d65","_type":"block","children":[{"_key":"46777b43c567","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"9fea368db7a2","_type":"block","children":[{"_key":"844b1f18aba50","_type":"span","marks":[],"text":"Impact on relationships and wellbeing"}],"markDefs":[],"style":"h4"},{"_key":"caac9ad89c58","_type":"block","children":[{"_key":"572e57f6295c0","_type":"span","marks":[],"text":"Perinatal anxiety and depression can impact all areas of wellbeing: physical, emotional and social. Overwhelm, exhaustion, loss of confidence, fear of leaving the house or being with other people can all take its toll. Relationships with partners, family and friends can be impacted."}],"markDefs":[],"style":"normal"},{"_key":"7928f58f3de9","_type":"block","children":[{"_key":"73179dba1797","_type":"span","marks":[],"text":"The longer a parent experiencing mental health issues goes without seeking treatment, the more likely it is that their partner may experience changes to their mental health too."}],"markDefs":[],"style":"normal"},{"_key":"863f1e9ffe56","_type":"block","children":[{"_key":"7aeabb510b710","_type":"span","marks":[],"text":"If you’re feeling overwhelmed and unable to cope due to changes in your mental health, it can be difficult to find the patience and energy to connect with babies, children and loved ones. It’s difficult to parent if you are feeling agitated, unsettled or lacking in motivation. This is why seeking help early is so important."}],"markDefs":[],"style":"normal"},{"_key":"4532d64ad8a2","_type":"block","children":[{"_key":"d77c74c6aed10","_type":"span","marks":[],"text":"It can be an unexpected shock if your partner is struggling with symptoms of perinatal anxiety or depression. Our culture portrays the pregnancy, birth and the perinatal period as a time of joy and elation. Most new parents, even if they don’t experience mental health challenges, will experience some degree of fatigue, overwhelm, irritability, stress and worry as they adjust to life as a parent."}],"markDefs":[],"style":"normal"},{"_key":"c32c9b8a7f2d","_type":"block","children":[{"_key":"7098adda69dc","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f34dde481531","_type":"block","children":[{"_key":"ca3d9d28d9ae0","_type":"span","marks":[],"text":"If your partner is experiencing mental health challenges during pregnancy or early parenthood, you might feel:"}],"markDefs":[],"style":"h4"},{"_key":"50f4d3113349","_type":"block","children":[{"_key":"4d67260d8a600","_type":"span","marks":[],"text":"Confused or uncertain about what to say or do to help"}],"markDefs":[],"style":"h5"},{"_key":"63bf3fb658ca","_type":"quote","quote":"I don’t know what to say in case I make things worse"},{"_key":"a4444d23af97","_type":"block","children":[{"_key":"64581e12215c0","_type":"span","marks":[],"text":"Useless"}],"markDefs":[],"style":"h5"},{"_key":"01ba69372a4b","_type":"quote","quote":"Nothing I say or do seems to help!"},{"_key":"2cca12465f2b","_type":"block","children":[{"_key":"045695b4fe830","_type":"span","marks":[],"text":"Frustrated and angry"}],"markDefs":[],"style":"h5"},{"_key":"9c807f4cb55b","_type":"quote","quote":"Why are they being like this when I am trying so hard?"},{"_key":"60f111b97604","_type":"block","children":[{"_key":"dedd015523280","_type":"span","marks":[],"text":"Overwhelmed"}],"markDefs":[],"style":"h5"},{"_key":"c12029d08f57","_type":"quote","quote":"It’s all too much"},{"_key":"9b5b342fc0c3","_type":"block","children":[{"_key":"3b22e2b22fa50","_type":"span","marks":[],"text":"Alienated"}],"markDefs":[],"style":"h5"},{"_key":"4563647f9a55","_type":"quote","quote":"I have no idea how to relate to this experience."},{"_key":"ed5659ddf40c","_type":"block","children":[{"_key":"687030e220f50","_type":"span","marks":[],"text":"Unsure about how or when to help"}],"markDefs":[],"style":"h5"},{"_key":"b86a1289c4b4","_type":"quote","quote":"Am I interfering? Should I be helping more? Should I be letting them have space?"},{"_key":"86124c9b094d","_type":"block","children":[{"_key":"1b452a8cf87b0","_type":"span","marks":[],"text":"A sense of loss"}],"markDefs":[],"style":"h5"},{"_key":"b94848ea018f","_type":"quote","quote":"When is my partner going to be their ‘old self’?"},{"_key":"cca635ff54d9","_type":"block","children":[{"_key":"dffd49b822fa0","_type":"span","marks":[],"text":"A loss of support"}],"markDefs":[],"style":"h5"},{"_key":"6bc667fb6afe","_type":"quote","quote":"My partner and I were so close. I feel like they're no longer there for me."},{"_key":"25571a389b23","_type":"block","children":[{"_key":"af14044210e30","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"5ade8609d2ce","_type":"block","children":[{"_key":"d8d6c0e5834f0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"40b7e023f4d8","_type":"block","children":[{"_key":"932ad12870c5","_type":"span","marks":[],"text":"It’s important to remember that perinatal anxiety and depression are mental health disorders. "}],"markDefs":[],"style":"h4"},{"_key":"82a6b592662b","_type":"block","children":[{"_key":"95246cb2a906","_type":"span","marks":[],"text":"Try not to take any out of character behaviour personally. We also encourage you to look after your own physical, mental and emotional wellbeing. This ensures you’re in the best possible position to care for your partner and family during a challenging time."}],"markDefs":[],"style":"normal"},{"_key":"860a641e50cb","_type":"block","children":[{"_key":"d466699692be0","_type":"span","marks":[],"text":"Lots of parents feel uncertain about who they can talk to about what their partner is going through. We still have a long way to go to accepting mental health in the same way we deal with physical health. It’s a good idea to check in with your partner about how they feel about you telling other people. "}],"markDefs":[],"style":"normal"},{"_key":"a7e1b270cf9b","_type":"block","children":[{"_key":"75f3e248c17c","_type":"span","marks":[],"text":"It can help to remember that perinatal anxiety and/or depression are common. 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While you can’t “fix” what your partner is going through, you can support them while they seek help and receive treatment. "}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"1e5f0309cad3","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"2ce7c5e1300d","_type":"faq","answer":[{"_key":"931c145d6b01","_type":"block","children":[{"_key":"28b5c5aef0910","_type":"span","marks":[],"text":"This might mean getting up to do night feeds, nappy changes and settling. 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This gives your partner space to focus on their health care needs."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"3e732e42a9a3","_type":"block","children":[{"_key":"7e47dca53e9c0","_type":"span","marks":[],"text":"Assist your partner to seek help"}],"markDefs":[],"style":"normal"}]},{"_key":"8b662fa8ab75","_type":"faq","answer":[{"_key":"dc1763c6e276","_type":"block","children":[{"_key":"15394f3940180","_type":"span","marks":[],"text":"This could mean taking the kids for an hour while your partner goes for a walk or has a rest."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"93ac657f3e2c","_type":"block","children":[{"_key":"6745bfa2ab960","_type":"span","marks":[],"text":"Take on extra care of the baby or older children"}],"markDefs":[],"style":"normal"}]},{"_key":"8a7e7daaf6af","_type":"faq","answer":[{"_key":"a15a715a886e","_type":"block","children":[{"_key":"f5181a4fa1590","_type":"span","marks":[],"text":"Babies generate an increase in domestic work, including cleaning, laundry, food preparation, and “life admin” like family finances and making healthcare appointments. 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We understand that it’s often the early hours of the morning when our callers are feeling overwhelmed, unable to cope, and need support services they can access for immediate help."}],"markDefs":[],"style":"normal"},{"_key":"745bc224fc5d","_type":"block","children":[{"_key":"1f0ba379f1dd0","_type":"span","marks":[],"text":"Below are two mental health safe plans that can be used any time of the day or night."}],"markDefs":[],"style":"normal"},{"_key":"7f17a2fea1a4","_type":"block","children":[{"_key":"a136da2ffb120","_type":"span","marks":[],"text":"The first safe plan is for you if you’re having a hard time coping. There’s also a safe plan for people who are caring for a loved one experiencing mental health difficulties."}],"markDefs":[],"style":"normal"},{"_key":"a02ba8b009a3","_type":"block","children":[{"_key":"0b041dfc97970","_type":"span","marks":[],"text":"We encourage you to share your safe plan with anyone that’s supporting you. That might be your partner, family, friends or a trusted health professional."}],"markDefs":[],"style":"normal"},{"_key":"0a992d1d1440","_type":"block","children":[{"_key":"58a80b69273f","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Mental health safe plans","image":{"_type":"imageWithAlt","alt":"mum admiring her sleeping baby","asset":{"_ref":"image-44b1c552b4ddca5cc1fb896d9fe21b7e93524796-2500x2000-jpg","_type":"reference"}},"text":[{"_key":"94343f14dcae","_type":"block","children":[{"_key":"cb95de9afb220","_type":"span","marks":[],"text":"24/7 mental health supports are available. 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This helps people get support in place when and if they need it\n"}],"markDefs":[],"style":"normal"},{"_key":"7cee859dca3d","_type":"block","children":[{"_key":"840246a2c676","_type":"span","marks":["strong"],"text":"Some helpful resources you can provide include:"},{"_key":"4f0f8793161f","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"},{"_key":"3a22fae1df8a","_type":"block","children":[{"_key":"512b609ae1f7","_type":"span","marks":["cf9e3a7a4dc7"],"text":"PANDA fact sheets and articles"},{"_key":"f5633960b069","_type":"span","marks":[],"text":"\n"},{"_key":"da9869ab197b","_type":"span","marks":["c5f1bc9f00bb"],"text":"PANDA Mental Health Checklist"},{"_key":"548bc2d2629e","_type":"span","marks":[],"text":"\n"},{"_key":"1308856ad0a4","_type":"span","marks":["e9bb2d436df9"],"text":"PANDA’s Mental Health Safe Plan"},{"_key":"a6c10ecd9555","_type":"span","marks":[],"text":"\n"},{"_key":"c82157d7de2b","_type":"span","marks":["84988fc7915d"],"text":"PANDA Parent and Baby Care Plan"},{"_key":"f85c6b544aa6","_type":"span","marks":[],"text":"\n"},{"_key":"c8c63d4beb38","_type":"span","marks":["8e7e060e681f"],"text":"Stories by people who have experienced perinatal mental health challenges"},{"_key":"d64aba26db9e","_type":"span","marks":[],"text":"\n"},{"_key":"2754d5905c63","_type":"span","marks":["8cc8f191af6c"],"text":"Pregnancy, Birth and Baby"},{"_key":"4f591acaeaf3","_type":"span","marks":[],"text":"\n"},{"_key":"d24585c42e01","_type":"span","marks":["e0ceb23e3677"],"text":"Raising Children Network"},{"_key":"4abc578a9375","_type":"span","marks":[],"text":"\n"},{"_key":"41a3a10f6683","_type":"span","marks":["815db298d564"],"text":"MumSpace - Perinatal Depression and Anxiety Support"},{"_key":"d2f2babe2f80","_type":"span","marks":[],"text":"\n"},{"_key":"35f73ad36bd8","_type":"span","marks":["f9ec5eb1c455"],"text":"HOME - DadSpace"},{"_key":"7aa5d056e5c5","_type":"span","marks":[],"text":"\n"}],"markDefs":[{"_key":"c5f1bc9f00bb","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/checklists/new-mums/"},{"_key":"e9bb2d436df9","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/mental-health-safe-plans-looking-after-yourself-and-your-loved-ones/"},{"_key":"84988fc7915d","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/parent-and-baby-care-plan/"},{"_key":"8e7e060e681f","_type":"link","blank":true,"document":{"_ref":"b7ccaec7-2753-4bd2-ab8d-6f8810ea3b4f","_type":"reference"},"linkType":"internal","url":"https://panda.org.au/stories/"},{"_key":"8cc8f191af6c","_type":"link","blank":true,"linkType":"external","url":"https://www.pregnancybirthbaby.org.au/"},{"_key":"e0ceb23e3677","_type":"link","blank":true,"linkType":"external","url":"https://raisingchildren.net.au/"},{"_key":"815db298d564","_type":"link","blank":true,"linkType":"external","url":"https://www.mumspace.com.au/"},{"_key":"f9ec5eb1c455","_type":"link","blank":true,"linkType":"external","url":"https://www.dadspace.com.au/"},{"_key":"cf9e3a7a4dc7","_type":"link","blank":true,"document":{"_ref":"832225a7-4aeb-49fc-bd68-7296172e2d82","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"question":[{"_key":"386f84527a9c","_type":"block","children":[{"_key":"4a411fba8a95","_type":"span","marks":[],"text":"Provide information and resources"}],"markDefs":[],"style":"normal"}]},{"_key":"4864cdbdfb8c","_type":"faq","answer":[{"_key":"72b5461337c4","_type":"block","children":[{"_key":"9eda1377a1de0","_type":"span","marks":[],"text":"Many people find it hard to talk about what they are experiencing. This includes intrusive thoughts of harm, suicidal ideation and other thoughts and feelings that people may find very difficult to share with you, or anyone else."}],"markDefs":[],"style":"normal"},{"_key":"ebc23abaa691","_type":"block","children":[{"_key":"692398a33a83","_type":"span","marks":[],"text":"If someone in your care chooses to trust you with their experience and story, it's important to listen closely and non-judgmentally to what they are saying.\nThis can encourage an honest conversation. As a healthcare provider, a more complete picture of what’s going on can be invaluable when you are collaborating on a personalised treatment or care plan."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"cb592e6e7a2b","_type":"block","children":[{"_key":"18e5d68b89470","_type":"span","marks":[],"text":"Manage your own responses to encourage sharing and honesty"}],"markDefs":[],"style":"normal"}]},{"_key":"267f4c961731","_type":"faq","answer":[{"_key":"563e1c4ab7e0","_type":"block","children":[{"_key":"d89500ba71450","_type":"span","marks":[],"text":"Often expecting and new parents will present a strong “mask of coping” with their family. friends and healthcare providers. It’s important to be attuned to the signs that someone may not be coping as well as usual, or adapting to pregnancy or parenthood as well as they’d hoped."}],"markDefs":[],"style":"normal"},{"_key":"e15791f4325d","_type":"block","children":[{"_key":"c8df6afd2f640","_type":"span","marks":["strong"],"text":"What to look for: Signs of perinatal mental health and wellbeing changes"}],"markDefs":[],"style":"normal"},{"_key":"4c9f979f8fd6","_type":"block","children":[{"_key":"b00fddb99e980","_type":"span","marks":[],"text":"You may notice changes to an expecting or new parent’s appearance, such as their body language and nonverbal expression, dress and personal hygiene. Or you may sense a change in the way they interact and communicate, from their tone of voice, speech and verbal expression to their thinking."}],"markDefs":[],"style":"normal"},{"_key":"53fff7d04dad","_type":"block","children":[{"_key":"552d7fba2cb00","_type":"span","marks":[],"text":"If you can see someone becoming more hesitant, tense or teary during your conversation, it’s always a good idea to pause a moment, share what you’re noticing, and ask if they’re okay."}],"markDefs":[],"style":"normal"},{"_key":"25603e4a848f","_type":"block","children":[{"_key":"46a150bf47320","_type":"span","marks":["strong"],"text":"What to listen for: Signs of perinatal mental health and wellbeing changes"}],"markDefs":[],"style":"normal"},{"_key":"5b6b0b47667f","_type":"block","children":[{"_key":"db6aecd51fc60","_type":"span","marks":[],"text":"Expecting and new parents may share these changes with you in conversation as well. These common statements made by expecting and new parents are possible signs they need extra support for their mental health and wellbeing:"}],"markDefs":[],"style":"normal"},{"_key":"dca987123b42","_type":"block","children":[{"_key":"615c0ad28e290","_type":"span","marks":[],"text":"“This isn’t what I expected at all\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"125cc39ac014","_type":"block","children":[{"_key":"c188b863e0310","_type":"span","marks":[],"text":"“I don’t feel a connection to my unborn baby – is that normal?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b102857c93bd","_type":"block","children":[{"_key":"9d0944af30930","_type":"span","marks":[],"text":"“I feel so tired and teary all the time, even if I’ve had enough sleep.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1ab7f441d519","_type":"block","children":[{"_key":"32328825d7a20","_type":"span","marks":[],"text":"“I feel so alone, even with family around. I miss my old life.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26fa98c8b25d","_type":"block","children":[{"_key":"ddd4df5712fe0","_type":"span","marks":[],"text":"“I can’t seem to switch off – there’s this feeling that something is horribly wrong.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e843117da0c4","_type":"block","children":[{"_key":"1826a24f53610","_type":"span","marks":[],"text":"“After the birth experience we had, I don’t want anyone else to care for my baby.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"73b4e14e1332","_type":"block","children":[{"_key":"8aad8ae7a1ff0","_type":"span","marks":[],"text":"“I’ve lost my appetite/I’m craving junk food, that usually happens when I’m stressed.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"03b2b16db368","_type":"block","children":[{"_key":"99b3577d7ee70","_type":"span","marks":[],"text":"“I don’t have words for how I’m feeling. I just don’t know.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"bd6e7b206493","_type":"block","children":[{"_key":"53ca4895767f","_type":"span","marks":[],"text":"Watch and listen"}],"markDefs":[],"style":"normal"}]},{"_key":"073fc61e8ca8","_type":"faq","answer":[{"_key":"c751705df92c","_type":"block","children":[{"_key":"53671b8463560","_type":"span","marks":[],"text":"It’s important to note that expecting and new parents may feel exhausted and stressed, and for many self-care has shifted in meaning or priority. Likewise, many people present ‘well’ during healthcare provider interactions but are feeling overwhelmed underneath a put-together exterior."}],"markDefs":[],"style":"normal"},{"_key":"01969bef7972","_type":"block","children":[{"_key":"a7601e6fb5590","_type":"span","marks":["strong"],"text":"Gently explore all signs of change."},{"_key":"a7601e6fb5591","_type":"span","marks":[],"text":" This includes asking the person how they are feeling as the conversation progresses, and allowing space for silence and pauses. Silence can be an opportunity and invitation for someone to share more."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"53bc98d02bc3","_type":"block","children":[{"_key":"02c03ab3227b0","_type":"span","marks":["strong"],"text":"Be inclusive."},{"_key":"02c03ab3227b1","_type":"span","marks":[],"text":" Culturally-inclusive support allows space for other beliefs and values in your care conversations. For example, in many cultures it’s a measure of respect when people avert their eyes or look down. In Western culture this might be interpreted as someone feeling withdrawn, bored, or anxious."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9cb879ca3c60","_type":"block","children":[{"_key":"945320d135210","_type":"span","marks":["strong"],"text":"Be direct. "},{"_key":"945320d135211","_type":"span","marks":[],"text":"For example: ‘I notice you keep looking at the floor as we’re talking about (your birth experience, settling baby, your appetite the past few weeks). It’s important to me that you feel comfortable, and I know some things can be hard to talk about. How are you feeling at the moment?’"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"cfa113d1d7d4","_type":"block","children":[{"_key":"0ca8762eade4","_type":"span","marks":[],"text":"PANDA Practice tips: Watching and listening"}],"markDefs":[],"style":"normal"}]},{"_key":"947cdfb730f7","_type":"faq","answer":[{"_key":"ca23936da339","_type":"block","children":[{"_key":"673f51f674350","_type":"span","marks":[],"text":"Suicide remains one of the leading causes of maternal death during the perinatal period in Australia. Mental health can also shift rapidly during pregnancy and early parenthood – feelings of hopelessness and despair can quickly change into thoughts of suicide and self-harm."}],"markDefs":[],"style":"normal"},{"_key":"906539880d3f","_type":"block","children":[{"_key":"bae7935826ab0","_type":"span","marks":[],"text":"Even if you ask directly if someone is having thoughts of suicide and they answer no, you may hear some of the statements below in your care conversations."}],"markDefs":[],"style":"normal"},{"_key":"c03c53dafdbe","_type":"block","children":[{"_key":"5aa93b7ff4e10","_type":"span","marks":[],"text":"If someone in your care expresses sentiments like these, it’s vital that you explore their wellbeing and safety."}],"markDefs":[],"style":"normal"},{"_key":"cdb701a17650","_type":"block","children":[{"_key":"a84656649ea70","_type":"span","marks":[],"text":"This may include asking again about suicide in your conversation. Sometimes people take a while to trust that they can share how they truly feel with healthcare providers. If you’re having a respectful, curious, non-judgemental discussion, you may find people choose to trust you with their experience as your care conversation progresses."}],"markDefs":[],"style":"normal"},{"_key":"6806296baffb","_type":"block","children":[{"_key":"9213696e096e0","_type":"span","marks":["strong"],"text":"Verbal signs of hopeless, despair, possible suicide ideation:"}],"markDefs":[],"style":"normal"},{"_key":"7da3f11c39a1","_type":"block","children":[{"_key":"a629b6f810d90","_type":"span","marks":[],"text":"“I feel helpless, I feel hopeless\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"90a5f14861ea","_type":"block","children":[{"_key":"f2c28a00a6650","_type":"span","marks":[],"text":"“Nothing will change, no one can help me. I’m beyond help.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68009c8fb8dd","_type":"block","children":[{"_key":"6f2654279b480","_type":"span","marks":[],"text":"“I just want to sleep all day… and not wake up.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"457042cff693","_type":"block","children":[{"_key":"7708dcbce1a80","_type":"span","marks":[],"text":"“I feel like running away or disappearing.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e02669accb1c","_type":"block","children":[{"_key":"b80364f3b0130","_type":"span","marks":[],"text":"“I can’t ever see things changing. I can’t do this anymore.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3607d8a62e03","_type":"block","children":[{"_key":"109e81e8eb1e0","_type":"span","marks":[],"text":"“I’m such a burden. They would be better off without me.”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6887738f6492","_type":"block","children":[{"_key":"29bc586bf66a0","_type":"span","marks":[],"text":"“I just want this to end.\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"7ce7d371b261","_type":"block","children":[{"_key":"a73fdd4241940","_type":"span","marks":[],"text":"Signs of hopelessness or possible suicide ideation"}],"markDefs":[],"style":"normal"}]},{"_key":"6e71412be981","_type":"faq","answer":[{"_key":"c131c0bb8648","_type":"block","children":[{"_key":"ea99e3c56cfa0","_type":"span","marks":["strong"],"text":"Asking if someone is having thoughts of suicide or hurting themselves doesn’t increase the risk they will act on those thoughts. "},{"_key":"353926211ee3","_type":"span","marks":[],"text":"It’s often a relief to be asked about thoughts of suicide in a caring, curious and non-judgemental way."}],"markDefs":[],"style":"normal"},{"_key":"2b72169bbe96","_type":"block","children":[{"_key":"22da1300d5e50","_type":"span","marks":[],"text":"Asking about someone’s wellbeing and safety is the foundation of effective, meaningful perinatal mental health care. It really is that simple."}],"markDefs":[],"style":"normal"},{"_key":"4302c2c1de1c","_type":"block","children":[{"_key":"9d93ec1b5bc60","_type":"span","marks":[],"text":"Focus on being present with the person you’re supporting. Together, you can explore what they need to keep themself and their baby safe for now. Keep providing calm assurance that help is available."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"215584c2f734","_type":"block","children":[{"_key":"3a0165efa43b0","_type":"span","marks":[],"text":"It’s always a good idea to involve other support people in any risk management care plan:"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32b0b6ba0756","_type":"block","children":[{"_key":"278091ec7c9a0","_type":"span","marks":[],"text":"You can try calling the person’s supports and specialist mental health services if you are together, in person or online."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c3530d676c98","_type":"block","children":[{"_key":"f9373d481ea10","_type":"span","marks":[],"text":"If it’s between appointments or sessions and you have concerns, we encourage you to reach out directly to the person to provide support if time permits, and seek supervision and/or a secondary consultation as appropriate (e.g. PANDA, local mental health triage services)."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9eac731d0d8e","_type":"block","children":[{"_key":"9d258da66b95","_type":"span","marks":["e17ae05c0ae8"],"text":"Read more about perinatal sucide, including signs, safety and support options."}],"markDefs":[{"_key":"e17ae05c0ae8","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/perinatal-suicide-signs-safety-and-support-options/"}],"style":"normal"}],"question":[{"_key":"8b72c4caa304","_type":"block","children":[{"_key":"d8dc9aa05566","_type":"span","marks":[],"text":"PANDA Practice tips: hopeless or possible suicidal ideation"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"96eb64efea7a","_type":"block","children":[{"_key":"31d3bb3e83f70","_type":"span","marks":[],"text":"Individuals and families you’re supporting may not know that you can provide mental health support, treatment and/or referral. 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In Australia, the perinatal period is conception to 12 months after birth."}],"markDefs":[],"style":"normal"},{"_key":"61ef0c806b9d","_type":"block","children":[{"_key":"046177a29aba0","_type":"span","marks":[],"text":"Effective perinatal mental health care can make a real difference in a time of big changes. It can benefit parent/baby attachment, relationship challenges, and managing thoughts of harm to self or baby."}],"markDefs":[],"style":"normal"},{"_key":"17a5d23960d1","_type":"block","children":[{"_key":"246f89cf88780","_type":"span","marks":[],"text":"There are many care options available for expecting and new parents experiencing perinatal mental health challenges."}],"markDefs":[],"style":"normal"},{"_key":"a9cd7de2d6c9","_type":"block","children":[{"_key":"4c57ca2bb805","_type":"span","marks":[],"text":"This page is intended as a basic directory of many of the services available across Australia to support perinatal mental health. 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"}],"markDefs":[],"style":"normal"}],"question":[{"_key":"350630d10af7","_type":"block","children":[{"_key":"98bcd293e1760","_type":"span","marks":[],"text":"Step 5: Acute care and specialist support services"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"61d18ea10a58","_type":"block","children":[{"_key":"23c2254b8ac70","_type":"span","marks":[],"text":"Stepped perinatal mental health care spans a broad spectrum of support needs."}],"markDefs":[],"style":"normal"},{"_key":"f50942a22e19","_type":"block","children":[{"_key":"fc6dd61a062b0","_type":"span","marks":[],"text":"People’s support needs often change over time, and they may move between levels of care depending on their individual situation. People’s needs often span multiple levels of the stepped care model. For example, someone might benefit from peer support and self-care strategies during an inpatient admission for mental health."}],"markDefs":[],"style":"normal"},{"_key":"bfc350400ede","_type":"block","children":[{"_key":"8f53faf54f5f0","_type":"span","marks":[],"text":"By referring to (and working with) other integrated services that provide stepped care, you can be highly responsive to the mental health and support requirements of every person in your care."}],"markDefs":[],"style":"normal"},{"_key":"f21549bed11c","_type":"block","children":[{"_key":"d6e8a7b958eb0","_type":"span","marks":[],"text":"Below are some examples of perinatal mental health and wellbeing services you can refer to at every level of stepped care. 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Some people may start by accessing a helpline, then see their healthcare provider for a mental health treatment referral, and access online peer support while they are waiting for their first appointment or an admission."}],"markDefs":[],"style":"normal"},{"_key":"60a0fd3736cc","_type":"block","children":[{"_key":"b02a6d53266e0","_type":"span","marks":[],"text":"Other people start exploring supports online or self-manage their mental health for many months before accessing mental healthcare services."}],"markDefs":[],"style":"normal"},{"_key":"66b3068686b2","_type":"block","children":[{"_key":"d1b8069003770","_type":"span","marks":[],"text":"In all these scenarios, it’s vital that health care providers keep asking about wellbeing, exploring safety, and discussing preferred ways to manage mental health."}],"markDefs":[],"style":"normal"}]},{"_key":"1a581cbabb71","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"a68d8eab59ad","_type":"faq","answer":[{"_key":"48f514097ed7","_type":"block","children":[{"_key":"d29f4287a3af0","_type":"span","marks":[],"text":"People may feel reluctant to seek out or engage with supports and services for many reasons. Some people feel shame or fear. Others may be concerned about social or cultural stigma. Some may have had an adverse experience in the past or be uncomfortable with particular types of treatment. "}],"markDefs":[],"style":"normal"},{"_key":"3d6837d87bde","_type":"block","children":[{"_key":"760c4cde31310","_type":"span","marks":[],"text":"To help you start an open conversation, here is some language we use with callers that you might find useful:"}],"markDefs":[],"style":"normal"},{"_key":"499f612bba51","_type":"block","children":[{"_key":"94515d5f3ef00","_type":"span","marks":[],"text":"“How would you feel about talking to (a doctor/child health nurse/midwife/psychologist/psychiatrist/peer worker) about what you have shared with me today?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3df47458ab17","_type":"block","children":[{"_key":"5e81610df3740","_type":"span","marks":[],"text":"“We often find that people want help but there’s something stopping them from following up a referral. I’m wondering if there’s anything about talking to the (name relevant health care provider) that concerns you?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7795b7012c5c","_type":"block","children":[{"_key":"7a10fc4f548c0","_type":"span","marks":[],"text":"“Is there anything you are concerned about sharing with the (name relevant health care provider)? What can we do to make the conversation feel a bit easier?\""}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b24ff4b3e912","_type":"block","children":[{"_key":"39a5492cffe00","_type":"span","marks":[],"text":"Try exploring with them what they imagine life might be like in the coming months if they don’t access additional help, and then ask them to imagine what life might be like if they do seek support."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"240a8135d2d4","_type":"block","children":[{"_key":"c17a590a56ff","_type":"span","marks":[],"text":"Identify and address barriers"}],"markDefs":[],"style":"normal"}]},{"_key":"ad290f874b84","_type":"faq","answer":[{"_key":"daa5f94176c1","_type":"block","children":[{"_key":"4f8e302ca5ea0","_type":"span","marks":[],"text":"Callers to the PANDA National Helpline often say that they feel nervous about sharing symptoms and concerns with their health care providers. Many people also mention that they forget things they wanted to say or ask in appointments, and worry they’ve missed their opportunity to access support."}],"markDefs":[],"style":"normal"},{"_key":"14300ed5c16a","_type":"block","children":[{"_key":"3cca16188c960","_type":"span","marks":[],"text":"You can help expecting and new parents feel more confident they'll remember what they'd like to share - and ask - during appointments with other healthcare providers by exploring each person’s unique experiences and key concerns. You may like to help the person you’re supporting to create a list of key symptoms that will inform appropriate care options."}],"markDefs":[],"style":"normal"},{"_key":"252f3819be9f","_type":"block","children":[{"_key":"ddd33e1057290","_type":"span","marks":[],"text":"If you have used a screening measure as part of your assessment, give the person a copy of their results to share with other members of their care team."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ff27598441c0","_type":"block","children":[{"_key":"4ea47d2750940","_type":"span","marks":[],"text":"Help the person you’re supporting know what to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"9e578a21eeab","_type":"faq","answer":[{"_key":"8e9a99aaa95f","_type":"block","children":[{"_key":"85bdcfaa002e0","_type":"span","marks":[],"text":"There are many reasons why referrals may not work out. Follow-up is important to ensure that any referrals you’ve made are appropriate and successful. Sometimes people in your care may need you (with consent) to make appointments for them and/or share information with the healthcare provider/s you’re referring to. This enables you to share your observations and advocate for the person. It’s also a trauma-informed approach to care, because it may save the person you are supporting from having to repeat their story to healthcare providers each time they access a new service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"9310cae5e93b","_type":"block","children":[{"_key":"09e4a383460b0","_type":"span","marks":[],"text":"Follow up"}],"markDefs":[],"style":"normal"}]}],"title":"Encourage help seeking"},{"_key":"72b58c3dcfac","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"7b7d6b7131dd","_type":"faq","answer":[{"_key":"59a11770f830","_type":"block","children":[{"_key":"6d6e96ac97df0","_type":"span","marks":[],"text":"Ask the person you’re supporting how they feel about mental health care and treatment, and if they have any preferences about how they would like to be supported."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"1c07187f56e2","_type":"block","children":[{"_key":"97be2646a9360","_type":"span","marks":[],"text":"Consider things like accessibility, literacy and preferred language to inform where you make a referral."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0db731d3af63","_type":"block","children":[{"_key":"3d1fcc79f40b0","_type":"span","marks":[],"text":"Discuss any concerns about mental health referral that the person you’re supporting has shared. For example, some people are very concerned about child removal or hospitalisation and these fears can become barriers to supportive care."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"4414211a8713","_type":"block","children":[{"_key":"c29ba9043d8d0","_type":"span","marks":[],"text":"Think outside your usual referral pathways: Is there a service you aren’t familiar with that may be of particular benefit to the person you’re supporting? Ensure referrals are as personalised as possible, for example an Aboriginal person may prefer to be referred to an Aboriginal Community Controlled Health Organisation."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c48755672085","_type":"block","children":[{"_key":"34d8afa4d39d0","_type":"span","marks":[],"text":"By discussing options and offering choice, you empower the individual and family, and may increase the likelihood that they will access treatment that works for them."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1e89304c80fd","_type":"block","children":[{"_key":"ddcb08a960700","_type":"span","marks":[],"text":"Tips for providing inclusive and personalised care"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"84a938f52cfb","_type":"block","children":[{"_key":"4508128ae0050","_type":"span","marks":[],"text":"There are many support options depending on a person’s concerns, circumstances and preferences. 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"}],"markDefs":[],"style":"h3"},{"_key":"0121db318847","_type":"block","children":[{"_key":"587a11e5ec7c","_type":"span","marks":[],"text":"It can test the strength of your relationship with your partner. If this is your first baby, you’re shifting from being partners to becoming parents together. If you already have children, you’re adjusting to caring for another baby in a busy household. Add sleep deprivation to the mix, and even the strongest relationships can feel the strain."}],"markDefs":[],"style":"normal"},{"_key":"baa0962034cc","_type":"block","children":[{"_key":"e06b4753becd0","_type":"span","marks":[],"text":"You might be noticing unexpected differences in how you each want to care for your baby. Or you might have different ideas about managing paid work and unpaid parenting and household duties. 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Discuss what this division of parenting care and time looks like for each of you individually, and as a couple."}],"markDefs":[{"_key":"eef0feeb97a8","_type":"link","document":{"_ref":"e6e6a893-d5d8-4628-851b-989152d74fef","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"question":[{"_key":"ba0c8cf5d15f","_type":"block","children":[{"_key":"60aa8884a6090","_type":"span","marks":[],"text":"Parenting"}],"markDefs":[],"style":"normal"}]},{"_key":"123c48af8f56","_type":"faq","answer":[{"_key":"cb6caeb20f84","_type":"block","children":[{"_key":"e0f3388ba4980","_type":"span","marks":[],"text":"You could consider speaking to your employer about flexible working hours if this is a possibility for you."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"cdf30135ae31","_type":"block","children":[{"_key":"f86991fae7ac0","_type":"span","marks":[],"text":"Work"}],"markDefs":[],"style":"normal"}]},{"_key":"d49be27b8275","_type":"faq","answer":[{"_key":"f4f401d3b7c0","_type":"block","children":[{"_key":"7a84c894240c0","_type":"span","marks":[],"text":"If you’re caring for your partner and baby and feeling tired, stressed, or overwhelmed, it can be helpful to build your own support network of people you can talk to. Friends and family will want to be there for you at this time."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"909ede922a6b","_type":"block","children":[{"_key":"ffc4f2a95ff80","_type":"span","marks":[],"text":"Support network"}],"markDefs":[],"style":"normal"}]},{"_key":"478687c2bc3b","_type":"faq","answer":[{"_key":"61425c1b92ac","_type":"block","children":[{"_key":"dbd84308f173","_type":"span","marks":[],"text":"One of the most common issues couples talk about when they call PANDA is changes to their sex life, including less affection in their relationship."}],"markDefs":[],"style":"normal"},{"_key":"d8cb3eb28e67","_type":"block","children":[{"_key":"5dcd36fa9df6","_type":"span","marks":[],"text":"When your partner is pregnant or you’re both busy juggling work and parenthood commitments, it can leave very little time for you to connect with each other, including time for sexual connection and affection."}],"markDefs":[],"style":"normal"},{"_key":"289270ae8532","_type":"block","children":[{"_key":"43ef1e8a952f","_type":"span","marks":[],"text":"We speak to dads who tell us they’re so stressed and tired, they’re rarely in the mood for sex. 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One partner might desire more (or less) intimacy than the other, or affection at different times."}],"markDefs":[],"style":"normal"},{"_key":"3df4445fb50e","_type":"block","children":[{"_key":"111085325ca1","_type":"span","marks":[],"text":"If it’s your partner who is withdrawing and showing less desire for intimacy, it can be hard not to take it personally. You might feel hurt or rejected. If it’s you who’s feeling emotionally disconnected or experiencing a drop in libido, it can feel confronting and be difficult to talk about with your partner."}],"markDefs":[],"style":"normal"},{"_key":"e16255494c71","_type":"block","children":[{"_key":"330d3a141fd2","_type":"span","marks":[],"text":"Reassure your partner that you understand any changes to their desire for affection or sex right now. Be honest with them about how you’re feeling too, especially if you’ve noticed changes to your own libido. 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It can deliver a lot of love, joy and fulfilment but it can also create demands and responsibilities that feel relentless, difficult and scary. "}],"markDefs":[],"style":"normal"},{"_key":"035ea7aaf907","_type":"block","children":[{"_key":"5f3bc01900f9","_type":"span","marks":[],"text":"Sometimes, parents have difficulty adjusting to the many physical, emotional, psychological and social challenges of parenting."}],"markDefs":[],"style":"normal"},{"_key":"175c85af0455","_type":"block","children":[{"_key":"412e30e8760c","_type":"span","marks":[],"text":"On the helpline, we hear from parents who are consumed by caring for their children and doing a wonderful job of it. But self-care has become a low priority."}],"markDefs":[],"style":"normal"},{"_key":"daab50e9c843","_type":"block","children":[{"_key":"b2fe057b1a14","_type":"span","marks":[],"text":"We know that the stress, interrupted sleep and 24-hour demands can take their toll. But they become more manageable when we are able to care for and nurture ourselves too. "}],"markDefs":[],"style":"normal"},{"_key":"12e6904873f2","_type":"block","children":[{"_key":"8bf2c5852ad7","_type":"span","marks":[],"text":"Some aspects of self-care are covered here, including sleep, diet, exercise, time out and social supports."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-24","header":{"_type":"pageHeader","headline":"Wellbeing and self-care ","image":{"_type":"imageWithAlt","alt":"Mum holding baby up and kissing on the cheek","asset":{"_ref":"image-31544bad9e7c38876638fe53c51e77cf89d91356-2500x1800-jpg","_type":"reference"}},"text":[{"_key":"6a7cc988da75","_type":"block","children":[{"_key":"a6fceda6aee2","_type":"span","marks":[],"text":"Self-care tips for expecting and new parents"}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"46b374abde4e","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"9f0e23764221","_type":"faq","answer":[{"_key":"ebe90338ea1c","_type":"block","children":[{"_key":"fc6639335d4f0","_type":"span","marks":[],"text":"For many parents, interrupted sleep can take a mental, physical and emotional toll. Some general rules for sleep hygiene include:"}],"markDefs":[],"style":"normal"},{"_key":"ed70065c932c","_type":"block","children":[{"_key":"10f07f16a50e0","_type":"span","marks":[],"text":"Go to bed at the same time each day"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3e327e6cc907","_type":"block","children":[{"_key":"f305d6b6d9eb0","_type":"span","marks":[],"text":"Avoid exercise before bed"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"20e592706620","_type":"block","children":[{"_key":"2a68262df64d0","_type":"span","marks":[],"text":"Make the bedroom as restful an environment as possible"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"979019a0383f","_type":"block","children":[{"_key":"6bea81ed017a0","_type":"span","marks":[],"text":"Avoid screentime or other stimulating activities just before bed"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f707b5d76e1","_type":"block","children":[{"_key":"f90bbacca5290","_type":"span","marks":[],"text":"Avoid caffeine and other stimulants in the evening"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6d138ce66aaf","_type":"block","children":[{"_key":"7e5722507d420","_type":"span","marks":[],"text":"Try a warm bath or shower two hours before bed to regulate your body temperature for sleep"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"732c5b82eed9","_type":"block","children":[{"_key":"051f5bd787570","_type":"span","marks":[],"text":"Avoid a nap in the evening"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9b25598eed8b","_type":"block","children":[{"_key":"a0989ebcf1350","_type":"span","marks":[],"text":"If you can’t sleep, get up and do something quiet in another room."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e16b716d4d2d","_type":"block","children":[{"_key":"c4444ab7a4250","_type":"span","marks":[],"text":"Quick naps can improve your alertness and help in decision-making, creativity and sensory perception. Short naps, such as 20 minutes, are less likely to disrupt your sleep at night."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"7a65add50199","_type":"block","children":[{"_key":"3e95dffc35e9","_type":"span","marks":[],"text":"Sleep"}],"markDefs":[],"style":"normal"}]},{"_key":"53c349786f11","_type":"faq","answer":[{"_key":"8cff2cdf45d1","_type":"block","children":[{"_key":"e2563177a7e40","_type":"span","marks":[],"text":"Some parents find themselves snacking on convenience food. We know that setting realistic goals helps. Healthy, home-cooked food for every meal may not be an achievable goal so set goals for your family that are manageable and allow for something easier, such as eggs on toast or toasted sandwiches, on difficult days."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"f70e86041210","_type":"block","children":[{"_key":"a3688b12848b","_type":"span","marks":[],"text":"Eating"}],"markDefs":[],"style":"normal"}]},{"_key":"60632704539c","_type":"faq","answer":[{"_key":"ebf7dbb657b8","_type":"block","children":[{"_key":"2d4fd5d809920","_type":"span","marks":[],"text":"For some people, regular physical exercise is highly beneficial. We know that it can increase serotonin levels - a hormone that contributes to general happiness and wellbeing. We also know that getting out of the house into fresh air and sunshine can lift mood and boost vitamin D."}],"markDefs":[],"style":"normal"},{"_key":"57fa70d82e76","_type":"block","children":[{"_key":"07b133ecbcca0","_type":"span","marks":[],"text":"However, setting achievable goals is important. These goals depend on personal circumstances, previous exercise history and physical recovery from birth."}],"markDefs":[],"style":"normal"},{"_key":"b73d613cb4c2","_type":"block","children":[{"_key":"e4d345e507600","_type":"span","marks":[],"text":"It can be helpful to schedule in exercise time. When your baby is small, this could be as simple as aiming for a short walk in the morning with the baby in the pram.\n"}],"markDefs":[],"style":"normal"},{"_key":"68b1f82210fa","_type":"block","children":[{"_key":"c3d0287d70200","_type":"span","marks":[],"text":"For some mums, childbirth impacts on pelvic floor function. Physiotherapists can help with assessment, treatment and strengthening exercises if this is an issue. If you have any concerns about your physical recovery, it is important to consult a doctor before you undertake any strenuous exercise after birth."}],"markDefs":[],"style":"normal"},{"_key":"b462bb8e8b9e","_type":"block","children":[{"_key":"954437711ace0","_type":"span","marks":[],"text":"Exercise may also mean something gentler to some people, such as breathing exercises, meditation or a yoga class. Some people find these beneficial."}],"markDefs":[],"style":"normal"},{"_key":"065f1477f1ac","_type":"block","children":[{"_key":"ce54fc054faf0","_type":"span","marks":[],"text":"Many websites and phone apps provide short guided meditations or relaxation exercises, some specifically for new parents."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"176a1d21f62c","_type":"block","children":[{"_key":"d612ed72f8cb","_type":"span","marks":[],"text":"Exercise and getting outdoors"}],"markDefs":[],"style":"normal"}]},{"_key":"e1ad1a4b940c","_type":"faq","answer":[{"_key":"01c7bb978397","_type":"block","children":[{"_key":"df28c6638ab70","_type":"span","marks":[],"text":"Being at home with a baby after years of being in a busy workplace can be an isolating experience for some parents. New and existing social networks can help you feel connected to other adults."}],"markDefs":[],"style":"normal"},{"_key":"6188e2cf7e28","_type":"block","children":[{"_key":"2d53049ae4860","_type":"span","marks":[],"text":"New mothers’ groups and playgroups are one avenue. Others include free activities, such as story time at the local library, while other people seek connection through online groups, such as supportive Facebook pages."}],"markDefs":[],"style":"normal"},{"_key":"9ba749dc6df1","_type":"block","children":[{"_key":"6b51824391920","_type":"span","marks":[],"text":"If you are struggling with postnatal mental health issues, there might be a supported playgroup you may be able to attend in your area. These are often run by a health worker or social worker and attended by other parents who have been struggling."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d58ff8ad22a1","_type":"block","children":[{"_key":"cfbdd6eb1bf80","_type":"span","marks":[],"text":"Social network"}],"markDefs":[],"style":"normal"}]},{"_key":"8a3ae7590dcd","_type":"faq","answer":[{"_key":"c4d3211f9ca7","_type":"block","children":[{"_key":"086fa755fef90","_type":"span","marks":[],"text":"Time out means different things to everyone. But in general, it is important that parents who are primary carers have a break from the caring role at times. We speak to many parents who experience barriers to this. Sometimes the barrier is a time constraint, sometimes it is driven by a parent feeling guilty or feeling like they shouldn’t need time out from their family."}],"markDefs":[],"style":"normal"},{"_key":"6e22834d258f","_type":"block","children":[{"_key":"a012a00aefc60","_type":"span","marks":[],"text":"Some families find the best way to create time out is to structure it i.e. a set time or activity each week for the primary carer. The additional benefit is that the other parent or carer gets one-on-one time with the baby or child, which can also help with their bonding and confidence. Generally, a parent needing time to themselves gets most benefit if the rest of the family is out of the house, or if the parent can go out themselves.\n"}],"markDefs":[],"style":"normal"},{"_key":"b7990a68d0da","_type":"block","children":[{"_key":"053a0021b20a0","_type":"span","marks":[],"text":"Some ideas for nurturing time out are:"}],"markDefs":[],"style":"normal"},{"_key":"56ba9b987f54","_type":"block","children":[{"_key":"64c70fa975640","_type":"span","marks":[],"text":"A class or activity outside the home"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8bcc751f8c62","_type":"block","children":[{"_key":"aa4760525cad0","_type":"span","marks":[],"text":"Engaging in a hobby/craft that is enjoyable"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7731aa4331e3","_type":"block","children":[{"_key":"360ea11afa620","_type":"span","marks":[],"text":"Taking a relaxing bath"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"235b3796281e","_type":"block","children":[{"_key":"fd454c6b5eb40","_type":"span","marks":[],"text":"Going for a walk"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1cc20204f970","_type":"block","children":[{"_key":"f96d16bcdf5f0","_type":"span","marks":[],"text":"Going shopping"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cb1663bd9f79","_type":"block","children":[{"_key":"4909c02fc3b10","_type":"span","marks":[],"text":"Listening to music"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1b0103c0016f","_type":"block","children":[{"_key":"bcfbf4eaf37c0","_type":"span","marks":[],"text":"Reading a book/magazine"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bd98f5d98f8b","_type":"block","children":[{"_key":"e02c1d556e0d0","_type":"span","marks":[],"text":"Watching a movie"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"a209cb3d4bac","_type":"block","children":[{"_key":"5cfb45060b4d","_type":"span","marks":[],"text":"Time out"}],"markDefs":[],"style":"normal"}]},{"_key":"fc0cd9abb7f7","_type":"faq","answer":[{"_key":"83a04d5277f8","_type":"block","children":[{"_key":"4a195952340b0","_type":"span","marks":[],"text":"For parents, recognising that you are struggling is the first step. For some, this may manifest as obvious symptoms of anxiety, depression or other issues such as obsessive compulsive disorder. For others, it may be more subtle, just a sense of not quite coping, feeling low in energy or not feeling yourself."}],"markDefs":[],"style":"normal"},{"_key":"ba5c7a6a6d93","_type":"block","children":[{"_key":"9841339a985a0","_type":"span","marks":[],"text":"Callers to the helpline often comment on their relief at being able to talk about what is on their mind. For some people, it is helpful to talk to family or friends. But often, for varied reasons, this is not helpful or possible."}],"markDefs":[],"style":"normal"},{"_key":"791773a70081","_type":"block","children":[{"_key":"8974e71dfbbb0","_type":"span","marks":[],"text":"Discussing your concerns with a mental health professional or a helpline such as PANDA is a good option in these cases. It is helpful, if possible, to build a positive relationship with a local doctor. New parents with babies often visit their doctor for the baby’s sake but we encourage callers to connect for their own sake too. Doctors are often the first point of professional contact for mental health concerns."}],"markDefs":[],"style":"normal"},{"_key":"f60234fafa5f","_type":"block","children":[{"_key":"2ac171c3e4020","_type":"span","marks":[],"text":"Self-care is partly about reaching out to others when we need it. 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But they become more manageable when we are able to care for and nurture ourselves too.","metaTitle":"Wellbeing and self care for expecting and new parents","socialImage":{"_type":"image","asset":{"_ref":"image-fb293ea1f9e0854c4fb1feb7b1ee57bc9caae1da-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"183830e529d9","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"wellbeing-and-self-care"},"tags":[{"_key":"a0025bea6694","_ref":"93c6a6d9-0f5a-45ab-a76e-08706724c63d","_type":"reference"}],"title":"Wellbeing and self care","id":"-3e6ee661-411f-5a64-8cfd-ab7d430f3e5d","children":[],"internal":{"type":"SanityArticle","contentDigest":"f85c541efa3a05a2b98e8bc7ca90e22a","owner":"gatsby-source-sanity","counter":90},"parent":null,"__gatsby_resolved":{"slug":{"current":"wellbeing-and-self-care"}}},{"_id":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"article","_rev":"e9oiR2gkW2DFWuAPqnrG0m","_createdAt":"2022-02-14T08:41:12Z","_updatedAt":"2024-03-28T04:19:13Z","categories":[{"_key":"4b362e7d570b","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"e97e44188629","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"1e789ffcf782","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"07ab5855d59f","_type":"block","children":[{"_key":"13d14b745218","_type":"span","marks":[],"text":"It's best to talk about it"}],"markDefs":[],"style":"h4"},{"_key":"072dc643cc26","_type":"block","children":[{"_key":"67acb364f305","_type":"span","marks":[],"text":"If you’re a new parent or expecting a baby, and you’re worried about how you’re feeling, then talking to your doctor can be a good place to start. Below we provide tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"},{"_key":"e42fa248ecd7","_type":"block","children":[{"_key":"02c26121b73f","_type":"span","marks":[],"text":"The doctor’s role"}],"markDefs":[],"style":"h4"},{"_key":"e40616d99ec5","_type":"block","children":[{"_key":"74a9061ef424","_type":"span","marks":[],"text":"There are many different services and health professionals that can help. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist."}],"markDefs":[],"style":"normal"},{"_key":"9a06c1026a02","_type":"block","children":[{"_key":"b1daffe9a386","_type":"span","marks":[],"text":"Finding the right doctor"}],"markDefs":[],"style":"h4"},{"_key":"4aa4b2bd4415","_type":"block","children":[{"_key":"d174f7739c5c","_type":"span","marks":[],"text":"Do you have a regular doctor with whom you can share your concerns? If not, it’s worth looking for a doctor with a special interest in mental health. Ask family and friends for recommendations of doctors who understand mental health, or ring local practices and ask about their doctors. We can help: call the PANDA National Perinatal Anxiety & Depression Helpline on 1300 726 306 and we will help you to find a doctor in your area."}],"markDefs":[],"style":"normal"},{"_key":"b2c3c95b941e","_type":"block","children":[{"_key":"7598b9b306cd","_type":"span","marks":[],"text":"Making an appointment"}],"markDefs":[],"style":"h4"},{"_key":"6e6e07ab72c3","_type":"block","children":[{"_key":"7dae98646b34","_type":"span","marks":[],"text":"If possible, request a double appointment and let them know it’s about a possible mental health issue. Don’t hesitate to ask for an urgent appointment or cancellation. Mental health issues can be serious, and symptoms can change quickly (see below for what to do if you feel worse before the appointment). Ask for an interpreter if you need one. Many people prefer to talk about sensitive issues in their first language, even if they can speak some English"}],"markDefs":[],"style":"normal"},{"_key":"40eb43c26d8f","_type":"block","children":[{"_key":"1536ab6a270b","_type":"span","marks":[],"text":"Consider taking someone"}],"markDefs":[],"style":"h4"},{"_key":"c61251f6b827","_type":"block","children":[{"_key":"c0ba816a8c03","_type":"span","marks":[],"text":"Consider taking a trusted person with you to the appointment, like a partner, friend or family member . A common symptom of anxiety or depression is difficulty taking in or remembering information. A trusted person can take notes for you, and might help you to feel more confident about sharing your concerns."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Talking to your doctor","image":{"_type":"imageWithAlt","alt":"Mum seeing doctor with baby","asset":{"_ref":"image-f12faa68ea2bd2a18594e7c59bdb785fb44d43a2-500x417-png","_type":"reference"}},"text":[{"_key":"d757fe214ce4","_type":"block","children":[{"_key":"d9b3853b7454","_type":"span","marks":[],"text":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"47c962839d97","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"f6d9d0db4055","_type":"faq","answer":[{"_key":"148b115c894f","_type":"block","children":[{"_key":"95ae5c273ff70","_type":"span","marks":[],"text":"If you’re still not sure about sharing your thoughts or feelings with your doctor, it can help to talk with a loved one or friend first. You can also call the PANDA Helpline. Our counsellors are skilled at helping you to explore your feelings, and to practice aloud the things you want to tell your doctor."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"59c4cff19a3d","_type":"block","children":[{"_key":"1a8177ac599b0","_type":"span","marks":[],"text":"Practice the conversation first"}],"markDefs":[],"style":"normal"}]},{"_key":"72490974baf0","_type":"faq","answer":[{"_key":"effbc4dd9b95","_type":"block","children":[{"_key":"877fbb2811ce0","_type":"span","marks":[],"text":"It’s important to tell your doctor about any changes in your thoughts, feelings and behaviours since becoming an expecting or new parent. Remember, these things do not make you a bad parent, but are potential symptoms of a common, treatable health condition. Let the doctor know if you have felt this way and/or been diagnosed with depression, anxiety or another mental health condition before. It’s also important to tell the doctor if you have had previous thoughts of suicide, or if you have lost someone to suicide."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"92847b9f3fdf","_type":"block","children":[{"_key":"e556c7ae5842","_type":"span","marks":[],"text":"What to tell your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"d70aa326f74c","_type":"faq","answer":[{"_key":"afb1d1c51263","_type":"block","children":[{"_key":"5d702f25140b0","_type":"span","marks":[],"text":"Your doctor should be non-judgemental, respectful and supportive.. They should assess you by asking questions about your symptoms, your and your family’s mental health history, your physical health and lifestyle (e.g. exercise, sleep, use of alcohol or drugs), your living situation, major emotional or psychological experiences, and treatment preferences."}],"markDefs":[],"style":"normal"},{"_key":"2bd7c207cd94","_type":"block","children":[{"_key":"00465bc565fa0","_type":"span","marks":[],"text":"After assessment, your doctor should be able to provide a diagnosis (although sometimes more tests are needed before they can make a diagnosis) and a treatment plan. They should explain your different treatment options, and why they are referring you to any specialist services."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"334374aa9b9f","_type":"block","children":[{"_key":"73478b791f18","_type":"span","marks":[],"text":"What to expect"}],"markDefs":[],"style":"normal"}]},{"_key":"3311e258bd75","_type":"faq","answer":[{"_key":"a5ba4ec70e4a","_type":"block","children":[{"_key":"91c17bbeb02a0","_type":"span","marks":[],"text":"You have the right to fully understand your diagnosis and recommended treatment. You could ask:"}],"markDefs":[],"style":"normal"},{"_key":"4bc3162dd3c5","_type":"block","children":[{"_key":"1e674db35e500","_type":"span","marks":[],"text":"What are my options for treatment? Which do you think are best for me?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29499fa2c097","_type":"block","children":[{"_key":"f88a2e215afc0","_type":"span","marks":[],"text":"What are possible side effects of any medications?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8c5c37f91fd5","_type":"block","children":[{"_key":"ff7d9457d7b10","_type":"span","marks":[],"text":"How much better might I feel, and how soon?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"785afab243a2","_type":"block","children":[{"_key":"754e2b27ec420","_type":"span","marks":[],"text":"Who are you referring me to? What do they do? How much will it cost? If I have private health insurance, will it be covered? (also check your policy)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"52a13d009398","_type":"block","children":[{"_key":"9711d2285d470","_type":"span","marks":[],"text":"Are there other ways that I can care for myself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1059035e92d4","_type":"block","children":[{"_key":"f9cd51760cd20","_type":"span","marks":[],"text":"Can you talk with my other health care providers about shared care? (e.g. obstetrician, midwife, Maternal and Child Health/Child and Family Health Nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77e4e12946dd","_type":"block","children":[{"_key":"01336c0ee6de0","_type":"span","marks":[],"text":"Your doctor can refer you to services like counsellors, psychologists, psychiatrists, social workers and occupational therapists. They might give you a mental health care plan, which gives you some Medicare rebates to help you access counselling. For a higher level of care, they might refer you to a Mother Baby Unit — a hospital unit where you stay with your baby — or to another hospital-based psychiatric service."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5e39c53e4e16","_type":"block","children":[{"_key":"6e7d757729f3","_type":"span","marks":[],"text":"Questions to ask"}],"markDefs":[],"style":"normal"}]},{"_key":"0fe6884d9fa5","_type":"faq","answer":[{"_key":"a0f34745db53","_type":"block","children":[{"_key":"a2c2141ba0ce0","_type":"span","marks":[],"text":"Not all doctors have the same experience, confidence or qualifications in supporting patients with mental health issues. If the first doctor you see doesn’t help you enough, please don’t give up. You have a right to get the support you need, to feel better and enjoy your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"11105b443a24","_type":"block","children":[{"_key":"d722bb40d5090","_type":"span","marks":[],"text":"Call the PANDA National Helpline any time: to find a doctor or other service, for supportive counselling, or to discuss other support options like playgroups or support groups. You can call for yourself or about someone else you are concerned about."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"31a628481730","_type":"block","children":[{"_key":"f1f0b7bb1fe4","_type":"span","marks":[],"text":"If you don't get what you need"}],"markDefs":[],"style":"normal"}]},{"_key":"55f55b8dc810","_type":"faq","answer":[{"_key":"27705a63f8eb","_type":"block","children":[{"_key":"7dea9d64d2d30","_type":"span","marks":[],"text":"If you need urgent help before your appointment, call emergency services on triple zero (000) or go to your local hospital emergency department. The symptoms and severity of mental illness can sometimes change quickly. Don’t hesitate to seek urgent help if needed."}],"markDefs":[],"style":"normal"},{"_key":"5edf7645473e","_type":"block","children":[{"_key":"693b5731952c0","_type":"span","marks":[],"text":"You can call the PANDA National Perinatal Anxiety & Depression Helpline for support and ongoing counselling on 1300 726 306, Monday to Friday, 9am to 7.30pm AEST/ADST. You can call about yourself or someone else."}],"markDefs":[],"style":"normal"},{"_key":"00f3c1bfa15b","_type":"block","children":[{"_key":"b740844eb25f0","_type":"span","marks":[],"text":"If you need someone to talk with outside PANDA’s hours, call Suicide Call Back Service on 1300 659 467, Suicide Line on 1300 651 251, or Lifeline on 131114."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ee768dd29217","_type":"block","children":[{"_key":"e5933b44caca","_type":"span","marks":[],"text":"If you feel worse"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"c360ec98f5bf","_type":"block","children":[{"_key":"684a02e0b0a60","_type":"span","marks":[],"text":"People often forget things that they wanted to tell or ask their doctor during their appointment. It can be helpful to prepare by writing a list of your symptoms, concerns, and questions."}],"markDefs":[],"style":"normal"}],"title":"Prepare for the appointment"},{"_key":"5e8b1caa6593","_type":"fileCollection","files":[{"_key":"c5748ae691a4","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"cta":"Download","file":{"_type":"file","asset":{"_ref":"file-bec93bd9eb58ae8f35d03b5767093abeb1effd70-pdf","_type":"reference"}},"title":"Talking to your doctor"}],"title":"Factsheets"},{"_key":"f7e660518986","_type":"checklist","field":"content"},{"_key":"780165dc53a5","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"d47730980313","_ref":"4af3f3dd-21d7-45c9-b150-2cae7e53c7e9","_type":"reference"},{"_key":"334300bb2126","_ref":"6db1ae16-57eb-45a1-9f7f-e53fd09a8427","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"Tips on finding a doctor, sharing your concerns and what to expect from a consultation.","metaTitle":"Talking to your doctor","socialImage":{"_type":"image","asset":{"_ref":"image-edcabb975680e1848598b04a6a7ca8809c9fe916-1200x630-png","_type":"reference"}}},"sidebarPosts":[{"_key":"03d97dabb92a","_ref":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"reference"},{"_key":"d1a03409be84","_ref":"50f65345-d46c-4cda-a886-b7bcc3567248","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"talking-to-your-doctor"},"tags":[{"_key":"cbd98d59e44e","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"},{"_key":"31ba9b178809","_ref":"49993bd9-e417-4743-b155-591d0a496a77","_type":"reference"},{"_key":"05deaeda4ed0","_ref":"98c6d929-2d8d-4cbb-9cfe-13d53cdcb7ad","_type":"reference"}],"title":"Talking to your doctor","id":"-592aeba9-9c48-5c33-9b43-5b33c564b821","children":[],"internal":{"type":"SanityArticle","contentDigest":"4f877d2f8eea899d6bff1d47cd41ccbd","owner":"gatsby-source-sanity","counter":165},"parent":null,"__gatsby_resolved":{"slug":{"current":"talking-to-your-doctor"}}},{"_id":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"article","_rev":"z95ajgewlcOWxDzG4STdAi","_createdAt":"2022-02-14T08:27:11Z","_updatedAt":"2024-02-28T23:00:28Z","categories":[{"_key":"97d7f4b0574b","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"25c364446468","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"a61f3c57e198","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"},{"_key":"a4b2cb718fec","_ref":"f3a1efdb-0e5d-4871-83d7-1d7f66ee6107","_type":"reference"}],"content":[{"_key":"db9a0507af81","_type":"block","children":[{"_key":"12ec2f9e73510","_type":"span","marks":[],"text":"PANDA is a national telephone counselling service delivered by professional counsellors and dedicated peer support volunteers with a lived experience of perinatal mental health conditions. When you call, your call will be answered by a counsellor, or you may be asked to leave us a message during peak times."}],"markDefs":[],"style":"normal"},{"_key":"2ad286e2501a","_type":"block","children":[{"_key":"c21008e4220b0","_type":"span","marks":[],"text":"In every call you have with PANDA, we listen to your story. Everyone’s parenthood journey is unique, and we want to know about you and your experience."}],"markDefs":[],"style":"normal"},{"_key":"f0ad9db91b41","_type":"block","children":[{"_key":"c01378ab67180","_type":"span","marks":[],"text":"We provide you with a reassuring, confidential space for you to talk openly and honestly about your thoughts, feelings and experiences around pregnancy and parenthood. Together, we’ll explore what supports you currently have in place and whether you’d benefit from any others."}],"markDefs":[],"style":"normal"},{"_key":"38c41d32853e","_type":"block","children":[{"_key":"9d629d9c6e3d","_type":"span","marks":[],"text":"PANDA can help find you the support you need. You and your PANDA counsellor will develop a care plan together including referrals, ideas and strategies that will help support you."}],"markDefs":[],"style":"normal"},{"_key":"9e72183b982c","_type":"quote","quote":"I spoke with a PANDA counsellor and felt a huge weight lift off my shoulders. It was the first step on my road to recovery."}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"What happens when I call the PANDA Helpline? ","image":{"_type":"imageWithAlt","alt":"illustration of mum on phone while holding her baby","asset":{"_ref":"image-885b5eb38f693819a76ea74c94d8b89f2fdcb163-5001x5001-png","_type":"reference"}},"text":[{"_key":"ed109e5eafa1","_type":"block","children":[{"_key":"e57a343822c30","_type":"span","marks":[],"text":"When you call PANDA, we’ll provide a safe, caring and confidential space for you to talk through any concerns you may have as an expecting or new parent, or support person."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"cd72814a0a50","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"ce20058466ce","_type":"faq","answer":[{"_key":"d578f70320eb","_type":"block","children":[{"_key":"324f85351a0a0","_type":"span","marks":[],"text":"Most people call PANDA to seek support for themselves. But we also receive calls from partners, family, friends and health professionals."}],"markDefs":[],"style":"normal"},{"_key":"f9ae8bfca5ec","_type":"block","children":[{"_key":"49f639d6cbfb0","_type":"span","marks":[],"text":"When you call, you’ll have a confidential and supportive space to talk through your feelings. We’ll listen, share practical information and provide helpful resources. "}],"markDefs":[],"style":"normal"},{"_key":"6904d3b5e147","_type":"block","children":[{"_key":"ff8e01427526","_type":"span","marks":[],"text":"Sharing your story with someone who understands what you are going through can be a relief, and a reassuring step in your parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"55aa6637af5b","_type":"block","children":[{"_key":"fbe63d2772b30","_type":"span","marks":[],"text":"Some people call because they are finding the transition to parenting tricky. Others call because they’re concerned they may be experiencing symptoms of perinatal anxiety or depression."}],"markDefs":[],"style":"normal"},{"_key":"0323bdd23345","_type":"block","children":[{"_key":"2bd25471bbbb0","_type":"span","marks":[],"text":"Some of the common concerns we hear are:"}],"markDefs":[],"style":"normal"},{"_key":"47af9e1dde8d","_type":"block","children":[{"_key":"1cfd759144210","_type":"span","marks":[],"text":"I don’t know what’s going on, but I just don’t feel like myself."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"24a5b0750ccd","_type":"block","children":[{"_key":"401ca5d055620","_type":"span","marks":[],"text":"I’m so tired all the time. I don’t know how much longer I can keep doing this."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2d5a44940899","_type":"block","children":[{"_key":"955797f2584f0","_type":"span","marks":[],"text":"I can’t stop thinking about the birth. It was nothing like what I had planned."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32afe61f77a8","_type":"block","children":[{"_key":"662bae49fdda0","_type":"span","marks":[],"text":"I just yelled at my toddler. I hate this, I’m not being the parent I want to be."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"87fa4ba10609","_type":"block","children":[{"_key":"ad7b3988b8d10","_type":"span","marks":[],"text":"I don’t enjoy being a parent. I feel so guilty and ashamed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7c91aa595fbd","_type":"block","children":[{"_key":"06a3a00035ad0","_type":"span","marks":[],"text":"I’m struggling in my relationship... everything has changed since the birth of my baby."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"46580fb5f6f6","_type":"block","children":[{"_key":"c930a9c7e8000","_type":"span","marks":[],"text":"I’m not sure I should be having this baby, and I’m not sure if I want to."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ab4791e26765","_type":"block","children":[{"_key":"3a0273387a8c0","_type":"span","marks":[],"text":"I had thoughts of driving into a tree this morning and it scared me. I need help."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"9928177a5b06","_type":"block","children":[{"_key":"62c5ab7316e7","_type":"span","marks":[],"text":"Why would I call PANDA? "}],"markDefs":[],"style":"normal"}]},{"_key":"8fab9f4acfc3","_type":"faq","answer":[{"_key":"296a531f8485","_type":"block","children":[{"_key":"435a662f4f7b","_type":"span","marks":[],"text":"Everyone who calls PANDA is trying to make sense of unfamiliar thoughts and feelings. "}],"markDefs":[],"style":"normal"},{"_key":"ff631aeba3b8","_type":"block","children":[{"_key":"13f438a9c625","_type":"span","marks":[],"text":"You don’t need a referral or a diagnosis of perinatal mental illness to call PANDA. "}],"markDefs":[],"style":"normal"},{"_key":"9a8046cb8331","_type":"block","children":[{"_key":"0a033de35487","_type":"span","marks":[],"text":"We don’t provide you with a diagnosis – that’s not our role. We’ll help you understand what’s happening for you and your family. "}],"markDefs":[],"style":"normal"},{"_key":"2eb9d21f4113","_type":"block","children":[{"_key":"40c7cb85fbcf","_type":"span","marks":[],"text":"We’ll listen to what you think might be helpful and provide information and support options for you to consider."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1c025fea9e25","_type":"block","children":[{"_key":"1e1301d37c48","_type":"span","marks":[],"text":"Do I need a referral or diagnosis to call PANDA? "}],"markDefs":[],"style":"normal"}]},{"_key":"1ecb985c5b78","_type":"faq","answer":[{"_key":"7fb1247f7da5","_type":"block","children":[{"_key":"e2274380b9890","_type":"span","marks":[],"text":"When you call the PANDA helpline, you may hear a recording talking about PANDA services. This means that you are in the queue to speak with one of our counsellors.You might hear a recording asking if you’d like to leave a message for us with your contact details. We encourage you to do this, as leaving us a message holds your place in the queue and we’ll call you back as soon as a counsellor becomes available."}],"markDefs":[],"style":"normal"},{"_key":"4f9551d49bf1","_type":"block","children":[{"_key":"dbdd735779a60","_type":"span","marks":[],"text":"When you speak to one of counsellors, we'll ask you for some basic contact details and ask a few questions about what prompted you to call the Helpline. We’ll also ask about your own and your baby’s safety and wellbeing. While you can choose to remain anonymous, most of our callers prefer to share their contact details, especially if we’re helping you to find community-based supports in your area."}],"markDefs":[],"style":"normal"},{"_key":"4185d7d15248","_type":"block","children":[{"_key":"77d2f8d201370","_type":"span","marks":[],"text":"Our counsellors will encourage you to tell us your story. We want to understand what you are concerned about and how it is affecting you and your family.We want to know how we can help you."}],"markDefs":[],"style":"normal"},{"_key":"80ed84952b47","_type":"block","children":[{"_key":"6df1416f19e40","_type":"span","marks":[],"text":"It’s important to know that our counsellors are respectful and compassionate towards all our callers, whatever their background, nationality, beliefs or sexuality. "}],"markDefs":[],"style":"normal"},{"_key":"ed2b10fb8f22","_type":"block","children":[{"_key":"169c60954388","_type":"span","marks":[],"text":"PANDA’s Helpline service is a safe and secure place to disclose personal details."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"6cbbfed564d5","_type":"block","children":[{"_key":"633e2dc5ba98","_type":"span","marks":[],"text":"What happens when I call PANDA? "}],"markDefs":[],"style":"normal"}]},{"_key":"114e8c7b2cc5","_type":"faq","answer":[{"_key":"1b19792ae908","_type":"block","children":[{"_key":"a28337c6c3080","_type":"span","marks":[],"text":"After the first call, it’s up to you whether you would like to continue to receive telephone counselling support. PANDA offers a follow up service aimed to support you as you navigate your new parenting role and relationship changes. Our follow up service includes the option of being supported by one of our skilled, compassionate and dedicated peer support volunteers who all have lived experience of perinatal mental health. You can read more about our Peer Support Program "},{"_key":"a032d3cae82c","_type":"span","marks":["c0a3f2a7bb8f"],"text":"here"},{"_key":"e417bb46e84c","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"c0a3f2a7bb8f","_type":"link","blank":true,"document":{"_ref":"11f4f6c2-331f-48ff-84f8-640cf425f518","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"a7aa0637d8e5","_type":"block","children":[{"_key":"b449998235100","_type":"span","marks":[],"text":"Follow up calls include a range of supports:"}],"markDefs":[],"style":"normal"},{"_key":"2ec129a95973","_type":"block","children":[{"_key":"dc4b75b7fa7d0","_type":"span","marks":[],"text":"We can keep talking about the issues that matter to you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0fb3b94104d2","_type":"block","children":[{"_key":"c2bbffe8bb380","_type":"span","marks":[],"text":"We can explore new strategies to manage thoughts, feelings, parenting and relationships."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e102a3a102a0","_type":"block","children":[{"_key":"8265012a31a10","_type":"span","marks":[],"text":"We can help you connect with services in your community."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b17ee54e718f","_type":"block","children":[{"_key":"325a70e7512e0","_type":"span","marks":[],"text":"Every day we hear of the many obstacles our callers face when trying to access the right help at the right time. Our role is to help you overcome these obstacles. You can stay connected with us until you are feeling able to manage without the additional support. You can call PANDA again at any time."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"06c0147f5e4c","_type":"block","children":[{"_key":"b45f67131480","_type":"span","marks":[],"text":"Does PANDA offer follow up calls? "}],"markDefs":[],"style":"normal"}]},{"_key":"e82ceb88815a","_type":"faq","answer":[{"_key":"6837b1ae5152","_type":"block","children":[{"_key":"aefe6c0ef0160","_type":"span","marks":[],"text":"PANDA has interpreters available to support those who speak a language other than English or have a hearing or speech impairment. When you call, please press “1” to let us know you need an interpreter."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"2b8080bb2b1d","_type":"block","children":[{"_key":"1176d30ce6bb","_type":"span","marks":[],"text":"Does PANDA offer interpreters? "}],"markDefs":[],"style":"normal"}]},{"_key":"65486593fc7b","_type":"faq","answer":[{"_key":"af014a779b12","_type":"block","children":[{"_key":"0bfc6a758b490","_type":"span","marks":[],"text":"Any information you share with PANDA will be treated as confidential unless there are serious concerns for the safety of you or someone else.If there are safety concerns, we’ll need to engage support to help keep you and your loved ones safe."}],"markDefs":[],"style":"normal"},{"_key":"85dbf5cdb8a8","_type":"block","children":[{"_key":"10b70af8312e0","_type":"span","marks":[],"text":"We’ll make every effort to work together with you in this process. All calls to the PANDA Helpline are recorded (unless you would prefer us to switch call recording off) and notes will be made of your conversation. These are stored in PANDA’s secure client record system to ensure confidentiality."}],"markDefs":[],"style":"normal"},{"_key":"600f1fdd7b63","_type":"button","link":{"_type":"link","linkType":"internal"},"style":"arrow","text":"Your rights and responsibilities"}],"question":[{"_key":"c6bfa3d41202","_type":"block","children":[{"_key":"8b5924796b04","_type":"span","marks":[],"text":"Are calls to PANDA confidential? "}],"markDefs":[],"style":"normal"}]},{"_key":"50f1b91da61e","_type":"faq","answer":[{"_key":"ce0adf8d9102","_type":"block","children":[{"_key":"d66053dcf4ad0","_type":"span","marks":[],"text":"The Helpline is open:"}],"markDefs":[],"style":"normal"},{"_key":"010222703375","_type":"block","children":[{"_key":"d023b4c593590","_type":"span","marks":[],"text":"9am - 7:30pm Monday - Friday"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a7e1dbc30f39","_type":"block","children":[{"_key":"2ff531fefa450","_type":"span","marks":[],"text":"9am - 4pm on Saturdays and public holidays."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"a77428c259ca","_type":"block","children":[{"_key":"a7ef351e2d57","_type":"span","marks":[],"text":"When is the Helpline available?"}],"markDefs":[],"style":"normal"}]}],"title":"Common questions about the PANDA Helpline"},{"_key":"b1de85eba998","_type":"storyCollection","eyebrow":"Stories"},{"_key":"28a428fe00d2","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"5b4aa5853545","_ref":"b769769d-ee6c-42d0-9dfe-8b41e1625715","_type":"reference"},{"_key":"d4f2162bfa93","_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},{"_key":"0ae4e863315c","_ref":"2488aec7-6b00-4156-aa87-dc3a61d8c19d","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"When you call PANDA, we provide a safe, caring and confidential space for you to talk, as an expecting or new parent, or support person. 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","id":"-3f4ac0c9-6628-5c97-adc3-f5fc7ed6effe","children":[],"internal":{"type":"SanityArticle","contentDigest":"db8968a301c569a6710ef76be83fb5be","owner":"gatsby-source-sanity","counter":126},"parent":null,"__gatsby_resolved":{"slug":{"current":"what-happens-when-i-call-the-panda-helpline"}}}],"seo":{"_type":"seo","metaDescription":"Perinatal anxiety and depression can be mild, moderate or severe. The symptoms can begin suddenly after birth or gradually in the weeks and months after.","socialImage":{"_type":"image","asset":{"_ref":"image-8f37bb9393662572c0ed2063225d55e3521f2ac0-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_id":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"article","_rev":"28Ey2N6aiyTS8vMpxWQXuP","_createdAt":"2022-02-14T08:38:55Z","_updatedAt":"2023-12-18T00:06:41Z","categories":[{"_key":"2f7366e48144","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"99bb9f0233f1","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"5512f58d4f51","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"content":[{"_key":"9fe63e27c764","_type":"block","children":[{"_key":"7807962c884e0","_type":"span","marks":[],"text":"If you are experiencing symptoms of perinatal anxiety, depression, obsessive-compulsive disorder or psychosis, some of the thoughts and feelings you may be experiencing can be extremely frightening. Many people may feel afraid to share these thoughts with their partner or family."}],"markDefs":[],"style":"normal"},{"_key":"2ab6b9eb11c5","_type":"block","children":[{"_key":"fe2a04307248","_type":"span","marks":[],"text":"Difficult emotions in the perinatal period can trigger a lot of shame, guilt and sadness. The image you may have had of what you’d be like as a parent probably didn’t include feeling low, crying, or wishing you could take a break from parenting. Yet our callers commonly report having those emotions and thoughts. These thoughts and feelings don’t mean you don’t love your baby, and they don’t mean you are a bad person or parent."}],"markDefs":[],"style":"normal"},{"_key":"cfb728281771","_type":"block","children":[{"_key":"a389d1d09102","_type":"span","marks":[],"text":"In fact, up to 1 in 5 expecting or new mums and up to 1 in 10 expecting or new dads will develop symptoms of perinatal anxiety and/or depression. Perinatal mental health issues are much more common than many people realise. Even if you aren’t experiencing significant changes to your mental health, it’s still common to experience distressing thoughts and emotions, including worry, doubt and sadness."}],"markDefs":[],"style":"normal"},{"_key":"c371fe7fc8ac","_type":"block","children":[{"_key":"6703e5ca9c2b","_type":"span","marks":[],"text":"If you’re struggling with your mental and emotional wellbeing, you might feel confused about whether what you are experiencing is “normal”. You might be unsure of how to start talking about your feelings, or you might feel concerned about what people will think."}],"markDefs":[],"style":"normal"},{"_key":"15ca978969d1","_type":"block","children":[{"_key":"5984a0014f7f","_type":"span","marks":[],"text":"It’s okay to talk about what you’re feeling. Starting the conversation with someone you trust, such as your partner or a friend, can be a first step on the road to seeking professional support."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Talking about perinatal mental health ","image":{"_type":"imageWithAlt","asset":{"_ref":"image-862cdcdd0d02086d49c44f0987ad3af0f3c8cef5-4000x2667-jpg","_type":"reference"}},"text":[{"_key":"87b2c04a8220","_type":"block","children":[{"_key":"8c277cb548eb0","_type":"span","marks":[],"text":"For many new parents, talking about how they are feeling can be difficult. You may never have experienced feelings and thoughts like this before, and are not sure how to express them."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"ffa010bdf9c7","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"859c67d77707","_type":"faq","answer":[{"_key":"bb54d421653a","_type":"block","children":[{"_key":"923105162d0a","_type":"span","marks":[],"text":"Callers to PANDA’s National Perinatal Mental Health Helpline often tell us they’ve tried to talk to others about their difficulties during pregnancy or early parenthood, but they haven’t been able to."}],"markDefs":[],"style":"normal"},{"_key":"3b247e77ebfe","_type":"block","children":[{"_key":"676d1ea81c7b","_type":"span","marks":[],"text":"Some people find it hard to talk about what they are going through but hope those around them will see they are having difficulties and ask them about it. This is especially so in encounters with health professionals."}],"markDefs":[],"style":"normal"},{"_key":"88bc8a453e2f","_type":"block","children":[{"_key":"841896f672df","_type":"span","marks":[],"text":"People often expect GPs, obstetricians, child and family nurses, midwives and others who work with expecting and new parents to easilyeasily identify when their patients are experiencing changes to their emotional and mental health and wellbeing. Many people, including some health professionals, may feel uncomfortable with other people's emotional distress, and may have a limited understanding of how to navigate conversations about perinatal mental health and wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"d7e3ea83436b","_type":"block","children":[{"_key":"0507962925f7","_type":"span","marks":[],"text":"If you’re finding it difficult to talk with your health professional about your challenges while pregnant or as a new parent, PANDA’s Helpline can provide a safe, secure space to speak about your concerns."}],"markDefs":[],"style":"normal"},{"_key":"94b56960190c","_type":"block","children":[{"_key":"4b19e7e69da1","_type":"span","marks":[],"text":"PANDA’s counsellors are caring, compassionate, andwill listen to your story. Together, you and your PANDA counsellor can explore a range of support options and figure out what might be helpful in looking after your emotional and mental wellbeing."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d05bdf32dd3b","_type":"block","children":[{"_key":"c76fc85fc509","_type":"span","marks":[],"text":"Barriers to accessing help and support"}],"markDefs":[],"style":"normal"}]},{"_key":"1968fbc9db39","_type":"faq","answer":[{"_key":"7738680c05de","_type":"block","children":[{"_key":"554ed1fcecbb","_type":"span","marks":[],"text":"Our culture glorifies pregnancy, parenting and motherhood. Media, social media, movies, TV and advertising tend to portray parenthood as being fun, easy, fulfilling and joyful. While there are moments where being a parent is all these things, being pregnant or caring for a baby can alsobe stressful, tiring and challenging. "}],"markDefs":[],"style":"normal"},{"_key":"4b200a2c5a32","_type":"block","children":[{"_key":"9b09b9c35559","_type":"span","marks":[],"text":"Pregnancy and parenthood can be a time of immense struggle, trauma and pain. This time of life can also trigger mental health and wellbeing challenges you didn’t expect."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1b17ef3082a4","_type":"block","children":[{"_key":"3406ddc1fe0b","_type":"span","marks":[],"text":"Parenting myths vs facts"}],"markDefs":[],"style":"normal"},{"_key":"a10717aa4ae2","_type":"block","children":[{"_key":"fd7db504aba4","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"9e590badccca","_type":"faq","answer":[{"_key":"82d38b1f9735","_type":"block","children":[{"_key":"245aafd0a482","_type":"span","marks":[],"text":"It can be incredibly upsetting when you confide in someone about how you are feeling, and they’re dismissive or minimise your experience."}],"markDefs":[],"style":"normal"},{"_key":"eaa812f7d78f","_type":"block","children":[{"_key":"5be5ee906e8f","_type":"span","marks":[],"text":"This reflects their own thoughts and beliefs and is not a reflection on you. People who call PANDA’s Helpline often tell us that their family, friends and health providers haven’t listened to them, or have responded with unhelpful statements like:"}],"markDefs":[],"style":"normal"},{"_key":"c8fbb9361280","_type":"block","children":[{"_key":"c934eb4d6edd","_type":"span","marks":[],"text":"Of course parenting is tough. You just have to get through it."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"15e31f06b809","_type":"block","children":[{"_key":"70c1ce23a546","_type":"span","marks":[],"text":"It happens to everyone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cffaddffebf2","_type":"block","children":[{"_key":"11872037e2d6","_type":"span","marks":[],"text":"You’re just tired. Every parent gets tired – it comes with the territory."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7be79137a3e","_type":"block","children":[{"_key":"269bcb9184be","_type":"span","marks":[],"text":"Just have a cup of tea and put your feet up – you’ll feel better."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31bb67709362","_type":"block","children":[{"_key":"59c678a2f291","_type":"span","marks":[],"text":"Sleep will come, just give it time."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8b898a34aa6","_type":"block","children":[{"_key":"7e4fe215d00d","_type":"span","marks":[],"text":"Yes, it’s stressful, but it’s also just so rewarding! (it may not be)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ce772b47e7d0","_type":"block","children":[{"_key":"3e71dbef91e3","_type":"span","marks":[],"text":"You’ll feel better once you get some sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"03ac6a8934cf","_type":"block","children":[{"_key":"81927fb96816","_type":"span","marks":[],"text":"It’s hard for all parents, and you don’t hear everyone complaining, do you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f43870d3c9fb","_type":"block","children":[{"_key":"816b775d8c70","_type":"span","marks":[],"text":"Oh, lots of mums get by on much less sleep than you’re getting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"069190ac2fe2","_type":"block","children":[{"_key":"34ddfeac2c35","_type":"span","marks":[],"text":"If you confide in someone and feel their response minimises your feelings or experiences, or makes you feel ashamed or guilty, it’s important to continue to reach out for help. Every expecting or new parent deserves kindness, respect, and effective perinatal mental health care. "}],"markDefs":[],"style":"normal"},{"_key":"953bf6a8ac53","_type":"block","children":[{"_key":"0421d7e0a5a6","_type":"span","marks":[],"text":"We encourage you to keep reaching out until you feel you’re being heard and supported."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"5c13efb1f8bf","_type":"block","children":[{"_key":"1750c0a04982","_type":"span","marks":[],"text":"Managing unhelpful comments"}],"markDefs":[],"style":"normal"},{"_key":"89fc1f667f21","_type":"block","children":[{"_key":"6f12240407e9","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"358b27d71b46","_type":"faq","answer":[{"_key":"52a4392081ec","_type":"block","children":[{"_key":"0da044381d2f0","_type":"span","marks":[],"text":"There are many different services and health professionals that can help support your mental health. If you are concerned about yourself or your partner or loved one, a doctor (that is, a General Practitioner or GP) is often a good place to start. They should be able to give you non-judgemental support, assessment, diagnosis, and ongoing care and treatment. They can also refer you to specialists such as a counsellor, psychologist or psychiatrist. "}],"markDefs":[],"style":"normal"},{"_key":"50cc2ad4d2e9","_type":"button","link":{"_type":"link","document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"},"style":"box","text":"Learn more about talking to your doctor"}],"question":[{"_key":"10d6d580407f","_type":"block","children":[{"_key":"f86c63acd5a7","_type":"span","marks":[],"text":"Talking to your doctor"}],"markDefs":[],"style":"normal"}]},{"_key":"5618a09d8e0b","_type":"faq","answer":[{"_key":"6ba124c5174f","_type":"block","children":[{"_key":"02bc5eb50b20","_type":"span","marks":[],"text":"If a parent in your life confides in you that they’re having a hard time coping and are experiencing changes to their mental health such as distressing or overwhelming thoughts and feelings, some helpful responses include:"}],"markDefs":[],"style":"normal"},{"_key":"ab07c53825fd","_type":"block","children":[{"_key":"f91ed42a8705","_type":"span","marks":[],"text":"That sounds really hard. I’m here to talk about whatever you want to talk about."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2076ecf93790","_type":"block","children":[{"_key":"58039655744c","_type":"span","marks":[],"text":"It’s okay to feel the way you are feeling. Can I help you find a professional who might be able to put together a support plan with you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"903b99ba542f","_type":"block","children":[{"_key":"561d206fe606","_type":"span","marks":[],"text":"I know that perinatal mental health issues are way more common than most people think. You’re not alone and I’m here to support you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9a9cbcbf6534","_type":"block","children":[{"_key":"4a4c8bb50855","_type":"span","marks":[],"text":"I care about you, and it seems like you’re having a super stressful time. I think talking with someone who is an expert in perinatal health could be really helpful."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2648f8c2e61","_type":"block","children":[{"_key":"db28fc161dbd","_type":"span","marks":[],"text":"Can I do something practical to help, like cook you a meal or watch the baby for an hour?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8ca310252a49","_type":"block","children":[{"_key":"9f4e4ed3ed74","_type":"span","marks":[],"text":"I’m going to check in on you tomorrow and see how you’re going. We’ll get through this together."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6622db86d77f","_type":"block","children":[{"_key":"bf025864a1f8","_type":"span","marks":[],"text":"If someone tells you they aren’t coping with changes to their mental health, daily function or their ability to care for their baby by themselves, you should always take it seriously. Mental health is highly changeable during pregnancy and after having a baby, and can quickly escalate to an emergency, especially if left untreated. If someone tells you they are seriously afraid of harming themselves or someone else or is behaving in a way that is unusual, they may be experiencing postnatal psychosis. 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themselves."}],"markDefs":[],"style":"normal"},{"_key":"f2721913c175","_type":"block","children":[{"_key":"8105ca14e1cf0","_type":"span","marks":[],"text":"It’s common practice to create a suicide safety plan after someone has experienced a suicide attempt or crisis. To reduce the risk of suicide, you can pre-emptively create a mental health safety plan with any parent in your care who is concerned about their mental health, including thoughts of suicide. "}],"markDefs":[],"style":"normal"},{"_key":"1e29512cfa39","_type":"block","children":[{"_key":"1d0f481ecda00","_type":"span","marks":[],"text":"When you’re helping the person to complete their safety plan, consider using a free app like "},{"_key":"1d0f481ecda01","_type":"span","marks":["4fb53cc0e316"],"text":"BeyondNow"},{"_key":"1d0f481ecda02","_type":"span","marks":[],"text":", so they have access to their suicide safety plan on their 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This includes warning signs linked to parenting activities and/or baby’s behaviour, like when their baby is unsettled and crying."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"9287972b2467","_type":"block","children":[{"_key":"e2c7a20e45a40","_type":"span","marks":[],"text":"Step One: Recognising personal warning signs and triggers."}],"markDefs":[],"style":"normal"}]},{"_key":"b83e846b5896","_type":"faq","answer":[{"_key":"53ef51d61750","_type":"block","children":[{"_key":"a65d4504f68f0","_type":"span","marks":["em"],"text":"Things I can do when I’m by myself (and with my baby) to keep myself safe."}],"markDefs":[],"style":"normal"},{"_key":"6305ae382130","_type":"block","children":[{"_key":"7ba6e79194ed","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"5bdf1fbe0a74","_type":"block","children":[{"_key":"077d2a7e831b0","_type":"span","marks":[],"text":"Explore how "},{"_key":"43c99809b7c4","_type":"span","marks":["strong"],"text":"easy and practical"},{"_key":"78e95cca3980","_type":"span","marks":[],"text":" these strategies are, including any barriers to the person using them when in crisis. For example, ‘popping bub in their pram and going for a walk’ is a coping strategy but may not be practical or safe at 3am."}],"markDefs":[],"style":"normal"},{"_key":"37ba9cac7b37","_type":"block","children":[{"_key":"02a3c60dc0170","_type":"span","marks":["strong"],"text":"A range of activities here might include: "}],"markDefs":[],"style":"normal"},{"_key":"aab9c42ed1bc","_type":"block","children":[{"_key":"de95b4f53fc10","_type":"span","marks":[],"text":"Listening to music."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1601199effc0","_type":"block","children":[{"_key":"39b452b3db3a0","_type":"span","marks":[],"text":"Taking a shower."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"610b24ba5f3d","_type":"block","children":[{"_key":"ad1d1e5d74130","_type":"span","marks":[],"text":"Exercise or gentle movement, like a free online yoga class."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8622ad66041b","_type":"block","children":[{"_key":"64a034f9949a0","_type":"span","marks":[],"text":"Gardening or going for a nature walk."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"18a43269233a","_type":"block","children":[{"_key":"286ea9df2cf40","_type":"span","marks":[],"text":"Drawing or other crafty activities."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"31b3efa6a994","_type":"block","children":[{"_key":"63beeb74f8630","_type":"span","marks":[],"text":"Deep breathing and/or guided meditation."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"81a41ca69e23","_type":"block","children":[{"_key":"0cec21408d8b0","_type":"span","marks":[],"text":"Playing with their baby and older 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friends."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7a6a2a16d234","_type":"block","children":[{"_key":"6450fc63db030","_type":"span","marks":[],"text":"A local or online parents’ support group."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"64c6cbfdcf0c","_type":"block","children":[{"_key":"6fd2c01e11620","_type":"span","marks":[],"text":"Local gym and its creche service."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6054b5950284","_type":"block","children":[{"_key":"0ad52fe997ee0","_type":"span","marks":[],"text":"Parks and community centres."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6c674ca4f4e4","_type":"block","children":[{"_key":"2d67d521a45c0","_type":"span","marks":[],"text":"Library, including sessions for parents and 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If this is the case, you may want to hold off on completing this step and "},{"_key":"fa199fff708d","_type":"span","marks":["strong"],"text":"focus on connecting the person with healthcare providers"},{"_key":"cb98c9becf0f","_type":"span","marks":[],"text":" – including peer support parent groups which can facilitate new friendships. "}],"markDefs":[],"style":"normal"}],"question":[{"_key":"03f9d41f77e4","_type":"block","children":[{"_key":"c2209be199fe0","_type":"span","marks":[],"text":"Step Four: Contact people for support with suicidal thoughts/urges"}],"markDefs":[],"style":"normal"}]},{"_key":"c79bab6ff82b","_type":"faq","answer":[{"_key":"8321e4b86078","_type":"block","children":[{"_key":"9909d18f0a530","_type":"span","marks":["em"],"text":"Which healthcare services can support me through a moment of crisis?"}],"markDefs":[],"style":"normal"},{"_key":"7a3e4150a180","_type":"block","children":[{"_key":"ec748c50a54e0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"a185cd8f64a0","_type":"block","children":[{"_key":"c9fc07f1453e0","_type":"span","marks":[],"text":"Include contact details for:"}],"markDefs":[],"style":"normal"},{"_key":"c88939f2a9fa","_type":"block","children":[{"_key":"26a7b3643b320","_type":"span","marks":[],"text":"Healthcare providers currently involved in the person’s care."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1a378f017629","_type":"block","children":[{"_key":"d6548373ac270","_type":"span","marks":[],"text":"PANDA Helpline and other perinatal/parenting support services."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cbbd60b08864","_type":"block","children":[{"_key":"3e385aa4eb610","_type":"span","marks":[],"text":"Crisis support lines (available 24 hours a day)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6e03194f02c1","_type":"block","children":[{"_key":"5bc067580cb90","_type":"span","marks":[],"text":"The nearest hospital emergency department."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"660640587c21","_type":"block","children":[{"_key":"1ee0611948430","_type":"span","marks":[],"text":"The local acute mental health triage number. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9ce1ee0890a6","_type":"block","children":[{"_key":"7f2ca24adec50","_type":"span","marks":[],"text":"Emergency services via 000 (ambulance/police)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"fecfd94fc306","_type":"block","children":[{"_key":"ece6144f20780","_type":"span","marks":[],"text":"Step Five: Healthcare providers to contact for help"}],"markDefs":[],"style":"normal"}]},{"_key":"23e1bd587cb4","_type":"faq","answer":[{"_key":"99a46769a619","_type":"block","children":[{"_key":"7f9e916013940","_type":"span","marks":["em"],"text":"How can I make my environment safe when I’m experiencing thoughts of suicide?"}],"markDefs":[],"style":"normal"},{"_key":"fdcf9388960a","_type":"block","children":[{"_key":"cd9507cad595","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"a230fcd3ab08","_type":"block","children":[{"_key":"c2edc03d58e20","_type":"span","marks":[],"text":"This step is about "},{"_key":"18fa45ce3292","_type":"span","marks":["strong"],"text":"planning to make the home environment as safe as possible"},{"_key":"8599a9d4ef8d","_type":"span","marks":[],"text":". Ask the person what they might use to hurt themselves in a moment of crisis. Work with the person (and their support people if appropriate) to remove or restrict access to lethal means of suicide around the home. "}],"markDefs":[],"style":"normal"},{"_key":"d7edb5089542","_type":"block","children":[{"_key":"d1f12cd7fb1c0","_type":"span","marks":["strong"],"text":"Environmental safety can also extend beyond the home"},{"_key":"f64185b8972e","_type":"span","marks":[],"text":". The person may plan to avoid certain places (bridges, train stations) when in crisis. "}],"markDefs":[],"style":"normal"}],"question":[{"_key":"10c8cc838329","_type":"block","children":[{"_key":"3d09e43ce5610","_type":"span","marks":[],"text":"Step Six: Environmental safety"}],"markDefs":[],"style":"normal"}]}],"title":"A strong safety plan includes these six steps"},{"_key":"cfacb565b0f2","_type":"freeText","text":[{"_key":"96745ea206e1","_type":"block","children":[{"_key":"49c2f091d9b30","_type":"span","marks":["strong"],"text":"Safety plans can change and evolve with time."},{"_key":"0b7ab4ee1ee3","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"h4"},{"_key":"f6af998db4ee","_type":"block","children":[{"_key":"eb6cb6410ceb","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"e0ebd2c4172f","_type":"block","children":[{"_key":"0bae5cb62a61","_type":"span","marks":[],"text":"It’s a good idea to review them periodically to see: "}],"markDefs":[],"style":"normal"},{"_key":"a9136a69ad88","_type":"block","children":[{"_key":"d9bb8542f9170","_type":"span","marks":[],"text":"If the person is using the plan and finding it helpful. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"270321a676aa","_type":"block","children":[{"_key":"2fbae206aa860","_type":"span","marks":[],"text":"Which aspects of the safety plan have been useful during a suicide crisis. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c00c5298fe7a","_type":"block","children":[{"_key":"395c2c42b32f0","_type":"span","marks":[],"text":"If more support options are needed as the person builds their personal community of care. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4c8f2be5f041","_type":"block","children":[{"_key":"5793a7ba0ed60","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"21d1cd3b39ec","_type":"block","children":[{"_key":"8d9de7deb11a0","_type":"span","marks":[],"text":"Collaborative care is the key."}],"markDefs":[],"style":"h4"},{"_key":"ec67beb675b8","_type":"block","children":[{"_key":"942f7b6c34810","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"d3233c219f8d","_type":"block","children":[{"_key":"a8b16f8ecee00","_type":"span","marks":[],"text":"If you’re exploring other options for mental health support, seek the person’s consent to provide a warm handover or referral where possible.  "}],"markDefs":[],"style":"normal"},{"_key":"3e450aeb33f0","_type":"block","children":[{"_key":"62fd3952dd6a0","_type":"span","marks":[],"text":"There is also a range of evidence-based perinatal mental health programs and apps that you can share with expecting and new parents in your care. "}],"markDefs":[],"style":"normal"},{"_key":"8c7f8e55d794","_type":"block","children":[{"_key":"0dde046a78a00","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f5a739188329","_type":"block","children":[{"_key":"78bd0a01a2fd","_type":"span","marks":["strong"],"text":"These resources align with Step 2 of a Suicide Safety Plan: "}],"markDefs":[],"style":"normal"},{"_key":"27ccb56b89c8","_type":"block","children":[{"_key":"ad88a5854ccd0","_type":"span","marks":[],"text":"For expecting and new Mums: "},{"_key":"ad88a5854ccd1","_type":"span","marks":["579c0cd164ab"],"text":"Mum2BMoodBooster"},{"_key":"ad88a5854ccd2","_type":"span","marks":[],"text":" and 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"},{"_key":"18637f2da26f1","_type":"span","marks":["785842f2186e"],"text":"Calm Harm"},{"_key":"18637f2da26f2","_type":"span","marks":[],"text":" app. "}],"markDefs":[{"_key":"785842f2186e","_type":"link","href":"https://toolkit.lifeline.org.au/articles/resources/calm-harm","linkType":"external","url":"https://toolkit.lifeline.org.au/articles/resources/calm-harm"}],"style":"normal"},{"_key":"d155d47016bd","_type":"block","children":[{"_key":"53c4be96b21c0","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"66949d8b2c96","_type":"block","children":[{"_key":"a928cf2a52440","_type":"span","marks":[],"text":"There are many resources and services available in Australia for expecting and new parents experiencing suicidal ideation. "}],"markDefs":[],"style":"normal"},{"_key":"e7dc96783a9e","_type":"block","children":[{"_key":"028a0cf0ad460","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"da126c4b90b4","_type":"block","children":[{"_key":"e8c2dd6f53fd0","_type":"span","marks":[],"text":"Always remember – hope survives and thrives in the connections we make. "}],"markDefs":[],"style":"normal"},{"_key":"bc27e440094f","_type":"block","children":[{"_key":"f33151ca30eb0","_type":"span","marks":[],"text":"A compassionate conversation about suicide can make a life-changing - even life-saving - difference to the expecting and new parents in your care. "}],"markDefs":[],"style":"normal"}]},{"_key":"72eb38f1527e","_type":"fileCollection","files":[{"_key":"dcb74f2217e6","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"cta":"Download","file":{"_type":"file","asset":{"_ref":"file-d344ec8221847444efaaa9d957b0fd72d6b8d307-pdf","_type":"reference"}},"title":"Creating 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about suicide is brave. "}],"markDefs":[],"style":"normal"},{"_key":"550b99b86da3","_type":"block","children":[{"_key":"8ce40f1d1392","_type":"span","marks":[],"text":"It takes courage to admit to someone else that you’re feeling distressed or overwhelmed, and not coping as well as usual. Many expecting and new parents report feelings of isolation, shame and self-blame when they’re having thoughts of suicide. This can stop people from reaching out for support when they need it the most.\n\nIn Australia, suicide is a leading cause of maternal death during pregnancy and the first year after birth. Emerging research suggests fathers and non-birthing parents are also at increased risk of experiencing thoughts of suicide during the transition to parenthood.\n\nPANDA is committed to having conversations about suicide prevention and risk management in the perinatal period. It’s essential that expecting and new parents can speak openly and honestly about how they’re feeling, and access effective support to help manage distressing thoughts and feelings as soon as possible."}],"markDefs":[],"style":"normal"},{"_key":"184bdea01d1f","_type":"block","children":[{"_key":"1360c90aeb4d","_type":"span","marks":[],"text":"\n"},{"_key":"ccce7d67b699","_type":"span","marks":["strong"],"text":"Talking about suicide doesn’t increase the risk that someone will attempt to take their own life – but it can increase safety by reducing feelings of isolation and hopelessness."}],"markDefs":[],"style":"normal"},{"_key":"1b6468acf3f3","_type":"block","children":[{"_key":"d7deb96db034","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"d3308b5d16d2","_type":"block","children":[{"_key":"8f9912066314","_type":"span","marks":[],"text":"Providing space for someone to talk openly about feeling suicidal is an opportunity for:"}],"markDefs":[],"style":"normal"},{"_key":"1b9c284a3a1e","_type":"block","children":[{"_key":"0d5b79447890","_type":"span","marks":[],"text":"Connection"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4e9b95258d76","_type":"block","children":[{"_key":"e90900beb200","_type":"span","marks":[],"text":"Reassurance"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cec8c2c41029","_type":"block","children":[{"_key":"a63ede044226","_type":"span","marks":[],"text":"Safe support"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d7260d0ccb90","_type":"block","children":[{"_key":"ce718d1084cc","_type":"span","marks":[],"text":"Hope for change"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"95db960099ba","_type":"block","children":[{"_key":"40db9ceab9ce","_type":"span","marks":[],"text":"Thoughts of suicide are common during pregnancy and the first year of a baby’s life. On the PANDA Helpline, we provide over 40,000 counselling calls to expecting and new parents and their support people every year. We offer suicide prevention support in around 20% of those calls.\n\nThat’s 1 in 5 people needing support from PANDA to talk about suicide. Some people are experiencing thoughts of suicide themselves and reaching out for help. Other people want to know how they can support a loved one in distress.\n\nOur Helpline counsellors are experienced and comfortable in talking about suicide. We understand that people are often nervous about sharing frightening thoughts and feelings. Our counsellors create a caring, nonjudgmental space for you to discuss your concerns.\n"}],"markDefs":[],"style":"normal"},{"_key":"28e1964be325","_type":"block","children":[{"_key":"7951bb9f45bc0","_type":"span","marks":[],"text":"We’ll work together with you to create a personalised mental health safe plan to help manage distress, including ways to cope with thoughts of suicide."}],"markDefs":[],"style":"normal"},{"_key":"f09034cba882","_type":"button","link":{"_type":"link","blank":true,"document":{"_ref":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"reference"},"linkType":"internal"},"style":"box","text":"Mental Health Safe Plan"}],"datePublished":"2022-04-05","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Perinatal suicide: Signs, safety and support options","image":{"_type":"imageWithAlt","asset":{"_ref":"image-7a14cddd133e5e392adb22142a9eb8266e71d153-3334x3334-png","_type":"reference"}},"text":[{"_key":"312246410162","_type":"block","children":[{"_key":"a440038e41580","_type":"span","marks":[],"text":"Thoughts of suicide are common during pregnancy and early parenthood. You don’t need to deal with them alone though – specialist help is available."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"85b891402999","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"fe6958f0e33e","_type":"block","children":[{"_key":"649ac6e077800","_type":"span","marks":["strong"],"text":"Becoming a parent can feel overwhelming"}],"markDefs":[],"style":"h4"},{"_key":"b499149665bb","_type":"block","children":[{"_key":"9e2fdf4146ad0","_type":"span","marks":[],"text":"Pregnancy and early parenthood are a time of major life change. The world as you know it may suddenly feel unfamiliar, full of unexpected events and challenges to everything from your daily routine to self-identity.\n\nOften what we imagine parenthood to be like is very different from the actual reality of the perinatal period. It can feel difficult to adapt to and accept a pregnancy or birth that doesn’t go as planned, sleepless nights, an unsettled baby, and an emerging sense of self that is often defined by how well we think we’re coping as a parent.\n\nThe urge to hide any signs of distress from other people can be strong, but may also increase a sense of shame and psychological isolation."},{"_key":"434b71fc9f92","_type":"span","marks":["strong"],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"9894939e9abb","_type":"block","children":[{"_key":"2f21f3167032","_type":"span","marks":["strong"],"text":"It’s important to share how you’re feeling with other people."},{"_key":"185335e824f9","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"56c6af90472c","_type":"block","children":[{"_key":"edd1ce19fcdf","_type":"span","marks":[],"text":"You can choose anyone that you feel safe with, someone you trust to listen and support you. For some, that might be a family member or friend. Other people feel more comfortable talking to a health professional.\n\nEven though life may feel overwhelming, you’re in control of who you trust with your story. Deciding to talk about suicide is an act of courage and hope for change. Allowing other people to support you increases safety for you and your baby."}],"markDefs":[],"style":"normal"}]},{"_key":"b3573560b9c5","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"4b291bc6aeba","_type":"faq","answer":[{"_key":"c7728821b40f","_type":"block","children":[{"_key":"a83e3ff0bede0","_type":"span","marks":["strong"],"text":"Suicidal ideation"},{"_key":"81bd6c313fdf","_type":"span","marks":[],"text":" means thinking about dying by suicide. There are two types of suicidal ideation – active and passive.\n\n"},{"_key":"8b731e90a6c1","_type":"span","marks":["strong"],"text":"Active suicidal ideation "},{"_key":"ee092c655d1d","_type":"span","marks":[],"text":"means someone is thinking about dying by suicide, and may have a plan, the means, and/or intent to attempt suicide.\nIf you - or someone you’re supporting - is experiencing active thoughts of suicide or has made a suicide attempt, "},{"_key":"f206d0a0e097","_type":"span","marks":["strong"],"text":"immediate mental health support and medical treatment is crucial and may be lifesaving."},{"_key":"23ecfd30493c","_type":"span","marks":[],"text":"\nSafe Plan: Call one of the crisis services listed at the bottom of this page, or 000 if it’s an emergency.\n\n"},{"_key":"34606ed739ce","_type":"span","marks":["strong"],"text":"Passive suicidal ideation"},{"_key":"03822d7a69e7","_type":"span","marks":[],"text":" means someone is thinking about dying or death by suicide, but they don’t have any intent or plans to die by suicide. These types of suicidal thoughts can be common during pregnancy and early parenthood.\n\nIt’s important to be aware that passive thoughts of suicide thoughts are serious and can quickly and without warning become ‘active’ thoughts with a plan and intent.\n\nExamples of passive thoughts of suicide:"}],"markDefs":[],"style":"normal"},{"_key":"4bd4253f26ec","_type":"block","children":[{"_key":"406e078003ee","_type":"span","marks":[],"text":"I just want it all to end, but I’d never to do anything to hurt myself."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ecb676d232be","_type":"block","children":[{"_key":"8cc073cdfd56","_type":"span","marks":[],"text":"I wish I could go to sleep and not wake up."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b3cf9a17ffb6","_type":"block","children":[{"_key":"196283ab7ddd","_type":"span","marks":[],"text":"I’ve been having thoughts about being in an accident - like a car swerving onto the footpath, or a truck crashing into my car."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f9fa43ab5b68","_type":"block","children":[{"_key":"de533d3786a3","_type":"span","marks":[],"text":"If you or someone you care about is experiencing thoughts like these, it’s important to seek help as soon as possible. We encourage you to speak with a safe support person, and talk to a health professional.\n\nYou might want to connect with your:"}],"markDefs":[],"style":"normal"},{"_key":"c90638ed3128","_type":"block","children":[{"_key":"b877c93203f1","_type":"span","marks":[],"text":"Antenatal care team"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"531ce381ebd4","_type":"block","children":[{"_key":"90030473da16","_type":"span","marks":[],"text":"GP"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7e7ceca3cbc0","_type":"block","children":[{"_key":"8cd24d75ac6d","_type":"span","marks":[],"text":"Counsellor"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"281f9da41d79","_type":"block","children":[{"_key":"c53d93060076","_type":"span","marks":[],"text":"Child Health Nurse"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"197e97474e61","_type":"block","children":[{"_key":"5629b8d2223c","_type":"span","marks":[],"text":"Safe Plan: If there’s a wait for an appointment (or even if there’s not), we strongly encourage you to contact one of the services listed at the bottom of this page for support and guidance. It can feel reassuring to know that there’s help available 24 hours, 7 days a week."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"0685717d0bce","_type":"block","children":[{"_key":"06ddac8699040","_type":"span","marks":[],"text":"Thoughts of suicide: Active vs passive"}],"markDefs":[],"style":"normal"}]},{"_key":"8f487333fb7d","_type":"faq","answer":[{"_key":"cde7e7f60d1e","_type":"block","children":[{"_key":"7ac6c92a36680","_type":"span","marks":[],"text":"Risk factors for thoughts of suicide during the perinatal period include, but are not limited to:"}],"markDefs":[],"style":"normal"},{"_key":"a4a6a5691314","_type":"block","children":[{"_key":"4341364ea7de","_type":"span","marks":[],"text":"Severe or persistent symptoms of mental health distress (e.g. "},{"_key":"b3b6f6550f64","_type":"span","marks":["3d75565be3bb"],"text":"depression and/or 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health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ab31b2fedb33","_type":"block","children":[{"_key":"f62674ebe606","_type":"span","marks":[],"text":"History of suicide thoughts and/or attempts."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77729c6719e0","_type":"block","children":[{"_key":"31867338e36e","_type":"span","marks":[],"text":"Personal history of family or friend who died by suicide."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4b5acbf84e8b","_type":"block","children":[{"_key":"24b0825d1c87","_type":"span","marks":[],"text":"History of mental health issues and/or substance use."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c97c7f308619","_type":"block","children":[{"_key":"f9afe62c1e6e","_type":"span","marks":[],"text":"History of violence (family or intimate partner)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"687635ffaad7","_type":"block","children":[{"_key":"f83af9cd32b7","_type":"span","marks":[],"text":"History of complex trauma."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"48e121f33c2b","_type":"block","children":[{"_key":"e0edea0c856d","_type":"span","marks":[],"text":"People who are young.."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7070c003a487","_type":"block","children":[{"_key":"5e11ac05df1a","_type":"span","marks":[],"text":"People who are LGBTQIAP+."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a57ba438788a","_type":"block","children":[{"_key":"be61d62576cb","_type":"span","marks":[],"text":"Situational stressors (like housing, finances, legal, 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gravidarum"},{"_key":"37881a38ee7d","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"0f7cfab587b6","_type":"link","blank":true,"linkType":"external","url":"https://www.hyperemesisaustralia.org.au/"}],"style":"normal"},{"_key":"e2c0ad2b99f8","_type":"block","children":[{"_key":"95d93cf6f3820","_type":"span","marks":[],"text":"High-risk pregnancy."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"111c83f91d3b","_type":"block","children":[{"_key":"d9335376e25a0","_type":"span","marks":["strong"],"text":"Post-birth"}],"markDefs":[],"style":"normal"},{"_key":"3a777e965f1f","_type":"block","children":[{"_key":"38038ef284960","_type":"span","marks":[],"text":"Diagnosis of postnatal depression, bipolar disorder and/or postnatal psychosis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8b9c4579346d","_type":"block","children":[{"_key":"09a95eff1d5b0","_type":"span","marks":[],"text":"Traumatic birth experience."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f3be7c2505a6","_type":"block","children":[{"_key":"30cc1e66cb910","_type":"span","marks":[],"text":"Caring or a premature or unwell baby."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1f93aea1a5bc","_type":"block","children":[{"_key":"17c7f089c51b0","_type":"span","marks":[],"text":"Being a parent of multiple babies."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"99b59b354593","_type":"block","children":[{"_key":"48c94a23be9d0","_type":"span","marks":[],"text":"Bonding and attachment issues."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1473e15c4db6","_type":"block","children":[{"_key":"731d41f7ef4c0","_type":"span","marks":[],"text":"Feeling overwhelmed as a parent (sleep deprivation, mental health changes, feeding and sleep/settle difficulties)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2c3e37c88138","_type":"block","children":[{"_key":"a944512194be0","_type":"span","marks":[],"text":"Grief and loss about hopes/expectations vs the reality of parenthood."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9cfc1a715d23","_type":"block","children":[{"_key":"1f55ccdec99b0","_type":"span","marks":[],"text":"Self-esteem issues: feeling inadequate, or a sense of failure (often about being a parent)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7faf37c147da","_type":"block","children":[{"_key":"8a32ee5d6fdc0","_type":"span","marks":[],"text":"Feelings of hopelessness or defeat, being ‘trapped’, utterly alone, and ashamed are common amongst people experiencing thoughts of suicide - especially if high hopes of what pregnancy and parenthood might be like do not match the reality of life with a baby."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"9936eb31823d","_type":"block","children":[{"_key":"3ddeb6a4b7be0","_type":"span","marks":[],"text":"Perinatal suicide: Risk factors"}],"markDefs":[],"style":"normal"}]},{"_key":"345bb6e3df1e","_type":"faq","answer":[{"_key":"480750f83f4e","_type":"block","children":[{"_key":"7f70b928475a0","_type":"span","marks":[],"text":"It may seem simple, but just having someone to talk to – who listens to you with curiosity, compassion, without judgement – can decrease the risk of suicidality.\n\nDuring pregnancy and early parenthood, having support people for yourself and your baby is also protective. A strong support network can include family, social contacts and perinatal health professionals.\n\nFind people you feel safe to talk with and be around. Thoughts of suicide may be easier to manage when you’re connected to people who care for you and your baby. A support network can help you look after your own physical and mental health, and emotional and social wellbeing whilst you’re caring for your baby."}],"markDefs":[],"style":"normal"},{"_key":"378795951bf3","_type":"block","children":[{"_key":"3ce3d00af5d6","_type":"span","marks":[],"text":"Your support network may include:"}],"markDefs":[],"style":"normal"},{"_key":"fc74dde25c6e","_type":"block","children":[{"_key":"1d67741d3626","_type":"span","marks":[],"text":"Your partner, family and friends."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2635b15edc16","_type":"block","children":[{"_key":"910447a4ba87","_type":"span","marks":[],"text":"Health professionals (like your midwife, GP, counsellor, child health nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c3d02dc2aa90","_type":"block","children":[{"_key":"56ba1aaf0b75","_type":"span","marks":[],"text":"Peer supports (new parents’ group, online support).\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"783ba8649e50","_type":"block","children":[{"_key":"3d6207c8879d","_type":"span","marks":[],"text":"The transition from a busy work and social life to being at home by yourself with a new baby can feel isolating and overwhelming. Having loved ones around to share in caregiving responsibilities, give you a break, and have a chat to, can reduce feelings of isolation, self-doubt, and hopelessness.\n\nSometimes relationships shift when you’re having a baby, especially if people in your social network aren’t parents themselves. You may find it helpful to meet other new parents by joining a playgroup or online support group for expecting and new parents."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ea075538d70d","_type":"block","children":[{"_key":"a8bc61f003bf0","_type":"span","marks":[],"text":"Perinatal suicide: Protective factors"}],"markDefs":[],"style":"normal"}]},{"_key":"3e71731e7f7b","_type":"faq","answer":[{"_key":"fac3de4131ef","_type":"block","children":[{"_key":"0f27b13999a20","_type":"span","marks":[],"text":"Often, there are physical changes and behavioural signs that indicate an expecting or new parent isn’t coping as well as usual and could benefit from extra support.\n\nWarning signs include, but are not limited to:"}],"markDefs":[],"style":"normal"},{"_key":"f5cc51f204a3","_type":"block","children":[{"_key":"41502e1c4c6c","_type":"span","marks":["71da5245780a"],"text":"Symptoms of anxiety and depression"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"71da5245780a","_type":"link","blank":true,"document":{"_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"23bc8daa93e9","_type":"block","children":[{"_key":"0a29ec239ecb","_type":"span","marks":[],"text":"Reduced interest in personal hygiene and appearance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"258851b685d7","_type":"block","children":[{"_key":"bde305a67c12","_type":"span","marks":[],"text":"Noticeable changes to sleep and appetite/weight patterns."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d19dba64071b","_type":"block","children":[{"_key":"c46bc148c3aa","_type":"span","marks":[],"text":"Social withdrawal (partner, family, friends)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"332eea94d106","_type":"block","children":[{"_key":"f3588fd2d0b7","_type":"span","marks":[],"text":"Missing healthcare appointments (ante and postnatal care, mental health)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d908fc01eb7f","_type":"block","children":[{"_key":"3ffe5bbdf1cb","_type":"span","marks":[],"text":"Ceasing activities that were previously important (like your hobbies, playgroup)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"05cd59c1901f","_type":"block","children":[{"_key":"c61cd345930b","_type":"span","marks":[],"text":"Reckless behaviours (such as driving, conflict with others, increased alcohol and/or drug use)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fae24301d6c1","_type":"block","children":[{"_key":"a7027fd81c9f","_type":"span","marks":[],"text":"Saying goodbye to loved ones, starting to give away treasured possessions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4024ab218569","_type":"block","children":[{"_key":"1123c21205fe0","_type":"span","marks":[],"text":"You may notice other behavioural warning signs that someone isn’t coping as well as usual. Trust your senses if you think something is wrong and you feel concerned."}],"markDefs":[],"style":"normal"},{"_key":"926f58fc28db","_type":"block","children":[{"_key":"5e51ba5b09f1","_type":"span","marks":[],"text":"Below are some ways you might like to approach a conversation with the person you’re supporting. We encourage you to consider speaking with a health professional or calling a helpline for information and guidance on ways to support your loved one as well."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"c9060b7c9494","_type":"block","children":[{"_key":"bcfbd832e9890","_type":"span","marks":[],"text":"Perinatal suicide: Warning signs (non-verbal)"}],"markDefs":[],"style":"normal"}]},{"_key":"d73e22d18c69","_type":"faq","answer":[{"_key":"e3ae14ddec0a","_type":"block","children":[{"_key":"8adb0eb31f420","_type":"span","marks":[],"text":"Some expecting and new parents may talk openly that they’re thinking about suicide, but often the verbal warning signs are less direct.\n\nStatements indicating hopelessness, despair, inability to cope, feelings of inadequacy, failure, shame, or being a burden on others are often a sign that extra support is needed.\n\nIf you’ve been having thoughts like those listed below, or you hear a loved one saying these things, it may be a sign they’re feeling distressed and/or thinking about suicide:"}],"markDefs":[],"style":"normal"},{"_key":"840295f0ba6b","_type":"block","children":[{"_key":"b44358f3ecaf","_type":"span","marks":[],"text":"I’ve had enough. I can’t do this anymore."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"20cebefcb3df","_type":"block","children":[{"_key":"4c7c0ea926a90","_type":"span","marks":[],"text":"I just want to escape."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2c2b7bd1c4eb","_type":"block","children":[{"_key":"52d15b479e580","_type":"span","marks":[],"text":"I feel like leaving. I wish I could disappear."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8620d8992062","_type":"block","children":[{"_key":"69a891ad808a0","_type":"span","marks":[],"text":"They wouldn’t even notice if I was gone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c1c1ce7f46b","_type":"block","children":[{"_key":"c85caf5045580","_type":"span","marks":[],"text":"I feel so broken inside. I’m damaged and I always will be."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b30eb51673c9","_type":"block","children":[{"_key":"2680f171b9860","_type":"span","marks":[],"text":"What’s the point? Things are never going to change. I give up."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6f7cf17581ad","_type":"block","children":[{"_key":"8551eb90a7620","_type":"span","marks":[],"text":"I’m such a failure at everything. I’m a terrible parent, my baby deserves better."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b772ae45cc0c","_type":"block","children":[{"_key":"0910d223313f0","_type":"span","marks":[],"text":"I have no idea what I’m doing. I feel useless at parenting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"697169409996","_type":"block","children":[{"_key":"c6de1878e4540","_type":"span","marks":[],"text":"I feel so lonely, even though I’m never alone because I’m always with my baby. Nobody knows and nobody really cares."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d2aa3c7f8a4","_type":"block","children":[{"_key":"a7b661de673a0","_type":"span","marks":[],"text":"Everyone would be better off without me."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fa31f90bcd47","_type":"block","children":[{"_key":"68832fe888b00","_type":"span","marks":["strong"],"text":"Please know that you’re not alone, because support is available."},{"_key":"2e14eb616e11","_type":"span","marks":[],"text":" Although things may feel bleak or hopeless right now, with the right help those feelings and thoughts can and will shift. Mental health support can help you explore new ways to cope with distressing thoughts and feelings, and start feeling less isolated and defeated by life’s circumstances.\n\nRather than trying to cope by yourself, you can create positive change (and increase safety for yourself and your baby) by allowing other people to help care for you when life has rocked your foundations. This includes support people caring for someone experiencing distressing or frightening thoughts and feelings."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"4765823ddf0f","_type":"block","children":[{"_key":"961e67dee5fc0","_type":"span","marks":[],"text":"Perinatal suicide: Warning signs (verbal)"}],"markDefs":[],"style":"normal"}]},{"_key":"bb4aad6a7600","_type":"faq","answer":[{"_key":"48399b71c4a8","_type":"block","children":[{"_key":"0d5c1702cdda0","_type":"span","marks":[],"text":"Having thoughts of suicide doesn’t make you a ‘bad’ or unfit parent, it simply means you’re human and having a hard time. The urge to seek help for thoughts of suicide makes you a caring, protective parent – it shows how much you care about your baby and family’s wellbeing. Seeking help is the first step towards feeling better, by looking after yourself and your baby.\n\nBecoming a parent is a major step in life, full of unknowns and new challenges. It can be difficult to cope with all the changes by yourself.\n\nIf you’re feeling overwhelmed, hopeless, and alone, telling someone else how you’re feeling can help you to "},{"_key":"24e57e234176","_type":"span","marks":["b40cc76a6a15"],"text":"cope with strong emotions"},{"_key":"38705126cedc","_type":"span","marks":[],"text":" and other sources of stress. One of the quickest paths to recovery and managing your mental health is linking in with supports.\n\nMany parents who call the PANDA Helpline report feeling afraid to admit they were having thoughts of suicide to anyone, because they were concerned about what might happen if they did.\n\nYet talking to someone who cares - having space to share distressing thoughts and feelings, and exploring potential support options - often brings relief, comfort, and genuine hope that change is possible.\n\nWhen you feel ready, we encourage you to reach out for support. You might like to talk to:"}],"markDefs":[{"_key":"b40cc76a6a15","_type":"link","blank":true,"document":{"_ref":"310776fc-166b-416c-8958-8fbbf1b695b2","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"09c88f0a6e58","_type":"block","children":[{"_key":"fe333edc12070","_type":"span","marks":[],"text":"A trusted loved one (your partner, a family member or friend)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"200f1de2e4dd","_type":"block","children":[{"_key":"864dd21a35c90","_type":"span","marks":[],"text":"One of PANDA’s Helpline telephone counsellors."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ef8517161641","_type":"block","children":[{"_key":"29d7f5ddb2ad0","_type":"span","marks":[],"text":"A health care provider (GP, social worker, psychologist, psychiatrist)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cdc570e8927a","_type":"block","children":[{"_key":"41f142dc9e73","_type":"span","marks":[],"text":"A suicide support crisis line (see contacts at the bottom of this page)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"564986033acb","_type":"block","children":[{"_key":"fd6603a8a0740","_type":"span","marks":[],"text":"Seeking support for yourself"}],"markDefs":[],"style":"normal"}]},{"_key":"1d7ea1b017c5","_type":"faq","answer":[{"_key":"bf7e674de7b5","_type":"block","children":[{"_key":"e482682367020","_type":"span","marks":[],"text":"If you’re concerned a loved one is experiencing thoughts of suicide, there are some steps you can take to ensure they’re safe and supported."}],"markDefs":[],"style":"normal"},{"_key":"907ad7f5e51a","_type":"block","children":[{"_key":"298f618895970","_type":"span","marks":["strong"],"text":"Talking about thoughts of suicide"},{"_key":"4353d0e54b1a","_type":"span","marks":[],"text":"\n\nRemember, asking about suicide can increase someone’s safety by reducing feelings of isolation and shame.\n\nHaving a direct conversation and asking these questions won’t increase your loved one’s risk of acting on their thoughts. Instead, it gives you an opportunity to show how much you care, are there for them and their baby, and are willing to help them find support.\n\nHaving an open and honest conversation can also bring immense relief to the person who is feeling overwhelmed and has been trying to manage everything by themselves.\n\nAs a support person, you can provide reassurance that it’s safe to talk to you, and you’ll be there for them no matter what they’re concerned about. But don’t forget, caring for someone at risk of suicide can have an impact on your own mental health, so be sure to watch out for your own wellbeing.\n"}],"markDefs":[],"style":"normal"},{"_key":"856c1be9acb8","_type":"block","children":[{"_key":"7faaec3fab450","_type":"span","marks":["strong"],"text":"Some questions to ask your loved one include:"}],"markDefs":[],"style":"normal"},{"_key":"ea29e5e9230c","_type":"block","children":[{"_key":"0933753e937d0","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that scare you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e1b4c78fa88d","_type":"block","children":[{"_key":"ab2788c51bcc","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that make you worry about your own or your baby's safety?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c884db225dd7","_type":"block","children":[{"_key":"8b826017356a0","_type":"span","marks":["strong"],"text":"If your loved one answers ‘yes’ or ‘maybe’ to these questions, if you feel up to it, it can be helpful to keeping exploring how they’re feeling by gently asking direct questions about suicide:"}],"markDefs":[],"style":"normal"},{"_key":"b44b60f30ee7","_type":"block","children":[{"_key":"3c31d77934de0","_type":"span","marks":[],"text":"Do you have any thoughts of suicide or hurting yourself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"779534e41e2d","_type":"block","children":[{"_key":"3503859b29b10","_type":"span","marks":[],"text":"Have you thought about ways you might hurt yourself/take your own life?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bb9055163b11","_type":"block","children":[{"_key":"c5042e22f264","_type":"span","marks":[],"text":"Whatever their answer is, again it’s crucial that you let your loved one know that you care, and you’re there to support them. When someone is having thoughts of suicide, it can be a relief to be asked these questions, especially if any answers are received in a supportive and nonjudgmental way."}],"markDefs":[],"style":"normal"},{"_key":"e0aab08dde93","_type":"block","children":[{"_key":"fcbd739032c4","_type":"span","marks":[],"text":"Frequent reassurances may also encourage your loved one to keep sharing with you. You can also provide physical comfort like a hug, or hold their hand while you talk."}],"markDefs":[],"style":"normal"},{"_key":"0a1d860f6e77","_type":"block","children":[{"_key":"1e9d967e5f9f0","_type":"span","marks":["strong"],"text":"Safety planning questions"}],"markDefs":[],"style":"normal"},{"_key":"b7ca07d03d54","_type":"block","children":[{"_key":"216ce4d557a00","_type":"span","marks":[],"text":"What have you been doing to keep yourself and your baby safe?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9b8fa623c660","_type":"block","children":[{"_key":"d03bbc5893ce0","_type":"span","marks":[],"text":"How have you been coping with these thoughts and feelings? Has anything been helpful?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68a8d066c099","_type":"block","children":[{"_key":"067ef203b1a10","_type":"span","marks":[],"text":"What helps to stop you carrying out your thoughts or plan?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9e4083954628","_type":"block","children":[{"_key":"d8cb386ffb4e0","_type":"span","marks":[],"text":"What would you do if you felt that you couldn't stop yourself from acting out your thoughts?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"17405b7dbf5c","_type":"block","children":[{"_key":"3cd9c9b0771f0","_type":"span","marks":[],"text":"At this point, you might like to tell your loved one they’re doing a great job of looking after themselves and their baby. Even if they tell you it doesn’t feel that way, reassurances that focus on their coping skills as a person and parent can be comforting and help them to focus on their existing strengths, rather than feelings like despair or shame."}],"markDefs":[],"style":"normal"},{"_key":"515682583aa5","_type":"block","children":[{"_key":"02b53c940ac90","_type":"span","marks":["strong"],"text":"Recommended safety planning steps:"}],"markDefs":[],"style":"normal"},{"_key":"5c2c6820777a","_type":"block","children":[{"_key":"a627fee2dcd3","_type":"span","marks":[],"text":"Call one of the suicide support services listed at the bottom of this page to seek advice as a support person."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3d817d0527e2","_type":"block","children":[{"_key":"a6e747ff0ef5","_type":"span","marks":[],"text":"You might like to suggest to your loved one that you call a suicide support service together (with the phone on speaker) so you can provide background emotional support whilst they speak with a crisis counsellor."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"41418cac09bc","_type":"block","children":[{"_key":"36ba11b8feaf","_type":"span","marks":[],"text":"Use "},{"_key":"d4e2a63dd627","_type":"span","marks":["fdaf789390f9"],"text":"PANDA’s Mental Health Safe Plan"},{"_key":"d6af2d0e8c1d","_type":"span","marks":[],"text":" to contact professional mental health support services via phone for guidance on what to do next."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"fdaf789390f9","_type":"link","blank":true,"document":{"_ref":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"7b256c1fcafe","_type":"block","children":[{"_key":"4485d07c0731","_type":"span","marks":[],"text":"Encourage your loved one to see their GP or a trusted health professional (like a psychologist or psychiatrist) as soon as possible for mental health support."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a0c671ffcb64","_type":"block","children":[{"_key":"9bd3bf932d37","_type":"span","marks":[],"text":"If your loved one tells you they have a plan, remove any harmful means from the house."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2b203d0caaa9","_type":"block","children":[{"_key":"753533d52eed","_type":"span","marks":[],"text":"Ensure you or another support person can stay with your loved one and their baby, so that they are not alone with their thoughts. It’s important to do this until they are able to access professional mental health care."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d4260aaf619f","_type":"block","children":[{"_key":"87b680c7ab300","_type":"span","marks":[],"text":"It’s also vital that you look after yourself while you’re supporting someone else. This includes staying connected to your own support network, and taking breaks to look after your own mental health and wellbeing. We’ve put together some self-care tips for support people "},{"_key":"b8acd3da6cf9","_type":"span","marks":["cd3a8db4a8d6"],"text":"here."}],"markDefs":[{"_key":"cd3a8db4a8d6","_type":"link","blank":true,"document":{"_ref":"9aa50a2e-c32f-4dda-a8ac-8da56d0b6bf6","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"question":[{"_key":"ff1eae452bfb","_type":"block","children":[{"_key":"38fb221ef6d80","_type":"span","marks":[],"text":"Supporting someone else"}],"markDefs":[],"style":"normal"}]},{"_key":"b7faeb149e77","_type":"faq","answer":[{"_key":"b6e17d8ea055","_type":"block","children":[{"_key":"061e8ec3c1020","_type":"span","marks":[],"text":"These crisis helplines are available 24/7, Australia wide:"}],"markDefs":[],"style":"normal"},{"_key":"59ddc6158b64","_type":"block","children":[{"_key":"d022cafeb1df0","_type":"span","marks":["43d2f13a8100","strong"],"text":"Lifeline"},{"_key":"a582e0fb12fd","_type":"span","marks":["43d2f13a8100"],"text":" "},{"_key":"d829b8314180","_type":"span","marks":[],"text":"– 13 11 14\nPhone, online, and text-based crisis support available."}],"markDefs":[{"_key":"43d2f13a8100","_type":"link","blank":true,"linkType":"external","url":"https://www.lifeline.org.au/"}],"style":"normal"},{"_key":"c05d8bbdb12b","_type":"block","children":[{"_key":"9b9a902e05af0","_type":"span","marks":["strong","c00bdf650049"],"text":"Suicide Call Back Service"},{"_key":"7a6691f87609","_type":"span","marks":[],"text":" - 1300 659 467 \nPhone and online counselling available.\n"}],"markDefs":[{"_key":"c00bdf650049","_type":"link","blank":true,"linkType":"external","url":"https://www.suicidecallbackservice.org.au/phone-and-online-counselling/"}],"style":"normal"},{"_key":"6da7511b92cf","_type":"block","children":[{"_key":"421bf1935fed","_type":"span","marks":[],"text":"If you (or someone you’re supporting) has been bereaved by suicide, in addition to the numbers above you can also contact these national suicide bereavement services:\n"}],"markDefs":[],"style":"normal"},{"_key":"3b5a89d20f58","_type":"block","children":[{"_key":"52604cd9588f0","_type":"span","marks":["2b8c25a71762","strong"],"text":"Griefline"},{"_key":"7ee471d2493a","_type":"span","marks":["2b8c25a71762"],"text":" "},{"_key":"1674515045c4","_type":"span","marks":[],"text":"- 1300 845 745 (6am – midnight, 7 days)\nPhone, online and peer support available.\n\n"},{"_key":"8c29a2cf55bb","_type":"span","marks":["strong","8e9fb3d24a69"],"text":"Standby "},{"_key":"7f58e830dbcd","_type":"span","marks":[],"text":"– Support after suicide (24/7)\nPhone and face-to-face support available.\n\n"},{"_key":"06c7cdff3b5a","_type":"span","marks":["7191bf0f9947","strong"],"text":"Postvention Australia"},{"_key":"0a35ddb9bee3","_type":"span","marks":[],"text":"\nOnline directory of suicide bereavement support groups in each state and territory."}],"markDefs":[{"_key":"7191bf0f9947","_type":"link","blank":true,"linkType":"external","url":"https://postventionaustralia.org/finding-support/local-support-groups/"},{"_key":"2b8c25a71762","_type":"link","blank":true,"linkType":"external","url":"https://griefline.org.au/"},{"_key":"8e9fb3d24a69","_type":"link","blank":true,"linkType":"external","url":"https://standbysupport.com.au/"}],"style":"normal"}],"question":[{"_key":"aa4f2f7d2c36","_type":"block","children":[{"_key":"909f18fe63d20","_type":"span","marks":[],"text":"Suicide support services"}],"markDefs":[],"style":"normal"}]}],"title":"Further Information"},{"_key":"d1daac8ea460","_type":"productCollection","posts":[{"_key":"c3fb4855be45","_ref":"e68b6383-7839-4b8c-a53c-39175dfde1c1","_type":"reference"},{"_key":"88a2b2020f78","_ref":"shopifyProduct-6094017527993","_type":"reference"}],"title":"PANDA Learning Hub courses"},{"_key":"24b2480da980","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"2e28e8f942a1","_ref":"9bd8e1d8-20fc-4126-8892-d68606259ac0","_type":"reference"},{"_key":"844f5ecf00cc","_ref":"4b32c0e0-f68a-4696-af5c-b58f5edf0bd0","_type":"reference"},{"_key":"627ff74a4815","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"Thoughts of suicide are common during pregnancy and early parenthood. 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It’s common for parents with a history of perinatal loss to experience increased anxiety about subsequent pregnancies and birth experiences too."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0577d888b373","_type":"block","children":[{"_key":"485079b94ca1","_type":"span","marks":[],"text":"Previous sexual abuse – some aspects of labour or giving birth may be traumatic for survivors."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0baa6fffa121","_type":"block","children":[{"_key":"a9a0a80aac10","_type":"span","marks":[],"text":"History of trauma."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"abf97c6021ac","_type":"block","children":[{"_key":"3a77223738b8","_type":"span","marks":[],"text":"Anxious tendencies prior to the pregnancy and birth."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cdabac0a0f27","_type":"block","children":[{"_key":"6f0009940b7c","_type":"span","marks":[],"text":"These are just some of the major contributing factors. 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Any fear you feel for yourself or your baby’s wellbeing, feeling dismissed or having your concerns minimised can be very traumatic."}],"markDefs":[],"style":"normal"},{"_key":"f19d484f5aa6","_type":"block","children":[{"_key":"c1a65ed179e1","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"5056db00b8d8","_type":"block","children":[{"_key":"f573f24add40","_type":"span","marks":[],"text":"POST-TRAUMATIC STRESS DISORDER (PTSD)"}],"markDefs":[],"style":"h3"},{"_key":"e7b3b8544e4b","_type":"block","children":[{"_key":"a09b6e8dd10c","_type":"span","marks":[],"text":"A traumatic childbirth experience can sometimes trigger post-traumatic stress disorder (PTSD)."}],"markDefs":[],"style":"normal"},{"_key":"f666b7626014","_type":"block","children":[{"_key":"217e474bb4a7","_type":"span","marks":[],"text":"If you find yourself experiencing high anxiety, stress, panic, sleep disturbances or flashbacks in response to triggers that remind you of the birth (e.g. newborn babies, hospitals, doctors, face masks) you may be experiencing symptoms of PTSD."}],"markDefs":[],"style":"normal"},{"_key":"87000397ddee","_type":"block","children":[{"_key":"6a0189ac93f8","_type":"span","marks":[],"text":"Treating PTSD requires specialist mental health care. If you find yourself experiencing any difficult or distressing feelings, it’s important to seek advice from PANDA or a trusted healthcare provider as soon as possible."}],"markDefs":[],"style":"normal"},{"_key":"92790bb21b7d","_type":"quote","attribution":"Emma, PANDA Community Champion","quote":"I thought I was coping well for the first few days, but right before I was discharged, I started to become anxious, and developed insomnia. 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I feel like a failure'"},"text":[{"_key":"6fdcbaf8556c","_type":"block","children":[{"_key":"31ab64cc84050","_type":"span","marks":[],"text":"Feelings come and go – learning how to cope with unwanted or distressing emotions is a big part of the journey to parenthood."}],"markDefs":[],"style":"normal"}]}},{"title":"Complicated births","_type":"article","slug":{"current":"complicated-births"},"header":{"image":{"asset":{"_id":"image-1902e03f3f91598a64f0cd7c00c9ee1cacd1612d-2400x1600-jpg"},"crop":null,"hotspot":null,"alt":null},"text":[{"_key":"4cb45a23789f","_type":"block","children":[{"_key":"17f9bf4f3b39","_type":"span","marks":[],"text":"Giving birth can lead to a range of complex feelings, especially when the experience is a difficult or traumatic one."}],"markDefs":[],"style":"normal"}]}}],"modules":[{"_key":"0a5dc07503e5","_type":"faqBlock","include":null,"title":"HEALING AFTER BIRTH: WAYS TO LOOK AFTER YOURSELF ","noNumbers":true,"text":null,"questions":[{"question":[{"_key":"5cac7c958df3","_type":"block","children":[{"_key":"2ade8ec581970","_type":"span","marks":[],"text":"Writing about your experience"}],"markDefs":[],"style":"normal"}],"answer":[{"_key":"5e55d6ad757f","_type":"block","children":[{"_key":"4a123a827aa70","_type":"span","marks":[],"text":"Write a letter to your health care providers or hospital. You may like to send this to the hospital for feedback or you may find just writing down your thoughts and feelings is helpful."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ede8a828489d","_type":"block","children":[{"_key":"279b44a0d3e50","_type":"span","marks":[],"text":"You might find it helpful to keep a journal to work through your emotions and fears. Often this can lead to new insights or ease any anxiety."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"question":[{"_key":"577d98aa8bb8","_type":"block","children":[{"_key":"f99b5205854d0","_type":"span","marks":[],"text":"Supporting the bond with your baby"}],"markDefs":[],"style":"normal"}],"answer":[{"_key":"135d552e297f","_type":"block","children":[{"_key":"c04c049d9c700","_type":"span","marks":[],"text":"Some parents find it difficult to bond with their baby after experiencing a traumatic birth. You can find some ideas for connecting with your baby "},{"_key":"a167c5c864f0","_type":"span","marks":["bd9ce73c034b"],"text":"here"},{"_key":"f42966e0b3d6","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"bd9ce73c034b","_type":"link","blank":true,"document":{"_id":"3dd5d15a-dcef-45b9-8e91-c6dab35b5c2f","_type":"article","_rev":"b2NLSlubeLq6eTXi7g1r8d","_createdAt":"2022-02-07T02:58:36Z","_updatedAt":"2024-01-08T03:32:09Z","categories":[{"_key":"5550f14c1786","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"d1e1987267e2","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"}],"category":{"_ref":"-2be506a5-df12-5306-ab62-d66056112f83","_type":"reference"},"content":[{"_key":"3192fe05240f","_type":"block","children":[{"_key":"51e56dcca4160","_type":"span","marks":[],"text":"New parents can have high expectations about the kind of love they are going to immediately feel for their baby. Media and popular culture create an unrealistic narrative of love at first sight, a depth of emotion you have never felt, and feelings of absolute joy and elation. This can add to the pressure new parents feel to love or bond with their baby instantly."}],"markDefs":[],"style":"normal"},{"_key":"5b2252966c55","_type":"block","children":[{"_key":"6b90c6067437","_type":"span","marks":[],"text":"However, many new mums and dads don’t feel that kind of connection straight away."}],"markDefs":[],"style":"normal"},{"_key":"17e15b877d54","_type":"block","children":[{"_key":"b934e227e2e8","_type":"span","marks":[],"text":"After having a baby, both parents are adjusting to many changes in their lives, so it’s not surprising that it can take time to feel a connection to this new little being."}],"markDefs":[],"style":"normal"},{"_key":"d57b52d32931","_type":"block","children":[{"_key":"2fda6d2d3406","_type":"span","marks":[],"text":"Like any other type of relationship, real bonding between mums, dads and bubs can take time. This is completely normal. It is also common for one parent’s connection to take longer than the other."}],"markDefs":[],"style":"normal"},{"_key":"76c3d115d197","_type":"block","children":[{"_key":"ab76ac4f1524","_type":"span","marks":[],"text":"Telephone counsellors on PANDA’s Helpline often hear dads and non-birth parents tell us they are not connecting with their baby until much later. We know this is common, simply because babies often require a lot of attention from their mum in the early days for feeding or settling."}],"markDefs":[],"style":"normal"},{"_key":"a7e13a1f354e","_type":"block","children":[{"_key":"de83e54448e8","_type":"span","marks":[],"text":"More than 1 in 3 callers to the PANDA Helpline tell us they don’t feel an instant bond with their baby. If you’re feeling this way, please give yourself and your bub some time to get to know each other."}],"markDefs":[],"style":"normal"},{"_key":"9c6d09faf0c2","_type":"block","children":[{"_key":"3a68f7126359","_type":"span","marks":[],"text":"It’s unlikely you’d fall instantly in love with someone you met for the first time – and it’s the same with meeting your baby. Every parent has a unique relationship with their little one, and it’s normal to take some time to feel things out, and slowly nurture and grow the bond between you."}],"markDefs":[],"style":"normal"},{"_key":"afcc735e9796","_type":"block","children":[{"_key":"d74f310a6f460","_type":"span","marks":[],"text":"Why does bonding take time?"}],"markDefs":[],"style":"h3"},{"_key":"0a3d88385ab2","_type":"block","children":[{"_key":"c9319637ae510","_type":"span","marks":[],"text":"Like every human, your baby has their own personality. And like any person you have just met, it takes time to get to know them and understand them. The relationship you build with your baby will deepen as you spend time together.\n\nBecoming a parent can also create difficult emotions. Exhaustion, burnout, sadness, grief, loss and ambivalence are common, and these emotions can be heightened by a difficult pregnancy or birth experience.\n\nBecoming a parent is one the biggest physical and emotional transitions you will ever make in your life. Be gentle and compassionate with yourself – try talking to yourself like you’re speaking to a close friend who has the same concerns to you. Give yourself time to get to know your baby and get used to your new role as parent."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-06","header":{"_type":"pageHeader","background":{"title":"peach80","value":"#FFD29D"},"headline":"Connecting with your baby","image":{"_type":"imageWithAlt","alt":"Parents on playmat with baby","asset":{"_ref":"image-bda586ff5e0dc79a3c16c768466afec7ae6fc63a-2500x1667-jpg","_type":"reference"}},"text":[{"_key":"66d72a030382","_type":"block","children":[{"_key":"02798e8b4d960","_type":"span","marks":[],"text":"Becoming a parent is one of the biggest changes you’ll ever experience. Like any new relationship, it can take time to build a connection with your baby."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"3d54b100e5de","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"259ba31e0bf7","_type":"faq","answer":[{"_key":"deec962d93e9","_type":"block","children":[{"_key":"a64ff520d2bf0","_type":"span","marks":[],"text":"Eye gazing (looking into your baby’s eyes)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8f7ad168f790","_type":"block","children":[{"_key":"7e078b6f46060","_type":"span","marks":[],"text":"Looking into each other’s faces. Try ‘mirroring’ your baby’s expression (imitating what they do), wait a moment and see how baby responds."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f3f9a38fbd12","_type":"block","children":[{"_key":"cd0b66ba882b0","_type":"span","marks":[],"text":"Try seeing the world through your baby’s eyes. What (or who) are they looking at?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1cf041afada3","_type":"block","children":[{"_key":"1812426cb2a40","_type":"span","marks":[],"text":"Smiling – babies love smiles as they feel safe, loved and reassured."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d7757321144a","_type":"block","children":[{"_key":"1d940b7b1f8a0","_type":"span","marks":[],"text":"Take a walk outside together, or a drive."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"3f26360a44a0","_type":"block","children":[{"_key":"6a499b35b4bf0","_type":"span","marks":[],"text":"Sight"}],"markDefs":[],"style":"normal"}]},{"_key":"cec9c41875b1","_type":"faq","answer":[{"_key":"8953f44078b4","_type":"block","children":[{"_key":"e997686ea47b0","_type":"span","marks":[],"text":"Talk to your baby in a soft, reassuring voice. Tell your baby what you are doing as you move around or care for them (eg during a feed or nappy change)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d77d33ede8c0","_type":"block","children":[{"_key":"ee01862ff99c0","_type":"span","marks":[],"text":"If your baby is cooing or gurgling, try imitating them and see what happens (this is called ‘mirroring’). You might be surprised how good (and funny) the conversation can be."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c21ee888ccbb","_type":"block","children":[{"_key":"4e102957eade0","_type":"span","marks":[],"text":"Sing or hum to your baby. If you do this while cuddling bub, they will also be soothed by your heartbeat, breathing and the vibrations from your body as you make different sounds."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f0127afc8f4a","_type":"block","children":[{"_key":"af8429a468fd0","_type":"span","marks":[],"text":"Play music for your baby and pay attention to how they respond to different kinds of music."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"22eaa236a601","_type":"block","children":[{"_key":"0d1b91ee4d6a0","_type":"span","marks":[],"text":"White noise during naps can help soothe and settle your baby. It reminds them of being in the womb."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"d6d25f67a460","_type":"block","children":[{"_key":"85f9a7828aff0","_type":"span","marks":[],"text":"Sound"}],"markDefs":[],"style":"normal"}]},{"_key":"90deb8b43990","_type":"faq","answer":[{"_key":"b023e655b827","_type":"block","children":[{"_key":"1f65ef2eadb00","_type":"span","marks":[],"text":"Babies love the smell of those closest to them, and they are drawn to familiar scents. Smelling your baby’s skin, clothes and blankets can create neural pathways of connection in your brain too. We do NOT recommend smelling stinky nappies though."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"0967ac82fc2d","_type":"block","children":[{"_key":"6c2fb8072a040","_type":"span","marks":[],"text":"Scent"}],"markDefs":[],"style":"normal"}]},{"_key":"690999e6c851","_type":"faq","answer":[{"_key":"27a47e836f6c","_type":"block","children":[{"_key":"93f2ac8682870","_type":"span","marks":[],"text":"Feeding is a great opportunity for bonding. Try looking into your baby’s face, gently stroking their arms or legs, holding their hands or feet while feeding them."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"3753d3a2647c","_type":"block","children":[{"_key":"d3cb8113684a0","_type":"span","marks":[],"text":"Taste"}],"markDefs":[],"style":"normal"}]},{"_key":"cac8df100fa5","_type":"faq","answer":[{"_key":"6b18e36a7862","_type":"block","children":[{"_key":"8286e6bc1c8f0","_type":"span","marks":[],"text":"Bath time"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"861435315762","_type":"block","children":[{"_key":"8cc2fc2ccb970","_type":"span","marks":[],"text":"Cuddles"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61b6863855a3","_type":"block","children":[{"_key":"dd40c0fd8bbc0","_type":"span","marks":[],"text":"Infant massage: "},{"_key":"87958ac15f79","_type":"span","marks":["5cf87f373038"],"text":"instructional video from a registered midwife"},{"_key":"2943b2031714","_type":"span","marks":[],"text":"  "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5cf87f373038","_type":"link","blank":true,"linkType":"external","url":"https://www.kidspot.com.au/baby/baby-care/baby-massage/news-story/61291e8725b8a1ad0405f202997ead9c"}],"style":"normal"},{"_key":"d532900a742a","_type":"block","children":[{"_key":"a542250d73bb0","_type":"span","marks":[],"text":"Using a baby carrier"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ba18811d6a46","_type":"block","children":[{"_key":"e6a0531cfd870","_type":"span","marks":[],"text":"Dancing, rocking or swaying together with baby in your arms"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a7df18119dc8","_type":"block","children":[{"_key":"e19845cfe9080","_type":"span","marks":[],"text":"Laying in a recliner or bed together, skin to skin"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"6f084ad808f4","_type":"block","children":[{"_key":"5a14ca3add170","_type":"span","marks":[],"text":"Touch"}],"markDefs":[],"style":"normal"}]}],"title":"Ideas for bonding with your baby"},{"_key":"c9dd0080a995","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"cd1b4b8dec1d","_type":"block","children":[{"_key":"80fc161d81d20","_type":"span","marks":[],"text":"Bonding ideas for parents away from their babies"}],"markDefs":[],"style":"h3"},{"_key":"6a5f08b34a48","_type":"block","children":[{"_key":"62914a6296220","_type":"span","marks":[],"text":"Sometimes parents need to be away from their babies. This applies for FIFO workers, during holidays, NICU or hospital stays - any situation when someone else is caring for your baby."}],"markDefs":[],"style":"normal"},{"_key":"e297d8a64285","_type":"block","children":[{"_key":"18fbd0be3a400","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2da83b480f87","_type":"block","children":[{"_key":"330e9a00c7f60","_type":"span","marks":[],"text":"Here are some ideas to stay connected and keep bonding:"}],"markDefs":[],"style":"normal"},{"_key":"adbaeabf2943","_type":"block","children":[{"_key":"39378b1e9ef70","_type":"span","marks":[],"text":"Phone and video calls – babies love the sound of their parents’ voices and seeing their faces."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"db4d50b31cf8","_type":"block","children":[{"_key":"3b7b6cfb5db50","_type":"span","marks":[],"text":"Pre-record voicemail messages, or record lullabies or bedtime stories. Your partner or the person caring for your baby can play these for your baby while you’re away."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6484443f83d5","_type":"block","children":[{"_key":"57f158827edf0","_type":"span","marks":[],"text":"Leave a piece of clothing you’ve been wearing (like a t-shirt) so even while you’re apart, baby can still smell your scent and feel close."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fd189c98b6a7","_type":"block","children":[{"_key":"52184e30a46e0","_type":"span","marks":[],"text":"Take photos of your baby and recordings of their little voice with you so you can reflect on time spent together and savour the reunion when it comes."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"712fe05e8ee3","_type":"freeText","background":{"title":"white","value":"#FFFFFF"},"text":[{"_key":"393207af4be5","_type":"block","children":[{"_key":"946f396c4b43","_type":"span","marks":[],"text":"Postnatal anxiety, depression and postnatal psychosis can affect bonding"}],"markDefs":[],"style":"h4"},{"_key":"18cf6f58478d","_type":"block","children":[{"_key":"209b99f88ebd","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"7269c8152aad","_type":"block","children":[{"_key":"8c03e008f170","_type":"span","marks":[],"text":"If you or your partner is struggling with postnatal anxiety or depression or postnatal psychosis this can affect your ability to feel a connection with your baby."}],"markDefs":[],"style":"normal"},{"_key":"200753722708","_type":"block","children":[{"_key":"6fa537599605","_type":"span","marks":[],"text":"For a mum or dad who is feeling sad, anxious, low on confidence, or lost and confused, it can be hard to sit in the moment and just ‘be’ with your new baby. "},{"_key":"42b7f6420c48","_type":"span","marks":["strong"],"text":"Being present in each moment with your baby helps with bonding and connection."}],"markDefs":[],"style":"normal"}]},{"_key":"1e836215193e","_type":"faqBlock","questions":[{"_key":"f9790ca0a3fe","_type":"faq","answer":[{"_key":"9a2c6ee58c5b","_type":"block","children":[{"_key":"92fd23e184e90","_type":"span","marks":[],"text":"It takes time to connect with and grow a relationship between anyone, including parents and their babies. Love takes time to grow. There’s no set timeline, and that’s okay."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d46cb56fe4d1","_type":"block","children":[{"_key":"c46f065a76220","_type":"span","marks":[],"text":"Why don’t I instantly love my baby? "}],"markDefs":[],"style":"normal"}]},{"_key":"2da04be74c39","_type":"faq","answer":[{"_key":"b0b35cd47ee4","_type":"block","children":[{"_key":"47107cc335ee0","_type":"span","marks":[],"text":"There’s nothing wrong with you. The biggest issue is the unhelpful cultural narrative that parent-infant love is instant and spontaneous. However, if you had a difficult birth experience or are experiencing other stressors this may impact on how quickly you bond with your baby."}],"markDefs":[],"style":"normal"},{"_key":"cd9885e9c87d","_type":"button","link":{"_type":"link","document":{"_ref":"bd12233c-0913-4a86-b9b3-4d2b0de539b2","_type":"reference"},"linkType":"internal"},"style":"box","text":"Difficult birth experience"},{"_key":"c1009b60e9e5","_type":"button","link":{"_type":"link","linkType":"internal"},"style":"box","text":"Stressful life events"}],"question":[{"_key":"14a5e889e517","_type":"block","children":[{"_key":"161c110ee18c0","_type":"span","marks":[],"text":"What’s wrong with me?"}],"markDefs":[],"style":"normal"}]},{"_key":"9b5a3062773c","_type":"faq","answer":[{"_key":"f55d0c24ad3e","_type":"block","children":[{"_key":"1448280476840","_type":"span","marks":[],"text":"Remember that in some cases other parents may be putting on a ‘mask’ in public. In private, they may be experiencing similar feelings to you. We hear from parents all the time at PANDA who tell us they were relieved to hear other parents also feel this way. Often, they found out they weren’t alone in having bonding issues when they were brave and confided in the other parents at their playgroup."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"69d8231a8792","_type":"block","children":[{"_key":"f70616a33ccd0","_type":"span","marks":[],"text":"Why do all the other parents at my playgroup seem to adore their babies?"}],"markDefs":[],"style":"normal"}]},{"_key":"f9bfd208d5de","_type":"faq","answer":[{"_key":"1c842d3056d2","_type":"block","children":[{"_key":"76aaf9b9d00d0","_type":"span","marks":[],"text":"This is one of the most common questions we hear on the PANDA Helpline. Every relationship is unique, and sometimes connection takes time and effort. Seeking help and recovery create more space for connecting and bonding."}],"markDefs":[],"style":"normal"},{"_key":"2d3a205b2603","_type":"block","children":[{"_key":"be365e5180e3","_type":"span","marks":[],"text":"The love does come though – you might like to check out some of our PANDA real stories to hear more about the love that grows when mums and dads feel supported in their mental health and wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"0ebc0109c715","_type":"button","link":{"_type":"link","linkType":"internal"},"style":"box","text":"Real stories"}],"question":[{"_key":"6f594e2bd8e2","_type":"block","children":[{"_key":"3488871353920","_type":"span","marks":[],"text":"Will I ever develop that bond with my baby that I hear so much about?"}],"markDefs":[],"style":"normal"}]}]},{"_key":"3d7ea0a2e7d9","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"24e37ff22e87","_type":"quote","quote":"As part of my journey I met some amazing mums who also were suffering, and we sought peace in knowing we were not alone. My bond with my son has gone from strength to strength and it is like a cloud has lifted from above my head."},{"_key":"e747751489b9","_type":"block","children":[{"_key":"59e4bd42131a0","_type":"span","marks":[],"text":"If you are concerned that your emotional or mental state might be affecting your ability to connect with your baby, or that your feelings about bonding with your baby are impacting your mental health, please call PANDA’s Helpline. "}],"markDefs":[],"style":"normal"},{"_key":"1fccd4632dd9","_type":"block","children":[{"_key":"814c411e271b0","_type":"span","marks":[],"text":"PANDA’s Helpline is a safe and secure place to express your concerns. 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Birth complications can include physical and emotional difficulties and it can be hard to process. "}],"markDefs":[],"style":"normal"},{"_key":"3bcf6b49059e","_type":"block","children":[{"_key":"0c4ceccd098a0","_type":"span","marks":[],"text":"Sometimes during the birth process, things might have been rushed or didn’t go to plan. You might have felt you hadn’t really understood what was happening or what you were giving consent to. You might have felt powerless or that you had no control over the situation."}],"markDefs":[],"style":"normal"},{"_key":"115849a4470d","_type":"block","children":[{"_key":"1e895e18d1ed0","_type":"span","marks":[],"text":"Here you'll find information about experiencing a complicated birth, and some tips to help you find extra support if you need it."}],"markDefs":[],"style":"normal"},{"_key":"7797b3a8abc6","_type":"quote","quote":"I thought the birth would go a certain way and it just didn’t turn out how I expected."}],"datePublished":"2022-02-21","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Complicated births","image":{"_type":"imageWithAlt","asset":{"_ref":"image-1902e03f3f91598a64f0cd7c00c9ee1cacd1612d-2400x1600-jpg","_type":"reference"}},"text":[{"_key":"4cb45a23789f","_type":"block","children":[{"_key":"17f9bf4f3b39","_type":"span","marks":[],"text":"Giving birth can lead to a range of complex feelings, especially when the experience is a difficult or traumatic one."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"ae961b55e1e1","_type":"freeText","text":[{"_key":"2972e3f8aaa2","_type":"block","children":[{"_key":"cb46face57ab","_type":"span","marks":[],"text":"What is intervention?"}],"markDefs":[],"style":"h3"},{"_key":"314bf630cd2a","_type":"block","children":[{"_key":"e06c0ac4eb120","_type":"span","marks":[],"text":"Sometimes during the birth, health care providers may identify an increased risk or possibility of risk to the health of mother and/or baby. After an assessment, healthcare providers may advise that the safest option is to use methods or tools to assist the birth. They will discuss the options and risks with the parents and together a decision is made whether to assist the birth. 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Often parents express that it was not the intervention itself that was traumatic, but feeling like they didn’t have a say in the decisions that were made, feeling uninformed, or feeling they didn’t consent to procedures that occurred."}],"markDefs":[],"style":"normal"},{"_key":"4170c7b65d03","_type":"quote","attribution":"Bao","quote":"I feel like we were very naïve going into things, and that just made us feel like we had to trust in the doctors and the system and go along with it. We just felt very overwhelmed and carried along by everything that was happening."},{"_key":"c663c14c1e68","_type":"block","children":[{"_key":"6c303c8796440","_type":"span","marks":[],"text":"We know that up to one in three women giving birth in Australia experience their birth as traumatic."}],"markDefs":[],"style":"normal"},{"_key":"6a5b4f72787f","_type":"block","children":[{"_key":"bca005799a700","_type":"span","marks":[],"text":"Every birthing parent will have their own unique response to the birth. 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They might say, “a healthy child is all that matters.”"}],"markDefs":[],"style":"normal"},{"_key":"90acf9df382d","_type":"block","children":[{"_key":"de885927f1b40","_type":"span","marks":[],"text":"This kind of advice is often not helpful. Your feelings do matter. If you experienced a difficult birth, either as the birthing or non-birthing parent, it is important that this is acknowledged and that you're given opportunities to talk through your experiences and process what has happened. Talking about your experience and feelings around your birth in a safe and non-judgmental space can be therapeutic. Sitting on difficult or troubling feelings without addressing them can make them grow stronger and affect your emotional and mental wellbeing, and your relationship with your baby."}],"markDefs":[],"style":"normal"},{"_key":"a9046a2d5b51","_type":"block","children":[{"_key":"9addc4628b91","_type":"span","marks":[],"text":"Note: some complicated births may result in physical injury for mum. These injuries may or may not be identified immediately. If in doubt about this, don't to be afraid to ask questions. For more information, the "},{"_key":"13077d6fe0b0","_type":"span","marks":["af6d4b9431a2"],"text":"Australasian Birth Trauma Association"},{"_key":"50d4ffc9c7f1","_type":"span","marks":[],"text":" website has some great information."}],"markDefs":[{"_key":"af6d4b9431a2","_type":"link","href":"http://www.birthtrauma.org.au/where-to-start/what-is-birth-trauma/what-is-physical-birth-trauma/","linkType":"external"}],"style":"normal"}]},{"_key":"f6d1f1a96ba8","_type":"freeText","text":[{"_key":"19c8543fb57c","_type":"block","children":[{"_key":"d5c773eedb29","_type":"span","marks":[],"text":"Memory loss or a delayed response"}],"markDefs":[],"style":"h3"},{"_key":"0ce9d257830a","_type":"block","children":[{"_key":"9dbf645b0d260","_type":"span","marks":[],"text":"On PANDA’s National Helpline we regularly hear parents say they don’t remember much about the birthing process. Memory loss is a common response to trauma, and our brain’s way of ‘protecting’ us from distressing events including deep grief and loss. "}],"markDefs":[],"style":"normal"},{"_key":"460155b016eb","_type":"block","children":[{"_key":"545010180fcf0","_type":"span","marks":[],"text":"Parents may feel ‘emotionally numb’ after the birth. Sometimes this can affect how we bond with our new baby. "}],"markDefs":[],"style":"normal"},{"_key":"075f49938e96","_type":"block","children":[{"_key":"d7aaed5e9261","_type":"span","marks":[],"text":"Sometimes difficult emotions about the birth don’t arrive until we’ve had time to settle into our new reality and we’ve had time to reflect. This might be weeks or months after the birth and can occur on the anniversary of your baby’s birth. "}],"markDefs":[],"style":"normal"},{"_key":"2f90e89f30f3","_type":"block","children":[{"_key":"d79c28f4b5fd0","_type":"span","marks":[],"text":"Sometimes the feelings then come in a rush, and it can feel overwhelming."}],"markDefs":[],"style":"normal"}]},{"_key":"6cbf98f99f69","_type":"freeText","text":[{"_key":"afb0345d7fd3","_type":"block","children":[{"_key":"9055836f624a0","_type":"span","marks":[],"text":"Understanding what happened during the birth can help "}],"markDefs":[],"style":"h3"},{"_key":"a2ee33f9e7b9","_type":"block","children":[{"_key":"4a7f439b57e80","_type":"span","marks":[],"text":"Receiving clear information from a healthcare provider about the details surrounding your birth experience can help. If you have a trusted obstetrician, midwife, doctor or doula that you feel safe sharing your feelings with, you might find it helpful to talk to them about your birth experience."}],"markDefs":[],"style":"normal"},{"_key":"66d202c8fd1b","_type":"block","children":[{"_key":"53695e49ce77","_type":"span","marks":[],"text":"Some parents find it helpful to talk about their birth with someone from the hospital, while others find it more helpful to speak to someone in the community, like a counsellor or peer support practitioner. Peer support practitioners are available via the PANDA Helpline and the "},{"_key":"253dfca4619d","_type":"span","marks":["1c4047813071"],"text":"Australasian Birth Trauma Association"},{"_key":"89fe1af79285","_type":"span","marks":[],"text":". They have their own lived experience and are trained to support and offer guidance to other parents."}],"markDefs":[{"_key":"1c4047813071","_type":"link","blank":true,"linkType":"external","url":"https://birthtrauma.org.au/"}],"style":"normal"},{"_key":"1b42f4d7cd7d","_type":"block","children":[{"_key":"dd208562eb5d0","_type":"span","marks":[],"text":"Sometimes it helps to write down a list of questions beforehand. This can help you remember everything you want to talk about and stay on track during your discussions. If it makes you feel more comfortable, you might like to take a support person or partner with you."}],"markDefs":[],"style":"normal"},{"_key":"f1465ceb3086","_type":"block","children":[{"_key":"e46f76301acd0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"6d6aa1c73df3","_type":"block","children":[{"_key":"4a96f5cd81f90","_type":"span","marks":[],"text":"Finding the right support "}],"markDefs":[],"style":"h3"},{"_key":"c7c0f48f51ad","_type":"block","children":[{"_key":"034421ee651b0","_type":"span","marks":[],"text":"If you are experiencing difficult emotions following a complicated birth, you are not alone, and there is help available. "}],"markDefs":[],"style":"normal"},{"_key":"ac9a0c39903e","_type":"block","children":[{"_key":"6c2ceea9124a0","_type":"span","marks":[],"text":"PANDA’s National Helpline is available to talk through your feelings around the birth. The Helpline provides a safe and confidential space. PANDA’s highly trained and caring counsellors and peer support practitioners can help you work through these challenges by talking openly and honestly about your thoughts and feelings about the birth. If you aren’t ready to talk about your birth, PANDA can support you in other ways. 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Deciding to try for another baby or confirmation of a new pregnancy can stir up strong feelings for bereaved parents."}],"markDefs":[],"style":"normal"},{"_key":"28eb39c039c4","_type":"block","children":[{"_key":"6c0c0ccc16540","_type":"span","marks":[],"text":"The decision to try again is deeply personal, and everyone approaches it differently. Some parents prefer to wait, while others choose to try for another baby immediately. Others decide they don't want to try again at all. 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You may want to try again but your partner needs more time to grieve, or they feel undecided in other ways."}],"markDefs":[],"style":"normal"},{"_key":"f0adabb49de3","_type":"block","children":[{"_key":"8df78293769c0","_type":"span","marks":[],"text":"There may never be a ‘right’ time for you to plan another pregnancy, or your next pregnancy may be unplanned and happening without a conscious choice from either you or your partner."}],"markDefs":[],"style":"normal"},{"_key":"862f7a2759db","_type":"block","children":[{"_key":"b6ddc335dd4e0","_type":"span","marks":[],"text":"If you’re feeling confused or unsure, it may help to chat with a counsellor about your feelings and options."}],"markDefs":[],"style":"normal"},{"_key":"c829daf6a107","_type":"block","children":[{"_key":"f933e427ae030","_type":"span","marks":[],"text":"If you do decide to try for another baby, it’s natural to feel anxious and worried about what might happen. 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I felt guilty and uplifted at the same time."},{"_key":"28325fd8194d","_type":"freeText","eyebrow":"Finding the right support","text":[{"_key":"46c12594734a","_type":"block","children":[{"_key":"33b887af851f","_type":"span","marks":[],"text":"Where to get support"}],"markDefs":[],"style":"h4"},{"_key":"6436ed2e534a","_type":"block","children":[{"_key":"5a093ed6ea9a0","_type":"span","marks":[],"text":"Many parents find it helpful to discuss their own situation and feelings about another pregnancy. This may be with a hospital social worker, a grief counsellor or a counselling service such as PANDA or "},{"_key":"b2f06a22e474","_type":"span","marks":["7bb78a3fd2fd"],"text":"Red Nose"},{"_key":"d3f9d16ee1a8","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"7bb78a3fd2fd","_type":"link","blank":true,"linkType":"external","url":"https://rednosegriefandloss.org.au/"}],"style":"normal"},{"_key":"21b53af4782e","_type":"block","children":[{"_key":"50b32c7410630","_type":"span","marks":[],"text":"Talking with other parents who have experienced pregnancy loss can also be helpful. "},{"_key":"a200ff7d9041","_type":"span","marks":["9677221a4131"],"text":"Red Nose"},{"_key":"ffbef559571d","_type":"span","marks":[],"text":" offers online and group support services, and PANDA provides peer support. Speaking to someone who has had a similar experience can be very reassuring and affirming.\n\n"},{"_key":"c3229ff9e1d4","_type":"span","marks":["strong"],"text":"Other services that can support you: "}],"markDefs":[{"_key":"9677221a4131","_type":"link","blank":true,"linkType":"external","url":"https://rednosegriefandloss.org.au/"}],"style":"normal"},{"_key":"992c0a6d3f4d","_type":"block","children":[{"_key":"a6384618ec7f","_type":"span","marks":["331919dd6171"],"text":"Red Nose Grief and Loss"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"331919dd6171","_type":"link","blank":true,"linkType":"external","url":"https://rednosegriefandloss.org.au/"}],"style":"normal"},{"_key":"4719ed928dc5","_type":"block","children":[{"_key":"8fd1b2da3eae","_type":"span","marks":["ebff44505ad0"],"text":"Pink Elephants Support network "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"ebff44505ad0","_type":"link","blank":true,"linkType":"external","url":"https://www.pinkelephants.org.au/page/65/find-support"}],"style":"normal"},{"_key":"23c57bf384ae","_type":"block","children":[{"_key":"97bd3c332578","_type":"span","marks":["e6d7018b84c5"],"text":"Stilbirth Foundation Australia"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"e6d7018b84c5","_type":"link","blank":true,"linkType":"external","url":"https://stillbirthfoundation.org.au/"}],"style":"normal"},{"_key":"95ab5acb5eab","_type":"block","children":[{"_key":"d96fe640fbcc","_type":"span","marks":["164bc9690c2b"],"text":"The Perinatal Loss Centre"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"164bc9690c2b","_type":"link","blank":true,"linkType":"external","url":"https://www.theperinatallosscentre.com.au/"}],"style":"normal"},{"_key":"9af95479206c","_type":"block","children":[{"_key":"a3c54f3bba950","_type":"span","marks":["em"],"text":"This article is written in collaboration with "},{"_key":"a3c54f3bba951","_type":"span","marks":["92be821fb418","em"],"text":"Red Nose Australia"},{"_key":"a3c54f3bba952","_type":"span","marks":["em"],"text":", Australia’s leading authority on safe sleep and safer pregnancy advice, and bereavement support for anyone affected by the death of a baby or child."}],"markDefs":[{"_key":"92be821fb418","_type":"link","href":"https://rednose.org.au/","linkType":"external","url":"https://rednose.org.au/page/grief-and-loss-support-services"}],"style":"normal"}]},{"_key":"fb9d5e072be4","_type":"helpLine","field":"content"}],"relatedArticles":[{"_key":"14e490c2411e","_ref":"310776fc-166b-416c-8958-8fbbf1b695b2","_type":"reference"},{"_key":"7ea7091772c2","_ref":"27939a59-1611-449d-8953-b196b2dbdc3b","_type":"reference"},{"_key":"ea4c989406ad","_ref":"7c8c4e42-8ab9-40cd-b9f4-d6009eb8dd8e","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"Deciding to try for another baby or confirmation of a new pregnancy can stir up strong feelings for bereaved parents.","socialImage":{"_type":"image","asset":{"_ref":"image-d12a5f088b5a88ef6267b3cfd66ca863d2af4313-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"bf2e3304834e","_ref":"09a8636c-b6c5-4b7d-ac91-a3c362fe67e1","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"pregnancy-and-a-new-baby-after-loss"},"tags":[{"_key":"f7a0532df57e","_ref":"2df7e53e-9ef7-4ed8-aabe-1623b28de6ec","_type":"reference"},{"_key":"e0c051e914dd","_ref":"86acc926-5328-468e-8bdd-8292f51fa04e","_type":"reference"}],"title":"Pregnancy and a new baby after loss","id":"-f63002b6-489c-56ca-90bd-8a839875d45e","children":[],"internal":{"type":"SanityArticle","contentDigest":"5bc4c86d3514e6026edcf74a05699d21","owner":"gatsby-source-sanity","counter":163},"parent":null,"__gatsby_resolved":{"slug":{"current":"pregnancy-and-a-new-baby-after-loss"}}},"href":"http://pregnancy%20and%20a%20new%20baby%20after%20loss%20%7C%20panda/","linkType":"internal"}],"style":"normal"},{"_key":"5788d1117faa","_type":"block","children":[{"_key":"1ab85d21b813","_type":"span","marks":["strong"],"text":"Looking after yourself"}],"markDefs":[],"style":"normal"},{"_key":"537b7e3f55b7","_type":"block","children":[{"_key":"ef837bac5aec0","_type":"span","marks":["e3afb9015939"],"text":"Wellbeing and self care for expecting and new parents"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"e3afb9015939","_type":"link","document":{"_id":"ea5008f7-a47e-4676-9ae0-c723bfd48898","_type":"article","_rev":"OiBIvEn2E80LUXPpAoY7qP","_createdAt":"2022-02-24T04:44:04Z","_updatedAt":"2024-01-08T05:16:33Z","categories":[{"_key":"ea97e0234c2e","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"51f03502c679","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"},{"_key":"81748c22044b","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"}],"content":[{"_key":"2ff6173fb2cf","_type":"block","children":[{"_key":"abaf635405900","_type":"span","marks":[],"text":"Having a baby is life-changing. It can deliver a lot of love, joy and fulfilment but it can also create demands and responsibilities that feel relentless, difficult and scary. "}],"markDefs":[],"style":"normal"},{"_key":"035ea7aaf907","_type":"block","children":[{"_key":"5f3bc01900f9","_type":"span","marks":[],"text":"Sometimes, parents have difficulty adjusting to the many physical, emotional, psychological and social challenges of parenting."}],"markDefs":[],"style":"normal"},{"_key":"175c85af0455","_type":"block","children":[{"_key":"412e30e8760c","_type":"span","marks":[],"text":"On the helpline, we hear from parents who are consumed by caring for their children and doing a wonderful job of it. But self-care has become a low priority."}],"markDefs":[],"style":"normal"},{"_key":"daab50e9c843","_type":"block","children":[{"_key":"b2fe057b1a14","_type":"span","marks":[],"text":"We know that the stress, interrupted sleep and 24-hour demands can take their toll. But they become more manageable when we are able to care for and nurture ourselves too. "}],"markDefs":[],"style":"normal"},{"_key":"12e6904873f2","_type":"block","children":[{"_key":"8bf2c5852ad7","_type":"span","marks":[],"text":"Some aspects of self-care are covered here, including sleep, diet, exercise, time out and social supports."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-24","header":{"_type":"pageHeader","headline":"Wellbeing and self-care ","image":{"_type":"imageWithAlt","alt":"Mum holding baby up and kissing on the cheek","asset":{"_ref":"image-31544bad9e7c38876638fe53c51e77cf89d91356-2500x1800-jpg","_type":"reference"}},"text":[{"_key":"6a7cc988da75","_type":"block","children":[{"_key":"a6fceda6aee2","_type":"span","marks":[],"text":"Self-care tips for expecting and new parents"}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"46b374abde4e","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"9f0e23764221","_type":"faq","answer":[{"_key":"ebe90338ea1c","_type":"block","children":[{"_key":"fc6639335d4f0","_type":"span","marks":[],"text":"For many parents, interrupted sleep can take a mental, physical and emotional toll. Some general rules for sleep hygiene include:"}],"markDefs":[],"style":"normal"},{"_key":"ed70065c932c","_type":"block","children":[{"_key":"10f07f16a50e0","_type":"span","marks":[],"text":"Go to bed at the same time each day"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3e327e6cc907","_type":"block","children":[{"_key":"f305d6b6d9eb0","_type":"span","marks":[],"text":"Avoid exercise before bed"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"20e592706620","_type":"block","children":[{"_key":"2a68262df64d0","_type":"span","marks":[],"text":"Make the bedroom as restful an environment as possible"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"979019a0383f","_type":"block","children":[{"_key":"6bea81ed017a0","_type":"span","marks":[],"text":"Avoid screentime or other stimulating activities just before bed"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f707b5d76e1","_type":"block","children":[{"_key":"f90bbacca5290","_type":"span","marks":[],"text":"Avoid caffeine and other stimulants in the evening"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6d138ce66aaf","_type":"block","children":[{"_key":"7e5722507d420","_type":"span","marks":[],"text":"Try a warm bath or shower two hours before bed to regulate your body temperature for sleep"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"732c5b82eed9","_type":"block","children":[{"_key":"051f5bd787570","_type":"span","marks":[],"text":"Avoid a nap in the evening"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9b25598eed8b","_type":"block","children":[{"_key":"a0989ebcf1350","_type":"span","marks":[],"text":"If you can’t sleep, get up and do something quiet in another room."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e16b716d4d2d","_type":"block","children":[{"_key":"c4444ab7a4250","_type":"span","marks":[],"text":"Quick naps can improve your alertness and help in decision-making, creativity and sensory perception. Short naps, such as 20 minutes, are less likely to disrupt your sleep at night."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"7a65add50199","_type":"block","children":[{"_key":"3e95dffc35e9","_type":"span","marks":[],"text":"Sleep"}],"markDefs":[],"style":"normal"}]},{"_key":"53c349786f11","_type":"faq","answer":[{"_key":"8cff2cdf45d1","_type":"block","children":[{"_key":"e2563177a7e40","_type":"span","marks":[],"text":"Some parents find themselves snacking on convenience food. We know that setting realistic goals helps. Healthy, home-cooked food for every meal may not be an achievable goal so set goals for your family that are manageable and allow for something easier, such as eggs on toast or toasted sandwiches, on difficult days."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"f70e86041210","_type":"block","children":[{"_key":"a3688b12848b","_type":"span","marks":[],"text":"Eating"}],"markDefs":[],"style":"normal"}]},{"_key":"60632704539c","_type":"faq","answer":[{"_key":"ebf7dbb657b8","_type":"block","children":[{"_key":"2d4fd5d809920","_type":"span","marks":[],"text":"For some people, regular physical exercise is highly beneficial. We know that it can increase serotonin levels - a hormone that contributes to general happiness and wellbeing. We also know that getting out of the house into fresh air and sunshine can lift mood and boost vitamin D."}],"markDefs":[],"style":"normal"},{"_key":"57fa70d82e76","_type":"block","children":[{"_key":"07b133ecbcca0","_type":"span","marks":[],"text":"However, setting achievable goals is important. These goals depend on personal circumstances, previous exercise history and physical recovery from birth."}],"markDefs":[],"style":"normal"},{"_key":"b73d613cb4c2","_type":"block","children":[{"_key":"e4d345e507600","_type":"span","marks":[],"text":"It can be helpful to schedule in exercise time. When your baby is small, this could be as simple as aiming for a short walk in the morning with the baby in the pram.\n"}],"markDefs":[],"style":"normal"},{"_key":"68b1f82210fa","_type":"block","children":[{"_key":"c3d0287d70200","_type":"span","marks":[],"text":"For some mums, childbirth impacts on pelvic floor function. Physiotherapists can help with assessment, treatment and strengthening exercises if this is an issue. If you have any concerns about your physical recovery, it is important to consult a doctor before you undertake any strenuous exercise after birth."}],"markDefs":[],"style":"normal"},{"_key":"b462bb8e8b9e","_type":"block","children":[{"_key":"954437711ace0","_type":"span","marks":[],"text":"Exercise may also mean something gentler to some people, such as breathing exercises, meditation or a yoga class. Some people find these beneficial."}],"markDefs":[],"style":"normal"},{"_key":"065f1477f1ac","_type":"block","children":[{"_key":"ce54fc054faf0","_type":"span","marks":[],"text":"Many websites and phone apps provide short guided meditations or relaxation exercises, some specifically for new parents."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"176a1d21f62c","_type":"block","children":[{"_key":"d612ed72f8cb","_type":"span","marks":[],"text":"Exercise and getting outdoors"}],"markDefs":[],"style":"normal"}]},{"_key":"e1ad1a4b940c","_type":"faq","answer":[{"_key":"01c7bb978397","_type":"block","children":[{"_key":"df28c6638ab70","_type":"span","marks":[],"text":"Being at home with a baby after years of being in a busy workplace can be an isolating experience for some parents. New and existing social networks can help you feel connected to other adults."}],"markDefs":[],"style":"normal"},{"_key":"6188e2cf7e28","_type":"block","children":[{"_key":"2d53049ae4860","_type":"span","marks":[],"text":"New mothers’ groups and playgroups are one avenue. Others include free activities, such as story time at the local library, while other people seek connection through online groups, such as supportive Facebook pages."}],"markDefs":[],"style":"normal"},{"_key":"9ba749dc6df1","_type":"block","children":[{"_key":"6b51824391920","_type":"span","marks":[],"text":"If you are struggling with postnatal mental health issues, there might be a supported playgroup you may be able to attend in your area. These are often run by a health worker or social worker and attended by other parents who have been struggling."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d58ff8ad22a1","_type":"block","children":[{"_key":"cfbdd6eb1bf80","_type":"span","marks":[],"text":"Social network"}],"markDefs":[],"style":"normal"}]},{"_key":"8a3ae7590dcd","_type":"faq","answer":[{"_key":"c4d3211f9ca7","_type":"block","children":[{"_key":"086fa755fef90","_type":"span","marks":[],"text":"Time out means different things to everyone. But in general, it is important that parents who are primary carers have a break from the caring role at times. We speak to many parents who experience barriers to this. Sometimes the barrier is a time constraint, sometimes it is driven by a parent feeling guilty or feeling like they shouldn’t need time out from their family."}],"markDefs":[],"style":"normal"},{"_key":"6e22834d258f","_type":"block","children":[{"_key":"a012a00aefc60","_type":"span","marks":[],"text":"Some families find the best way to create time out is to structure it i.e. a set time or activity each week for the primary carer. The additional benefit is that the other parent or carer gets one-on-one time with the baby or child, which can also help with their bonding and confidence. Generally, a parent needing time to themselves gets most benefit if the rest of the family is out of the house, or if the parent can go out themselves.\n"}],"markDefs":[],"style":"normal"},{"_key":"b7990a68d0da","_type":"block","children":[{"_key":"053a0021b20a0","_type":"span","marks":[],"text":"Some ideas for nurturing time out are:"}],"markDefs":[],"style":"normal"},{"_key":"56ba9b987f54","_type":"block","children":[{"_key":"64c70fa975640","_type":"span","marks":[],"text":"A class or activity outside the home"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8bcc751f8c62","_type":"block","children":[{"_key":"aa4760525cad0","_type":"span","marks":[],"text":"Engaging in a hobby/craft that is enjoyable"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7731aa4331e3","_type":"block","children":[{"_key":"360ea11afa620","_type":"span","marks":[],"text":"Taking a relaxing bath"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"235b3796281e","_type":"block","children":[{"_key":"fd454c6b5eb40","_type":"span","marks":[],"text":"Going for a walk"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1cc20204f970","_type":"block","children":[{"_key":"f96d16bcdf5f0","_type":"span","marks":[],"text":"Going shopping"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cb1663bd9f79","_type":"block","children":[{"_key":"4909c02fc3b10","_type":"span","marks":[],"text":"Listening to music"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1b0103c0016f","_type":"block","children":[{"_key":"bcfbf4eaf37c0","_type":"span","marks":[],"text":"Reading a book/magazine"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bd98f5d98f8b","_type":"block","children":[{"_key":"e02c1d556e0d0","_type":"span","marks":[],"text":"Watching a movie"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"a209cb3d4bac","_type":"block","children":[{"_key":"5cfb45060b4d","_type":"span","marks":[],"text":"Time out"}],"markDefs":[],"style":"normal"}]},{"_key":"fc0cd9abb7f7","_type":"faq","answer":[{"_key":"83a04d5277f8","_type":"block","children":[{"_key":"4a195952340b0","_type":"span","marks":[],"text":"For parents, recognising that you are struggling is the first step. For some, this may manifest as obvious symptoms of anxiety, depression or other issues such as obsessive compulsive disorder. For others, it may be more subtle, just a sense of not quite coping, feeling low in energy or not feeling yourself."}],"markDefs":[],"style":"normal"},{"_key":"ba5c7a6a6d93","_type":"block","children":[{"_key":"9841339a985a0","_type":"span","marks":[],"text":"Callers to the helpline often comment on their relief at being able to talk about what is on their mind. For some people, it is helpful to talk to family or friends. But often, for varied reasons, this is not helpful or possible."}],"markDefs":[],"style":"normal"},{"_key":"791773a70081","_type":"block","children":[{"_key":"8974e71dfbbb0","_type":"span","marks":[],"text":"Discussing your concerns with a mental health professional or a helpline such as PANDA is a good option in these cases. It is helpful, if possible, to build a positive relationship with a local doctor. New parents with babies often visit their doctor for the baby’s sake but we encourage callers to connect for their own sake too. Doctors are often the first point of professional contact for mental health concerns."}],"markDefs":[],"style":"normal"},{"_key":"f60234fafa5f","_type":"block","children":[{"_key":"2ac171c3e4020","_type":"span","marks":[],"text":"Self-care is partly about reaching out to others when we need it. 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