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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. 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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. 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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. You can begin a conversation by:"}],"markDefs":[],"style":"normal"},{"_key":"28966932abbe","_type":"block","children":[{"_key":"9caf8f1796aa0","_type":"span","marks":[],"text":"Explaining your role"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f145a825f4a","_type":"block","children":[{"_key":"cbfbdc55b2d70","_type":"span","marks":[],"text":"Asking about wellbeing and safety during each contact (e.g. appointment, inpatient stay, home visit)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7de4a4dcfb08","_type":"block","children":[{"_key":"e2bb4a8704850","_type":"span","marks":[],"text":"Encourage people to share by using normalising, non-judgmental language when information about perinatal mental health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"beca0ce1d08d","_type":"block","children":[{"_key":"a4aeb4beebca0","_type":"span","marks":[],"text":"Use plain language when talking about perinatal mental health and wellbeing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"title":"How to talk about mental health challenges and encourage a conversation"},{"_key":"92e10781f142","_type":"fileCollection","files":[{"_key":"dc7eeb49212d","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"file":{"_type":"file","asset":{"_ref":"file-62dcf636e0c36e1457cfd124079a6decdbfdbd32-pdf","_type":"reference"}},"title":"Encouraging people to share their experiences"}],"title":"Download the tip sheet"},{"_key":"b00c279f5656","_type":"productCollection","background":{"title":"orange60","value":"#FFA688"},"eyebrow":"Panda learning hub","posts":[{"_key":"1ccbe3193630","_ref":"shopifyProduct-6094017527993","_type":"reference"},{"_key":"c8ebbc95edae","_ref":"shopifyProduct-6094022475961","_type":"reference"},{"_key":"04b0bff95266","_ref":"shopifyProduct-6707777405113","_type":"reference"}],"title":"Free courses for health professionals"},{"_key":"f0d19ece0431","_type":"quote","attribution":" – Robyn, Peer support team leader","quote":"Listen for statements that suggest they’re having a hard time – I don’t know what I’m doing, I didn’t think it would be like this, I’m doing it wrong."}],"relatedArticles":[{"_id":"5db9d245-fa5e-4c1e-a52a-ca03c8e5ffe6","_type":"article","_rev":"NcwUQOs1EFF4s2pgw5I5tb","_createdAt":"2022-02-23T06:07:14Z","_updatedAt":"2023-12-12T01:02:41Z","categories":[{"_key":"484ae52f4b16","_ref":"f3a1efdb-0e5d-4871-83d7-1d7f66ee6107","_type":"reference"}],"content":[{"_key":"c378bf8b6077","_type":"block","children":[{"_key":"99aba4686f200","_type":"span","marks":[],"text":"The perinatal period is a time of increased risk of mental health and wellbeing challenges for expecting and new parents. 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. PANDA's "},{"_key":"aa19f5ee3d29","_type":"span","marks":["8d0fdfa5a587"],"text":"Secondary Consultation service"},{"_key":"f389363a0755","_type":"span","marks":[],"text":" can also help if you need further guidance on the best support for the person or family you are caring for."}],"markDefs":[{"_key":"8d0fdfa5a587","_type":"link","blank":true,"document":{"_ref":"0768c995-5bff-42a9-b18c-811100b8c6d3","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"datePublished":"2022-02-21","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Perinatal support options for individuals and families","image":{"_type":"imageWithAlt","asset":{"_ref":"image-5a57b7e5dec69f3ee6ef3844abe922c67a17f30b-3240x3240-png","_type":"reference"}},"text":[{"_key":"b24fce467acb","_type":"block","children":[{"_key":"aad21cc337f50","_type":"span","marks":[],"text":"Effective perinatal mental health care can make a real difference during a time of big changes."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"57fd804cd050","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"a8d4cad81a88","_type":"faq","answer":[{"_key":"56dee9f009ce","_type":"block","children":[{"_key":"c4cb9d8858ff","_type":"span","marks":[],"text":"Counselling is frequently recommended to help people manage perinatal mental health challenges, including existing mental health conditions."}],"markDefs":[],"style":"normal"},{"_key":"e07ac9ed0e24","_type":"block","children":[{"_key":"e3a4a1a68487","_type":"span","marks":[],"text":"Depending on an individual's concerns and personal preferences, different counselling types may be helpful for different issues."}],"markDefs":[],"style":"normal"},{"_key":"333f65c25d36","_type":"block","children":[{"_key":"0cdf8bd3b22b","_type":"span","marks":[],"text":"If you are interested in reading more about different the counselling therapies recommended for mental health conditions such as perinatal depression, postnatal psychosis and mood, personality, and spectrum disorders, the "},{"_key":"9884750ce1c9","_type":"span","marks":["96c384266156"],"text":"Australian Clinical Practice Guidelines"},{"_key":"8d260a3fc39b","_type":"span","marks":[],"text":" provide evidence-informed recommendations and guidance."}],"markDefs":[{"_key":"96c384266156","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/clinical-guidelines/"}],"style":"normal"}],"question":[{"_key":"bd922a0b0fd3","_type":"block","children":[{"_key":"33d05c7a6537","_type":"span","marks":[],"text":"Counselling"}],"markDefs":[],"style":"normal"}]},{"_key":"1f0263475148","_type":"faq","answer":[{"_key":"0f7c4077749c","_type":"block","children":[{"_key":"fc61fbe960c4","_type":"span","marks":[],"text":"In your work supporting people during the perinatal period, conversations about the use of medicines may be common."}],"markDefs":[],"style":"normal"},{"_key":"99b5a6c30574","_type":"block","children":[{"_key":"763f808bb825","_type":"span","marks":[],"text":"Here are some common situations:"}],"markDefs":[],"style":"normal"},{"_key":"5cf1ab3bf37f","_type":"block","children":[{"_key":"2ba9f0409fa4","_type":"span","marks":["strong"],"text":"You’re supporting an expecting or new parent who is taking medicine for their mental or physical health:"},{"_key":"a835808d282f","_type":"span","marks":[],"text":" They have come to you seeking information and advice."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"50aea65d76ff","_type":"block","children":[{"_key":"651cd224c24d","_type":"span","marks":["strong"],"text":"Another healthcare provider has recommended or prescribed medicine: "},{"_key":"b833bd06644e","_type":"span","marks":[],"text":"Someoneis considering their options and seeking advice from you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7abc1ba2944e","_type":"block","children":[{"_key":"7ab84702e31f","_type":"span","marks":["strong"],"text":"You’re a doctor, psychiatrist or obstetrician-gynaecologist who prescribes medicine: "},{"_key":"6db813f6b6ac","_type":"span","marks":[],"text":"You’d like to access a secondary consultation to discuss treatment options for your patient/client"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e214fc85ae6e","_type":"block","children":[{"_key":"73f3b61f471c","_type":"span","marks":[],"text":"PANDA Helpline counsellors and peer support workers speak with many callers about medicines, with a focus on exploring feelings about treatment options."}],"markDefs":[],"style":"normal"},{"_key":"e488eb38cebd","_type":"block","children":[{"_key":"f31dc5ccb070","_type":"span","marks":[],"text":"PANDA does not provide medical or medicine advice to our callers. We encourage them to contact their local medicines advice line. These services are staffed by pharmacists with expertise in perinatal medicine, and they provide secondary consultations to healthcare providers."}],"markDefs":[],"style":"normal"},{"_key":"eb0d388ca539","_type":"block","children":[{"_key":"35a5e70d176c","_type":"span","marks":[],"text":"If you have any questions about medicines for perinatal mental health and wellbeing, we recommend you contact your local medicines advice line for advice and guidance. We have included a list of these phone numbers below."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d324c665e039","_type":"block","children":[{"_key":"0a8a17bab3e5","_type":"span","marks":[],"text":"Medicines"}],"markDefs":[],"style":"normal"}]},{"_key":"a2ebfa30075e","_type":"faq","answer":[{"_key":"ffcc3126b226","_type":"block","children":[{"_key":"91117e580906","_type":"span","marks":[],"text":"There are online resources designed to support the mental health and wellbeing of people becoming and being parents. 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then discuss the results and next steps together."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"6fea18eea304","_type":"link","blank":true,"document":{"_ref":"daf2d071-7838-4740-9046-ceea02bb539e","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"question":[{"_key":"dfe0a5847467","_type":"block","children":[{"_key":"5460ab9475af","_type":"span","marks":[],"text":"Free online information and resources"}],"markDefs":[],"style":"normal"}]}],"title":"How PANDA can help health care providers"}],"relatedArticles":[{"_key":"641ba1f051de","_ref":"0768c995-5bff-42a9-b18c-811100b8c6d3","_type":"reference"},{"_key":"fe9737928fc2","_ref":"d95cdd07-63c8-4c21-8ebc-529aa55cb5dd","_type":"reference"},{"_key":"e8dacfb13649","_ref":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"There are many care options available for expecting and new parents experiencing perinatal mental health 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Ideally, each parents’ community of care includes personal supports (e.g. family and friends) plus a range of healthcare providers supporting all aspects of mental health and wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"d17abb4f8701","_type":"block","children":[{"_key":"a5d2b68554570","_type":"span","marks":[],"text":"We’ve put together some practical strategies and tools to help you make effective referrals for expecting and new parents that you’re supporting."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal20","value":"#E1F9F7"},"headline":"Providing individualised and person-centred care","image":{"_type":"imageWithAlt","asset":{"_ref":"image-7e468a4f94ea864f0ee5af8c3372145c41a97dde-5001x5001-png","_type":"reference"}},"text":[{"_key":"7939d51e919f","_type":"block","children":[{"_key":"628ced11073a0","_type":"span","marks":[],"text":"Perinatal mental health care is most effective when there are clear, person-centred and collaborative discussions about referral pathways for management, treatment and follow-up."}],"markDefs":[],"style":"normal"},{"_key":"a47e31b7462e","_type":"block","children":[{"_key":"c151eeae7d0d0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"4e1783c24154","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"00e860c16386","_type":"faq","answer":[{"_key":"62466cb47eae","_type":"block","children":[{"_key":"b30bec06e0d00","_type":"span","marks":[],"text":"Psychologists, mental health social workers, psychiatrists, counsellors, fertility specialists, relationship therapists, helplines and online support 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health."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"8e0fefa1341b","_type":"block","children":[{"_key":"90d0df563b6e0","_type":"span","marks":[],"text":"Step 4: High intensity support services"}],"markDefs":[],"style":"normal"}]},{"_key":"ddfdc33f46d4","_type":"faq","answer":[{"_key":"34e3a2773e28","_type":"block","children":[{"_key":"ee11d2a61b900","_type":"span","marks":[],"text":"Inpatient services like parent-infant units, mother-baby units, mental health units, and multi-agency care."}],"markDefs":[],"style":"normal"},{"_key":"b4b3fb0d2b91","_type":"block","children":[{"_key":"22b0485d3c8f0","_type":"span","marks":[],"text":"PANDA delivers stepped care across our services and is a key provider in the stepped care mental health service network across Australia."}],"markDefs":[],"style":"normal"},{"_key":"8116b5d0cc5a","_type":"block","children":[{"_key":"834f5bd1bec00","_type":"span","marks":[],"text":"PANDA delivers stepped care across our services and is a key 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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. Many health care providers and services work across multiple levels of care."}],"markDefs":[],"style":"normal"}],"title":"Stepped care across perinatal mental health services"},{"_key":"454434f9e44d","_type":"freeText","eyebrow":"A range of of supports can help","text":[{"_key":"0e7ca722824c","_type":"block","children":[{"_key":"1deb2739c94b0","_type":"span","marks":[],"text":"People often need different supports for their mental health. 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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Advance awareness of potential problems and being open to ways of managing your way through these can help keep your relationship in good shape."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-06","header":{"_type":"pageHeader","background":{"title":"teal100","value":"#236D6D"},"headline":"Managing relationships: guide for dads","image":{"_type":"imageWithAlt","alt":"Dad kissing baby","asset":{"_ref":"image-5f5ae58e9ef6cd0fceb5beab711466ea7463645c-3840x2160-jpg","_type":"reference"}},"text":[{"_key":"bbd9a074e940","_type":"block","children":[{"_key":"e7ac3c0d382c0","_type":"span","marks":[],"text":"Here are some ways to stay connected and still find time to look after yourself too."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"5360bce2a0f3","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"b451033ae0c5","_type":"faq","answer":[{"_key":"e01e89c94683","_type":"block","children":[{"_key":"f54ae2cd8c7a","_type":"span","marks":[],"text":"Changes in your partner’s mood and behaviour can come as a surprise or shock. You may be feeling confused, sad, stressed, or worried about your partner’s mental health and emotional wellbeing - or your own."}],"markDefs":[],"style":"normal"},{"_key":"dcf883259475","_type":"block","children":[{"_key":"27e90c4c79bf","_type":"span","marks":[],"text":"Keep communicating with your partner. Listen to what their support needs are and have a think about your own support needs as well. "}],"markDefs":[],"style":"normal"},{"_key":"094e6cc9a8d7","_type":"block","children":[{"_key":"1150de2e9c82","_type":"span","marks":[],"text":"The best thing you can provide for each other is emotional support. Caring for your partner means encouraging them to let you know what they need in terms of support from you. 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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. These conversations can feel awkward at first but a long-term, mutually satisfying sexual relationship always starts with open and honest communication."}],"markDefs":[],"style":"normal"},{"_key":"a694ca242c82","_type":"block","children":[{"_key":"97d668cdf8ab","_type":"span","marks":[],"text":"Explore other ways of expressing affection and intimacy (like cuddles or a relaxing massage). 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This can be hard to hear when loved ones are excited to come over and meet your new baby, especially when you want to share the joy and celebrate too."}],"markDefs":[],"style":"normal"},{"_key":"b90525914a4f","_type":"block","children":[{"_key":"c88070953d20","_type":"span","marks":[],"text":"If your partner is experiencing symptoms of anxiety and/or depression, social withdrawal is common in the early stages of parenthood. It’s important to give your partner the space and time they need to look after themselves and your baby, and not pressure them into having visitors before they feel ready."}],"markDefs":[],"style":"normal"},{"_key":"2e28fa2b7f9e","_type":"block","children":[{"_key":"0dd13f458803","_type":"span","marks":[],"text":"If you feel up to socialising but your partner doesn’t, it’s important that you respect their wishes but also take care of your own need for social connection. 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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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We speak to callers about a broad range of issues that come up during pregnancy and early parenthood."}],"markDefs":[],"style":"normal"},{"_key":"1834282b388a","_type":"block","children":[{"_key":"f1c9d29f3438","_type":"span","marks":[],"text":"Some examples of what we often talk about on the Helpline are below, but please know that whatever’s on your mind, no matter what it is – we're here to listen and help."}],"markDefs":[],"style":"normal"},{"_key":"42687be11d74","_type":"block","children":[{"_key":"569d19f65350","_type":"span","marks":[],"text":"Common concerns people call PANDA about include:"}],"markDefs":[],"style":"normal"},{"_key":"d999dee4bee7","_type":"block","children":[{"_key":"f649330dde670","_type":"span","marks":[],"text":"Changes to mental health, emotional wellbeing, or daily function."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6825be0d2774","_type":"block","children":[{"_key":"2349027008ad0","_type":"span","marks":[],"text":"Bonding and attachment during pregnancy or with your baby."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77445322cdf6","_type":"block","children":[{"_key":"03fcd0405a480","_type":"span","marks":[],"text":"Trying to process a pregnancy or birth that didn’t go as planned."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"45d213b879bb","_type":"block","children":[{"_key":"ac0f40ebf7b10","_type":"span","marks":[],"text":"Parenting challenges."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6f3d84f69f0b","_type":"block","children":[{"_key":"7bc763877af90","_type":"span","marks":[],"text":"Changes to self-identity and/or relationships."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cfb899afd9d8","_type":"block","children":[{"_key":"1e26dfd027510","_type":"span","marks":[],"text":"Caring for someone else and wanting to know how you can best support them."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5b01f14b3792","_type":"block","children":[{"_key":"dc31eda895f5","_type":"span","marks":[],"text":"We encourage you to reach out to PANDA for support at any stage of your perinatal journey, and for any reason. We know you’re the expert in your own life, and we’re always guided by what you think you need for yourself and your family. Together, we’ll explore which support options might be most helpful.\n"}],"markDefs":[],"style":"normal"},{"_key":"406ca67a089b","_type":"block","children":[{"_key":"f0a4415f8d6d0","_type":"span","marks":[],"text":"Reaching out is the first step"}],"markDefs":[],"style":"h4"},{"_key":"ba7b7329b8ab","_type":"block","children":[{"_key":"a9a6c4289eba0","_type":"span","marks":[],"text":"If you’re experiencing changes to your mental health that are impacting your wellbeing, relationships and daily function, PANDA is here to support you. We know that the sooner you seek help, the more quickly you can recover."}],"markDefs":[],"style":"normal"},{"_key":"dda73e0b8523","_type":"block","children":[{"_key":"4ea8b845abe9","_type":"span","marks":[],"text":"Many people who feel like they need help may delay telling their loved ones and health professionals - or feel unsure about where to start looking for support."}],"markDefs":[],"style":"normal"},{"_key":"277f29f23423","_type":"block","children":[{"_key":"f07984e83452","_type":"span","marks":[],"text":"It takes trust and courage to confide in someone that you’re having a hard time. Often callers tell us there’s lots of expectation they’ll be feeling joy and excitement at this time of life, when the reality is so different. Feelings of sadness, confusion, frustration and shame can make it hard to reach out and tell anyone you’re not coping in the way you’d hoped."}],"markDefs":[],"style":"normal"},{"_key":"df975c5d7b33","_type":"block","children":[{"_key":"8be7b67f1b4f","_type":"span","marks":[],"text":"Some people are concerned about talking to health professionals (like their doctor or child and family health nurse) about what they’re experiencing as an expecting or new parent, for fear of judgement or their concerns being dismissed. "}],"markDefs":[],"style":"normal"},{"_key":"5055aef51ad8","_type":"block","children":[{"_key":"cf000f15ea31","_type":"span","marks":[],"text":"Having open and honest conversations about your mental health can feel overwhelming and difficult to do. Yet every day our callers tell us it’s such a relief to talk to someone who cares - and know that you no longer need to keep trying to manage everything on your own."}],"markDefs":[],"style":"normal"},{"_key":"10ae8f3faefc","_type":"block","children":[{"_key":"c60a88c9daf60","_type":"span","marks":["strong"],"text":"Taking that first step to tell someone you need support is the fastest route to recovery."}],"markDefs":[],"style":"normal"},{"_key":"d3ea7c1a7885","_type":"block","children":[{"_key":"4d53e44268120","_type":"span","marks":[],"text":"Our Helpline counsellors can help you work through any concerns you have - including talking to your loved ones and health professionals. Together we’ll explore ways to start having conversations about your mental health and emotional wellbeing with the people who care for you. 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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. 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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":[{"_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. 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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? 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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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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. 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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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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? 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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":[{"_id":"b769769d-ee6c-42d0-9dfe-8b41e1625715","_type":"article","_rev":"Kn3wbDCpdlq0SfV55x4P69","_createdAt":"2022-02-14T08:26:11Z","_updatedAt":"2023-12-12T00:40:50Z","content":[{"_key":"eb6661efc0b7","_type":"block","children":[{"_key":"fa654eeedc9e0","_type":"span","marks":[],"text":"PANDA’s National Perinatal Mental Health Helpline is Australia’s only free national helpline for people affected by changes to their mental health and emotional wellbeing during the perinatal period. We support people throughout pregnancy up until their baby is 12 months old."}],"markDefs":[],"style":"normal"},{"_key":"1463798405d2","_type":"block","children":[{"_key":"44efa594b966","_type":"span","marks":[],"text":"The Helpline is open:"}],"markDefs":[],"style":"normal"},{"_key":"4a5af61332f3","_type":"block","children":[{"_key":"617630b27a71","_type":"span","marks":[],"text":"9am - 7:30pm Monday - Friday"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0ac998d761d2","_type":"block","children":[{"_key":"29158c50f2b0","_type":"span","marks":[],"text":"9am - 4pm on Saturdays and public holidays."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6eda82b888f2","_type":"block","children":[{"_key":"a5c542d387550","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"cbed3109d51e","_type":"block","children":[{"_key":"50d268c87adc0","_type":"span","marks":[],"text":"The Helpline provides a safe and confidential space for any expecting or new parent needing support with the challenges of becoming a parent."}],"markDefs":[],"style":"normal"},{"_key":"fbb60b1c5008","_type":"block","children":[{"_key":"765b6f01d2820","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"7a036a332838","_type":"block","children":[{"_key":"d164816256f00","_type":"span","marks":[],"text":"We also speak to concerned support people who want information on caring for someone experiencing challenges during the transition to parenthood, including:"}],"markDefs":[],"style":"normal"},{"_key":"efc4c879fb1c","_type":"block","children":[{"_key":"40ac75a2260d0","_type":"span","marks":[],"text":"Partners"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0a47604e8715","_type":"block","children":[{"_key":"4bee0f8251210","_type":"span","marks":[],"text":"Family and friends"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1371f2c24c34","_type":"block","children":[{"_key":"e8d83d9c8abb0","_type":"span","marks":[],"text":"Health professionals"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77af4b7b5adb","_type":"block","children":[{"_key":"c175c96746af0","_type":"span","marks":[],"text":"Many people in the Australian community don’t know about the signs and symptoms of perinatal anxiety and depression, or where to turn for support. The PANDA Helpline can help you identify what kind of care you need and where to find it."}],"markDefs":[],"style":"normal"},{"_key":"a4ef46be1a9a","_type":"block","children":[{"_key":"56be8949aef9","_type":"span","marks":[],"text":"Free counselling, support, information and referral"}],"markDefs":[],"style":"h4"},{"_key":"937c694a1d45","_type":"block","children":[{"_key":"a781c581ba780","_type":"span","marks":[],"text":"Our highly trained and caring counsellors help you work through your concerns by providing a safe, confidential space to talk openly and honestly about your thoughts, feelings and experiences."}],"markDefs":[],"style":"normal"},{"_key":"b42aaa408d77","_type":"block","children":[{"_key":"234f0f98fd5e","_type":"span","marks":[],"text":"We’re here to help you:"}],"markDefs":[],"style":"normal"},{"_key":"5a3760251ae3","_type":"block","children":[{"_key":"4d74de73606f0","_type":"span","marks":[],"text":"Make sense of what you or your loved one is experiencing during the transition to parenthood."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6847613fee4e","_type":"block","children":[{"_key":"873009728c6b0","_type":"span","marks":[],"text":"Identify your current coping skills and strengths as an expecting or new parent, or support person."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"772cf08757ab","_type":"block","children":[{"_key":"87ad519f16280","_type":"span","marks":[],"text":"Explore a range of perinatal mental health and wellbeing care strategies."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b3901da58575","_type":"block","children":[{"_key":"3c8088d126f40","_type":"span","marks":[],"text":"Understand the support and treatment options available for expecting and new parents."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"950809a0842e","_type":"block","children":[{"_key":"6c53bef5dafe0","_type":"span","marks":[],"text":"Link in with community-based perinatal supports in your area."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a97549c705d3","_type":"block","children":[{"_key":"23c00fcd28e3","_type":"span","marks":[],"text":"You don’t need to be experiencing a crisis to reach out to PANDA. We speak to callers about a broad range of issues that come up during pregnancy and early parenthood."}],"markDefs":[],"style":"normal"},{"_key":"1834282b388a","_type":"block","children":[{"_key":"f1c9d29f3438","_type":"span","marks":[],"text":"Some examples of what we often talk about on the Helpline are below, but please know that whatever’s on your mind, no matter what it is – we're here to listen and help."}],"markDefs":[],"style":"normal"},{"_key":"42687be11d74","_type":"block","children":[{"_key":"569d19f65350","_type":"span","marks":[],"text":"Common concerns people call PANDA about include:"}],"markDefs":[],"style":"normal"},{"_key":"d999dee4bee7","_type":"block","children":[{"_key":"f649330dde670","_type":"span","marks":[],"text":"Changes to mental health, emotional wellbeing, or daily function."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6825be0d2774","_type":"block","children":[{"_key":"2349027008ad0","_type":"span","marks":[],"text":"Bonding and attachment during pregnancy or with your baby."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77445322cdf6","_type":"block","children":[{"_key":"03fcd0405a480","_type":"span","marks":[],"text":"Trying to process a pregnancy or birth that didn’t go as planned."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"45d213b879bb","_type":"block","children":[{"_key":"ac0f40ebf7b10","_type":"span","marks":[],"text":"Parenting challenges."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6f3d84f69f0b","_type":"block","children":[{"_key":"7bc763877af90","_type":"span","marks":[],"text":"Changes to self-identity and/or relationships."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cfb899afd9d8","_type":"block","children":[{"_key":"1e26dfd027510","_type":"span","marks":[],"text":"Caring for someone else and wanting to know how you can best support them."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5b01f14b3792","_type":"block","children":[{"_key":"dc31eda895f5","_type":"span","marks":[],"text":"We encourage you to reach out to PANDA for support at any stage of your perinatal journey, and for any reason. We know you’re the expert in your own life, and we’re always guided by what you think you need for yourself and your family. Together, we’ll explore which support options might be most helpful.\n"}],"markDefs":[],"style":"normal"},{"_key":"406ca67a089b","_type":"block","children":[{"_key":"f0a4415f8d6d0","_type":"span","marks":[],"text":"Reaching out is the first step"}],"markDefs":[],"style":"h4"},{"_key":"ba7b7329b8ab","_type":"block","children":[{"_key":"a9a6c4289eba0","_type":"span","marks":[],"text":"If you’re experiencing changes to your mental health that are impacting your wellbeing, relationships and daily function, PANDA is here to support you. We know that the sooner you seek help, the more quickly you can recover."}],"markDefs":[],"style":"normal"},{"_key":"dda73e0b8523","_type":"block","children":[{"_key":"4ea8b845abe9","_type":"span","marks":[],"text":"Many people who feel like they need help may delay telling their loved ones and health professionals - or feel unsure about where to start looking for support."}],"markDefs":[],"style":"normal"},{"_key":"277f29f23423","_type":"block","children":[{"_key":"f07984e83452","_type":"span","marks":[],"text":"It takes trust and courage to confide in someone that you’re having a hard time. Often callers tell us there’s lots of expectation they’ll be feeling joy and excitement at this time of life, when the reality is so different. Feelings of sadness, confusion, frustration and shame can make it hard to reach out and tell anyone you’re not coping in the way you’d hoped."}],"markDefs":[],"style":"normal"},{"_key":"df975c5d7b33","_type":"block","children":[{"_key":"8be7b67f1b4f","_type":"span","marks":[],"text":"Some people are concerned about talking to health professionals (like their doctor or child and family health nurse) about what they’re experiencing as an expecting or new parent, for fear of judgement or their concerns being dismissed. "}],"markDefs":[],"style":"normal"},{"_key":"5055aef51ad8","_type":"block","children":[{"_key":"cf000f15ea31","_type":"span","marks":[],"text":"Having open and honest conversations about your mental health can feel overwhelming and difficult to do. Yet every day our callers tell us it’s such a relief to talk to someone who cares - and know that you no longer need to keep trying to manage everything on your own."}],"markDefs":[],"style":"normal"},{"_key":"10ae8f3faefc","_type":"block","children":[{"_key":"c60a88c9daf60","_type":"span","marks":["strong"],"text":"Taking that first step to tell someone you need support is the fastest route to recovery."}],"markDefs":[],"style":"normal"},{"_key":"d3ea7c1a7885","_type":"block","children":[{"_key":"4d53e44268120","_type":"span","marks":[],"text":"Our Helpline counsellors can help you work through any concerns you have - including talking to your loved ones and health professionals. Together we’ll explore ways to start having conversations about your mental health and emotional wellbeing with the people who care for you. We can also help you to link in with any additional supports you may need."}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","background":{"title":"brightTeal20","value":"#E1F9F7"},"headline":"PANDA’s National Perinatal Mental Health Helpline","image":{"_type":"imageWithAlt","alt":"Mum holding baby and on the phone","asset":{"_ref":"image-885b5eb38f693819a76ea74c94d8b89f2fdcb163-5001x5001-png","_type":"reference"}},"text":[{"_key":"ac98a523f989","_type":"block","children":[{"_key":"1247996edc380","_type":"span","marks":[],"text":"We’re here to help expecting and new parents and their support people during the transition to parenthood."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"65d92aaca93d","_type":"video","text":[{"_key":"55e753d942b8","_type":"block","children":[{"_key":"89ff58f7cab20","_type":"span","marks":[],"text":"Becoming pregnant or having a baby can be both exciting and challenging. 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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":[{"_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":"2488aec7-6b00-4156-aa87-dc3a61d8c19d","_type":"article","_rev":"nVChg1sqNoY7wI6dwf9bIu","_createdAt":"2022-02-14T07:40:13Z","_updatedAt":"2024-04-10T23:13:20Z","categories":[{"_key":"ddbd59f9ea4a","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"}],"content":[{"_key":"d25f5fa9b2be","_type":"block","children":[{"_key":"a12e40e003140","_type":"span","marks":[],"text":"Many new parents downplay mental health issues for fear of unwanted outcomes when they reach out for help. Some fear having their baby placed into care by child protective services if they tell anyone they’re not coping at home or they are experiencing family violence and fear for their own and their baby’s safety. Not telling anyone what’s happening and trying to manage everything by yourself can make the situation even more difficult to handle, and often increases the risk to you and your baby. Acknowledging you need help (and telling someone) doesn’t mean you are an unsafe or ‘bad’ parent."}],"markDefs":[],"style":"normal"},{"_key":"906d0156c434","_type":"block","children":[{"_key":"e17f0a17bf59","_type":"span","marks":["strong"],"text":"Seeking mental health help and/or family violence support early is being a safe and protective parent."},{"_key":"9723caf5c54d","_type":"span","marks":[],"text":" You’re being the best possible parent you can be for your baby by taking the necessary steps to feel better and keep yourself and your baby safe. PANDA is here to help you to care for yourself and your baby in ways that feel supportive, safe, and aligned with your personal parenting values."}],"markDefs":[],"style":"normal"},{"_key":"5ab0350cf5cb","_type":"block","children":[{"_key":"a30d0a4d2a0b0","_type":"span","marks":[],"text":"Hiding or downplaying symptoms of emotional and mental health distress or concerns about family violence can prevent you from accessing the help you need to look after your wellbeing and family’s safety. Feelings of isolation and stress can increase if nobody knows what’s really happening for you. Minimising what you’re experiencing can also get in the way of parenting the way you’d hoped to do."}],"markDefs":[],"style":"normal"},{"_key":"238262fb1c5e","_type":"block","children":[{"_key":"159a7d751371","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Child Protection: Helpful information for parents","image":{"_type":"imageWithAlt","alt":"baby bathing","asset":{"_ref":"image-d7d8265b93aeae0031e16fba848ea0fe73045542-2400x1596-jpg","_type":"reference"}},"text":[{"_key":"d1e78d145a71","_type":"block","children":[{"_key":"9539088974350","_type":"span","marks":[],"text":"It’s normal for new parents to have concerns about what might happen when they reach out for help. Talking to PANDA about your mental health and any issues at home is being a protective parent. We can help you access the support you and your baby need."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"867c3fd4a98f","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"b78634889814","_type":"faq","answer":[{"_key":"5f0b722684e2","_type":"block","children":[{"_key":"dfefe36b0a5b","_type":"span","marks":[],"text":"We take our obligation to protect you and your baby - and keep you safe - very seriously. We always listen to your needs and thoughts on what might be helpful. We believe you’re the expert on your own life, and we know that you’re doing your best to keep yourself and your baby safe. Sometimes new parents need some extra mental health and parenting support. We’re here to work with you and figure out what the best supports are for your family."}],"markDefs":[],"style":"normal"},{"_key":"83ff02bc51a8","_type":"block","children":[{"_key":"19323dddabce","_type":"span","marks":[],"text":"Sometimes, families need extra support like parenting support, relationship and family violence services or child protection. Any decision to contact child protection for a family we’re supporting on our Helpline is made with utmost care and caution."}],"markDefs":[],"style":"normal"},{"_key":"d1c2c81dd9ab","_type":"block","children":[{"_key":"00686afabd6e","_type":"span","marks":[],"text":"We’re dedicated to client-centred and trauma-informed care on our Helpline."}],"markDefs":[],"style":"normal"},{"_key":"5d4e08c1c5d9","_type":"block","children":[{"_key":"6efdc93829fc","_type":"span","marks":[],"text":"This approach to mental health support means you and your baby’s wellbeing are at the heart of every call, including any decisions regarding your safety and care needs."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"9c3734aebc50","_type":"block","children":[{"_key":"e79e4a32bca80","_type":"span","marks":[],"text":"PANDA is committed to ensuring the emotional, physical and mental wellbeing of you, your baby and your family."}],"markDefs":[],"style":"normal"}]},{"_key":"d4f33e121f35","_type":"faq","answer":[{"_key":"673c88835846","_type":"block","children":[{"_key":"725aca8065c10","_type":"span","marks":[],"text":"We speak to thousands of new parents every year on the PANDA Helpline who are experiencing difficult emotions having scary thoughts or experiencing family violence."}],"markDefs":[],"style":"normal"},{"_key":"3aa55eb03a5b","_type":"block","children":[{"_key":"718fbf515edb","_type":"span","marks":[],"text":"Often, our callers feel they’re failing at parenting by not meeting their own expectations of themselves as parents. They worry that if they tell us what’s happening at home, PANDA will call child protection and safety services. Some parents who call us are already linked in with intensive family support or child protection services. Feelings such as shame, fear or even despair can build up and feel hard to control, and difficult to share with someone else."}],"markDefs":[],"style":"normal"},{"_key":"694e171c83b4","_type":"block","children":[{"_key":"7c4b2b63d867","_type":"span","marks":[],"text":"Some of our callers express intense fear that if they speak up about these experiences, a report to child protective services will be made automatically. Often, there can also be negative associations with protective services contributing to feelings of fear and uncertainty about speaking up. This may be due to multi-generational trauma in families who have had previous experiences within historic welfare systems."}],"markDefs":[],"style":"normal"},{"_key":"e3d48cdfd1cb","_type":"block","children":[{"_key":"3cd577c01864","_type":"span","marks":[],"text":"In particular, our callers who come from a migrant and refugee background and have a history of trauma, and our Aboriginal and Torres Strait Islander callers who have Stolen Generation trauma in their family frequently express fears about their children being removed from their care."}],"markDefs":[],"style":"normal"},{"_key":"e329de2e82f8","_type":"block","children":[{"_key":"a4a0ea53956c","_type":"span","marks":[],"text":"Callers often tell us they have fears about child safety and protective service involvement with their family. "}],"markDefs":[],"style":"normal"},{"_key":"a867317f868f","_type":"block","children":[{"_key":"e7ede35e5c4c","_type":"span","marks":[],"text":"They tell us things like:"}],"markDefs":[],"style":"normal"},{"_key":"4e81a6eec93a","_type":"block","children":[{"_key":"3f525c2b4e9a0","_type":"span","marks":["em"],"text":"“I’ve been having these awful thoughts lately, but I’m scared to tell you what they are.”"}],"markDefs":[],"style":"normal"},{"_key":"230219571f95","_type":"block","children":[{"_key":"7f41689875110","_type":"span","marks":["em"],"text":"“I don’t want anyone to think I’d actually hurt myself or my baby. I’m worried they’ll take my baby away if I say anything.”"}],"markDefs":[],"style":"normal"},{"_key":"303dcea05dcd","_type":"block","children":[{"_key":"9c3377ffab5a0","_type":"span","marks":["em"],"text":"“I don’t want anyone to think I’m a bad person, especially my partner or someone like my GP.”"}],"markDefs":[],"style":"normal"},{"_key":"816b9e52573b","_type":"block","children":[{"_key":"ffad6fa7712b0","_type":"span","marks":["em"],"text":"\"I don’t want them to break our family up. He’s a really good dad most of the "},{"_key":"c5cebd371d20","_type":"span","marks":[],"text":"time."},{"_key":"6fd6fb5698c0","_type":"span","marks":["em"],"text":"\""}],"markDefs":[],"style":"normal"},{"_key":"cacfddaa3fff","_type":"block","children":[{"_key":"9a9482da9d160","_type":"span","marks":["em"],"text":"“If I contact child protection about my concerns, I’m worried what my family’s reaction will be.”"}],"markDefs":[],"style":"normal"},{"_key":"f0a2a65608a3","_type":"block","children":[{"_key":"9391188bb2e20","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"e0d988fb4f24","_type":"block","children":[{"_key":"ab3a8aa8237a0","_type":"span","marks":[],"text":"We know from what we hear on the PANDA Helpline that people think babies being placed into care by protective services is much more common than it is."}],"markDefs":[],"style":"normal"},{"_key":"9fecc8480976","_type":"block","children":[{"_key":"a7501237bf3d","_type":"span","marks":[],"text":"Experiencing changes to your mental health, like symptoms of perinatal anxiety or depression, having a mental health diagnosis, or not coping with daily life and parenting, "},{"_key":"0b0571f02721","_type":"span","marks":["strong"],"text":"does not make you an unfit parent."},{"_key":"c03580006690","_type":"span","marks":[],"text":" It just means you need some extra support, something common to everyone at some point in their parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"c2dea181060e","_type":"block","children":[{"_key":"93d0cd170d3d","_type":"span","marks":[],"text":"It’s normal for new parents to have difficulty adjusting to change during the perinatal period. It’s also common for new parents to experience mental health issues. Having a hard time with the transition to parenthood does not make someone a bad or unsafe parent. It makes you human."}],"markDefs":[],"style":"normal"},{"_key":"54de1289a2e6","_type":"block","children":[{"_key":"fd84742f0d030","_type":"span","marks":[],"text":"You and your baby deserve help, love, kindness and care when things feel tough or overwhelming. PANDA is here when you feel ready to explore some support options together."}],"markDefs":[],"style":"normal"},{"_key":"c4b4e6f32e92","_type":"block","children":[{"_key":"3c5182900347","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"9eaedd27aad6","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.sttars.org.au"},"style":"arrow","text":"Visit Supporting Survivors of Trauma"},{"_key":"81c3d323b15d","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://healingfoundation.org.au/intergenerational-trauma/"},"style":"arrow","text":"Visit Healing Foundation"}],"question":[{"_key":"bbf273c665a6","_type":"block","children":[{"_key":"6d96edda44c5","_type":"span","marks":[],"text":"Is it common to worry about Child Protection involvement when talking to health professionals?"}],"markDefs":[],"style":"normal"}]},{"_key":"3fd0d90f965f","_type":"faq","answer":[{"_key":"4e17823e1c0b","_type":"block","children":[{"_key":"c7f50355f98c0","_type":"span","marks":[],"text":"Our Helpline counsellors often speak to expecting and new parents experiencing mental health issues and family violence at home. Some callers tell us that their partner or ex has suggested that a parent having mental health issues will always lead to child protection being involved, and babies being removed from their parent’s care. This is simply untrue."}],"markDefs":[],"style":"normal"},{"_key":"bd8049334b75","_type":"block","children":[{"_key":"669982aa1afc","_type":"span","marks":[],"text":"As we mentioned before, "},{"_key":"de5787777387","_type":"span","marks":["strong"],"text":"seeking mental health or family violence support for yourself is being a safe and protective parent."}],"markDefs":[],"style":"normal"},{"_key":"ab3f36a5247b","_type":"block","children":[{"_key":"27c04b4f0e96","_type":"span","marks":[],"text":"PANDA callers experiencing family violence may also be concerned that if they talk to PANDA about their mental health or speak to a family violence service, their partner will find out."}],"markDefs":[],"style":"normal"},{"_key":"8c701dfa58d4","_type":"block","children":[{"_key":"cf34b026e48b","_type":"span","marks":[],"text":"Our callers sometimes feel scared that being honest about their mental health challenges will be used against them at some point, for instance in family law court. Often, we hear that scare tactics about child removal and custody issues have been used repeatedly over time by their partner or others. Some callers start to believe that if they admit to anyone that they’re not coping, a child protection report will be made, and their children immediately removed from their care. "}],"markDefs":[],"style":"normal"},{"_key":"841870a5dde1","_type":"block","children":[{"_key":"e869342dbdb2","_type":"span","marks":[],"text":"These beliefs are based on manipulation and fear, not fact."}],"markDefs":[],"style":"normal"},{"_key":"97584a6de55a","_type":"block","children":[{"_key":"394074044ae40","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3ae4f5b7dc49","_type":"block","children":[{"_key":"48813ee67c1a0","_type":"span","marks":[],"text":"Some Helpline callers also say they feel responsible for the family violence they are experiencing. They often tell us that their partner or others have even said they’re behaving in abusive or unsafe ways because of the caller’s mental health issues. "}],"markDefs":[],"style":"normal"},{"_key":"2e2a3cf922f8","_type":"block","children":[{"_key":"91b05acd9f86","_type":"span","marks":[],"text":"There is never any justification for anyone to make you feel fearful or unsafe because you’re experiencing changes to your mental health. "},{"_key":"fdd52b3639e5","_type":"span","marks":["strong"],"text":"Family violence is never your fault."}],"markDefs":[],"style":"normal"},{"_key":"32feb66038b8","_type":"block","children":[{"_key":"a5f3e7f378640","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"c209346392f1","_type":"block","children":[{"_key":"01e49475fe820","_type":"span","marks":[],"text":"Sharing with PANDA’s counsellors that you or your baby are unsafe due to family violence is being a protective parent by seeking support for yourself and your child. PANDA will always put the safety of you and your baby first, and we’ll work with you to explore all the different specialist support options that are available. "}],"markDefs":[],"style":"normal"},{"_key":"3342b9a30b43","_type":"block","children":[{"_key":"4c7d8a29bdcc","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"0713f03aff08","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.1800respect.org.au/help-and-support"},"style":"arrow","text":"Visit 1800Respect"},{"_key":"b3ac31507013","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://relationships.org.au/ "},"style":"arrow","text":"Visit Relationships Australia"},{"_key":"14dc82020dc5","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.familyrelationships.gov.au/talk-someone/advice-line"},"style":"arrow","text":"Visit Family Relationship Advice Line"}],"question":[{"_key":"f666e68ba206","_type":"block","children":[{"_key":"702b624307280","_type":"span","marks":[],"text":"Family violence and mental health issues"}],"markDefs":[],"style":"normal"}]},{"_key":"4380bccb49cf","_type":"faq","answer":[{"_key":"f50e456f7b5f","_type":"block","children":[{"_key":"76132e5145c0","_type":"span","marks":[],"text":"Depending on where you live, child protective services may be known by a different name in your state:"}],"markDefs":[],"style":"normal"},{"_key":"f463d1b3595d","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.communityservices.act.gov.au/ocyfs/children/child-and-youth-protection-services"},"style":"arrow","text":"ACT – Child and Youth Protection Services"},{"_key":"e2138d611a99","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.facs.nsw.gov.au/families"},"style":"arrow","text":"NSW – Family and Community Services (FACS, previously known as DoCS)"},{"_key":"18c4e158d222","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://tfhc.nt.gov.au/children-and-families"},"style":"arrow","text":"  NT – Department of Children and Families"},{"_key":"cbe92c9b3c95","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.dcssds.qld.gov.au/our-work/child-safety"},"style":"arrow","text":"QLD – Child Safety"},{"_key":"46401dfcee27","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.childprotection.sa.gov.au/"},"style":"arrow","text":"SA – Department for Child Protection (DCP)"},{"_key":"e1c6b0b2e8a0","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.decyp.tas.gov.au/safe-children/guide-to-tasmanias-child-safety-services/"},"style":"arrow","text":"TAS – Child Safety Service"},{"_key":"6b1174cdf429","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://services.dhhs.vic.gov.au/child-protection"},"style":"arrow","text":"VIC – Child Protection"},{"_key":"dab789853231","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.wa.gov.au/organisation/department-of-communities/child-protection"},"style":"arrow","text":"WA – Child protection and Family Support"}],"question":[{"_key":"41eee860b8bb","_type":"block","children":[{"_key":"815d1b9d61ab0","_type":"span","marks":[],"text":"Child protection and safety services by State/Territory"}],"markDefs":[],"style":"normal"},{"_key":"9f8489be6c54","_type":"block","children":[{"_key":"b4763f21afdd0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"ef2cf250c11f","_type":"block","children":[{"_key":"f6796fc13d330","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"2d92e514e733","_type":"block","children":[{"_key":"bc5bfe4f620c0","_type":"span","marks":[],"text":"You may have questions about what happens when you call PANDA to tell us how you’re feeling."}],"markDefs":[],"style":"normal"}],"title":"Common questions"}],"relatedArticles":[{"_key":"a7a49dd14718","_ref":"3dd5d15a-dcef-45b9-8e91-c6dab35b5c2f","_type":"reference"},{"_key":"06ee0fa31f1f","_ref":"310776fc-166b-416c-8958-8fbbf1b695b2","_type":"reference"},{"_key":"181ac297074e","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"It’s normal for new parents to have concerns about what might happen when they reach out for help. 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Having a few supplies gathered can also help if you’re wearing your bub in a carrier or they fall asleep in your arms."}],"markDefs":[],"style":"normal"},{"_key":"337ddfb6e142","_type":"block","children":[{"_key":"3390226f32630","_type":"span","marks":[],"text":"You might like to include:"}],"markDefs":[],"style":"normal"},{"_key":"5d15732ed2bc","_type":"block","children":[{"_key":"595ef33af76a0","_type":"span","marks":[],"text":"Phone charger and earphones if you use them."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2d247eacbf2d","_type":"block","children":[{"_key":"cfb21224944c0","_type":"span","marks":[],"text":"Water (glass or bottle)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7275a3c02846","_type":"block","children":[{"_key":"4bb3cc90011a0","_type":"span","marks":[],"text":"A hot drink, something warm and comforting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9e6c30349bac","_type":"block","children":[{"_key":"00f47195a8c80","_type":"span","marks":[],"text":"Cooler weather: Hot water bottle or a cozy blanket."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0840c538e20c","_type":"block","children":[{"_key":"8e8cb2c82c260","_type":"span","marks":[],"text":"Warmer weather: An icy cool damp cloth for your face and neck."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7e0d99077c01","_type":"block","children":[{"_key":"9b7c2d2d35c00","_type":"span","marks":[],"text":"Neurodivergent callers: A weighted blanket or plushie, fidget, sensory and stim tools."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1326b733e63a","_type":"block","children":[{"_key":"4a560403fcbd0","_type":"span","marks":[],"text":"Easy snacks: For you, but also a handy distraction if your baby is eating solids, or you have toddlers and older children at home."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1e0a3ca73742","_type":"block","children":[{"_key":"af53c5d99cc50","_type":"span","marks":[],"text":"Baby supplies like wipes and tissues, nappy, a bottle and toys."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f5fd1d769b1e","_type":"block","children":[{"_key":"8dd19f3f278f0","_type":"span","marks":[],"text":"Hand lotion or moisturiser: Give yourself a soothing mini massage during the call, or after."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5bf4a6c716d","_type":"block","children":[{"_key":"250c94e0664d0","_type":"span","marks":[],"text":"Paper and pen in case you want to note any thoughts, ideas or resources during your call."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7da45943dd21","_type":"block","children":[{"_key":"27199fc5501f","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"6100e07cf502","_type":"quote","attribution":"Julia, PANDA Peer Support Practitioner","quote":"Try calling PANDA when your bub is napping, or you're out for a walk."},{"_key":"ad6eac16083e","_type":"block","children":[{"_key":"d49a5f3321ef0","_type":"span","marks":[],"text":"During the call"}],"markDefs":[],"style":"h3"},{"_key":"e5d196541c27","_type":"block","children":[{"_key":"adab5a468e0d0","_type":"span","marks":["strong"],"text":"Taking the pressure off"}],"markDefs":[],"style":"h5"},{"_key":"5d72b092906d","_type":"block","children":[{"_key":"ebff00e54474","_type":"span","marks":[],"text":"It can be hard to know where to start, and what to talk about – but we don’t need to squeeze everything into one call. If you’re feeling unsure, a bit shy, or anxious please let us know – we’ll do our best to ensure you feel safe and supported to share whatever is on your mind."}],"markDefs":[],"style":"normal"},{"_key":"030d1bc8dcab","_type":"block","children":[{"_key":"ecf3c642f2a20","_type":"span","marks":[],"text":"You can call the PANDA Helpline as often as you like. We're available 9am–7:30pm Monday to Friday, and 9am–4pm on Saturdays. We’ll check in throughout the call to see how you’re feeling, or if there’s anything that’s come up that you’d like to discuss, either now or next time."}],"markDefs":[],"style":"normal"},{"_key":"1027767b2a07","_type":"block","children":[{"_key":"feda7f8dca1b0","_type":"span","marks":[],"text":"Ask yourself, "},{"_key":"4da1017c4bf6","_type":"span","marks":["strong"],"text":"\"What might help right now?\" "},{"_key":"8b70f2f67532","_type":"span","marks":[],"text":"or tonight, or over the next few weeks? We can help you break down big concerns into more manageable chunks. This might look like community-based support options, or practical and simple self-care you can do while we’re on the phone together."}],"markDefs":[],"style":"normal"},{"_key":"9e4b99840899","_type":"block","children":[{"_key":"900515a405f50","_type":"span","marks":[],"text":"Sometimes it helps to focus on the wave that’s coming ashore in the moment, instead of feeling swamped by the whole ocean of life."}],"markDefs":[],"style":"normal"},{"_key":"77329cd9c06f","_type":"block","children":[{"_key":"cba92dce6b650","_type":"span","marks":["strong"],"text":"If the call is interrupted and you need to go"},{"_key":"18e44b9a312b","_type":"span","marks":[],"text":", we can always arrange a time for a follow-up call – you and your family are the priority, always. If your baby wakes up or family arrives home early, you can call us back at a time that suits. If you just need a moment to get ready to feed your baby, or start the next Bluey episode, our counsellors and peer practitioners are happy to stay on the line with you."}],"markDefs":[],"style":"normal"},{"_key":"4d0d4b9c27ec","_type":"block","children":[{"_key":"b472e72b7afa0","_type":"span","marks":[],"text":"Post-call care: Looking after yourself"}],"markDefs":[],"style":"h3"},{"_key":"8f10f141a80e","_type":"block","children":[{"_key":"7b63dad65f970","_type":"span","marks":[],"text":"You might need to tend to your baby straight after we hang up, but as soon as you get a chance, go outside and take some deep breaths of fresh air. Feet firmly on the earth, getting grounded in your surrounds again."}],"markDefs":[],"style":"normal"},{"_key":"e9d02581985c","_type":"block","children":[{"_key":"58308b9aca520","_type":"span","marks":[],"text":"Let the sun warm your skin, or a cool breeze caress your face."}],"markDefs":[],"style":"normal"},{"_key":"11ee19af6a68","_type":"block","children":[{"_key":"a595df0b5f0d0","_type":"span","marks":[],"text":"It’s always a good idea to spend time re-connecting to nature and the world around you after doing some self-reflection and exploration during a call."}],"markDefs":[],"style":"normal"},{"_key":"84c3e5e3a1e6","_type":"block","children":[{"_key":"1da5679172640","_type":"span","marks":[],"text":"If you can, change your environment. You might like to:"}],"markDefs":[],"style":"normal"},{"_key":"3aed6524ed24","_type":"block","children":[{"_key":"24e9fd2ab6010","_type":"span","marks":[],"text":"Pop your baby in their pram and head to the park."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1f634a0a4dac","_type":"block","children":[{"_key":"0cc9d6b6dd410","_type":"span","marks":[],"text":"Visit family and friends."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"38e759a27d6a","_type":"block","children":[{"_key":"21f115e6e4310","_type":"span","marks":[],"text":"Go to the gym and sweat it out."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"da75c7a8d741","_type":"block","children":[{"_key":"f465f54e34830","_type":"span","marks":[],"text":"If it’s not practical for you to leave the house, you could:"}],"markDefs":[],"style":"normal"},{"_key":"4a86e3f3ca0b","_type":"block","children":[{"_key":"8fb9e50638140","_type":"span","marks":[],"text":"Lie down to rest or nap."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cdd561dd94f1","_type":"block","children":[{"_key":"2ab9a403f1e50","_type":"span","marks":[],"text":"Give your indoor plants some love."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a123fd4f2533","_type":"block","children":[{"_key":"70d806a0ddf00","_type":"span","marks":[],"text":"Do some balcony or backyard gardening."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7fdae3173609","_type":"block","children":[{"_key":"b7b4b8cfa6800","_type":"span","marks":[],"text":"Listen to music or a podcast that you can tune out to?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3738b891c58d","_type":"block","children":[{"_key":"d092478a4e050","_type":"span","marks":[],"text":"Have a bath, shower, or splash cool water on your face."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"73a7b10c0115","_type":"block","children":[{"_key":"8cf0827a05af0","_type":"span","marks":[],"text":"Do a free virtual exercise class at home – try searching for ‘gentle’ or ‘relaxing’ stretches for pregnancy (antenatal) or new parents (postnatal)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2bb70825392e","_type":"block","children":[{"_key":"d1be5539dead0","_type":"span","marks":[],"text":"Journalling – you may want to note goals or reflections that have come up during the phone call. 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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. If it wasn't for these people, I wouldn't be where I am today"},{"_key":"9a7026f2e678","_type":"block","children":[{"_key":"dd0def875a740","_type":"span","marks":[],"text":"If you need immediate help:"}],"markDefs":[],"style":"h4"},{"_key":"3c161ceac69b","_type":"block","children":[{"_key":"b1e015e09776","_type":"span","marks":["strong","2061a0e57d20"],"text":"Lifeline"},{"_key":"dd0def875a741","_type":"span","marks":[],"text":" 13 11 14"}],"markDefs":[{"_key":"2061a0e57d20","_type":"link","blank":true,"linkType":"external","url":"https://www.lifeline.org.au/"}],"style":"normal"},{"_key":"84f886ab0ba4","_type":"block","children":[{"_key":"dd0def875a742","_type":"span","marks":["strong","e890fdae25de"],"text":"Suicide Call Back Service"},{"_key":"dd0def875a743","_type":"span","marks":[],"text":" 1300 659 467"}],"markDefs":[{"_key":"e890fdae25de","_type":"link","blank":true,"linkType":"external","url":"https://www.suicidecallbackservice.org.au/phone-and-online-counselling/"}],"style":"normal"},{"_key":"bda241737712","_type":"block","children":[{"_key":"26d5b9fbba980","_type":"span","marks":["strong"],"text":"Call 000 if you need emergency support."}],"markDefs":[],"style":"normal"}]},{"_key":"ae44d46abaf1","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"1200929efbec","_type":"faq","answer":[{"_key":"efd5c790fdcb","_type":"block","children":[{"_key":"bd6b8def4606","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that scare you?"}],"markDefs":[],"style":"normal"},{"_key":"2f5a8a805d79","_type":"block","children":[{"_key":"ecd03d88d4b6","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that make you worry about your own or your baby's safety?"}],"markDefs":[],"style":"normal"},{"_key":"34cbf5b85606","_type":"block","children":[{"_key":"d3b868ea93ed","_type":"span","marks":[],"text":"Are you worried someone else might hurt you or your baby?"}],"markDefs":[],"style":"normal"},{"_key":"a2f2e98aa2ac","_type":"block","children":[{"_key":"1ec830a8febf","_type":"span","marks":[],"text":"Do you have any thoughts of suicide or hurting yourself?"}],"markDefs":[],"style":"normal"},{"_key":"6f2cdd1c2643","_type":"block","children":[{"_key":"34359c086ea3","_type":"span","marks":[],"text":"Have you thought about ways you might hurt yourself/take your own life?"}],"markDefs":[],"style":"normal"}],"question":[{"_key":"93e99a691e12","_type":"block","children":[{"_key":"e34429e78837","_type":"span","marks":[],"text":"Risk assessment questions"}],"markDefs":[],"style":"normal"}]},{"_key":"7b5f9f025965","_type":"faq","answer":[{"_key":"150b969a11d7","_type":"block","children":[{"_key":"6e7d55bf4c5f","_type":"span","marks":[],"text":"What have you been doing to keep yourself and your baby safe?"}],"markDefs":[],"style":"normal"},{"_key":"a4eec1000495","_type":"block","children":[{"_key":"049a0b9f62d2","_type":"span","marks":[],"text":"What’s been helpful in the past to help you manage these thoughts and feelings?"}],"markDefs":[],"style":"normal"},{"_key":"80310d70b050","_type":"block","children":[{"_key":"a31fba54492f","_type":"span","marks":[],"text":"What helps to stop you carrying out your thoughts or plan?"}],"markDefs":[],"style":"normal"},{"_key":"6112a8201f3f","_type":"block","children":[{"_key":"a73515791e50","_type":"span","marks":[],"text":"What would you do if you felt that you couldn't stop yourself from acting out your thoughts?"}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1f0080c03320","_type":"block","children":[{"_key":"78dc5c733821","_type":"span","marks":[],"text":"Safety planning questions"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"4dc8ed3868f5","_type":"block","children":[{"_key":"c48f440e81f90","_type":"span","marks":[],"text":"Family, friends, and health professionals need to be able to approach these areas of potential risk by gently asking direct questions and listening to any answers with curiosity and compassion. 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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. 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"}],"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. 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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. 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. 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I looked like the picture-perfect mother, but truth be told, behind that smile I was experiencing one of my darkest days. I woke up at 2am that morning with a raging fear that I was going to die that day. My mind started racing, my heart was pounding and I started to envision my death. "}],"markDefs":[],"style":"normal"},{"_key":"78ec2214baa6","_type":"block","children":[{"_key":"632bcd151a7d","_type":"span","marks":[],"text":"I had an early appointment to get my makeup done, so I eventually got up and had a shower. I kissed my husband and seven-month-old baby goodbye. I looked at my two-and-a-half-year-old son Jace in the baby monitor and said “Mummy loves you”,and then I left with the thought that I would never see my family again. "}],"markDefs":[],"style":"normal"},{"_key":"dea184b5206a","_type":"block","children":[{"_key":"2a2518cbba07","_type":"span","marks":[],"text":"My mind was of course wrong; I managed to get through the day with hidden tears, multiple panic attacks, mind wandering, fake smiles and lies to cover how I was really feeling. "}],"markDefs":[],"style":"normal"},{"_key":"9af369cea8f2","_type":"quote","quote":"This behaviour had sadly consumed my daily life for four long months."},{"_key":"c4ac1c1eff93","_type":"block","children":[{"_key":"5bf23b348b57","_type":"span","marks":[],"text":" I was exhausted, broken and desperate for it all to end, because I couldn’t live in constant fear anymore."}],"markDefs":[],"style":"normal"},{"_key":"c82357de754d","_type":"block","children":[{"_key":"6b89b9b2fb880","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"b659e9d97741","_type":"block","children":[{"_key":"4c9a83013ac80","_type":"span","marks":[],"text":"When I had Jace two years earlier, I suffered from a mild form of anxiety. I put that down to being a new mum and having no clue what I was doing, but this time was so different. It all started during my pregnancy with Lavina. I suffered from all-day morning sickness for four months, Jace was giving me every illness possible from childcare, I was already suffering from pelvic girdle pain and was having difficulty walking. I was so over being pregnant and I was only in my second trimester."}],"markDefs":[],"style":"normal"},{"_key":"b390ef42ec82","_type":"block","children":[{"_key":"28bb40226b200","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"788099bd3172","_type":"block","children":[{"_key":"0f434856f6730","_type":"span","marks":[],"text":"On top of all this, I also started to experience negative situations in my personal life and the stress from that conflict started to take a toll on my body. I felt dizzy all the time, my nausea came back and I could constantly feel my heart pounding. I began to worry that something was wrong with my heart and that it would cause me and my baby to die during childbirth. My obstetrician referred meto a heart specialist to have my heart monitored. After getting the all-clear physically, they believed I was suffering from anxiety. I started to see the same psychologist that I had seen when I had Jace. "}],"markDefs":[],"style":"normal"},{"_key":"0760625be426","_type":"quote","quote":"By working with her, I was able to prepare myself mentally to give birth."},{"_key":"82da31f3680b","_type":"block","children":[{"_key":"73c2fbe7f1b80","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"a00e27e30d67","_type":"block","children":[{"_key":"c9c420e278440","_type":"span","marks":[],"text":"When Lavina was born, I pulled her out and put her onto my chest, but she didn’t make a sound and was blue. After a few seconds, which felt like an eternity, she beganto cry. Instead of feeling joy, I felt absolutely nothing: I just stared at her, I was completely numb. The guilt of that feeling still haunts me and I don’t know if it will ever go away."}],"markDefs":[],"style":"normal"},{"_key":"249874750dd6","_type":"block","children":[{"_key":"5defd05679390","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"8ca61cbc02b6","_type":"block","children":[{"_key":"c01c0a23813d0","_type":"span","marks":[],"text":"It took me a few days to start to bond with her. By the time I got home, I was completely in love with her. I was so happy my pregnancy was over and we were both alive and healthy. For the next three months I was juggling everything so easily, I was like Super Mum. Jace was adjusting very well and Lavina was an absolute dream baby. One night, after being put in a situation where I was reminded way too much of painful times during my pregnancy, I broke down screaming and crying because of the thought that Lavina might not have survived and I never would have been her mum. This was the beginning of my downward spiral into darkness."}],"markDefs":[],"style":"normal"},{"_key":"edde47d7168e","_type":"block","children":[{"_key":"2ef5a82c5cbc0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"c073f5ecc015","_type":"block","children":[{"_key":"db2a6aec5a590","_type":"span","marks":[],"text":"For four long months, I become this person who I didn’t recognise. I felt I was losing my mind. I would start my day dry-retching or vomiting because I was petrified. My day would then continue with multiple panic attacks. I didn’t eat, I was fixated on death, I didn’t want to touch my children, I disconnected with loved ones,my mind was foggy, I couldn’t cope with daily tasks and I would cry all day. "}],"markDefs":[],"style":"normal"},{"_key":"a291bd43de91","_type":"block","children":[{"_key":"989c711c2189","_type":"span","marks":[],"text":"I had so many triggers that would set me off and put me in a state of terror. My husband began to stay home from work because he and my family didn’t want me to be alone. I was so terrified of being alive, and of dying, that I would sleep as much as I could to escape my reality."}],"markDefs":[],"style":"normal"},{"_key":"6e139dc6fd0d","_type":"block","children":[{"_key":"b4183033f2b10","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"d38862f37721","_type":"block","children":[{"_key":"02d967652e630","_type":"span","marks":[],"text":"I was still seeing my psychologist from my pregnancy and after explaining to her what had started happening, I asked if I should be on medication. She gave me a few tasks which she believed would help instead. I woke up oneday and felt instantly better. I decided thatI didn’t need to see my psychologist for another six weeks. This was a huge mistake. After only a few weeks of feeling like myself again, I spiralled back out of control. I visited multiple doctors and got blood tests to check if I had a physical imbalance somewhere, but they were telling me that I was fine and it was a reaction to stress."}],"markDefs":[],"style":"normal"},{"_key":"41a26714c16e","_type":"block","children":[{"_key":"aac906fa521c0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"462291429502","_type":"block","children":[{"_key":"737049c9e24c0","_type":"span","marks":[],"text":"After experiencing one of my worse panic attacks, I thought I wasreally going to die this time. My husband wanted to call an ambulance, but I was scared that they would hospitalise me and take my kids away from me. "}],"markDefs":[],"style":"normal"},{"_key":"4ad21e07dbca","_type":"quote","quote":"So instead, I called a helpline."},{"_key":"bcb0634d4865","_type":"block","children":[{"_key":"86cd77bf7721","_type":"span","marks":[],"text":" They told me that they believed I was experiencing postnatal depression and anxiety. The helpline counsellor gave me helpful breathing strategies and advised me to go back to the doctors and get a referral to a perinatal psychologist. She also said that in the meantime, I shouldcontact the PANDA Helpline if need be."}],"markDefs":[],"style":"normal"},{"_key":"3b4cbffb176f","_type":"block","children":[{"_key":"fdad437f8d8a0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"a23e13f68f47","_type":"quote","quote":"A few days later I ended up calling PANDA and it was the best decision I have ever made."},{"_key":"6a10974266b7","_type":"block","children":[{"_key":"760b258248d00","_type":"span","marks":[],"text":" They were fantastic. They told me to go straight to the doctors and to start medication immediately. They sent me an email of everything we discussed on the phone, so that I could show the doctor. I started to see a perinatal psychologist and after working with her, everything I had experienced all started to make sense. It only took a week on medicationfor me to notice a difference and within weeks I was feeling great."}],"markDefs":[],"style":"normal"},{"_key":"238f32529742","_type":"block","children":[{"_key":"d1cf4d91138b0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bc59963a13d0","_type":"block","children":[{"_key":"997ecb0c74e2","_type":"span","marks":[],"text":"Now ten months on, I still find it difficult to look at Lavina’s baptism photos. I can see the pain in my eyes. "}],"markDefs":[],"style":"normal"},{"_key":"f7db1dc540ea","_type":"quote","quote":"It took along time to be able to look at my daughter and not feel guilty that I had failed her as a mother."},{"_key":"f02a656f464f","_type":"block","children":[{"_key":"9189d4c83735","_type":"span","marks":[],"text":" I still have flashbacks if something triggers me,but I am now able to smile as I see how far I have come. Even though I am still me, I am a different version of me. I have a new lease on life and I now refuse to engage in any negative behaviour that will affect my mental health. I am currently completing a Bachelor of Psychological Science with the goal of becoming a Perinatal and Infancy Psychologist, so that I can help families who are suffering during this time. 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Yet these emotions don’t disappear - often they simmer under the surface and grow stronger.\n"}],"markDefs":[],"style":"normal"},{"_key":"afb11c5f2fc9","_type":"block","children":[{"_key":"a0ae53380d5c0","_type":"span","marks":[],"text":"As a new parent, it’s also common to feel like you don’t have time to sit with an emotion and reflect on why you’re feeling that way, because your baby needs your frequent attention and care.\n"}],"markDefs":[],"style":"normal"},{"_key":"4609649e0bf9","_type":"block","children":[{"_key":"6d858356d6fa0","_type":"span","marks":[],"text":"When it comes to the new parent priority list, taking care of our own emotional wellbeing is often near the bottom of the list – when it should be near the top."}],"markDefs":[],"style":"normal"},{"_key":"b4d0f8f8800a","_type":"block","children":[{"_key":"29d709fb89ee","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"0e3edfbea1a3","_type":"quote","quote":"How can I feel a sense of loss when I wanted my baby so much? 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I feel like a failure'","asset":{"_ref":"image-db1b51efe9f3a98acde0231aecd06a803b1f99a0-3001x3000-png","_type":"reference"}},"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"}]},"modules":[{"_key":"5dda9e1f0af2","_type":"freeText","background":{"title":"white","value":"#FFFFFF"},"text":[{"_key":"3a026c2d6d7c","_type":"block","children":[{"_key":"34766b7945130","_type":"span","marks":[],"text":"Don't push feelings away"}],"markDefs":[],"style":"h4"},{"_key":"8ac98f461ac6","_type":"block","children":[{"_key":"949968590a2e0","_type":"span","marks":[],"text":"When we sit with strong and uncomfortable emotions, they gradually begin to feel less intense and scary. Learning to sit with strong emotions instead of pushing them away or numbing them can be hard work, and it takes practice."}],"markDefs":[],"style":"normal"},{"_key":"083540360c63","_type":"block","children":[{"_key":"9f79752cd7ff0","_type":"span","marks":[],"text":"Sitting with our feelings can also help us to process and resolve intense emotions that might impact negatively on our sense of self and relationships to others."}],"markDefs":[],"style":"normal"},{"_key":"3d271d7a3d69","_type":"block","children":[{"_key":"3cd75eef99100","_type":"span","marks":[],"text":"\nLearning to sit with feelings"}],"markDefs":[],"style":"h4"},{"_key":"eb56d8cfddaf","_type":"block","children":[{"_key":"f17288ae69260","_type":"span","marks":[],"text":"Using mindfulness techniques can help us cope with upsetting or strong emotions. Mindfulness is the practice of being in the present moment and sitting with feelings without judging them – or judging yourself for having those feelings.\n"}],"markDefs":[],"style":"normal"},{"_key":"f783fc4555de","_type":"block","children":[{"_key":"12c357028fab0","_type":"span","marks":[],"text":"It’s important to remember that you can adapt any element of this mindfulness exercise so that it feels right for you."}],"markDefs":[],"style":"normal"},{"_key":"a0e0232fa47d","_type":"block","children":[{"_key":"f88cc6b1d6d50","_type":"span","marks":["em"],"text":"Take it gently, and slowly – you’re in control of this process."}],"markDefs":[],"style":"normal"},{"_key":"678504981d6d","_type":"block","children":[{"_key":"fcf4b7892d29","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bea053ff7c39","_type":"block","children":[{"_key":"9287e90bf1d00","_type":"span","marks":[],"text":"Sometimes it can help to start this exercise with both hands placed over your heart, as an anchor point for self-soothing."}],"markDefs":[],"style":"normal"},{"_key":"3a5dc27c4b91","_type":"block","children":[{"_key":"cf8790034be90","_type":"span","marks":["strong"],"text":"Tip: "},{"_key":"1f207bdb5e72","_type":"span","marks":[],"text":"If you read the exercise below and it feels too confronting or uncomfortable to practice it with a strong feeling, try the exercise first using a less intense emotion (eg when feeling tired, relaxed, wistful, bored, amused)."}],"markDefs":[],"style":"normal"}]},{"_key":"9fe56a4f8d1c","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"d0172ad752de","_type":"faq","answer":[{"_key":"4fd9ba6a54c5","_type":"block","children":[{"_key":"d295f0afb3ec","_type":"span","marks":[],"text":"1. Step away from your baby if you need to and take a few minutes to yourself. Make sure baby is safe."}],"markDefs":[],"style":"normal"},{"_key":"b9d7b93171fa","_type":"block","children":[{"_key":"ab88e8ed7567","_type":"span","marks":[],"text":"2. Take a few deep breaths and allow your feelings to come to the surface."}],"markDefs":[],"style":"normal"},{"_key":"e8dacedd2627","_type":"block","children":[{"_key":"220199a6aeba","_type":"span","marks":[],"text":"3. See if you can tolerate the emotions that come up without taking any action (e.g. thinking of something else as a distraction, stopping the exercise)."}],"markDefs":[],"style":"normal"},{"_key":"f6143b1d5b2c","_type":"block","children":[{"_key":"ee45f47c10ea","_type":"span","marks":[],"text":"4. Allow yourself to be with the feeling."}],"markDefs":[],"style":"normal"},{"_key":"d6b60825f9b0","_type":"block","children":[{"_key":"42bd5fdf22b4","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"4bb7c14bc0b6","_type":"button","link":{"_type":"link","blank":true,"document":{"_ref":"9b76e69e-6f98-4dcc-afba-4d1c93912f37","_type":"reference"},"linkType":"internal"},"style":"arrow","text":"Baby safe plan"}],"question":[{"_key":"3cefb6454c1f","_type":"block","children":[{"_key":"1b62d4bd6169","_type":"span","marks":[],"text":"Wellbeing exercise 1"}],"markDefs":[],"style":"normal"}]},{"_key":"40c2608ef74a","_type":"faq","answer":[{"_key":"ac2b01f700e0","_type":"block","children":[{"_key":"1752c7e5ad190","_type":"span","marks":[],"text":"If sitting with the feeling feels too hard, take a moment to give yourself some self-compassion, as though you were comforting a loved one. You might like to say “It’s hard work sitting with feelings. 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. 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Some fear having their baby placed into care by child protective services if they tell anyone they’re not coping at home or they are experiencing family violence and fear for their own and their baby’s safety. Not telling anyone what’s happening and trying to manage everything by yourself can make the situation even more difficult to handle, and often increases the risk to you and your baby. Acknowledging you need help (and telling someone) doesn’t mean you are an unsafe or ‘bad’ parent."}],"markDefs":[],"style":"normal"},{"_key":"906d0156c434","_type":"block","children":[{"_key":"e17f0a17bf59","_type":"span","marks":["strong"],"text":"Seeking mental health help and/or family violence support early is being a safe and protective parent."},{"_key":"9723caf5c54d","_type":"span","marks":[],"text":" You’re being the best possible parent you can be for your baby by taking the necessary steps to feel better and keep yourself and your baby safe. PANDA is here to help you to care for yourself and your baby in ways that feel supportive, safe, and aligned with your personal parenting values."}],"markDefs":[],"style":"normal"},{"_key":"5ab0350cf5cb","_type":"block","children":[{"_key":"a30d0a4d2a0b0","_type":"span","marks":[],"text":"Hiding or downplaying symptoms of emotional and mental health distress or concerns about family violence can prevent you from accessing the help you need to look after your wellbeing and family’s safety. Feelings of isolation and stress can increase if nobody knows what’s really happening for you. Minimising what you’re experiencing can also get in the way of parenting the way you’d hoped to do."}],"markDefs":[],"style":"normal"},{"_key":"238262fb1c5e","_type":"block","children":[{"_key":"159a7d751371","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"datePublished":"2022-02-14","header":{"_type":"pageHeader","headline":"Child Protection: Helpful information for parents","image":{"_type":"imageWithAlt","alt":"baby bathing","asset":{"_ref":"image-d7d8265b93aeae0031e16fba848ea0fe73045542-2400x1596-jpg","_type":"reference"}},"text":[{"_key":"d1e78d145a71","_type":"block","children":[{"_key":"9539088974350","_type":"span","marks":[],"text":"It’s normal for new parents to have concerns about what might happen when they reach out for help. Talking to PANDA about your mental health and any issues at home is being a protective parent. We can help you access the support you and your baby need."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"867c3fd4a98f","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"b78634889814","_type":"faq","answer":[{"_key":"5f0b722684e2","_type":"block","children":[{"_key":"dfefe36b0a5b","_type":"span","marks":[],"text":"We take our obligation to protect you and your baby - and keep you safe - very seriously. We always listen to your needs and thoughts on what might be helpful. We believe you’re the expert on your own life, and we know that you’re doing your best to keep yourself and your baby safe. Sometimes new parents need some extra mental health and parenting support. 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Any decision to contact child protection for a family we’re supporting on our Helpline is made with utmost care and caution."}],"markDefs":[],"style":"normal"},{"_key":"d1c2c81dd9ab","_type":"block","children":[{"_key":"00686afabd6e","_type":"span","marks":[],"text":"We’re dedicated to client-centred and trauma-informed care on our Helpline."}],"markDefs":[],"style":"normal"},{"_key":"5d4e08c1c5d9","_type":"block","children":[{"_key":"6efdc93829fc","_type":"span","marks":[],"text":"This approach to mental health support means you and your baby’s wellbeing are at the heart of every call, including any decisions regarding your safety and care needs."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"9c3734aebc50","_type":"block","children":[{"_key":"e79e4a32bca80","_type":"span","marks":[],"text":"PANDA is committed to ensuring the emotional, physical and mental wellbeing of you, your baby and your family."}],"markDefs":[],"style":"normal"}]},{"_key":"d4f33e121f35","_type":"faq","answer":[{"_key":"673c88835846","_type":"block","children":[{"_key":"725aca8065c10","_type":"span","marks":[],"text":"We speak to thousands of new parents every year on the PANDA Helpline who are experiencing difficult emotions having scary thoughts or experiencing family violence."}],"markDefs":[],"style":"normal"},{"_key":"3aa55eb03a5b","_type":"block","children":[{"_key":"718fbf515edb","_type":"span","marks":[],"text":"Often, our callers feel they’re failing at parenting by not meeting their own expectations of themselves as parents. They worry that if they tell us what’s happening at home, PANDA will call child protection and safety services. Some parents who call us are already linked in with intensive family support or child protection services. Feelings such as shame, fear or even despair can build up and feel hard to control, and difficult to share with someone else."}],"markDefs":[],"style":"normal"},{"_key":"694e171c83b4","_type":"block","children":[{"_key":"7c4b2b63d867","_type":"span","marks":[],"text":"Some of our callers express intense fear that if they speak up about these experiences, a report to child protective services will be made automatically. Often, there can also be negative associations with protective services contributing to feelings of fear and uncertainty about speaking up. This may be due to multi-generational trauma in families who have had previous experiences within historic welfare systems."}],"markDefs":[],"style":"normal"},{"_key":"e3d48cdfd1cb","_type":"block","children":[{"_key":"3cd577c01864","_type":"span","marks":[],"text":"In particular, our callers who come from a migrant and refugee background and have a history of trauma, and our Aboriginal and Torres Strait Islander callers who have Stolen Generation trauma in their family frequently express fears about their children being removed from their care."}],"markDefs":[],"style":"normal"},{"_key":"e329de2e82f8","_type":"block","children":[{"_key":"a4a0ea53956c","_type":"span","marks":[],"text":"Callers often tell us they have fears about child safety and protective service involvement with their family. "}],"markDefs":[],"style":"normal"},{"_key":"a867317f868f","_type":"block","children":[{"_key":"e7ede35e5c4c","_type":"span","marks":[],"text":"They tell us things like:"}],"markDefs":[],"style":"normal"},{"_key":"4e81a6eec93a","_type":"block","children":[{"_key":"3f525c2b4e9a0","_type":"span","marks":["em"],"text":"“I’ve been having these awful thoughts lately, but I’m scared to tell you what they are.”"}],"markDefs":[],"style":"normal"},{"_key":"230219571f95","_type":"block","children":[{"_key":"7f41689875110","_type":"span","marks":["em"],"text":"“I don’t want anyone to think I’d actually hurt myself or my baby. 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He’s a really good dad most of the "},{"_key":"c5cebd371d20","_type":"span","marks":[],"text":"time."},{"_key":"6fd6fb5698c0","_type":"span","marks":["em"],"text":"\""}],"markDefs":[],"style":"normal"},{"_key":"cacfddaa3fff","_type":"block","children":[{"_key":"9a9482da9d160","_type":"span","marks":["em"],"text":"“If I contact child protection about my concerns, I’m worried what my family’s reaction will be.”"}],"markDefs":[],"style":"normal"},{"_key":"f0a2a65608a3","_type":"block","children":[{"_key":"9391188bb2e20","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"e0d988fb4f24","_type":"block","children":[{"_key":"ab3a8aa8237a0","_type":"span","marks":[],"text":"We know from what we hear on the PANDA Helpline that people think babies being placed into care by protective services is much more common than it is."}],"markDefs":[],"style":"normal"},{"_key":"9fecc8480976","_type":"block","children":[{"_key":"a7501237bf3d","_type":"span","marks":[],"text":"Experiencing changes to your mental health, like symptoms of perinatal anxiety or depression, having a mental health diagnosis, or not coping with daily life and parenting, "},{"_key":"0b0571f02721","_type":"span","marks":["strong"],"text":"does not make you an unfit parent."},{"_key":"c03580006690","_type":"span","marks":[],"text":" It just means you need some extra support, something common to everyone at some point in their parenting journey."}],"markDefs":[],"style":"normal"},{"_key":"c2dea181060e","_type":"block","children":[{"_key":"93d0cd170d3d","_type":"span","marks":[],"text":"It’s normal for new parents to have difficulty adjusting to change during the perinatal period. It’s also common for new parents to experience mental health issues. Having a hard time with the transition to parenthood does not make someone a bad or unsafe parent. It makes you human."}],"markDefs":[],"style":"normal"},{"_key":"54de1289a2e6","_type":"block","children":[{"_key":"fd84742f0d030","_type":"span","marks":[],"text":"You and your baby deserve help, love, kindness and care when things feel tough or overwhelming. PANDA is here when you feel ready to explore some support options together."}],"markDefs":[],"style":"normal"},{"_key":"c4b4e6f32e92","_type":"block","children":[{"_key":"3c5182900347","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"9eaedd27aad6","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.sttars.org.au"},"style":"arrow","text":"Visit Supporting Survivors of Trauma"},{"_key":"81c3d323b15d","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://healingfoundation.org.au/intergenerational-trauma/"},"style":"arrow","text":"Visit Healing Foundation"}],"question":[{"_key":"bbf273c665a6","_type":"block","children":[{"_key":"6d96edda44c5","_type":"span","marks":[],"text":"Is it common to worry about Child Protection involvement when talking to health professionals?"}],"markDefs":[],"style":"normal"}]},{"_key":"3fd0d90f965f","_type":"faq","answer":[{"_key":"4e17823e1c0b","_type":"block","children":[{"_key":"c7f50355f98c0","_type":"span","marks":[],"text":"Our Helpline counsellors often speak to expecting and new parents experiencing mental health issues and family violence at home. Some callers tell us that their partner or ex has suggested that a parent having mental health issues will always lead to child protection being involved, and babies being removed from their parent’s care. This is simply untrue."}],"markDefs":[],"style":"normal"},{"_key":"bd8049334b75","_type":"block","children":[{"_key":"669982aa1afc","_type":"span","marks":[],"text":"As we mentioned before, "},{"_key":"de5787777387","_type":"span","marks":["strong"],"text":"seeking mental health or family violence support for yourself is being a safe and protective parent."}],"markDefs":[],"style":"normal"},{"_key":"ab3f36a5247b","_type":"block","children":[{"_key":"27c04b4f0e96","_type":"span","marks":[],"text":"PANDA callers experiencing family violence may also be concerned that if they talk to PANDA about their mental health or speak to a family violence service, their partner will find out."}],"markDefs":[],"style":"normal"},{"_key":"8c701dfa58d4","_type":"block","children":[{"_key":"cf34b026e48b","_type":"span","marks":[],"text":"Our callers sometimes feel scared that being honest about their mental health challenges will be used against them at some point, for instance in family law court. Often, we hear that scare tactics about child removal and custody issues have been used repeatedly over time by their partner or others. Some callers start to believe that if they admit to anyone that they’re not coping, a child protection report will be made, and their children immediately removed from their care. "}],"markDefs":[],"style":"normal"},{"_key":"841870a5dde1","_type":"block","children":[{"_key":"e869342dbdb2","_type":"span","marks":[],"text":"These beliefs are based on manipulation and fear, not fact."}],"markDefs":[],"style":"normal"},{"_key":"97584a6de55a","_type":"block","children":[{"_key":"394074044ae40","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3ae4f5b7dc49","_type":"block","children":[{"_key":"48813ee67c1a0","_type":"span","marks":[],"text":"Some Helpline callers also say they feel responsible for the family violence they are experiencing. They often tell us that their partner or others have even said they’re behaving in abusive or unsafe ways because of the caller’s mental health issues. "}],"markDefs":[],"style":"normal"},{"_key":"2e2a3cf922f8","_type":"block","children":[{"_key":"91b05acd9f86","_type":"span","marks":[],"text":"There is never any justification for anyone to make you feel fearful or unsafe because you’re experiencing changes to your mental health. "},{"_key":"fdd52b3639e5","_type":"span","marks":["strong"],"text":"Family violence is never your fault."}],"markDefs":[],"style":"normal"},{"_key":"32feb66038b8","_type":"block","children":[{"_key":"a5f3e7f378640","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"c209346392f1","_type":"block","children":[{"_key":"01e49475fe820","_type":"span","marks":[],"text":"Sharing with PANDA’s counsellors that you or your baby are unsafe due to family violence is being a protective parent by seeking support for yourself and your child. PANDA will always put the safety of you and your baby first, and we’ll work with you to explore all the different specialist support options that are available. "}],"markDefs":[],"style":"normal"},{"_key":"3342b9a30b43","_type":"block","children":[{"_key":"4c7d8a29bdcc","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"0713f03aff08","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.1800respect.org.au/help-and-support"},"style":"arrow","text":"Visit 1800Respect"},{"_key":"b3ac31507013","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://relationships.org.au/ "},"style":"arrow","text":"Visit Relationships Australia"},{"_key":"14dc82020dc5","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.familyrelationships.gov.au/talk-someone/advice-line"},"style":"arrow","text":"Visit Family Relationship Advice Line"}],"question":[{"_key":"f666e68ba206","_type":"block","children":[{"_key":"702b624307280","_type":"span","marks":[],"text":"Family violence and mental health issues"}],"markDefs":[],"style":"normal"}]},{"_key":"4380bccb49cf","_type":"faq","answer":[{"_key":"f50e456f7b5f","_type":"block","children":[{"_key":"76132e5145c0","_type":"span","marks":[],"text":"Depending on where you live, child protective services may be known by a different name in your state:"}],"markDefs":[],"style":"normal"},{"_key":"f463d1b3595d","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.communityservices.act.gov.au/ocyfs/children/child-and-youth-protection-services"},"style":"arrow","text":"ACT – Child and Youth Protection Services"},{"_key":"e2138d611a99","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.facs.nsw.gov.au/families"},"style":"arrow","text":"NSW – Family and Community Services (FACS, previously known as DoCS)"},{"_key":"18c4e158d222","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://tfhc.nt.gov.au/children-and-families"},"style":"arrow","text":"  NT – Department of Children and Families"},{"_key":"cbe92c9b3c95","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.dcssds.qld.gov.au/our-work/child-safety"},"style":"arrow","text":"QLD – Child Safety"},{"_key":"46401dfcee27","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.childprotection.sa.gov.au/"},"style":"arrow","text":"SA – Department for Child Protection (DCP)"},{"_key":"e1c6b0b2e8a0","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.decyp.tas.gov.au/safe-children/guide-to-tasmanias-child-safety-services/"},"style":"arrow","text":"TAS – Child Safety Service"},{"_key":"6b1174cdf429","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://services.dhhs.vic.gov.au/child-protection"},"style":"arrow","text":"VIC – Child Protection"},{"_key":"dab789853231","_type":"button","link":{"_type":"link","blank":true,"linkType":"external","url":"https://www.wa.gov.au/organisation/department-of-communities/child-protection"},"style":"arrow","text":"WA – Child protection and Family Support"}],"question":[{"_key":"41eee860b8bb","_type":"block","children":[{"_key":"815d1b9d61ab0","_type":"span","marks":[],"text":"Child protection and safety services by State/Territory"}],"markDefs":[],"style":"normal"},{"_key":"9f8489be6c54","_type":"block","children":[{"_key":"b4763f21afdd0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"ef2cf250c11f","_type":"block","children":[{"_key":"f6796fc13d330","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"2d92e514e733","_type":"block","children":[{"_key":"bc5bfe4f620c0","_type":"span","marks":[],"text":"You may have questions about what happens when you call PANDA to tell us how you’re feeling."}],"markDefs":[],"style":"normal"}],"title":"Common questions"}],"relatedArticles":[{"_key":"a7a49dd14718","_ref":"3dd5d15a-dcef-45b9-8e91-c6dab35b5c2f","_type":"reference"},{"_key":"06ee0fa31f1f","_ref":"310776fc-166b-416c-8958-8fbbf1b695b2","_type":"reference"},{"_key":"181ac297074e","_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"It’s normal for new parents to have concerns about what might happen when they reach out for help. 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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. 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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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. PANDA's "},{"_key":"aa19f5ee3d29","_type":"span","marks":["8d0fdfa5a587"],"text":"Secondary Consultation service"},{"_key":"f389363a0755","_type":"span","marks":[],"text":" can also help if you need further guidance on the best support for the person or family you are caring for."}],"markDefs":[{"_key":"8d0fdfa5a587","_type":"link","blank":true,"document":{"_ref":"0768c995-5bff-42a9-b18c-811100b8c6d3","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"datePublished":"2022-02-21","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Perinatal support options for individuals and families","image":{"_type":"imageWithAlt","asset":{"_ref":"image-5a57b7e5dec69f3ee6ef3844abe922c67a17f30b-3240x3240-png","_type":"reference"}},"text":[{"_key":"b24fce467acb","_type":"block","children":[{"_key":"aad21cc337f50","_type":"span","marks":[],"text":"Effective perinatal mental health care can make a real difference during a time of big changes."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"57fd804cd050","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"a8d4cad81a88","_type":"faq","answer":[{"_key":"56dee9f009ce","_type":"block","children":[{"_key":"c4cb9d8858ff","_type":"span","marks":[],"text":"Counselling is frequently recommended to help people manage perinatal mental health challenges, including existing mental health conditions."}],"markDefs":[],"style":"normal"},{"_key":"e07ac9ed0e24","_type":"block","children":[{"_key":"e3a4a1a68487","_type":"span","marks":[],"text":"Depending on an individual's concerns and personal preferences, different counselling types may be helpful for different issues."}],"markDefs":[],"style":"normal"},{"_key":"333f65c25d36","_type":"block","children":[{"_key":"0cdf8bd3b22b","_type":"span","marks":[],"text":"If you are interested in reading more about different the counselling therapies recommended for mental health conditions such as perinatal depression, postnatal psychosis and mood, personality, and spectrum disorders, the "},{"_key":"9884750ce1c9","_type":"span","marks":["96c384266156"],"text":"Australian Clinical Practice Guidelines"},{"_key":"8d260a3fc39b","_type":"span","marks":[],"text":" provide evidence-informed recommendations and guidance."}],"markDefs":[{"_key":"96c384266156","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/clinical-guidelines/"}],"style":"normal"}],"question":[{"_key":"bd922a0b0fd3","_type":"block","children":[{"_key":"33d05c7a6537","_type":"span","marks":[],"text":"Counselling"}],"markDefs":[],"style":"normal"}]},{"_key":"1f0263475148","_type":"faq","answer":[{"_key":"0f7c4077749c","_type":"block","children":[{"_key":"fc61fbe960c4","_type":"span","marks":[],"text":"In your work supporting people during the perinatal period, conversations about the use of medicines may be common."}],"markDefs":[],"style":"normal"},{"_key":"99b5a6c30574","_type":"block","children":[{"_key":"763f808bb825","_type":"span","marks":[],"text":"Here are some common situations:"}],"markDefs":[],"style":"normal"},{"_key":"5cf1ab3bf37f","_type":"block","children":[{"_key":"2ba9f0409fa4","_type":"span","marks":["strong"],"text":"You’re supporting an expecting or new parent who is taking medicine for their mental or physical health:"},{"_key":"a835808d282f","_type":"span","marks":[],"text":" They have come to you seeking information and advice."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"50aea65d76ff","_type":"block","children":[{"_key":"651cd224c24d","_type":"span","marks":["strong"],"text":"Another healthcare provider has recommended or prescribed medicine: "},{"_key":"b833bd06644e","_type":"span","marks":[],"text":"Someoneis considering their options and seeking advice from you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7abc1ba2944e","_type":"block","children":[{"_key":"7ab84702e31f","_type":"span","marks":["strong"],"text":"You’re a doctor, psychiatrist or obstetrician-gynaecologist who prescribes medicine: "},{"_key":"6db813f6b6ac","_type":"span","marks":[],"text":"You’d like to access a secondary consultation to discuss treatment options for your patient/client"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e214fc85ae6e","_type":"block","children":[{"_key":"73f3b61f471c","_type":"span","marks":[],"text":"PANDA Helpline counsellors and peer support workers speak with many callers about medicines, with a focus on exploring feelings about treatment options."}],"markDefs":[],"style":"normal"},{"_key":"e488eb38cebd","_type":"block","children":[{"_key":"f31dc5ccb070","_type":"span","marks":[],"text":"PANDA does not provide medical or medicine advice to our callers. We encourage them to contact their local medicines advice line. These services are staffed by pharmacists with expertise in perinatal medicine, and they provide secondary consultations to healthcare providers."}],"markDefs":[],"style":"normal"},{"_key":"eb0d388ca539","_type":"block","children":[{"_key":"35a5e70d176c","_type":"span","marks":[],"text":"If you have any questions about medicines for perinatal mental health and wellbeing, we recommend you contact your local medicines advice line for advice and guidance. We have included a list of these phone numbers below."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d324c665e039","_type":"block","children":[{"_key":"0a8a17bab3e5","_type":"span","marks":[],"text":"Medicines"}],"markDefs":[],"style":"normal"}]},{"_key":"a2ebfa30075e","_type":"faq","answer":[{"_key":"ffcc3126b226","_type":"block","children":[{"_key":"91117e580906","_type":"span","marks":[],"text":"There are online resources designed to support the mental health and wellbeing of people becoming and being parents. 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then discuss the results and next steps together."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"6fea18eea304","_type":"link","blank":true,"document":{"_ref":"daf2d071-7838-4740-9046-ceea02bb539e","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"question":[{"_key":"dfe0a5847467","_type":"block","children":[{"_key":"5460ab9475af","_type":"span","marks":[],"text":"Free online information and resources"}],"markDefs":[],"style":"normal"}]}],"title":"How PANDA can help health care providers"}],"relatedArticles":[{"_key":"641ba1f051de","_ref":"0768c995-5bff-42a9-b18c-811100b8c6d3","_type":"reference"},{"_key":"fe9737928fc2","_ref":"d95cdd07-63c8-4c21-8ebc-529aa55cb5dd","_type":"reference"},{"_key":"e8dacfb13649","_ref":"a1329df5-57c4-454b-8c52-b34451c438ee","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"There are many care options available for expecting and new parents experiencing perinatal mental health 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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 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We speak to callers about a broad range of issues that come up during pregnancy and early parenthood."}],"markDefs":[],"style":"normal"},{"_key":"1834282b388a","_type":"block","children":[{"_key":"f1c9d29f3438","_type":"span","marks":[],"text":"Some examples of what we often talk about on the Helpline are below, but please know that whatever’s on your mind, no matter what it is – we're here to listen and help."}],"markDefs":[],"style":"normal"},{"_key":"42687be11d74","_type":"block","children":[{"_key":"569d19f65350","_type":"span","marks":[],"text":"Common concerns people call PANDA about include:"}],"markDefs":[],"style":"normal"},{"_key":"d999dee4bee7","_type":"block","children":[{"_key":"f649330dde670","_type":"span","marks":[],"text":"Changes to mental health, emotional wellbeing, or daily function."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6825be0d2774","_type":"block","children":[{"_key":"2349027008ad0","_type":"span","marks":[],"text":"Bonding and attachment during pregnancy or with your baby."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77445322cdf6","_type":"block","children":[{"_key":"03fcd0405a480","_type":"span","marks":[],"text":"Trying to process a pregnancy or birth that didn’t go as planned."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"45d213b879bb","_type":"block","children":[{"_key":"ac0f40ebf7b10","_type":"span","marks":[],"text":"Parenting challenges."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6f3d84f69f0b","_type":"block","children":[{"_key":"7bc763877af90","_type":"span","marks":[],"text":"Changes to self-identity and/or relationships."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cfb899afd9d8","_type":"block","children":[{"_key":"1e26dfd027510","_type":"span","marks":[],"text":"Caring for someone else and wanting to know how you can best support them."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5b01f14b3792","_type":"block","children":[{"_key":"dc31eda895f5","_type":"span","marks":[],"text":"We encourage you to reach out to PANDA for support at any stage of your perinatal journey, and for any reason. We know you’re the expert in your own life, and we’re always guided by what you think you need for yourself and your family. Together, we’ll explore which support options might be most helpful.\n"}],"markDefs":[],"style":"normal"},{"_key":"406ca67a089b","_type":"block","children":[{"_key":"f0a4415f8d6d0","_type":"span","marks":[],"text":"Reaching out is the first step"}],"markDefs":[],"style":"h4"},{"_key":"ba7b7329b8ab","_type":"block","children":[{"_key":"a9a6c4289eba0","_type":"span","marks":[],"text":"If you’re experiencing changes to your mental health that are impacting your wellbeing, relationships and daily function, PANDA is here to support you. We know that the sooner you seek help, the more quickly you can recover."}],"markDefs":[],"style":"normal"},{"_key":"dda73e0b8523","_type":"block","children":[{"_key":"4ea8b845abe9","_type":"span","marks":[],"text":"Many people who feel like they need help may delay telling their loved ones and health professionals - or feel unsure about where to start looking for support."}],"markDefs":[],"style":"normal"},{"_key":"277f29f23423","_type":"block","children":[{"_key":"f07984e83452","_type":"span","marks":[],"text":"It takes trust and courage to confide in someone that you’re having a hard time. Often callers tell us there’s lots of expectation they’ll be feeling joy and excitement at this time of life, when the reality is so different. Feelings of sadness, confusion, frustration and shame can make it hard to reach out and tell anyone you’re not coping in the way you’d hoped."}],"markDefs":[],"style":"normal"},{"_key":"df975c5d7b33","_type":"block","children":[{"_key":"8be7b67f1b4f","_type":"span","marks":[],"text":"Some people are concerned about talking to health professionals (like their doctor or child and family health nurse) about what they’re experiencing as an expecting or new parent, for fear of judgement or their concerns being dismissed. "}],"markDefs":[],"style":"normal"},{"_key":"5055aef51ad8","_type":"block","children":[{"_key":"cf000f15ea31","_type":"span","marks":[],"text":"Having open and honest conversations about your mental health can feel overwhelming and difficult to do. Yet every day our callers tell us it’s such a relief to talk to someone who cares - and know that you no longer need to keep trying to manage everything on your own."}],"markDefs":[],"style":"normal"},{"_key":"10ae8f3faefc","_type":"block","children":[{"_key":"c60a88c9daf60","_type":"span","marks":["strong"],"text":"Taking that first step to tell someone you need support is the fastest route to recovery."}],"markDefs":[],"style":"normal"},{"_key":"d3ea7c1a7885","_type":"block","children":[{"_key":"4d53e44268120","_type":"span","marks":[],"text":"Our Helpline counsellors can help you work through any concerns you have - including talking to your loved ones and health professionals. Together we’ll explore ways to start having conversations about your mental health and emotional wellbeing with the people who care for you. 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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. 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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. 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"}],"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. 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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. 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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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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. 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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. 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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. 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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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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"}}},{"_id":"9bd8e1d8-20fc-4126-8892-d68606259ac0","_type":"article","_rev":"zCwLcyEIy3M60zoyx2kEqm","_createdAt":"2022-02-14T08:20:39Z","_updatedAt":"2024-06-11T02:08:31Z","categories":[{"_key":"d00f8a90c3af","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"b231753912f3","_ref":"f72ed5fd-4128-46cf-b3ca-bdf1ed7b9837","_type":"reference"}],"content":[{"_key":"b15f7c976c7d","_type":"block","children":[{"_key":"1257e00d9c620","_type":"span","marks":[],"text":"As a partner or support person, it can be hard to know what to do when someone you love is experiencing distressing mental health or behavioural 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. We’re sharing ways you can support the safety of a loved one who is struggling with their mental health."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"e9879718826a","_type":"freeText","eyebrow":"Supporting your partner","text":[{"_key":"fb36f080e42f","_type":"block","children":[{"_key":"77e1e15b8615","_type":"span","marks":[],"text":"Helpful things you can do as a support person"}],"markDefs":[],"style":"h3"},{"_key":"be0f9edb3fbc","_type":"block","children":[{"_key":"f11806736134","_type":"span","marks":[],"text":"Try to keep an eye out for any warning signs that your loved one may not be coping as well as usual. They may tell you that they’re having a hard time, or you may notice changes to their mood, thoughts or behaviour that cause you concern. "}],"markDefs":[],"style":"normal"},{"_key":"53d9a746718c","_type":"block","children":[{"_key":"f7b9f1e17c89","_type":"span","marks":[],"text":"You may see that your loved one is struggling to look after themselves or their baby and need extra support. You may notice bonding and attachment issues as well."}],"markDefs":[],"style":"normal"},{"_key":"49468abc557e","_type":"block","children":[{"_key":"be780d13865a","_type":"span","marks":[],"text":"Seek professional help immediately if you see or hear your loved one:"}],"markDefs":[],"style":"h4"},{"_key":"3f96c0873cf2","_type":"block","children":[{"_key":"2ce724e8ff76","_type":"span","marks":[],"text":"Talking about thoughts of suicide, especially if they mention any plans they intend to carry through."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f544cf8c0c14","_type":"block","children":[{"_key":"4b157fd14c42","_type":"span","marks":[],"text":"Talking about urges to self-harm, or engaging in self-harm behaviour that puts themselves at physical risk (for example, cutting or hitting themselves)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e2bb04ec04ac","_type":"block","children":[{"_key":"01efef00a4f4","_type":"span","marks":[],"text":"Talking about fears for their own or their baby’s safety due to someone else’s behaviour."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5d475e97f2c","_type":"block","children":[{"_key":"b2e184c5cd78","_type":"span","marks":[],"text":"Using substances excessively, including alcohol, prescription and/or illicit drugs."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6a80c09546bb","_type":"block","children":[{"_key":"8da5c69211db","_type":"span","marks":[],"text":"Unable to care for their baby due to their mental health. 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. If it wasn't for these people, I wouldn't be where I am today"},{"_key":"9a7026f2e678","_type":"block","children":[{"_key":"dd0def875a740","_type":"span","marks":[],"text":"If you need immediate help:"}],"markDefs":[],"style":"h4"},{"_key":"3c161ceac69b","_type":"block","children":[{"_key":"b1e015e09776","_type":"span","marks":["strong","2061a0e57d20"],"text":"Lifeline"},{"_key":"dd0def875a741","_type":"span","marks":[],"text":" 13 11 14"}],"markDefs":[{"_key":"2061a0e57d20","_type":"link","blank":true,"linkType":"external","url":"https://www.lifeline.org.au/"}],"style":"normal"},{"_key":"84f886ab0ba4","_type":"block","children":[{"_key":"dd0def875a742","_type":"span","marks":["strong","e890fdae25de"],"text":"Suicide Call Back Service"},{"_key":"dd0def875a743","_type":"span","marks":[],"text":" 1300 659 467"}],"markDefs":[{"_key":"e890fdae25de","_type":"link","blank":true,"linkType":"external","url":"https://www.suicidecallbackservice.org.au/phone-and-online-counselling/"}],"style":"normal"},{"_key":"bda241737712","_type":"block","children":[{"_key":"26d5b9fbba980","_type":"span","marks":["strong"],"text":"Call 000 if you need emergency support."}],"markDefs":[],"style":"normal"}]},{"_key":"ae44d46abaf1","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"1200929efbec","_type":"faq","answer":[{"_key":"efd5c790fdcb","_type":"block","children":[{"_key":"bd6b8def4606","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that scare you?"}],"markDefs":[],"style":"normal"},{"_key":"2f5a8a805d79","_type":"block","children":[{"_key":"ecd03d88d4b6","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that make you worry about your own or your baby's safety?"}],"markDefs":[],"style":"normal"},{"_key":"34cbf5b85606","_type":"block","children":[{"_key":"d3b868ea93ed","_type":"span","marks":[],"text":"Are you worried someone else might hurt you or your baby?"}],"markDefs":[],"style":"normal"},{"_key":"a2f2e98aa2ac","_type":"block","children":[{"_key":"1ec830a8febf","_type":"span","marks":[],"text":"Do you have any thoughts of suicide or hurting yourself?"}],"markDefs":[],"style":"normal"},{"_key":"6f2cdd1c2643","_type":"block","children":[{"_key":"34359c086ea3","_type":"span","marks":[],"text":"Have you thought about ways you might hurt yourself/take your own life?"}],"markDefs":[],"style":"normal"}],"question":[{"_key":"93e99a691e12","_type":"block","children":[{"_key":"e34429e78837","_type":"span","marks":[],"text":"Risk assessment questions"}],"markDefs":[],"style":"normal"}]},{"_key":"7b5f9f025965","_type":"faq","answer":[{"_key":"150b969a11d7","_type":"block","children":[{"_key":"6e7d55bf4c5f","_type":"span","marks":[],"text":"What have you been doing to keep yourself and your baby safe?"}],"markDefs":[],"style":"normal"},{"_key":"a4eec1000495","_type":"block","children":[{"_key":"049a0b9f62d2","_type":"span","marks":[],"text":"What’s been helpful in the past to help you manage these thoughts and feelings?"}],"markDefs":[],"style":"normal"},{"_key":"80310d70b050","_type":"block","children":[{"_key":"a31fba54492f","_type":"span","marks":[],"text":"What helps to stop you carrying out your thoughts or plan?"}],"markDefs":[],"style":"normal"},{"_key":"6112a8201f3f","_type":"block","children":[{"_key":"a73515791e50","_type":"span","marks":[],"text":"What would you do if you felt that you couldn't stop yourself from acting out your thoughts?"}],"markDefs":[],"style":"normal"}],"question":[{"_key":"1f0080c03320","_type":"block","children":[{"_key":"78dc5c733821","_type":"span","marks":[],"text":"Safety planning questions"}],"markDefs":[],"style":"normal"}]}],"text":[{"_key":"4dc8ed3868f5","_type":"block","children":[{"_key":"c48f440e81f90","_type":"span","marks":[],"text":"Family, friends, and health professionals need to be able to approach these areas of potential risk by gently asking direct questions and listening to any answers with curiosity and compassion. 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. 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"}],"markDefs":[],"style":"normal"},{"_key":"dea184b5206a","_type":"block","children":[{"_key":"2a2518cbba07","_type":"span","marks":[],"text":"My mind was of course wrong; I managed to get through the day with hidden tears, multiple panic attacks, mind wandering, fake smiles and lies to cover how I was really feeling. "}],"markDefs":[],"style":"normal"},{"_key":"9af369cea8f2","_type":"quote","quote":"This behaviour had sadly consumed my daily life for four long months."},{"_key":"c4ac1c1eff93","_type":"block","children":[{"_key":"5bf23b348b57","_type":"span","marks":[],"text":" I was exhausted, broken and desperate for it all to end, because I couldn’t live in constant fear anymore."}],"markDefs":[],"style":"normal"},{"_key":"c82357de754d","_type":"block","children":[{"_key":"6b89b9b2fb880","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"b659e9d97741","_type":"block","children":[{"_key":"4c9a83013ac80","_type":"span","marks":[],"text":"When I had Jace two years earlier, I suffered from a mild form of anxiety. I put that down to being a new mum and having no clue what I was doing, but this time was so different. It all started during my pregnancy with Lavina. I suffered from all-day morning sickness for four months, Jace was giving me every illness possible from childcare, I was already suffering from pelvic girdle pain and was having difficulty walking. I was so over being pregnant and I was only in my second trimester."}],"markDefs":[],"style":"normal"},{"_key":"b390ef42ec82","_type":"block","children":[{"_key":"28bb40226b200","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"788099bd3172","_type":"block","children":[{"_key":"0f434856f6730","_type":"span","marks":[],"text":"On top of all this, I also started to experience negative situations in my personal life and the stress from that conflict started to take a toll on my body. I felt dizzy all the time, my nausea came back and I could constantly feel my heart pounding. I began to worry that something was wrong with my heart and that it would cause me and my baby to die during childbirth. My obstetrician referred meto a heart specialist to have my heart monitored. After getting the all-clear physically, they believed I was suffering from anxiety. I started to see the same psychologist that I had seen when I had Jace. "}],"markDefs":[],"style":"normal"},{"_key":"0760625be426","_type":"quote","quote":"By working with her, I was able to prepare myself mentally to give birth."},{"_key":"82da31f3680b","_type":"block","children":[{"_key":"73c2fbe7f1b80","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"a00e27e30d67","_type":"block","children":[{"_key":"c9c420e278440","_type":"span","marks":[],"text":"When Lavina was born, I pulled her out and put her onto my chest, but she didn’t make a sound and was blue. After a few seconds, which felt like an eternity, she beganto cry. Instead of feeling joy, I felt absolutely nothing: I just stared at her, I was completely numb. 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My husband began to stay home from work because he and my family didn’t want me to be alone. I was so terrified of being alive, and of dying, that I would sleep as much as I could to escape my reality."}],"markDefs":[],"style":"normal"},{"_key":"6e139dc6fd0d","_type":"block","children":[{"_key":"b4183033f2b10","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"d38862f37721","_type":"block","children":[{"_key":"02d967652e630","_type":"span","marks":[],"text":"I was still seeing my psychologist from my pregnancy and after explaining to her what had started happening, I asked if I should be on medication. She gave me a few tasks which she believed would help instead. I woke up oneday and felt instantly better. I decided thatI didn’t need to see my psychologist for another six weeks. This was a huge mistake. After only a few weeks of feeling like myself again, I spiralled back out of control. I visited multiple doctors and got blood tests to check if I had a physical imbalance somewhere, but they were telling me that I was fine and it was a reaction to stress."}],"markDefs":[],"style":"normal"},{"_key":"41a26714c16e","_type":"block","children":[{"_key":"aac906fa521c0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"462291429502","_type":"block","children":[{"_key":"737049c9e24c0","_type":"span","marks":[],"text":"After experiencing one of my worse panic attacks, I thought I wasreally going to die this time. My husband wanted to call an ambulance, but I was scared that they would hospitalise me and take my kids away from me. "}],"markDefs":[],"style":"normal"},{"_key":"4ad21e07dbca","_type":"quote","quote":"So instead, I called a helpline."},{"_key":"bcb0634d4865","_type":"block","children":[{"_key":"86cd77bf7721","_type":"span","marks":[],"text":" They told me that they believed I was experiencing postnatal depression and anxiety. The helpline counsellor gave me helpful breathing strategies and advised me to go back to the doctors and get a referral to a perinatal psychologist. She also said that in the meantime, I shouldcontact the PANDA Helpline if need be."}],"markDefs":[],"style":"normal"},{"_key":"3b4cbffb176f","_type":"block","children":[{"_key":"fdad437f8d8a0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"a23e13f68f47","_type":"quote","quote":"A few days later I ended up calling PANDA and it was the best decision I have ever made."},{"_key":"6a10974266b7","_type":"block","children":[{"_key":"760b258248d00","_type":"span","marks":[],"text":" They were fantastic. They told me to go straight to the doctors and to start medication immediately. They sent me an email of everything we discussed on the phone, so that I could show the doctor. I started to see a perinatal psychologist and after working with her, everything I had experienced all started to make sense. It only took a week on medicationfor me to notice a difference and within weeks I was feeling great."}],"markDefs":[],"style":"normal"},{"_key":"238f32529742","_type":"block","children":[{"_key":"d1cf4d91138b0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bc59963a13d0","_type":"block","children":[{"_key":"997ecb0c74e2","_type":"span","marks":[],"text":"Now ten months on, I still find it difficult to look at Lavina’s baptism photos. I can see the pain in my eyes. "}],"markDefs":[],"style":"normal"},{"_key":"f7db1dc540ea","_type":"quote","quote":"It took along time to be able to look at my daughter and not feel guilty that I had failed her as a mother."},{"_key":"f02a656f464f","_type":"block","children":[{"_key":"9189d4c83735","_type":"span","marks":[],"text":" I still have flashbacks if something triggers me,but I am now able to smile as I see how far I have come. Even though I am still me, I am a different version of me. I have a new lease on life and I now refuse to engage in any negative behaviour that will affect my mental health. I am currently completing a Bachelor of Psychological Science with the goal of becoming a Perinatal and Infancy Psychologist, so that I can help families who are suffering during this time. 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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. Many health care providers and services work across multiple levels of care."}],"markDefs":[],"style":"normal"}],"title":"Stepped care across perinatal mental health services"},{"_key":"454434f9e44d","_type":"freeText","eyebrow":"A range of of supports can help","text":[{"_key":"0e7ca722824c","_type":"block","children":[{"_key":"1deb2739c94b0","_type":"span","marks":[],"text":"People often need different supports for their mental health. 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. Inclusive care is especially important to people who are:"}],"markDefs":[],"style":"normal"},{"_key":"eb0fdc32b3ac","_type":"block","children":[{"_key":"f86de959ec120","_type":"span","marks":[],"text":"Aboriginal and/or Torres Strait Islander"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"dc6b0af0aedd","_type":"block","children":[{"_key":"e63cb5a9a9130","_type":"span","marks":[],"text":"Culturally and linguistically diverse"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bb78fad2470d","_type":"block","children":[{"_key":"248effc9eba60","_type":"span","marks":[],"text":"Living with a disability"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b6cff97189e1","_type":"block","children":[{"_key":"107a65d6c7700","_type":"span","marks":[],"text":"From a migrant, refugee or asylum seeker background"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"efbd1247cdd1","_type":"block","children":[{"_key":"e3e8fcdecb220","_type":"span","marks":[],"text":"LGBTQIAP+"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"title":"Finding personalised support"},{"_key":"f72b03afd84c","_type":"freeText","eyebrow":"How PANDA can help","text":[{"_key":"432d8496ad48","_type":"block","children":[{"_key":"a7de41c3845b","_type":"span","marks":[],"text":"Share PANDA’s "},{"_key":"49b4856bdebc","_type":"span","marks":["9b977b5422cf"],"text":"Talking to Your Doctor’ resource"},{"_key":"ba2993f624c8","_type":"span","marks":[],"text":" with people in your care."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9b977b5422cf","_type":"link","blank":true,"document":{"_ref":"3e9170da-2e0e-427f-a832-e5b31624df14","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"f85681263048","_type":"block","children":[{"_key":"bcf5a5f378a4","_type":"span","marks":[],"text":"Encourage expecting and new parents to complete "},{"_key":"43e02692c5a4","_type":"span","marks":["cc5769b910cd"],"text":"PANDA’s Mental Health Checklist."},{"_key":"ebc1b730f137","_type":"span","marks":[],"text":" They can print the completed checklist and take it to their healthcare appointment."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"cc5769b910cd","_type":"link","blank":true,"document":{"_ref":"daf2d071-7838-4740-9046-ceea02bb539e","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"fc08b2ad6d4a","_type":"block","children":[{"_key":"d762eaf41115","_type":"span","marks":[],"text":"Use our "},{"_key":"1aa7cbf0869a","_type":"span","marks":["e5dd53e0743f"],"text":"website, factsheets and other print resources"},{"_key":"18c4524b0620","_type":"span","marks":[],"text":" to educate expecting and new parents and their support people about perinatal mental health and wellbeing. PANDA resources are evidence-based, and informed by the lived experience of our PANDA Community Champions."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"e5dd53e0743f","_type":"link","blank":true,"document":{"_ref":"832225a7-4aeb-49fc-bd68-7296172e2d82","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"fd1ffa4dcab6","_type":"block","children":[{"_key":"7dbe1668779f","_type":"span","marks":[],"text":"Share real life stories from expecting and new parents, written by PANDA’s community."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3a63b6cf9b69","_type":"block","children":[{"_key":"0a7c69c7aed7","_type":"span","marks":[],"text":"Call the PANDA Helpline: We offer a free "},{"_key":"5c0ebb4a9375","_type":"span","marks":["dfabd7b2280c"],"text":"Perinatal Mental Health Secondary Consultation"},{"_key":"faf3bf1e5a37","_type":"span","marks":[],"text":" service for Australian health care providers."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"dfabd7b2280c","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/secondary-consultation-service-support-for-health-professionals/"}],"style":"normal"}]},{"_key":"fd3dd98ee346","_type":"fileCollection","files":[{"_key":"f7610836fa2e","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"file":{"_type":"file","asset":{"_ref":"file-c59630f87a06166da91f570ba03b2ce1491439e3-pdf","_type":"reference"}},"title":"Providing individualised and person-centred care"}],"title":"Download the tip sheet"},{"_key":"ebec1e22c883","_type":"quote","attribution":"Alison","quote":"My GP was very empathetic. I was very tearful and exhausted and so grateful that I finally had confided in someone."},{"_key":"47efb58e6cdf","_type":"articleCollection","eyebrow":"Articles"}],"relatedArticles":[{"_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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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. How has your mood been lately?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f69d42e93540","_type":"block","children":[{"_key":"a60d26e419480","_type":"span","marks":[],"text":"“Pregnancy can be an exciting time, but we know it can also be hard for lots of reasons. It’s normal to feel mixed emotions. How are you feeling?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f6e0407f8b2e","_type":"block","children":[{"_key":"0ea394dae1a80","_type":"span","marks":[],"text":"“It can be tough when pregnancy makes you feel so unwell. How are you managing? Are you feeling supported by your (partner, family, friends)?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"89fa3d8bcf8d","_type":"block","children":[{"_key":"405c11042c6c0","_type":"span","marks":[],"text":"“When we become parents, it’s common to think back to our own childhood experiences and wonder whether we’ll be like our own parents. I’m wondering what your experience of childhood and being parented was like? Is there anything you hope will be the same, or different for your baby?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"24b0d19cfd80","_type":"block","children":[{"_key":"93e83a607e9a0","_type":"span","marks":["strong"],"text":"After birth:"}],"markDefs":[],"style":"normal"},{"_key":"0f8b21f0a8b9","_type":"block","children":[{"_key":"b758a22c11340","_type":"span","marks":[],"text":"“There’s always a lot of focus on baby’s health in these early days, but I’m curious to know how you are?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a78afbcb1be7","_type":"block","children":[{"_key":"8b60bffc738e0","_type":"span","marks":[],"text":"“Having a baby can feel lonely and isolating at times, even if you have people around you. Who provides practical support when you need it? 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. You can ask a version of this for settling/sleeping too)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6b76a5fceb11","_type":"block","children":[{"_key":"a62094f4b9af0","_type":"span","marks":[],"text":"(If the person is in a relationship) “Shifting from being partners to parents can bring a lot of happiness, but also adds extra pressure to many relationships. How are you and your partner coping?”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"370de2e185c3","_type":"block","children":[{"_key":"8d92960815380","_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":"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. 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. You can begin a conversation by:"}],"markDefs":[],"style":"normal"},{"_key":"28966932abbe","_type":"block","children":[{"_key":"9caf8f1796aa0","_type":"span","marks":[],"text":"Explaining your role"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f145a825f4a","_type":"block","children":[{"_key":"cbfbdc55b2d70","_type":"span","marks":[],"text":"Asking about wellbeing and safety during each contact (e.g. appointment, inpatient stay, home visit)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7de4a4dcfb08","_type":"block","children":[{"_key":"e2bb4a8704850","_type":"span","marks":[],"text":"Encourage people to share by using normalising, non-judgmental language when information about perinatal mental health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"beca0ce1d08d","_type":"block","children":[{"_key":"a4aeb4beebca0","_type":"span","marks":[],"text":"Use plain language when talking about perinatal mental health and wellbeing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"title":"How to talk about mental health challenges and encourage a conversation"},{"_key":"92e10781f142","_type":"fileCollection","files":[{"_key":"dc7eeb49212d","_type":"download","background":{"title":"peach40","value":"#FFE4C9"},"file":{"_type":"file","asset":{"_ref":"file-62dcf636e0c36e1457cfd124079a6decdbfdbd32-pdf","_type":"reference"}},"title":"Encouraging people to share their experiences"}],"title":"Download the tip sheet"},{"_key":"b00c279f5656","_type":"productCollection","background":{"title":"orange60","value":"#FFA688"},"eyebrow":"Panda learning hub","posts":[{"_key":"1ccbe3193630","_ref":"shopifyProduct-6094017527993","_type":"reference"},{"_key":"c8ebbc95edae","_ref":"shopifyProduct-6094022475961","_type":"reference"},{"_key":"04b0bff95266","_ref":"shopifyProduct-6707777405113","_type":"reference"}],"title":"Free courses for health professionals"},{"_key":"f0d19ece0431","_type":"quote","attribution":" – Robyn, Peer support team leader","quote":"Listen for statements that suggest they’re having a hard time – I don’t know what I’m doing, I didn’t think it would be like this, I’m doing it wrong."}],"relatedArticles":[{"_key":"b033f6bb0f7d","_ref":"5db9d245-fa5e-4c1e-a52a-ca03c8e5ffe6","_type":"reference"},{"_key":"091c46fc1ba1","_ref":"ca0bcb80-88c1-42ef-b0c9-a2a8e13a811c","_type":"reference"},{"_key":"1106ee10c5ee","_ref":"34a10849-fbc5-40db-be3b-bdadad30177e","_type":"reference"}],"seo":{"_type":"seo","metaDescription":"Expecting and new parents may not always feel comfortable talking about their mental health and wellbeing concerns with a healthcare provider.","socialImage":{"_type":"image","asset":{"_ref":"image-edcabb975680e1848598b04a6a7ca8809c9fe916-1200x630-png","_type":"reference"}}},"showFeedbackForm":true,"sidebarPosts":[{"_key":"840e03c4be09","_ref":"0768c995-5bff-42a9-b18c-811100b8c6d3","_type":"reference"}],"sidebarTitle":"Helpful Information","slug":{"_type":"slug","current":"encouraging-people-to-share-their-experiences"},"tags":[{"_key":"b8a3e494eb3b","_ref":"9b2f81d1-948b-4eef-995c-0e856620264d","_type":"reference"}],"title":"Encouraging people to share their experiences","id":"-17a64897-23b5-584f-b6ea-6bfc4ae27516","children":[],"internal":{"type":"SanityArticle","contentDigest":"66cca3c3e31f1ec96128e9666082e699","owner":"gatsby-source-sanity","counter":60},"parent":null,"__gatsby_resolved":{"slug":{"current":"encouraging-people-to-share-their-experiences"}}},{"_id":"5db9d245-fa5e-4c1e-a52a-ca03c8e5ffe6","_type":"article","_rev":"NcwUQOs1EFF4s2pgw5I5tb","_createdAt":"2022-02-23T06:07:14Z","_updatedAt":"2023-12-12T01:02:41Z","categories":[{"_key":"484ae52f4b16","_ref":"f3a1efdb-0e5d-4871-83d7-1d7f66ee6107","_type":"reference"}],"content":[{"_key":"c378bf8b6077","_type":"block","children":[{"_key":"99aba4686f200","_type":"span","marks":[],"text":"The perinatal period is a time of increased risk of mental health and wellbeing challenges for expecting and new parents. 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. PANDA's "},{"_key":"aa19f5ee3d29","_type":"span","marks":["8d0fdfa5a587"],"text":"Secondary Consultation service"},{"_key":"f389363a0755","_type":"span","marks":[],"text":" can also help if you need further guidance on the best support for the person or family you are caring for."}],"markDefs":[{"_key":"8d0fdfa5a587","_type":"link","blank":true,"document":{"_ref":"0768c995-5bff-42a9-b18c-811100b8c6d3","_type":"reference"},"linkType":"internal"}],"style":"normal"}],"datePublished":"2022-02-21","header":{"_type":"pageHeader","background":{"title":"brightTeal60","value":"#86DECF"},"headline":"Perinatal support options for individuals and families","image":{"_type":"imageWithAlt","asset":{"_ref":"image-5a57b7e5dec69f3ee6ef3844abe922c67a17f30b-3240x3240-png","_type":"reference"}},"text":[{"_key":"b24fce467acb","_type":"block","children":[{"_key":"aad21cc337f50","_type":"span","marks":[],"text":"Effective perinatal mental health care can make a real difference during a time of big changes."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"57fd804cd050","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"a8d4cad81a88","_type":"faq","answer":[{"_key":"56dee9f009ce","_type":"block","children":[{"_key":"c4cb9d8858ff","_type":"span","marks":[],"text":"Counselling is frequently recommended to help people manage perinatal mental health challenges, including existing mental health conditions."}],"markDefs":[],"style":"normal"},{"_key":"e07ac9ed0e24","_type":"block","children":[{"_key":"e3a4a1a68487","_type":"span","marks":[],"text":"Depending on an individual's concerns and personal preferences, different counselling types may be helpful for different issues."}],"markDefs":[],"style":"normal"},{"_key":"333f65c25d36","_type":"block","children":[{"_key":"0cdf8bd3b22b","_type":"span","marks":[],"text":"If you are interested in reading more about different the counselling therapies recommended for mental health conditions such as perinatal depression, postnatal psychosis and mood, personality, and spectrum disorders, the "},{"_key":"9884750ce1c9","_type":"span","marks":["96c384266156"],"text":"Australian Clinical Practice Guidelines"},{"_key":"8d260a3fc39b","_type":"span","marks":[],"text":" provide evidence-informed recommendations and guidance."}],"markDefs":[{"_key":"96c384266156","_type":"link","blank":true,"linkType":"external","url":"https://panda.org.au/articles/clinical-guidelines/"}],"style":"normal"}],"question":[{"_key":"bd922a0b0fd3","_type":"block","children":[{"_key":"33d05c7a6537","_type":"span","marks":[],"text":"Counselling"}],"markDefs":[],"style":"normal"}]},{"_key":"1f0263475148","_type":"faq","answer":[{"_key":"0f7c4077749c","_type":"block","children":[{"_key":"fc61fbe960c4","_type":"span","marks":[],"text":"In your work supporting people during the perinatal period, conversations about the use of medicines may be common."}],"markDefs":[],"style":"normal"},{"_key":"99b5a6c30574","_type":"block","children":[{"_key":"763f808bb825","_type":"span","marks":[],"text":"Here are some common situations:"}],"markDefs":[],"style":"normal"},{"_key":"5cf1ab3bf37f","_type":"block","children":[{"_key":"2ba9f0409fa4","_type":"span","marks":["strong"],"text":"You’re supporting an expecting or new parent who is taking medicine for their mental or physical health:"},{"_key":"a835808d282f","_type":"span","marks":[],"text":" They have come to you seeking information and advice."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"50aea65d76ff","_type":"block","children":[{"_key":"651cd224c24d","_type":"span","marks":["strong"],"text":"Another healthcare provider has recommended or prescribed medicine: "},{"_key":"b833bd06644e","_type":"span","marks":[],"text":"Someoneis considering their options and seeking advice from you."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7abc1ba2944e","_type":"block","children":[{"_key":"7ab84702e31f","_type":"span","marks":["strong"],"text":"You’re a doctor, psychiatrist or obstetrician-gynaecologist who prescribes medicine: "},{"_key":"6db813f6b6ac","_type":"span","marks":[],"text":"You’d like to access a secondary consultation to discuss treatment options for your patient/client"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e214fc85ae6e","_type":"block","children":[{"_key":"73f3b61f471c","_type":"span","marks":[],"text":"PANDA Helpline counsellors and peer support workers speak with many callers about medicines, with a focus on exploring feelings about treatment options."}],"markDefs":[],"style":"normal"},{"_key":"e488eb38cebd","_type":"block","children":[{"_key":"f31dc5ccb070","_type":"span","marks":[],"text":"PANDA does not provide medical or medicine advice to our callers. We encourage them to contact their local medicines advice line. These services are staffed by pharmacists with expertise in perinatal medicine, and they provide secondary consultations to healthcare providers."}],"markDefs":[],"style":"normal"},{"_key":"eb0d388ca539","_type":"block","children":[{"_key":"35a5e70d176c","_type":"span","marks":[],"text":"If you have any questions about medicines for perinatal mental health and wellbeing, we recommend you contact your local medicines advice line for advice and guidance. We have included a list of these phone numbers below."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"d324c665e039","_type":"block","children":[{"_key":"0a8a17bab3e5","_type":"span","marks":[],"text":"Medicines"}],"markDefs":[],"style":"normal"}]},{"_key":"a2ebfa30075e","_type":"faq","answer":[{"_key":"ffcc3126b226","_type":"block","children":[{"_key":"91117e580906","_type":"span","marks":[],"text":"There are online resources designed to support the mental health and wellbeing of people becoming and being parents. 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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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