Understanding the Experience of Prenatal Depression

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Lifestyle

By J. Taylor
Updated: Aug. 16, 2023
Originally Published: Aug. 16, 2023

Trigger Warning: Suicidal Thoughts

When I discovered I was pregnant for the second time, my response was far from what one might expect after trying for a year and a half. Instead of joy, I was overwhelmed by a profound sense of sadness and confusion. From week 6 to about week 16, I battled an overwhelming lack of motivation to engage with life. It was puzzling to me that something I had longed for could evoke such negative emotions. I eventually recognized that I was experiencing prenatal depression, a specific type of depression that occurs during pregnancy.

Research from The Journal of the American Medical Association highlights that prenatal depression is an increasing issue among expectant mothers. It’s unclear whether it’s truly more prevalent now or if we are simply becoming more open about discussing mental health during pregnancy. Regardless, it is crucial to acknowledge the reality of depression during this time.

Signs to Seek Help

1. Persistent Sadness
   One of the earliest indicators that I needed help was the constant feeling of a dark cloud hovering over me. Activities that previously brought me joy no longer seemed appealing. I found myself neglecting phone calls and messages, too consumed by sadness to respond. This behavior was uncharacteristic for me and raised concerns among my friends and family.

   While hormonal changes during pregnancy can lead to mood swings, pervasive sadness that lasts for weeks is not typical.

2. Significant Changes in Appetite
   By week 6, eating felt pointless. I would occasionally feel hungry but had grown accustomed to small portions or skipping meals altogether. While morning sickness contributed to this, my indifference towards food played a larger role. Changes in appetite are common during pregnancy, often resulting in increased cravings. However, in my case, it extended beyond typical morning sickness. If morning sickness is affecting your ability to eat, consult your prenatal care provider about possible treatments. If eating becomes something you actively avoid, it may be time to seek more serious help.
3. Feelings of Guilt or Hopelessness
   The thought of having another child filled me with dread, making me worry I would be less capable as a parent to my first child. I felt guilty for not being able to give my son the attention he deserved, which led to excessive sleeping, often between 12 to 18 hours a day. When hopelessness sets in, reaching out to loved ones or a support network can be incredibly beneficial. Sharing your fears can help you process them and alleviate some stress. If you’re uncomfortable speaking to those close to you, consider reaching out to a therapist, doctor, or helpline.
4. Thoughts of Death or Suicide
   During the most challenging moments of my depression, thoughts of death frequently crossed my mind. I never contemplated suicide or made any plans, but I did often think that death could potentially free me from my ongoing discomfort. Any persistent thoughts of death should prompt immediate mental health support. If you or someone you know is struggling, resources like the National Suicide Prevention Lifeline or Crisis Text Line are available.

Motherhood inherently involves sacrifice, but sacrificing your mental health is never worth it. While I can’t pinpoint a single solution to my struggles, I gradually began to feel more like myself through time and open expression. Unlike postpartum depression, prenatal depression is less recognized and often overlooked. If you find yourself experiencing similar feelings during your pregnancy, discussing them with your healthcare provider is essential to explore your options.

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