Postpartum Depression

As a paramedic, Rachel spent many years supporting others through medical and mental health emergencies. And although she was trained to recognise the signs of mental ill health in others, it was something she never imagined she would experience herself - that is, until she fell pregnant.

Known for being someone who doesn’t cry, Rachel was unexpectedly confronted by crippling anxiety, an overwhelming sadness, uncontrollable sobbing, and a paralysing sense of hopelessness that didn’t go away until her daughter was born. For the ‘helper’ who usually looks after others, she was left feeling disoriented.

In this moving episode, Rachel speaks candidly about her lived experience with hyperemesis gravidarum and the antenatal depression and anxiety that overshadowed her pregnancy. Together, we explore:

• the shame that can accompany perinatal mental ill health and how it delays recovery

• the uphill battle many mothers face by constantly being told their symptoms are ‘normal’

• why mental health care should not be limited to postpartum

• the crucial role of our loved ones in recovery, and

• how the right support can make all the difference.

Rachel’s story is a powerful reminder of the often-overlooked importance of mental health care during pregnancy. It’s a story about hope and finding light at the end of the tunnel. Above all, it’s a story about the power of sharing your experiences openly, asking for help, and advocating for yourself.

Trauma isn’t always about what happened - sometimes it’s about what didn’t.

Lisa already felt anxious and lonely navigating pregnancy, birth, and postpartum in a new country without the safety net of family or maternity care in her mother tongue. But this sense of isolation was only compounded by the absence of safety, connection, and support when Lisa’s newborn was rushed away to the special care nursery without explanation, leaving her alone for hours.

With her concerns about her baby’s reflux dismissed for weeks, access to a mother’s group denied because she was a second-time mum, and her mental health symptoms overlooked because she didn’t ‘look’ depressed - no matter where she turned, Lisa never felt seen, heard, or held.

In fact, depression, PTSD, insomnia, and rage consumed her life for several years until she found the right psychologist who finally made her feel seen, heard, and held.

Lisa’s story emphatically stresses the importance of connection and being held during the perinatal period. Now, through her work, she helps create the very community she needed, and offers a message of hope for others walking the same path.

In this episode, we explore:

• the added layers of isolation as an immigrant

• the vital role of compassion and humanity in maternity care

• the path to recovery with IFS, EMDR, neurofeedback, meditation, and Maternal Journal

• the reminder that the bond with our baby is capable of repair

• the need to advocate - always - for ourselves and for our children

Tune in to Lisa’s breath-taking story of trauma, healing, and reclaiming her power.

When Amber-Lee found herself unexpectedly pregnant, she knew life was about to change - but nothing could have prepared her for the profound impact that a complicated pregnancy, birth, and postpartum period would have on her mental health.

In this powerful episode, I’m joined by Amber-Lee from @thepowerofbirth and host of Can We Talk About This? who candidly shares her personal experience of perinatal mental ill health with unflinching honesty. From two unexpected pregnancies to the debilitating effects of hyperemesis gravidarum (HG), birth trauma, PTSD, rage, depression, and anxiety - no part of her experience is off limits.

Through both humour and grace, Amber-Lee touches on:

• The shock and emotional weight of unexpected pregnancies

• The physical and psychological toll of hyperemesis gravidarum (HG)

• Navigating birth trauma and injury as a new mother

• How postpartum PTSD and rage can manifest - and why we need to talk about them

• The importance of normalising maternal ambivalence

• The struggle of being ‘the strong one’ while silently suffering

• What healing looks like and why talking about perinatal mental health matters

Wherever you are on your journey, Amber-Lee’s story reminds us that it’s not your fault, your experience matters, recovery is possible, and you’re allowed to laugh to cope.

These conversations matter. So let’s keep talking about it.

Please note, this episode discusses the lived experience of an unexpected and unwanted pregnancy. Go gently.

Whenever Kristy struggled with anxiety or depression in the past, she coped by keeping herself busy. Even when she endured years and years of IVF and ICSI, she coped by keeping herself busy. But when she experienced birth trauma and a sudden decline in her mental health during postpartum, none of her previous coping mechanisms could be relied on.

Instead of throwing herself into exercising three times a day, working on weekends, starting projects, learning a new skill, doing puzzles, building Lego, or reading, Kristy was confronted by the stillness of motherhood. Then, after nine months of depression, culminating in suicidal ideation, Kristy went to her GP for help, where she was confronted by an unexpected, but enlightening, diagnosis: ADHD.

In this heartfelt and insightful episode, Kristy shares the many ways she is managing her ADHD and mental health in motherhood, while reflecting on the lessons she has learnt along her journey and celebrating all the friends who have helped her every step of the way.

If you’re an older mum, if you’re a mum who has undergone fertility treatments, if you’re a mum with a history of anxiety or depression, if you’re a mum who is navigating ADHD in motherhood, or if you’re just an all-round awesome human being, then this episode is for you.

It’s nearly impossible to think about Chloe’s story without thinking about all the places where she navigated the worst of her anxiety and melancholic depression: the hospital where she was left parenting in a traumatised body after a retained placenta; the inner-city Sydney suburb where, shockingly, she could not access any maternity support services; her in-law’s house on the other side of Sydney where she moved to create a village but could not sleep; and the local esplanade where she pushed the pram and fought against her suicidal ideation every day. That’s not even mentioning the emergency department, the short-stay psychiatric emergency care unit, and eventually the mother-and-baby hospital (MBU) where she was admitted for two months, all of which were integral to her story.

In each setting, Chloe not only faced unenviable symptoms, but she also had to confront her own unwillingness to ask for help, the lies depression made her believe, her own trauma around electroconvulsive therapy (ECT), and the question many MBU mothers grapple with ‘when will it finally be my turn to go home?’

This is Chloe’s profound story, what she calls her real reckoning and dark night of the soul, that explores the realities of experiencing and recovering from an acute mental health episode in early motherhood. It’s a story about losing and finding yourself again in the most unexpected of places, but above all, it’s a story about finally coming home.

Please note, this episode touches on suicide and suicidal ideation. Go gently.

With a family history of postpartum depression, Chloe thought she knew what signs and symptoms to look out for when it came to perinatal mental illness. But, as she says, she didn’t know about the ‘opposite side’.

Immediately after birth, Chloe couldn’t sleep, and within five days, she was experiencing a psychotic episode - or what she calls, ‘the crash’. Like clockwork, the same thing happened within five days of her second birth.

In this episode, Tassie mum of two, Chloe, vividly recounts the insomnia, euphoria, mania, hallucinations, and delusions that consumed her early postpartum days, as well as the crippling and juxtaposing depression that unfortunately followed her second episode.

Above all, Chloe takes me on a journey through the aftermath of her experiences: the loneliness she felt, the need to make sense of what happened, discovering her new ‘normal’, fostering support and connections, the trial-and-error that comes with recovery, and all the ways she is determinedly trying to make peace with it all.

This is Chloe’s not-to-be-missed story about the highs and lows (and everything in between) of parenting and surviving postpartum psychosis.

There are SO many parts of Sophie’s story that I want to emphasise. Like how depression made Sophie feel so numb that she didn’t know what to say when a nurse asked her if she loved her daughter. Or like how intrusive thoughts made her feel so scared that she didn’t want to go near her baby. Or like how the symptoms of psychosis made her feel so confused that her husband had to write her detailed instructions to be able to shower. Or like how she panicked, instead of celebrated, when her ‘involuntary’ label was lifted in the MBU. Or, or, or… you see what I mean?!

Among the MANY topics we cover in this heartfelt episode, Sophie and I discuss:

• how sleep and feeding challenges become a fixation

• the ‘stickiness’ of intrusive thoughts

• how self-doubt affects our mental health and parenting

• small acts of kindness that aren’t small at all

• how the difficult decision to undertake TMS was Sophie’s turning point

• …and so much more!

With some tears and laughs along the way, Sophie shares with me the long road to get to where she is now: a PANDA Community Champion, a facilitator of the Circle of Security program, the heart and soul behind AttachED, and most of all, pregnant and ready to welcome baby number two.

I could say so much more, but just listen to this episode - trust me, you won’t regret it.

Sarah put on a brave face for the first three months of Isla's life but behind closed doors, the all-consuming anxiety was only getting worse. It wasn't until her husband was home over Christmas that she could no longer hide the severity of the illness and she finally said 'I need serious help'.

Many things stand out to me about Sarah's story: the pervasive anxiety that invaded her early postpartum experience; the insomnia and inability to switch off that added to her stress; the eventual depression that overwhelmed her capacity to cope; and the challenges she faced navigating an unfamiliar mental health system.

But what stands out to me the most about Sarah's story is Sarah herself and her willingness to find and accept the right support. From joining Facebook groups to connecting with a social worker, from writing to inpatient MBU stays, from in-home support to unlikely friendships with those who have walked this path before us, and more, this is a powerful story about one mother's determination to feel connected to her daughter once more.

Please note, this episode discusses suicidal ideation. Go gently.

When Ariane became a mother, it wasn’t just the sudden onset of delusions, hallucinations, and severe depression that haunted her early days of parenting. From body image triggers, the pervasive grip of perfectionism, the reluctance to seek help, and the fear of her son being forcibly removed, it was also Ariane’s complex history as a ballet dancer, case worker and registered psychologist that cast a long, dark shadow over her mental health in pregnancy and postpartum.

In this episode, I am joined by none other than Ariane Beeston, author of the newly released memoir Because I’m not Myself, You See, who so vulnerably revisits the ghosts of her past with me and who shares, with incredible insight, the realities of mental ill health as both a patient, former practitioner, and advocate.

This is part one of Ariane’s harrowing, albeit profound, story, that explores her formative years and early motherhood, up until the moment she realised she had to release the control she sought over her past and present in order to welcome recovery in the future.

Please note, this episode discusses suicidal ideation, and briefly mentions suicide and infanticide. Go gently.

OCD had been part of Emma’s life for many years, although she just didn’t know it. Like for so many of us, her life-long OCD wasn’t picked up on until early motherhood, after two miscarriages and the birth of a premature baby during a pandemic lockdown.

In Emma’s words, “it awoke the OCD beast.”

This is one mother’s poignant story about the pain of loss, of experiencing depression and an OCD crisis in motherhood, the resulting shame and anger that came with the diagnosis, and the all-too-familiar lengthy and financial barriers encountered when seeking support.

This is also one mother’s touching story about the very real power that radical acceptance, psychoeducation, writing, and community can have on the journey towards recovery and taming the ‘OCD beast’.

This is Emma’s story - of both power and pain, of acceptance and resistance, of isolation and community - and it’s a story that will stay with you for a long time.

Please note, this episode discusses miscarriage, molar pregnancy, the loss of a loved one, suicidal ideation, and termination of pregnancy. Go gently.

As a midwife with zero history of mental ill health, Caitlin didn’t expect to develop severe postpartum depression and anxiety at all, let alone after the birth of her second child.

She certainly didn’t expect to be wheeled through the same hospital where she worked down to the psychiatric ward for an eight-week admission.

And of course she never expected that electroconvulsive therapy (ECT) would be part of her story to treat her treatment-resistant depression.

In this poignant episode, Caitlin takes us on her unexpected journey of experiencing mental ill health for the first time in motherhood, of navigating the unfamiliar mental health system to receive the right diagnosis and treatment, and of confronting nearly every taboo of mental health along the way.

Finally, Caitlin recalls the special moment when she ‘saw the light’, when she no longer felt worthless, and when she felt a glimmer of hope again - which, after everything she went through, was something she never truly expected to feel again.

This isn’t an episode to miss.

You can connect with Caitlin on Instagram at beneaththepalms_midwifery where she draws on her own experiences to advocate for her pregnant and postpartum patients in Cairns, Queensland.

Please note, this episode discusses suicidality. Go gently.

This is a story that begins in November 2022 when I received a message from a new mum who wanted nothing more than to change the trajectory of her motherhood story.

This is a story about a mum who’d just been diagnosed with depression and anxiety, who was experiencing vivid intrusive thoughts and panic attacks, and who couldn’t stop crying.

This is a story about a mum who made the move back to rural NSW to be closer to her family for support, but who was now struggling to find the right professional support for herself.

This is a story about a mum who advocated so hard for herself so she could finally say ‘that’s not my story anymore’.

This is Jessie’s story.

I really didn't think I'd be back here behind the microphone telling my own story again. I didn't think I'd have anything to share because I had many hopes that things would be different this time. I hoped that I would be different this time.

But here we are.

For many reasons, for so many of us, pregnancy is not always the most joyful time of our lives. Logically, we know it's temporary, but that doesn't necessarily make it easier. And I know I'm not the only one to hold conflicting emotions about pregnancy, both joy and anguish, love and dread, hope and fear.

I hope by me sharing, this reaches someone who needs it.

Join me in this episode where I'll share the story of my second pregnancy so far, how it's been similar and different to my first, my fears as I approach the third trimester and birth, and the support systems that are currently in place or planned to help me through.

Thank you for once again holding space for me.

When Ashlee entered motherhood, she expected the transition to be easy from her many years of working with children. What she didn’t expect was the severe anxiety she experienced in her first pregnancy or the depression that overshadowed her postpartum. As a perinatal and infant mental health psychologist, she also didn’t expect to miss her own red flags.

Sleep, feeding, and health complications with her daughter also diverted any attention away from Ashlee’s wellbeing, and left her blaming motherhood and expecting her mental health to get better only when circumstances improved. Ashlee finally reached out for support and even moved cities for a fresh start, but two weeks later, she found out she was unexpectedly pregnant with her son.

This is Ashlee’s phenomenal story - about the benefit of hindsight, about grieving her first postpartum, about navigating motherhood with a diagnosis of autism, about the importance of being listened to, about seeking psychological help as a psychologist, about the challenge motherhood caused to her identity, about the difficulty in deciphering the difference between mental ill health and the ‘normal’ challenges of motherhood, about redefining what a ‘village’ means, about rejecting the shame of taking medication, about overcoming depression and having faith that things will get better, about learning to look inwards, and about embracing her own humanness.

Expect to be blown away when listening to this episode.

You can find Ashlee on Instagram at wells_psychology where she raises awareness about perinatal and women’s mental health. Please note, this episode discusses the lived experience of anxiety, depression and an unwanted, unexpected, pregnancy. Go gently.

‘Are you feeding your baby?’ These are the words that confronted ICU nurse, Elyse, at a week postpartum when she was told that, despite her strict three-hour feeding regime, her newborn son was starving. In her words, the subsequent diagnosis of breast hyperplasia / insufficient glandular tissue (IGT) caused her world to come crashing down.

Elyse tried everything to increase her supply, but was left crying and pumping for over six hours a day while enviously watching the bond between Patrick and her husband blossom. Unfortunately, her mental health continued to deteriorate even after she stopped pushing herself to her absolute limits. From grief about her experience to bouts of rage, Elyse kept dreaming about running away.

That is until, finally, a nurse at a residential stay recognised that Elyse needed more support. The trajectory of her postpartum turned around because of this, and soon after, she even welcomed twins!

This is one woman’s breath-taking story about letting go: letting go of the pressure to breastfeed, letting go of pumping, letting go of recording every moment in a baby app, letting go of self-blame, letting go of resisting help, and letting go of control. This is Elyse’s story.

In this episode, I’m joined by Gemma - a recovering perfectionist, accredited social worker, perinatal counsellor, podcast host of @postpartumlikeaboss, and mum-of-two. From the moment she fell pregnant, Gemma experienced an immediate sense of identity loss and anxiety that lasted until postpartum.

While the anxiety and unknowns disappeared after birth, the relentlessness and challenges of early motherhood left Gemma at her lowest. Despite experiencing mental ill health in the past, Gemma found the transition to motherhood to be harder and riddled with more guilt because of the expectations to feel joy and fulfilment.

Finding and accessing support was also hard for Gemma, but thanks to the help of the PANDA hotline, her somatic therapist, and the sense of identity she reclaimed by returning to work and exercising, Gemma slowly found her groove in motherhood. Even more than this, she decided to retrain as a perinatal counsellor to be able to provide the same support for others knowing how life changing it had been for her.

Join me in this episode as Gemma and I discuss mum guilt, the barriers to support, the shame that comes from not loving every moment of motherhood, and the importance of finding the right fit when it comes to therapy. This isn’t an episode to miss.

When Sarah was discharged from the mother-and-baby psychiatric hospital, she felt both refreshed and proud. Her recovery from postpartum anxiety and OCD became a badge of honour.

But that wasn’t the end of Sarah’s story with maternal mental ill health. Severe depression, a medication change, a presentation to the emergency department, and a second and third MBU admission filled pages of a book she thought she had already closed.

Join me for part two of Sarah’s story as she is once again forced to confront the way she sees mental health, recovery, and herself, and where she grapples with both the relief and shame around being a ‘frequent flyer’ of the psychiatric hospital.

Please note, this episode discusses suicidality and suicidal ideation. Go gently.

With a history of anxiety and depression, Jess and her care team went into pregnancy with a plan to protect her mental health during postpartum. Unfortunately, serious and sudden medical diagnoses for her son, Jasper, immediately after birth meant Jess’s mental health was neglected amongst relentless surgeries, a two-month NICU admission, and full-time caretaking for a sick baby.

The NICU experience cast a long shadow over Jess’s motherhood journey, leaving behind a trail of self-blame, overwhelm, uncertainty, and doubt. Through the support of caring helpline staff, changing medication, making mum friends, a GP that took her seriously, and reclaiming her passions, this is the incredible story of one mother’s journey to come into her own light and to help other mothers know that they do not have to struggle alone.

Follow Jess on Instagram @jesscareywrites and visit her website https://jesscareywrites.com/ to find her collection of books about mental health for both children and adults.

As someone who had never experienced mental ill health, the bubbly and outgoing Nikolina was confronted by the sudden onset of perinatal depression and anxiety within her first few weeks of motherhood. From crying for no reason to not being able to sleep, her PNDA symptoms hit very hard and very fast.

Nikolina pushed through these symptoms for weeks, even using her son’s milestone photo cards as a countdown to the idealised six-week mark. But when nothing changed at six weeks as she had hoped, it was her husband who helped Nikolina realise that she wasn’t herself and that she may need some help to get her spark back.

In this episode, Nikolina takes us on her journey from the career high in her first pregnancy to the excitement of dressing up for therapy, and now to the recent publication of her children’s book - filled with lots of tears, insomnia, therapy, stepping on Lego pieces, and of course, laughter, in between!

You can follow Nikolina on Instagram @heynikolinak where she shares the ridiculousness and realities of motherhood and order her new book My Mummy Loves Fudge! from her website heynikolinak.com

As a self-confessed ‘flaming extrovert’, Lauren struggled with the isolating and all-consuming eat-play-sleep-bathe-repeat cycle of early motherhood. By six months postpartum, the newborn ‘love bubbles’ that she felt so intensely after both of her births became overshadowed by the onset of postpartum depression.

From IVF, miscarriage, severe pregnancy health complications, to two traumatic births, this depression was only the latest in a long line of anxiety and trauma that Lauren experienced on the journey to motherhood.

In this powerful episode, Lauren opens up about her mental health during her pregnancy and postpartum with both of her daughters, and shares with us what helped her through this time - from the PANDA National Helpline (1300 726 306), medication, talk therapy, EMDR, and a psychiatric hospital admission, to her supportive and loving partner, Alex.

While walking the sunny halls of the psychiatric hospital, Lauren created her blog ‘Mental as a Mother’ and is now a volunteer for PANDA. You can follow Lauren on Instagram as @mental.asamother where she hilariously shares all things motherhood, mental health, fertility, and feminism - while wearing her signature bold lip, of course.

Like everything else in her life, Jess had many plans for motherhood. As planned, she fell pregnant after completing her psychologist registration. But when Jess fell pregnant, she was surprised that her once positive outlook was overshadowed by an all-consuming sense of dread and anxiety. Despite sharing this openly with her care providers, her severe anxiety remained undiagnosed.

To her relief, that relentless anxiety ended the moment her daughter, Charlotte, was born - 3 months early! Jess found that she coped better with the unexpected preeclampsia diagnosis, the emergency c-section at 28 weeks gestation, and the subsequent 51-day NICU stay in a hospital over an hour away from home, than she did with pregnancy.

Unfortunately, it was finally bringing her little girl home - a moment she’d waited so long for - that saw the return of her anxiety. But this time, it was crippling.

With the support of an incredible care team, featuring her GP, the hospital-appointed psychologist, and her family and friends, Jess’s anxiety started to ease and she could finally enjoy those moments of motherhood she dreamed about - like sitting on the couch with her daughter in their pyjamas - just as planned.

With a long list of achievements under her belt, Lisa assumed motherhood would be easy compared to her prior endeavours. As she says, she thought highly of her ability to get shit done. To her surprise though, Lisa struggled with the transition as motherhood didn’t provide the feedback and awards she was used to, and felt she was failing because nothing she did would stop her colic daughter from crying all the time. At five months postpartum, she was diagnosed with depression.

Pregnancy and motherhood really forced Lisa to confront the reality that she had past experiences to unpack and behaviours to unlearn - the biggest being her reluctance to ask for help.

Through therapy, postpartum planning, a strong support-system, and a much more self-compassionate attitude, Lisa approached her second pregnancy in a completely different way and is finally enjoying a maternity leave without mental ill health.

At 18 weeks pregnant, Aimee suffered the unimaginable - her waters ruptured. But to the surprise of every doctor, Aimee’s waters resealed and at 38 weeks, Evie, a healthy baby girl, was born.

But her relief and joy vanished when suddenly she felt like she was living the worst case scenario she feared, rather than the happy ending she got. Aimee hid her suffering for weeks, until one day her shocked husband found her in a heap on the floor.

When Ella reflects on motherhood, she talks about two things: firstly, the dream of motherhood that she’d had her whole life, and secondly, the nightmare that she was confronted with when she actually became a mother.

A successful economist and accomplished career woman, Kathryn from MotherUp has always been the quintessential high achiever who needed certainty and control over every aspect of her life. Although, of course, when she had her little girl Liv, Kathryn learnt the hard way that perfectionism and motherhood do not mix.