Counselling women with post natal depression: Implications from recent qualitative research

Abstract

This paper explores the role of the counselling psychologist with women who experience post natal depression. Traditionally post natal depression has been identified as a clinical condition, and the woman referred for psychiatric assessment; or it is seen as the result of stressful childbirth and associated events, and the woman is offered treatment by her GP or referred to a post natal support group. A recent study suggests that some degree of depression following childbirth is ‘normal’, and that far from being a clinical condition, its origins appear to be located in the context of problematic relationships (in both domestic and obstetric settings) as well as in women's expectations and inadequate preparation for childbirth and early motherhood. These expectations seem to be embedded in female psychology and wider cultural values. Women appear to be prepared for the fact that they will bear and mother children, but not the experience of motherhood itself, and consequent changes in identity and relationships are rarely made explicit. This study suggests that childbirth and the early months of motherhood (even for second and third children) are likely to precipitate some degree of depression in most women, and that this depression appears to be reactive rather than determined by individual pathology. Further, the experience of becoming a mother (each time) equates with a model of loss and bereavement, suggesting a very specific role for the counselling psychologist.