Beyondblue RuRal Womens Bulletin
Transcription
Beyondblue RuRal Womens Bulletin
beyondblue Rural Womens Bulletin LEONIE YOUNG Chief Executive Officer of beyondblue since 2003 People in rural communities in Australia are used to toughing it out and have always been extremely resilient. It’s these same qualities of self-sufficiency and resolve which can sometimes make country people less inclined to seek help for health problems like depression. Depression is a potentially disabling condition that affects around one million Australians each year. One in four women and one in six men will experience depression at some stage of their lives. It’s important to realise depression is a serious condition for which effective treatments are available and having depression should never be considered a weakness. Using alcohol and drugs to try to make oneself feel better is common, but in the long-run, it only makes the situation worse. If left untreated, depression can be a risk factor for suicide. However, with the right treatment most people recover. beyondblue: the national depression initiative is working with country communities throughout Australia to raise awareness of depression in the bush (its signs, symptoms and where to get help) and to reduce the associated stigma that so often prevents people from getting treatment. Over the last few years, beyondblue ’s Don’t Beat About the Bush campaign has targeted rural communities and this year has incorporated The Mental Health Drought Initiative which is funded by the Federal Department of Health and Ageing. beyondblue, in partnership with the Australian General Practice Network (AGPN) is raising community awareness of depression, educating business and community leaders at workshops and providing community outreach and crisis counselling in rural, remote and regional areas until 2009. At present, the depression awareness workshops are being held in Exceptional Circumstances areas New South Wales, Victoria, South Australia, Queensland. A dedicated Community Support Worker in each community runs a beyondblue information kiosk. The campaign provides free For more information www.beyondblue.org.au information kits including fact sheets, posters, DVDs, self-help books and a manual on how to organise a community forum on depression. Another useful beyondblue resource is the Rural Assistance Information Network (RAIN) Map on the website www.beyondblue.org.au The interactive RAIN map shows services available to country people in their region. Information can also be obtained by phoning the beyondblue info line – 1300 22 4636 (local call cost from a landline). There are many dedicated women working with beyondblue to help raise awareness and ease the burden of depression in drought-affected areas across the country. This newsletter contains a collection of their stories, highlighting the wonderful work that is being done in rural, regional and remote areas of Australia and recognising the inspirational women (and men) who make it possible. or beyondblue info line 1300 22 4636 Rachael Williams Rachael farms sheep and cattle on 23,000 hectares near Balranald in rural New South Wales with her husband. She also manages a community development company and helped organise beyondblue depression awareness workshops in her town. “The reality might be you’re experiencing depression and that’s okay because one in five do in their lifetime and you can get help.” WHEN she was eight-years-old, Rachael remembers the kangaroos getting into the rubbish on her parents’ farm to eat the labels off tin cans. As a year of crippling drought gripped the country, animals were forced to forage through trash because there simply was no other food source. It was a dreadful year for farmers in Balranald in rural NSW, but unfortunately it was to be the harbinger of the enduring drought to come. Today the town’s life blood, the Murrumbidgee River, is a remnant of its former glory as the area enters its tenth year of below‑average rainfall and its sixth year declared as an Exceptional Circumstances area. Rachael lives with her husband and 16-month old daughter on the property where she grew up. On their farm, the sheep stock has been reduced to core breeders and their cattle are away on agistment on a farm where the rain comes more frequently. “We’ve sold anything we can. We’re just feeding what we have left to keep them alive,” Rachael said. “We had rain in January – 140mm – but very little in the growing season. The crop has just been surviving on 5mm here and there. Here, things are progressing from bad to worse for a lot of people. Drought is really tiring. Feeding sheep and chasing water is a constant and thankless task and keeping stock alive becomes your only goal. It’s almost like treading water instead of swimming.” Through her community work, Rachael noticed many farmers had been doing it tough for so long they were showing signs of depression. She was inspired to help organise a beyondblue depression awareness training session. The turn-out was predominantly women. She said it was heartening to see the enthusiasm with which they grasped the subject matter. “The trainer did a good job of demystifying depression,” Rachael said. “The reality might be you’re experiencing depression and that’s okay because one in five do in their lifetime and you can get help. Certainly a lot of the women who did the course were very fired up to tackle it constructively with their husbands and felt good having some tools to do that. I think it has created a culture of acceptance around depression and wanting to talk about it and share the strategies to deal with it.” For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 Cath Walker Cath is a psychologist and registered nurse who lives on 20‑hectares in rural central Victoria with her partner and their 10-year-old Red Heeler Ella. WHEN she’s not looking after her property or camping deep in a national park somewhere Cath Walker travels to rural, regional and remote communities to conduct beyondblue depression-awareness workshops. She is part of a network of “rural workforce trainers” – mental health professionals employed by beyondblue who have lived and worked in rural settings and understand first-hand the pressure farming families face in tough times. Cath says women in drought-stricken areas frequently encounter problems, like financial worries, relationship breakdowns, loneliness and constant stress, which if ongoing, could put them at risk of developing depression. “People in the city or even the regional towns often don’t realise just how isolated we are out here,” she said. “The networks for women are collapsing to a degree, there are so many people moving out of town and they don’t want to go and talk to Aunt Jane because her sons have just walked off the property. A wife doesn’t want to talk to her husband because they’re both too stressed. She might drink too much because that’s how she copes. You can never get away from the reminders or the stress of drought… you would give anything just to get away from it all just for a break.” A fundamental component of the beyondblue rural depression awareness workshops is educating community leaders to talk openly about depression to reduce the stigma and encourage people not to feel ashamed to seek help. Participants attending the workshops may include members of the Country Women’s Association, priests, hairdressers, the local publican – anyone who mixes with people who may be experiencing depression. “The training looks at the difference between normal emotional ups and downs a person may have when living with the associated stress of drought, floods and fires, and the diagnosable medical condition of depression,” Cath said. “At the end of the day, you do have difficulties in rural areas, but if someone you are really concerned about has a serious mental illness, they may not get better for a long time if left to cope with it on their own. “In the workshops, we give people ideas about the most appropriate time to bring it up the topic and how to go about it. It’s not a matter of just being tougher or more resilient … they’re in strife and they can be helped. It’s as easy as booking in to the local doctor. After the training, participants have really good and accurate information and know how to help others get treatment and they can go about working to decrease the stigma associated with mental illness in their own communities.” For more information www.beyondblue.org.au Marita Sleep Marita is a Community Support Worker and drought officer with the Mallee Division General Practice. She moved from the Philippines 16 months ago to marry her Australian husband. IN 1991, the world watched as Mount Pinatubo erupted, completely destroying parts of the Philippines claiming hundreds of lives and displacing millions. Five years after the disaster, counsellor Marita Sleep took a job in government aid based in one of the worst-affected towns, the former, American Navy port Subic. It was there Marita witnessed the results of long-standing psychological distress caused by the widespread financial, emotional and social effects of the tragedy. Marita brings her experience of working in a community coping with difficult times to the Mallee Division of General Practice as their drought officer. She is responsible for outreach and crisis intervention, counselling, education and training on the mental health implications of drought and operates a beyondblue information kiosk. The kiosk is stocked with beyondblue information which is available free to anyone in the community. The Mallee region has been drought-declared for 10 years. The drought has spread from dry farming lands to the irrigated farms and is now impacting on citrus and nut farms, horticulturalists and even support industries in the CBD. Marita says women, especially, need to keep their mental health in check while they support their partners through the tough times. “A big stress for women, especially, is keeping a stable household while the husband is trying to salvage the business,” she said. “Often, women are the ones who do the legwork in seeking assistance for mental health problems because their husbands are too proud, or don’t have time and there is still social stigma. “I would encourage women to be more alert, to educate themselves on the signs and symptoms of depression, because they’re the front-liners. When things go really bad, we rely on women to hold the fort and they need support as much as anyone… so any opportunity they get to attend the workshops, or even just to familiarise themselves with the beyondblue information, they should. Just make the time or even network with other women to support each other – it’s so important.” She said since beyondblue had conducted two depression awareness workshops in her region, there had been a measurable increase in GP referrals to mental health professionals. or beyondblue info line 1300 22 4636 Lesley Young Lesley is the National President of the Country Women’s Association of Australia from 2006 and sits on the Rudd Government’s Expert Social Panel reviewing Drought Policy in Australia. She runs a 260 hectare vegetable, sheep and cattle farm in East Sassafras Tasmania with her husband and son. LESLEY Young recently spent six weeks visiting some of Australia’s worst drought-affected communities to listen to residents talk about their experiences. In June 2008, she was appointed to an expert panel set up by the Federal Government to examine the social impact of drought on farming families and rural communities as part of its national review of drought policy. During her travels, Mrs Young frequently heard stories of relationship breakdowns because of the prolonged strain of living in drought. “We really need to be proud of the way these people are dealing with extreme circumstances,” she said. “It has had a huge affect on all members of the family, not just men. Women are affected in many ways because they sacrifice a lot for the sake of the family,” she said. “They carry the burden of watching husbands struggle with the drought, while taking great pains to make life as normal as possible for the children.” Mrs Young has heard many accounts from women who have had to leave the farm with the children to earn a second income to make ends meet, leaving their husbands to contend with the farm work. Some women remain on the farm to carry out extra duties which would have been done by workers they can now no longer afford to pay. While stress and family upsets alone won’t cause depression, severe ongoing stress combined with tough times is a risk factor. Mrs Young commends the work beyondblue has been doing in drought-affected areas to raise awareness of depression and anxiety and to encourage people to get to help. “I think what beyondblue is doing out there in rural communities is tremendous,” she said. “Attitudes are beginning to change. In some places, it’s now getting to the stage where people are accepting the situation instead of burying their heads in the sand. We still have to tackle this stigma of people not wanting to go through that door marked ‘psychologist’, but most have no problems seeing their family doctor. “My advice would be either to call beyondblue or visit their website and take yourself, take the whole family and just go and see your GP if you think there is a chance someone might have depression. It’s not necessarily up to you to do these things on your own doing it as a family can be a lot more supportive.” “l would encourage women to be more alert, to educate themselves on the signs and symptoms of depression because they’re the front-liners.” – Marita Sleep For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 Lisa Wright Lisa is employed as a Community Support Worker for North and West Queensland Primary Health Care. She grew up on sheep and cattle property in northern NSW and has been working as a psychologist in remote areas of Queensland for four years. LISA Wright’s office stretches 700,000 square kilometres across Queensland. Based in Longreach, she spends long hours travelling across the arid countryside to provide counselling to farming families. Her area extends from Winton and Muttaburra in the north, to Birdsville in the south, east to Alpha and Blackall and westwards to the Northern Territory border. “There is such a big demand for beyondblue depression information resources. l think 20 years ago that never would have happened.” Lisa is employed under the Federal Government’s Mental Health Drought Initiative as a Community Support Worker for North and West Queensland Primary Health Care. Her role involves clinical consultation, crisis intervention, health promotion and organising awareness-raising activities. She distributes beyondblue depression information resources to all of the farming families she meets. The drought situation is variable in each area because of the size of the health district. Longreach has been in drought for the past seven years, but has received a small amount of rain this year. Birdsville is having a reasonably good season, whereas Boulia is currently having its worst season in 30 years, with many cattle farmers having to export their cattle on agistment. Some Boulia farming families have been forced to leave their properties and find employment elsewhere. Lisa said regardless of the severity of drought, the mental health implications across the region were similar. “I think it has had a huge impact out here because a farm is not just a business, it’s a home. It’s the foundation of your family, it’s your garden, it’s your whole environment - so the devastation that comes with seeing your business go backwards really erodes feelings of self worth,” she said. “This drought has had a huge affect on the men in rural and remote areas because it diminishes their role as the providers and that in turn has a huge affect on the women. Women then have to step up and provide support and placate the situation and exert a lot of emotional energy.” Lisa believes the stigma attached to depression and anxiety in her area is beginning to break down because of increased awareness of the conditions. She says the self-help book provided by beyondblue, Taking Care of Yourself and Family, has been immensely popular with farming families. “I took a carton of the books to an agribusiness forum and I ran out,” Lisa said. “They went like hotcakes. There is such a big demand for beyondblue depression information resources. I think 20 years ago that never would have happened.” She is determined to continue her work to address depression in drought-ravaged areas and says she couldn’t imagine herself doing anything else. “I’ve been able to develop personal relationships with a lot of families because of the distance I cover,” she said. “I don’t just zip in and zip out – I might spend a whole day with them and talk to them while we go and do things around their property. Then contact will often be by phone for about 10 weeks, after which we’ll see each other face to face again. For me this is the perfect job because I get to work with rural people with hearts of gold.” For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 DID you know that under Federal expansion of mental health funding, you can get help for depression and anxiety under Medicare? If you qualify for a referral from a General Practitioner, psychiatrist or paediatrician, you could be eligible for rebates for up to 12 individual consultations with a psychologist, social worker or occupational therapist in mental health (more in exceptional circumstances) and up to 12 group sessions each year. Ask your referring practitioner for more information or log on to www.beyondblue.org.au – click on Get Information, then Download information then click on Fact Sheet 24 ‘Help for depression under Medicare’ or call the beyondblue info line on 1300 22 4636. For comprehensive information on depression, anxiety, bipolar disorder, related drug and alcohol issues, available treatments and where to get help go to www.beyondblue.org.au or call 1300 22 4636 (cost of a local call from a landline). In my work as a psychotherapist, I see similar numbers of women and men. Both have their own characteristic ways of coping, of handling stress, and dealing with emotion. Both tend to exhibit gender-specific ways of not coping. © beyondblue: the national depression initiative, 2008. The role of women on the land is becoming increasingly difficult By Doctor John Ashfield DR John Ashfield is a psychologist and author of Taking Care of Yourself and Your Family, a self-help book provided free across Australia by beyondblue. The book is now in its ninth edition and is available by calling the beyondblue info line on 1300 22 4636 or ordering it from the website www.beyondblue.org.au Gauging the impact of drought on the mental health of rural and remote communities is not as straightforward as it may appear. As many people on the land will tell you, two seasons of drought for people in ‘good’ farming country, can sometimes have a more adverse psychological effect than ten seasons of drought in pastoral areas where people are more hardened to surviving with meagre rainfall and very difficult conditions. But there does appear to be one thing which otherwise diverse communities have in common – their experience of powerlessness. Drought has stripped away years of hard-earned gains; it has shattered dreams, broken relationships – severely diminishing people’s sense of control over their lives. For many on the land, unnerving trends of climate change, input costs, sustainability and succession issues were trouble enough even before the drought – trends that will still exert a formidable challenge to people’s resilience and mental health in the foreseeable future. For more information www.beyondblue.org.au Men, particularly in circumstances that prompt a stoical and protective response, tend to focus on problem solving; they distance themselves from the emotional content, putting emotions on hold – in order to remain action-focused until things feel more under control. Though they appear to be better at emotion and thought regulation than women, the pit-fall for men can be over‑regulation – failing to deal with and disperse emotions put on hold. Men are more susceptible than women to the misuse of alcohol, and are much more highly represented in suicide statistics. Though women generally tend to excel at expressing and verbalising emotion, this is not always an advantage, because they’re also inclined to ruminate – go over and over problems and their associated feelings – the pitfall of which can be under‑regulation of thoughts and emotions. Not surprisingly, women tend to be more susceptible than men to depression and anxiety. There is good reason for us to be concerned about women on the land, because women’s needs and vulnerabilities are all too easily obscured by the seemingly bigger practical and economic issues of survival. It is chiefly women who perform the role of preserving relationship and emotional wellbeing in their families; which is why it is so important that they themselves are adequately supported. With a trend towards larger land holdings in many areas, not only are many families experiencing increased isolation, but many women, who mainly derive their support from other women, are feeling particularly alone. This is exacerbated by the present cost of fuel which discourages mobility of social importance. Add to this, the grief associated with children moving away for better opportunities, concerns about the diminishing morale of their menfolk, and strained marital relationships, women can become seriously emotionally depleted and vulnerable. We need a longer-term view of how to support women on the land, to ensure their personal and social support – not only in circumstances of drought, but in an environment in which their role expectations may otherwise become increasingly unsustainable. or beyondblue info line 1300 22 4636 Free beyondblue depression and anxiety information available Depression will affect one in five people living in Australia at some point in their lives. Understanding depression 4. Physical Depression is more than just a low mood – it’s a serious illness. People with depression find it hard to function every day. Depression has serious effects on physical and mental health. O Tired all the time O Sick and run down O Headaches and muscle pains O Churning gut O Sleep problems O Loss or change of appetite O Significant weight loss or gain How do you know iF a person is depressed and not just sad? wHat makes a person more at risk oF depression? • lost interest or pleasure in most of their usual activities. 1. Behaviour 9. Had recurrent thoughts of death? Add up the number of ticks for your total score: 4 or less: 5 or more: If it’s not you, maybe it’s someone you know. Depression is often not recognised or treated. Different types of depression require different types of treatments. This may include physical exercise for preventing and treating mild depression, through to psychological and drug treatments for more severe levels of depression. www.beyondblue.org.au or beyondblue info line 1300 22 4636 References: American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed (DSM-IV). Washington, DC: APA, 1994; and, International classification of diseases and related health problems, 10th revision. Geneva, World Health Organisation, 1992-1994. For more information about depression, visit the beyondblue website at: www.beyondblue.org.au or call 1300 22 4636 Talk to your doctor or another health professional. Helping someone with depression isn’t beyond you It could be depression. With the right treatment, most people recover from depression. www.beyondblue.org.au Practical ways to help someone with depression Helping someone with depression It’s not always easy to help someone who may be experiencing depression. It can be hard to know what to say or do. Here are some tips. People with depression often don’t see the point of doing anything and may feel that no one can really help them. Helping someone who isn’t ready to recognise they need assistance may be very difficult. Talk to the person about how they’re feeling. DO – You can help someone by: Listen to what they’re saying – sometimes, when a person wants to talk, they’re not always seeking advice, but just need to talk about their concerns. Make it clear they have your full attention and you are listening properly. You may like to save any suggestions for a later discussion. • Spending time talking about their experiences • Indicating that you’ve noticed a change in their behaviour • Letting them know you’re there to listen without being judgmental • Suggesting they see a doctor or mental health professional Maintain eye contact and sit in a relaxed position – positive body language will help you both feel more comfortable. • Assisting them to make an appointment and/or going with them to see a doctor or mental health professional Use open-ended questions such as ‘So tell me about...?’, which require more than a ‘yes’ or ‘no’ answer. This is often a good way to start a conversation. 1300 22 4636 Mensline Australia 1300 789 978 Lifeline 13 11 14 Lifeline’s Information Line Unlikely to have a depressive illness Likely to have a depressive illness For further assessment, please consult a doctor or another health professional. Effective treatments are available and recovery is common. 1 of 2 • Feeling down? • Drinking or smoking too much? • Withdrawing from family and friends? • Stressing over money worries? • Easily irritated or upset? • Feeling like you’re losing control? beyondblue info line 1300 13 11 14 Relationships Australia 1300 364 277 Kids Help Line 1800 551 800 www.beyondblue.org.au • Asking how their appointment went • Talking openly about depression and assisting them to find information • Encouraging them to exercise, eat well and become involved in social activities If your conversation becomes difficult or the person you’re talking to gets angry, stay calm, be firm, fair and consistent, admit if you are wrong and don’t lose control. • Keeping in touch and encouraging close friends and family to do the same. Often, just spending time with the person lets them know you care and can help you understand what they’re going through. DON’T – It’s unhelpful to: • Pressure them to ‘snap out of it’, ‘get their act together’ or ‘cheer up’ Encourage the person to seek professional help from their family doctor or a mental health worker. • Stay away or avoid them • Tell them they just need to stay busy or get out more Take care of yourself. Supporting someone with depression can be demanding, so make sure you take some time out to look after yourself. • Pressure them to party more or wipe out how they’re feeling with drugs or alcohol • Assume the problem will just go away. For more information about depression, effective treatments and how to help someone visit www.beyondblue.org.au or call the beyondblue info line on 1300 22 4636 (local call). For more information about depression, effective treatments and how to help someone visit www.beyondblue.org.au or call the beyondblue info line on 1300 22 4636 (local call). For urgent assistance call Lifeline on 13 11 14 (local call). For urgent assistance call Lifeline on 13 11 14 (local call). The resources may be of interest to a wide range of areas including: Community Support Workers, health promotion officers, health and community services, human resources, youth workers, libraries, leisure facilities, maternal and early childhood services, multicultural programs, seniors and aged care. © beyondblue: the national depression initiative, 2008. © beyondblue: the national depression initiative, 2008. beyondblue info line beyondblue info line www.beyondblue.org.au 1300 22 4636 www.beyondblue.org.au 1300 22 4636 Rural assistance Help is available: Australian Psychological Society . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1800 333 497 (Find a Psychologist) beyondblue info line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1300 22 4636 Bush Crisis Line and Support Services. . . . . . . . . . . . . . . . . . . . . . . . 1800 805 391 (24 hour support for rural and remote health practitioners and their families) Centrelink Drought Assistance Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 23 16 Centrelink Family Assistance and Parent Information Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 61 50 Centrelink Farmer and Small Business Assistance Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1800 050 585 Kids Help Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1800 551 800 Lifeline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 11 14 • Depression symptom checklist (DL size card) (24 hour phone counselling) Lifeline Information Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1300 13 11 14 Mensline Australia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1300 789 978 Relationships Australia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1300 364 277 SANE Helpline (Monday to Friday office hours) . . . . . . . . . . . . . . . . . . . . . . . 1800 187 263 Suicide Call Back Service Referral Line. . . . . . . . . . . . . . . . . . . . . . . 1300 659 467 Trans-Help Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1300 787 996 (Support for transport drivers and their families) Emergency (Police, Fire, Ambulance) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dial 000 www.abc.net.au/water/drought/ ABC News – Drought-related information www.beyondblue.org.au www.centrelink.gov.au Information on depression and where to get help Information on income support and referrals to counsellors www.counsellingonline.org.au www.crufad.org Online drug and alcohol counselling Information on depression, anxiety and its management www.depressionet.com.au • beyondblue wallet-size information card • beyondblue rubber wristbands • beyondblue fridge magnets Information on health and safety for farmers/families www.kidshelpline.com.au www.menslineaus.org.au Depression and anxiety can affect anyone at any time. Online information and support forums www.farmsafe.org.au • Practical ways to help someone with depression (DL size card) Online counselling for young people Support for men with family and relationship problems www.moodgym.anu.edu.au Online psychological therapy www.psychology.org.au Australian Psychological Society – Find a psychologist www.reachout.com.au Information to help young people through tough times www.relationships.com.au www.transhelpfoundation.com.au www.youthbeyondblue.com To find out more visit www.beyondblue.org.au or call the info line 1300 22 4636 Relationships Australia – relationships counselling Advice and support for transport drivers and their families beyondblue’s website for young people – info. on depression www.beyondblue.org.au 1300 22 4636 Postnatal depression Depression in older people fact sheet 22 fact sheet 17 Adjusting to life as a mother can be difficult. In fact, for many women, having a baby is the most significant life-changing event they will ever experience. Adjusting to this major life change, as well as coping with the day-to-day demands of a new baby, can make some women more likely to experience depression at this time, particularly if they’ve experienced depression in the past. hOW cOMMON Is POstNataL DePRessION? hOW DO YOU KNOW If YOU haVe POstNataL DePRessION? Postnatal depression (PND) affects almost 16 per cent of new mothers in Australia. As with depression, PND is common. On average, one in five people will experience depression at some point in their lives – one in four females and one in six males. Around one million Australian adults and 100,000 young people live with depression each year. Postnatal depression has the same signs and symptoms as depression. Women with PND can experience a prolonged period of low mood, reduced interest in activities, tiredness and disturbance of sleep and appetite and negative thoughts and feelings. To find out about the general symptoms of depression, go to the series of depression checklists at www.beyondblue.org.au. What caUses POstNataL DePRessION? The Edinburgh Postnatal Depression Scale (see below) is a set of questions designed to see if a new mother may have depression. The answers will not provide a diagnosis – for that you need to see a doctor or other health professional. The answers will tell you however, if you or someone you know, has symptoms that are common in women with PND. Like depression which occurs at any other time, postnatal depression doesn’t have one definite cause – but it’s likely to result from a combination of factors including: • a past history of depression and/or anxiety • a stressful pregnancy • depression during the current pregnancy • a family history of mental disorders • beyondblue A3 posters • experiencing severe ‘baby blues’ • Stories of hope and recovery (DVD) • Inability to find pleasure in any activity • Difficulty getting motivated in the morning • Behaviour which is out of character • Denial of depressive feelings – this can be used as a defence mechanism 2 Thoughts • Indecisiveness • Loss of self-esteem • Persistent suicidal thoughts • Negative comments eg. “I’m a failure”, “It’s my fault,” “life is not worth living”. • Concerns about financial situation • Perceived change of status within the family 3 Feelings • Moodiness or irritability – may present as angry or aggressive • Overwhelmed 2 Definitely less than I used to • Worthless, guilty 3 Hardly at all • having unrealistic expectations about motherhood 3 Yes, most of the time continues overleaf... 2 Yes, some of the time • making work adjustments (e.g. stopping or re-starting work). www.beyondblue.org.au or beyondblue info line 1300 22 4636 of 4 for more information htlaeh lanoitomE dna ycnangerp gnirud doohtnerap ylrae 6364 22 0031 enil ofni eulbdnoyeb ro ua.gro.eulbdnoyeb.www noitamrofni erom roF Help for depression available in different languages Feb 2008 beyondblue’s depression fact sheets are now available in 24 languages. The languages include: • Arabic • Farsi • Macedonian • Somalian • Assyrian • Greek • Polish • Spanish • Bosnian • Italian • Punjabi • Tamil • Cambodian • Japanese • Russian • Thai Khmer • Korean • Serbian • Turkish • Croatian • Lao • Chinese • Vietnamese • Dari beyondblue’s translated depression fact sheets are available to print or order free of charge at www.beyondblue.org.au (click on Other languages) or by calling the beyondblue info line 1300 22 4636. www.beyondblue.org.au or beyondblue info line 1300 22 4636 beyondblue materials are available to download and print at www.beyondblue.org.au ( click on Get Information ). For printed copies return order form overleaf to beyondblue. • Decline in day-to-day ability to function, with confusion, worry and agitation 3 I have blamed myself unnecessarily when things went wrong. • moving house For more information • Neglect of responsibilities and self-care • Sadness, hopelessness or emptiness 0 As much as I ever did 1 Rather less than I used to • Don’t beat about the Bush! (DVD to raise awareness of depression in rural areas, incorporating the ABC’s Landline program) beyondblue’s depression and anxiety fact sheets are also available in different languages. 2. Lost interest or pleasure in most of their usual activities. AND experienced symptoms in at least three of the following four categories: 2 Definitely not so much now 3 Not at all • Postnatal depression (fact sheet) • Taking Care of Yourself and Your Family – a book by John Ashfield Depression in older people is common and may occur for different reasons. The onset of a physical illness or personal loss and sadness can be common, but depression is not a normal part of ageing. 2 I have looked forward with enjoyment to things. • difficulties in close relationships • Depression in older people (fact sheet) • Emotional health during pregnancy and early parenthood booklet • Withdrawing from family and friends hoW do you knoW if an older person is depressed and not just sad? 1. Felt sad, down or miserable most of the time, OR • being a single parent for more information • General slowing down or restlessness Depression can have serious effects on physical and mental health. To complete this set of questions, mothers should circle the number next to the response which comes closest to how they have felt IN THE PAST SEVEN DAYS. 0 As much as I always could • past history of abuse 1 Behaviours People with depression find it hard to function every day. An older person may be depressed, if for more than two weeks they have... 1 Not quite so much now • a lack of practical, financial and/or emotional support What is depression? Depression is more than just a low mood – it’s a serious illness. If you have concerns that you or someone you know has PND, please consult a doctor. 1 I have been able to laugh and see the funny side of things. • a prolonged labour and/or delivery complications • problems with the baby’s health • difficulty breastfeeding • having an unsettled baby (e.g. difficulties with feeding and sleeping) • Drought and depression information card for rural people _____ What does your score mean? (assuming you answered ‘YES’ to question 1 and/or question 2) 1 in 5 people will experience depression in their lifetime. Are you or one of your mates… • Understanding depression (fact sheet) 8. Had poor concentration? OR Had difficulties thinking? OR Were very indecisive? (local call) wHat are tHe treatments For depression? beyondblue encourages people to help raise awareness of depression in their communities by ordering, displaying and distributing information in relevant facilities or programs. 7. Felt worthless? OR Felt excessively guilty? OR Felt guilt about things you should not have been feeling guilty about? or call 1300 22 4636 On average, one in five people will experience depression in their lives; one in four females and one in six males. Overwhelmed Guilty Irritable Frustrated No confidence Unhappy Indecisive Disappointed Miserable Sad 4. Sleep disturbance? 5. Felt slowed down, restless or excessively busy? 6. Felt tired or had no energy? To find out more visit How common is depression? Very common. Around one million Australian adults and 100,000 young people live with depression each year. 3. Feelings 3. Lost or gained a lot of weight? OR Had a decrease or increase in appetite? www.beyondblue.org.au It’s important to remember that each person is different and it is often a combination of factors that puts a person at risk of depression. 2. Thoughts O “I’m a failure.” O “It’s my fault.” O “Nothing good ever happens to me.” O “I’m worthless.” O “Life’s not worth living.” For more information If you answered ‘YES’ to either of these questions, complete the symptom checklist below. If you did not answer ‘YES’ to either of these questions, it is unlikely that you have a depressive illness. Depression • family conflict • isolation or loneliness • unemployment • having a serious medical illness • drug and alcohol use • brain and chemical changes • having a family member with depression. Tick if Yes 1. Felt sad, down or miserable most of the time? 2. Lost interest or pleasure in most of your usual activities? Some events or situations have been linked with depression: O Stopping going out O Not getting things done at work O Withdrawing from close family and friends O Relying on alcohol and sedatives O No longer doing things they enjoyed O Unable to concentrate O O O O O O O O O O To find out if you, or someone you know may have depression, complete the checklist below. For more than TWO WEEKS have you: OR AND experienced symptoms in at least three of the following four categories: beyondblue: the national depression initiative has a range of depression and anxiety information available free to Community Support Workers, councils, community groups, organisations and individuals. Depression Checklist In most cases, depression will go on for weeks or months if left untreated. If it isn’t properly treated, depression is highly likely to recur. A person may be depressed, if for more than two weeks they have: • felt sad, down or miserable most of the time of www.beyondblue.org.au or beyondblue info line 1300 22 4636 of 4 beyondblue FREE RESOURCES Complete this form and send to: eyondblue: the national depression initiative b Distribution, PO Box 6100 Hawthorn West VIC 3122 ORDER FORM Fax to 03 9810 6111 Please allow approximately 2-3 weeks for delivery. Please call the beyondblue Distribution Team on 1800 226 718 if you require further assistance. Feel free to photocopy this form for orders for other departments or facilities. NAME : JOB TITLE : ORGANISATION : STREET ADDRESS ( NO P.O. BOXES ) : STATE : EMAIL : TELEPHONE : FAX : POSTCODE : Would you like to receive further information from beyondblue in the future? e.g. newsletter (please circle) Information materials Understanding depression (DL size fact sheet) Depression symptom checklist (DL size card) Practical ways to help someone with depression (DL size card) beyondblue wallet-size information card beyondblue rubber wristbands Drought and depression information card for rural people Depression in older people (fact sheet) Postnatal depression (fact sheet) Emotional health during pregnancy and early parenthood booklet beyondblue A3 posters beyondblue fridge magnets Taking Care of Yourself and Your Family – a book by John Ashfield Stories of hope and recovery (DVD) Don’t beat about the Bush! (DVD) Translated materials Arabic – Understanding depression fact sheet Assyrian – Understanding depression fact sheet Cambodian/Khmer – Understanding depression fact sheet Chinese (Simplified) – Understanding depression fact sheet Chinese (Traditional) – Understanding depression fact sheet Croatian – Understanding depression fact sheet Dari – Understanding depression fact sheet Farsi/Persian – Understanding depression fact sheet Greek – Understanding depression fact sheet Indonesian – Understanding depression fact sheet Italian – Understanding depression fact sheet Korean – Understanding depression fact sheet Macedonian – Understanding depression fact sheet Polish – Understanding depression fact sheet Russian – Understanding depression fact sheet Serbian – Understanding depression fact sheet Somalian – Understanding depression fact sheet Spanish – Understanding depression fact sheet Turkish – Understanding depression fact sheet Vietnamese – Understanding depression fact sheet YES or NO Quantity required