Anxiety and Depression

Evidence  

https://www.sciencedirect.com/science/article/abs/pii/S1355184121001575 

Maria Galea, Tanya Park and Kathy Hegadoren 

Untreated depression and anxiety can last for years following an infant's discharge from the NICU and highlights the importance of preventing and/or managing these issues as early as possible. In addition to negatively impacting parental and child quality of life, poorly managed mental health issues can negatively impact parenting ability and lead to poor parent-child relationships and poor neurodevelopment of the child.  

Education 

The journey of parenting a high school-aged child born premature or sick may be accompanied by persistent worries, fears, and uncertainties. Parents may experience heightened anxiety related to their child's health, academic performance, social relationships, and prospects. Additionally, the stress of past medical interventions and ongoing health concerns can contribute to feelings of anxiety, depression and emotional exhaustion. 

Managing Anxiety 

Developing coping strategies, such as mindfulness techniques, relaxation exercises, and seeking social support, can help parents manage anxiety symptoms and regain a sense of control. 

A healthy lifestyle can also help you manage your anxiety. 

• Make sure you exercise regularly. Even a 10-minute short walk can help to improve how you feel. If you have not exercised in a long time, check with your doctor about what is safe for you. 

• Cut down on caffeine, which can increase anxiety and alter sleep patterns in some people. Avoid tea, coffee, cola, energy drinks and chocolate, especially after 6pm. 

• Limit how much alcohol, cigarettes and drugs you use. You can call the Quitline on: 13 7848 or call the National Alcohol and Other Drug Hotline on: 1800 250 015 for confidential advice. 

• Make healthy eating choices. 

• Get enough sleep. 

You might also like to try online e-therapies, many of which are free, anonymous, are easy to access and can be done from home from anywhere in Australia. Usually, you don’t need a referral from a GP. 

Find a range of online programs at the Australian Government's Head to Health website. https://www.headtohealth.gov.au/ 

If you are concerned about your symptoms or are finding it hard to manage you should speak to your GP. In an emergency you should call 000. 

Coping with Sadness and Depression 

Depression may surface as feelings of sadness, hopelessness, irritability, and exhaustion that interfere with a person’s everyday activities. It is important to realise that feeling down at times is a normal part of life. Sad and upsetting events happen to everyone.  But if you are feeling down or hopeless on a regular basis you could be dealing with depression.  

The demands of caregiving, coupled with the ongoing stress of balancing work, family, and personal responsibilities, can exacerbate depressive symptoms. 

Mothers of premature babies are five times more likely to suffer depression that those who receive psychological help, even up to eight years after their children are born.  

https://www.abc.net.au/news/2016-12-01/mothers-of-premature-babies-more-likely-to-suffer-depression/8084628 

 Symptoms of depression may include the following:  

• Loss of interest and enthusiasm for things  

• Constant feelings of sadness  

• Withdrawing from friends and family  

• Feelings of worthlessness  

• Fatigue  

• Loss or change of appetite  

• Sleep problems  

• Physical symptoms such as headaches or body aches  

Depression is a serious health issue and should be managed by a qualified health practitioner. Your GP can assess your mood and your overall health, and will suggest treatment approaches based on several factors, including what type of depression you have, how severe your symptoms are, and whether you are experiencing a first or recurrent episode. 

There are 3 main approaches to treating depression: 

• lifestyle changes — including reducing substance use, improving sleep, exercise) 

• psychological treatments — including ‘talking therapies’ such as CBT, mindfulness and online therapies. 

• Medical treatment — including medicines and ECT 

Often these treatments are used in combination.  

If you are concerned about your symptoms or finding it hard to manage you should speak to your GP. In an emergency you should call 000. 

Empowerment  

Recognising the signs of anxiety and depression and seeking professional support are critical steps in managing mental health concerns. Parents can benefit from therapy, counselling, or support groups tailored to their unique needs and experiences.  

Psychiatrists, psychologists, and social workers can provide evidence-based interventions and holistic support to address underlying issues and promote healing. 

Amidst the demands of caregiving, parents must prioritise self-care to maintain their own well-being. Setting boundaries, self-compassion, and carving out time for rest and relaxation are essential for replenishing emotional reserves. Engaging in hobbies, exercise, and meaningful social connections can nurture resilience and enhance coping mechanisms. 

Useful Links  

Beyond Blue 

https://www.beyondblue.org.au/mental-health/anxiety/treatments-for-anxiety 

https://www.beyondblue.org.au/mental-health/depression 

Health Direct, Australia 

https://www.healthdirect.gov.au/relaxation-techniques-for-stress-relief 

The Royal Australian and New Zealand College of Psychiatrists 

https://www.yourhealthinmind.org/mental-illnesses-disorders 

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