Baby Blues & Postpartum Depression: It’s Ok to Admit You Need Help (Part 2)

BY: - 16 Jan '13 | Parenting

Share this article!


It is estimated that 1 in 5 women in the U.S. experience postpartum depression. In part one of our interview, we spoke with Quiana Wade, a PPD survivor who cares so much about the well-being of other moms that she wanted to share her story. In this interview, we caught up with Dr. Johannson for a deeper understanding about PPD.

Is there an under diagnosis of PPD?

The hard part is there is a grey line between postpartum blues (which is more common), and postpartum depression (which is much more serious). It can be hard to tell the difference and some people prefer not to expose that part of themselves. They don’t want to seem like they can’t handle it.

What is the difference between Postpartum/Baby blues (PPB) and PPD?

I think the biggest thing is the transient nature of the baby blues. Mothers have moments or days in which they feel down, unworthy or just overwhelmed. That’s a very common thing in the early parts of the postpartum period. But it’s interspersed with other parts of it that they enjoy. They still enjoy their baby and still get pleasure out of their child. There are up periods and not just downs. The ups will become more frequent over time.

Depression tends to be much deeper and lasts much longer. They don’t get pleasure in dealing with the baby and sometimes they either feel negative or violent. It’s hard sometimes for people to admit it because it seems like such a “bad mother” thing to feel negative towards your baby. PPD is also much more dangerous [to yourself and your baby]. Unlike the baby blues, PPD will usually take some type of intervention (not necessarily medication).

Are there any specific triggers that women can watch for?

I think of it in three different parts, and this is just from my experience:

  1. If someone has a biological trigger, they can almost see it coming. They’ve had problems with depression throughout their lives so it’s something they’ve battled with. It’s important to know that they are highly susceptible to having PPD; not only because of the physical and mental demands, but also due to changes in the hormones.
  2. There are some people who are just susceptible but have never really had problems with mental health. But they have been overwhelmed and dealing with stress; so that added to the hormonal triggers, will push people into PPD.
  3. Then, there are a lot of women who don’t have the proper source of support in place. They are having relationship issues, spousal issues or they don’t have a spouse there to help. Or, they have someone at home who is either abusive or just not helpful at all. They could also be socially isolated for one reason or another.

I always joke with my patients that when they go home, they should feed the baby, feed themselves, and sleep. That’s it. They shouldn’t have to do anything else — cook, clean, pay bills, pick up the kids — none of that. But unfortunately, that’s not part of our culture.

Our social situation is not ideal a lot of times. There are so many in our community that have very little of a social safety net. It doesn’t negate the fact that there’s a biological part to this, but it’s very clear that there is also a social aspect. The psychological burden tends to be higher in the African-American community. There’s also more of a stigma (in our community) in seeking out mental health care.

What advice do you have for spouses in terms of being able to recognize the warning signs, and offering their support?

If they know they have a problem already, have a conversation with her about starting to see a counselor during the pregnancy stage or immediately after delivery. If they don’t know they have a problem, it’s important for the spouse to understand that she is not expected to do anything. Just know that she’s going to have bad days, but she’ll have good days too. If they are all bad days and no good days, then there’s a problem and that’s the time to seek help. It’s the job of the spouse and family/friends to kind of be on the look out for these signs.

What are some of the long term effects when PPD is left untreated?

Long term effects are also on the baby because the baby needs emotional relations. Babies’ brains are developing so they are wired to relate at this point, and the mother is the most important person to relate with. For the baby, having a mother with depression is a bad thing. Mothers who are depressed do not take care of themselves, which can lead to an increased risk of engaging in alcohol, drugs, etc. The worse case scenario is that they can hurt the baby or themselves (even commit suicide).

What do you want readers to take away from this interview and from the importance of understanding PPB and PPD?

I want them to really understand that moms need help. It is absolutely vital for her psychologically, and for her to be able to get a good start with the baby. They have to be aware that this exists. Don’t just sit and wait for it to get better.

Dr. Joshua Johannson

Dr. Joshua Johannson is the Director of Cheaha Women’s Health and Wellness in Anniston, AL and specializes in OB/GYN. He is also the Co-Chair of the Alabama Breastfeeding Committee and founder of Northeast Alabama Baby Cafe.

BMWK: Why do you feel there is a stigma attached to mental health as it relates to the African-American community? Is it because we are too blessed to be stressed?



like what you're reading?

Start Shopping!


  • Drea

    I agree with the doctor, too often we (African-Americans) don’t seek the professional help we need until it’s too late. We have to combat this stigma that says “you’re crazy” if you seek help.

    • Christine St. Vil

      Thank you Drea, that is absolutely correct! We definitely need to combat the stigma of mental health in general. We had a family friend commit suicide because he had been suffering depression for a while and did not seek the help he truly needed.

  • Allison

    Great article! Thank you for shedding light on the difference between PPB & PPD! I think that a lot of women (myself included here) experience that fine line/grey area between the two the Dr. mentions, and the fear of actually having PPD adds more anxiety to the situation. And of course we don’t seek help because who wants to consider themselves an incapable mother? It is a disturbing cycle that has so many negative consequences, both long and short term for mother and child. This is something that is not talked about enough, and I’m glad to see it getting some attention!

    • Christine St. Vil

      Hi Allison! Thanks so much for sharing. I completely agree with you in that it is a disturbing cycle with so many negative consequences. And I agree that it’s not talked about enough (even when I was pregnant, my Dr didn’t really explain or go into depth on it or what to expect).

  • Pingback: Three Things That Put You At Risk for Postpartum Depression()

  • Pingback: Real Moms, Real Talk - Baby Blues & Postpartum Depression (Part 2) | Moms 'N Charge()

  • usb hidden camera pen

    Hey would you mind sharing which blog platform you’re using?
    I’m looking tto start my own blog in the near future but I’m having a difficult time selecting between BlogEngine/Wordpress/B2evolution and Drupal.
    The reason I ask is because your design seems
    different then most blogs and I’m looking ffor something completely unique.
    P.S Sorry for beong off-topic but I had to ask!

    Also visit my webpage … usb hidden camera pen

  • Elisabeth

    Hey would you mind sharing which blog platform you’re using?
    I’m planning to start my own blog soon but I’m having a hard time choosing between BlogEngine/Wordpress/B2evolution and Drupal.

    The reason I ask is because your layout seems different then most blogs and I’m looking for something completely unique.
    P.S Apologies for getting off-topic but I had to ask!

    My webpage – search engine optimisation in london

  • Murfreesboro Divorce Lawyer

    This exercise in drawing a line and creating a obvious distinction between the collaboration process and also the courts guarantees the discussions within the former is often as open as you possibly can.
    Followers Mourn Diane Cilento’s Demise – Even though Diane Cilento was born in Australia, she starred in a range of Hollywood videos.
    Every Divorce lawyer New York differs in his approach from firm to firm and even though they have the same laws to work with.

    Here is my website; Murfreesboro Divorce Lawyer

  • Berenice

    I do not know whether it’s just me or if perhaps everybody else encountering problems
    with your website. It appears as if some of the written text within your content
    are running off the screen. Can someone else please provide feedback and let me know if
    this is happening to them too? This might be a problem with my internet
    browser because I’ve had this happen before. Appreciate

    Feel free to surf to my page JOE PANtel (Berenice)