A guide for new parents in the LGBTQIA+ community facing postpartum depression

Understanding Postpartum Depression

Postpartum depression is a mood disorder that can affect new parents after childbirth, typically within the first year. Unlike the ‘baby blues', which are common and typically short-lived feelings of sadness and emotional fluctuations, PPD is more intense and can last longer if left untreated.  

Symptoms of PPD include feelings of hopelessness, irritability, extreme fatigue, difficulty bonding with your baby, changes in appetite, and thoughts of harming oneself or the baby.

It’s important to note that PPD doesn’t discriminate. It can impact parents of any gender, the birthing or non-birthing parent, a biological or non-biological parent. Understandably, the emotional and physical toll of PPD can significantly alter how new parents relate to their child, each other, and their family, making it vital to seek help early on.

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Unique Challenges for LGBTQIA+ Parents

LGBTQIA+ individuals may already face societal pressures, including stigma, discrimination, and lack of acceptance from their families or communities. These pressures can lead to feelings of isolation, anxiety, and a lack of support.

For LGBTQIA+ parents and rainbow families, the journey into parenthood may involve added stressors contributing to the onset or exacerbation of PPD. One study found that lesbian and bisexual biological mothers were more likely to experience symptoms of anxiety and depression than heterosexual women.¹

The process of becoming parents in the LGBTQIA+ community can involve additional considerations such as fertility and conception decisions, adoption barriers, financial pressures and the complexities of society accepting non-traditional family structures. These factors, combined with navigating the emotional rollercoaster of parenthood, can create a perfect storm for mental health concerns.  

_{"...PPD doesn’t discriminate. It can impact parents of any gender, the birthing or non-birthing parent, a biological or non-biological parent..."}

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The Intersectionality of Being an LGBTQIA+ Parent with PPD

Being an LGBTQIA+ parent navigating postpartum depression is an experience influenced by multiple aspects of identity, such as gender, sexual orientation, religious and cultural expectations and family dynamics. A transgender father, for example, may face unique emotional struggles with his postpartum experience, compounded by societal misunderstandings or medical professionals' lack of knowledge about trans health needs.

Personal stories can be incredibly helpful in understanding how PPD impacts different individuals. Take, for example, Alex and Jordan*, a queer couple who adopted their first child. While overjoyed, birthing parent Alex, struggled with feelings of inadequacy and sadness. Due to the demands of parenting in those early days, and lack of inclusivity from the healthcare system, isolation followed. This escalated into PPD.  Alex experienced a lack of understanding around queer and non-binary parenthood and found the healthcare system relied on generalised assumptions rather than individualised care. Through counselling, peer support, and community resources, they were able to heal and advocate for more inclusive care.

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Seeking Help: When and How?

Recognising the signs of postpartum depression early on is crucial, but it can sometimes be difficult for new parents, especially in the LGBTQIA+ community, to ask for help due to stigma around new parents experiencing mental health challenges and fear of discrimination. For those who have embarked on this often much considered parenting journey, one may feel they should be “strong enough” to handle the stresses of parenthood on their own.

If you are experiencing symptoms of PPD, it’s important to reach out for help. Don’t wait for the condition to worsen. Seeking help can be as simple as speaking to your GP, a mental health professional, or a trusted friend. Clinicians who specialise in perinatal mental health or working with LGBTQIA+ families can offer much-needed support and guidance. Inclusive practitioners can be found in many services, including the Gidget Foundation Australia and PANDA.  

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Treatment Options for PPD

There is no one-size-fits-all solution to treating postpartum depression. Treatment options may include counselling, medication, helpful routines and practices, all of which can be tailored to fit your individual needs. Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT) are common therapeutic approaches that have been shown to be effective for PPD and fundamental to all good therapy is non-judgemental acceptance from the support person.

Alongside consistent mental health care, in some cases medication such as antidepressants may be recommended, but it’s essential to discuss the potential risks and benefits with your healthcare provider. It’s also important to consider your unique identity when seeking treatment, ensuring that the healthcare professionals you work with are affirming and knowledgeable about the challenges faced by LGBTQIA+ parents.

_{"...lesbian and bisexual biological mothers were more likely to experience symptoms of anxiety and depression than heterosexual women."}¹

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Building a Support Network

A supportive home environment at home is crucial for recovery from postpartum depression. Before the parenting journey begins, we can start establishing a trusted community. LGBTQIA+ parents may find it helpful to create a network of friends, family and healthcare professionals who understand their experiences. This support could come from other parents, LGBTQIA+ inclusive community centres, or mental health professionals aware of issues LGBTQIA+ parents may face. Rainbow Families is a national organisation that offer social and peer support groups across Australia, and QLife can provide state-based resources and referrals. Finding specific queer support groups, such as Prospective Lesbian Parents, can also be beneficial. In some cases, joining a support group where other LGBTQIA+ parents share their experiences can provide a sense of belonging and understanding.

Moreover, if your family of origin or social, cultural or religious affiliations are not affirming, it’s even more important to lean on chosen family—those individuals who offer unconditional love and support.

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Self-Care Strategies for LGBTQIA+ Parents with PPD

Self-care is an essential part of managing postpartum depression. Taking time for yourself doesn’t mean you’re neglecting your baby; it means you’re prioritising your own mental health to better care for your family. Some self-care strategies include:

• Practicing mindfulness or meditation to reduce stress
• Engaging in regular physical activity that feels good for your body
• Engaging in activities that bring joy or relaxation, such as reading or spending time in nature
• Reaching out for emotional support when you’re feeling overwhelmed

Self-care looks different for everyone, and it’s okay to ask for help when you need it.

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_{"...it’s even more important to lean on chosen family—those individuals who offer unconditional love and support."}

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Advocacy and Raising Awareness

Raising awareness about postpartum depression in the LGBTQIA+ community is critical. By sharing our stories, we can help normalise conversations about mental health and challenge the stigma that often prevents people from seeking help. If you’re comfortable, consider advocating for better healthcare policies, more inclusive resources, or simply sharing your personal experience with others who may benefit from it.

Encourage those around you to be open and understanding and remind yourself that it’s okay to ask for help. Through advocacy, we can help ensure that future LGBTQIA+ parents have access to the care and support they need.

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Conclusion

While individuals within marginalised groups have often had to develop coping skills and a level of resilience to endure potential discrimination or stigma, we must acknowledge the unique struggles faced by our LGBTQIA+ parents. Reaching out for help and creating a supportive environment ensures recovery is possible. Postpartum depression is a challenging and often isolating experience, but you are not alone. Seeking help early, practicing self-care, and building a strong support network are vital steps in managing PPD and finding your way back to a place of well-being

Remember: All parents deserve care, support, and understanding. Your mental health is just as important as your baby’s, and taking care of yourself helps you be the best parent you can be.

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