Maternal thinking and the treatment of postnatal depression

Postnatal depression affects 10-15% of all mothers but in many cases it is undetected and untreated. This paper explores two aspects of maternal thinking in postnatal depression which might affect detection and treatment. Firstly, it reviews the evidence that there are cognitive differences between women in the postnatal period and that the vulnerability to depression postnatally for some women may reflect a particular cognitive style. Secondly, it examines women's perceptions of their symptoms, relating these to whether they seek help and accept treatment. The importance of maternal thinking in the treatment of postnatal depression, particularly by health visitors is discussed.