In a Movember male-mental-health special, this week I chat to Professor Viren Swami. Viren is Professor of Social Psychology at Anglia Ruskin University and is ranked in the top 2% of 'most-cited scientists' in the world. Viren's research is focused on the promotion of positive body image in diverse cultural groups, as well as mental health literacy and understandings of mental ill-health.
His work has moved on to include paternal postnatal depression following Viren's own struggles with fatherhood. He talks to me very candidly and movingly about the effects of suffering from PND after the birth of his son. Not to be missed.
*TRIGGER WARNING: Postnatal Depression, Birth Trauma and feelings of Suicide*
IN THIS EPISODE WE DISCUSS:
[00:00] Teaser quote.
[01:59] Introducing Viren.
[02:54] Viren before his son came along.
[03:27] The abstract concept of 'having a baby'.
[04:44] Viren's work in mental health literacy.
[06:02] How men often put off seeking help.
[07:04] Highlight to other relevant episodes from S1 - Mark Williams, Elliott Rae and Dr Andy Mayers.
[07:27] It's a myth that men don't suffer from postnatal depression - 8-12% of first-time fathers do.
[08:13] Applying the term 'postnatal depression' to men can often make people less understanding, due to the misconception they are taking emphasis away from women.
[09:42] During the pregnancy, Viren felt estranged and 'not part of the process'.
[10:26] The birth itself - an unexpected and traumatic birth at home.
[12:20] Holding his son for the first time - feelings of numbness and not wanting to be there.
[15:09] The overwhelming responsibility of having a tiny human being and not knowing what to do.
[15:50] Problems with sleep.
[19:30] Viren's wife's experience - worrying about Viren on top of being a new mum.
[20:48] Issues with Jesse not feeding. Feelings of helplessness and not being able to 'fix' things.
[23:16] Struggling to function normally. Feelings of shame.
[24:21] Research study demonstrated the difference in how people perceived PND in mums and fathers.
[25:23] Keeping his feelings hidden.
[27:44] The devastating consequences of men suffering from postnatal depression.
[29:18] Depression doesn't get better on its own - the importance of talking.
[30:15] Internalising the depression, "there's nothing wrong with me!"
[31:04] Once opening up to a health visitor and being shut down.
[33:42] Plans for screening fathers - the need for everyone to be screened.
[35:33] Fears around being 'mentally ill' or having his son taken away.
[36:34] Feelings of anger at everything.
[37:08] "Why'd you hate me?" Irrational thoughts that Viren wasn't needed by his family. Feelings of suicide and battling himself.
[39:22] Feelings of love for Jesse didn't come till much later.
[41:17] The turning point - a letter from his wife and a visit to his GP.
[43:55] Advice for dads going through it right now. The affect of non-help-seeking on your family.
[46:33] Getting better isn't a linear process - there will be many ups and downs along the way.
[48:39] Realising that 'it's not your fault'.
[50:10] Playing with Jesse in front of his psychotherapist and being told that he was a good parent.
[52:00] Falling in love with his son and learning how to 'parent'.
[53:14] Breaking the fear of taking his son out on his own.
[55:06] The brilliance of baby cinema, like the Picturehouse's 'Big Scream'.
[56:03] The difficulty 'rationalising' those intrusive thoughts.
[56:28] The potential to be depressed after the birth of a child exists in everyone.
[57:29] So many people go through this experience - it is not shameful.
[58:18] We need to look at helping the family unit as a whole, whatever your family looks like.
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NEXT EPISODE:
Next time I chat to Dr Orinayo Onabanjo, a chartered counselling psychologist with a passion for perinatal mental health. Orin's skills include helping mums cultivate stronger attachments with their babies and addressing the impact unresolved childhood trauma can have on the journey of motherhood. We chat everything from mum guilt to the racist inequalities faced by black and brown parents in the UK maternity system.
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We ultimately ended up having my son at home, which was
PROFESSOR VIREN SWAMI:incredibly stressful because ambulance services do not send out an ambulance
PROFESSOR VIREN SWAMI:until the baby is actually crowning.
PROFESSOR VIREN SWAMI:I overheard the operator on the phone while I was on the phone
PROFESSOR VIREN SWAMI:telling a colleague of his, "We're not gonna send out the
PROFESSOR VIREN SWAMI:ambulance, the baby's not here yet!"
PROFESSOR VIREN SWAMI:And so I was at home having to deal with my partner and had no
PROFESSOR VIREN SWAMI:understanding of what was happening.
PROFESSOR VIREN SWAMI:Absolutely nothing made sense at that point.
PROFESSOR VIREN SWAMI:After my son was born, they wrapped him up and the paramedics gave them
PROFESSOR VIREN SWAMI:to me and they were like, "Well done.
PROFESSOR VIREN SWAMI:Congratulations!"
PROFESSOR VIREN SWAMI:And I was just thinking "Why?
PROFESSOR VIREN SWAMI:What am I being congratulated for?
PROFESSOR VIREN SWAMI:And I remember my mum was there.
PROFESSOR VIREN SWAMI:She wanted to take a photo of me, the first photo of me and my son.
PROFESSOR VIREN SWAMI:I was like, I don't want to take this photo.
PROFESSOR VIREN SWAMI:I'm not happy at this point.
PROFESSOR VIREN SWAMI:It's such a strange photo to look at because I know what I'm
PROFESSOR VIREN SWAMI:feeling inside, which is I don't want to be here right now.
PROFESSOR VIREN SWAMI:I, I don't want to experience this.
PROFESSOR VIREN SWAMI:I don't want to feel this.
PROFESSOR VIREN SWAMI:And I'm almost kind of in my head going, "Why am I not feeling something else?
PROFESSOR VIREN SWAMI:Where is the love, where is the joy that I'm meant to be feeling, everyone's told
PROFESSOR VIREN SWAMI:me I'm going to experience at this point?"
PROFESSOR VIREN SWAMI:And outwardly I'm doing all the things you'd expect me to do.
PROFESSOR VIREN SWAMI:I'm, I'm pretending I'm, I'm happy.
PROFESSOR VIREN SWAMI:"Yes, I'm feeling really joyful and thank you for congratulating me."
PROFESSOR VIREN SWAMI:Inside I'm like a shell, almost like there's nothing there.
VIKKI:Having a baby is meant to be the most joyful time of your life.
VIKKI:But for many mums and dads, it can be the hardest and at
VIKKI:times the darkest of places.
VIKKI:Welcome to Season 2 of Blue MumDays, the podcast for anyone
VIKKI:struggling with parenting.
VIKKI:All the stories shared here are from the heart.
VIKKI:These are real conversations and may be triggering, so
VIKKI:please listen with discretion.
VIKKI:Today's episode covers feelings of suicide.
VIKKI:We will also signpost you to help in the show notes.
VIKKI:Thank you.
VIKKI:This episode was recorded during the spring of 2022.
VIKKI:Today's guest is Professor Viren Swami, ranked in the top 2% of the
VIKKI:most cited scientists in the world.
VIKKI:Viren is the author of over 300 academic papers and three books,
VIKKI:including Attraction Explained.
VIKKI:Viren is Professor of Social Psychology at Anglia Ruskin University,
VIKKI:where he is co-director of the Center for Groups and Societies.
VIKKI:He is also a adjunct professor at Perdani University, where he is Director of
VIKKI:the Center for Psychological Medicine.
VIKKI:Viren's research is focused on the promotion of positive body image
VIKKI:in diverse cultural groups, as well as mental health literacy or
VIKKI:understandings of mental ill health, including paternal postnatal depression.
VIKKI:The latter is informed by his own experience of postnatal depression,
VIKKI:which he's also written about.
VIKKI:Thank you so much for joining us today, Viren - really
VIKKI:pleased to have you with us.
VIKKI:PROFESSOR VIREN SWAMI: Thank you for having me.
VIKKI:First of all, if we could start out and get a sense of you before
VIKKI:you had your son, you know, what you were like as a person and what you
VIKKI:were doing in terms of your work?
PROFESSOR VIREN SWAMI:Wow, that is a huge question.
PROFESSOR VIREN SWAMI:What was I like?
PROFESSOR VIREN SWAMI:I don't know.
PROFESSOR VIREN SWAMI:I, I, I was generally happy.
PROFESSOR VIREN SWAMI:My partner and I had got married, I think a year before our son was born, maybe a
PROFESSOR VIREN SWAMI:year and a half before our son was born.
PROFESSOR VIREN SWAMI:Um, I just got my, my professorship at, at Anglo Ruskin University.
PROFESSOR VIREN SWAMI:So life was generally quite good.
VIKKI:And how did you view sort of becoming a parent?
VIKKI:Were you excited?
PROFESSOR VIREN SWAMI:I don't know.
PROFESSOR VIREN SWAMI:I, I think looking back, I think it's easy to go, you know, I was
PROFESSOR VIREN SWAMI:fully into the, into the decision to get, to get, to have a child.
PROFESSOR VIREN SWAMI:It was really abstract.
PROFESSOR VIREN SWAMI:It wasn't something concrete.
PROFESSOR VIREN SWAMI:To me, it was like this notion that you can have a child and
PROFESSOR VIREN SWAMI:yeah, that's what families do.
PROFESSOR VIREN SWAMI:They have children.
PROFESSOR VIREN SWAMI:It wasn't ever really a.
PROFESSOR VIREN SWAMI:Decision to me, even after my partner was, was pregnant.
PROFESSOR VIREN SWAMI:I don't think I really ever felt like this is real.
PROFESSOR VIREN SWAMI:This is something that's going to happen.
PROFESSOR VIREN SWAMI:You're going to have to care for a human being.
PROFESSOR VIREN SWAMI:I don't think I understood that.
PROFESSOR VIREN SWAMI:The kind of realities of that.
VIKKI:It's amazing, isn't it?
VIKKI:even when you are carrying the child within yourself and you know, this is
VIKKI:the experience that I certainly felt and so many people I've spoken to,
VIKKI:that it does feel a really nebulous until you actually have your baby.
VIKKI:You know, you know in your head what it's like.
VIKKI:And I think for parents, especially during the pandemic where the fathers
VIKKI:or birthing partners or co-partners couldn't actually go into see scans or
VIKKI:be part of that process, it makes it even less of a reality if you, you get me?
VIKKI:And were you doing your work within the field of mental
VIKKI:health before you had your son?
PROFESSOR VIREN SWAMI:Yeah, so I, I'd done quite a bit of
PROFESSOR VIREN SWAMI:work on mental health literacy.
PROFESSOR VIREN SWAMI:So mental health literacy is basically the idea of how, how non-scientists
PROFESSOR VIREN SWAMI:understand something like mental health.
PROFESSOR VIREN SWAMI:What do they think it is, how does it happen?
PROFESSOR VIREN SWAMI:Something like how does depression happen and what are their explanations for it?
PROFESSOR VIREN SWAMI:So I've done quite a bit of work on mental health literacy focused,
PROFESSOR VIREN SWAMI:um, a lot on men's understandings of depression, for example.
PROFESSOR VIREN SWAMI:Not my main area of research, but I'd done enough work.
PROFESSOR VIREN SWAMI:I'd never done work on postnatal depression before my son was born.
PROFESSOR VIREN SWAMI:And in fact, if, I mean, honestly, I don't think it even, it wasn't my radar, I don't
PROFESSOR VIREN SWAMI:think I'd any conception of it existing in men, um, prior to my son being born.
VIKKI:What, what sort of instilled this interest in that area for you?
VIKKI:Was it lived experience or was it the brain that fascinated you?
PROFESSOR VIREN SWAMI:I I, so a lot of my research is focused on mental
PROFESSOR VIREN SWAMI:health in general, but a lot of the kind of work that scientists do is
PROFESSOR VIREN SWAMI:often focused on understanding the scientific causes of mental illness.
PROFESSOR VIREN SWAMI:And we often don't think about how non-scientists understand something
PROFESSOR VIREN SWAMI:like depression, because if you're understanding of, of mental ill
PROFESSOR VIREN SWAMI:health is completely different to a scientist and it will also affect your
PROFESSOR VIREN SWAMI:help seeking behaviors, for example.
PROFESSOR VIREN SWAMI:And one of the things we know, for example, in my own research, the kind
PROFESSOR VIREN SWAMI:of early work that I did was focus on gendered behaviors and masculinities
PROFESSOR VIREN SWAMI:and how masculinities might impact something like help seeking behavior.
PROFESSOR VIREN SWAMI:And what we know is that men often put off seeking help because of
PROFESSOR VIREN SWAMI:constructions of, of what it means to be a masculine individual.
PROFESSOR VIREN SWAMI:Um, asking for help doesn't fit with our conceptions of what it
PROFESSOR VIREN SWAMI:is, what it means to be masculine.
PROFESSOR VIREN SWAMI:Um, so my, my kind of interest in, in mental health literacy derived
PROFESSOR VIREN SWAMI:from this kind of gender binary of, of help seeking basically that men.
PROFESSOR VIREN SWAMI:Often put off help seeking.
PROFESSOR VIREN SWAMI:They often have difficulty articulating mental illness and
PROFESSOR VIREN SWAMI:mental ill health because they don't have the tools to communicate.
PROFESSOR VIREN SWAMI:Something as simple as saying, I'm struggling.
VIKKI:It's funny because a lot of men find it difficult speaking, you know,
VIKKI:going forward to their GP about physical health, and so yeah, I can totally
VIKKI:understand why talking to somebody about.
VIKKI:Mental health is even tougher.
VIKKI:And I was gonna say, if there are any fathers listening to this podcast
VIKKI:right now please keep listening because obviously, speaking to Viren and his
VIKKI:own experiences, incredibly relevant.
VIKKI:But I would also highlight the episodes with Mark Williams and Elliot
VIKKI:Ray and also my interview with Dr.
VIKKI:Andrew Mayers because all of those episodes deal with the experience that,
VIKKI:that men have with postnatal depression.
VIKKI:And it's a complete myth that men don't or are, aren't affected by postnatal
VIKKI:depression or the perinatal period.
VIKKI:Because actually, uh, I think the, the latest statistic is one in 10...
PROFESSOR VIREN SWAMI:it varies a lot depending on, on how you, you
PROFESSOR VIREN SWAMI:measure something like postnatal depression, depends on the
PROFESSOR VIREN SWAMI:timeframe that you're talking about.
PROFESSOR VIREN SWAMI:But yeah, generally between eight and 12% of first time fathers will experience.
PROFESSOR VIREN SWAMI:Debilitating, um, depression, anxiety, um, often extreme stress as well.
PROFESSOR VIREN SWAMI:Um, and often they're not singular experiences.
PROFESSOR VIREN SWAMI:We often talk about postnatal depression, but postnatal depression
PROFESSOR VIREN SWAMI:as well from co-morbid with anxiety and high levels of stress.
PROFESSOR VIREN SWAMI:Um, so there's, I suppose they're kind, kind of broader idea is that we don't
PROFESSOR VIREN SWAMI:think about postnatal depression as affecting men because it's often a term
PROFESSOR VIREN SWAMI:that we use almost exclusively for Mums.
PROFESSOR VIREN SWAMI:And I often think, you know, if we just said a dad was depressed and we don't
PROFESSOR VIREN SWAMI:use the term postnatal depression, we would almost instinctively say
PROFESSOR VIREN SWAMI:that Dad should get some help.
PROFESSOR VIREN SWAMI:They should seek professional help.
PROFESSOR VIREN SWAMI:But as soon as you apply the term postnatal depression,
PROFESSOR VIREN SWAMI:people get upset about this.
PROFESSOR VIREN SWAMI:They think we are trying to steal.
PROFESSOR VIREN SWAMI:Kinda limited funding that's available for, for Mums
PROFESSOR VIREN SWAMI:postnatal care, which we're not.
PROFESSOR VIREN SWAMI:Or they think it's something where men have already had privilege historically
PROFESSOR VIREN SWAMI:and they want even more privilege now.
PROFESSOR VIREN SWAMI:And it's not the case.
PROFESSOR VIREN SWAMI:I think always simply saying that these, if these issues affect men, and
PROFESSOR VIREN SWAMI:if to the extent they do affect men, we should be seeking help for men.
PROFESSOR VIREN SWAMI:We should be offering, offering them the care that they need to ensure the
PROFESSOR VIREN SWAMI:best possible chance for the entire family, family unit to flourish.
PROFESSOR VIREN SWAMI:And it's like saying if someone's in your family is struggling, you don't
PROFESSOR VIREN SWAMI:want to help them because of a term, cause of, of a semantic use of a, of
PROFESSOR VIREN SWAMI:language is, is to me, seems really not just offensive but also quite ridiculous.
PROFESSOR VIREN SWAMI:Um, if you flip from that to saying a person was depressed following the
PROFESSOR VIREN SWAMI:birth of a child, the instinct would be we should get that person some help.
VIKKI:Yeah.
VIKKI:Yeah.
VIKKI:And the hard reality is that there should be greater funding for everybody, and
VIKKI:early intervention is so important, not just for the parents' wellbeing,
VIKKI:but the wellbeing of the entire family.
VIKKI:And that includes the child.
VIKKI:So are you happy to talk about the circumstances leading up to
VIKKI:the birth and, and the birth?
VIKKI:Was it an easy pregnancy?
VIKKI:Did everything go to plan?
PROFESSOR VIREN SWAMI:It was easy-ish.
PROFESSOR VIREN SWAMI:I think I'd become quite estranged for my partner quite early on in the pregnancy.
PROFESSOR VIREN SWAMI:I think partly it was, didn't seem real to me.
PROFESSOR VIREN SWAMI:It didn't seem like I was, it wasn't affecting me.
PROFESSOR VIREN SWAMI:It was, I was excluded from the experience and that was quite difficult.
PROFESSOR VIREN SWAMI:And I didn't really understand it at the time.
PROFESSOR VIREN SWAMI:I don't think I had a conscious awareness of me thinking, Oh, I'm not
PROFESSOR VIREN SWAMI:part of this process, therefore I'm going to exclude myself here, or kind
PROFESSOR VIREN SWAMI:of strange myself for my partner.
PROFESSOR VIREN SWAMI:But I think over time what did happen was that I felt increasingly,
PROFESSOR VIREN SWAMI:like I was not part of the process.
PROFESSOR VIREN SWAMI:Um, but her pregnancy itself, Was relatively straightforward.
PROFESSOR VIREN SWAMI:Um, the, the one complication is the right word, the one spanner in the works.
PROFESSOR VIREN SWAMI:We planned to go to hospital.
PROFESSOR VIREN SWAMI:Um, but um, we ultimately ended up having my son at home, um, which was
PROFESSOR VIREN SWAMI:incredibly stressful because for the, i, I dunno if you know this, but ambulance
PROFESSOR VIREN SWAMI:services do not send out an ambulance until the baby is actually crowning.
VIKKI:Oh my gosh.
VIKKI:Really?
PROFESSOR VIREN SWAMI:I overheard the, the operator on the phone while I was
PROFESSOR VIREN SWAMI:on the phone telling some, a colleague of his, We're not gonna send out the
PROFESSOR VIREN SWAMI:ambulance, the baby's not here yet.
PROFESSOR VIREN SWAMI:And so I was at home having to deal with my partner and had no
PROFESSOR VIREN SWAMI:understanding of what was happening.
PROFESSOR VIREN SWAMI:Absolutely nothing made sense at that point.
PROFESSOR VIREN SWAMI:Um, but yeah.
PROFESSOR VIREN SWAMI:Anyway, obviously eventually the ambulance services did arrive.
PROFESSOR VIREN SWAMI:There were three, three ambulances parked outside our house, but.
VIKKI:Wow.
VIKKI:It's like buses!
PROFESSOR VIREN SWAMI:Yeah, But they were brilliant.
PROFESSOR VIREN SWAMI:They were loved it, and they, they dealt with everything.
PROFESSOR VIREN SWAMI:I remember they, they just came in and they said, Why don't
PROFESSOR VIREN SWAMI:you put the, put the kettle on?
PROFESSOR VIREN SWAMI:And I thought, You're not taking this seriously enough.
PROFESSOR VIREN SWAMI:My baby's almost here.
PROFESSOR VIREN SWAMI:Um, yeah, they were brilliant.
PROFESSOR VIREN SWAMI:I, I
VIKKI:have been quite frightening.
PROFESSOR VIREN SWAMI:I, I don't think I had a concept of it, of it,
PROFESSOR VIREN SWAMI:of kind of understanding my, how, how much fear I was in at the time.
PROFESSOR VIREN SWAMI:My, my, my wife did later say, you know, you were shouting at
PROFESSOR VIREN SWAMI:the operator down the phone.
PROFESSOR VIREN SWAMI:And I was so apologetic.
PROFESSOR VIREN SWAMI:I was telling the, the ambulance screwed.
PROFESSOR VIREN SWAMI:Like, I wanna call up the operator just to apologize.
PROFESSOR VIREN SWAMI:I didn't mean to shout.
PROFESSOR VIREN SWAMI:And, um, but I, it was stressful.
PROFESSOR VIREN SWAMI:But I, I think that the thing for me was, once everything had settled down, I, it
PROFESSOR VIREN SWAMI:was relief rather than anything else.
PROFESSOR VIREN SWAMI:I felt just like that's over with.
PROFESSOR VIREN SWAMI:And obviously they can't, because it was meant to be a hospital birth.
PROFESSOR VIREN SWAMI:They take you to hospital.
VIKKI:right.
PROFESSOR VIREN SWAMI:Obviously we went to hospital eventually and there were
PROFESSOR VIREN SWAMI:complications with my wife at that point.
PROFESSOR VIREN SWAMI:Um, and so kind of initially at least a lot of the kind of skin to skin
PROFESSOR VIREN SWAMI:contact was with me, um, which was strange cuz I don't think I actually
PROFESSOR VIREN SWAMI:felt at the time like, like this, you know, everyone kind of says to you
PROFESSOR VIREN SWAMI:when you, when you hold your child for the first time, you're gonna feel
PROFESSOR VIREN SWAMI:this wonderful moment of relation.
PROFESSOR VIREN SWAMI:And I never felt that, I never had that.
PROFESSOR VIREN SWAMI:It was always kind of, if anything, numbness, it just kind of,
VIKKI:Mm.
VIKKI:PROFESSOR VIREN SWAMI: I dunno what to do now.
VIKKI:So many people I've spoken to for this podcast have said exactly
VIKKI:the same to me, and I, I didn't feel, you know, that wonderful endorphin
VIKKI:rush that you're promised to get.
VIKKI:And I wonder how.
VIKKI:frequent that actually is, and, and whether the norm is that you do get that.
VIKKI:And it's, you know, gosh, it must be the most wonderful thing in the world for
VIKKI:those that are lucky enough to get that.
VIKKI:But for those of us, it's, it, you wonder if there were more realistic expectations
VIKKI:and, and the narrative was slightly different and more realistic, whether, as
VIKKI:many of us would struggle with, becoming a parent because I, I know I felt guilt
VIKKI:when I didn't get that 'ah', moment.
VIKKI:Yeah, I, I just felt numb.
PROFESSOR VIREN SWAMI:I, I felt guilt a lot later on.
PROFESSOR VIREN SWAMI:It was, why am I not feeling that?
PROFESSOR VIREN SWAMI:It's that question that always bugged me.
PROFESSOR VIREN SWAMI:I remember as soon after my son was born, they wrapped him up and
PROFESSOR VIREN SWAMI:the paramedics gave them to me and they were like, Well done.
PROFESSOR VIREN SWAMI:Congratulations.
PROFESSOR VIREN SWAMI:And I was just thinking, I, I, Why?
PROFESSOR VIREN SWAMI:What am I being congratulated for?
PROFESSOR VIREN SWAMI:And I remember my, my mum was there.
PROFESSOR VIREN SWAMI:She wanted to take a photo of me, the first photo of me and my son.
PROFESSOR VIREN SWAMI:I was like, I don't want to take this photo.
PROFESSOR VIREN SWAMI:I'm not happy at this point.
PROFESSOR VIREN SWAMI:I don't know what you want to take a photo of.
PROFESSOR VIREN SWAMI:And I have the photo, I've looked at it since, and I'm smiling
PROFESSOR VIREN SWAMI:and you'd think this is parents really happy at this point.
PROFESSOR VIREN SWAMI:It's such a strange photo to look at because I know what I'm
PROFESSOR VIREN SWAMI:feeling inside, which is I don't, I don't want to be here right now.
PROFESSOR VIREN SWAMI:I, I don't want to experience this.
PROFESSOR VIREN SWAMI:I don't want to feel this.
PROFESSOR VIREN SWAMI:Um, and I'm almost kind of in my head going, Why am I
PROFESSOR VIREN SWAMI:not feeling something else?
PROFESSOR VIREN SWAMI:Where is the love, where is the joy that I'm meant to be feeling, everyone's told
PROFESSOR VIREN SWAMI:me I'm going to experience at this point.
PROFESSOR VIREN SWAMI:And outwardly I'm doing all the things you'd expect me to do.
PROFESSOR VIREN SWAMI:I'm, I'm pretending I'm, I'm happy.
PROFESSOR VIREN SWAMI:Yes, I'm, I'm feeling really joyful and thank you for congratulating me inside.
PROFESSOR VIREN SWAMI:I'm like a shell almost like there's nothing there.
PROFESSOR VIREN SWAMI:Um, like I said, I felt relief because obviously my son was, um,
PROFESSOR VIREN SWAMI:the cord was wrapped around his neck when he came out and everything.
PROFESSOR VIREN SWAMI:And I felt relief obviously, that he was safe and he was, um, He was healthy,
PROFESSOR VIREN SWAMI:I don't think I felt anything else.
PROFESSOR VIREN SWAMI:I mean, obviously then we got taken to hospital and we, we stayed
PROFESSOR VIREN SWAMI:there overnight and it was fine.
PROFESSOR VIREN SWAMI:But no one tells you this is a human child.
PROFESSOR VIREN SWAMI:This is a human being.
PROFESSOR VIREN SWAMI:Obviously you are meant to know this.
PROFESSOR VIREN SWAMI:You're meant to know your partner and you've given birth to a child.
PROFESSOR VIREN SWAMI:There is a human being involved here.
PROFESSOR VIREN SWAMI:But then you get packed off and you get sent home and no one comes with you.
PROFESSOR VIREN SWAMI:No one comes to help.
PROFESSOR VIREN SWAMI:No one tells you what to do.
PROFESSOR VIREN SWAMI:And everything you've been told about what it's going to be
PROFESSOR VIREN SWAMI:like is completely abstract.
PROFESSOR VIREN SWAMI:Oh, you change the diaper in this way, or they might not
PROFESSOR VIREN SWAMI:sleep at night and you feed them.
PROFESSOR VIREN SWAMI:Yes.
PROFESSOR VIREN SWAMI:But once you have the baby, it's an actual, real experience and suddenly
PROFESSOR VIREN SWAMI:it's not, It's not funny anymore.
PROFESSOR VIREN SWAMI:Suddenly it's not abstract anymore.
PROFESSOR VIREN SWAMI:And I remember coming home with our son and going, I, what do I do?
PROFESSOR VIREN SWAMI:What do we, I meant the, those first few nights, and he was a horrible sleeper.
PROFESSOR VIREN SWAMI:He'll probably watch this one day and think, Oh God,
PROFESSOR VIREN SWAMI:he's, he'll, he'll know this.
PROFESSOR VIREN SWAMI:Even now, he's a horrible sleeper.
PROFESSOR VIREN SWAMI:He still doesn't sleep through the night.
PROFESSOR VIREN SWAMI:Um,
VIKKI:How old is he now?
PROFESSOR VIREN SWAMI:he's four
VIKKI:Oh god.
VIKKI:That's tough.
VIKKI:That is so tough for you guys.
VIKKI:That's
VIKKI:torture.
PROFESSOR VIREN SWAMI:yeah, I, I quite, we've got a routine with him now, but
PROFESSOR VIREN SWAMI:yeah, he, he's not a great sleeper.
PROFESSOR VIREN SWAMI:Um, but those first few nights he just wouldn't sleep.
PROFESSOR VIREN SWAMI:And the combination of everything, him not sleeping, not knowing what to
PROFESSOR VIREN SWAMI:do, learning how to make a bottle for the first time, making sure it's warm
PROFESSOR VIREN SWAMI:at two o'clock in the morning, all of that suddenly becomes really different
PROFESSOR VIREN SWAMI:to what you thought it would be like.
PROFESSOR VIREN SWAMI:It wasn't a joyful, wonderful, lovely experience.
PROFESSOR VIREN SWAMI:It was a horrendous, horrible experience.
PROFESSOR VIREN SWAMI:And it's awful to say that, but that's the reality of it.
PROFESSOR VIREN SWAMI:What, what it was like for me.
PROFESSOR VIREN SWAMI:I remember sitting up at two o'clock in the morning just
PROFESSOR VIREN SWAMI:thinking, Why is he not sleeping?
PROFESSOR VIREN SWAMI:What do I have to do to get him to sleep?
PROFESSOR VIREN SWAMI:And he's refusing to sleep at two o'clock, three o'clock, four o'clock,
PROFESSOR VIREN SWAMI:and often there would be nights I'd just stay up with him holding him,
PROFESSOR VIREN SWAMI:not doing anything, just sitting on the couch with him hoping he falls
PROFESSOR VIREN SWAMI:asleep, uh, walking around the bedrooms, hoping he'll fall asleep continuously.
PROFESSOR VIREN SWAMI:No one tells you that's going to happen.
PROFESSOR VIREN SWAMI:No one tells you it's going to be that tough.
PROFESSOR VIREN SWAMI:No one talks about that kind of stuff.
PROFESSOR VIREN SWAMI:And if someone had said to me like before he was born, it might be really, really
PROFESSOR VIREN SWAMI:difficult, you should prepare for that.
PROFESSOR VIREN SWAMI:I might have done things different.
PROFESSOR VIREN SWAMI:I don't know.
VIKKI:I think that lack of sleep, I mean it is absolute mental torture.
VIKKI:My background is working at the BBC I was used to directing shoots and
VIKKI:getting up early or working late into the night or pulling an all nighter.
VIKKI:So I was thinking, " I've got up at three o'clock in the morning to
VIKKI:go to a set, I can handle this!"
VIKKI:No, nothing prepares you for that.
VIKKI:It is absolute torture.
VIKKI:And as well the crushing responsibility as you say, that suddenly you are
VIKKI:responsible for a human life and you don't get anything as responsible as that.
VIKKI:And that's what I really struggled with, especially in the early days I
VIKKI:don't know if, if you and your wife had this, but I had that sense that he
VIKKI:was gonna immediately stop breathing.
VIKKI:So I was constantly checking on him to make sure he was still alive.
VIKKI:And one, one thing that they don't tell you about, and I don't know if you had
VIKKI:this with your son, the first couple of nights we had him, he would do these
VIKKI:crazy jumps where he would sort of put all his limbs out and he'd be asleep,
VIKKI:but he would be doing these jumps.
VIKKI:And I subsequently found out that it's because when the baby's in the womb,
VIKKI:they're used to have being enclosed.
VIKKI:And that actually, it's quite scary for them not being, uh, enclosed anymore.
VIKKI:And that's, I guess, the argument for, for swaddling them,
VIKKI:why that gives them comfort.
VIKKI:But it was the most alarming thing as a new parent because you just
VIKKI:think, "My God, what's going on?
VIKKI:Is he having a seizure?"
VIKKI:And nobody tells you.
VIKKI:I mean, you know, I've done NCT, like how to, physically put a nappy
VIKKI:on until you have a Wriggling human
PROFESSOR VIREN SWAMI:Yeah,
VIKKI:it's so hard.
VIKKI:And I remember my first night in hospital or like the next morning
VIKKI:and being told to wash Stanley and put him in fresh clothing.
VIKKI:And it's like, "but how?!"
VIKKI:How you've got this thing and you've got to negotiate it over their head and
VIKKI:you're scared you're going to damage them, it's, yeah it's really alarming.
PROFESSOR VIREN SWAMI:yeah.
VIKKI:And how about your wife's experience?
VIKKI:It was traumatic birth for her well.
PROFESSOR VIREN SWAMI:It was a traumatic birth for her.
PROFESSOR VIREN SWAMI:I, I think she had the experience of " I'm immediately in love with my child."
PROFESSOR VIREN SWAMI:The difficulty for her was I think obviously she had to cope with all
PROFESSOR VIREN SWAMI:of that, kind of the lack of sleep and learning everything afresh.
PROFESSOR VIREN SWAMI:And I think over the first few weeks what she also ended up
PROFESSOR VIREN SWAMI:having to do was to start worrying about me and why I was struggling.
PROFESSOR VIREN SWAMI:And I think it was a dual thing.
PROFESSOR VIREN SWAMI:I think it was partly "why is Viren struggling?"
PROFESSOR VIREN SWAMI:And "is he struggling with our child or when he's having to look after our child?"
PROFESSOR VIREN SWAMI:We essentially kind of had this kinda shift system where I would
PROFESSOR VIREN SWAMI:do some of the kind of night shifts and then she would take over.
PROFESSOR VIREN SWAMI:And I think for her there was a concern about "is Viren okay?"
PROFESSOR VIREN SWAMI:but "is Viren okay to look after my child?"
PROFESSOR VIREN SWAMI:as well.
PROFESSOR VIREN SWAMI:And that, that was really tough for her.
PROFESSOR VIREN SWAMI:I think.
PROFESSOR VIREN SWAMI:I think one of the difficulties when talking about my own experiences is
PROFESSOR VIREN SWAMI:that it's not just my experience, it's my experience and how it
PROFESSOR VIREN SWAMI:affects my partner as well.
PROFESSOR VIREN SWAMI:And as difficult as it was for me, it was much more difficult for her not
PROFESSOR VIREN SWAMI:only having to look after her health after the birth of our child, she
PROFESSOR VIREN SWAMI:then had difficulty breastfeeding and that contributed to a whole series
PROFESSOR VIREN SWAMI:of, of difficulties long term as well.
PROFESSOR VIREN SWAMI:Um, so we were always kind of in and out hospital.
PROFESSOR VIREN SWAMI:The first couple of weeks Jesse wasn't eating very well, he wasn't feeding
PROFESSOR VIREN SWAMI:well, so we were back in the hospital.
PROFESSOR VIREN SWAMI:Um, they had to put a tube down here.
PROFESSOR VIREN SWAMI:I remember this
VIKKI:Oh gosh, that must have been so hard to see.
VIKKI:PROFESSOR VIREN SWAMI: Those kind of things just...
VIKKI:they, they told us this was a normal thing that happens to a lot of babies
VIKKI:that they don't feed initially and they sometimes need a little bit of help.
VIKKI:But when you have, when you kind of in and out of hospital a lot of the time
VIKKI:for really quite what might to other people seem like really minor things,
VIKKI:like needing help with breastfeeding or having that child's not eating, feeding
VIKKI:well, becomes almost medicalised.
VIKKI:This whole process, this whole process isn't so much like this joyful experience
VIKKI:that we've been told is going to happen.
VIKKI:It becomes almost a medicalised process of you and the clinicians trying to work
VIKKI:out what's wrong, "what's wrong here?"
VIKKI:Um, and for her that was really tough 'cause I think she wanted the magical
VIKKI:experience of wonderful things.
VIKKI:And in a lot of ways she had that more than I did.
VIKKI:But if, I mean she having to go in and out hospital all the time was not easy.
VIKKI:No- the most fundamental thing of keeping your baby alive is feeding.
VIKKI:And that's, there are so many emotions related to that.
VIKKI:And if you have problems breastfeeding, it can be really,
VIKKI:really horrendous and traumatizing.
VIKKI:And, there's a lot of shame and guilt felt by women who, for
VIKKI:one reason or another, aren't successful at breastfeeding,
VIKKI:and yet they're not to blame
PROFESSOR VIREN SWAMI:Absolutely.
PROFESSOR VIREN SWAMI:But it's one of the biggest contributors to, to psychological
PROFESSOR VIREN SWAMI:distress in, in new Mums.
PROFESSOR VIREN SWAMI:Um, but one of the other things we also know is that often this
PROFESSOR VIREN SWAMI:is when, when people say like, men can't get postnatal depression.
PROFESSOR VIREN SWAMI:One of the kind of, one of the kind of justifications of that is often
PROFESSOR VIREN SWAMI:that the experiences that Mums have, um, following birth are unique.
PROFESSOR VIREN SWAMI:And in a lot of ways they are.
PROFESSOR VIREN SWAMI:But that's not to say that the Mums experiences of, say, for example,
PROFESSOR VIREN SWAMI:difficulties with breastfeeding don't also affect the dad.
PROFESSOR VIREN SWAMI:I felt like a complete bystander.
PROFESSOR VIREN SWAMI:Like, what do I do?
PROFESSOR VIREN SWAMI:I feel completely helpless here.
PROFESSOR VIREN SWAMI:The role of the dad is to be able to help and to fix and to do all those
PROFESSOR VIREN SWAMI:things and to kind of solve the problems.
PROFESSOR VIREN SWAMI:And when you're not able to, It kind of makes your role completely useless
PROFESSOR VIREN SWAMI:and going in and out of hospital, my, I just sit there going, I know I need to,
PROFESSOR VIREN SWAMI:to, to do something to fix this, but I don't know, I can't do anything here.
PROFESSOR VIREN SWAMI:Um, likewise, when he wasn't feeding, sitting in hospital, I
PROFESSOR VIREN SWAMI:kind of thought, Well, what do I do?
PROFESSOR VIREN SWAMI:There's nothing for me to do.
PROFESSOR VIREN SWAMI:And I, by that point, I was already struggling with my mental health.
PROFESSOR VIREN SWAMI:I was feeling very anxious about leaving the house.
PROFESSOR VIREN SWAMI:I was feeling very alone in my feelings and very, I was, I was
PROFESSOR VIREN SWAMI:struggling to do basic things.
PROFESSOR VIREN SWAMI:Basically.
PROFESSOR VIREN SWAMI:I was, I was struggling to wake up, I was struggling to,
PROFESSOR VIREN SWAMI:to kind of function normally.
PROFESSOR VIREN SWAMI:Um, and then having to go into hospital was not where I wanted to
PROFESSOR VIREN SWAMI:be at the, in those points, it was, it was really difficult to kind of
PROFESSOR VIREN SWAMI:say, I need to leave the house and go and support my partner at this point.
PROFESSOR VIREN SWAMI:And those experiences were really difficult and there
PROFESSOR VIREN SWAMI:was a lot of shame involved.
PROFESSOR VIREN SWAMI:There was.
PROFESSOR VIREN SWAMI:A lot of shame in saying, firstly, I want some help, but not being able to say that.
PROFESSOR VIREN SWAMI:But then also at that point when my son was struggling to say I'm also
PROFESSOR VIREN SWAMI:struggling, felt really selfish.
PROFESSOR VIREN SWAMI:It felt like this is not the time to say anything.
PROFESSOR VIREN SWAMI:Um, so it becomes internalized.
PROFESSOR VIREN SWAMI:Um, I don't think I, I don't think I had an awareness that I was struggling
PROFESSOR VIREN SWAMI:with my mental health at that point.
PROFESSOR VIREN SWAMI:Then I think if you'd asked me how to say everything's great,
PROFESSOR VIREN SWAMI:that's what all parents go through.
VIKKI:Mm, Just tired.
VIKKI:PROFESSOR VIREN SWAMI: Just tired, just exhausted.
VIKKI:And you know, since then we've done research on this.
VIKKI:And one of the, one of the findings that we had, well, one, one of the
VIKKI:studies that we had, we presented a case of postnatal depression.
VIKKI:In one case we told participants this is a mum, and this, the second
VIKKI:case, we told them it's a dad.
VIKKI:Completely identical cases, experiences of depression here.
VIKKI:But we didn't use the word depression, we simply asked participants to say,
VIKKI:"What do you think is going on here?"
VIKKI:And when it was a mum, about 90% of participants thought
VIKKI:this is postnatal depression.
VIKKI:They knew it.
VIKKI:And with the dad only about 30% said it was postnatal depression.
VIKKI:The top answer was tiredness and exhaustion.
VIKKI:So even the way we view a dad experiencing psychological distress
VIKKI:in the aftermath of a birth is to say, this is not postnatal depression.
VIKKI:We don't use this term for dads.
VIKKI:We use the term exhaustion.
VIKKI:They're simply tired, which is not a mental illness.
VIKKI:Being tired is not a mental illness.
VIKKI:Just our language around this is really difficult as well.
VIKKI:And that was the term I would use for myself.
VIKKI:I was tired, I was exhausted, but I wasn't struggling mentally.
VIKKI:I wasn't, I didn't require help at that point.
VIKKI:Did you try and speak to your wife, 'cause she could obviously
VIKKI:tell something was going on- did you communicate with each other?
PROFESSOR VIREN SWAMI:No, um, I was closed off by this point.
PROFESSOR VIREN SWAMI:I, I think there were points when I was really struggling.
PROFESSOR VIREN SWAMI:I, I would just be sitting in bed crying and not understanding what was happening.
PROFESSOR VIREN SWAMI:And often this was hidden.
PROFESSOR VIREN SWAMI:I wouldn't do it in front of her.
PROFESSOR VIREN SWAMI:I, I think I tried as much.
PROFESSOR VIREN SWAMI:It's not possible to hide depression when you're living with someone, particularly
PROFESSOR VIREN SWAMI:those circumstances, but I think I tried to hide it as much as possible.
PROFESSOR VIREN SWAMI:Um, and I mean, to be honest, I think if, if you saw me, I, I was still
PROFESSOR VIREN SWAMI:going to work, for example, and I don't think any of my colleagues would've
PROFESSOR VIREN SWAMI:known that I was, I was struggling.
PROFESSOR VIREN SWAMI:I went to work, I was functioning.
PROFESSOR VIREN SWAMI:I'd go to the gym occasionally.
PROFESSOR VIREN SWAMI:None of my, none of my friends there would've known anything was wrong.
PROFESSOR VIREN SWAMI:Um, and also because kind of after you have a child, I dunno
PROFESSOR VIREN SWAMI:if this happens to everyone.
PROFESSOR VIREN SWAMI:I certainly kind of became, not, estranged is not the right word.
PROFESSOR VIREN SWAMI:I just didn't see the close friends I had as often as I did previously.
PROFESSOR VIREN SWAMI:And so there were no lines of communication to say, Are you okay?
PROFESSOR VIREN SWAMI:Are you struggling here?
PROFESSOR VIREN SWAMI:Um, I think I, I chose intentionally not to talk to my wife because
PROFESSOR VIREN SWAMI:I think it wasn't about me.
PROFESSOR VIREN SWAMI:And I made that decision quite early on.
PROFESSOR VIREN SWAMI:This process isn't about me, it's about my son.
PROFESSOR VIREN SWAMI:And I can, I can look back now and I'm a really big advocate of supporting
PROFESSOR VIREN SWAMI:the family unit now, but at the time it was "I need to support my son.
PROFESSOR VIREN SWAMI:My son requires care, not me.
PROFESSOR VIREN SWAMI:My wife requires care, not me".
PROFESSOR VIREN SWAMI:Um, It wasn't so much of not being deserving, it was a case of "I'm
PROFESSOR VIREN SWAMI:not the one that requires help, cuz there's nothing wrong with me".
PROFESSOR VIREN SWAMI:Um, and if there's nothing wrong with me, then why are you asking me if I need help?
PROFESSOR VIREN SWAMI:Um, if I'm able to go to work, if I'm able to go to the gym, if I'm able
PROFESSOR VIREN SWAMI:to sit up at two o'clock sometimes and at night and look after my
PROFESSOR VIREN SWAMI:son, that means I'm functioning.
PROFESSOR VIREN SWAMI:I'm not dead.
PROFESSOR VIREN SWAMI:And I, I, if you look at the research, a lot of men, a lot of
PROFESSOR VIREN SWAMI:men who are postnatally depressed talk about the same thing.
PROFESSOR VIREN SWAMI:They talk about this experience of "if I'm not suicidal, if I'm not dead at
PROFESSOR VIREN SWAMI:this point, then I'm okay and I can just wait for better days to come.
PROFESSOR VIREN SWAMI:That experience of joy, it will come.
PROFESSOR VIREN SWAMI:I just need to wait this out.
PROFESSOR VIREN SWAMI:The tiredness will pass, the exhaustion will pass, and at some
PROFESSOR VIREN SWAMI:point things will get better".
VIKKI:Do you have a message to men who are sort of feeling that at the moment?
PROFESSOR VIREN SWAMI:It often doesn't get better.
PROFESSOR VIREN SWAMI:Um, we know for example, one in 10, one in 10 men who experience
PROFESSOR VIREN SWAMI:depression will commit suicide.
PROFESSOR VIREN SWAMI:Um, and it's not just about men themselves.
PROFESSOR VIREN SWAMI:Men who are postnatally depressed also take it out on their families.
PROFESSOR VIREN SWAMI:They experience much higher levels of anger towards their
PROFESSOR VIREN SWAMI:partner, towards their children.
PROFESSOR VIREN SWAMI:They're much less likely to do simple things like read
PROFESSOR VIREN SWAMI:and play with their child.
PROFESSOR VIREN SWAMI:Um, and the, the effects on the family are devastating.
PROFESSOR VIREN SWAMI:Postnatal depression in men is much more likely to trigger postnatal
PROFESSOR VIREN SWAMI:depression in Mums, it's also much more likely to affect the cognitive
PROFESSOR VIREN SWAMI:and and linguistic development of their child, how they develop as children.
PROFESSOR VIREN SWAMI:The statistic I, I find often, The one that's most worrying to me
PROFESSOR VIREN SWAMI:is this one about men not reading to their child when they're, when
PROFESSOR VIREN SWAMI:they're postnatally depressed.
PROFESSOR VIREN SWAMI:To me, it seems like such a given, that's what we do with kids.
PROFESSOR VIREN SWAMI:We, we read to them, we teach them how to read and we play with them.
PROFESSOR VIREN SWAMI:If you're postnatally depressed, you haven't got the ability to do that because
PROFESSOR VIREN SWAMI:your ability, abilities worried about how, whether or not you're going to kill
PROFESSOR VIREN SWAMI:yourself today, your, your thoughts are always committed to "how do I work out
PROFESSOR VIREN SWAMI:whether I'm going to survive today?"
PROFESSOR VIREN SWAMI:And if your thoughts are continuously consumed by those, those thoughts
PROFESSOR VIREN SWAMI:of survival, you haven't got the head space to play with your child.
PROFESSOR VIREN SWAMI:You haven't got this head space to, to engage with your child.
PROFESSOR VIREN SWAMI:And there's the idea of waiting for things to get better.
PROFESSOR VIREN SWAMI:Things don't get better on their own.
PROFESSOR VIREN SWAMI:Depression is like that.
PROFESSOR VIREN SWAMI:Depression wants you to get worse.
PROFESSOR VIREN SWAMI:It never gives you opportunities to get better.
PROFESSOR VIREN SWAMI:It takes away so much.
PROFESSOR VIREN SWAMI:It takes away so much from you.
PROFESSOR VIREN SWAMI:And it doesn't give you the space ever to be who you are.
PROFESSOR VIREN SWAMI:And I think if you think it just gets better on your own, it never does.
PROFESSOR VIREN SWAMI:It never does.
PROFESSOR VIREN SWAMI:Um, and there are lots of places people can get help.
PROFESSOR VIREN SWAMI:There are, your GP is a good person to talk to.
PROFESSOR VIREN SWAMI:There are all kinds of mental health services to talk to, Talk to your partner.
PROFESSOR VIREN SWAMI:If you haven't got anyone else to talk to, talk to a friend.
PROFESSOR VIREN SWAMI:Um, don't do what I did.
PROFESSOR VIREN SWAMI:We just wait for things to get better and they never did until I finally
PROFESSOR VIREN SWAMI:had to go and talk to someone.
PROFESSOR VIREN SWAMI:Actually, I didn't even want to go and talk to someone.
PROFESSOR VIREN SWAMI:My wife forced me to, she literally dragged me down the road to the
PROFESSOR VIREN SWAMI:GP and my GP sat with me for five minutes and said, "Viren, you can't
PROFESSOR VIREN SWAMI:just keep going on like this."
VIKKI:When she told you that you were going to go to the
VIKKI:GP with her, how did you feel?
PROFESSOR VIREN SWAMI:I felt angry.
PROFESSOR VIREN SWAMI:I felt angry that someone was trying to say that something was wrong with me.
PROFESSOR VIREN SWAMI:I didn't have the words.
PROFESSOR VIREN SWAMI:I, I think had I known that postnatal depression was a thing that affects
PROFESSOR VIREN SWAMI:men, at that point, I think I might have been much more open to going
PROFESSOR VIREN SWAMI:and talking to someone about it.
PROFESSOR VIREN SWAMI:But because it wasn't a thing, it wasn't a real thing or real condition- I always
PROFESSOR VIREN SWAMI:had no awareness of it at the time was I had, I had internalized to myself that
PROFESSOR VIREN SWAMI:this is, there's nothing wrong with me.
PROFESSOR VIREN SWAMI:Um, despite everything I was experiencing, despite all the clues, despite all the
PROFESSOR VIREN SWAMI:feelings I was having, um, I didn't think I, I didn't think I'd required help.
PROFESSOR VIREN SWAMI:And even then, like going to the GP just felt like I'm just gonna
PROFESSOR VIREN SWAMI:take up and waste their time.
PROFESSOR VIREN SWAMI:Why am I going to see the GP?
PROFESSOR VIREN SWAMI:I do remember one time asking for help and it was with a health visitor.
PROFESSOR VIREN SWAMI:We'd gone one of the normal checkups, I forget which one it was.
PROFESSOR VIREN SWAMI:It must have been about a year or maybe a year and a half in.
PROFESSOR VIREN SWAMI:Um, and you go for these checkups and you sit with a health visitor, you've
PROFESSOR VIREN SWAMI:got like five minutes with them.
PROFESSOR VIREN SWAMI:And often the conversation is with the mum.
PROFESSOR VIREN SWAMI:And I remember this conversation taking place with my partner.
PROFESSOR VIREN SWAMI:I'm just kind sitting there going, "Okay, I'm here.
PROFESSOR VIREN SWAMI:What do you want?
PROFESSOR VIREN SWAMI:What do you want from me?"
PROFESSOR VIREN SWAMI:Nothing.
PROFESSOR VIREN SWAMI:Okay.
PROFESSOR VIREN SWAMI:Sit in the conversation.
PROFESSOR VIREN SWAMI:And there were conversations about her mental health.
PROFESSOR VIREN SWAMI:And I remember this one time I just piped up and said "I
PROFESSOR VIREN SWAMI:think I might need some help."
PROFESSOR VIREN SWAMI:And health visitor was - I'm not blaming her in the least, 'cause I
PROFESSOR VIREN SWAMI:think it's a lack of time, it's a lack of training, it's a lack of information
PROFESSOR VIREN SWAMI:about how you talk to men - and she just went, "You don't need help.
PROFESSOR VIREN SWAMI:You're the dad."
VIKKI:What?!
VIKKI:PROFESSOR VIREN SWAMI: Um, "get on with things.
VIKKI:You're the rock of the family".
VIKKI:And I went, Yeah, I am the rock of the family.
VIKKI:I'm never gonna bring this up ever again in my.
VIKKI:And in fairness, I said it as a, almost as a kind of joke like I'm having, I'm
VIKKI:struggling too, and it's not her fault.
VIKKI:I think health visitors in this country are not trained to talk to dads.
VIKKI:They're not.
VIKKI:They don't receive training, and if you haven't got the training to be
VIKKI:able to understand when a cry for help is a cry for help and not a
VIKKI:joke, then you're going to miss it.
VIKKI:They also don't have time if you've got five or 10 minutes to have a conversation.
VIKKI:And often men need a lot more time to be able to vocalize
VIKKI:something like depression.
VIKKI:And particularly if men don't have the words to be able to say, I am depressed.
VIKKI:They're not quite, they're not going to say that.
VIKKI:They might say, I'm feeling very angry.
VIKKI:I'm drinking much more.
VIKKI:Or I'm going to the gym and spending time out the house a lot more than I used to.
VIKKI:If you are trained to pick up on those things as cues to depression, and you're
VIKKI:much more likely to have conversations with men that might go like, Okay,
VIKKI:you might be postnatally depressed, we should think about getting you some help.
VIKKI:So I don't blame her at all, but that early experience made me
VIKKI:think, I don't talk about this to help to health professionals.
VIKKI:They will shame me.
VIKKI:They will make me feel like something's wrong.
VIKKI:Um, and so I came away thinking, I don't want to have these conversations
VIKKI:with, with GPs or anyone else.
VIKKI:For anybody in the medical profession listening to this,
VIKKI:those words can be so damaging.
VIKKI:You know, and I'm so thankful that you're, you are here, you know, you're here and
VIKKI:you're chatting to us, but for other dads, that could be the difference between...
PROFESSOR VIREN SWAMI:yeah.
VIKKI:...life or death, and words matter.
VIKKI:And understanding matters, and it's very, very hard when
VIKKI:everybody's resources are stretched.
VIKKI:Everybody's so short of time.
VIKKI:But I do understand that fathers and co-parents in the long term plan
VIKKI:are going to be screened and that there are plans for that to happen.
PROFESSOR VIREN SWAMI:In the NHS long term plan, it's fathers of whose partners
PROFESSOR VIREN SWAMI:have had a history of mental illness.
PROFESSOR VIREN SWAMI:Um, so it's not all fathers.
PROFESSOR VIREN SWAMI:Um, someone like me would still be missed in this net.
PROFESSOR VIREN SWAMI:I would not get routinely screened.
PROFESSOR VIREN SWAMI:And I think the key is to routinely screen all parents, not just Mums,
PROFESSOR VIREN SWAMI:not just dads whose partners have had a history of mental ill health.
PROFESSOR VIREN SWAMI:I think, I mean if you look at health visiting, for example, a
PROFESSOR VIREN SWAMI:lot of the kind of history, the tradition of it is focused on Mums.
PROFESSOR VIREN SWAMI:And you might argue that's the way it should be.
PROFESSOR VIREN SWAMI:But dads are playing much more of an early role, a much earlier
PROFESSOR VIREN SWAMI:role now in family parenting.
PROFESSOR VIREN SWAMI:And you can make an argument that health visiting should be about
PROFESSOR VIREN SWAMI:helping the family flourish and helping the family to do the best
PROFESSOR VIREN SWAMI:that they can rather than just Mums.
PROFESSOR VIREN SWAMI:And I think for me, had that conversation been had quite early on, not in a jokey
PROFESSOR VIREN SWAMI:way, not in a way that made me feel invisible, not in a way that made me
PROFESSOR VIREN SWAMI:feel like this wasn't the place for me, I think I might have been much more open.
PROFESSOR VIREN SWAMI:I don't know.
PROFESSOR VIREN SWAMI:It's possible I might not have been, but it's possible I would've
PROFESSOR VIREN SWAMI:gone, "actually, you know what?
PROFESSOR VIREN SWAMI:I'm going to think about this a bit more and maybe think about whether I
PROFESSOR VIREN SWAMI:need professional help at this point".
PROFESSOR VIREN SWAMI:It took my wife two years of living with a depressed individual before-
PROFESSOR VIREN SWAMI:I think more or less two years- before she dragged me to the GP
PROFESSOR VIREN SWAMI:and before someone actually said, "this requires care.
PROFESSOR VIREN SWAMI:This is not something you can deal with on your own".
PROFESSOR VIREN SWAMI:Um, but up until that point, this idea that I could just get better on my
PROFESSOR VIREN SWAMI:own was, was the, the dominant one.
PROFESSOR VIREN SWAMI:Um, actually not even that, It wasn't getting better on my own.
PROFESSOR VIREN SWAMI:It was, "there's nothing wrong for me to get better from".
PROFESSOR VIREN SWAMI:Um, so conversations with my wife were often argumentative.
PROFESSOR VIREN SWAMI:She would be, "You need help" and I'd be "I don't need help.
PROFESSOR VIREN SWAMI:What are you trying to say about me?"
PROFESSOR VIREN SWAMI:Um, "what are you saying about my ability to parent to be a father,
PROFESSOR VIREN SWAMI:if you're saying I'm mentally ill."
PROFESSOR VIREN SWAMI:Um,
VIKKI:Mm,
PROFESSOR VIREN SWAMI:And obviously in the back of my head as well,
PROFESSOR VIREN SWAMI:there was the, the worry that if I really was mentally ill, I, my
PROFESSOR VIREN SWAMI:son would get taken away from me.
VIKKI:Which is a very common worry, isn't it?
VIKKI:PROFESSOR VIREN SWAMI: Didn't want to lose him.
VIKKI:I didn't want to be away from him.
VIKKI:Um, yeah.
VIKKI:Did you ever worry about your relationship with
VIKKI:him in terms of his care?
VIKKI:Did you ever feel that you could be a danger to him?
PROFESSOR VIREN SWAMI:I don't think so.
PROFESSOR VIREN SWAMI:I, I think if anything, I think it was more that I wouldn't
PROFESSOR VIREN SWAMI:be there to care for him.
PROFESSOR VIREN SWAMI:I think there were points when I thought "am I going to, to be
PROFESSOR VIREN SWAMI:here to see him when he's four?
PROFESSOR VIREN SWAMI:Am I going to be able to, to see him grow up?"
PROFESSOR VIREN SWAMI:And it was that, that worried me more.
PROFESSOR VIREN SWAMI:Um,
PROFESSOR VIREN SWAMI:there were points when I was unnecessarily angry.
PROFESSOR VIREN SWAMI:I wouldn't take it out at him.
PROFESSOR VIREN SWAMI:I'd just be angry at everything.
PROFESSOR VIREN SWAMI:Angry at the world, angry at my partner, angry at life in general.
PROFESSOR VIREN SWAMI:And you don't want to be in that state when you're with a
PROFESSOR VIREN SWAMI:one year old or a two year old.
PROFESSOR VIREN SWAMI:You don't want to be angry.
PROFESSOR VIREN SWAMI:And if I wasn't angry, I'd be crying.
PROFESSOR VIREN SWAMI:And again, I didn't want my son to see that.
PROFESSOR VIREN SWAMI:I know he wouldn't have any conception of it.
PROFESSOR VIREN SWAMI:He probably doesn't remember this now.
PROFESSOR VIREN SWAMI:But I didn't want him to see that.
PROFESSOR VIREN SWAMI:I didn't want for him to see this, this horrible person who's broken
PROFESSOR VIREN SWAMI:down and crying all the time.
PROFESSOR VIREN SWAMI:I remember sitting with him a couple of times when he was really young, when he
PROFESSOR VIREN SWAMI:was one or just a few weeks old, and I'd pick him up and he'd start crying and
PROFESSOR VIREN SWAMI:I'd start crying, "Why'd you hate me?"
PROFESSOR VIREN SWAMI:That was the feeling I had, like, "Why'd you hate me?
PROFESSOR VIREN SWAMI:That you'd cry every time I'd pick you up?"
PROFESSOR VIREN SWAMI:And obviously it's completely irrational.
PROFESSOR VIREN SWAMI:It's an irrational thought, now I can see that, but at the time you don't know it.
PROFESSOR VIREN SWAMI:At the time it was like "even my son doesn't love me.
PROFESSOR VIREN SWAMI:My son doesn't need me here".
PROFESSOR VIREN SWAMI:And I think that was the most difficult thought I had.
PROFESSOR VIREN SWAMI:It was, "My family don't need me".
PROFESSOR VIREN SWAMI:And when you, When I started thinking that, at least when I started thinking
PROFESSOR VIREN SWAMI:about "my family don't need me here", it was very easy to go from that to,
PROFESSOR VIREN SWAMI:"Well, I should just kill myself.
PROFESSOR VIREN SWAMI:What are you hanging around for?
PROFESSOR VIREN SWAMI:My wife will take care of my son.
PROFESSOR VIREN SWAMI:She's much better at this than I am."
VIKKI:Did you at your lowest have suicidal thoughts?
PROFESSOR VIREN SWAMI:I look back now and yeah, I did at the time I,
PROFESSOR VIREN SWAMI:I don't think I would've admitted to myself they were suicidal.
PROFESSOR VIREN SWAMI:Um, there's always a way of justifying, there's always a way of
PROFESSOR VIREN SWAMI:rationalizing it as completely normal.
PROFESSOR VIREN SWAMI:Um, you can be sitting in bed just thinking, "I should just kill myself now.
PROFESSOR VIREN SWAMI:They don't need me.
PROFESSOR VIREN SWAMI:They won't know the difference.
PROFESSOR VIREN SWAMI:I don't make any difference here anyway".
PROFESSOR VIREN SWAMI:You're sitting in bed thinking those thoughts and just going,
PROFESSOR VIREN SWAMI:"These are just thoughts."
PROFESSOR VIREN SWAMI:And that's the way of rationalising it.
PROFESSOR VIREN SWAMI:That's the way of saying "these are not real things that are going to happen",
PROFESSOR VIREN SWAMI:but then they're also horrible thoughts and this makes you feel worse, and that
PROFESSOR VIREN SWAMI:cycle of just continuously fighting with your thoughts and ... much later, when
PROFESSOR VIREN SWAMI:I was in therapy, I told my therapist, like, when I was feeling this form
PROFESSOR VIREN SWAMI:of depression, it felt like you were in a kind of mist and you're having a
PROFESSOR VIREN SWAMI:conversation, but you don't know who you're having this conversation with.
PROFESSOR VIREN SWAMI:And the conversation is always one sided because the person who's, who's
PROFESSOR VIREN SWAMI:talking back at you is saying "you're a horrible person" and you have got
PROFESSOR VIREN SWAMI:no defense to that 'cause everything that you're experiencing in your life,
PROFESSOR VIREN SWAMI:everything that you're going through, shows you that you're a horrible person.
PROFESSOR VIREN SWAMI:That you can't support your partner, you can't support your
PROFESSOR VIREN SWAMI:child, you can't love them.
PROFESSOR VIREN SWAMI:In fact, I don't think I loved my child until much, much later.
PROFESSOR VIREN SWAMI:And I didn't have that feeling of I need to care for this
PROFESSOR VIREN SWAMI:person because I love him.
PROFESSOR VIREN SWAMI:I need to care for him because he's a baby and he requires care.
PROFESSOR VIREN SWAMI:But I didn't care for him in the same way.
PROFESSOR VIREN SWAMI:And I've, I've often thought, I've often thought this to myself much later
PROFESSOR VIREN SWAMI:on, it's like, "Why didn't I love him?
PROFESSOR VIREN SWAMI:What was missing in me that I wasn't able to love him at that point?"
PROFESSOR VIREN SWAMI:And you know, people say to you "You'll grow to love him."
PROFESSOR VIREN SWAMI:Absolutely.
PROFESSOR VIREN SWAMI:You grow to love your children, but that should be the norm.
PROFESSOR VIREN SWAMI:We should be able to have that conversation, not shame people for
PROFESSOR VIREN SWAMI:not immediately loving someone else.
PROFESSOR VIREN SWAMI:As adults we talk about love as something that develops, something
PROFESSOR VIREN SWAMI:that grows between two people.
PROFESSOR VIREN SWAMI:You don't just turn up and go, "I love you" now.
PROFESSOR VIREN SWAMI:And with a child, it's somehow different with a child, you're told if you don't
PROFESSOR VIREN SWAMI:love your child immediately, there's something absolutely wrong with you.
PROFESSOR VIREN SWAMI:You're not a human being.
VIKKI:And yet they're a stranger aren't they?
PROFESSOR VIREN SWAMI:Yeah.
PROFESSOR VIREN SWAMI:They are a stranger.
PROFESSOR VIREN SWAMI:And I think it's doubly difficult for dads because they don't have the experience
PROFESSOR VIREN SWAMI:of bonding with the child in the womb.
PROFESSOR VIREN SWAMI:They don't have the experience, particularly in the first couple of
PROFESSOR VIREN SWAMI:years of breastfeeding or even being in close contact a lot of the time.
PROFESSOR VIREN SWAMI:I went back to work after six weeks and a lot of the time was my
PROFESSOR VIREN SWAMI:partner was looking after our child.
PROFESSOR VIREN SWAMI:Throughout the day, I come back and I do some parenting in
PROFESSOR VIREN SWAMI:the evening, and that was it.
PROFESSOR VIREN SWAMI:There's no opportunities really to bond.
PROFESSOR VIREN SWAMI:And a lot of dads say the same thing.
PROFESSOR VIREN SWAMI:It's not until the child begins to interact, they begin to form a bond.
VIKKI:I mean the fact that you had six weeks off is actually unusual
VIKKI:'cause so many dads go back to work like one or two weeks after.
VIKKI:And the thing is as well, by the time, you know, a lot of dads come home from
VIKKI:work, It's bedtime for the baby and you know, the last thing the mom wants
VIKKI:is, is for dad to come in and throw them up in the air when they're trying
VIKKI:to get them settled for, for bed.
VIKKI:It's so, so tough.
VIKKI:What was the turning point for you?
VIKKI:What made the difference in terms of your recovery?
PROFESSOR VIREN SWAMI:My wife wrote me a letter.
PROFESSOR VIREN SWAMI:I've still got the letter.
PROFESSOR VIREN SWAMI:I, I keep it, I, I don't want to frame it because it just reminds me
PROFESSOR VIREN SWAMI:of where I was, but she wrote me a letter just saying, "Jesse loves you.
PROFESSOR VIREN SWAMI:He wants you to be here with him."
PROFESSOR VIREN SWAMI:I don't think until that point, I realized how bad I was and how estranged
PROFESSOR VIREN SWAMI:I was, not just from her, but from him and how I wasn't being able to
PROFESSOR VIREN SWAMI:be a dad because of my depression.
PROFESSOR VIREN SWAMI:I think up until that point, there'd been a kind of, the, the kind of conversation
PROFESSOR VIREN SWAMI:in my head was, "everything is fine.
PROFESSOR VIREN SWAMI:Everything's okay", but until someone says to you "because of
PROFESSOR VIREN SWAMI:what you're going through, you're not being the best parent you can".
PROFESSOR VIREN SWAMI:Until I internalised that for myself and that's when I think it
PROFESSOR VIREN SWAMI:clicked that something was wrong.
PROFESSOR VIREN SWAMI:But even then, I struggle to, to ask for help.
PROFESSOR VIREN SWAMI:I struggle to want to receive help because I felt like if I went to my GP, I'm going
PROFESSOR VIREN SWAMI:to be wasting their time because I know what they'll say- "This is not depression.
PROFESSOR VIREN SWAMI:You can't be depressed following the birth of a child.
PROFESSOR VIREN SWAMI:You should be joyful.
PROFESSOR VIREN SWAMI:You should be happiest moment of your life."
PROFESSOR VIREN SWAMI:And then the other turning point was actually going to see my GP and I
PROFESSOR VIREN SWAMI:sat down with her for five minutes.
PROFESSOR VIREN SWAMI:She's got 10 minutes in total to see me.
PROFESSOR VIREN SWAMI:And I said, "This is what I've been going through".
PROFESSOR VIREN SWAMI:And she said "Viren, why didn't you come see me earlier?"
PROFESSOR VIREN SWAMI:And I think for, for someone in a position, especially after my kind of
PROFESSOR VIREN SWAMI:experience with the health visitor for someone in a position of healthcare
PROFESSOR VIREN SWAMI:to say to me "This is depression."
PROFESSOR VIREN SWAMI:And to not make a deal about it, to not...
PROFESSOR VIREN SWAMI:not make it about being shameful to kind of go, "This is what
PROFESSOR VIREN SWAMI:a lot of people experience.
PROFESSOR VIREN SWAMI:There's nothing wrong with experiencing this", and to ask for help for this should
PROFESSOR VIREN SWAMI:be the norm, not the other way around.
VIKKI:And, and crucially, it's not your fault.
VIKKI:It's not something you've brought upon yourself, and I
VIKKI:think that's the hard thing.
VIKKI:You know, it still feels, gosh.
VIKKI:I mean, there's been a lot more talk about mental health over the last
VIKKI:couple of years since the pandemic, but there, there still is, you know, huge
VIKKI:amount of shame and stigma involved.
VIKKI:What would you say to any dads listening now who are relating to
VIKKI:what you are saying, but have so far been too frightened or in denial
VIKKI:or unwilling to seek support?
PROFESSOR VIREN SWAMI:I think a lot of men who are depressed often
PROFESSOR VIREN SWAMI:think they can do it on their own.
PROFESSOR VIREN SWAMI:Um, and this is a common thing we see with a lot of men when they internalise this
PROFESSOR VIREN SWAMI:and they talk about their masculinity and how it's almost feminine to ask for help.
PROFESSOR VIREN SWAMI:I often say to them, You know what?
PROFESSOR VIREN SWAMI:What's the most masculine thing you can do is to look after your family, to
PROFESSOR VIREN SWAMI:care for your child, to care for your partner, and to be able to do that.
PROFESSOR VIREN SWAMI:Sometimes we need to ask for help.
PROFESSOR VIREN SWAMI:Sometimes we don't know what the difficulty is that we require help
PROFESSOR VIREN SWAMI:with, and sometimes just having a conversation is the starting point for
PROFESSOR VIREN SWAMI:a different journey that you go on.
PROFESSOR VIREN SWAMI:I've often said there isn't a single pathway into care.
PROFESSOR VIREN SWAMI:There are lots of different pathways into care, for one individual that might just
PROFESSOR VIREN SWAMI:be having a conversation with your partner and saying "I'm struggling with this.
PROFESSOR VIREN SWAMI:I don't know what to do here".
PROFESSOR VIREN SWAMI:For another man, it might be about going to have a conversation with the GP and
PROFESSOR VIREN SWAMI:getting medication, for someone else entirely it might be about entering into
PROFESSOR VIREN SWAMI:a period of psychotherapy for a while.
PROFESSOR VIREN SWAMI:I don't prescribe a format or a route into recovery, but that is
PROFESSOR VIREN SWAMI:the most important thing, that you can't fight depression on your own.
PROFESSOR VIREN SWAMI:Depression is something, it's, it's debilitating.
PROFESSOR VIREN SWAMI:And if you don't receive help, if you don't get help, the likelihood
PROFESSOR VIREN SWAMI:of recovery is, is minuscule.
PROFESSOR VIREN SWAMI:It doesn't get better on its own.
PROFESSOR VIREN SWAMI:It never does, it's not how depression works.
PROFESSOR VIREN SWAMI:Depression ultimately is here to take your life.
PROFESSOR VIREN SWAMI:I've talked to lots of men about this and often the difficulty is that first step
PROFESSOR VIREN SWAMI:of getting help and, and being able to take that first step is really difficult.
PROFESSOR VIREN SWAMI:And often they need an impetus.
PROFESSOR VIREN SWAMI:They need to see that something is detrimental.
PROFESSOR VIREN SWAMI:And like I always say, you know, obviously at the time I was the same.
PROFESSOR VIREN SWAMI:But looking back, I know now what I didn't know then, which is that if you keep
PROFESSOR VIREN SWAMI:going down this route of non help seeking, what will eventually happen is that
PROFESSOR VIREN SWAMI:it will take its toll on your partner.
PROFESSOR VIREN SWAMI:It will take it toll on your children.
PROFESSOR VIREN SWAMI:And that's not what you want.
PROFESSOR VIREN SWAMI:Even if you frame this in the most positive masculinist way you can,
PROFESSOR VIREN SWAMI:you want to be this strong man.
PROFESSOR VIREN SWAMI:The strong man cares about his family.
PROFESSOR VIREN SWAMI:The strong man looks after his family.
PROFESSOR VIREN SWAMI:And if you don't want to get help, you are showing signs of weakness.
PROFESSOR VIREN SWAMI:Cause you're not caring about the people who require care.
VIKKI:I think that's incredibly powerful and I think, yeah, you know, I think
VIKKI:Mark Williams puts it as the quicker you get help, the quicker you recover,
VIKKI:and that's so important for the family.
PROFESSOR VIREN SWAMI:True.
PROFESSOR VIREN SWAMI:I do think, though, I think there's also this idea, which I don't think
PROFESSOR VIREN SWAMI:I, I necessarily believe that once you are in care, everything gets better.
PROFESSOR VIREN SWAMI:It took me a very long time to get to a place where I was able to parent my
PROFESSOR VIREN SWAMI:child in a way that I was happy with.
PROFESSOR VIREN SWAMI:Um, it's often not a linear process either.
PROFESSOR VIREN SWAMI:You don't just go into care and suddenly everything's wonderful and
PROFESSOR VIREN SWAMI:you're on a trajectory towards...
VIKKI:God no!
VIKKI:It's, it's like a jagged line, isn't it?
VIKKI:And
PROFESSOR VIREN SWAMI:Horrible periods when even when I was in therapy, I...
PROFESSOR VIREN SWAMI:what's the word I'm looking for?
PROFESSOR VIREN SWAMI:...fall back down and pick yourself up.
PROFESSOR VIREN SWAMI:And even in therapy, I was still suicidal for a long time.
VIKKI:and that's actually a normal -not, necessarily the suicidal
VIKKI:ideation- but it's normal have good days and then bad days.
VIKKI:And I was lucky because I was able to go to the Cedar House support group,
VIKKI:and I remember there was times when I felt so great and it was like, "I don't
VIKKI:need to be here anymore, I feel great!
VIKKI:I don't have a problem anymore.
VIKKI:You know, everything's rosy!"
VIKKI:And then a week or two weeks later, I would be back to rock
VIKKI:bottom, except I wasn't rock bottom, I was a little bit better.
VIKKI:And you find that the bad days start gradually -and it is a gradual
VIKKI:thing- get less and less -either less and less in in terms of the
VIKKI:time or in terms of the intensity.
VIKKI:But it is you know, it is a very jagged line and that it's okay,
VIKKI:you're not, going backwards.
VIKKI:Just think of the long game.
PROFESSOR VIREN SWAMI:That's a very difficult thing to to see when you
PROFESSOR VIREN SWAMI:are, when you're consumed by thoughts of now and how horrible you are now.
PROFESSOR VIREN SWAMI:It's really difficult to set that aside and look to see "if I get
PROFESSOR VIREN SWAMI:care, I'll be better in the future".
PROFESSOR VIREN SWAMI:I think the one thing I would say is even though that that's not a linear
PROFESSOR VIREN SWAMI:process, it's not a straightforward process, you're in a safer space.
PROFESSOR VIREN SWAMI:For me, as soon I was doing psychotherapy, I was in the safer space for
PROFESSOR VIREN SWAMI:myself, for my child, for my family.
PROFESSOR VIREN SWAMI:And like you say, you take one step every single day and today
PROFESSOR VIREN SWAMI:is better than it was yesterday.
PROFESSOR VIREN SWAMI:And that mist that I talked about, it suddenly begins to evaporate, and you
PROFESSOR VIREN SWAMI:realise you're having this conversation not with anyone else, with yourself.
PROFESSOR VIREN SWAMI:It's been yourself this whole time telling you that you're a horrible person.
PROFESSOR VIREN SWAMI:And I think once, once you've got to that point, whether it's through medication,
PROFESSOR VIREN SWAMI:whether it's just through talking, talking to a friend or a partner, or
PROFESSOR VIREN SWAMI:talking to a psychotherapist, you suddenly realize these thoughts were completely
PROFESSOR VIREN SWAMI:irrational and they weren't my fault.
PROFESSOR VIREN SWAMI:And I think that's probably the really important thing, that even though you
PROFESSOR VIREN SWAMI:are depressed, it's not your fault that you're depressed, never is your fault.
PROFESSOR VIREN SWAMI:And you can blame your brain, You can blame your neurochemistry,
PROFESSOR VIREN SWAMI:blame anyone else you want.
PROFESSOR VIREN SWAMI:But until you get to that point to say, "This is not my fault, what I've
PROFESSOR VIREN SWAMI:gone through", things don't get better.
PROFESSOR VIREN SWAMI:And you'll always have this continuous argument with yourself in the mist sitting
PROFESSOR VIREN SWAMI:there going "I'm a horrible person.
PROFESSOR VIREN SWAMI:I'm a horrible person".
PROFESSOR VIREN SWAMI:And I think that's why for me, psychotherapy was really important.
PROFESSOR VIREN SWAMI:It provided a scaffold to say, "Let's look at this in a rational way.
PROFESSOR VIREN SWAMI:Let's understand this.
PROFESSOR VIREN SWAMI:And here you are safe".
PROFESSOR VIREN SWAMI:You can have these conversations in a way that you're not having a conversation
PROFESSOR VIREN SWAMI:with this invisible person in the mist.
PROFESSOR VIREN SWAMI:You're having a real conversation with someone , and they
PROFESSOR VIREN SWAMI:helped you rationalise it.
PROFESSOR VIREN SWAMI:I think one of the really important things for me in psychotherapy was
PROFESSOR VIREN SWAMI:having a conversation where someone said, "You're not a horrible parent."
PROFESSOR VIREN SWAMI:I think for the first time I suddenly went, "This is possibly true.
PROFESSOR VIREN SWAMI:I'm not a horrible parent.
PROFESSOR VIREN SWAMI:I can actually do this.
PROFESSOR VIREN SWAMI:I'm a good person, I'm a good parent."
PROFESSOR VIREN SWAMI:...I remember taking Jesse into therapy once because she wanted to see how
PROFESSOR VIREN SWAMI:we interacted, and obviously it's a stilted interaction because you
PROFESSOR VIREN SWAMI:know, someone's watching you play.
PROFESSOR VIREN SWAMI:And she said, "You know what Viren?
PROFESSOR VIREN SWAMI:It's not the worst I've seen.
PROFESSOR VIREN SWAMI:I've seen people who can't even do basic playing.
PROFESSOR VIREN SWAMI:And you're doing that, you're doing that here."
PROFESSOR VIREN SWAMI:And I think in my head, I'd set up this goal, this ideal that I had to be the
PROFESSOR VIREN SWAMI:most wonderful parent in the world.
PROFESSOR VIREN SWAMI:And often you don't, you just need to be there.
PROFESSOR VIREN SWAMI:And obviously suicide, it's like depression takes that away from you.
PROFESSOR VIREN SWAMI:You're not there.
PROFESSOR VIREN SWAMI:And I think once you start getting past that, and once you start, once you
PROFESSOR VIREN SWAMI:know you're on the road to recovery, things get slightly better and you
PROFESSOR VIREN SWAMI:suddenly got more time to play and you're suddenly more time to, to want
PROFESSOR VIREN SWAMI:to read and interact and do fun things with your child and your partner.
VIKKI:And they don't have to be Instagram friendly 'going out and doing these
VIKKI:incredible activities' and, you know, having mud kitchens in your back garden.
VIKKI:It's just the small things and those pockets of time, and even if it's five, 10
VIKKI:minutes of just properly focusing on what they're doing, you know, that is caring.
PROFESSOR VIREN SWAMI:Yeah.
PROFESSOR VIREN SWAMI:The one thing Jesse remembers- he doesn't remember much, obviously he was one and
PROFESSOR VIREN SWAMI:two- he sometimes says to me, "Daddy, I used to sleep on your chest a lot".
PROFESSOR VIREN SWAMI:And I'd say, "Yeah, you did."
VIKKI:Aw!
PROFESSOR VIREN SWAMI:But that's what I would do when I wanted to cry,
PROFESSOR VIREN SWAMI:I would put him on my chest and I'd have a cry and he'd fall asleep on me.
PROFESSOR VIREN SWAMI:But is those little things that seem to matter more to him than all the
PROFESSOR VIREN SWAMI:wonderful things you might be able to do!
PROFESSOR VIREN SWAMI:Yeah.
VIKKI:How do you feel about how you are doing now as a dad?
VIKKI:How's your relationship with Jesse?
PROFESSOR VIREN SWAMI:Oh, I, I don't know when it happened.
PROFESSOR VIREN SWAMI:At some point I just fell in love with him - it grew and it grew and it grew
PROFESSOR VIREN SWAMI:and you burst with love for your child.
PROFESSOR VIREN SWAMI:I think for me, the other big thing was after psychotherapy finished,
PROFESSOR VIREN SWAMI:I went into a parenting class.
PROFESSOR VIREN SWAMI:It was kind of a continuation of, of psychotherapy.
PROFESSOR VIREN SWAMI:I was the only dad there.
PROFESSOR VIREN SWAMI:There were I think maybe like 12 Mums and I was the only dad.
PROFESSOR VIREN SWAMI:And I'd turn up, I forget what day it was, Tuesday mornings I'd go, and
PROFESSOR VIREN SWAMI:it was just "This is how you parent.
PROFESSOR VIREN SWAMI:This is how you play with your child.
PROFESSOR VIREN SWAMI:This is how you engage with your child at this age" and for me it was, "yes!
PROFESSOR VIREN SWAMI:I wish someone had told me this stuff before!"
PROFESSOR VIREN SWAMI:Just things like basic parenting, how you set boundaries, how you reward, how
PROFESSOR VIREN SWAMI:you play, how long you should play for.
PROFESSOR VIREN SWAMI:And it was, I think like an eight week course.
PROFESSOR VIREN SWAMI:And it was brilliant.
PROFESSOR VIREN SWAMI:It completely changed my outlook on how I go about things.
PROFESSOR VIREN SWAMI:Um, I came away from that course just feeling much more confident as a parent.
PROFESSOR VIREN SWAMI:And I think coincidentally, probably around that point, I think I started
PROFESSOR VIREN SWAMI:to feel a connection with Jesse.
PROFESSOR VIREN SWAMI:Also by that point, by age two he was much more interactive and
PROFESSOR VIREN SWAMI:he was much more, um, engaging.
PROFESSOR VIREN SWAMI:I still remember being fearful of taking him out on his own without anyone else.
PROFESSOR VIREN SWAMI:Not so much worried that I would do anything to hurt him or hurt myself,
PROFESSOR VIREN SWAMI:but just the anxiety of stepping out.
PROFESSOR VIREN SWAMI:'Cause for a year and a half I hadn't done it.
PROFESSOR VIREN SWAMI:I'd been so anxious about taking him out on my own.
PROFESSOR VIREN SWAMI:And that wasn't just about anxiety around him, it was anxiety about me.
PROFESSOR VIREN SWAMI:I, I struggled a lot of the time.
PROFESSOR VIREN SWAMI:I had to go to work and going to work was a 20 minute process.
PROFESSOR VIREN SWAMI:It was put your foot outside the door, put your foot outside the
PROFESSOR VIREN SWAMI:door and you can, you can do this.
PROFESSOR VIREN SWAMI:And then walk, walk to the tube station, Keep walking, keep walking.
PROFESSOR VIREN SWAMI:And I, continuous conversation.
PROFESSOR VIREN SWAMI:I remember taking him out for the first time.
PROFESSOR VIREN SWAMI:I forget where we went.
PROFESSOR VIREN SWAMI:It was probably just to the park or something.
PROFESSOR VIREN SWAMI:And for me it was just, Oh, I can do this.
PROFESSOR VIREN SWAMI:This is doable.
PROFESSOR VIREN SWAMI:And yeah, I love him now, to bits."
VIKKI:You were just telling me about your first trip to the cinema together.
PROFESSOR VIREN SWAMI:Yeah, that was right in the middle of my depression.
PROFESSOR VIREN SWAMI:I remember we went to see, to see, like I said, the eye lift
PROFESSOR VIREN SWAMI:dogs and he was still a baby then.
PROFESSOR VIREN SWAMI:Now we to cinema.
PROFESSOR VIREN SWAMI:Favorite thing in the world, not necessarily mine.
PROFESSOR VIREN SWAMI:Cause you have to watch horrible cartoons
PROFESSOR VIREN SWAMI:all the time.
VIKKI:What I find is when you're doing something like that, you know, when he is
VIKKI:a bit older, you can easily have a nap.
PROFESSOR VIREN SWAMI:no, I,
VIKKI:yeah
PROFESSOR VIREN SWAMI:that one.
PROFESSOR VIREN SWAMI:Um, but he's got this thing where he'll go, "Dad, wake up.
PROFESSOR VIREN SWAMI:You've fallen asleep!
PROFESSOR VIREN SWAMI:You need to keep watching!
PROFESSOR VIREN SWAMI:So he's like the sleep police.
PROFESSOR VIREN SWAMI:But yeah, and my local cinema's got these reclining seats as well,
PROFESSOR VIREN SWAMI:so you can have a quick doze!
VIKKI:Brilliant, and, you've got all the goodness to come of actually
VIKKI:going to see movies that you're both excited to see together I actually I
VIKKI:took Stan to see 'Live and Let Die' the Bond film, which is my favourite ever
VIKKI:Bond film 'cause uh, yeah, I'm showing my age now, Roger Moore was my Bond.
VIKKI:And, uh, Stan really loved it and it's so exciting when you
VIKKI:get to share those things.
VIKKI:But for anybody listening, especially if they've got you know, a baby is, look
VIKKI:into your local cinema because I was lucky in that I was able to, to go to the
VIKKI:Picturehouse and they had something called Big Scream, and that was an absolute
VIKKI:lifeline for me when I was struggling with postnatal depression because it meant you
VIKKI:could actually do something for you as an adult, as a person, as an individual.
VIKKI:But it was like going to the cinema, but if you needed to do a nappy
VIKKI:change in the middle of it, or if your baby was sick on you, it was fine.
VIKKI:If, if your baby started crying, you could take them out.
VIKKI:But it was actually somewhere you could go and get a nice coffee, you know,
VIKKI:a bit of cake if you wanted a treat.
VIKKI:And yeah, you, you felt yourself again for that period of time.
VIKKI:And yeah, a lot of cinemas are doing it now.
VIKKI:And, for me, it was a game changer.
PROFESSOR VIREN SWAMI:Yeah.
VIKKI:But, um,
VIKKI:Wow.
VIKKI:I could talk to you for hours Viren.
VIKKI:Did it make any difference having the life experience, but also the
VIKKI:professional, academic side of things, because when I go through bouts of
VIKKI:depression and anxiety, I know rationally in my head, these are just thoughts.
VIKKI:But when you are sucked into that world, you can't it.
VIKKI:It's, you can't snap out of it.
VIKKI:It's all consuming.
PROFESSOR VIREN SWAMI:If you wanted an example of someone who
PROFESSOR VIREN SWAMI:has all the professional training, all the professional knowledge, and
PROFESSOR VIREN SWAMI:still struggled I'm that person!
PROFESSOR VIREN SWAMI:I mean, you'd think I'm the last person who'd experienced depression
PROFESSOR VIREN SWAMI:following the birth of a child.
PROFESSOR VIREN SWAMI:Especially, I've done the work, I've done the research, I understand
PROFESSOR VIREN SWAMI:this, I understand all the kind of issues around masculinity and
PROFESSOR VIREN SWAMI:asking for help, and I struggled.
VIKKI:It's indiscriminate.
PROFESSOR VIREN SWAMI:We've just done some recent work in fact, showing that
PROFESSOR VIREN SWAMI:the potential to be depressed after the birth of a child exists in everyone.
PROFESSOR VIREN SWAMI:And what we mean by that is the period after the birth of a child is
PROFESSOR VIREN SWAMI:incredibly stressful, and those triggers are often triggers for depression.
PROFESSOR VIREN SWAMI:And this idea that anyone can be immune, whether it's because of
PROFESSOR VIREN SWAMI:your gender or your age or your class or anything else is nonsense.
PROFESSOR VIREN SWAMI:Everyone has the potential to be depressed.
PROFESSOR VIREN SWAMI:And particularly if you're going through an incredibly
PROFESSOR VIREN SWAMI:stressful period of your life.
PROFESSOR VIREN SWAMI:If you don't have support, if you don't have care in the world, if
PROFESSOR VIREN SWAMI:you don't have basic things that you might need to support yourself
PROFESSOR VIREN SWAMI:as scaffold, you will struggle.
PROFESSOR VIREN SWAMI:The flip side to that is nothing shameful about that.
PROFESSOR VIREN SWAMI:It is an experience that so many people go through and to ask
PROFESSOR VIREN SWAMI:for help isn't a shameful thing.
PROFESSOR VIREN SWAMI:it is in fact the most powerful thing you can do precisely because
PROFESSOR VIREN SWAMI:it's not easy to ask for help, and it's not easy to get help.
VIKKI:but it is, it is there.
PROFESSOR VIREN SWAMI:It absolutely is And I think one of the things
PROFESSOR VIREN SWAMI:we also find is that a lot of the time once men are given the space
PROFESSOR VIREN SWAMI:to talk, they often do want to talk.
PROFESSOR VIREN SWAMI:It's just that these spaces are often closed down to them.
PROFESSOR VIREN SWAMI:They're often either invisible or they're not provided because we
PROFESSOR VIREN SWAMI:think that men don't need them or men themselves don't think they need them.
PROFESSOR VIREN SWAMI:I think it's easy to blame society and easy to blame health
PROFESSOR VIREN SWAMI:services and it's, It is true.
PROFESSOR VIREN SWAMI:I mean, if you look at health services, historically and
PROFESSOR VIREN SWAMI:traditionally, a lot of kind of postnatal care was directed at mums.
PROFESSOR VIREN SWAMI:It's starting to change, and they're kind of in my local area, for example,
PROFESSOR VIREN SWAMI:there are stay and play services, mainly aimed at dads for example.
PROFESSOR VIREN SWAMI:That's beginning to change, but I think it's still often kind of this,
PROFESSOR VIREN SWAMI:this, this presented as this binary.
PROFESSOR VIREN SWAMI:We've got services for mums and we've got some new services for dads.
PROFESSOR VIREN SWAMI:And we're not talking about this holistically.
PROFESSOR VIREN SWAMI:We're not talking about the family unit as a whole.
PROFESSOR VIREN SWAMI:We're not talking about helping one individual who's struggling within that
PROFESSOR VIREN SWAMI:family unit because their struggle will impact the rest of the family unit.
PROFESSOR VIREN SWAMI:I think that's what's missing still.
PROFESSOR VIREN SWAMI:And we're still talking about care for dads or we're
PROFESSOR VIREN SWAMI:talking about care for Mums.
PROFESSOR VIREN SWAMI:We're not talking about care for families and that's what's needed.
VIKKI:Yeah.
VIKKI:And well, whatever your family looks like, you know, because so many, so
VIKKI:many families in 2022 and so many families in Britain aren't, aren't the
VIKKI:classic 'mum, dad, and 2.5 children'.
VIKKI:And when you are talking about risk factors,
VIKKI:if you look at communities like the LGBTQ plus community, same sex families and
VIKKI:trans families that often they, they do not have the support networks around them.
VIKKI:They don't have family support and we absolutely should be talking holistically.
VIKKI:And I think what you were saying about the parenting class sounds brilliant
VIKKI:because for any job you get training and the most important job we can do as human
VIKKI:beings is to raise the next generation.
VIKKI:So why aren't we
VIKKI:getting
VIKKI:better training for
VIKKI:that?
PROFESSOR VIREN SWAMI:I, I think that having gone through this And, come out the
PROFESSOR VIREN SWAMI:other side, I think the two things I would say that would make the biggest difference
PROFESSOR VIREN SWAMI:almost immediately, one is routine, routine screening of all new parents.
PROFESSOR VIREN SWAMI:Not just Mums, and not just Mums, not just dads whose partners may
PROFESSOR VIREN SWAMI:have a history of mental illness.
PROFESSOR VIREN SWAMI:I think all parents should be screened for, for mental illness
PROFESSOR VIREN SWAMI:or, or risk of mental illness following the birth of a child.
PROFESSOR VIREN SWAMI:The other is, I was almost gonna say mandatory parenting classes, but I
PROFESSOR VIREN SWAMI:think that would be a bit much, I think the offer of parenting classes in the
PROFESSOR VIREN SWAMI:same way that a lot of local areas offer NCT as their first port of call.
PROFESSOR VIREN SWAMI:I don't think that should be the first port of call.
PROFESSOR VIREN SWAMI:I think maybe even combining NCT with later parenting classes, I think had
PROFESSOR VIREN SWAMI:I had the tools to understand how to parent before I became a dad, I think
PROFESSOR VIREN SWAMI:I had been a much better position.
PROFESSOR VIREN SWAMI:I think my, my expectancies and my reality of my lived experience,
PROFESSOR VIREN SWAMI:there would've been very different.
PROFESSOR VIREN SWAMI:Having to learn on the job was tough, and having to learn on the job when you're
PROFESSOR VIREN SWAMI:struggling with conversations in your head about depression are even tougher.
PROFESSOR VIREN SWAMI:Yeah.
PROFESSOR VIREN SWAMI:I think parenting classes are brilliant.
PROFESSOR VIREN SWAMI:I think everyone who is struggling, particularly if you're struggling
PROFESSOR VIREN SWAMI:to find that emotional bond with a child, parenting classes are
PROFESSOR VIREN SWAMI:brilliant and helping you understand what is a bond at that age.
PROFESSOR VIREN SWAMI:To expect a child at one or two to love you in return is probably
PROFESSOR VIREN SWAMI:too much, but you can begin to understand how they love you.
VIKKI:Yeah.
VIKKI:Yeah.
VIKKI:And, and
VIKKI:how small things
VIKKI:can make a big difference
VIKKI:that, you
PROFESSOR VIREN SWAMI:with them for 10
VIKKI:you.
PROFESSOR VIREN SWAMI:difference.
VIKKI:Yeah.
VIKKI:Yeah.
VIKKI:And it it doesn't have to be a big gesture.
VIKKI:It doesn't have to be a grand event, it is just little things,
VIKKI:you know, Just even speaking to your baby when they can't understand you,
VIKKI:that's great because again, it's all helping their cognitive development..
VIKKI:You know, Thank you, thank you so much for, for being so brave
VIKKI:and open in sharing your story.
VIKKI:It's moved me to tears, , as you can see, I've been like
VIKKI:trying to do, uh, subtle sniffs.
VIKKI:Um, yeah, I mean it's been so powerful and, for any parents out there struggling
VIKKI:please, please speak to somebody.
VIKKI:You are not alone.
VIKKI:You will not be the first person to have said these things.
VIKKI:Um, and, you know, help is available and it really does make a huge difference.
VIKKI:And for any dads, I would put you immediately to Fathers Reaching Out
VIKKI:and to Music, Football, Fatherhood..
VIKKI:Both organizations were set up by dads who were feeling exactly
VIKKI:the same as you are feeling now.
VIKKI:So, uh, you are in a very, very safe space.
VIKKI:But Viren thank you so much for your time today and, yeah, looking forward to
VIKKI:catching up with you in later years to know about which amazing films you're
VIKKI:taking Jesse to, I mean Isle of Dogs.
VIKKI:That's a pretty good start!
VIKKI:It was a good start.
VIKKI:It's been downhill from there.
VIKKI:Probably not by his standards though.
VIKKI:I
VIKKI:Yeah, you've got a lot of crap to cover.
VIKKI:I've been there.
VIKKI:Thank you so much.
VIKKI:if you've enjoyed this episode of Blue MumDays, please like and subscribe.
VIKKI:It really does make the difference in helping other people find it,