Motherhood is often painted as a dream fulfilled — a bundle of joy, a new chapter, a reason to celebrate. In 2024 alone, families across the globe spent over $18 billion (R315 billion) preparing for the miracle of life. Yet, behind glowing photos and congratulatory messages, many new parents are quietly wrestling with a painful reality: postpartum depression (PPD).
According to Kim Vermaak — author, speaker, and paternal mental health advocate — this struggle is far more common than many realise. “One in seven women and one in nine men experience postnatal depression, a condition that can strip joy away from what should be a time of bonding and growth. Smiles often hide the storm within,” she explains.
Vermaak, who authored Seven Letters and Taming the Monster of Postpartum Depression, blends personal experience with professional insight to shed light on this hidden challenge. Her mission is simple but vital: to help families understand that postpartum depression does not discriminate, and healing is always possible.
A Global and Local Challenge
A 2021/22 international study revealed that developing countries experience PPD at a 31% higher rate than developed nations. Economic pressures, financial strain, and limited support structures amplify the risk. In South Africa and beyond, many mothers and fathers are silently navigating this battle.
Vermaak herself faced postpartum depression after each of her three children were born. Her most intense experience came as a single parent and start-up entrepreneur, when resilience and mindset tools became her lifeline. She recalls the toll it took on her relationships and her mental health, especially in a society that often expects new parents to simply “cope.”
The Silent Struggles of Fathers
“Postpartum depression affects mothers and fathers alike,” Vermaak stresses. Around the three- to six-month mark, many men undergo hormonal shifts, including drops in testosterone, which can trigger emotional instability. Yet, societal norms often prevent men from voicing their struggles, leaving them isolated.
When Exhaustion Becomes Dangerous
For mothers, especially single moms, the weight can be overwhelming: sleep deprivation, isolation, financial strain, and lack of emotional support. Vermaak explains that severe sleep deprivation impacts the hippocampus — the brain’s memory and emotional centre — which can lead to hallucinations and irrational thoughts.
She recalls a terrifying moment when exhaustion nearly overtook her reasoning. “It was a dangerous thought, but I recognised it as a cry for help from within,” she says.
From Despair to Healing
Over time, Vermaak found healing through counselling, vitamins, and — most importantly — human connection. By choosing to speak openly about her struggles, she transformed her journey from one of potential loss into a love story.
“What could have broken me became the foundation of my bond with my daughter, who is now a remarkable young woman. For 23 years, we’ve journeyed together — proof that healing is possible.”
A Call to Action
Postpartum depression is not a sign of weakness, nor is it something to be hidden. It is a medical condition that requires care, compassion, and support.
If you or someone you know is struggling, remember these words:
👉 You are not alone. You are not a monster. You are human. Healing is within reach.