Motherhood Abroad and Mental Health: How to Recognize and Treat Postpartum Depression

Imagine this: you’ve just had your baby in another country. The room is quiet, there are no family visits, grandma can’t help, and your friends are thousands of miles away. You hold your newborn in your arms and think you should feel happy. But you don’t.

This is the reality for many Brazilian mothers abroad. Postpartum depression (PPD) is a common challenge anywhere in the world, but it can feel even harder outside Brazil — because of isolation, lack of a support network, and cultural barriers.

📊 What the Data Says

  • Globally, an estimated 1 in 6 to 1 in 7 women experience symptoms of depression in the first year after giving birth (Woody et al., 2017).

  • In Brazil, rates are even higher: in one population-based study, 38.8% of mothers showed symptoms of postpartum depression when assessed with the Edinburgh Postnatal Depression Scale (EPDS) (Galletta et al., 2021). Other national studies range from 25% to 38%.

  • Immigrant and expatriate women are at increased risk. Contributing factors include shorter time living in the host country, social isolation, limited income, language barriers, and marital stress (O’Mahony et al., 2013).

👉 In short: living abroad can increase vulnerability. It’s not the mother’s fault — it’s the context.

⚠️ Warning Signs

  • Intense and persistent sadness

  • Constant feelings of emptiness or guilt

  • Difficulty bonding with the baby

  • Loss of interest in activities once enjoyed

  • Sleep and appetite disturbances beyond normal postpartum changes

  • Thoughts of self-harm or believing your baby would be better off without you

🚨 If there is immediate risk or suicidal thoughts, seek emergency help in your country or call CVV (188 in Brazil, 24/7 in Portuguese, free).

🌍 Why It Can Be Harder Abroad

  • Smaller support networks → without grandparents, aunts, or neighbors, the load falls mostly on the mother.

  • Language barriers → describing emotional pain in another language can be frustrating.

  • Cultural differences → in some countries, mental health is still taboo; in others, motherhood is viewed as more solitary.

  • Unfamiliar healthcare systems → insurance, rights, and services vary widely.

💡 Paths That Help

Specialized professionals

  • Psychologists/psychiatrists who understand both motherhood and interculturality.

  • Telemedicine with Brazilian professionals may be an option.

Support groups

  • Expat mom networks (online or in person).

  • Sharing experiences helps reduce isolation.

Screening tools

  • The Edinburgh Postnatal Depression Scale (EPDS) is used worldwide — ask your local pediatrician or OB.

Back to basics

  • Sleep when possible, share tasks, accept help.

  • Light exercise (if cleared by your doctor) can boost mood.

  • Balanced diet, hydration, and small moments of self-care make a difference

📌 You Are Not Alone

Being a mother abroad is full of contrasts: freedom and loneliness, accomplishment and vulnerability.

Postpartum depression does not define who you are — and it does not mean a lack of love for your baby.

👉 Visit our [Directory of Intercultural Psychologists Worldwide] to find Portuguese-speaking professionals who understand the challenges of mothering far from home.

Seeking help is an act of love — for yourself and for your child.



Jessica Gabrielzyk

Como autora brasileira especializada em vida de expatriados, escrevi “Maternidade no Exterior”, “Criando Filhos no Exterior” e “Mudando para o Exterior” para ajudar famílias a enfrentar os desafios de se realocar internacionalmente. Meu objetivo é capacitar outras pessoas a abraçarem suas novas aventuras com confiança e tranquilidade.

https://www.jessicagabrielzyk.com/pt/home
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