The Silent Cry: There is little Kim can do as her mother's mental health spirals out of control

‘Hello,’ I said, smiling as we entered.

‘I’ll leave you to it then,’ Geraldine said stiffly, and went out, leaving the living room door wide open.

‘Are you all right?’ I asked, going over to Laura.

She shook her head, but didn’t speak. Standing, she crossed to the living-room door and pushed it shut so hard it slammed. Paula jumped; it made me start too. She returned to the sofa and burst into tears.

‘Oh, love, what’s wrong?’ I asked, going over and sitting beside her.

‘Everything,’ she sobbed. ‘Everything.’ Paula stood close to me, looking very worried

‘It’s OK,’ I reassured Paula. ‘You can play with your toys while I look after Laura.’ I quickly took the toys I’d brought with us from the bag and settled her on the floor, close by my feet. I put my arm around Laura’s shoulder and tried to comfort her as she silently wept. I was half expecting Geraldine to reappear – she must have heard the door slam – but she didn’t.

‘It’s all right,’ I said to Laura.

I held her until she was calmer and then she took out a packet of tissues she had tucked beside her on the sofa. ‘Sorry,’ she said, peeling a tissue from the packet and wiping her eyes. ‘I’m having a bad day.’ Fresh tears formed.

‘I understand,’ I said, gently rubbing her arm. ‘Is there anything in particular upsetting you? Anything I can help you with?’ I appreciated how easily things can get on top of you if you are tired and feeling low; even the ironing can seem like an insurmountable task.

She shook her head. ‘No. If only it was that simple.’ She twisted and pulled at the tissue. ‘I feel so useless the whole time. I can’t seem to do anything right. I get stressed about the simplest of things, even making a cup of tea or answering the phone, so I don’t do anything, because I can’t cope. I feel tired the whole time and I can’t be bothered to move. Last night I lay in bed listening to Liam crying to be fed, but I didn’t have the energy to get up and feed him. Andy had to get up and bring him to me, and then, when he’d finished feeding, he changed him and settled him back in his cot. We agreed I’d do the night feeds, as he has to go to work, but I couldn’t. I just couldn’t. Then this morning when Geraldine arrived at seven he told her.’

‘She arrives that early?’ I asked, slightly surprised.

‘Yes, that’s when Andy has to leave for work. They make sure one of them is here with me the whole time.’ She gave a small sob and Paula looked up at her. I threw her a reassuring smile. ‘I know I’m useless,’ Laura said. ‘But Andy and his mother don’t help. They talk about me behind my back, and she tuts when I do something wrong. Or maybe it’s me being oversensitive, I don’t know. I’m sorry, I shouldn’t be going on at you like this – you haven’t come here to hear this – but I’m so miserable I don’t know what to do.’ She wiped away more tears.

‘It’s all right,’ I soothed. ‘Don’t feel embarrassed. We all feel down sometimes, but I am concerned. Have you seen a doctor yet?’

‘No. It will pass eventually. It did last time. I just have to get a grip. That’s what Geraldine says: “Get a grip.”’ She sniffed.

‘I’m not sure that’s the best advice,’ I said. ‘Sometimes we need help getting over these things. And there may be a physical reason why you’re feeling low. A friend of mine developed a thyroid problem after having her second child. She felt really low, with no energy, and she lost her appetite. She worried for weeks before she saw her doctor. He sent her for tests and the thyroid problem showed up. She was put on medication and within a week she was back to her old self. I really think you should see your doctor.’

Laura shrugged despondently. ‘I don’t know. I’d have to phone the doctor to make the appointment, and I struggle making decisions about anything right now. I couldn’t even decide which babygrow to dress Liam in this morning. I mean, how daft is that? It was a choice between white or blue, and I panicked and froze. I just stood there, with him not dressed and getting cold. Then Geraldine heard him crying and came in. She wasn’t pleased. She said I should have called her sooner. She dressed him while I went back to bed. I like being in bed, asleep. It’s nice being unconscious. I think they like it too. I’m such a burden. I’m sure they’d all be better off without me. Sometimes I think I should do them a favour and kill myself.’

Chapter Seven

Upset (#ua795b969-a622-5dea-b063-7dfce1291e87)

I looked at Laura, more concerned than ever now. This was more than feeling down or having a bad day. It sounded to me as though she could be severely depressed.

‘I really think you should see a doctor,’ I said again. ‘I don’t understand what’s stopping you. You could be suffering from postnatal depression.’

‘Yes, I could be,’ she said. ‘But I don’t want it on my medical records. I got through it before with Kim without the doctor, and I will again.’

‘How long did it take then?’ I asked.

‘Not sure. I think I was back to normal when Kim was a year old.’

‘A year!’ I said, astonished and dismayed. ‘That’s far too long to be feeling like this. And why should it matter if it’s on your medical records? Lots of people suffer from depression at some time in their lives. I remember reading that it was as much as twenty per cent of the population. Shall I make the appointment for you if you don’t feel up to doing it yourself? I could phone now from here and you could decide when you wanted to go.’ I thought this might help, as everything seemed such an effort for Laura right now, which of course was a sign of depression.

‘No, it’s OK,’ she said. ‘I can tell my doctor at my six-week check-up. I think it’s the week after next. I’ll tell her then.’