Exploring the therapy experience as an intervention for fathers suffering from perinatal depression and anxiety

Abstract

This study explores the therapy experience as an intervention for fathers suffering from perinatal depression and anxiety. Men experiencing fatherhood while suffering from perinatal distress can tend to suppress their vulnerability, rejecting help-seeking which may challenge their perception of self as competent fathers and males. Although paternal perinatal depression and anxiety has long-reach systemic effects, satisfactory interventions for distressed fathers are limited and primarily psychoeducational. No research to date has explored the effectiveness of individual therapy as an intervention. Seven fathers recruited via the Perinatal Pilot Project, Malta, participated in this qualitative study. They had received individual therapy, including a few couple sessions, for their perinatal distress. Using Interpretative Phenomenological Analysis methodology, six Group Experiential Themes emerged from their therapeutic experiences and the contexts within which these were embedded: (A) “When life becomes topsy-turvy, you need to go to therapy”; (B) Accepting the invitation; (C) The importance of the relationship with the therapist; (D) Therapy alleviates anxiety by enhancing attunement with self and family; (E) The therapists worked effectively; (F) The impact of couple therapy. The fathers shared how their therapeutic experience unfolded in the context of a safe and attuned therapeutic relationship, allowing them to delve deeper into what they were experiencing, enhancing their self-awareness and authenticity, helping them reflect on their relationships with significant others. Recommendations for policy and practice are put forward, underscoring the necessity to offer fathers opportunities to have similar safe and empathically attuned therapeutic experiences for their wellbeing and that of the family system.