I think there is a big focus on PND... and finding ways to avoid it.
I think a major cause of PND is sleep deprivation.
It takes weeks to get a return phone call from the sleep schools... over a month to get into a day stay.... and many months to get into residential stay.

Most new mums (like me) have no idea how to handle a baby - especially when they are difficult. But if you have multiple children you have to juggle so much more - and the sleep deprivation kicks in as well. I'm surprised that PND doesn't affect more than 1 in 7. Sometimes I'm surprised that woman go on to have more than one child (joking)

I know I was on valium for years... as my Dad went to court to stop giving it to me on his weekend visits. I can't even remember primary school. I refuse to take any sort of medication now. Although some people do need something to get them through. I have just learnt to deal with my problems head on over the years.