130 Avoca Street Randwick NSW 2031
Tel: 02 9399 3335 - Fax: 02 9399 9778

Web: avocastreet.info
avocastreet.com - asmc.net.au - randwickhealth.com - randwickgp.com - familydoctor.sydney

Message from your GPs

Dr Angela

Dr Kien

Dr Mandy

Dr Priscilla

MON - FRI7:30 AM - 5:30 PM
SATsee notes

Dr Mandy will be working reduced hours on Fridays

Dr Priscilla is away from the 2nd to the 13th of January.



Consultation Fees

(from November 1st 2022)

Consultation typeFeeRebateCost out of pocket
Level B$75.00$39.75$35.25
Level C$115.00$76.95$38.05
Level D$165.00$113.30$51.70
Please note::
  • We do not provide certificates or reports for work compensation, motor vehicle accident injuries, or any third party claims.
  • All fees must be paid for at the end of each consultation.
  • We accept cash, EFTPOS and credit cards but not cheques.
  • We will not create accounts for or send invoices to any third party.
  • After receiving full payment, we will provide a tax invoice with which the client can claim back from their third party insurers.
  • For clients with valid Medicare cards, we can assist with sending claim to Medicare via secure internet so that Medicare benefit will be deposited directly onto the EFTPOS card used, or into a bank account registered with Medicare.

Covid-19 Notices
Flu Shot
Emergency Numbers
After Hours 13 74 25
Local Pharmacies

General Information

Postnatal Depression

Many women experience mood swings after the birth of a baby. However, postnatal depression (PND) describes the more severe or prolonged symptoms of depression (clinical depression) that last more than a week or two and interfere with the ability to function on a daily basis with normal routines including caring for a baby.

It is important to note that PND is different from the baby blues that are common during the first week after childbirth.

For around one in seven women the stresses and emotional changes that accompany their postnatal experiences can be intense and include strong depressive mood swings, anxiety, social withdrawal, irritability and loss of enjoyment in usual activities. Postnatal disorders can interfere with the developing relationship between a mother and her baby after birth (bonding and attachment) and impose strains upon the relationship between the parents as well as causing distress for women themselves.

Severe disorders require treatment and it is very important to tell your doctor or midwife about current symptoms of distress as well as any past history or medication use.

Different types of PND
It can be helpful to know that there are different types of PND. Why? Because not only can the symptoms vary between the different types but they tend to respond best to different treatment approaches. Two main types will be discussed here:

i. Melancholic depression
Melancholic depression is relatively uncommon and affects only 1- 2 % of adults over their lifetime. This is usually a more severe form of depression than the other type of depression (non-melancholic depression) and has a more distinct genetic and biological basis. Someone who is pre-disposed to melancholic depression might have an episode of depression triggered by a stressful life event (e.g a death in the family) but this is not usually the primary cause of their depression.

Specific symptoms of melancholic depression usually include slowed cognitive processes, poor concentration, and psychomotor disturbance (agitation or slowing of physical movements) in addition to the features listed below for the non-melancholic type of PND.

Melancholic depression responds best to medical treatment such as antidepressant medication, and is less responsive to counselling or psychotherapy although the latter should complement medical treatments. Medical assessment is required as this type of PND rarely goes away without medical treatment.

ii. Non-melancholic depression
Non-melancholic depression is the most common form of PND and is linked more with psychosocial risk factors than genetic and biological causes. These disorders do not have biological or melancholic features though the depression can still be severe. This type of depression is more likely to respond to psychological approaches to treatment although medication may also be used when symptoms are severe.

Symptoms of PND
Symptoms of anxiety and depression that start during pregnancy or the postnatal period are similar to those that occur at any other time in a woman’s life, but the focus of the fears and depressive concerns can be the wellbeing of the baby, or feelings of inadequacy as a parent.

As mentioned above, the major symptoms of PND can vary according to whether you have a melancholic type of depression or a non-melancholic type. Women with a melancholic type of PND will tend to experience more disturbances in their cognitive and psychomotor processes (showing a slowing of movements or agitation) than women with non-melancholic depression. Other symptoms common to both the melancholic and non-melancholic types may include:

  • loss of enjoyment in usual pursuits
  • loss of self-esteem and confidence
  • loss of appetite and weight
  • broken sleep (irrespective of baby)
  • sense of hopelessness and being a failure
  • a wish not to be alive
  • frank suicidal thoughts or ideas
  • panic attacks
  • loss of libido
  • fears for baby’s or partners’s safety or wellbeing.

If you are experiencing any distressing symptoms that are causing you concern your Doctor, Midwife, or Child and Family Health Nurse can provide you with assistance or arrange for you to see a specialist.

Source: blackdoginstitute.org.au

The information in the above were collected from the internet,
either from government websites or from reasonably reliable health information sources.
They are for general information only and should not replace the need of seeking medical care during illnesses.

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