TABLE 1.

Summary of Focus Group Themes and Subthemes (Women Only)

Depression as a personal and community reality

Embracing personal experiences as a part of life

Weak vs. strong presentation to others

Social stigma influencing self-perception (“bad mom stigma”)

Normalcy and solidarity among group members in face of depression

Mental health services as extension of personal support network

Comfort discussing depression only with known and trusted providers

Sense of abandonment from negative past experiences

Misfits between need, access, and availability

Personal investment between providers and consumers

Hierarchy of desired services

Reproductive losses as undiscussed and undisclosed facts of life

Reproductive loss as a new term for a common set of experiences

Privacy and internalization of reproductive losses

Acknowledgment of personal and social impact

Spiritual understanding and acceptance

Medication as a common, challenging, and self-directed treatment

Antidepressants as a common form of treatment

Medication side-effects or depression: Which is worse?

Self-management of medication