Beating the Blues before Birth

This study is testing whether a group therapy program using cognitive behavioural therapy (CBT) — a type of talk therapy that helps change unhelpful thought patterns — can help pregnant women who are experiencing depression. Depression in pregnancy (called antenatal depression) is just as common as depression after birth, and it can affect both the mother and the baby. The 8-session group program is being compared to usual care to see if it reduces depression and anxiety and helps women access health services. Participants will be followed up for 12 months after the program. You may be eligible if: - You are a woman aged 18 years or older - You are between 20 and 30 weeks pregnant - You have been diagnosed with minor or major depression (using standard DSM-IV diagnostic criteria) You may NOT be eligible if: - You are unable to understand written English - You have a major health problem affecting your ability to participate - You have a serious psychiatric condition such as psychotic depression that affects your ability to give informed consent - Your situation requires immediate crisis management - You are already participating in another psychological treatment program Talk to your doctor about whether this trial might be right for you.