Hi Lee Ling,
Am so sorry to hear that your sis-in-law is having a tough time.
Being a first time mum is hard, even though i prepared so much for it.
The first sign of PPD for me was also fatigue. I was tired all the time, yet i couldn't sleep and worried a lot about my baby.
I also had low milk supply which cause a lot of breastfeeding issues for me.
Later my conditioned worsened and i got anxiety attacks, panic disorders, unable to concentrate on tasks, complete lack of confidence, depression and more.
I really would encourage her to see a doctor if she has half or more of the signs of PPD. U can check them here:
In Malaysia, seeing a psychotherapist is considered taboo becos there is so little information about this.
But tell your sis-in-law, seeing this doctor is the best thing i did to help me in my motherhood journey. There is no shame, it is like seeing any other doctor for a illness.
Contact Dr Brian Ho in Pantai Hospital 03-22960715. He is very experienced and one of the best out there.
His charges are expensive but worth every penny.
Pls feel free to let me know if i can help in any way.