Treatment FAQ

where can you get treatment for postpartum depression

by Mrs. Erica Deckow Published 3 years ago Updated 2 years ago
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Symptoms

Because postpartum depression is a mental health condition, it can be treated through psychotherapy. This includes talk therapy with a psychiatrist, psychologist or other mental health professional. For women who feel isolated, anxious and scared, talking about their feelings in a safe environment can be incredibly helpful.

Causes

There are generally two types of mental health professionals who can provide treatment for postpartum depression: psychologists and psychiatrists. Both professions work to treat mental conditions and improve emotional well-being. However, they have distinct differences in educational background, scope of practice and approach to therapy.

Prevention

Now is also a good time to beef up your intake of omega-3 fatty acids, like DHA. According to an article published by the Journal of Affective Disorders, women who have low levels of DHA have higher rates of postpartum depression. Seafood is an excellent dietary source of DHA. If you’re a vegetarian, flaxseed oil is another great source.

Complications

Acupuncture: a promising treatment for depression during pregnancy. J Affective Disorders. 2004;83:89–95. [ PubMed] [ Google Scholar] 141. Manber R, Schnyer RN, Lyell D, et al. Acupuncture for Depression During Pregnancy a Randomized Controlled Trial.

What is postpartum depression and how is it treated?

What type of Doctor treats postpartum depression?

What are the best natural remedies for postpartum depression?

What are the treatment options for depression during pregnancy?

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How do doctors treat postpartum anxiety?

The treatment options for postpartum anxiety are usually similar to those used for other types of anxiety disorders. Common treatments include: Cognitive behavioral therapy (CBT): Short-term talking therapy with a mental health professional to learn ways to change anxiety-producing thought patterns.

What is the best treatment for postpartum psychosis?

Treating postpartum psychosisantipsychotics – to help with manic and psychotic symptoms, such as delusions or hallucinations.mood stabilisers (for example, lithium) – to stabilise your mood and prevent symptoms recurring.More items...

Which are strategies for preventing postpartum depression?

Eight Strategies for Preventing Postpartum DepressionTalk to Your Medical Team. ... Get Active. ... Rest. ... Eat a Healthy Diet. ... Seek Breastfeeding Support. ... Ask For Help. ... Take Time to Connect with Your Baby. ... Talk to Other Mothers.

Is post partum depression considered a disability?

To be considered a qualifying “disability” under the ADA, your postpartum depression must “substantially limit” a major life activity, such as sleeping, eating, concentrating, or working.

How long does postpartum psychosis last if untreated?

The most acute symptoms of postpartum psychosis can last anywhere from two to 12 weeks. Some women may need longer to recover, from six to 12 months. Even after the major psychosis symptoms go away, women may have feelings of depression and/or anxiety.

Can you recover from postpartum psychosis?

Recovering from postpartum psychosis. The most severe symptoms tend to last 2 to 12 weeks. It can take 6 to 12 months or more to recover from the condition. But with treatment, most women with postpartum psychosis do make a full recovery.

How do I cope with postpartum?

Life hacks: Dealing with postpartum depressionBuild a secure bond with your baby. Emotional bonding is the secure attachment that forms between parents and children. ... Take care of yourself. ... Slowly reintroduce exercise. ... Build a support network. ... Try psychotherapy and medication.

How do you survive postpartum?

SURVIVING POSTPARTUM(1) SLEEP. Sleep can turn into a four-letter word after your baby is born. ... (2) ASK FOR HELP. Many of us would like to think that we can handle things ourselves. ... (3) TRACK YOUR EMOTIONS. ... (4) BE PATIENT WITH BONDING. ... (5) FIND YOUR TRIBE. ... (6) BODY ACCEPTANCE. ... (7) SELF-CARE. ... (8) MANAGE EXPECTATIONS.More items...•

Does everyone get PPD?

Many new moms experience the baby blues – a mild, brief bout of depression – for a few days or weeks after giving birth. However, 10 percent to 20 percent of new moms will experience a more severe form of depression – known as postpartum or perinatal depression – that can interfere with daily life.

Can you be signed off work with postnatal depression?

If your post-natal depression is likely to last for a year or more you may be protected by disability discrimination and your employer should consider making reasonable adjustments to your job if that would enable you to return to work.

What kind of disorder is postpartum?

Postpartum depression (PPD) is a complex mix of physical, emotional, and behavioral changes that happen in some women after giving birth. According to the DSM-5, a manual used to diagnose mental disorders, PPD is a form of major depression that begins within 4 weeks after delivery.

Does Aflac cover postpartum depression?

Mental or emotional disorders, including but not limited to the following: bipolar affective disorder (manic-depressive syndrome), delusional (paranoid) disorders, psychotic disorders, somatoform disorders (psychosomatic illness), eating disorders, schizophrenia, anxiety disorders, depression, stress, or post- partum ...

How to treat postpartum depression?

Postpartum Depression Therapy. Because postpartum depression is a mental health condition, it can be treated through psychotherapy. This includes talk therapy with a psychiatrist, psychologist or other mental health professional. For women who feel isolated, anxious and scared, talking about their feelings in a safe environment can be incredibly ...

What is the best medication for postpartum depression?

Antidepressants are the most commonly prescribed type of medication for postpartum depression. Antidepressants work to elevate and stabilize the mood. This prevents postpartum depression symptoms such as mood swings, sadness and irritability.

Why do psychiatrists prescribe antidepressants?

Unlike psychologists, psychiatrists are able to prescribe medications like antidepressants to help correct chemical deficiencies and imbalances that cause PPD. Because of the scientific approach to treatment, psychiatrists will also look to rule out other conditions that cause similar symptoms as postpartum depression, such as malnutrition or a thyroid disorder.

How to help a wife recover from postpartum depression?

Depending on the situation, relationship therapy for spouses may be an important factor in recovering from postpartum depression. In general, therapy can help women develop a more positive way of acknowledging, addressing and recovering from their postpartum depression. Learn More About Therapy Options.

What are the factors that affect postpartum depression?

These factors include: The severity of the condition. Medical history and background of the mother. Other individual needs. Postpartum depression treatments generally include therapy with a mental health professional, such as a psychiatrist or psychologist. Another common treatment method, used in conjunction with therapy, ...

What are the two types of mental health professionals?

There are generally two types of mental health professionals who can provide treatment for postpartum depression: psychologists and psychiatrists. Both professions work to treat mental conditions and improve emotional well-being. However, they have distinct differences in educational background, scope of practice and approach to therapy.

How does mental health help women?

Mental health professionals use therapy to help women find ways to understand and cope with their feelings. Therapy also helps mothers solve problems and set realistic goals as they work to manage their postpartum depression. There are two common types of psychotherapy that are referred to as talk therapy.

How is postpartum depression treated?

Therapy. During therapy, you talk to a therapist, psychologist, or social worker to learn strategies to change how depression makes you think, feel, and act.

What is the best medicine for postpartum depression?

There are different types of medicines for postpartum depression. All of them must be prescribed by your doctor or nurse. The most common type is antidepressants . Antidepressants can help relieve symptoms of depression and some can be taken while you're breastfeeding. Antidepressants may take several weeks to start working.

How common is postpartum depression?

Depression is a common problem after pregnancy. One in 9 new mothers has postpartum depression. 1

What is postpartum psychosis?

It happens in up to 4 new mothers out of every 1,000 births. It usually begins in the first 2 weeks after childbirth. It is a medical emergency. Women who have bipolar disorder or another mental health condition called schizoaffective disorder have a higher risk of postpartum psychosis. Symptoms may include:

How long does it take to feel sad after pregnancy?

Your body and mind go through many changes during and after pregnancy. If you feel empty, emotionless, or sad all or most of the time for longer than 2 weeks during or after pregnancy, reach out for help. If you feel like you don't love or care for your baby, you might have postpartum depression. Treatment for depression, such as therapy or medicine, works and will help you and your baby be as healthy as possible in the future.

Is postpartum depression a health condition?

These feelings are common among new mothers. But postpartum depression is a serious health condition and can be treated. Postpartum depression is not a regular or expected part of being a new mother.

Can you take brexanolone while pregnant?

Because of the risk of side effects, this medicine can only be given in a clinic or office while you are under the care of a doctor or nurse. Brexanolone may not be safe to take while pregnant or breastfeeding.

What is postpartum depression?

Postpartum depression is a complex mix of physical, emotional, and behavioral changes that occur after giving birth that are attributed to the chemical, social, and psychological changes associated with having a baby.

How many women have postpartum depression?

Postpartum depression is common. As many as 50 to 75% of new mothers experience the "baby blues" after delivery. Up to 15% of these women will develop a more severe and longer-lasting depression, called postpartum depression, after delivery. One in 1,000 women develop the more serious condition called postpartum psychosis.

What is PMDD in pregnancy?

Having a personal or family history of depression or premenstrual dysphoric disorder (PMDD). Limited social support. Marital conflict. Ambivalence about the pregnancy. A history of depression during pregnancy — 50% of depressed pregnant women will have postpartum depression.

How long does postpartum depression last?

The symptoms generally occur quickly after delivery and are severe, lasting for a few weeks to several months.

What are the symptoms of postpartum psychosis?

Symptoms include severe agitation, confusion, feelings of hopelessness and shame, insomnia, paranoia, delusions or hallucinations, hyperactivity, rapid speech, or mania. Postpartum psychosis requires immediate medical attention since there is an increased risk of suicide and risk of harm to the baby. Treatment will usually include admission ...

How long does it take for postpartum blues to subside?

The condition usually begins in the first week (one to four days) after delivery. Although the experience is unpleasant, the condition usually subsides within two weeks without treatment. All you'll need is reassurance and help with the baby and household chores.

What is the term for the shift in emotions after delivery?

Postpartum Depression. As many as 50 to 75% of new mothers experience a shift in their emotions called the “baby blues” after delivery. Up to 15% of these women will develop a more severe and longer-lasting depression, called postpartum depression, after delivery. Women with postpartum depression may experience emotional highs and lows, ...

How effective is IPT for postpartum depression?

Several studies, including one large-scale randomized controlled trial, have supported the effectiveness of IPT for treating postpartum depression. O’Hara and colleagues randomized 120 women with postpartum depression to receive 12 weekly 60-minute individual sessions of manualized IPT by a trained therapist versus control condition of a wait-list. 101 The women who received IPT had a significant decrease in their depressive symptomatology (measured by Hamilton Depression Rating Scale and Beck Depression Inventory) as compared to the wait-list group, as well as significant improvement in social adjustment scores. In another study by Clark et al 35 women with postpartum depression were assigned to individual IPT (12 sessions) versus mother–infant group therapy versus a wait-list condition. 102 Both IPT and mother–infant group therapy were associated with greater reduction in depressive symptoms as compared to the wait-list conditions. Both studies support the effectiveness of IPT as a treatment for PPD, though there is not enough data to suggest a specific benefit to IPT compared with other therapeutic modalities.

How many mothers are affected by postpartum depression?

Postpartum depression is a major international public health problem that affects at least 1 in 8 mothers and their children in the year after childbirth worldwide. PPD may be more common and may be associated with more morbidity for both mothers and children in resource-poor countries.

How does mother to mother support affect depressive symptoms?

In a pilot study, CL Dennis 113 evaluated the effect of mother-to-mother support as delivered over the telephone on depressive symptomatology in a postpartum patient population identified as at high risk for PPD based on EPDS score >9. Standard postpartum care in addition to individualized telephone-based peer support resulted in a significant reduction in depressive symptoms at 8 weeks. More recently, in a larger randomized multisite trial, Dennis and colleagues demonstrated that high-risk postpartum women who received telephone-based peer support over 12 weeks were at lower risk for developing PPD (as defined by EPDS >12) compared to a control group receiving usual care. 114 Due in part to the telephone-based nature of the study, the investigators were unable to confirm the findings from rating scales with structured clinical interviews.

How does depression affect a mother?

Untreated maternal depression is associated with serious morbidity for the mother, the infant, and the family system. Perinatal depression causes significant suffering in women at a time when personal or societal notions of motherhood as a uniquely joyful, if tiring, experience may be incongruous with the depressed woman’s ability to feel gratification in the mothering role, 13 connect with her infant, or carry out the often overwhelming tasks of caring for a new baby. 14 Such a disconnect can reinforce the disabling sense of isolation, guilt, helplessness and hopelessness that frequently characterize the depressed state. Women with PPD are at higher risk for smoking, 15 alcohol or illicit substance abuse, 16 and are more likely than nondepressed mothers to experience current or recent physical, emotional, or sexual abuse. Although rates of suicide for women during pregnancy and the puerperum are lower than the general population, suicide is an important cause of maternal mortality. 17 Self-inflicted injury is the leading cause of one-year maternal mortality in the United Kingdom. 18 A recent World Health Organization report on women’s health identifies self-inflicted injury as the second leading cause of maternal mortality in high-income countries; suicide remains an important cause of maternal deaths in moderate and low-income countries. 19 Intrusive thoughts of accidental or intentional harm to the baby are common in the early postpartum time. 20 These thoughts are more frequent and distressing in women with postpartum depression; 21 however, nonpsychotic depressed women are unlikely to commit infanticide. 22

What are the symptoms of a postpartum depression episode?

However, studies suggest that depressive episodes are significantly more common in women in the first three months after delivery, 32 and an increased vulnerability to psychiatric illness may persist for a year or more. 33 It is important to differentiate PPD from other psychiatric and nonpsychiatric diagnoses. The “postpartum blues” or “baby blues” is a transient mood disturbance that affects up to 75% of new mothers in the 10 days following delivery, and consists of crying, irritability, fatigue, anxiety, and emotional lability. Symptoms are generally mild and self-limited, and do not involve total loss of pleasure or interest, persistent low mood, or suicidal ideation. 34 On the other extreme, postpartum psychosis is a psychiatric emergency that requires immediate intervention, and is characterized by the rapid onset of severe mood swings, a waxing and waning sensorium, delusions, hallucinations or disorganized behaviors, and a relatively high incidence of suicidal ideation or homicidal ideation toward the infant. 35 Women presenting with a depressive episode, mood elevation, or psychotic symptoms should be screened for any prior history of mania or hypomania to rule out previously undiagnosed bipolar disorder. 36 Anxiety disorders are common in perinatal women, and women may have depression comorbid with obsessive-compulsive symptoms, generalized anxiety disorder, panic disorder or post-traumatic stress disorder. 37 Substance use and medical causes of psychiatric symptoms, such as thyroid disorders, should also be considered.

What are the risk factors for postnatal depression?

6, 7 Significant risk factors for PPD include a history of depression prior to or during pregnancy, anxiety during pregnancy, experiencing stressful life events during pregnancy or the early puerperium, low levels of social support 8 or partner support, 9 low socioeconomic status, and obstetric complications. 7 Although mental health often is not prioritized as a problem in poorer countries where access to basic nutrition and health care are not consistent, the evidence suggests that postnatal depression may be both more common and more grave for women and their children in low-income countries. The limited data from resource-constrained countries suggests that rates of depression in mothers of young infants exceeds 25%, 10 and in some settings may be as high as 60%. 11 The intersection of cultural, interpersonal and socioeconomic factors may also confer significant risk of PPD: in one study in Goa, India, risk for depression after delivery increased with economic deprivation, marital violence, and female gender of the infant. 12

What is interpersonal therapy?

Interpersonal therapy (IPT) is a time-limited treatment for major depression based on addressing the connection between interpersonal problems and mood, 98 which frames depression as a medical illness occurring in a social context. 99 In IPT, the patient and clinician select one of four interpersonal problem areas (role transition, role dispute, grief, or interpersonal deficits) as a treatment focus. Over the course of the therapy (typically 12–20 weeks), strategies are pursued to assist patients in modifying problematic approaches to relationships and in building better social supports. IPT has been adapted to address problem areas relevant to postpartum depression such as the relationship between mother and infant, mother and partner, and transition back to work. 100 The fact that IPT is both time-limited and problem-focused fits well with the demands of the postpartum mother.

What to do if you are depressed after a baby is born?

If you're feeling depressed after your baby's birth, you may be reluctant or embarrassed to admit it. But if you experience any symptoms of postpartum baby blues or postpartum depression, call your doctor and schedule an appointment. If you have symptoms that suggest you may have postpartum psychosis, get help immediately.

How soon can you call your doctor for postpartum depression?

It's important to call your doctor as soon as possible if the signs and symptoms of depression have any of these features: Don't fade after two weeks. Are getting worse. Make it hard for you to care for your baby.

What are the symptoms of postpartum psychosis?

Signs and symptoms may include: Confusion and disorientation. Obsessive thoughts about your baby.

How long does it take for depression to develop after birth?

Symptoms usually develop within the first few weeks after giving birth, but may begin earlier ― during pregnancy ― or later — up to a year after birth. Postpartum depression signs and symptoms may include: Depressed mood or severe mood swings. Excessive crying. Difficulty bonding with your baby.

What to do if you think you are harming your baby?

If at any point you have thoughts of harming yourself or your baby, immediately seek help from your partner or loved ones in taking care of your baby and call 911 or your local emergency assistance number to get help.

Is postpartum depression a weakness?

Postpartum depression isn't a character flaw or a weakness. Sometimes it's simply a complication of giving birth. If you have postpartum depression, prompt treatment can help you manage your symptoms and help you bond with your baby.

Can a father have depression during pregnancy?

If you're a new father and are experiencing symptoms of depression or anxiety during your partner's pregnancy or in the first year after your child's birth, talk to your health care professional. Similar treatments and supports provided to mothers with postpartum depression can be beneficial in treating postpartum depression in fathers.

What happens when you arrive at a postpartum depression treatment center?

When you arrive at our postpartum depression treatment center, you’ll meet our staff and other residents and become familiar with our treatment environment.

What Is Postpartum Depression?

Postpartum depression is a type of major depressive disorder that develops while a woman is pregnant or within a few weeks after she has given birth. Anyone who gives birth, including adolescent girls and adult women, can develop postpartum depression.

What are the negative effects of postpartum depression?

Overwhelming sense of hopelessness. Self-harm. Thoughts of suicide. When you get postpartum depression treatment, you can limit your risk for the negative effects of postpartum depression. While you’re in treatment, you can also begin to heal from any effects of postpartum depression you’ve already experienced.

How many women have postpartum depression?

According to the U.S. Centers for Disease Control and Prevention (CDC), 13.2% of women who give birth, or 1 of every 8 new mothers, will struggle with the signs and symptoms of postpartum depression. In some states, the CDC reports, the rate of postpartum depression is higher than 20%.

How does postpartum affect your life?

The symptoms of postpartum depression can affect your physical health and your emotional well-being. It can alter how you feel about yourself and your baby, and it can change how you interact with others. In short, postpartum depression can undermine your ability to live a healthy and satisfying life.

Is postpartum depression more than baby blues?

Postpartum depression, the OWH emphasizes, is more than “the baby blues.”. If you have been experiencing overwhelming sadness, emotional emptiness, and other distressing emotions for two weeks or more, you may be struggling with symptoms of postpartum depression.

Can adolescent girls have postpartum depression?

Anyone who gives birth, including adolescent girls and adult women, can develop postpartum depression. As described by the U.S. Office on Women’s Health (OWH), postpartum depression is a serious illness. Postpartum depression, the OWH emphasizes, is more than “the baby blues.”.

What to eat to help with postpartum depression?

According to an article published by the Journal of Affective Disorders, women who have low levels of DHA have higher rates of postpartum depression. Seafood is an excellent dietary source of DHA.

How long does it take for a postpartum depression to start?

Symptoms usually start within a few weeks of delivery, though they may develop up to six months afterward.

What are the symptoms of postpartum psychosis?

Call your doctor immediately if you feel disoriented or confused, have obsessive thoughts about your baby, feel paranoid, or experience hallucinations. These are signs of a more severe condition called postpartum psychosis.

How many women have PPD?

If you feel like you may be depressed, you aren’t alone. Approximately 1 in 7 women in the United States develop PPD. The most effective way to diagnose and treat PPD is by visiting your doctor.

What is the treatment for PPD?

Psychotherapy is the treatment of choice for PPD. This involves speaking with a mental health professional about your thoughts and feelings. In your sessions, you can work on ways to cope and solve problems. You can also set goals and find ways to deal with different situations so that you feel better and more in control.

How to get out of the house while nursing?

Even if you can only get out of the house between nursing sessions, you can use this time to decompress. Go on a walk, take a nap, go to a movie, or do some yoga and meditation . 4. Make time to rest. You’ve probably been told to “sleep when the baby sleeps.”.

Does walking help with PPD?

Researchers#N#Trusted Source#N#in Australia explain that exercise may have an antidepressant effect for women with PPD. In particular, walking with baby in a stroller might be an easy way to get in some steps and breathe fresh air. In a study published in Mental Health and Physical Activity, walking was found to be a statistically significant way to ease depression.

What is the treatment for depression and anxiety?

Selective serotonin reuptake inhibitors ( SSRIs) are considered a first-choice treatment for depression and anxiety. They work by affecting a brain chemical called serotonin, which is thought to play a role in mood.

What is the term for the depression after birth?

But for some people, there’s also a more serious and longer-lasting period of depression after childbirth that’s referred to as postpartum depression (PPD). In fact, PPD affects 1 in every 9 people after giving birth.

What other PPD treatment options are there?

Below we’ll cover some non-medication treatments for PPD.

How many people have PPD after childbirth?

Postpartum depression (PPD) affects 1 in 9 people after childbirth.

How many sessions of CBT for PPD?

The course of therapy is typically 12 to 16 sessions.

What is the best medication for depression?

Serotonin-norepinephrine reuptake inhibitors ( SNRIs) are also commonly prescribed for depression and anxiety and are used off-label to treat PPD. They work by raising serotonin, as well as another brain chemical called norepinephrine.

Is sertraline a placebo?

A 2013 study comparing sertraline to placebo (a pill with no medication in it) for PPD treatment showed significantly higher rates of response and remission — a period of no depression symptoms — in the sertraline group.

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Diagnosis

Treatment

Medically reviewed by
Dr. Abhimanyu Chandak
Symptoms
If you are experiencing new, severe, or persistent symptoms, contact a health care provider.

Though symptoms are most commonly seen in the first few weeks after birth, they can occur anytime within the first year. Emotional, behavioral and cognitive changes may be caused.

  • Feeling of sadness and anxiety
  • Sleeping a lot or too less
  • Eating too less or too much
  • Unexplained aches, pain or illness
  • Anxiety, irritation or anger for no reason
  • Sudden mood changes
  • Poor concentration
  • Difficulty in remembering things
  • Feelings of worthlessness, guilt and hopelessness
  • Recurrent thoughts of death and suicide
  • Lack of pleasure in things that were earlier enjoyable
  • Feeling disconnected with the baby

Causes

  • The cause of postpartum depression is not fully understood. It can be attributed to a combination of environmental, emotional, hormonal and genetic factors. Sleep deprivation may worsen symptoms or increase the likelihood of the condition.
  • Drop in hormone levels after the delivery
  • Emotional issues like stress between partners or Family is also a potential factor for postpartum depression
  • Lack of help/support to manage the newborn
  • Complications during childbirth
  • Family history of depression
  • Stressful events during pregnancy
  • Drug use disorder

Prevention

  • If you have family history of depression, consult your doctor during pregnancy
  • Go for depression screening during pregnancy and also after the birth of the baby
  • Get help so that you get the required sleep, food, exercise and overall support
  • Avoid alcohol and caffeine during and after pregnancy
  • Surround yourself with positive aura

Complications

  • If not treated in time, it may result in chronic depression
  • Increased chances of future depression
  • Affects the psychological development of child
  • Patient might develop suicidal tendencies

Clinical Trials

Coping and Support

Preparing For Your Appointment

  • Your doctor will usually talk with you about your feelings, thoughts and mental health to distinguish between a short-term case of postpartum baby blues and a more severe form of depression. Don't be embarrassed ― postpartum depression is common. Share your symptoms …
See more on mayoclinic.org

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