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Doctor insights on: Postpartum Depression Guidelines

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How is postpartum depression self-diagnosed?

How is postpartum depression self-diagnosed?

It should not be: Post-partum depression is a serious, potentially life-threatening medical condition that needs to be ruled out by a qualified professional and is a medical emergency, as in get to the emergency room, by ambulance if necessary, if the woman has thoughts of killing herself or others, or seems to have lost touch with reality. ...Read more

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Dr. Pamela Pappas
4,613 doctors shared insights

Depression (Definition)

Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more


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5mths postpartum, exclusively breastfeeding. How can PPD (postpartum depression) affect ones sex life?

5mths postpartum, exclusively breastfeeding. How can PPD (postpartum depression) affect ones sex life?

Yes, it can: In fact, it can effect everything and is very worth seeking specialized treatment for. The well-being of your entire family (especially you) is in the balance. It's a common condition w/ elements that come from hormone changes, life demands, emotional intensity of relationships, etc. A good fit w/ an experienced therapist really helps. If meds are needed briefly they'll help select the right one. ...Read more

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What's postpartum depression vs psychosis?

What's postpartum depression vs psychosis?

Varies: First off, it's very important to distinguish if there is psychosis present without a clinical depression, a depressive episode without psychosis, or both. There are many treatment options including a wide array of medication and non-medication interventions. The top priority is to ensure the immediate safety of both the mother and child(ren). ...Read more

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Symptoms of post partum depression vs baby blues?

Symptoms of post partum depression vs baby blues?

See Below: Baby blues are transient, relatively mild with onset several days after delivery and lasting about 3-4 wks. Sx resolve as hormone levels stabilize and routine with the baby is established. Postpartum depression significantly impairs functioning, onset might be delayed for up to a year. Even if hormones are stabilized and routine is there, sx do not resolve, worsen and functioning deteriorates. ...Read more

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What is the difference between depression, postpartum depression, baby blues, and general sadness?

What is the difference between depression, postpartum depression, baby blues, and general sadness?

2 general types: Generally there are two types of depression listed in the DSM5. The first is dysthymia, which is a chronic type of depression that varies little in intensity, and major depression, which varies in intensity a great deal. ...Read more

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How can one stop ongoing bipolar dysthymia/mild depression?

How can one stop ongoing bipolar dysthymia/mild depression?

Help, yoga, exercise: It's important to pursue a course of therapy and medication prescribed by a psychiatrist. It's also important to take steps to involve oneself in activities that help build the resilience of the brain like regular exercise, yoga, and meditation. ...Read more

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Does postpartum depression involve anger?

Does postpartum depression involve anger?

It certainly can: Yes, it certainly can, but it could also indicate many other things, eg sleepiness, fatigue, burnout, relationship difficulties, or even an emerging mania or mixed mood state. Please discuss this with your doctors asap. ...Read more

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How is postpartum psychosis or depression treated?

How is postpartum psychosis or depression treated?

Varies: First off, it's very important to distinguish if there is psychosis present without a clinical depression, a depressive episode without psychosis, or both. There are many treatment options including a wide array of medication and non-medication interventions. The top priority is to ensure the immediate safety of both the mother and child(ren). ...Read more

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Is mbsr training recommended for patients suffering clinical depression, mild chronic depression, or high levels of stress and anxiety?

Is mbsr training recommended for patients suffering clinical depression, mild chronic depression, or high levels of stress and anxiety?

Not everyone: I recommend mbsr training to many of my patients. Recommendations are very individual, since severely depressed people may not be able to attend well to the process, or silent meditation may result in losing one's self in self-deprecating/negative thinking. Moderate depression is quite different though -- there is even mindfulness-based cbt for depression. Mbsr can be very helpful in anxiety! ...Read more

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I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?

I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?

PostNatal Depression: Because patients' responses to these drugs, singly or in combination, are varied and dependent on each patient's specific condition, it is best to defer to your managing physician who will monitor your condition and response to treatment closely and titrate the doses of these drugs accordingly for optimum effect. Good luck! ...Read more

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What are major risk factors for postpartum depression?

What are major risk factors for postpartum depression?

Past History: Far and away, the largest risk factor for post-partum depression is a prior personal history of a major depressive episode, major mood episode such as mania or bipolar disorder, or a prior psychotic episode. To a lesser extent, a family history of any of the above increases the risk. ...Read more

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How do "typical" depression and post partum depression differ?

How do "typical" depression and post partum depression differ?

Severity, timing: Postpartum depression usually occurs within a year of delivery and is potentially more severe and dangerous than major depression. Although there are often mild symptoms of depression after most births, PPD is more severe, a medical emergency. If you have a history of depression or bipolar it's vital to meet with your doctor throughout your pregnancy to plan a strategy to address this pre-delivery. ...Read more

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First depression. Now adult add. Curious if bipolar 2 is the culprit. Depression-extreme anger-panic -tears-back to depression. Daily, weekly, monthly?

First depression. Now adult add. Curious if bipolar 2 is the culprit. Depression-extreme anger-panic -tears-back to depression. Daily, weekly, monthly?

Gordian Knot: That is a difficult question to answer, but you may be on the right track. Speak with your mental health provider about further testing rule out adhd. It is true that hypomania/mania has similar symptoms to adhd. However, the main differentiating factor is time frames; with adhd, the racing thoughts, inability to focus, failing to complete tasks, etc. Is present all the time. ...Read more

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Lifelong history depression &gad, diagnosed ptsd 2007, worsened depression. Tried so many drugs, different therapies, ready to give up. Suggestions?

Lifelong history depression &gad, diagnosed ptsd 2007, worsened depression. Tried so many drugs, different therapies, ready to give up. Suggestions?

Skilled therapist: That sounds really difficult. It might be a good idea to find a psychologist whose specialty is trauma and ptsd. Emdr and other body based therapies with a skilled practitioner could also help. Psychologytoday.Com is a good resource to find someone who will be a good fit. All the best and I do hope you feel better. ...Read more

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Bipolar II and anxiety disorders. Take klonopin for the anxiety, Neurontin (gabapentin) for mood stability. Recommendation for antidepressants for the depression?

Bipolar II and anxiety disorders. Take klonopin for the anxiety, Neurontin (gabapentin) for mood stability. Recommendation for antidepressants for the depression?

Your doctor: is the best person to answer this question. The answer requires detailed knowledge of your situation, no two are alike, and your struggles with depression. The medications you are taking may, over time, work on your depression as well as your other symptoms. Ask at your next visit or schedule one. If at any time you feel you may harm yourself, have any thoughts of suicide, go right to ER ...Read more

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Depression during pregnancy--signs and treatments?

Depression during pregnancy--signs and treatments?

Same signs as not: Pregnant. The treatment, however, is different. There should be more emphasis on psychotherapy. Most antidepressants should be avoided, at least until the third trimester. Electroconvulsive therapy is very safe for both mother and child, although it is usually only used in severe cases. ...Read more

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Does everybody with psychotic depression go to psych hospitals?

No: Usually people are admitted to a hospital if they are a danger to themselves or others and are they are unsafe outside a hospital environment. Otherwise psychotic depression can be treated with medication or (ideally) medication + psychotherapy. If the person is very disorganized, they may benefit from the structure of a residential treatment program or "halfway" program. ...Read more

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Who is at risk for depression and suicide?

Who is at risk for depression and suicide?

Nearly anyone: Anyone could be at risk, but more so if you have a family history of depression or bipolar illness, alcoholism, drug abuse, etc. If you use substances like that yourself, you would be at higher risk. If you have ongoing medical illnesses such as heart disease, diabetes, stroke, and ms, etc you have higher likelihood. Some medications like antihypertensives & oral contraceptives can add risk also. ...Read more

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Post partum depression or just feelings of overwhelmed parent?

Post partum depression or just feelings of overwhelmed parent?

Either: Being a parent can be overwhelming especially of a newborn . Talk to your doctor and trusted family and friends to make sure you are not having postpartum depression . It is important to be treated for this condition ...Read more

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Are mental illnesses narcissistic personality disorder and psychotic depression related to one another?

It can happen: The 2 conditions are not directly related. But narcissistic personality-disordered people can become very depressed -- sometimes even psychotically so. This may happen due to perceived failures in empathy, to which they are exquisitely sensitive. Rather than being a little hurt and getting over it like less impaired people might, an npd person may lose his/her entire feeling of self-hood. ...Read more

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Dr. Linda Bernstein
222 doctors shared insights

Recently Gave Birth (Definition)

Postpartum is a term that means after the "separation of the mother and the baby", or after ...Read more