Doctor insights on:
Zoloft For Postpartum Depression
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
I need help I started taking zoloft right after I had my child becuse post partum depression. It worked and I stoped taking it. No with drawls nothing but then I decided randomly one day to take it and then I dtoped n started so it was "as needed", not da
Zoloft (sertraline): I commend you for stopping Zoloft (sertraline) when you did not need it. Feel good that you have been functioning satisfactorily without Zoloft (sertraline). If you are not moderately depressed- crying spells, very sad mood, changes in sleep, appetite, weight, energy, motivation, you do not need to take Zoloft (sertraline) randomly or “ as needed” It takes 4- 10 days for Zoloft (sertraline) to work. Once you start it, follow with the Psychiatrist.See 1 more doctor answer
I currently take 50mg zoloft daily. I've been on for one year for post partum depression. I'm ready to begin weaning. What schedule do you recommend?
I really believe: You need to get this information from your prescribing medical provider. As a psychiatrist, I can make recommendations. But if I was your provider I would be pretty upset if you went to a general medical information site for treatment recommendations vice bringing it to me in person.
Possibly: Depression is not uncommon after childbirth, although mild "baby blues" are more common. Symptoms to look for include sadness/numbness, loss of interest in pleasurable activities, changes in sleep or appetite, guilt or worry, poor concentration, low energy, feeling heavy or slow. If she is making any statements about wanting to not be alive or harm herself or the baby bring her to an er.See 1 more doctor answer
Depression & anxiety: The symptoms can include: insomnia and sleep disturbances, sad & depressed mood, lack of appetite, worrying & severe anxiety, irritability and anger, panic attacks, feelings of hopelessness, loss of pleasure and motivation in usual activities, difficulty functioning as usual, overwhelmed and unable to cope with life's demands, and obsessive, distressing thoughts. Sometimes suicidal thoughts.See 7 more doctor answers
Dangerous Ones: Postpartum depression, when severe, can be associated with sleep deprivation, suicidal thoughts, anxiety and intrusive, obsessive, and disturbing thoughts about the baby. Postpartum psychosis is a different condition that is more associated with bipolar disorder and involves hallucinations and delusions and an increased risk of infanticide. Both demand immediate support and psychiatric care.See 2 more doctor answers
See a doctor: If you feel depressed in the immediate post partum you need to talk to your doctor about it, it is not normal part of the post partum.See 4 more doctor answers
Difficulty coping: Affecting about 10% of new moms, women with postpartum depression have strong feelings of sadness, anxiety, or despair that cause them difficulty coping with their daily tasks. It can occur anytime after delivery but usually starts 1-3 weeks after delivery. It is likely from body, mind and lifestyle factors combined. These women need treatment with counseling and sometimes medication.See 1 more doctor answer
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.See 1 more doctor answer
Get Medical Help: Call your doctor. Check out postpartum support international for referrals and support groups: http://www. Postpartum. Net/get-help. Aspx.See 3 more doctor answers
Quite Complex!: Mood disorders are very complex -quite often it may be situational, more often than recognized, "in the family" or genetic. Nutrition, hormones, undesired life changes, loss of a loved one -even a pet can send your outlook and persona down to the negative numbers. Even the best swimmers sometimes need help getting ashore. Depression, while complex, is treatable. Lots of initial self-screen on web.See 1 more doctor answer
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).
Many Options: Depending on the severity here are options to consider talking with your obgyn and psychiatrist: 1) bright light therapy 2) psychotherapy 3) antidepressant drugs - some drugs, such as zoloft & paxil, (paroxetine) end up in very low concentrations (if at all) in breast milk. 4) transcranial magnetic stimulation (tms) is an outpatient treatment that uses an MRI strength magnet to stimulate the brain. 5) and more.See 2 more doctor answers
Depression & anxiety: The symptoms can include: insomnia and sleep disturbances, sad & depressed mood, lack of appetite, worrying & severe anxiety, irritability and anger, panic attacks, feelings of hopelessness, loss of pleasure and motivation in usual activities, difficulty functioning as usual, overwhelmed and unable to cope with life's demands, and obsessive, distressing thoughts. Sometimes suicidal thoughts.See 1 more doctor answer
No: The hallmark of depression is a diminished ability to enjoy things that should be enjoyable. If that occurs, the individual needs to see their physician. The blues are typically not associated with this symptom. However, "blues" that persist for more than 2 weeks should be evaluated by your doctor.
Anytime in first yr: Postpartum depression can present anytime in the first year. It is most common to begin within the first 3 to 4 months. However it can begin later in the first year, particularly with changes like abruptly stopping nursing, beginning of birth control pills, etc. If you suspect you may have ppd, contact your dr. And seek help from a mental health specialist with expertise in treating it.See 1 more doctor answer
Yes: It has been noted, but post-partum depression is so common it is hard to tell if it really had anything to do with the medication or was just post-partum depression. If your doctor thinks that the risks outweigh benefits you should take the medication. During pregnancy there are not a lot of alternatives for blood pressure control and certainly does not mean you will get post-partum depression.See 1 more doctor answer
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