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
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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
Get Medical Help:
Call your doctor.
Check out postpartum support international for referrals and support groups:
http://www. Postpartum. Net/get-help. Aspx. ...Read more
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. ...Read more
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
Yes: Every time a breastfeeding mom thinks about the baby, there is a surge of oxytocin, which induces milk "let down." oxytocin's nickname is the "love hormone, " and it produces feelings of calmness, warmth and affection. Fathers can secrete it when they look at their baby, too! It's safe to continue breastfeeding while taking most medications for depression -- consult your local lactation center. ...Read more
Depending on the severity here are options to consider talking with your obgyn and psychiatrist:
1) bright light therapy
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Possibly: If you already have an upcoming appointment with your obgyn, I would go ahead and mention it to him/her. Some obgyn's are comfortable in providing some guidance and/or starting treatment of postpartum depression. If not, I would see a psychiatrist for an evaluation. Depending on how your insurance company works, you may need a referral from your pcp. ...Read more
Good self care:
There are things that you can do to help lower your risk of postpartum depression, but still no guarantees that you won't get it. If you do get ppd, seek early treatment as that's the best way to get better quickly. The good news is there's a good prognosis with treatment.
Lower risk with a good support network & good self care, including good sleep, healthy eating, exercise, balanced lifestyle. ...Read more
Increased risk: Most women have some sort of "baby blues" after delivery. Lack of sleep and hormonal fluctuations are the culprit here. Postpartum depression is a more serious condition and a personal or family history of depression or anxiety increase the risk of postpartum depression occurring. There are great therapists that specialize in postpartum depression, don't be afraid to talk to your doc. ...Read more
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
How to tell if I have postpartum depression even though I am already taking lexapro (escitalopram)?
Yes: May need higher dose or different medication. ...Read more
I'm pregnant with my 2nd child and suffering depression. Does that mean I will have postpartum depression too?
I had countless traumatic events. I am experiencing postpartum depression. I have negative & scary thoughts everyday. Near hallucination. What is this?
Post partum: You are in desperate need of psychiatric help. Be seen before you do harm ti your newborn baby ...Read more
Not Certain: The reasons for postpartum depression are not certain. However, there are suggestions that the sudden hormonal changes that take place at the end of pregnancy are involved. The are questions as to why some women are affected and others are not. A previous history of depression increased the risk of postpartum depression, as does previous episodes of postpartum depression. ...Read more
Post-partum depressi: Is a form of mild to moderate depression that occurs within 1 month after delivery & can last up to 6 months. Usual causes are past history of depression, hormonal factors, genetic factors, complications during pregnancy, or social factors. Prognosis is good with treatment. ...Read more