Self-help and Coping. Learn to recognize the symptoms of depression and anxiety and if you see signs, urge her to see a health care provider.
Listen to Her. Let her know you want to hear her concerns. For example, "I notice you are having trouble sleeping, even when the baby sleeps. What's on your mind? Let her know she's not alone and you are here to help. Try offering to help with household tasks or watching the baby while she gets some rest or visits friends.
Encourage her to seek help if needed. She may feel uncomfortable and not want to seek help. Encourage her to talk with a health care provider. Share some information on peripartum conditions.
Offer to make an appointment for her talk with someone. Related conditions during pregnancy and after childbirth. Symptoms of depression and mania: Severe sadness and irritability Elevated mood Rapid speech and racing thoughts Little or no sleep and high energy Impulsive decisions and poor judgment Delusions that can be grandiose or paranoid Hallucinations — seeing or hearing things that are not present Treatment can include mood stabilizers and antipsychotic medications 9 along with therapy.
Incidence of maternal and paternal depression in primary care: a cohort study using a primary care database. Arch Pediatr Adolesc Med. Field, T. Postpartum depression effects on early interactions, parenting, and safety practices. Infant Behav Develop.
Impact of antenatal and postpartum maternal mental illness: How are the Children? American Psychiatric Association. Wisner, KL, et al. Keeping stress in check requires the brain to carefully balance neurosteroid production with the number of GABA A receptors. Immediately after a mouse mother gives birth, neurosteroid levels plummet.
Similar events may leave humans in a more fragile state too. Clinical trials backed up her theory. Results were dramatic. The FDA approved the medication, Zulresso brexanolone , in , making it the first treatment targeting postpartum depression.
Doctors have long prescribed standard medications, but — perhaps because postpartum depression has its own unique cause — effectiveness varies. Jodi Pawluski , a neuroscientist at the University of Rennes in France, sees Zulresso as an exciting treatment option for postpartum depression. She praises Maguire for pulling off such influential research without support from major federal funding agencies, emphasizing that neuroscience of maternal mental health is a severely underfunded field.
Now Maguire is taking the bedside medication back into the lab, this time to study depression in general. The treatment disappears from the body in days, but its protection lasts for weeks — a hint that it somehow creates an enduring neural stability. Being prepared and having a plan of action is essential. Beyond the clinical setting, Kim is conducting research for new ways to treat perinatal depression, including a National Institute of Mental Health-funded study focusing on the use of a novel non-pharmacologic treatment for depression during pregnancy.
Subscribe to our mailing list to receive an e-mail notification when new content goes live! Views expressed are those of the author or other attributed individual and do not necessarily represent the official opinion of the related Department s , University of Pennsylvania Health System Penn Medicine , or the University of Pennsylvania, unless explicitly stated with the authority to do so.
Health information is provided for educational purposes and should not be used as a source of personal medical advice. Access myPennMedicine. Apply Filter. News Blog. The sooner a person receives it, the sooner they are likely to recover. Treatment is effective in most cases. Once they have identified the issue, the doctor usually prescribes a combination of psychotherapy and medication. These may be antidepressants , which can help manage symptoms and improve the mood.
They may take 6—8 weeks to work, however. Meanwhile, the hormonal medication brexanolone Zulresso can help relieve depression by restoring the hormonal balance.
If psychosis occurs, antipsychotic medications can help. All medications can have adverse effects, and it is important to work with a doctor closely to find a treatment plan that works. There is also a small risk that some medications can enter breast milk. The doctor will work with the person to find one that is likely to be safe and effective. Cognitive behavioral therapy , sometimes called CBT, may help resolve moderate postpartum depression. Its aim is to find new ways to approach and interpret situations and to develop more positive ways of thinking.
Interpersonal therapy may also be a good option. Its goal is to improve communication skills and help develop social networks. This can help a person manage challenges that may otherwise lead to depression. If symptoms are severe and other strategies are not effective, it may help to spend time in the hospital. In some cases, a doctor may recommend electroconvulsive therapy.
Some people may use the following therapies to help relieve postpartum depression:. There is limited evidence that any of these work, however.
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