Depression: Managing postpartum depression
How is postpartum depression treated?
Depression is a medical condition that requires treatment. It's not a sign of weakness. Be honest with yourself and those who care about you. Tell them about your struggle. You, your doctor, and your friends and family can team up to treat your postpartum depression symptoms.
Talk to your doctor about your postpartum depression (PPD) symptoms, and decide on what type of treatment is right for you. (You may also have your thyroid function checked, to make sure a thyroid problem isn't causing your symptoms.) Treatment options include:
- Cognitive-behavioral therapy with a supportive counselor. This is recommended for all women with postpartum depression. It can also help prevent postpartum depression. In one study, PPD symptoms improved after one session and showed much greater improvement after six sessions.3 A cognitive-behavioral counselor can also teach you skills for managing anxiety, such as deep breathing and relaxation techniques.
- Interpersonal counseling, focusing on your relationships and the personal changes that come with having a new baby. This gives you emotional support and help with problem solving and goal setting. In one study, more women recovered from PPD after 12 interpersonal counseling sessions than did those who had no counseling.4
- Antidepressant medicine, ideally with counseling. Because breast-feeding offers many emotional and physical benefits for both baby and mother, experts are studying which antidepressants are most safe for breast-feeding babies. So, you can breast-feed while taking an antidepressant for postpartum depression.2 Whether or not you are breast-feeding, your doctor is likely to recommend a selective serotonin reuptake inhibitor (SSRI). This class of medication has proved to work very well for women, with minimal to no side effects.5 Tricyclic antidepressants, excluding doxepin (Sinequan, Zonalon), are also used by breast-feeding women.
Breast-feeding babies whose mothers take an antidepressant do not often have side effects. But they can. If you take an antidepressant while breast-feeding, talk to your doctor and your baby's doctor about what types of side effects to look for.
Home treatment measures may also be helpful.
- Schedule outings and visits with friends and family, and ask them to call you regularly. Isolation can make depression worse, especially when it's combined with the stress of caring for a newborn.
- Get as much sunlight as possible—keep your shades and curtains open, and get outside as much as you can.
- Eat a balanced diet. Avoid alcohol and caffeine. If you have little appetite, eat small snacks throughout the day. Nutritional supplement shakes are also useful for keeping up your energy.
- Get regular daily exercise, such as outdoor stroller walks. Exercise helps improve mood.
- Ask for help with food preparation and other daily tasks. Family and friends are often happy to help a mother with newborn demands.
- Don't overdo it, and get as much rest and sleep as possible. Fatigue can increase depression.
- Join a support group of moms with new babies. An infant massage class is another great way of getting out and spending time with others whose daily lives are like yours, while learning new ways to bond with your baby. To find a support group in your area, talk to your doctor or see the Web site of Postpartum Support International at www.postpartum.net.
- Play stimulating music throughout your day and soothing music at night.
Test Your Knowledge
If I'm not willing to take an antidepressant medicine, there's really no point in talking to my doctor.
I have an antidepressant that I took before pregnancy, but I should check with my doctor before taking it again for postpartum depression.
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| Author: | Jeannette Curtis | Last Updated: June 24, 2008 |
| Medical Review: |
Kathleen Romito, MD - Family Medicine
Lisa S. Weinstock, MD - Psychiatry |
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