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Postpartum depression - Treatment

Alternative Names

Depression - postpartum

Treatment:

The treatment for depression after birth often includes medication, therapy, or a combination of both. There are several types of antidepressant medications that may be given to breastfeeding mothers, including nortriptyline, paroxetine, and sertraline.

If you are thinking of harming yourself or your infant, seek immediate medical help. If depression is diagnosed, you may need to be followed closely for at least 6 months.

Support Groups:

Participating in support groups may be valuable, but should be combined with medication and formal psychotherapy.

Expectations (prognosis):

Medication and professional counseling are often successful in reducing or eliminating symptoms.

Complications:

If left untreated, postpartum depression can last for months or years, and you may be at risk of harming yourself or your baby.

The potential long-term complications are the same as in major depression.

Calling your health care provider:

Notify your doctor or pediatrician if you experience depression after pregnancy. Do not be afraid to seek help immediately if you feel overwhelmed and are afraid that you may hurt your baby.

  • Reviewed last on: 8/24/2008
  • Timothy A. Rogge, MD, private practice in Psychiatry, Kirkland, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Wisner KL, Sit DKY, Reynolds SK, et al. Psychiatric disorders. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics - Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 50.

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