Postpartum Depression: Symptoms and Treatment
Postpartum depression, as the statistics indicate, is a condition that affects about 5-7 women out of 10 after giving birth. Postpartum depression, the symptoms of which are noted in women of the main group of reproductive age, is an increased sensitivity, which, in turn, manifests itself in a whole «bouquet» of the corresponding manifestations. On the features of postpartum depression and how to deal with it — our today’s article.
Already at the end of pregnancy, and on the eve of birth, the expectant mother becomes passive, loses control over the entire situation that accompanies her condition, and encounters unusual sensations, which, unfortunately, are more comparable to anxiety. Such harbingers of postpartum depression become aggravated by the time of the birth of the child, and the feeling of anxiety is further reinforced by the fact that, with all their will, the newly mummy is simply unable to match the «picture» with which it is customary to identify the appearance of the long-awaited baby.
Surely, the reader now has an approximate image of such a «picture»: glowing with joy mommy, overflowing with tenderness, rosy-cheeked smiling krestysh, no less than a happy spouse nearby, etc. All this can be supplemented indefinitely, but the birth of a baby to the contrary, this picture is not something that destroys, but seriously corrects. This is not surprising, because from that moment the life of the family is completely changed, and even with all the readiness for the appearance of a child in it, some things will have to be overcome, making serious efforts for this. And although our article, in general, is aimed at women, which is caused by their transfer of postpartum depression in a direct connection with this process, it also concerns men. And the point here is not only the general recommendations that you can also learn for yourself, but also that the condition of postpartum depression specifically for men is no less relevant.
So, what is postnatal depression in women? In fact, despite the difference in attitude towards it, it is quite a serious disease, which, in turn, can become the soil for even more serious conditions. It is important to note that postpartum depression is not simply a «mope» that occurred during the first few weeks after the birth of a child. For this state of «spleen,» characteristic is that it can experience characteristic conditions (anxiety, tearfulness, sleep and appetite disorders, mood swings, etc.), but the feeling of happiness from a new condition and from the appearance of a child in particular is present. Handra passes after a few weeks, moreover, she does not require any treatment. Another thing — postpartum depression.
Postpartum depression develops, usually during the first few months after the birth of the baby, although it can manifest itself at any time during the first year after the event. Symptoms of postpartum depression are not only manifested much longer (here already the account goes for months, but in heavier forms and for years), but also in greater intensity, in violation of the ability to perform any actions. This condition is not a fad or a near analogue of the spleen, but a mental disorder whose manifestations are similar to other types of depression.
Gradually, the main manifestations of this type of depression fade away, but this only indicates a tendency to transform it into a chronic form of the current. The reason for this is the attitude towards postpartum depression on the part of the mother herself and the people around her, which in particular concerns the non-recognition of this disease as such and, accordingly, the rejection of the need for its treatment. Thus, postpartum depression is masked in a peculiar way, because the «picture» of the happy state, in which the woman should stay because of the birth of the child, which she has to maintain with all the truths and crooks, is almost an indisputable fact. At the same time, about 20% of women remain in the primary depressive state even one year after birth.
It should be noted that in some cases postpartum depression takes place also against a background of miscarriage or against the background of a woman’s birth of a dead fetus.
The peculiarity of postpartum depression also lies in the fact that the birth of a child becomes the reason for identifying the mother with her own parents with attempts to find out how they once coped with their functions after it was born. On the basis of such an analysis, motherhood becomes the cause, as a result of which reactivation (i.e., re-activation) is not adequately worked out in childhood and adolescence, traumas and conflicts.
Thus, we summarize that, according to certain data, about 10-15% of mothers are confronted with the typical form of a depressive episode and only in 3% there is an establishment of this diagnosis with subsequent treatment. In fact, the depressive state that plays a significant role in the life of the mother, according to the frequency of occurrence, corresponds to even higher indicators, if we talk about specific figures.
Moreover, it can be assumed that the role of this disorder directly affects the child within the early period of his life. In part, depending on the extent and nature of the manifestation of postpartum depression in the mother, this condition can also act as a determining factor for the future of the child, in particular for various forms of disorders. In addition, because of the onset of postpartum depression in the mother, the sensation that she can not cope with her child is not capable of, the general harmony necessary for their successful interaction in the future is disrupted.
In addition to the above features, the general signs of postpartum depression are reduced to the fact that the mother’s request for help is categorically refused. The basis for this is the emergence of a deep sense of guilt, which in turn arises from the difficulties associated with caring for the child. As a result, the relationship between mother and child is in a vicious circle, which later becomes the cause, because of which depression goes into its chronic form. Against this background, the unfavorable influence that eventually accompanies the development of the baby is amplified. Needless to say, the share of such influence «falls» also to the spouse, other family members and just close people who can not always accept and understand such an attitude towards them.
Postpartum Depression: Causes
If in general to consider the causes of development in women postpartum depression, the generalization can determine the close relationship of a woman’s state with those changes in her life that occur not only at the psychological level, but also at the level of social, physical and chemical. All these aspects inevitably acquire relevance after the birth of the baby. Chemical changes in particular are based on a sharp change in the hormonal background, which develops immediately after birth.
It should be noted, however, that scientists until now do not give a clear explanation of the relationship that exists between postpartum depression and the level of hormones. This, however, is not at all a reason to drop this factor from the accounts — the influence of hormones in general on the body and the development of such conditions is undeniable. A well-known fact is information on the amount of hormones. Thus, during pregnancy, the level of progesterone and estrogen increases by a factor of 10, while a rapid decline in these indicators occurs after childbirth. Imagine, what scale changes with such indicators occur in the body, if it is also known for sure that only three days after the birth of the child, hormones in this volume change to the indicators at the level of which they were before pregnancy!
Again, in combination with hormonal changes, it is impossible to exclude the psychological and social changes that are relevant in general at the birth of the child and the corresponding changes in the life of his parents and mother in particular. All this also determines the serious risks for the development of postpartum depression.
There are also a number of reasons that also contribute to the development of postpartum depression, separate them:
- Heredity. In this case, heredity refers to the characteristics of the response, adopted by newly-made mothers from their own parents, arising in response to current stressful situations. By the way, stresses after the birth of a child arise quite often, regardless of the scale of the reason that accompanies them, and this is not to mention the fact that the birth itself is a stress for a woman, as it is not obvious.
- Hormonal changes in the postpartum period associated with a sharp decline in the level of female hormones (already discussed above). In addition, physical causes, such as hormonal changes, also occur in a sharp drop in the production of thyroid hormones, against which there is a feeling of «loss of self» and severe fatigue, which in turn leads to depression. To top it all, it’s necessary to add changes in the level of metabolism, changes in blood volume and pressure after delivery, which also affects the mother’s state of mind.
- Fear of non-compliance with expectations of others and their own expectations about the existing image of the «super-mom», which, at the same time, everyone manages to keep up, staying in the appropriate mood and in an unlimited state of happiness. In fact, all this is difficult to meet, hence, in turn, there is a feeling of own helplessness and «spinelessness» that does not allow it to be achieved. This, of course, causes the subsequent development of depression in the mother.
- Lack of sufficient time required for moral and physical recovery after attendant exhaustion. It is also necessary to add a combination of household responsibilities that must be performed, with pain resulting from uterine contractions, and with pain associated with healing the sutures in the perineal region or healing the scar in the abdomen (as is understandable, the area of such pain from the method depends Delivery.)
- The formation of lactation. In particular, we are talking about the problems associated with this process, as such, the need to express milk without dependence on the time of day (which determines the corresponding damage to night rest) is considered. Also, these are cracks in the nipples, the formation of which is also accompanied by a certain soreness. These are lactation crises (which is defined as a temporary decrease in the volume of milk production, occurring primarily after lactation has been established), the recurrence of which occurs at intervals of 1.5-2 months, and the first occurrence is observed after a period of 3-6 weeks from The moment of a child’s birth. And, finally, the emergence of milk stagnation sites can be considered as a problem.
- Features of the mother nature’s warehouse. It is possible that such a reason may surprise the reader, however, in the emergence of postpartum depression, its relevance is not uncommon. In particular, selfishness is implied, especially when it comes to a primiparous mother. So, not every woman with such a character warehouse is capable of wisdom in perceiving the need to restructure the already existing habitual diet and lifestyle for the needs that are caused by the appearance of the child. In addition, often women are simply not ready for the need for a kind of «sharing» with the child the part of attention that formerly got from others and from her only herself. As is clear, all this causes a kind of competition, which affects the general condition of the mother. Here, in addition, the mother’s inability to take appropriate responsibility for her own child is also noted.
- Changes in appearance. Many women literally fall into a panic, seeing what changes in appearance entailed the birth and how they affected the proportions of the body. Moreover, depending on self-esteem and previous pregnancy appearance, such changes can be a real blow.
- The financial side, limiting in certain situations the possibility of adequate provision of the child, which, again, becomes the reason not to properly cope with the role of the mother.
- Changes associated with sexual relations with a partner. Here, various aspects are considered, ranging from purely physiological limitations and fatigue, which significantly reduces the libido in women and ending with complete hostility, even when thinking about sex within the period under consideration.
- Other. In this paragraph, you can list a number of circumstances that, in principle, do not need explanations for the part of the evidence of their connection with the development of postpartum depression. So, this includes indifference and coldness on the part of the spouse or his relatives, lack of support in terms of domestic help and psychological support, alcoholism, domestic violence in the family and other factors.
Predisposition to postpartum depression
If we consider the question of who is prone to depression after childbirth, then here it can be noted that there are no specific «parameters» for this. Accordingly, age, external characteristics, nationality and so on-all this can not reliably indicate the imminent development of postpartum depression in a woman or vice versa. In addition, the predisposition to depression does not depend on the fact that the first time a woman became a mother and again she becomes her mother. Depending on certain circumstances, it is possible, nevertheless, to identify some risk groups regarding the possibility of a woman developing postpartum depression:
- Predisposition. Here, again, heredity is considered, but this time it concerns not the characteristics of responding to stressful situations, but directly predispositions to depression (regardless of their type, that is, to ordinary depression and postpartum depression).
- Past pregnancy experience, which was followed by the development of postpartum depression
- Severe manifestation of PMS (premenstrual syndrome)
- Migrating a serious form of stress during pregnancy or transferring it after delivery.
- A woman has a certain mental illness.
Consequences of postpartum depression for a child
It is important to understand that if the mother develops postpartum depression, she simply will not be able to provide her child with a care similar to that for which a healthy woman is capable. Moreover, a woman with this disorder may refuse to breast-feed a child, she may not feel a close emotional connection with her child, which also complicates the situation.
As a result, as we have already noted, the mother’s attitude can have a negative impact on the child, it concerns all the directions at once, beginning with development and growth, problems with delayed activity, sleep and behavior, and ending with problems in the future in the form of certain mental disorders (Predisposition to depression in particular).
At an early age, it is especially important to establish a skin-to-skin contact, of course, that communication with the child and caring are important. The implementation of these directions is given to the mother with postpartum depression with great difficulty, if at all possible. Thus, the mechanisms of self-defense, concentration and development of speech in a child suffer, he does not feel safe. Subsequently, against this background, children are also identified anxiety and difficulties associated with the expression of their feelings, because the main «blow» of the mother’s depression is precisely the emotional sphere.
The consequences of postpartum mother depression are manifested in the child in the form of some features. So, the children of such mothers in the future rarely show their positive emotions, interest in subjects and to people on their part is less expressed. When contact with the mother does not occur synchronization of behavior as it is characteristic of children whose mothers overcame the state of depression or did not encounter it at all. In addition, children with a depressed mother show less displeasure at a certain excommunication from the mother (in comparison with other children who react accordingly). On the contrary, there are attempts to «withdraw» from communicating with the mother in depression, discontent with her condition. In parallel, this tactic of behavior is also realized in contact with people who are strangers who are in a normal state and disposition, without depression.
Postpartum Depression in Women: Symptoms
Postpartum depression can occur in several variants of forms, for which the characteristic features of the symptomatology are characteristic, their features will be considered below.
- Neurotic Depression
This form of postpartum depression, as a rule, develops in those women who already have certain neurotic disorders. This type of cases is accompanied by an aggravation of those disorders that occurred during the course of pregnancy. In particular, this constant manifestation of dysphoria — mood disorders, in which there is a gloomy irritability of patients, an exceptional sense of hostility towards people around them, increased irritability, outbursts of anger and aggression. These are somatic disorders, manifested as panic attacks, rapid heart rate (tachycardia), sweating, eating disorders, discontent with one’s own physical condition.
Also include sleep disorders, disorders of sexual function, pain (headache, heart pain), hypochondria (unreasonable concern about one’s health, the presence of thoughts about imaginary disease, often according to the assumption of patients incurable). There is also a feeling of despondency, a systematically repeated crying, the patients are completely absorbed in the state with obsessive fears, and these fears reach an extreme degree of their manifestation by the end of the day.
As a characteristic sign of depression in this case is fatigue and a sense of insolvency. In patients, self-esteem is sharply underestimated, they are subject to states of emotional dependence, often combined with an insistent desire for tyranny. Neurosis can be based on past experience of pregnancy, in which the birth was difficult or there was a threat of death in their processes, as well as the threat of the birth of an infertile or dead child.
The approach of the next birth can be combined with already begun depression in a complex with anxiety, frequent nightmares and the appearance of an obsessive fear associated with the need for sleep. The cause of this state is the actualization of the past, based, respectively, on the experience of past births.
- Melancholy in combination with crazy ingredients
Symptoms of this form of postpartum depression consist in the appearance of inhibition and guilt in patients, they feel themselves completely untenable. Prevailing ideas aimed at self-destruction, which determines the relationship with suicidal intentions. There is also a violation of orientation, the patient may not recognize close people. Mood swings are sharp, behavior is generally strange. Also there are hallucinations of rather gloomy content, which subsequently manifest themselves in the emerging delusions, this time directed at the child’s address. This form of postpartum depression is quite severe in its manifestation, although it is rarely noted (up to 4 cases per 1000), within the first two weeks after the birth of the child. It is also customary to define this condition as postpartum psychosis, its symptoms are especially often noted in patients with bipolar disorder or schizoaffective disorder.
- Depression in conjunction with neurotic constituents
The main symptoms are somatic disorders (identified above), a stable form of insomnia, weight loss. In some cases, there is an obsessive fear associated with the commission of an act that may harm the child. As a factor contributing to the development of this form of depression is a predisposition to the development of manic-depressive syndrome, the lack of a woman’s husband, the loss of any of the relatives during pregnancy.
- Prolonged form of the course of postpartum depression
This variant of postpartum depression is among women most often. In many cases, it is this depression that can not be diagnosed, despite the significant number of women who are exposed to it (according to different estimates, from 10 to 20%). In many cases, the disorder we are considering disguises itself as difficulties associated with the upbringing of the child, its development occurs gradually, at the beginning of a typical postpartum spleen, which continues after the mother has returned home. The symptomatology is a feeling of complete exhaustion and fatigue, which is written off to the birth itself. There is a tearful and irritable mother. It is difficult for her to bear the tears of a newborn baby, while she experiences guilt and reproaches herself for the poor care of him. Care of the child and in general all that occurs and surrounds, does not deliver pleasure and pleasure. A woman reproaches herself for everything, and, above all, for her own irritability, combined with such a lack of pleasure and interests, she tries to hide such negative moments of her perception.
To the protracted course of postpartum depression, two main types of personalities are inclined, these are: 1) neurotic persons with an actual tendency to develop hysterical reactions or obsessive-phobic personality — that is, individuals who have an obsessive fear of committing an action That the result will be harm to the child; 2) women who, in part or in full, are deprived of a tender affection from their mother when they are young.
In the latter case, women did not feel themselves in sufficient safety, for them the emergence of contradictory in nature drives, especially sadistic and aggressive nature. Certain aspects concerning maternity and sexuality are compared and taken with difficulty. The life of such women is accompanied by a constant sense of insecurity and underestimation of oneself, characteristic of a feeling of worthlessness, which, in turn, determines the predisposition to depression.
Due to regression (return to the past), provoked by motherhood, there is a comparison with the image of an unhappy mother. Due to such «pressure» to become a «good mother», it is also extremely difficult for such women themselves, it is even more impossible even because of an imaginary and not excluded discrepancy to such a pattern.
Few women, as already noted, turn to a specialist for advice on the basis of postpartum depression, which is due to the practical lack of awareness of this problem. Maternity, thus, can proceed in accordance with the following two schemes:
- The facilitator. In this case, the prevalence of depression in the mother is noted in the situation when she feels that she can not take care of the newborn on such an idealized principle, which she also formed for herself when the result corresponds to the image of the perfect mother. In parallel, she imagines and absolute devotion to her «perfect» baby, when parting with whom the mood changes for the worse.
- «Regulator.» In this case, the mother hopes that her child will adapt to normal life. Because of their new role of motherhood, any little things are taken by surprise, when you stop any activity there is depression, the need to find a home causes grief. It is believed that when a woman is depressed, being unable to establish an adequate two-way communication with the child, her own depressive state manifests nothing less than anger disguised and transformed into this form of frustration. A woman, accusing herself of being a bad mother, tries, however, to avoid anger at the child.
General symptoms of postpartum depression Based on the consideration of the various types of depression and the characteristics that are typical for them, let us highlight the main symptoms of postpartum depression that accompany it:
- Lack of mood, changeable moods
- lack of motivation, energy to perform any action
- eating disorders (increased appetite or lack of appetite)
- sleep disturbances (insomnia or, conversely, too long a dream)
- feeling of worthlessness
- the inability to concentrate and make decisions
- feeling guilty;
- memory corruption, in some cases — perception of reality
- Lack of interest in familiar or favorite things, lack of pleasure in anything
- the persistence of problems associated with intestinal function, headaches and pain of any other type
- detachment from familiar communication and surroundings, from close people
In more pronounced form, the symptoms of depression after childbirth are combined with thoughts relating to harm to themselves and the child. In relation to the child there is a lack of interest.
It is also important to note that the noted deterioration in the mood of the mother is most significant within the time interval between 3 and 9 months after the birth of the child. Most often, it is from the third month that the depression of the mother’s mood, her irritability and anxiety are registered. After three, nine and fifteen months, the symptomatology also has a similar manifestation. Symptoms, generally associated with depression, are combined with an inability to conduct daily activities, the future is seen as gloomy.
Consider the probability of postpartum depression, rather than the previously mentioned spleen, if the latter does not disappear within the first two weeks after delivery, accompanied by disorders generally inherent in the state of interest.
Postpartum depression in men: symptoms
The causes of this type of depression in men have common facets with «women’s causes». Nevertheless, certain factors are specific only for them in this situation. In particular, this concerns changes in the family of their social role, as well as the actual problem associated with the need to take the emotional side of the relationships that are formed with the child. Here, too, confrontation with the child arises because of the feeling of uselessness to the spouse, which arose as a result of her complete immersion in caring for him. Not the last role is assigned to the financial side, because the expenses, as is clear, are increasing, on the basis of family circumstances and the situation at work can worsen, which is accompanied by additional stresses. As a completion, it is necessary to add problems related to sexual life, which may be absent because of prolonged recovery of the wife or because of an elementary lack of time.
By the way, it is sexual life that often plays a decisive role in the male postpartum depression, which in particular concerns, paradoxically, the first weeks and months after the birth of the child. The fact is that global changes affecting all spheres of life determine for men the need for stability even on this issue, which, in the overwhelming majority of cases, can not be achieved.
If a woman refuses intimacy, the scheme works as follows: a man is angry with her, then with a newborn, and afterwards with herself, for the feelings that arise on this ground, which only aggravates the general condition. It should be understood that a man, not in the example of a mother who is nurturing and nursing a child, lends itself to emotional contact with him with great difficulties. Add to this the anger and irritation of lack of attention and other aspects of the emerging relationship — and you will realize that achieving this is much more difficult than it seems.
Particularly problematic, postpartum depression is due to the presence in the past of a man of episodes of depression, with his general irritability and with actual problems in marriage, in paternity for the first time, underestimated self-esteem and with forced acceptance of his own incompetence in matters relating to upbringing.
Symptoms of male depression after birth are typical in general for depression. Here you can note fatigue, problems with potency, depression, short temper, irritability, problems with sleep and appetite. Dangerous factors in the development of this state are determined by the distance from the family and partner, reckless actions, refusal to communicate with the familiar environment, the rejection of sexual life. In some cases, compensation for the condition is achieved by men through alcohol, drugs or «head-on» care.
Signs of depression are often noticed by people from the environment of a man, which is explained by the departure of the wife in the care of the child, in which obvious symptoms and signs of his condition are simply not noticed.
Like puerperal depression in women, depression in men can lead to negative consequences, both for short-term and long-term periods, provided this condition prevails seriously and for a long time. With such a depression, it is worse to establish emotional contact with the baby, then full participation in education is also excluded. As a result, confidential and adequate relations with a grown up child will remain seriously complicated or completely impossible.
How to prevent postpartum depression?
As you could already understand from our article, postpartum depression and the consequences accompanying this condition can later cost too much for the mother, the child, and the whole family. Therefore, this problem can not be allowed to «drift». We have examined what is postpartum depression, how long it can last is also understandable in general terms. Therefore, if you do not plan to give up life for the next few months, or even years, allocated for this is not a pleasant state, and if you want to experience all the charms that are really possible with motherhood as much as possible, then certain adjustments are needed now .
Let’s start with trying to prevent depression. Forewarned, as you know — means, armed. Therefore, following this unspoken law, it is important to begin to find out whether there was depression in any of its forms (and postpartum in particular) in your family, not only with your mother, but also with your next of kin, because the heredity factor can play here not the last role. Further it is necessary to pass preliminary consultation with the doctor — he will help you with revealing of the possible factors defining risks in the given direction.
Try to control your own condition for any changes related to self-assessment — negative fluctuations and in this direction you can not be allowed. If you feel that «something is wrong», do not turn away from the problem and do not write it off, determining independently the reasons that could cause it. Remember that the help, regardless of the actual condition for you after delivery, is normal and even necessary. Remember one more common rule regarding the fact that the disease is prevented more easily than in the future to treat. Postpartum depression is a disease, and like any disease, it should also be treated.
How to cope with postpartum depression?
Let’s try to dwell on some recommendations. Some of them may seem primitive or too obvious, but it is also important to remember that it is obvious tips that are «on the surface» that are often overlooked.
So, first help. If necessary, as has already been highlighted, you should visit a doctor who will help with certain adjustments, prescribe medication if there are appropriate grounds. By the way, do not forget that independent medical treatment, not only during pregnancy, can be dangerous, but also now, when you are breastfeeding your baby, therefore, taking any medications that are not even relevant to the condition in question should always be agreed with your doctor.
Also help is required and third-party. Do not think this is something shameful, for the first time, especially if it’s the first child, will be especially difficult for you, and if you have «reinforcements» with a part of the same life, it can already have a significant impact on the overall situation and your Condition especially. It is better if you find an assistant (sister, girlfriend, mother or mother-in-law) in advance, without waiting for you to reach the limit state.
It is equally important to share what is happening to you, of course, within the reasonable, and those who really need to know about this — your closest associates. It may seem to you that your state and how you behave are all quite understandable and even explainable, but in reality it can be far from the case, therefore it is impossible to do without explanations. Of course, there should be some kind of excerpt and a proper understanding of the situation, from relatives — instructions that one must take control of himself or an unfair attitude towards them are not very appropriate in such a situation, a young mother needs love, a certain degree of consolation and Real help in the household.
It is also good to agree with the husband about the «weekend» for themselves. Sauna, swimming pool, cafe or just a walk to your favorite places — any option will be appropriate due to the possibility of leaving the house and changing the situation.
A particular moment relates to sexual activity. This topic, one way or another, will have to discuss with her husband. Unwillingness to have sex is explained tactfully and with appropriate arguments, and they, as you know, are available. So, it is necessary to postpone it for a period of 4-6 weeks — approximately as much time must pass after childbirth, the cause is strictly physiological. At the same time, consider that sex is often an effective way to get out of depression, but everything, of course, is strictly individual and is based on overall well-being in this area.
In fact, the birth of a child is not a limitation in life, but it is with them, just the same, moms and compare their «new life». On the contrary, with the rational organization of one’s own life, you can make a lot of positive moments in your life, it all depends on the approach. With a little detachment from the kitchen, you can devote more time to yourself and your child, and this is much more important now than culinary delights. Think about what alternative is suitable for food, maybe it’s quality semi-finished products or even ordering ready meals, a specific option is determined on the basis of opportunities.
Try to sleep more — you have a good company for this. The use of a baby monitor will allow you to stay out of the zone of direct control over the baby, and, accordingly, take time for other things or yourself.
Also, do not turn, figuratively speaking, into a «bunch». Step aside from the TV program, from the cookbook, because even the time for feeding can be used a little differently, for example, for parallel reading of the book (of course, without forgetting the child, contact with which is no less important).
Walking with the baby will also be a great time to change the situation. As he grows up and your addiction to his role, as well as to important manipulations, you will be able to master long distances — as they say, there would be a desire!
Try to fill the diet with products with calcium and vitamin C — it is in them, and not in antidepressants, is now most needed by the body. Moreover, it is quite possible that the condition in which you are being eliminated is due to compensation for their shortage in the body.
By the way, right now it’s time, oddly enough, for a hobby to appear or to return to the old one.
In any of the listed councils, as you could see, the actions are reduced to changing the situation, to flexible activities and to the absence of «souring», which can be caught up in the environment of cats, pampers, diapers and four walls. It is monotony and apparent stiffness that serve as a serious help for the development of depression. Simple recommendations, carried out even through force, can be an effective solution.
Treatment of postpartum depression, as well as previous diagnosis of this condition, is based on examination, identification and comparison of symptoms. Determine the level of hormones will allow an appropriate blood test — this will get a comprehensive picture of the condition. The features of treatment are based on the depth of the condition in which the woman resides (and the man in particular, if treatment of depression in men is considered).
Antidepressants can be used from medications to treat this kind of depression; these are selective serotonin reuptake inhibitors, and hormonal balance is maintained by taking them. The side effects of these drugs are negligible, there is no risk for the child in their admission. Other features regarding «pros and cons» should be considered with the attending physician.
An additional solution in treatment can be psychotherapy. At its expense, it is possible to rebuild the traditional thinking paradigm in combination with changing the existing pattern of behavior and responding to emerging situations. If you consult a tete-a-tete doctor, you can achieve really effective results in treatment.
You can enlist in the fight against frustration and social support. These are community groups or services that focus on the problems that young parents face. In them, together with those who also faced the problem of postpartum depression, you can share your story and find a solution for a number of topical problem issues. In any case, it is important not to let the situation run its course, to strive for a normal life, as well as to perceive oneself, the child and family relationships, taking active steps for this — only so the problem of depression can be solved.
If you have symptoms that are relevant to postpartum depression, you can contact the treating therapist or the pediatrician for advice, as well as directly to the therapist or to the psychologist.