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Postpartum Depression

Preventing Tragedy

By Marcia Starkman

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The most severe complication is postpartum psychosis, which affects 1 to 2 percent of women and requires immediate treatment. The woman is out of touch with reality, hallucinating, perhaps "sped up," and filled with false beliefs that a helper cannot change. She needs to be hospitalized as soon as possible. Do not wait; get her there now.

Remember: Postpartum depression is a treatable illness, just like diabetes or heart disease. You are neither "crazy" nor "lazy." It is unfair for you or anyone else to expect you to stop feeling depressed by "pulling yourself up by the bootstraps." It often takes a combination of sophisticated approaches to treat depression and anxiety. Anti-depressant and/or anti-anxiety medication, combined with counseling and -- hopefully -- a postpartum support group, is often the most effective treatment of choice.

There are many different kinds of antidepressants on the market, and it may take a few dosage or actual medication changes until you notice an improvement. That's why it's important to be patient and not give up if your response is not immediate. If you do start to feel better, don't stop taking the medication until your physician advises you to. This way, you won't experience a relapse and start feeling depressed again. Do not worry that you will become addicted to the medication -- this is not a factor with antidepressants. Another concern you may have is that you will need them for the rest of your life. This is not usually the case. Anti-depressants may only be necessary at times of stress or changes that cause you to start feeling depressed again.


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