Postpartum depression postpartum depression is moderate to severe depression in a woman after she has given birth it may occur soon after delivery or up to a year later most of the time it occurs within the first three months after delivering causes the exact causes of postpartum depression are unknown changes in hormone levels during and after pregnancy may affect a woman's mood many non hormonal factors may also affect mood during this period changes in your body from pregnancy and delivery changes in work and social relationships having less time and freedom for yourself lack of sleep worries about your ability to be a good mother you may have a higher chance of postpartum depression.

 If you are under age 20 currently use alcohol take illegal substances or smoke as these also cause serious health risks for the baby did not plan the pregnancy or had mixed feelings about the pregnancy had depression bipolar disorder or an anxiety disorder before your pregnancy or with the past pregnancy had a stressful event during the pregnancy or delivery including personal illness death or illness of a loved one a difficult or emergency delivery premature delivery or illness or birth defect in the baby have a close family member who has had depression or anxiety have a poor relationship with your significant other or our single have money or housing problems have little support from family friends or your spouse or partner science and symptoms some of the most common symptoms a woman may experience include feeling sad hopeless empty or overwhelmed crying more often than usual or for no apparent reason worrying or feeling overly anxious feeling moody irritable or restless over sleeping or being unable to sleep even when her baby is asleep having trouble concentrating remembering details and making decisions experiencing anger or rage losing interest in activities that are usually enjoyable suffering from physical eggs and pains including frequent headaches stomach problems and muscle pain eating too little or too much withdrawing from or avoiding friends and family having trouble bonding or forming an emotional attachment with her baby persistently doubting her ability to care for her baby thinking about harming herself or her baby diagnosis your doctor will usually talk with you about your feelings and thoughts and mental health to distinguish between a short-term cause of postpartum baby blues and a more severe form of depression as part of your life. your doctor may ask you to complete a depression screening questionnaire order blood tests to determine whether an underactive thyroid is contributing to your signs and symptoms order other tests if warranted to rule out other causes for your symptoms treatment treatment and recovery time vary depending on the severity of your depression and your individual needs if you have an underactive thyroid or an underlying illness your doctor may treat those conditions or refer you to the appropriate specialist your doctor may also refer you to a mental health provider postpartum depression postpartum depression is often treated with psychotherapy also called talk therapy or mental health counseling medication or both psychotherapy it may help to talk through your concerns with a psychiatrist a psychologist or other mental health provider through therapy you can find better ways to cope with your feelings and solve problems set realistic goals and respond to situations in a positive way sometimes family or relationship therapy also helps antidepressants your doctor may recommend an antidepressant if you're breastfeeding any medication you take will enter your breast milk however some antidepressants can be used during breastfeeding with little risk of side effects for your baby work with your doctor to weigh the potential risks and benefits of specific antidepressants medication when your safety is assured a combination of medications such as antidepressants antipsychotic medications and mood stabilizers may be used to control your signs and symptoms electroconvulsive therapy or ECT if your postpartum depression is severe and does not respond to medication ECT may be recommended during ECT a small amount of electrical current is applied to your brain to produce brain waves similar to those that occur during a seizure. 

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