Getting Help for Postpartum Depression
What is Postpartum Depression (PPD)?
Postpartum Depression is a depressive emotion felt after being pregnant (or having a baby – for men). It can happen to anyone – one in every eight women have PPD after delivery. PPD is NOT related to whether or not you breastfeed, the sex of the baby, your level of education, mode of delivery, nor if the pregnancy was planned or not. It is an unexpected “side effect” of having a baby. Women can also develop PostPartum Psychosis – which is different than PPD. Men can also suffer from Postpartum Depression and need to engage in therapy.
Signs and symptoms of Postpartum Depression (PPD)
PPD presents itself in many different ways:
- Depression changes the way you feel: depressed mood, severe anxiety (rapid heartbeat, irrational thoughts, fears, or obsessions, worrying, feeling panicky), feelings of worthlessness, hopelessness, or helplessness, or excessive or inappropriate guilt (blaming self when things go wrong) or suicidal, no longer finding joy in activities you liked before, irritability or anger, lack of patience, feeling being a bad mother/father.
- Depression changes the way you behave: your sleep and eating patterns change; you feel sluggish, tired, talk less, uncontrollable crying, having trouble with daily tasks, or taking care of the baby.
- Depression changes how you think:
- Decreased concentration or ability to make decisions or focus.
- Recurrent thoughts of death.
- Suicidal/homicidal ideation.
- Depression changes the way you socialize: low interest or pleasure in activities.
- Depression changes the way your body feels: fatigued, decreased energy, high or low appetite with weight loss, insomnia, and fragmented sleep, even when the baby sleeps, physical agitation, or psychomotor slowing.
- You have little, if any, interest in sex or feel disconnected from your partner.
- Not feeling attached to the baby, disturbances in mother-infant (or father-infant) relationship, inability to care for the baby, lack of interest in the baby, not feeling bonded to the baby, or feeling very anxious about the baby.
- Fear of harming the baby or yourself
Men / Father’s symptoms of PPD
New fathers can also experience some symptoms of PPD, such as feeling fatigued, having changes in the way they eat (more or less), or sleep. Men are especially susceptible to PPD if they have a history of depression, a family history of mood disorder, or financial difficulties. PPD affects 1 in 25 new fathers.
What is the difference between “baby blues”, Postpartum Depression (PPD), and Postpartum Psychosis?
The first two share many symptoms, with the difference that in PPD, the symptoms are more SEVERE, including having suicidal thoughts or abilities to care for the newborn. Symptoms for PPD are also long-lasting. Postpartum psychosis is the more (RARE), and severe psychiatric disorder and only occurs 1 in 1000 new moms.
Causes of Postpartum Depression (PPD)
PPD affects 1 in 8 pregnant women and appears in the following weeks after the birth (or miscarriage), lasting anywhere between 2 to 6 months.
History of depression, family history of mood disorders (genetic contributions), stressful life events, poor relationship with the partner, and weak social support are strongly correlated to developing Postpartum Depression (PPD). Studies are indicating that hormonal levels and cultural background may have a part in developing PPD.
How we treat Postpartum Depression (PPD)
We at Tampa Therapy Group often use an integrative approach to treat anxiety. We use techniques from Cognitive Behavioral Therapy (CBT) and psychotherapy, Mindfulness, ACT, EFT, and other types of therapy we’ve trained on and may be helpful in the treatment. We spend a tremendous amount of time in psychoeducation Postpartum Depression.
“Do we have to take medication for Postpartum Depression (PPD)?”
Depending on the cases, we might recommend patients see a psychiatrist and start on medication for depression as soon as breastfeeding has ended. Although, PPD can be treated without medication.
Typical outcomes of Postpartum Depression (PPD) treatment
After completing treatment at Tampa Therapy Group, patients can expect to return to an optimal level of well-being with no intrusive negative thoughts. PPD can cause severe anxiety. Since anxiety is connected to the body’s flight/fight/freeze/faint system, once activated, often it cannot return to a base level of zero, but to a healthy level of functioning that should not interfere with the mother or the baby’s well-being.