How to relieve postpartum depression

Written by Du Rui Xia
Obstetrics
Updated on September 01, 2024
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When postpartum depression occurs, the family must provide comprehensive care. For example, it is important to ensure that the new mother gets enough sleep by having family members take care of the baby and handle daily tasks. It is recommended that the mother and baby sleep separately to allow the mother sufficient rest, which can also help alleviate depression. Additionally, choosing a room with plenty of sunlight and ventilating it by opening windows daily can also reduce the symptoms of postpartum depression. More importantly, family members need to communicate psychologically with the new mother, engage in more conversations, and avoid keeping their feelings bottled up.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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What medication is used for depression?

The medications commonly used for depression in clinical settings are selective serotonin reuptake inhibitors, primarily used to increase serotonin levels in the patient's brain to improve depressive symptoms. Representative drugs in clinical use include paroxetine, sertraline, fluoxetine, fluvoxamine, citalopram, and escitalopram. There are also medications that inhibit the reuptake of both serotonin and norepinephrine, such as venlafaxine and duloxetine. Additionally, there's a type of antidepressant that acts on norepinephrine and is specifically serotonergic, with mirtazapine being the main drug. These medications are considered modern antidepressants and have a relatively significant clinical efficacy. Of course, there are also traditional tricyclic and tetracyclic antidepressants, which are not recommended as first-line treatments in clinical settings due to their more adverse reactions. (Please follow a doctor's guidance regarding the use of specific medications.)

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Written by Du Rui Xia
Obstetrics
1min 5sec home-news-image

Can postpartum depression breastfeed?

When postpartum depression occurs, it is possible to continue breastfeeding. If the depression is mild and no medication is taken, continuing breastfeeding will not affect the baby's growth and development. However, depression often leads to low spirits, frequent crying, and a reluctance to care for the child, which can affect milk secretion and lead to a reduction in milk supply that may not meet the baby's growth needs. In such cases, it may be necessary to add supplementary food or formula. If postpartum depression is severe and involves medication, these medications may enter the baby's body through the breast milk, which can affect the baby's health. Therefore, if postpartum depression occurs and medication is taken, breastfeeding should be stopped. (Note: The answer is for reference only. Medication should be administered under the guidance of a professional physician, and blind medication should be avoided.)

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Written by Pang Ji Cheng
Psychiatry and Psychology
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How long does it take for depression to get better?

The treatment of depression is generally divided into three stages: acute phase treatment, continuation phase treatment, and maintenance phase treatment. The complete recovery from depression depends on the individual characteristics of the patient. The acute phase treatment usually lasts one to three months, mainly focusing on controlling the symptoms related to depression. Additionally, during the continuation phase treatment, the medication period generally lasts four to nine months, and its main goal is to maintain the stability of the patient's condition and prevent relapse of the disease. As for the maintenance phase treatment, the duration of treatment is to be determined. Typically, the duration is one to two years after the first onset, three to five years after the second onset, and for patients who have had more than three episodes, it is recommended to maintain a low-dose medication treatment to prevent recurrence of the disease.

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Written by Zhou Yan
Geriatrics
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How to treat geriatric depression effectively?

Elderly depression should be treated comprehensively. Firstly, it is important to enhance the diet and supplement nutrition. Secondly, through psychotherapy, mainly to alleviate or relieve symptoms, improve patients' compliance with drug treatment, and reduce or eliminate the adverse consequences of the disease. Thirdly, pharmacotherapy can involve the use of selective serotonin reuptake inhibitors, selective serotonin, and norepinephrine reuptake inhibitors, which are widely used in the treatment of elderly patients with depression. Fourth, modified electroconvulsive therapy is an option. Through the aforementioned comprehensive treatment, the clinical symptoms of depression can be improved. (Medication should be used under the guidance of a physician.)

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Can people with mild depression drink alcohol?

Patients with mild depression are generally advised not to drink alcohol, especially those who have sleep problems and rely on drinking to solve these issues; they are strongly urged to abstain completely. Patients with mild depression may experience mood swings, slow cognitive responses, and an inability to feel joy. They might have difficulty falling asleep or frequently wake up during sleep. Some patients might attempt to alleviate their symptoms or improve their depressed, suppressed mood through drinking. The adverse consequences of this are an increase in the severity of depression and ultimately the potential development of a substance dependency on alcohol, which negatively impacts the treatment of depression. Therefore, for patients with mild depression, it is clinically advised to forbid or reduce alcohol consumption, with abstinence being the best treatment approach.