How long does postpartum depression last?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 02, 2024
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Postpartum depression can generally be cured within a year in 70% of women. In families where such cases occur, it is important to pay attention, communicate more with the patient, and provide sufficient care and guidance. Additionally, timely psychological and pharmacological treatments should be administered to boost the patient's confidence and self-worth. It is also necessary to use antidepressant medications under a doctor's guidance that do not enter the breast milk, meaning they do not affect breastfeeding.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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How is depression diagnosed?

The diagnosis of depression in clinical settings involves four aspects: First, the collection of medical history, which includes understanding the onset, progression, treatment, and outcome of the illness, as well as past treatment experiences, etc. Second, psychiatric assessment, involving examinations with the patient concerning their sensations, perceptions, consciousness, thinking, emotions, intelligence, memory, self-control, willpower, and other aspects. Third, the use of scales to measure depression, which includes self-rating scales or observer-rating scales for depression to assess the severity of the patient's condition. Fourth, through related auxiliary examinations, excluding physical illnesses that may cause symptoms of depression. Ultimately, the diagnosis of depression is determined by integrating information from these four areas.

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Written by Du Rui Xia
Obstetrics
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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 Yue Hua
Obstetrics and Gynecology
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Where to seek treatment for postpartum depression?

Postpartum depression is a type of mental illness in puerperal women, so it is best for such women to see a psychiatrist, as psychological treatment for depression is very important. The key is to enhance the patient's self-confidence and raise their self-esteem. Additionally, it can provide individualized psychological counseling based on the patient’s personality traits, psychological state, and the causes of the condition, and it can eliminate the psychological factors causing the illness. Common clinical treatments include medication and psychological counseling.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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How is depression treated?

Depression treatment in clinical settings includes self-adjustment, psychotherapy, medication, and physical therapy. Patients with mild depression can base their treatment on self-adjustment, which includes exercising, distracting attention, talking to others, etc. Psychotherapy, especially cognitive behavioral therapy, is recommended as the first choice of treatment. It helps patients identify automatic thoughts and reconstruct the cognitive irrationality system among other methods. Furthermore, patients with moderate to severe depression are primarily treated with medication, particularly with serotonin reuptake inhibitors such as paroxetine, sertraline, and fluoxetine, which are commonly used in clinical settings. Additionally, physical therapy mainly involves non-convulsive electroshock and transcranial magnetic stimulation as major treatment methods. (Specific medications 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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Treatment of Depression

The treatment of depression in clinical settings primarily utilizes pharmacotherapy, psychotherapy, and physical therapy. Pharmacotherapy, as the first-line treatment for depression, mainly relies on selective serotonin reuptake inhibitors such as paroxetine, fluoxetine, sertraline, escitalopram, venlafaxine, and duloxetine. Adequate dosages and treatment duration with a systematic approach are essential when using pharmacotherapy. Secondly, psychotherapy. The main psychotherapeutic approaches include cognitive-behavioral therapy, psychoanalytic therapy, and interpersonal therapy, which aim to improve the patient's irrational cognitions and rebuild their cognitive framework. Thirdly, physical therapy. In clinical practice, physical therapy mainly encompasses electroconvulsive therapy and transcranial magnetic stimulation, both of which can yield significant therapeutic outcomes. (Specific medications should be used under the guidance of a physician.)