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.

Other Voices

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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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What to do about insomnia caused by mild depression?

Patients with mild depression who experience insomnia symptoms can partly manage this through self-adjustment. For example, they can improve insomnia through exercise, especially two hours before bedtime, with medium intensity exercises to expend excess energy and ultimately achieve comprehensive muscle relaxation, leading to good sleeping habits. Additionally, in the treatment of mild depression, sedative antidepressants such as paroxetine, fluvoxamine, mirtazapine, and trazodone can be used, sometimes including tricyclic antidepressants like amitriptyline, which have been very satisfactory in their effects. Therefore, clinically, for insomnia in mild depression, both pharmacological treatment and self-adjustment methods can be adopted.

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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.)

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Can people with depression occasionally feel happy?

Patients with depression may occasionally feel happy, but they predominantly experience low mood throughout most of their days. Patients perceive a significant and persistent sense of low spirits, pessimism, and despair. Their mood is such that they cannot feel joy, and they often seem easy to recognize by their facial expressions – furrowed brows, frowning, and looking deeply worried. Thus, these patients feel downhearted; nothing seems to interest them, they feel as if something heavy is pressing on their heart, devoid of pleasure, often crying, pessimistic, despairing, feeling as if each day lasts a year, and life not worth living. Sometimes, patients may feel that life is meaningless, hence might engage in self-harming or suicidal behaviors, blame themselves harshly, and have trouble concentrating. However, it's not that patients never experience happiness; it's just that they are in a depressed mood most of the time each day, with only occasional moments of happiness, which are relatively rare.

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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.