What are the symptoms of postpartum depression?

Written by Du Rui Xia
Obstetrics
Updated on September 27, 2024
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In cases of postpartum depression, women primarily exhibit emotional excitability, as well as anxiety, feelings of helplessness, guilt, and concerns about being unable to support their child. Severe cases may involve fears of the child suffering in the world, leading to infanticidal actions, and even suicide. This condition generally occurs more frequently in women who have a history of mental illness. Following childbirth, due to physical discomfort, emotional instability, and factors such as sleep disturbances, these adverse reactions are likely to be exacerbated.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Can depression recur?

Relapse in patients with depression is a relatively common issue in clinical practice. Large-scale studies have found that even with systematic, standardized treatment with sufficient dosage and duration of antidepressant medications, still 15% of patients do not achieve clinical recovery. Even with persistent standardized treatment, the relapse rate remains at 20%. If treatment is discontinued, the relapse rate can rise to as high as 85%. For patients who have recovered, there is still a 20% chance of relapse within six months. 50% of patients relapse within two years after their first episode. Therefore, the relapse rate is higher in patients over the age of 45. Thus, depression is characterized by a high rate of relapse, yet it is also highly treatable. Therefore, during the course of pharmacological treatment, psychological and physical therapies should be concurrently employed as adjunctive treatments to improve cure rates and reduce the likelihood of relapse.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Is mild depression normal?

Patients with mild depression, although also experiencing symptoms such as low mood, decreased interest, reduced motivation, slow thinking, and reduced volition, may have difficulty falling asleep and frequently wake up during sleep, among other related symptoms. However, patients often retain most of their social functions, causing some disturbance to daily life and work. Through self-adjustment, standardized psychotherapy, and medication, patients often achieve good treatment outcomes. Sometimes, the symptoms of some patients are relatively mild, and they may appear normal outwardly, but their inner experience is indeed pathological. Therefore, it is still necessary to undertake standardized, systematic, and scientific treatment to achieve clinical recovery.

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Written by Du Rui Xia
Obstetrics
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How to treat postpartum depression?

When postpartum depression occurs, it is first important to pay attention to women's mental health. Treatment can be approached psychologically, and additionally, medication and physical therapy may be options. Psychological therapy includes supportive psychological treatments, music therapy, and cognitive behavioral adjustments. The main purpose of psychological therapy, especially during acute depressive episodes, is to alleviate symptoms of depression to improve social issues. It is important that family members and husbands provide sufficient psychological support and ensure that the new mother feels secure. Additionally, diet should be considered; consuming foods rich in protein and vitamins can strengthen a woman's body and resistance, and regulate her physical condition. In severe cases, under the guidance of a doctor, medication can also be used for treatment.

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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 Pang Ji Cheng
Psychiatry and Psychology
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Will depression get better?

Patients with depression can achieve clinical recovery. Large-scale survey studies have found that about 85% of patients can reach clinical recovery as long as they undergo systematic and standardized treatment. At the same time, systematic and standardized psychotherapy and physical therapy should also be conducted. This can uphold the recurrence rate or relapse rate of the patients. Studies have found that about 20% relapse within six months after the initial treatment, and the relapse rate reaches 50% within two years. For older patients, their relapse rate may be even higher. Therefore, depression is a highly curable disease, but also a highly recurrent disease. Systematic, standardized, and scientifically reasonable treatment is still a very important means to achieve good recovery rates and reduce relapses in depression.