How to treat postpartum depression?

Written by Du Rui Xia
Obstetrics
Updated on December 07, 2024
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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 Pang Ji Cheng
Psychiatry and Psychology
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What is the depressive mood of depression like?

Patients with depression primarily exhibit symptoms of low mood. They often experience persistent sadness and pessimism. Patients might find it difficult to feel happy, appear gloomy, and are unable to experience joy, particularly in activities that they used to find interesting. In severe cases, they might feel hopeless, in despair, and have thoughts of death, leading to an overwhelming sense that each day is unbearably long. Furthermore, patients might feel that life isn't worth living and that their existence has no meaning, which can lead to thoughts or actions of suicide or self-harm. In this emotional state, their self-evaluation is also typically low; they might feel utterly worthless, viewing themselves as a burden on their family and a parasite in society. Thus, feelings of worthlessness, helplessness, despair, and self-blame are significantly more pronounced.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Where to get a diagnosis for depression?

The diagnosis of depression often recommends consulting with a psychiatry or psychology department for confirmation. Clinically, depression is categorized as a mental and psychological disorder, primarily characterized by low mood, slow thinking, and reduced willpower. Patients usually lack interest and pleasure, feel fatigued, self-blame, valuelessness, incapability, have low self-esteem, and poor concentration. They often feel that life is meaningless, harboring thoughts or behaviors of self-harm and suicide. They view the future as bleak, sad, helpless, and hopeless. Patients generally exhibit poor eating and sleeping habits, and there is a noticeable decline in sexual function. Therefore, in clinical settings, if the aforementioned symptoms persist for over two weeks and interfere with work, study, daily life, social, and occupational functions, a clear diagnosis is required to develop a treatment plan involving medication, psychotherapy, and physical therapy.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Do patients with mild depression need to be hospitalized?

Patients with mild depression can choose inpatient treatment or outpatient treatment. The main decision depends on the communication between the patient, their family, and medical professionals. Patients with mild depression have relatively mild depressive symptoms, so psychological therapy is primarily used, with pharmacotherapy and physical therapy serving as supplementary treatments. Psychological therapy mainly employs cognitive-behavioral therapy to improve the patient’s unreasonable beliefs and alleviate emotional stress. This includes identifying automatic thoughts, recognizing the irrationality of cognition, and employing reality testing, ultimately aiming to improve the patient's symptoms. Pharmacological treatment primarily uses serotonin reuptake inhibitors, and patients can adhere to a regular medication schedule at home during outpatient treatment periods. Physical therapy consists mainly of transcranial magnetic stimulation, which can be administered either as an outpatient or inpatient treatment. The final treatment choice should involve comprehensive communication with the patient's family and physicians to make an informed decision.

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Written by Du Rui Xia
Obstetrics
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How to relieve postpartum depression

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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Symptoms of depression

The symptoms of depression almost always include persistent low mood throughout most of the day, and patients generally lack interest or pleasure in all activities. Patients may exhibit psychomotor agitation or retardation, and experience fatigue, weakness, and feelings of inadequacy. They may feel that their lives are worthless and meaningless, have feelings of self-reproach or guilt, and suffer from poor concentration and indecisiveness. Recurrent thoughts or behaviors of suicide may occur, and some patients may even make specific plans for suicide. Therefore, these are the primary symptoms of depression. Some patients may present primarily with physical symptoms, such as dizziness, headaches, palpitations, frequent or urgent urination, and gastrointestinal discomfort. It is important to conduct relevant examinations to avoid misdiagnosis.