Managing Anxiety and Panic Disorders After Childbirth: A Personal Journey

Anxiety Panic Disorder

Dr.
Ding: I originally gave birth to my baby last July and took a year of unpaid leave for childcare.
I dislike my job, but since it's a public position, I hesitate to change it.
When I was due to return to work at the end of June this year, my anxiety and panic disorder relapsed (I have a history of depression and panic disorder).
This time, the treatment hasn't gone very well.
The same doctor initially prescribed me one tablet each of Entresto and Xanax three times a day, but after reducing the medication, my anxiety started to increase.
Now, it's November, and my condition still hasn't stabilized.
Currently, I'm taking two Xanax tablets three times a day, one Entresto and one Desvenlafaxine in the morning and evening, but I often feel restless.
I've been on Sertraline for a month now (started on October 13), and I'm unsure if the medication hasn't taken effect yet or if I'm experiencing side effects (the doctor mentioned that the side effects of this serotonin medication are usually mild).
However, I still frequently feel uneasy, and my hands and feet occasionally tingle.
I'm really anxious because I'm uncomfortable, and I haven't taken my older child out to play in a long time.
I feel guilty towards my child.
Dr.
Ding, could you please give me some advice?

Xiao Fang, 30~39 year old female. Ask Date: 2016/11/11

Dr. Ding Shuyan reply Psychiatry

Hello, anxiety and panic disorder are generally well-treatable in the field of psychiatry, so please don't panic.
In terms of medication, previously effective drugs usually remain effective, unless you have not been taking them regularly, which can lead to delayed or diminished effects.
Additionally, Diazepam is a good medication for treating anxiety and panic, but sometimes our body may not respond to it; this should be assessed by your physician to determine whether to increase the dosage or switch medications.
You can also find some muscle relaxation training or diaphragmatic breathing videos on YouTube to practice, which can be helpful.
Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2016/11/11

More Info

Managing anxiety and panic disorders after childbirth can be a challenging journey, especially for those who have a history of mental health issues such as depression and panic disorders. Your experience reflects a common struggle faced by many new parents, particularly when transitioning back to work after maternity leave. It’s important to acknowledge the emotional and psychological toll that this transition can take, and to seek appropriate support and treatment.

Firstly, it’s crucial to understand that anxiety and panic disorders can be exacerbated by significant life changes, such as childbirth and returning to work. The stress of managing new responsibilities, coupled with the pressure of returning to a job you dislike, can create a perfect storm for anxiety to resurface. It’s also not uncommon for individuals with a history of mental health issues to experience a recurrence of symptoms during stressful life events.

In your case, it seems that the medication regimen you are on may need to be reassessed. While medications like Sertraline (known as Zoloft) and other SSRIs (Selective Serotonin Reuptake Inhibitors) can be effective for anxiety and panic disorders, they may take several weeks to reach their full therapeutic effect. If you have been on Sertraline for a month and are still experiencing significant anxiety and physical symptoms like tingling in your hands and feet, it may be worth discussing with your doctor the possibility of adjusting your dosage or exploring alternative medications.

Additionally, it’s important to incorporate non-pharmacological strategies into your treatment plan. Cognitive Behavioral Therapy (CBT) is a highly effective form of therapy for anxiety and panic disorders. It focuses on identifying and changing negative thought patterns and behaviors that contribute to anxiety. Engaging in therapy can provide you with tools to manage your anxiety, understand your triggers, and develop coping strategies.

Mindfulness and relaxation techniques can also be beneficial. Practices such as deep breathing exercises, progressive muscle relaxation, and mindfulness meditation can help reduce anxiety symptoms and improve your overall sense of well-being. These techniques can be particularly useful when you feel a panic attack coming on or when you are in a stressful situation.

It’s also important to prioritize self-care during this time. Caring for a newborn is demanding, and it’s essential to carve out time for yourself, even if it’s just a few minutes a day. Engaging in activities that you enjoy, whether it’s reading, taking a walk, or spending time with friends, can help alleviate some of the stress and anxiety you are experiencing.

Lastly, consider reaching out for support from family and friends. Sharing your feelings and experiences with trusted individuals can provide emotional relief and help you feel less isolated. If you feel comfortable, discussing your mental health with your partner or family members can also foster understanding and support in your household.

In summary, managing anxiety and panic disorders after childbirth requires a multifaceted approach that includes medication, therapy, self-care, and support from loved ones. It’s important to communicate openly with your healthcare provider about your symptoms and treatment options. Remember, you are not alone in this journey, and with the right support and strategies, it is possible to regain control over your anxiety and enjoy your time with your child.

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