Postpartum Depression: Signs, Symptoms, and Solutions

Q: Postpartum Depression: Signs, Symptoms, and Solutions

Hello： As mentioned in the letter, there are indeed symptoms of depression. <br>Treatment for depression can include medication or non-pharmacological approaches, such as psychotherapy or activity therapy. <br>If you prefer not to take medication, you can consider psychotherapy w

I'm not sure if it's really postpartum depression?

About five months after giving birth, one night in May, after talking on the phone with my husband, I suddenly felt that life was very dull and I didn’t know what I was living for.
I felt that it would be easier to be dead, but I knew I couldn’t have such thoughts because of my child.
A few days later, I visited a small neurology and psychiatry clinic and told the doctor that I suddenly felt life was uninteresting and I didn’t know what I was living for.
The doctor only asked how many months it had been since I gave birth and then diagnosed me with postpartum depression, prescribing me an antidepressant.
I was breastfeeding, and the doctor said it was okay, but I didn’t want to rely on medication, and I didn’t want my child to be affected by it, so I relied on nutritional supplements like fish oil, calcium, and B vitamins, hoping to recover quickly and avoid depression.

I’m not sure if I have depression; sometimes it’s just hard to get out of bed, and I feel uncomfortable not knowing what to do, even though I’m taking care of my child.
I still feel empty and uncomfortable, and sometimes I experience chest tightness.
I don’t know what’s wrong with me.
I can’t seem to cry either.
Since June, I’ve been trying to learn to let go because I don’t want to be constantly plagued by depression, but it’s still limited.
Some people say to exercise more, but taking care of two children makes it really difficult, and I don’t particularly enjoy exercising.
I also don’t dare to stay in the sun for too long; I just stand still.
I rarely go out and mostly stay at home, especially since I’m at my parents’ house.
Besides taking care of the children, bathing, and eating, everything else is done by my mom (who is amazing).
My mom says that I think too much (depression) because I have too much free time.
Is that true? How can I return to my former self? I’m really afraid I won’t be able to go back and feel that life is meaningless.
Depression is an unpleasant symptom, and looking at my children makes me feel like a failure as a mother.
I really want to return to my normal self and not have depression.
What should I do, doctor?

Xiao Zhang, 20~29 year old female. Ask Date: 2017/06/30

Dr. Li Zhengfeng reply Psychiatry

Hello: As mentioned in the letter, there are indeed symptoms of depression.
Treatment for depression can include medication or non-pharmacological approaches, such as psychotherapy or activity therapy.
If you prefer not to take medication, you can consider psychotherapy with a licensed therapist or participate in more recreational activities.
Wishing you a speedy recovery.

Reply Date: 2017/06/30

More Info

Postpartum depression (PPD) is a serious mental health condition that can affect new mothers after childbirth. It is characterized by a range of emotional, physical, and behavioral symptoms that can significantly impact a mother's ability to care for herself and her child. Understanding the signs and symptoms of PPD, as well as effective coping strategies, is crucial for recovery.

Signs and Symptoms of Postpartum Depression
1. Emotional Changes: New mothers may experience feelings of sadness, hopelessness, or emptiness. They might feel overwhelmed by the responsibilities of motherhood and may have persistent feelings of inadequacy or guilt.

2. Physical Symptoms: Fatigue is common, but PPD can also manifest as insomnia or excessive sleeping. Some women may experience changes in appetite, leading to weight loss or gain.

3. Cognitive Symptoms: Difficulty concentrating, making decisions, or remembering things can be prevalent. Mothers may feel detached from their baby or experience a lack of interest in activities they once enjoyed.

4. Anxiety and Irritability: Many women with PPD also experience heightened anxiety, irritability, or mood swings. They may have intrusive thoughts about harming themselves or their baby, which can be distressing.

5. Social Withdrawal: A tendency to isolate oneself from friends and family is common. Mothers may feel ashamed or embarrassed about their feelings and may avoid social interactions.

Coping Strategies and Solutions
1. Seek Professional Help: It is essential to consult a healthcare provider if you suspect you have PPD. A mental health professional can provide a proper diagnosis and recommend treatment options, which may include therapy or medication. Cognitive-behavioral therapy (CBT) is particularly effective for PPD.

2. Medication: While you mentioned a reluctance to rely on medication, it is important to discuss this with your doctor. Some antidepressants are safe for breastfeeding mothers, and they can significantly alleviate symptoms of depression.

3. Support System: Building a support network is crucial. This can include family, friends, or support groups for new mothers. Sharing your feelings and experiences with others who understand can provide comfort and reduce feelings of isolation.

4. Self-Care: Prioritize self-care by setting aside time for yourself, even if it's just a few minutes a day. Engage in activities that bring you joy or relaxation, such as reading, taking a bath, or practicing mindfulness.

5. Physical Activity: While you mentioned finding it challenging to exercise, incorporating even small amounts of physical activity can improve mood. Consider short walks with your baby or gentle stretching at home.

6. Nutrition: Maintaining a balanced diet can have a positive impact on your mood. Continue to focus on nutrient-rich foods, and consider discussing any dietary supplements with your healthcare provider.

7. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce stress and improve emotional well-being. Even a few minutes of mindfulness each day can make a difference.

8. Routine: Establishing a daily routine can provide structure and a sense of normalcy. This can help you feel more in control and less overwhelmed.

Conclusion
Recovering from postpartum depression takes time and patience. It is important to acknowledge your feelings and understand that you are not alone in this experience. Many women face similar challenges, and seeking help is a sign of strength, not weakness. By taking proactive steps, such as seeking professional help, building a support network, and prioritizing self-care, you can work towards regaining your sense of self and finding joy in motherhood again. Remember, it is okay to ask for help, and with the right support and treatment, you can overcome postpartum depression.

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