Findings from a study show that it can vary in severity, which can affect the type of treatment a woman might need to recover.
By Juli Fraga April 20 at 9:00 AM After Ann’s daughter was born, the infant cried a lot because of acid reflux. “When she wouldn’t stop, I got angry. I felt like a monster,” said Ann, who requested that she be identified only by her middle name because of privacy concerns.
Researchers from Northwestern University, in January, identified four risk factors that may help physicians and mental-health professionals predict the seriousness of postpartum depression. The factors are: education, the number of children a woman has, ability to function at work and at home, and depression severity at four to eight weeks postpartum. The study findings show that postpartum depression can vary in severity, which can affect the type of treatment a woman might need to recover.
After her diagnosis, Ann expected to recover, but her depressive symptoms never entirely went away — even after taking an antidepressant. Nine months after seeing her physician, the feelings of irritability and worry grew stronger. Symptoms of severe prenatal and postpartum depression can include feelings of hopelessness and anhedonia, a loss of interest in things, which can make it challenging for these women to make it to their prenatal checkups, according to Fisher.
To do this, clinicians need to discern between the different types of perinatal mood concerns. “What is often labeled as ‘postpartum depression’ could be another mental illness, such as bipolar disorder. And some women experience primarily postpartum anxiety symptoms,” Meltzer-Brody explained. At that time, Rope was seeing a psychotherapist, but talking about her worries wasn’t enough to make them go away, she said. “By the time my baby was 9 months old, my brain was exhausted, and I wasn’t sleeping very much,” Rope added.
Given her history, Rope was at a higher risk for a perinatal mood concern, but she was never screened for the disorder, she said.
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