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Postpartum Depression

For most parents, the birth of a new baby is a life-changing event that brings with it many significant adjustments. Typically, the accompanying joys and satisfactions balance the inevitable challenges and stresses. For mothers who experience postpartum depression, however, the joys are buried beneath sadness, self-doubt, confusion, and difficulty coping. This emotional pain and distress is unexpected, complicating the depression with feelings of shame. Such shame can make it difficult to confide in others and seek support and help.

If you or your partner is experiencing depression following the birth of a baby, you are not alone. Approximately one in seven women experience significant depression in the postpartum period. This makes postpartum depression (PPD) the most common complication of pregnancy. The good news is that PPD is highly treatable.

When working with a woman having difficulty following the birth of a baby, I begin by evaluating whether the new mother is experiencing normal mood fluctuations during this adjustment period, or whether the symptoms are indicative of PPD. Mild PPD can often be successfully treated with psychotherapy alone. For moderate to severe PPD, medication is typically an important component of effective treatment. If we determine that medication may be indicated, I will refer you to a psychiatrist experienced in the treatment of PPD, with whom I will closely collaborate.

At the start of psychotherapy, I educate the new mother about the PPD and the challenges that often accompany the adjustment to parenthood. We will focus on building a support network since a sense of isolation is often a factor in PPD. I will provide you with local resources for education and support. It is often beneficial to involve a spouse or partner in therapy since PPD affects the whole family. Couple sessions can be very helpful in addressing relationship changes or difficulties occurring in the postpartum period, developing mutual understanding, and building support systems.

If you or your partner is experiencing distress following the arrival of a new baby, please seek help. If you have questions or wish to discuss your situation, please contact me.

 

   
Colette de Marneffe, Ph.D. • ph: 301-891-2120 • e-mail: drcdemarneffe@gmail.com