Postpartum Depression Treatment - The Medication Options

Рет қаралды 21,614

5 жыл бұрын

This is part two of a series on women's mental health. The first video was on postpartum depression, what it looks like and how it harms your baby. This video is on how we treat postpartum depression. This would be depression that occurs within 4-6 weeks of giving birth. I discuss treatment after you have given birth even if your depression started before you gave birth. Treatment while you are pregnant is a different topic that I will cover later.
To get a copy of the Lactation Guide, go here: markspsychiatry.com/lactation
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. If you don’t want to miss a video, click here to subscribe. goo.gl/DFfT33
References
Cindy-Lee E. Dennis, PhD. Treatment of Postpartum Depression, Part 2: A Critical Review of Nonbiological Interventions. J Clin Psychiatry 2004;65(9):1252-1265
Weissman AM, Levy BT, Hartz AJ, et al. Pooled analysis of antidepressant levels in lactating mothers, breast milk, and nursing infants. The American journal of psychiatry. Jun 2004;161(6):1066-1078.
Hotham N, Hotham E. Drugs in breastfeeding [published correction appears in Aust Prescr. 2016 Feb;39(1):27]. Aust Prescr. 2015;38(5):156-159.
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.

Пікірлер: 97

@kristina282k 3 жыл бұрын

To be honest, in these situations we should do everything to prioritize the woman and stop fussing around the baby so much. Mothers need to learn to be a bit selfish when their lives depend on it. The baby can do perfectly fine on formula, a feeding method in which other members of the family can be easily involved and get the mom the chance to help and heal herself.

@janets7291 5 жыл бұрын

Thank you for another great video. Too many people try to hide their post partum depression for fear of being judged. The family of a depressed new mom should understand that their love and understanding is key to her recovery. The sooner she gets treatment, the sooner she can start feeling better. And that's the best outcome for everyone.

@DrTraceyMarks 5 жыл бұрын

You're welcome Jan. And you're absolutely right.

@ellisetucker22 5 жыл бұрын

I absolutely love your videos. I am not a mom (never will be), but I love being educated on a variety of mental health issues. Thank you for posting!

@DrTraceyMarks 5 жыл бұрын

You're welcome E'llise. Thanks for watching even when it's something that doesn't apply to you. 🙂

@TheKingdomHealingNook Жыл бұрын

Need more of these PPD videos. This content is helping me!

@sabrinabean26 5 жыл бұрын

Thank you for sharing the wealth of information! I’m contemplating a PhD or PsyD while also wracking my brain on a potential pregnancy as the clock keeps ticking. However, with a diagnosis of Bipolar II, I am nervous of a possible relapse (I have experienced post-partum depression in the past). There are so many considerations to take into account when someone has these risk factors. Education is so crucial for management. Thank you immensely! Keep on sharing!

@DrTraceyMarks 5 жыл бұрын

You're welcome Sarah. There is a lot that goes into the decision making. I realize the depressions with bipolar 2 can be brutal and long. ☹ For what it's worth, we are gathering more data showing no malformation in women who take the antipsychotic medications during pregnancy. That's promising because being treated during pregnancy can make a huge difference in what happens afterwards. Good luck with the doctorate. 🙂

@kayp4601 5 жыл бұрын

As a teacher, I loved the science lesson.

@kristinanderson8498 5 жыл бұрын

this is truly the best video on this!! I am so grateful for your channel!! thank you:)

@DrTraceyMarks 5 жыл бұрын

Oh thank you Kristin. I’m so glad you’re watching.

@Victoria-vj3wv 8 ай бұрын

Was there a video ever made about depression during pregnancy? I don't see it in the list but would love to hear your thoughts and potential treatments. Thank you for the great videos.

@safiaouarezki507 3 жыл бұрын

Hi Dr. Marks, thank you for your insightful content. In the video description you mention that you'll be doing a separate video on pregnancy and antidepressant treatment. It would be of great help to me as I am contemplating another pregnancy now that my little girl is 19 months old. I had perinatal depression and am now stable, going to therapy and taking 50 mg of Zoloft. I'm afraid to take the drug while pregnant but have not been able to wean off successfully. Thanks in advance!

@rchljeanne2315 3 жыл бұрын

New mom here I'm on antidepressants & decided not to breastfeed because I feel like we will never know how this effects the baby :/

@Florabebe777 2 жыл бұрын

Thank you so much!! Very helpful

@theotherway1639 3 жыл бұрын

The book "30 Days to Reduce Depression" by Harper Daniels was also a huge help.

@jigmetladol1469 4 жыл бұрын

Dr...I have been taking sertraline during pregnancy...I was asked to stop it after delivery for lactation but after a month I started feeling the symptoms again ..so my gynecologist recommended to take sertraline again ..plzzzz suggest what should I do??? I m helpless..I'm a patient of anxiety since 2007

@marietuley659 3 жыл бұрын

Hello Dr. Marks. Please could you give me some information about taking venlafaxine in pregnancy? Is it safe? I have tried to get off venlafaxine for more than 2 years but I cannot get below 75mg as the withdrawal symptoms are so severe. It's really frustrating and upsetting. Thanks so much.

@albertdiz1030 7 ай бұрын

Thanks for the info, i have always thought that people with this type of depression must take medication.

@giedre8921 Жыл бұрын

I am currently suffering from severe PPD. It's so hard I barely cope, it started around 4 months postpartum.

@ssbakker5798 3 жыл бұрын

Dear doctor Tracey Marks, Firstly I would like to Thank you for the informative video. I have several questions about the Tmax. In the given example of feeding while using Sertraline. The Tmax was around 4.5 up to 8.4 hours. Why did you choose to assume 4.5 hours? How will this work in real life, the Tmax might as well be reached after 6 hours and the feeding of 14.00 o clock would have the max concentration. Is it therefore realisitic to try to avoid feeding around Tmax when the Tmax can be reached over such a long period of time? Thank you so much in advance for answering. Greetings, S Bakker

@o56_idress_ahmed_ee32 5 жыл бұрын

Could bipolar be improved with lifestyle changes and diet and medications...if yes what,?

@DrTraceyMarks 5 жыл бұрын

Here are two videos where I talk about non-medication help for bipolar disorder kzfaq.info/get/bejne/gqika8SmvuCnimw.html and kzfaq.info/get/bejne/l92Ag5iK17yrqY0.html

@wildflowers9318 5 жыл бұрын

doctor could you please explain what is the connection about anxiety can cause weak legs syndrome? because these day i feel in some time my legs suddenly feels weak and my body feel so weak and thats make me uncomfortable. anyways i'm currectly been diagnosed with bipolar,depression and anxiety and been away from my meds a week from now

@DrTraceyMarks 5 жыл бұрын

Hi Yoa Yoa. I’m not sure of the exact mechanism of how you have anxiety and then experience weak legs. There’s a lot of body sensations that you have that we don’t have a good explanation of why it manifests with that physical symptom.

@meagananterola1465 Жыл бұрын

I might be naiive about this but would vitamen D help?

@generalrepair8731 5 жыл бұрын

Dr Marks My wife may have had a very mild case of postpartum depression because she was off of her sertraline a.k.a. Zoloft I think she took off eight weeks from work they just don’t give you enough time off from work for babies in America .i believe india gives you something like one year off from work. The intravenous drug you talk about in the beginning with all the side effects sounds scary for any woman that may be necessary it’s good that they have options now. I enjoy your videos where they there for us men or not General repair

@DrTraceyMarks 5 жыл бұрын

Hi General Repair! thanks for hanging in there on these topics that don't affect you - except indirectly! 🙂

@nmvwilliams 5 жыл бұрын

I had PPD after the birth of my son 8 years ago. It has not gone away with therapy and medication. What is the next step?

@DrTraceyMarks 5 жыл бұрын

At this point it would be treated like a regular depression even if it started out postpartum. If you failed two different antidepressants it would be considered treatment resistant depression. There are other medication options to improve your response. I did a video on treatment resistant pression here kzfaq.info/get/bejne/aOBlntWEmpfUfps.html

@Helen-gn7ci 5 жыл бұрын

Could you do a video on postpartum psychosis, please?

@DrTraceyMarks 5 жыл бұрын

I’ll add that to the list Helen.

@kathrinjohnson2582 5 жыл бұрын

Very informative 😁👍👍👍

@DrTraceyMarks 5 жыл бұрын

Thank you Kathrin 😊

@nicholasormesher2710 4 ай бұрын

Can men get ppd? Or a version of it?

@nuncomb 4 жыл бұрын

Thank you so much for making this video! I don't have ppd but I am going to a psychiatrist next week, for the first time in 12 years. I am hoping to be prescribed medical cannabis but the thought of having to stop breastfeeding in order to meet Doctor's recommendation (pills) left me in fear of my upcoming appointment. Your lesson has definitely helped to ease my anxiety, thanks again! QUESTION: I was diagnosed Bipolar 1 (I believe it was 1) with dissociation at an emergency room by one of those on-call robot psychiatrists a couple years ago. I cried and then took it with a grain of salt simply because I thought it was kind of preposterous to be diagnosed at an emergency room. May I have your thoughts on this situation, please?

@sophieneedsaladder 4 жыл бұрын

But how can it actually affect the baby?

@amyberthod 5 жыл бұрын

Thank you

@DrTraceyMarks 5 жыл бұрын

You’re welcome

@patnolen8072 3 жыл бұрын

Does the mammary gland produce milk continuously throughout the day? If so, the relative timing of feedings and medication would not affect the concentration of medication in the milk.

@itsmyparty8785 5 жыл бұрын

I was in such a bad place all through and after my pregnancy that it left me traumatized. I couldn’t even breastfeed my baby because it would increase my depression and I would cry every time I breast fed. I was so nieve to this that I just dealt with all of it on my own and never reached out for help. Now, a decade later, even though I’m in a healthy relationship, I am terrified of being pregnant again. 😞

@eviebatin1261 5 жыл бұрын

ItsMyParty 87 - every pregnant is different. I had one pregnancy out of 8 that I had to take Valium which is a no no. None of my antidepressants were working and I had an old school doctor. Another of my pregnancy I love spicy food. I was very disappointed it didn’t reoccur the the rest of my pregnancies. I’m not saying throw caution to the wind, but consider you are older, in an easier relationship and you understand you don’t need to go without meds if things get really bad.

@DrTraceyMarks 5 жыл бұрын

I agree with Evie. Every pregnancy is different. Also knowing you had this previous experience, you and your doctor can plan ahead for treatment to either start before you give birth or soon after. Getting treatment that works can make all the difference.

@By_rabiha 4 жыл бұрын

You will be just fine you went through the best training you will do everything right the second time without even making an effort good luck ❤️

@Evelyn-vv6cs 3 жыл бұрын

How long did your ppd last

@marianjeri9058 3 жыл бұрын

Can someone get depression six month's after giving birth ????

@aneber1811 3 жыл бұрын

Yes! I did!

@ruchitaacharya30 3 жыл бұрын

Hello mam.. i am also going through ppd.. please tell me am having stalopam antidepressants.. is any side effects for breastfeeding

@kimboslice1356 4 жыл бұрын

Can't it occur within the first 12 months after giving birth?

@FruitsandflowersBeaumont 3 жыл бұрын

Mine started around 6 months when the world shut down again at fall

@jufelvestil8946 3 жыл бұрын

I was suffering severe mental depression that i cannot sleep every night and i was so numb. I feel nothing, not interested in anything like even i eat my food i loss apetite.. Everynight i feel so much fear like in bed time i close my eyes i feel like i'm dead and i am so scared.. That's why sometimes i never sleep like Oh My God i badly need to sleep but i cannot. Sounds funny but it's true. Can someone tell me who experienced what i experienced now?? 😭😭😭😭😭 I don't know what to do. I feel crazy everyday 😭😭😭😭😭😭

@deesherocksperiod1939 3 жыл бұрын

Hey. Did you figure it out?

@MrsPierreIsabella 2 жыл бұрын

That sounds like post Partum Psychosis. I’m currently going through it and it’s NO JOKE! I’m so over it

@sandhyareddy5736 2 жыл бұрын

@@MrsPierreIsabella How are you , I am facing the same . What you did for recovery ?

@sandhyareddy5736 2 жыл бұрын

Hey , how are you ? What you did ?

@o56_idress_ahmed_ee32 5 жыл бұрын

Mam is there new hope or research for mental illness coming in future

@DrTraceyMarks 5 жыл бұрын

There’s always new research on various issues it’s too much to try and categorize. But I’m not aware of any specific trend that is developing. actually cannabis research is popular right now.

@o56_idress_ahmed_ee32 5 жыл бұрын

Is it possible that one may get mania if he/she is taking treatment and medications...

@akamran2922 5 жыл бұрын

Yes

@o56_idress_ahmed_ee32 5 жыл бұрын

@@akamran2922 ..how

@akamran2922 5 жыл бұрын

@@o56_idress_ahmed_ee32 Kyu Kay Drugs Sirf Intensity Kam Karti han Bipolar ka Cure nhi ha (Permanent) hoga Lakin Intensity Kam hogi

@vblake530530 5 жыл бұрын

You keep teaching me so much. GETOUTTA MY HEAD!!!!!.......AHHHHHHHHHhhhhhhh...........!

@DrTraceyMarks 5 жыл бұрын

LOL!! No, comeback next Wednesday. I'll be talking about social anxiety.

@dshannon1038 2 жыл бұрын

My ob told me at 6 months, 'its normal to feel that way and it'll get better soon'. As they shoved me out the door bc I'm no longer pregnant and of any $$ for them.

@xqxxy686 5 ай бұрын

Well now I know why my mother cried for 3 weeks after finding out she was pregnant with me. Because she just had my brother 3 months prior. Postpartum.

@A.Krispy 5 жыл бұрын

what about acupuncture ?

@DrTraceyMarks 5 жыл бұрын

It’s not an official recommended treatment but it may help.

@o56_idress_ahmed_ee32 5 жыл бұрын

Can I take finasteride for hair loss during mood disorder or anxiety disorder...plz reply,🙏🙏🙏🙏🙏🙏

@DrTraceyMarks 5 жыл бұрын

i’m not aware of that interfering with your mood disorder. But you should check with the doctor prescribing it to get his/her opinion.

@o56_idress_ahmed_ee32 5 жыл бұрын

@@DrTraceyMarks .what about anxiety and taking finasteride

@DrTraceyMarks 5 жыл бұрын

@@o56_idress_ahmed_ee32 I don't prescribe finasteride so I don't have any information to give you about it.

@o56_idress_ahmed_ee32 5 жыл бұрын

@@DrTraceyMarks ...OK mam love u..

@o56_idress_ahmed_ee32 5 жыл бұрын

Dear,plz help me...

@aymancabdi7729 5 жыл бұрын

Thanks for your luctures

@DrTraceyMarks 5 жыл бұрын

You're welcome Xasan. 🙂

@aymancabdi7729 5 жыл бұрын

Thanks dr tracy

@syedshariquesaleel8532 5 жыл бұрын

Hi doctor, you are sweet and beautiful... can you please explain schinoeffective disorder and how it is different from bipolar and schinofrenia. Thank you

@DrTraceyMarks 5 жыл бұрын

Thank you so much. Schizoaffective seems to be pretty popular these days. I’ve gotten a few requests for it and I finally have a video coming out next month. I’m still working on it. So if you are subscribed with notifications on you won’t miss it.

@marvipendragon 2 жыл бұрын

However, you need exercise for improving in almost everything related to your body...

@mtbikerchic78 5 жыл бұрын

What are your thoughts on Lamictal while breastfeeding

@DrTraceyMarks 5 жыл бұрын

It’s a category C which means to use with caution. It does pass-through in decent amount to breastmilk. So all in all, it’s necessary to have a discussion about it and weigh the positives and negative’s before taking it while breast-feeding.

@o56_idress_ahmed_ee32 5 жыл бұрын

Does ashwagandha or other natural supplement help in in mood or anxiety disorder e.g bipolar disorder or bpd.

@DrTraceyMarks 5 жыл бұрын

maybe someone else can tell you what their experience has been but I don’t know enough about Ashwaganda to give you an informed answer.

@o56_idress_ahmed_ee32 5 жыл бұрын

@@DrTraceyMarks ...No mam I want u to help to diagnose my problem ...plz ask me some questions I'll answer that and I'm sure u can help me whether I'm bipolar or borderline...the vedio u made wasn't too help to me on borderline vs bipolar....my psychiatrist diagnosed me with borderline with ocd but psychologist diagnosed me bipolar with oc spectrum with 100% sureity as it was a long session..

@ruchitaacharya30 3 жыл бұрын

Please reply

@mdj.84 5 жыл бұрын

Dear Tracy, thanks for all your super useful videos! Is it somehow possible to contact you on email or ? Thanks in advance

@DrTraceyMarks 5 жыл бұрын

My email address is on the about page of my channel page. However keep in mind I work full-time in my practice seeing patients so I have very little time for email exchanges.