Postpartum Depression: Finding Affordable Help

June 14, 2011 RSS Feed Print
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Postpartum depression affects as many as one in eight new moms, and it becomes most serious when it’s left untreated. “It’s rare, but the symptoms are very severe. You start losing touch with what’s real and imagined, you can have delusions and unpredictable actions,” says Catherine Carlton, an advocate for awareness about postpartum depression through her work with the Junior League of Palo Alto-Mid Peninsula. In the most extreme cases, she adds, women can kill themselves or their babies.

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To prevent that tragic outcome, women suffering from postpartum depression usually need professional help, but seeking it out can be difficult, especially when new moms are worried about the stigma of struggling with a mental illness or the financial challenges of paying for treatment. Women are most likely to get postpartum depression if they have a history of depression, experienced other big stresses such as relationship problems around the time of the birth, and suffer from financial problems. Having strong support from family and friends can help reduce the risk. We spoke with Carlton about the best ways to afford treatment for this serious condition. Excerpts:

How widespread is postpartum depression?

Generally, about 80 percent of women across the world experience some form of the baby blues, or just feeling really overwhelmed and cranky and not able to get any sleep. One in eight will really get postpartum depression, where they’re really sad, confused, anxious, irritable, and afraid they’re a really bad mom. And for one in 1,000 women who don’t receive treatment, it can become postpartum psychosis, where people start dying.

Why does it go untreated?

Some cultures are more open about it than others, but even in America today, people might think you’re weak. What should women do if they think they might be suffering from postpartum depression? The initial things that make a difference are just talking about your feelings. Talk with a doctor. It helps to ask friends and family to care for the baby so you have a chance to get sleep and eat a healthy diet. There are a lot of postpartum support groups online and in-person. If you’ve been feeling sad and cranky and it doesn’t go away after three weeks, then look into getting some help.

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Can you recommend any free resources?

The great website run by Postpartum Support International has a postpartum scale with ten questions, so you can determine the level you might be at. They also have a Wednesday online chat with an expert, and you can find a map to help you find a list of local coordinators, doctors, and group meetings. It will tell you everything that’s available locally. (Volunteers offer to contact visitors within 24 hours.) Seven states, including Minnesota, New Jersey, and Illinois, have created state agencies to help deal with this problem, too. Postpartum Progress is another great site providing peer-to-peer support.

How do you know if you need to meet with a doctor?

It depends on the level of postpartum depression. If you have the baby blues, then online support might be enough, or sometimes even the information at babycenter.com. It has a good online board you can chat on, which is great for people who don’t feel comfortable opening up to family. It’s a great way to feel like you’re not going through this alone. Statistically, the soon you get help, the quicker you can get over it.

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It is great that US News and World Report is doing an article about postpartum depression, however they need to get their facts straight. Women with postpartum depression do NOT lose touch with reality, and are not at risk for killing their children. What the article was describing is postpartum psychois, a psychiatric emergency where women often have delusions about their infants, which put infant at risk. This occurs in 1 out of 1,000 women, NOT 1 out of 8. One of the problems with confusing these two disorders is that it may scare women unnecessarily when they are diagnosed, and may lead others to not seek treatment.

Postpartum depression is easily treatable. Only if the women herself is contemplating suicide is the baby at risk. Some mothers "take" the child with them in suicide/homicide attempts so as to not leave the baby without a mother. But this is very uncommon.

Lucy J. Puryear, M.D.

President, Postpartum Support International

Lucy Puryear of TX 1:51PM June 15, 2011

Thanks for the article -- it is important we raise awareness. However, I'd like to point out that postpartum psychosis does not usually follow postpartum depression. In fact, postpartum psychosis often is characterized by a rapid onset - sometimes only hours or days and generally, but not always, in the first month - after a child is born. So, although it IS important to treat postpartum depression in a timely fashion (in part because there is simply NO good reason for a mother to be suffering) - to assume that postpartum psychosis generally follows depression can be dangerous.

Furthermore, women with bi-polar disorder are considered high risk for postpartum psychosis (yet many women who get postpartum psychosis have no previous record of mental illness) -- and there are steps that women and families can take to ensure early treatment and avoid tragedy.

Perhaps the best initial line of defense against this illness is awareness and education -- unfortunately most families assume it will not happen to them (and most are right) but when it does happen, those families are often ill prepared to deal with it.

Teresa Twomey

author, Understanding Postpartum Psychosis: A Temporary Madness (Praeger)

Postpartum Support International (PSI) Co-coordinator for CT

PSI legal resources coordinator

Teresa Twomey of CT 9:25AM June 15, 2011

Hey there - Well, I just wanted to say thanks for bringing attention to this wide spread yet under-treated mental illness. I'm a LPC specializing in postpartum depression, and it affects women from all walks of life. Poverty & maternal abuse exacerbates the rate of PPD. There is The transition to parenthood is a unique sensitive period There is help available. You are not alone.

Kathy Morelli of NJ 7:00AM June 15, 2011

Alpha Consumer

Kimberly Palmer, senior editor for U.S. News & World Report, writes about making smarter financial decisions. She’s the author of Generation Earn: The Young Professional's Guide to Spending, Investing, and Giving Back.

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