PND is serious and distressing but
it IS TREATABLE. It is treated in similar ways to ordinary depression depending
on the severity of the individuals illness and symptoms.
If left untreated the severity is
likely to increase and the illness will last longer. This in turn is more
likely to have an effect between the mother and her baby.
If you are depressed you will
undoubtedly need help and you may require lots of encouragement to seek the
help. However, there should be plenty of support available to you once you have
sought the help.
A lot of sufferers find that just
TALKING can be helpful. This may be to partners, family members, friends,
midwife, Health Visitor, GP, Community Psychiatric Nurse (CPN), psychiatrist,
psychotherapist or counselor. They can also offer you help and support.
Treatments that involve talking that
your GP may refer you for are:
COUNSELLING - there may be a free
service available to you or you may have to pay privately. Counselling is a one
to one session of talking where the counselor will help you to work out your
problems through you talking about them confidentially.
PSYCHIATRIST - a medically qualified
Dr who specializes just in the treatment of mental illnesses.
PSYCHOLOGIST - a person who is
trained in the science of the mind and the study of behavior.
You do not have to worry about
people finding out about your problems as all treatments are confidential.
However, sometimes talking is simply
not enough and
Antidepressants are required. It must be remembered that there are
three different types of antidepressants each having different reactions on
chemicals in the brain. Therefore it may be necessary that the GP has to find
that one best suited to you. They do take time to work usually around 10 to 14
days or as long as 6 to 8 weeks to feel the real benefit.
It is important to tell the GP if
you are breastfeeding as this will influence the antidepressant prescribed.
Some antidepressants do pass into breast milk but there are safe drugs to take.
The
Antidepressants that are likely
to be prescribed for you are not considered to be addictive but you are
recommended to take them for about six months and not to stop them abruptly. If
you do stop them abruptly you run the risk of quickly becoming depressed again.
Stopping
Antidepressants is a gradual weaning process.
TRANQUILIZERS are another drug the
GP may prescribe. These drugs are sedatives and are used to treat anxiety and
emotional tension. They may be used if you are experiencing sleep problems.
They are only given for short periods to promote relaxation as they are
addictive. They cannot resolve the cause of the problem. Tackling the
underlying cause of the problem through
Counselling or Psychotherapy offer hope of a long term solution. Tranquillizers
may also be known as anxiolytics or anti-anxiety drugs. Examples include:
- Diazepam (Lithium)
- Lorazepam
- Oxazepam
- Chlordiazepoxide
- Alprazolam
There are three main types of
Antidepressant
used to treat depression:
- Tricyclics
- Monoamine Oxidase inhibitors
- Serotonin re-uptake inhibitors
Antidepressants are not used to treat MILD
depression especially if the depression is likely to clear soon.
Antidepressants work on the chemicals in the
brain. In depression there is thought to be reduced amounts of the chemicals
known as neurotransmitters. These chemicals affect mood by stimulating the
brain cells. Antidepressants increase the levels of neurotransmitters.
The benefits of antidepressants is not really
noticeable for 10 to 14 days after the initial dose and the full effect may not
be felt for 6-8weeks. Like all medication antidepressants may cause some side
effects. In the first day some may cause drowsiness, difficulty urinating, a
dry mouth or blurred vision.
HORMONE patches may be of benefit but are not yet
established as a treatment.