Beichen postnatal depression hospital
Treatment is usually needed, including psychotherapy and medication.
1, psychotherapy
Psychotherapy is an important treatment for postpartum depression. Including psychological support, counseling and social intervention. Through psychological counseling, psychological factors (such as marital tension, wanting to have a boy but having a girl, having a history of mental disorders, etc.) can be alleviated. Provide more emotional support and social support for pregnant women, and guide them to adjust their mood and life. Give more attention and meticulous care to puerperal women, try to adjust family relations and guide them to develop good sleep habits. Specific aspects are:
2. Drug therapy
It is suitable for pregnant women with moderate and severe depression and ineffective psychotherapy. It is advisable to use drugs under the guidance of specialists, and drugs can be selected according to past curative effects and individualized medication. Try to choose antidepressants that do not enter milk, and serotonin reuptake inhibitors are preferred. At present, the commonly used drugs are as follows:
(1) Serotonin reuptake inhibitor:
① Paroxetine hydrochloride: the initial dose and effective dose are 20mg, 1 time, taken at breakfast every day. After 2-3 weeks, if the curative effect is not good and the side effects are not obvious, 10mg can be increased, and the maximum dose is 20mg (40 mg for the weak) 1 time, daily1time. Use with caution in pregnant women with hepatic and renal insufficiency. Be careful not to stop taking the medicine suddenly.
② Sertraline hydrochloride: taken orally, starting from 50mg daily, once a day/kloc-0, with food. After a few weeks, it increased to 100-200mg per day. The usual dose is 50- 100mg/day, and the maximum dose is 150-200mg/day (continuous use of such drugs shall not exceed 8 weeks). If long-term application is needed, the minimum effective amount should be used.
(2) Tricyclic antidepressant: amitriptyline, the usual dose is 25mg at first. 2-3 times a day, and then gradually increase to 150-250mg per day according to the condition and tolerance. Take it orally in three times, with the maximum dose not exceeding 300mg per day and the maintenance amount of 50- 150mg per day.
Manifestations of postpartum depression
Postpartum depression is the most common type of female mental disorder, which is a series of physiological, emotional and psychological changes caused by sexual hormones, social roles and psychological changes after childbirth. Mainly has the following performance:
1. Emotional changes
The most prominent symptom is persistent depression, manifested as gloomy expression, listlessness, lethargy, easy to shed tears and cry. Patients often use words such as "unhappy", "bleak", "dull", "empty", "lonely" and "like being separated from others by a wall" to describe their feelings. They often feel depressed and frustrated, and often lose their temper because of trifles.
For a long time, I was depressed most of the time. Even if the mood improves for a few days or 1 ~ 2 weeks, it will soon fall into depression. Despite this, the degree of depression of patients is generally not serious, and emotional reactions still exist. A few humorous epigrams can make them laugh through tears. A light conversation can temporarily improve his mood. Patients can be aware of their own emotional abnormalities, but they often blame others or the environment.
2. Cognitive changes
Patients lack interest in daily activities, are unhappy with all kinds of entertainment or pleasant things, and often feel inferior, blame themselves and feel guilty. I often feel that my brain is slow and it is difficult to think. When things happen, I always think the worst, lose confidence in life, think my future is bleak and hopeless, feel that life is meaningless, and even try to commit suicide.