Are you struggling with postpartum depression? Top tips to get you feeling well

Edited by Brittany Albright MD, MPH

You are not alone. The majority of our clinicians at Sweetgrass Psychiatry are mothers, and we know it is tough right after having a baby. There is nothing like it and no one can quite prepare you for what to expect. It can be very challenging to determine what is normal after pregnancy vs. postpartum blues vs. postpartum depression. That is what we are here for.

First of all, what is postpartum depression (PPD)? Postpartum depression is a mood disorder that affects many women after childbirth. It is characterized by classic depression symptoms such as feelings of sadness, anxiety, low energy, low appetite, and exhaustion that can make it challenging for new mothers to accomplish daily tasks, bond with their newborn, or even care for themselves. Given the tremendous physical and emotional demands of new motherhood, it is vital that all women struggling with PPD get the help that they need.

What is Postpartum Depression (PPD)?

1. Difference from "Baby Blues": Many new mothers experience what is commonly referred to as the "baby blues" shortly after giving birth. These feelings of sadness, irritability, and fatigue typically dissipate within a few days to a couple of weeks. However, when these symptoms persist or become more intense, it could be indicative of PPD.

2. Symptoms of PPD: Symptoms can vary in intensity and duration but may include:

   • Persistent sadness or hopelessness.

   • Feeling overwhelmed or unable to cope.

   • Difficulty bonding with the baby.

   • Withdrawing from family and friends.

   • Changes in appetite or sleep patterns.

   • Severe mood swings.

   • Thoughts of harming oneself or the baby.

   • Increased crying spells.

   • Poor sleep.

   • Appetite changes.

3. Causes: The exact cause of PPD is unknown, but it is believed to result from a combination of physical and emotional factors. Hormonal changes after childbirth can lead to mood swings. The physical exhaustion of giving birth and the subsequent demands of motherhood can also contribute. There may also be genetic predispositions, past history of depression, or other factors at play.

Tips to Treat Postpartum Depression:

1. Seek Professional Help: If you suspect you have PPD, it's crucial to consult a mental health professional. They can help determine the severity of your depression and guide you towards effective treatments. At Sweetgrass Psychiatry, we have a specialized team of a reproductive psychiatrist (Dr. Layne Gritti, DO, an ob/gyn (Dr. Rayburn) and a family medicine physician with expertise in postpartum (Dr. Relyea-Logan). We also have many therapists that are trained and experienced in supporting mothers postpartum.

2. Medication: Some women find relief from PPD symptoms through antidepressant medications. One of our psychiatrists or primary care providers at Sweetgrass Psychiatry can discuss potential risks and benefits.

3. Counseling or Therapy: Talk therapy can provide a supportive space to share feelings and find ways to manage and cope with PPD.

4. Self-Care: Prioritize self-care, even if it means seeking help with childcare. This can include short breaks, warm baths, reading, or any activity that brings relaxation and joy.

5. Join a Support Group: Support groups, whether in person or online, allow mothers to share experiences and find solace in knowing they're not alone. There is a postpartum support organization in Charleston with excellent resources available: https://www.postpartumsupportchs.org.

6. Educate Yourself: Understanding PPD can sometimes help manage it. Familiarize yourself with the symptoms and treatments, and don't hesitate to ask your healthcare provider questions.

7. Set Realistic Expectations: Remember that it's okay to ask friends and family for help. Motherhood is demanding, and you don't have to do everything on your own.

8. Stay Connected: Isolation can exacerbate PPD. Stay connected with loved ones and friends, even if it's just a short chat over the phone.

9. Exercise: Physical activity can boost mood-enhancing endorphins. Even short walks with your baby can be beneficial.

10. Avoid Alcohol and Drugs: They can make depression worse and decrease the effectiveness of antidepressant medications.

In Conclusion

Postpartum depression is a significant concern but with awareness, understanding, and the right support, it can be treated effectively. If you or someone you know is struggling with PPD, it's essential to remember that help is available, and recovery is entirely possible.

Help is Here

Did you know that there are psychiatrists that specialize in reproductive/women’s mental health? Meet Dr. Layne Gritti, DO. She is one of the most specialized and highly trained psychiatrists in the country, having completed adult psychiatry residency, addiction psychiatry fellowship, and a reproductive psychiatry fellowship. Sweetgrass Psychiatry is proud to offer her treatment expertise to our adult patients, particularly women struggling with pregnancy, postpartum depression, mood disorders, anxiety disorders, infertility, and menopause. She is just as warm and empathic as she is intelligent. She approaches patient care with a non-judgmental and collaborating attitude. You can schedule an appt with her today by calling Sweetgrass Psychiatry, located in Mount Pleasant, SC. Dr. Gritti can see you virtually from the privacy and comfort of your home.