Postpartum Depression: A Common, Treatable Reality
It is not a failure of motherhood.
Dr. Élise Rambert
Psychiatrist
Symptoms last more than 2 weeks, include persistent low mood, anhedonia, sleep disturbance beyond infant care, intrusive thoughts, and difficulty bonding.
Screening
Edinburgh Postnatal Depression Scale at 4-6 weeks postpartum and again at 3-6 months catches most cases.
Treatment
Psychotherapy (CBT, IPT), SSRIs (sertraline preferred during breastfeeding), and the newer brexanolone/zuranolone for severe cases.
Partner involvement
Partners are at increased risk too: about 10% experience paternal postnatal depression. Family-centred care helps everyone.
Asking for help with postpartum depression protects both mother and infant development.
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