PPD

Most new mothers experience a period of "baby blues" as they adjust to a new routine after bringing home a new baby. If your tearfulness and anxiety last two weeks or longer, those feelings may have evolved into postpartum depression.

Postpartum depression includes many of the same symptoms as regular major depression. You might experience:

• Frequent crying

• Irritability

• Guilt

• Anxiety

• Trouble caring for yourself or your baby

• Trouble bonding with your baby

• Appetite changes

• Sleep changes such as insomnia

• Social withdrawal

• Thoughts of harming your baby

Although some symptoms of postpartum depression may feel shameful or downright disturbing, there is no shame in seeking the help you need. In many cases, symptoms are worsened by other factors outside your control, like a lack of support or pregnancy complications.

Andrea D. Skrocki will evaluate the severity of your depressive symptoms after childbirth to develop an individualized care plan with you, for you. Her recommendations might include the following:

Psychiatric Medications
As a nurse practitioner, Andrea can prescribe antidepressants or anti-anxiety medications as she sees fit. These medications can regulate your mind's function. She helps you consider your options in the context of your lifestyle, including whether or not you're breastfeeding. Andrea works with your OBGYN or provider to ensure collaboration of care.

Psychotherapy
Psychotherapy or counseling can make an immense difference in how you feel as you go through any major life transition, including giving birth. Cognitive behavioral therapy (CBT) is commonly used for postpartum depression.

Support Groups
Support groups put you in contact with other people who share similar experiences and can help you gain more insight into your condition and coping skills.

Psychopharmacological genetic testing (PGT) can be order and is covered by some insurance carriers to determine how you metabolize certain medications. This can be helpful if you have failed or had serious side effects on medications in the past. If you have questions, or want to order this test, ask Andrea for more details.