1. From Blue to You Postpartum Depression

2. Vignette Meet Abby

3. What do you think is going on with Abby? Abby is still within the time frame to develop postpartum depression She does not take pleasure or interest in any activities Abby does not have energy She is not sleeping well

4. Abby is disinterested in her child Abby is having a hard time at work Abby is having difficulty concentrating What do you think is going on with Abby?

5. What is postpartum depression? A form of depression after delivery of a baby that requires treatment. Has a variety of symptoms Can occur up to 1 year after birth

6. What postpartum depression is not It is not the same as having the “baby blues” The feelings may be similar but she feels them much more strongly and longer than she would with the baby blues

7. Is postpartum depression common? Abby is not alone About 10 percent of women will experience postpartum depression

8. What are the symptoms? Physical symptoms Emotional symptoms Psychosocial symptoms

9. Stigma Embarrassment Fear of what others will think Affects treatment-seeking

10. Treatment Talk therapy Medication therapy Combination: talk therapy and medication therapy

11. Addresses mental, social, and environmental causes Cognitive Behavioral Therapy Couples/Family Therapy Talk therapy

12. Medication therapy SSRIs most common Some medications can be used while breastfeeding Talk to doctor

13. Combination therapy Talk and Medication Therapy –Abby takes medication and participates in talk therapy. –Most effective

14. Where to go for help Health care professionals –Talk to primary care provider or OB/midwife Social services Online

15. Where to go for help online –Support groups http://www.ppdsupportpage.com –Chat rooms http://www.marchofdimes.com/pnhec/188_15755.asp –Blogs http://postpartumprogress.typepad.com –Websites http://www.postpartum.net http://www.depressionafterdelivery.com

16. Get help Be there for Abby Help with the baby Help with household chores Listen Spend time with Abby Encourage participation in some activities that once gave pleasure If you were Abby’s family member, what could you do to help?

17. What to do if you think you have postpartum depression? Get help Get sleep Eat right Exercise Get out of the house Take breaks Find help to care for the baby and other needs

18. References American Academy of Family Physicians (1999). Postpartum depression and the "baby blues." Retrieved from http://www.aafp.org/afp/990415ap/990415e.htmlhttp://www.aafp.org/afp/990415ap/990415e.html Department of Health and Human Services (HHS) (2005). Depression During and After Pregnancy http://www.4woman.gov/FAQ/postpartum.htmhttp://www.4woman.gov/FAQ/postpartum.htm Harms, R. (2008). Postpartum depression: How does it affect the baby? Retrieved from http://www.mayoclinic.com/health/postpartum-depression/AN01236http://www.mayoclinic.com/health/postpartum-depression/AN01236 Jones, H. (2007). A brief introduction to perinatal mood disorders. Retrieved from http://postpartum.net/resources/women-mothers/brief/ http://postpartum.net/resources/women-mothers/brief/ Mayo Clinic Staff (2008). Postpartum depression. Retrieved from http://www.mayoclinic.com/health/postpartum-depression/DS00546 http://www.mayoclinic.com/health/postpartum-depression/DS00546 NIMH (2008). The many dimensions of depression in women. Retrieved from http://www.nimh.nih.gov/health/publications/depression-what-every-woman-should- know/the-many-dimensions-of-depression-in-women.shtml http://www.nimh.nih.gov/health/publications/depression-what-every-woman-should- know/the-many-dimensions-of-depression-in-women.shtml Postpartum Support International (2008). Tips for postpartum partners. Retrieved from http://postpartum.net/resources/families-partners/tips-for-postpartum-partners/http://postpartum.net/resources/families-partners/tips-for-postpartum-partners/ Stone, K. (2008). Postpartum Progress. http://postpartumprogress.typepad.com/ttp://postpartumprogress.typepad.com/

19. Copyright © 2010 for materials developed by University of Kentucky Cooperative Extension. This publication may be reproduced in portions or its entirety for educational or nonprofit purposes only. Permitted users shall give credit to the author(s) and include this copyright notice. Educational programs of Kentucky Cooperative Extension serve all people regardless of race, color, age, sex, religion, disability, or national origin. Leigh Ann Simmons; MFT, PhD former Assistant Professor Department of Family Studies Ester Edwards, BS Graduate student Department of Family Studies Leslie Crofford, MD Professor, College of Medicine April 2010 Health Education through Extension Leadership The development of the HEEL program was made possible by Senator Mitch McConnell with funds earmarked for the University of Kentucky, College o f Agriculture, Lexington Ky. and budgeted through the CSREES/USDA Federal Administration. For More Information… www.bluetoyou.org