Postpartum depression or medical problem?
Current Psychiatry. 2006 September;05(09):62-75
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Watch for fatigue, weight change, other physical signs.
After 4 months, psychotherapy sessions are decreased to biweekly. Prolactin is 66.6 ng/mL at 3 months, then normalizes to 23.4 ng/mL at 6 months. Six months later, brain MRI shows no change in baseline tumor size. The endocrinologist continues semiannual brain MRI and prolactin testing to see if the tumor will shrink without surgery.
Nearly 1 year after presentation, Mrs. A’s depression is in remission.
- Edinburgh Postnatal Depression Scale. https://www.drgrelling.com/Downloads.htm (click on “Edinburgh Postnatal Depression Scale” under “Resources for professionals”).
- Postpartum Support International. www.postpartum.net.
- Bromocriptine • Parlodel
- Carbamazepine • Tegretol, others
- Gabapentin • Neurontin
- Mirtazapine • Remeron
- Quetiapine • Seroquel
- Sertraline • Zoloft
- Temazepam • Restoril
- Valproic acid • Depakene
- Zolpidem • Ambien
Dr. Seritan reports no financial relationship with any company whose products are mentioned in this article, or with manufacturers of competing products.