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- I had very severe postpartum depression with my first child and was hospitalized. I'm pregnant again; could it happen again?
- Can you give me any advice on how to stay emotionally stable during the fertility treatment process?
- I've been taking antidepressants for two years. If I want to get pregnant, do I have to stop taking the medication?
- I've been trying to get pregnant for a long time, and now that I am, I'm feeling anxious and worried. I'd like to enjoy this moment, but I can't. What can I do?
- I've heard that women with schizophrenia can't be mothers. Is that true?
- I have bipolar disorder and I want to be a mother, but I have many doubts. What things do I need to consider?
- I'm a first-time mother and had a very difficult delivery. Since then, I've been having recurring nightmares. I want to have more children, but I'm afraid I won't be able to cope with this situation. What do you recommend?
- How can I tell if I have postpartum depression?
- I recently became a mother and sometimes I burst into tears for no reason. Is this normal? Is it depression?
- We recently became parents, and I've noticed my partner seems sad and withdrawn. I'm afraid she might have postpartum depression. What can we, as a family, do to prevent it?
- Do I have to stop breastfeeding if I take medication for anxiety?
- I have a one-and-a-half-month-old baby and sometimes I don't feel the emotional bond that mothers are supposed to feel. Is this normal?
- I've always had a lot of anxiety. What can I do to keep it under control during my pregnancy?
- I'm in the first few weeks postpartum and I'm experiencing anxiety. How can I manage it, especially with visitors?
- I have a baby with special needs and I'm so tired and overwhelmed I feel like I'm going to explode. What can I do?
- Since becoming a mother, I haven't been feeling well: everything makes me anxious, I feel sad, I don't think I'll be a good mother, and I often argue with my partner. Where can I ask for help?
- I had depression and now I'm pregnant. Could breastfeeding be a protective factor against a possible relapse?
How can I tell if I have postpartum depression?
Depression is an illness characterized by intense and persistent feelings of sadness. It's important not to confuse sadness with depression; sadness is a normal emotion and falls within the usual range of mood fluctuations. Depression is not simply having a bad day, but rather a state in which a person is affected holistically.
The signs that could indicate we are suffering from postpartum depression are:
- Intense and persistent feelings of sadness (more than two weeks).
- Uncontrollable crying.
- Loss of interest and difficulty in enjoying activities that we used to enjoy.
- Sleep and appetite disturbances.
- Difficulties in carrying out daily activities.
- Difficulty concentrating, slowed thinking.
- Feelings of guilt for not being the mother we hoped to be.
- Doubts about our ability to care for the child, feelings of inadequacy
- Difficulties bonding with the baby.
- Thinking that we made a mistake in having a son or daughter.
- Thoughts of death or suicide.
If you identify with this, it's important to consult a healthcare professional.
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Carla Jané Balsebre
Lead psychologist for the perinatal mental health program at the CSMA in Cornellà
Parc Sanitari Sant Joan de Déu
Laia Villalta Macià
Child and adolescent psychiatrist. Unit 0-5
Hospital Sant Joan de Déu Barcelona