Hey y’all. I’m late, I know, I know.
Last night, I fell asleep at 10pm while watching Kevin Smith’s “Too Fat for 40.” He was hilarious. I? Tired. Woke up long enough to crawl into bed before 11pm.
Then this morning, as I woke up at 813a, the day rolled on and I didn’t blog. I hung with the kiddos as the hubs ran some errands. Then we put the kids to bed and I went shopping.
When I got home, it was time for dinner. So the kids ate. Put them to bed, hubs ran another errand, I did my 30 minutes of Wii and watched Grey’s.
Then hubs came home and we ate a yummy steak dinner while we watched The Parking Lot Movie.
After we ate, I opened my laptop to blog.
The dog decided she needed to go outside.
So she went. With me.
Then I fixed myself some Twizzler Cherry Bites.
Then the Internet wouldn’t work on my computer.
Hubs tried to fix it.
Three router restarts, a firmware update and another router restart, here we are.
12 minutes before midnight with a HUGE question to answer.
Here goes nothing.
@WalkerKarraa asked the following question: how will Pediatricians and ObGyns diagnose ppd with no dsm specifier in dsm v. Will the icd 10 cover?
I’ve been mulling this one around in my head all week. I wish I had more time to do it justice. But I slacked and I apologize.
First off, I’m not sure what you mean by “no DSM specifier in DSM 5.” As far as I know, they are keeping the identifier as I’ve not read anything to the contrary (if there is something out there, PLEASE let me know because Dear LORD they can’t take it out of there.) As far as I know, they just aren’t extending the onset of PMAD’s to beyond 4 weeks, which, as covered here, is total complete BS.
Secondly, Pediatricians do not need to be “diagnosing” PPD. They should absolutely screen for it but then refer Mom to her own doctor for official diagnosis.
I know what the ICD 10 is, have read it, and remember thinking that it would cover it and in fact, be reason enough for the folks over at the DSM to extend the identifier onset period but… apparently there has to be a defined offset in order for the onset to be extended. I know, my head hurts too.
Just as Jane said at the conference this past year, when the DSM was last revised, they too, fought hard for PMAD’s.
We can’t give up and let our voices be silenced. We also cannot let a book define our own experiences. It is what it is – label or not. Just because a doctor chooses not to label you as Postpartum doesn’t mean that those of us who have struggled with mental illness after the birth of a child will love or accept you any less. We will still love you and support you. We will still be there for you. Always.
Lauren, good points. Yes, the OB and Pediatrician should NOT be diagnosing PPD. They should be referring to mental health clinicians for assessment and treatment if symptoms warrant it. Clearly, there will be times when docs feel it is prudent to initiate meds, perhaps before such an assessment can be made, but in theory, they should be screening and referring, as you point out.
Also, you are right about the DSM V. It appears that the qualifier may be extended from 4 wks pp to 6 MONTHS pp. This is a huge difference in terms of the recognition and clinical validation. So it feels like a victory.