Tag Archives: research

Medication or Therapy?

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In a very insightful piece at the NY Times in the Well section, “To Treat Depression, Drugs or Therapy“,  Dr. Richard Friedman, M.D., explores recent research which examined the manner in which people respond to either medication, therapy, or both.

It’s a question we hear a lot as we support women fighting their way through a Perinatal Mood & Anxiety Disorder. The concern is valid, for a variety of reasons. Breastfeeding mothers worry about what the medicine will do to their children. All mothers worry about the stigma about being on a medication. Therapy provides its own challenges with childcare and financial being the two primary ones.

So how do you choose? Why is it that what works for one doesn’t work for another?

Turns out, according to the research Dr. Friedman examined, it comes down to our brains. The research, led by Dr. Helen Mayburg of Emory University, holds great potential for successful treatment of those of us who struggle with mental health issues.

“Dr. Helen Mayberg, a professor of psychiatry at Emory University, recently published a study in JAMA Psychiatry that identified a potential biomarker in the brain that could predict whether a depressed patient would respond better to psychotherapy or antidepressant medication.”

Read that again. A biomarker. In the brain. This vein of research, which involves imaging the brain, may one day allow us to side step the arduous task of finding the right medication for our own situations.

Go read the article, which also touches briefly toward the end on Dr. Charles Nemeroff’s research regarding the treatment response of those who endured childhood trauma. (This is also very enlightening).

Mental health will always be a challenge. How our brain works affects everything we do, everything we are, everything we hope to be. It’s a fight to get it all done. But it’s a fight worth every single breath.

Brown University Researchers Seeking Participants for Postpartum Mood Disorder Study

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I met Laura Sockol at the PSI/Marce conference in Pittsburgh, PA in 2010. We had a lively discussion about the DSM-V and Postpartum Mood Disorders in the lobby of the hotel. I still remember sitting and discussing things with her. Laura is a wonderful woman and very dedicated to researching Postpartum Mood Disorders. She’s reached out to me for her upcoming study regarding “The Role of Maternal Attitudes in the Prediction of Symptoms of Depression and Anxiety Among Pregnant and Postpartum Mothers“. Below is the official information Laura sent me. Go check it out and if you’re not eligible to participate, pass it on to someone who is. I’ve been told recruitment closes in the next two weeks.
 
Do you have older children? Are you pregnant again? Or did you have another baby in the past 6 months? Researchers at Brown University are interested in mothers’ experiences when they have more than one child. You may be eligible if you are between the ages of 18 and 45 and live in the United States. Women who complete the full study will be entered into a lottery for a $100 Amazon gift card, the odds of receiving a gift card are 1/50 or better. Interested? Visit www.BrownStudiesMoms.com for more information!

Breastfeeding and Postpartum Depression – Again

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A recent research article, posted by The Postpartum Stress Center on Facebook, looks into the relationship between postpartum depression and breastfeeding.

The findings? Women who breastfeed are less likely to experience postpartum depression.

Here’s what The Postpartum Stress Center had to say about the study on Facebook:

“Uh-oh. Here we go… research shows reciprocal relationship between PPD and breastfeeding. Women who breastfeed were more likely to have PPD and women with PPD were less likely to breastfeed. Now, that being said – this is NOT what I see in my clinical practice. In fact, we see more evidence of women feeling BETTER when they stop breastfeeding. For a number of reasons that vary from woman to woman. This is why it continues to be important that we read the studies, but not jump to conclusions that may not relate to each individual woman.”

Here’s my reaction:

Caveats:

  • Small study – only 137 women
  • Mentions employed mothers who were formula feeding but the abstract makes no mention of employed breastfeeding/pumping mothers.

As a blogger focused primarily on Postpartum Mood Disorders and emotional health for moms, this study raises my hackles.

I’ve blogged about the whole breastfeeding v. not-breastfeeding thing during a Postpartum Mood & Anxiety Disorder thing before – several times- and each time, I conclude the same thing.

YOU have to do what is BEST FOR YOU. It doesn’t matter what anyone else says, it doesn’t matter what the research says, it doesn’t matter what is best for baby food-wise. What matters here, the most, is that you are addressing your needs, healing, and doing so in a manner which alleviates the most stress and anxiety for you.

Your motherhood journey is just that – yours.

The only thing which matters is that you, your baby, and your family, are thriving. If your path includes breastfeeding, great. If it doesn’t, that’s great too. When you struggle with a mental illness, your emotional health absolutely comes before everything else –at least in my book it does.

If you wanted to breastfeed but find it’s too stressful because of your Postpartum Mood & Anxiety Disorder, talk it over with your care-provider. Let them help you make your decision but don’t let them pressure you into continuing simply because the research claims breastfeeding is “protective” against PPD. Guess what? You’re already struggling. So unless breastfeeding is the ONE thing to which you’re clinging and the ONE thing which helps you heal, helps you feel like you matter, it’s OKAY to stop.

It’s okay to use formula.

Frankly, it’s sad we have to give ourselves permission not to breastfeed in this day and age. Moms use formula for a variety of reasons –as long as baby is growing, healthy, happy, and loved, it shouldn’t matter what form of nutrition is used.

So go. Do what feels best for you, for your family, and for your sanity –and don’t let anyone judge you for it.

Newsflash: Postpartum Depression & Domestic Violence – New study results

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In a new study appearing in the Journal of Pediatrics, researchers discovered a tie between Postpartum Depression and domestic violence. The study, Postpartum Depression and Intimate Partner Violence in Urban Mothers: Co-Occurrence and Child Healthcare Utilization, focused on urban mothers and screened for both Postpartum Depression and domestic violence during pediatric visits for children.

Of those screening positive for Postpartum Depression, 7% also screened positive for “intimate partner violence” according to the researchers. Also according to the study, 60% of those who screened positive for intimate partner violence also screened positive for Postpartum Depression. an interesting side note is that mothers screening positive for Postpartum Depression in this study were more likely to take their children to the Emergency room. Perhaps this is related to the higher level of anxiety and worry we experience during a Postpartum Mood & Anxiety Disorder.

The most important thing to keep in mind as a result of this study is that the researchers did not definitively determine cause/correlation between Postpartum Depression and intimate partner violence. When you’re in an abusive relationship, it can be difficult to leave for many reasons. It may cause depression or you may “allow” the abuse for longer if you are already depressed. It’s a very fine and exhausting line on which to find yourself teetering.

There is always help and hope available though.

For those with Postpartum Depression, visit Postpartum Support International’s website to find a coordinator near you.Or call the warmline at 1-800-944-4PPD.

If you’re in an abusive relationship, you can find help throughout the United States through The Hotline.

You’re not alone, there is help, and there is hope.