Always appreciate your discussions and that you're keeping this going. I've missed it. Very much encouraged that people seem to be responding better now to the CoVid insanity that we went through. I definitely think the temperature is down on the whole issue so people are more open.
A risk factor for postpartum depression is difficulty/challenges with breastfeeding. I would be curious about this data point in the study. Were all women advised to stop breastfeeding? Perhaps that could also explain why both the intervention and placebo groups saw improvement. Or, was there a difference between groups in breastfeeding rates?
Post partum depression is a red flag for organic causes, all the body systems are maximally stressed in the last trimester and with lactation.
As an example, I had a patient who had a full blown post partum depression with her first child, resulting in psychosis and involuntary admission. Later on I found she had a mild functional hypothyroidism, normal T4 and TSH, but low T3. I monitored her T3 during her next pregnancy, and the T3 dropped after 20 weeks and she went on supplementary low dose thyroxine and monitoring until she ceased lactation. She was fine throughout this pregnancy and afterwards.
Sure it’s a case study of one, and proves nothing, but the organic illnesses that lead to psychosis are poorly understood, and symptomatic treatment of this condition is just more of the same mess Psychiatry is in. The diagnostic models and treatment are still in the 1800’s.
I have reached the point where I think all psychiatric admissions should be under a general physician, with the psychiatrist as a consultant…
Always appreciate your discussions and that you're keeping this going. I've missed it. Very much encouraged that people seem to be responding better now to the CoVid insanity that we went through. I definitely think the temperature is down on the whole issue so people are more open.
A risk factor for postpartum depression is difficulty/challenges with breastfeeding. I would be curious about this data point in the study. Were all women advised to stop breastfeeding? Perhaps that could also explain why both the intervention and placebo groups saw improvement. Or, was there a difference between groups in breastfeeding rates?
Haven't listened yet but glad the boyz are back!!
Post partum depression is a red flag for organic causes, all the body systems are maximally stressed in the last trimester and with lactation.
As an example, I had a patient who had a full blown post partum depression with her first child, resulting in psychosis and involuntary admission. Later on I found she had a mild functional hypothyroidism, normal T4 and TSH, but low T3. I monitored her T3 during her next pregnancy, and the T3 dropped after 20 weeks and she went on supplementary low dose thyroxine and monitoring until she ceased lactation. She was fine throughout this pregnancy and afterwards.
Sure it’s a case study of one, and proves nothing, but the organic illnesses that lead to psychosis are poorly understood, and symptomatic treatment of this condition is just more of the same mess Psychiatry is in. The diagnostic models and treatment are still in the 1800’s.
I have reached the point where I think all psychiatric admissions should be under a general physician, with the psychiatrist as a consultant…