July 13, 2023

Shining a Light on Postpartum Depression

Dr. Monica Starkman's letter about post-partum depression was published in The New York Times.

Read the original letter on The New York Times' website.

To the Editor:

Re “A Look at Life in the Throes of Postpartum Depression” (news article, July 6):

Thank you for bringing attention to postpartum depression. Unfortunately, it is estimated that up to half of women with it never get screened and identified. And fewer get effective and adequate treatment.

Because so many of its symptoms, such as lack of energy and trouble concentrating, overlap with what normally occurs after delivery, it may not be suspected.

But when these symptoms coexist with a predominantly depressed mood that is present all day, when there is a loss of interest and a lack of pleasure, and when the symptoms last for at least two weeks, that is not a normal consequence of childbirth. And it needs to be evaluated and treated.

Without treatment, depression can last for months or years. In addition to the personal suffering, the depression can interfere with the mother’s ability to connect and interact with her baby, which can negatively affect the child’s development.

Deciding between the two types of treatment mentioned in your article, psychotherapy and medication, need not always be an either/or choice. As with many other forms of depression, a combination of the two may be most effective.

New York Times