Ruta Nonacs

About Ruta Nonacs, MD PhD

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So far Ruta Nonacs, MD PhD has created 311 blog entries.

Panel Recommends Depression Screening For Pregnant And Postpartum Women

Yesterday the U.S. Preventive Services Task Force (USPSTF) released a final recommendation statement on Screening for Depression in Adults. The Task Force recommends that clinicians screen ALL ADULTS for depression and notes that the evidence [...]

By |2025-12-11T09:56:56-04:00January 27th, 2016|Depressive Disorders, Diagnosis & Screening, Postpartum Psychiatric Disorders, Psychiatric Disorders During Pregnancy|Comments Off on Panel Recommends Depression Screening For Pregnant And Postpartum Women

Anxiety Symptoms and Risk for Perimenopausal Depression

A growing body of research indicates that the menopausal transition is a period of increased vulnerability to depressive illness.  Some women have experienced episodes of major depressive disorder (MDD) earlier in life and experience recurrent [...]

By |2025-12-11T09:56:57-04:00December 14th, 2015|Anxiety Disorders, Depressive Disorders, Menopausal Symptoms, Prevalence & Risk Factors|Comments Off on Anxiety Symptoms and Risk for Perimenopausal Depression

Screening for Postpartum Depression Isn’t Enough

About ten years ago, we ran a collaborative project with our obstetrics department here at MGH where we screened all new mothers for postpartum depression.  The screening went well.  Nearly all the women completed the [...]

By |2025-12-11T09:56:58-04:00October 28th, 2015|Diagnosis & Screening, Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off on Screening for Postpartum Depression Isn’t Enough

Is It Postpartum Depression or Postpartum Anxiety? What’s The Difference?

Meet Christine.  She is a married 30-year-old woman who just had her first baby about 3 weeks ago.  While the pregnancy went smoothly, the experience of labor and delivery was difficult.  After nearly 20 hours [...]

By |2025-12-11T09:56:59-04:00September 30th, 2015|Anxiety Disorders, Depressive Disorders, Postpartum Psychiatric Disorders|Comments Off on Is It Postpartum Depression or Postpartum Anxiety? What’s The Difference?

You Asked: Is There an Interaction Between Lamotrigine and Oral Contraceptives?

  We get many questions about the interaction between lamotrigine (Lamictal) and oral contraceptives (OCs).  While many readers raise concerns that lamotrigine may decrease the effectiveness of oral contraceptives, the primary interaction is actually in [...]

By |2025-06-26T09:07:06-04:00September 29th, 2015|You Asked|Comments Off on You Asked: Is There an Interaction Between Lamotrigine and Oral Contraceptives?

What Screening Tools Identify Postpartum Women with Bipolar Disorder?

Women with bipolar disorder (BD) are at extremely high risk for postpartum psychiatric illness, specifically postpartum psychosis.  While the American College of Obstetrics and Gynecology now recommends that all women be screened for depression during [...]

By |2025-12-11T09:57:00-04:00September 15th, 2015|Bipolar Disorder, Diagnosis & Screening, Postpartum Psychiatric Disorders|Comments Off on What Screening Tools Identify Postpartum Women with Bipolar Disorder?

Antidepressant Treatment During Pregnancy May Carry Less Risk than Untreated Illness in the Mother

Some, but not all, studies have shown an association between in utero exposure to selective serotonin reuptake inhibitor (SSRI) antidepressants and adverse pregnancy outcomes, including preterm delivery, low birth weight, and lower Apgar scores.   [...]

By |2024-03-24T11:55:03-04:00September 10th, 2015|Antidepressants, Outcomes, Pregnancy & Medications|Comments Off on Antidepressant Treatment During Pregnancy May Carry Less Risk than Untreated Illness in the Mother

Screening for Perinatal Anxiety Using PASS – the Perinatal Anxiety Screening Scale

There is a growing body of literature which indicates that anxiety symptoms are common during pregnancy and the postpartum period.  Anxiety during pregnancy places the woman at greater risk for postpartum depression and may also [...]

By |2025-12-11T09:48:22-04:00July 16th, 2015|Anxiety Disorders, Diagnosis & Screening, Psychiatric Disorders During Pregnancy|Comments Off on Screening for Perinatal Anxiety Using PASS – the Perinatal Anxiety Screening Scale

Managing Sleep Problems in Menopausal Women: What Are the Options?

Peri- and post-menopausal women frequently complain of insomnia or poor sleep quality. Sleep disturbance is often attributed to nocturnal hot flashes; however, a recent study from researchers at Wayne State University School of Medicine suggests [...]

By |2025-12-11T09:41:03-04:00June 29th, 2015|Menopausal Symptoms, Sleep Disorders, Treatment|Comments Off on Managing Sleep Problems in Menopausal Women: What Are the Options?

Women with Recurrent Pregnancy Loss at Risk for Depression and Anxiety

In a recent cross-sectional study from Denmark, researchers compared the prevalence of stress and depressive symptoms among 301 women with recurrent pregnancy loss (or RPL) and 1813 women attempting to conceive naturally. RPL was defined [...]

By |2025-12-11T09:57:02-04:00June 17th, 2015|Infertility and Mental Health, Postpartum Psychiatric Disorders, Pregnancy Loss, Psychiatric Disorders During Pregnancy|Comments Off on Women with Recurrent Pregnancy Loss at Risk for Depression and Anxiety
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