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Archive | Depression in Women

One in Four Pregnant Women Suffers from Psychiatric Illness: How Can We Identify and Support Them?

  The title of the following article did not grab my attention; however, I discovered that this study, entitled Accuracy of the Whooley questions and the Edinburgh Postnatal Depression Scale in identifying depression and other mental disorders in early pregnancy published in the British Journal of Psychiatry, has some incredibly important findings. First of all, […]

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Hormone Therapy May Prevent Depression in Perimenopausal Women: But What Are the Risks?

  Multiple studies have demonstrated that the menopausal transition is associated with a 2- to 4-fold increased risk for clinically significant depressive symptoms. There have been several studies suggesting that hormone therapy may improve depressive symptoms in women presenting with depression during this transition.  A recent study examined the efficacy of hormone replacement therapy in preventing […]

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Understanding the Interplay Between Depression and Menopausal Symptoms

  It has previously been reported that women seeking treatment at menopause clinics are more likely to report significant physical symptoms (e.g., vasomotor complaints), as well as depressive symptoms and anxiety. On the other hand, most women in the community do not experience significant depression while transitioning into the menopause. Thus, it is important to […]

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Hormonal Contraceptives and Risk for Depression and Suicide

  Many women have concerns about the side effects of hormonal contraceptives, including oral contraceptives, depot preparations, and hormonal IUDs and vaginal rings.  Potential side effects include bloating, breast tenderness, and weight gain. In addition, some women may experience depression or mood swings, side effects that may be particularly concerning to women with histories of […]

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Are Mood and Anxiety Disorders More Common in Women with Polycystic Ovarian Syndrome?

Polycystic ovary syndrome (PCOS) is a common hormonal disorder, affecting about 10% of reproductive aged women. It is also the most common cause of infertility in younger women; however, many women are unaware they have PCOS until they experience problems with fertility.  In our clinic, where we see women with mood and anxiety disorders, many […]

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Worse Pregnancy Outcomes in Women with More Chronic Depressive Symptoms

Over the last decade we have seen multiple studies which have demonstrated an association between the use of antidepressants during pregnancy and increased risk of certain adverse outcomes, including preterm birth and low birth weight. But we have also seen quite a few studies which suggest that untreated maternal depression or anxiety may contribute to […]

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History of Stillbirth Increases Risk for Depression, Anxiety During Subsequent Pregnancies

  Perinatal loss is a traumatic event for women and their families.  While we clearly understand the potential for perinatal loss to cause significant emotional consequences, we have relatively little data on the prevalence of anxiety and depressive illness in this population of women. A recent study surveyed 609 women who had experienced a stillbirth […]

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How Are We Doing: What Happens to Women Who Screen Positive for Postpartum Depression?

  Postpartum depression (PPD) screening has been increasingly implemented not only in obstetric, but also in primary care and pediatric settings, over the past decade.  While there is a growing appreciation for the prevalence of PPD and an understanding of the debilitating effects it can have if not treated, few studies have investigated the course […]

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What is the Risk of Postpartum Depression in Women with No Psychiatric History?

We know that about 15% of women suffer from postpartum depression (PPD).  But what is less clear is how to reliably identify women with PPD and to then ensure that they get the support and treatment they need.  Women with a history of psychiatric illness are often identified as being at higher risk for postpartum […]

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Perinatal Depression: Can We Predict Who is At Risk for Suicide?

  It is estimated that suicide accounts for about 10% of all maternal deaths. While we have a fair amount of information to help us predict which women are at risk for depression during pregnancy and the postpartum period, few studies have identified risk factors for suicide in this vulnerable population. Suicidal ideation is fairly […]

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