Social Anxiety Disorder: More Than Just Being Shy

By: Gabriella Phillip

Social Anxiety Disorder, also known as social phobia, is a mental health condition involving an intense, persistent fear of being watched or judged by others. The fear that people with social anxiety experience in social situations is so strong that they often feel as though it is beyond their control. Social Anxiety Disorder affects around 15 million American adults and is the second most commonly diagnosed anxiety disorder following specific phobia.

Common symptoms for people with social phobia include

  • being extremely anxious around other people,
  • being self-conscious in front of others,
  • being very afraid of being embarrassed in front of other people
  • being the focus of other people’s judgment
  • worrying for days or weeks before a social event
  • having a difficult time cultivating friendships
  • avoiding places where other people will be present

Bodily symptoms for people with social anxiety include

  • heavy sweating
  • trembling
  • nausea
  • blushing
  • having difficulty speaking

Social phobia sometimes runs in families, but no one knows for sure why some people have it, while others don’t. When chemicals in the brain are not at a certain level it can cause a person to have social phobia. Social anxiety usually begins during childhood/ teenage years, typically around age 13. A doctor can tell if the person has this disorder if symptoms are present for at least 6 months. This disorder should be treated in a timely manner to help spare those diagnosed from years of unpleasant feelings and anxiety.

Treatment can help people with social phobia feel less anxious and fearful. Two types of treatments used for Social Anxiety Disorder are psychotherapy, or talk therapy, and medication that’s safe and effective, often used in combination. Cognitive behavior therapy is an effective type of psychotherapy used for anxiety related disorders. Medication used to treat Social phobia include selective reuptake inhibitors (SSRIs), antidepressants, anti-anxiety medicines, and beta blockers. It’s important to choose a method of treatment that is best suited towards your individual needs.

If you or someone you know is struggling with Social Anxiety Disorder, Arista Counseling and Psychotherapy can help. Please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

Sources

https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness/index.shtml

https://www.verywellmind.com/difference-between-shyness-and-social-anxiety-disorder-3024431

 

Dementia: What are the different dementia diagnoses?

Dementia: What are the different dementia diagnoses?

By: Keely Fell

Dementia is among one of the most prevalent conditions in individuals over 60. In 2019, a record 50 million individuals, worldwide, were living with a diagnosis of some form of dementia. Dementia is defined as a syndrome where there is major deterioration in memory, behavior, and thinking, which limits an individual’s ability to perform everyday tasks.

When diagnosing dementia, doctors will look at six areas of cognitive functioning. Those areas are:

  • Complex attention: Which is the area that refers to sustained focus and switching between tasks.
  • Learning and memory: This is the area that recalls recent and remote memory, as well as performing tasks.
  • Executive Function: This refers to skills such as prioritizing, paying attention, and planning.
  • Language: This refers to expression in written and spoken forms.
  • Perceptual-Motor Function: This understands shapes, directions, and locations.
  • And lastly, Social Cognition: Which refers to the ability to interact with others by recognizing facial expressions and body language.

Dementia is used as an umbrella term for many different sub-dementia disorders. The most common in the United States is, Alzheimer’s disease. Alzheimer’s disease is when the neurons in the brain are slowly decaying overtime causing cognitive deficits in memory, and over time total mental ability. After Alzheimer’s the next most common dementia diagnosis is Vascular Dementia. Vascular dementia develops when the brain is deprived of essential nutrients and oxygen. Over time an individual with Vascular Dementia may experience mental slowness, aphasia, and trouble with basic functions such as, walking or urinating. This is different from Alzheimer’s because with Vascular Dementia, an individual is experience problems in memory retrieval. Dementia with Lewy Bodies is a type of dementia that has a combination of features of both Parkinson’s disease, and Alzheimer’s disease. Generally, an individual diagnosed with Dementia with Lewy Bodies may experience muscle symptoms that are accompanied by cognitive deficits as well. Less common than most other dementias is Frontotemporal Lobar Dementia. This dementia appears with behavior and language changes.  Frontotemporal Lobar Dementia is caused by progressive nerve cell loss in the brain’s frontal and temporal lobes.

A dementia diagnosis can be hard, and understanding how it affects the brain can help with coping with a diagnosis.

If you or someone you know is experiencing these symptoms, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

https://www.alz.org/alzheimers-dementia/what-is-dementia/types-of-dementia/frontotemporal-dementia                                                                                    https://www.asccare.com/5-interesting-facts-dementia/                                              https://www.who.int/news-room/fact-sheets/detail/dementia https://www.brightfocus.org/alzheimers/article/whatdementia?gclid=Cj0KCQiAkePyBRCEARIsAMy5Scsycdvh3p-rWx10ZmnEFZCbjdCY8f6JnSc4vJKHO9EO7qiuqshYqHMaAugEEALw_wcB

Image Source:

https://www.dfwsheridan.org/types-dementia

Shopping Addiction

By: Deanna Damaso

Shopping Addiction is a behavioral addiction where a person buys items compulsively or a specific item repeatedly as an attempt to relieve stress. Those suffering with a shopping addiction spend more time shopping than doing other activities because of their uncontrollable urges to spend money.

The joy of shopping has a direct effect on the brain’s pleasure centers by flooding the brain with endorphins and dopamine. The buyer gets a short-lived “shopping high” from making frequent shopping trips, buying large items, or expensive purchases. However, after a couple hours, the dopamine recedes and the shopper is left with an empty, unsatisfied feeling. This can lead to hoarding, depression, anxiety, and low self-esteem. If left untreated, compulsive buyers could go deeper into debt and turn to stealing.

Some signs of a shopping addiction often include:

  • Spending more money than anticipated
  • Compulsive purchases
  • Chronic spending when angry, anxious, or depressed
  • Lying about the problem
  • Broken relationships
  • Ignoring the consequences of spending money

Financial therapy is effective in teaching how to manage finances and shop more responsibly. Cognitive and behavioral therapies are effective treatments that identify and improve the negative thoughts and behaviors surrounding the addiction. Medications can be prescribed to those who struggle with both the addiction and other mental health issues. This combination treatment helps relieve symptoms to assist in recovery.

If you or someone you know is struggling with a shopping addiction, Arista Counseling & Psychotherapy can assist you. Contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

 

Sources:

https://www.healthline.com/health/addiction/shopping

https://www.psychologytoday.com/us/articles/200603/doped-shopping

Therapy: What is Music Therapy?

Therapy: What is Music Therapy?

By: Keely Fell

Music therapy is a relatively new form of therapy being used across the nation. According to the American Music Therapy Association, music therapy is described as “the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program”. (AMTA) To be considered a qualified music therapist, an individual must attend a school that is currently accredited by the American Music Therapy Association (AMTA). Upon completion of a degree, an individual will then take the National Examination Certification Board for Music Therapists, which will then give them the title of Music Therapist – Board Certified (MT-BC). While there are other certifications that an individual can acquire, most states will only recognize individuals with the MT-BC certification.

Music therapy can be used for a wide array of interventions, some of those being: stress management, pain relief, promoting the expression of feelings, physical rehabilitation, memory enhancement, and enhancing cognitive functioning due to early delays. The integration of music therapy into schools, rehabilitation centers, assisted living centers, hospitals, and hospice care is growing rapidly throughout the nation.

The integration of music therapy in hospitals has been growing rapidly as well. Using music to sooth patients before medical procedures, as well as using singing, instrument playing, lyric discussion, and forms of song writing to “allow the patients to reconnect with the healthy parts of themselves”. What was recorded is that with the use of music therapy, patients were able to achieve acute pain relief which then allowed them to rest.

Studies have shown that the brain reacts to music in a very different way than it reacts to anything else. When music enters the brain the first mechanisms that are triggered are the release of dopamine in the pleasure centers. Moving past just making an individual feel good, research has shown that music is associated with an increase in immunity-boosting antibodies, which means that music is also improving an individual’s immune system. Doctors have recently studied the use of vibroacoustic therapy in the treatment of Parkinson’s disease, by using “low-frequency sound” to produce “vibrations that are applied directly through the body. The rhythmic pulses allow for stabilization of the disorientation.

If you or someone you know is experiencing these symptoms, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

Sources:

https://www.ashford.edu/online-degrees/student-lifestyle/how-does-music-affect-your-brain

https://www.apa.org/monitor/2013/11/music

https://www.musictherapy.org/

https://www.billboard.com/articles/news/6873880/music-brain-effect-scientists-mit-study

PTSD in Refugee and Unaccompanied Children:

By: Luz Melendez

Post-traumatic stress disorder (PTSD) is a disorder that can occur to someone after being exposed to one or more traumatic events. These traumatic events can vary from a natural disaster, war/combat, serious injury, sexual violence, and/or exposure to death threats. After experiencing a trauma there can be an emotional reaction to these events which can include fear, helplessness, and even horror. There may also be distressing memories of the traumatic event which can be recurrent and involuntary. In order to be diagnosed with PTSD, symptoms have to last for more than a month and be persistent. (American Psychiatric Association, 2013).

One population that is less talked about when it comes to PTSD is children, but more specifically refugee or asylum seeking children. The current population of children with PTSD in the U.S. is about 5% and among refugee children in the U.S. it’s about 54%. These children are experiencing hunger, extreme poverty, bombings, abductions, sexual assault, and even witnessing deaths. These stressors can often co-occur making everyday life very difficult for them. The effects of these events are causing developmental regression, clinginess, repetitive play of the trauma/s, anxiety, depression, ACES, and mood changes. One effect that is very important is how the brain is being affected by these traumas. PTSD is developed in two key regions of the brain, the amygdala and the prefrontal cortex. The amygdala reacts too strongly while the prefrontal cortex impedes the ability to regulate a threat response. It’s the perfect storm that leads to hyperarousal, hyper vigilance, and sleep deprivation which are big issues when it comes to children. Children’s brains are growing and developing and these traumas are stunting the global developmental growth of these children’s brains.

Often PTSD in refugee or asylum seeking children, if left untreated/undiagnosed, can and will lead to life long-lasting effects. In the situation these children are in, it’s difficult to not only diagnose them but to properly treat them. Many if not all have witnessed one or more of the stressors mentioned above and these children are out in the world not only having their lives completely change but having their mental health deteriorate. Thankfully some host countries who take in refugees, screen them and try to help them adjust to their now new lives and overcome barriers that come with accessing physical and mental health care. This also includes overcoming the stigma that refugees have of seeking mental health care. Like mentioned before only some host countries do this, others are still fixing their processing of refugees.

 

If you or someone you know is struggling with PTSD, Arista Counseling and Psychotherapy can help. Please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

Reference:

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed). Arlington, VA: American Psychiatric Association.

Depression: Difference between Unipolar and Bipolar Depression

By Gabriella Phillip

Eliciting a history of brief periods of improved mood is the key to differentiating between unipolar and bipolar depression. Bipolar spectrum disorders typically begin earlier in life than unipolar depression; the usual sign of bipolar disorder in young children could be depression and/or a combination of depression and states of mania/hypomania. It’s significant to ask the patient how old they were when they first experienced a depressive episode. Men have a higher rate of bipolar disorder than women, but the rates for unipolar depression in men and women are more equal.

Some patients with bipolar spectrum disorder can go from normal to severely depressed technically overnight whereas unipolar depressive episodes tend to occur more gradually. Patients with bipolar spectrum depression tend to experience weight gain and crave carbs, while those with unipolar depression usually experience weight loss or loss of appetite. Patients suffering from bipolar depression tend to show irregular responses to antidepressant monotherapy, including switching into mania. Bipolar spectrum disorder is an inheritable mental illness, so it’s vital to take family history into consideration. While patients diagnosed with unipolar depression usually note that their symptoms fluctuate in a more stable, regular pattern, those with bipolar depression have moods that can vary unpredictably, usually with no cause.

When treating bipolar depression, antidepressants are used in combination with some sort of mood stabilizer. Treatment for unipolar depression can include medication like SSRIs and antidepressants, often in combination with cognitive behavioral therapy (CBT) and psychotherapy. Screening instruments including the Bipolar Spectrum Diagnostic Scale and the Mood Disorders Questionnaire can be effective and helpful tools in differentiating unipolar from bipolar depression.

If you or someone you know is struggling with Bipolar Disorder or Unipolar Depression, Arista Counseling and Psychotherapy can help. Please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources

https://www.psychiatrictimes.com/special-reports/major-depressive-episode-it-bipolar-i-or-unipolar-depression

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2850601/

https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/unipolar-and-bipolar-depression-different-or-the-same/AE364DFBFFBAF1F66A9294A55120C64E/core-reader

 

 

Pain: Chronic Pain is a Fundamental Health Issue

By Gabriella Phillip

According to The International Association for the Study of Pain, pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. When someone is injured, pain sensors immediately send signals to the brain. Although regular pain, like cramps or a headache, can be relieved in a rather short period of time, chronic pain involves the brain receiving pain signals a while after the onset of pain or the original injury.

One in five people live with chronic pain and the frequency of chronic pain increases as we get older. Many elderly people are experiencing pain that oftentimes goes undiagnosed. In addition, research shows that patients with dementia are being severely untreated for their experience with pain. Even though it’s a fundamental human right to have proper access to pain management, most elderly people are receiving quite inadequate care from health facilities, making it harder for them to cope and go about their daily lives with severe chronic pain.

Chronic pain can strongly impact or contribute to the formation of serious mental health issues including anxiety and depression. Current research from Neuroscience Research Australia shows that patients living with chronic pain have lower levels of glutamate, a significant chemical messenger that aids emotional regulation. Therefore, it’s possible for people with chronic pain to undergo certain personality changes like being more tired than usual, feeling unmotivated, or worrying on a more frequent basis than before. Around half of people suffering from chronic pain also have mental health conditions. The daily demands of learning to live with chronic pain can help generate anxiety, depression and other mood disorders.

If you or someone you know is struggling with Chronic Pain and its mental health effects, Arista Counseling and Psychotherapy can help. Please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Eating Disorders During the Holidays

By: Maryellen Van Atter

Eating disorders are psychological disorders characterized by abnormal or disturbed eating habits. There are different kinds of eating disorders, but two prevalent ones are Anorexia Nervosa and Bulimia Nervosa. Individuals with Anorexia Nervosa restrict their food intake with the goal of reducing their weight, and have an intense fear of gaining weight. Individuals with Bulimia Nervosa engage in binge-eating sessions followed by self-induced vomiting, and experience a lack of control over their behaviors and a fear of weight gain. These disorders are very serious and can lead to physical health problems, such as poor circulation and muscle weakness. Eating disorders are also associated with other psychological disorders, such as depression and anxiety.

Eating disorders can be especially difficult during the holiday season. For many, the holiday season puts an additional emphasis on food. Holidays gatherings involve a plethora of food, and this can be extremely difficult for those with eating disorders. The emphasis of food can amplify their concerns and increase their symptom experience, worsening their mental health. This may lead to isolation or feelings of anxiety and guilt. While holidays should be about valuing the positive relationships in your life, this meaning can be lost when there is a focus on food.

There are many treatments that can help those with Anorexia and Bulimia manage their symptoms and establish healthy eating habits. One such treatment is psychotherapy, or talk therapy. There are many variations of this therapy which are successful at treating eating disorders. One is cognitive behavioral therapy (CBT) which is aimed at changing distorted thought patterns to result in healthy behavior. Another is acceptance and commitment therapy (ACT), where patients identify a value or goal and then commit to doing the actions which make that goal possible. When eating disorders are accompanied by symptoms of depression or anxiety, psychiatric medication may be prescribed to assist in the management of those symptoms.

Additionally, there are steps that one can take to prevent the relapse or worsening of disordered eating during the holiday season. If you or a loved one is suffering from an eating disorder, try to shift the focus during the holidays from food to activities, such as decorating, caroling, or playing games. This can ease the negative emotions of those suffering from eating disorders and help them feel more comfortable. It is also important to remind loved ones that it is okay to seek extra help during this difficult season.

If you or someone you know is struggling with disordered eating, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.nationaleatingdisorders.org/learn/by-eating-disorder/anorexia

https://www.nationaleatingdisorders.org/learn/by-eating-disorder/bulimia

https://centerforchange.com/coping-loved-ones-eating-disorder-holidays/

https://www.nationaleatingdisorders.org/types-treatment

https://www.sedig.org/physical-complications

 

Vape and E-Cigarette Addiction

By: Maryellen Van Atter

    

E-cigarette devices, such as the Juul, are more prevalent than ever. These devices were originally created to help established smokers stop smoking traditional cigarettes. However, because of their ease of use, portability, and sweet taste/smell, they have become popular with a generation of teens who have never smoked traditional cigarettes. This is concerning because of the plethora of health concerns surrounding the devices. They still contain nicotine, which is highly addictive. Nicotine is shown to raise blood pressure and spike adrenaline and heartrate, which can lead to increased risk of heart attack. Vaping has been linked to severe respiratory illnesses, and it may be related to pulmonary disease. It can worsen asthma, cause nausea, and irritate the mouth and throat.

While these physical health effects are often discussed, there is less discussion about the mental effects of nicotine addiction. Those who smoke have a lifetime prevalence of major depressive disorder which is more than double the prevalence in those who do not smoke. Some research has gone even farther and said that smoking may change neurotransmitter activity in the brain, leading to increased risk of depression. Despite this, the devices are still popular. While it is possible to vape something that does not contain nicotine, it is uncommon and teens often are not entirely aware of what is in what they are inhaling.

The percentage of teens that vape is increasing. Studies have found that 42.5% of high school seniors report vaping in their lifetime; this is dangerous behavior. However, it is important to remember that blame is unhelpful in helping a teen to kick their vaping habit. Similarly, reminding a teen about the risk of cancer and family addiction histories is not an effective way to get them to quit. Teens will respond best to calm conversations and discussions about how their vaping may be affecting them and the things that they consider important, such as school, extracurriculars, and sleep. Helping someone stop smoking is no easy job and it is not something that has to be done alone.

Addiction is a serious mental health concern and the sooner addiction can be treated, the better. There are both psychological and physical symptoms associated with addiction. There are many effective, FDA approved treatments for smoking cessation. These treatments include hypnotherapy, which uses guided relaxation and focused attention to change behaviors, cognitive behavioral therapy, which aims to discover the root of behaviors and works to change attitudes surrounding the behavior, psychotherapy, or talk therapy, and motivational interviewing, which aims to illuminate differences between a patient’s goals and their behaviors. There is no shame in seeking out therapy to assist in quitting smoking or helping a loved one quit smoking, and it is best to seek help as soon as the problem is recognized. The longer one waits, the more established addictive behaviors become.

 

If you or someone you know is struggling with a vaping addiction, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.safetyandhealthmagazine.com/articles/print/17921-number-of-teens-vaping-hits-record-high-survey-shows

https://www.psycom.net/mental-health-wellbeing/juuling-teenagers-vaping/

https://www.yalemedicine.org/stories/teen-vaping/

https://www.drugabuse.gov/publications/research-reports/tobacco-nicotine-e-cigarettes/what-are-treatments-tobacco-dependence

https://www.medscape.com/answers/287555-158503/what-is-the-association-between-nicotine-addiction-and-depression

https://psychcentral.com/lib/can-smoking-cause-depression/

 

Postpartum Depression

By: Maryellen Van Atter

          Postpartum depression is the experience of depressive symptoms (such as fatigue, changes in eating habits, and a loss of interest in activities once found enjoyable) after giving birth. Though commonly known as postpartum depression, it is now often referred to by the new name of peripartum depression. This name change indicates that the depression can onset during pregnancy or after childbirth. In addition to symptoms of depression, parents may also suffer from feelings that they are a bad parent, fear of harming the child, or a lack of interest in the child. It is also important to note that both men and women can suffer from peripartum depression; fathers may struggle with the changes that come along with a new child, and the symptoms of peripartum depression are not contingent on giving physical birth to a child. It is estimated that 4% of fathers experience peripartum depression in the first year after their child’s birth and that one in seven women will experience peripartum depression.

            Peripartum depression is different from the ‘baby blues’. Many new mothers will feel despondent, anxious, or restless in the first week or two after giving birth; this is due to the variety of biological, financial, and emotional changes which occur after having a child. This is called the baby blues. However, these feelings will not interfere with daily activities and will pass within ten days. If these symptoms persist, or if they do interfere with daily activities and functioning, it is likely that the problem is something more serious such as peripartum depression. It’s important to seek treatment for these symptoms as soon as you’re aware of them. Many parents feel a stigma against reporting these feelings, but this should not be the case: experiencing peripartum depression does not mean that you are a bad parent or that you do not love your child. It is a psychological condition which many people experience and it can be resolved with proper treatment.

Peripartum depression can be treated through therapy and through medication. Common treatments include psychotherapy (also known as talk therapy), cognitive behavioral therapy, and antidepressant medication. Medication should always be managed by a professional, especially if being administered to a mother who may be breastfeeding. These treatments have been proven effective in many studies and are able to help with symptoms of peripartum, or postpartum, depression.

 

If you or someone you know is struggling with peripartum depression, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

 

Sources:

https://www.aafp.org/afp/2016/0515/p852.html

https://www.psycom.net/depression.central.post-partum.html

https://www.webmd.com/depression/postpartum-depression/news/20190320/fda-approves-first-drug-for-postpartum-depression#2

https://www.webmd.com/depression/postpartum-depression/understanding-postpartum-depression-treatment#3

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3039003/

https://www.psychiatry.org/patients-families/postpartum-depression/what-is-postpartum-depression