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According to the DSM-IV, postpartum depression is bound to time limits of onset and conclusion, which, while helpful, are incongruent with the depression presentation seen in most women following the birth of their child. Specifically, it does not make allowances for women who experience postpartum depression outside of the time range specified, nor does it allow for the onset of depression in the prenatal period. Additional considerations that are not addressed in the DSM-IV are the role of comorbid disorders, the potential need for a postpartum onset specifier for other disorders and mothers who experience depression following a miscarriage, still birth or other adverse birth outcome. Mental health as a field stands to benefit from perinatal research, as it informs outcomes in later life and other etiological factors. It therefore needs more consideration in future diagnostic wor
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PID: 24269903, Treatments that are currently validated and effective for perinatal depression are interpersonal psychotherapy and cognitive behavioral therapy. In addition, therapies that have been adapted specifically for the perinatal population and are manual based tend to be most effective. Although many women may prefer not to be treated with medication in the perinatal period, medication can be combined with psychotherapy to effectively treat perinatal depression. In some cases, medication might even be critical as untreated depression has the potential to be more detrimental than the effects of medication. Research is also beginning to show that phone- and Internet-based treatments are effective and feasible treatments for perinatal depression, although more research is needed in these areas. Future studies should also address further information on medication, comparisons of different therapies and increased methodological rigor, specifically larger sample sizes and more sample diversit
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Stuart S, Koleva H. Psychological treatments for perinatal depression. Best Pract Res Clin Obstet Gynaecol. 2014;28:61–70. Treatments that are currently validated and effective for perinatal depression are interpersonal psychotherapy and cognitive behavioral therapy. In addition, therapies that have been adapted specifically for the perinatal population and are manual based tend to be most effective. Although many women may prefer not to be treated with medication in the perinatal period, medication can be combined with psychotherapy to effectively treat perinatal depression. In some cases, medication might even be critical as untreated depression has the potential to be more detrimental than the effects of medication. Research is also beginning to show that phone- and Internet-based treatments are effective and feasible treatments for perinatal depression, although more research is needed in these areas. Future studies should also address further information on medication, comparisons of different therapies and increased methodological rigor, specifically larger sample sizes and more sample diversity.
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