Childhood Illness : A Look At Postpartum Depression

1538 WordsMay 13, 20157 Pages
Maternal Mental illness: A look at Postpartum Depression, its new inclusion into DSM-5, and treatment issues Antonella Uribe John Jay College of Criminal Justice INTRODUCTION Sandra was a 26 year old mother of four children who had been married for eight years. She had given birth to her fourth child two months ago, with the help of a midwife. Due to her husband’s recent pay cut, and already difficult financial situation, Sandra did not receive any antenatal or postnatal care. About a month after birth she felt normal. However, she soon began to exhibit unusual behavior including losing interest in her daily activities, spending most of the day alone without speaking to anyone, and ceasing to care for her…show more content…
In the DSM-IV, it is classified under mood disorders. The DSM-IV included a “criteria for Postpartum onset specifier,” which define postpartum onset as an episode occurring within four weeks postpartum. While these two classifications are similar, the DSM-5 revision made a point to elaborate on the specifier by adding a note that stated mood episodes can have their onset either during pregnancy or postpartum. It then goes on to include the fact that 50% of “postpartum” major depressive episodes actually begin prior to delivery, which is why they are referred to as peripartum episodes (DSM-5, p.186). Peripartum episodes can occur with or without psychotic features, which can explain a case of simple “baby blues” vs. infanticide, or thoughts or delusions of killing the infant. Both the DSM-IV and DSM-5 criteria include specifications for the disorder, however, they are listed in two different sections of the manual. The DSM-IV classifies postpartum depression as a mood disorder, supporting this notion with its application to other disorders such as Major Depressive, Manic, or Mixed episode of Major Depressive Disorder, Bipolar I or Bipolar II, or to Brief Psychotic Disorder. The DSM-5 revision lists the disorder as a Depressive Disorder with “Peripartum onset,” instead of postpartum, in order to include episodes that happen during pregnancy, not just postpartum,
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