2. Seasonal Affective Disorder
 Begins late Fall and continues through Winter
 Relief in Spring
 Hypersomnia
 Anergia
 Hyperphagia
 Weight gain
 Carbohydrate binge
 Rx : Light therapy SADS Treatment

3. Postpartum Disorders
 Postpartum Blues
 Postpartum Psychosis
 Postpartum Depression

4. Postpartum Blues
 Starts 3-5 days postpartum
 Lasts up to two weeks
 Crying
 Mood instability
 Hormone induced
 Self-limited
 80% of postpartum women

5. Postpartum Psychosis
 Starts within 4 weeks of birth
 Occult affective or schizophrenic disorder
 Triggered by hormone shifts
 Severe psychosis
 Frequent harming of infant
 1-2 per 1000 births

6. Postpartum Psychosis cont’d
 Treatment
 Separate mother and child
 Hospitalization of mother
 Psychosis treated conventionally
 Anti-psychotic medication
 Anti-depressant medication and/or
 Mood stabilizers
 Stop breast-feeding

7. Postpartum Depression
 Occurs up to two years postpartum
 Irritability
 Feeling overwhelmed
 Tearfulness
 Failure to enjoy motherhood
 Thoughts of harming infant
 Shame and guilt

8. Postpartum Depression-cont’d
 Occurs in 12 % of population
 Independent of hormone levels
 Sometimes improves or becomes worse with
breastfeeding
 Lack of social support

9. Postpartum Depression-cont’d
 Treatment
 Do breastfeeding
 Increase social support
 SSRIs
 Group therapy
 WEB based groups
Postpartum Depression

10. Schizo-affective Disorders
 Differs in all patients
 Less than 1 % of population
 Over diagnosed in US
 Symptoms of Schizophrenia
 Symptoms of Mood disorders
 Increased risk for Suicide
 Treatment is the same as for Schizophrenia/Mood
Disorders
 Prognosis poor