I finally managed to get my patient referred for postpartum depression treatment, but the earliest available appointment is in 2 months. What do I tell her to do until then?
Providing transitional care until this “magic appointment” is as important as the appointment itself. If a patient is presenting with postpartum psychosis, immediate intervention and hospitalization is required. If she is presenting with postpartum depression, you have several options. As her provider, you can refer her to any of the reputable postpartum organizations, such as the Marcé Society, Postpartum Support International, or La Leche League. They may be able to provide transitional support. Also, encourage her to concentrate on self-care, as this is critical to re-establishing normal function. Getting exercise and paying careful attention to diet and sleep can improve mood to some extent. She can also explore social options if she has reliable support from her family or her community. Healthcare organizations may have depression care managers, home visiting nurses, or outreach as a transition or to facilitate care. In addition, it may be quicker to obtain an appointment with a c
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