Word: nesis
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...years ago, Jamie Nesi, a case manager for special-ed children in Bellport, N.Y., received a diagnosis of mild depression. Her doctor prescribed a low dose of Prozac, which eased her symptoms. In 2005, Nesi, then 33, got pregnant, and at her gynecologist's recommendation, she discontinued the medication. For the first two trimesters, things went smoothly. "It was my first child, and everyone said I was having a perfect pregnancy," said Nesi in a phone interview...
...about the sixth month, Nesi began experiencing panic attacks. Soon her intermittent anxiety evolved into full-blown depression. "I didn't want to get out of bed all day. I avoided people, kept crying a lot, didn't eat properly and even had second thoughts about having a baby," Nesi says. At Nesi's prodding, her obstetrician referred her to a psychiatrist, who suggested that she get back on a low dose of antidepressants. "It was a very difficult decision," says Nesi. "I spoke to my husband, and we finally decided that [taking antidepressants] was the right thing...
...Nesi's depression abated, but she continued to feel periodic pangs of sadness throughout the course of her pregnancy. On Oct. 27, 2006, when her first son was born, Nesi was overjoyed. But two weeks later, a powerful shift in mood overtook her, ballooning into an episode of postpartum depression that lasted four months. "My mother had to come down and take care of my baby," says Nesi...
...Nesi's case is not unique. Psychologists say that many women who experience postpartum depression have had depressive symptoms during pregnancy or even earlier. A 2007 study by the Centers for Disease Control and Prevention found that of 4,400 pregnant women, 457 were depressed postpartum, and nearly half of those women had developed depression previously, either during pregnancy or in the nine months before they got pregnant...
...Lusskin, she says that for depressed women who fall in the high-risk category - those with a history of chronic mood disorders, for example, like Jamie Nesi - antidepressant medications may be necessary. She thinks the "risks of untreated ailments are known and may be worse than the potential harmful effects of taking the drug...