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While some degree of worry is normal for new parents, postpartum anxiety is characterized by persistent, excessive worry, intrusive thoughts, and physical symptoms such as restlessness, sleep disturbance that interfere with daily functioning and maternal well-being. The clinical presentation of postpartum anxiety is diverse.
It’s about learning to self-regulate, so that, if and when mental storms pass through, they no longer require such harsh societal intervention. I was first diagnosed with bipolardisorder in 1998. That lengthiest hospitalization occurred just prior to the Indian Ocean earthquake and tsunami of 2004, which killed 230,000 people.
As such, the scandal now serves as a historical verdict on the ethics of American psychiatry, and by extension, the National Institute of MentalHealth (NIMH). This ongoing failure can be traced back to the publication of DSM-III in 1980, when American psychiatry adopted a disease model for categorizing and treating mentaldisorders.
I knew in October of 2018 that Matt was in trouble during a phone call, when he told me in a cheerful voice that he had been to the ER for “mentalhealth reasons” but was “fine.” In October 2019, during Matt’s move to a new apartment, I observed that Matt was emotionally paralyzed, unable to pack from lack of sleep.
T here is a core concept shaping the ‘market’ in health, the concept of an assay, that few doctors or patients understand. This idea went nowhere, until a birth defect crisis triggered by thalidomide, a sleeping pill, struck. Drugs like mirtazapine improve appetite and sleep; this is a tonic effect. Just the opposite.
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