治疗产后强迫症

It is not uncommon for mothers to experience an array of emotions following the arrival of a new baby. The postpartum period has long been known to be a time of increased risk for the appearance, worsening or recurrence of mood and anxiety disorders. Many studies have suggested that the postpartum period may also present a risk for the onset or worsening of强迫症（OCD）。

Symptoms

产后OCD的症状最有可能在分娩后六周内发生，但在怀孕期间可以开始。在患有预先存在的OCD的女性中，有一些证据表明流产也可以作为一种有效的触发器OCD症状。

The symptoms of OCD in women who have postpartum obsessive-compulsive disorder can often be distinguished from those who already had obsessive-compulsive disorder. A recent study showed that the biggest difference between the two is that with postpartum OCD, the obsessions are mostly related to the baby in some way. Specifically, women with postpartum obsessive-compulsive disorder often report more aggressive obsessions related to harming their new baby than women who already had OCD. As well, women with postpartum obsessive-compulsive disorder more frequently experience obsessions related to contamination of the baby than women without postpartum-onset OCD.

原因

At this stage, it is unclear why the postpartum period is a time of increased risk for the onset of OCD for some women. From a biological perspective, it has been speculated that profound changes in hormones such as estrogen may be partly responsible. Hormones can disrupt the activity of neurotransmitters in the brain, including血清仁。血清素制度的破坏是严重涉及强迫的发展。

From a psychosocial perspective, the arrival of a new baby presents a number of new challenges, which can be overwhelming for some women.

Treatment

喜欢产后抑郁症，对于治疗产后强迫性疾病至关重要，因为它可能会影响母亲和宝宝之间的正常粘合。它也可能导致母亲和家庭成员的大量痛苦和痛苦。如果您最近出生，并且您正在经历新的心理症状，例如侵扰和令人不安的思想或强迫行为，如不受控制的洗手，请务必向您的主要护理医生，产科医生，儿科医生或精神科医生提及这一点。

如果你正在经历这些或其他症状,your doctor will likely do a full assessment that includes a full psychiatric history, as well as medical tests to rule out biological causes for your symptoms such as hypothyroidism.

认知行为治疗（CBT）可能是妇女具有产后强迫症的妇女的好选择，因为它消除了暴露新生儿抗抑郁药的可能性，例如选择性血清素再摄取抑制剂（SSRIS）。尽管像SSRIS这样的抗抑郁药通过母乳转移，但没有关于暴露于母乳的长期影响的数据，包括神经系统，因此需要服用药物的益处超过风险。务必与您的医生交谈以确定哪种治疗选项适合您。