Postpartum Depression: Choosing the Right Approach
Postpartum depression is treatable, and the right approach depends on severity, breastfeeding status, and how much practical support is available at home. Our team, led by Dr. Pavan Sonar — MBBS, DPM, DNB Psychiatry, supports new mothers across Mumbai and Maharashtra with compassionate, evidence-based care, with 22+ years of experience and 50,000+ patients treated.
Therapy, Medication, or Both? A Decision Guide
When Therapy Alone Is Appropriate
For mild-to-moderate postpartum depression, particularly where adjustment difficulties, sleep deprivation, and lack of support play a large role, structured therapy (CBT or Interpersonal Therapy adapted for the postpartum period) can be highly effective without medication — an important option for mothers who are breastfeeding and want to avoid medication where possible.
When Medication Is Recommended
For moderate-to-severe postpartum depression, certain antidepressants are considered safe during breastfeeding and can be an important part of recovery — the decision weighs illness severity against medication safety data, made collaboratively with the mother and, where relevant, her obstetrician or paediatrician.
When to Seek Urgent Help
Postpartum psychosis — confusion, hallucinations, or thoughts of harming the baby — is a psychiatric emergency requiring immediate evaluation, distinct from postpartum depression. If you or someone you know is experiencing these symptoms, seek emergency care immediately.
Recognising Postpartum Depression
Persistent sadness, excessive worry about the baby, difficulty bonding, overwhelming fatigue beyond normal new-parent tiredness, feelings of inadequacy as a mother, and loss of interest in previously enjoyed activities, lasting more than two weeks and appearing anytime in the first year after childbirth.
Access Across Maharashtra
In-person at our Mumbai clinic locations (Borivali West, Malad West, Malad East, Andheri West) or via online video consultation for patients across Maharashtra — a particularly valuable option for new mothers for whom travel with a newborn is difficult.
Frequently Asked Questions
Is postpartum depression different from normal new-parent exhaustion?
Yes. Some fatigue and emotional adjustment is normal (“baby blues”) and typically resolves within two weeks. Postpartum depression persists longer, is more intense, and significantly affects functioning and bonding.
Can I take antidepressants while breastfeeding?
Several antidepressants have good safety data for breastfeeding. This is assessed individually, weighing the risks of untreated depression against medication exposure, in consultation with your treating psychiatrist.
How soon after delivery can postpartum depression start?
It can begin anytime within the first year after childbirth, not only in the first few weeks. Onset several months postpartum is common and equally treatable.
Can treatment be done from home via video call?
Yes — online consultations are often preferred by new mothers, avoiding the logistics of travelling with a newborn while still providing full access to therapy and medication management.
Book Your Postpartum Consultation
You deserve to enjoy motherhood. Compassionate, evidence-based care matched to your specific situation and breastfeeding needs.
📞 Call / WhatsApp: +91 85918 40141
📧 Email: drpavansonar@gmail.com
Clinic Locations: Borivali West | Malad West | Andheri West | Malad East — and online across Maharashtra