Hello. I am 28 years old. I have anxiety and depression from past 5 years. I have delivered a baby boy 1 month back. He had high jaundice. So he got seizures. And on phenobarbital. I'm on sertraline 150 mg since 2 months. And my symptoms are some what in control. I was not able to sleep properly from 2 days. Due to my son waking up for feeds. And from since 3rd day. I feeling very anxious and fearful for no reason. I slept for 9 hours now. But still feeling the same. I have ativan with me. But scared to take it due to breastfeeding and my son's seizures. What should I do? Please help.

Ms. Chellam NarendiranPsychologist8yrs exp

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Hi lybrate-user, do understand your problem and current state of mind. Its quite natural to have a disturbed sleep and mood swings due to change in hormones and biological clock. Consult with your doctor for medication related queries. Try to focus on enjoying your parenthood and do some meditation. Take some amount of time for yourself in a week to do things which you like the most. Train your mind to see the positive aspects and enjoy your motherhood.  

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Dr. Rashmi NavelkarPsychiatrist9yrs exp

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You may have one of the 2 things: post partum anxiety depression or restlessness maybe due to high dose of sertraline. Please avoid taking ativan as it may pass in breast milk. Also consult a psychiatrist to review the dose of sertraline and ask to reduce the dose if possible. Also try not to breastfeed immediately after taking sertraline. You can take it after your night feed. But please express and extract some breast milk and store in case you need to feed the baby in the night. You can safely breastfeed in the morning and throughout the day. Its normal to feel anxious post delivery. Try some relaxation techniques and breathing exercises to help reduce anxiety.  

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