Table 2 The D-MER spectrum of symptoms and associated intensities
Symptoms | 1 Depression wistfulness, homesickness, apprehension, hopelessness, hollowness in stomach | 2 Anxiety anxiety, dread, panic, irritability | 3 Anger tension, agitation, paranoia |
|---|---|---|---|
Intensity of symptoms | Â | Â | Â |
Mild usually self-corrects within first 3 months, most mothers do not seek treatment | X | Â | Â |
Moderate often self-corrects between 6 and 12 months, mothers may seek management options | X | X | Â |
Severe may not correct fully until weaning, may include transient suicidal ideation, prescription treatment may be only effective option, mothers likely to stop breastfeeding | X | X | X |