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Table 2 The D-MER spectrum of symptoms and associated intensities

From: Dysphoric milk ejection reflex: A case report

Symptoms 1 Depression wistfulness, homesickness, apprehension, hopelessness, hollowness in stomach 2 Anxiety anxiety, dread, panic, irritability 3 Anger tension, agitation, paranoia
Intensity of symptoms    
Mild usually self-corrects within first 3 months, most mothers do not seek treatment X   
Moderate often self-corrects between 6 and 12 months, mothers may seek management options X X  
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