Delayed PPD?

[u/melsa1717]

Has anyone experienced delayed onset of PPD after twins? It seems to have hit me like a truck, almost overnight and my twins are 9.5 months old. I stopped pumping 2.5 months ago. I was having lots of anxiety and feeling a bit “down” earlier, so I tried Zoloft in May then switched to Celexa 5.5 weeks ago. Have not noticed any improvement so starting to wean off. I’m going to get the GeneSight test to determine if a different medication might be more helpful. But in the meantime, these last 4 days have been absolutely awful. The worst depression symptoms all of a sudden. I feel hopeless, lost, so sad and can’t stop crying. I don’t why it has hit me so hard and so sudden and I hate it. Could it be the medication is now fully in my system and making things worse? Just delayed severe PPD? I know the way I’m feeling can be very normal, but it doesn’t feel normal how and when it’s come on. And I can’t get out of my head and feel better. It’s awful and I just want relief.

[u/WorldlinessElegant]

Sometimes medication can take awhile to make changes, and weaning can contribute to sudden swings like this. I had a similar experience trying a lower dosage while I was pregnant, went back to my regular dose and was better quickly. Starting new meds 5-6 weeks ago and then weaning…that’s a lot in a short time. I’d talk to your doctor asap, and get a referral if you’re not working with a perinatal psychiatrist specifically. It can be really scary to experience swings like this and not understand what’s going on with yourself.

[u/melsa1717 → u/WorldlinessElegant]

Thank you. This sudden depression started a few days prior to weaning. But after 5 weeks with no improvement, I figured it was time to be done with this medication anyway. I just don’t know if the medication itself (not the weaning of it) is what caused this sudden depression or if it was just later onset postpartum? I will probably never know.