FROM OUR EXPERTS
Although there is limited evidence from research studies to guide the treatment of women with depression during pregnancy or lactation, there are many available treatment options that can decrease suffering and improve quality of life. Research focused on women during pregnancy or postpartum poses substantial ethical and practical challenges for the investigator, thus compromising the rapid accumulation of reliable data (Yonkers, 2007). Because of the absence of a large evidence base, the clinician must rely on weighing the available treatment options with the woman suffering from depression during pregnancy so that an understanding of the risk/benefit ratio of treatment versus no treatment is achieved.
Two common treatments for depression include either talk therapy (psychotherapy) or medication (often an antidepressant medication). Interestingly, despite the lack of a large evidence base to guide clinical decision making, antidepressant use during preg...
One of the known side effects of a class of antidepressants known as selective serotonin reuptake inhibitors is a lack of sex drive. Some of the better-known antidepressants in this class include citalopram, fluoxetine and sertraline, but there are more besides. What is less well known, and in some circles still debated as to its actual existence, is a condition referred to as Post-SSRI Sexual Dysfunction (PSSD).
Largely considered to be a relatively uncommon condition the symptoms of PSSD have nevertheless attracted attention. Numbers of those considered to be affected are not known, and as many have stated, there are very many confounding issues that affect the sex lives of men and women. In men the symptoms of PSSD are said to include one or more symptoms ranging from decreased libido, difficulty in being aroused sexually, reduced or absent pleasure during orgasm to premature ejaculation. In women decreased libido may be associated with reduced vaginal lubrication, clitoral ...
Christos Ballas, MD, is an academic and forensic psychiatrist.
He graduated from Jefferson Medical College and completed his
residency at the Hospital of the University of Pennsylvania. He
joined the faculty of the University of Pennsylvania School of
Medicine as an Assistant Professor. He works as inpatient and
consult/liaison psychiatrist, in addition to maintaining a private
practice dedicated to forensics.
Dr. Ballas has published and lectured extensively. His medical
interests include forensic issues and violence, pharmacology, and
healthcare policy. Dr. Ballas is also a talented artist and a
technology enthusiast. One of his current projects include a novel
about the end of the internet.
Dr. Ballas looks forward to answering your questions about
depression. You can send your questions to
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