Given Natalie’s diagnosis of peripartum depression, a combination of psychotherapy and possibly pharmacotherapy would be appropriate. There are 2 types of psychotherapy that would be beneficial for Natalie; Cognitive Behavioral Therapy (CBT), which is effective for treating depression and can help Natalie address and reframe her negative thoughts and feelings of guilt and disconnection from her baby. Additionally, Interpersonal Therapy (IPT) can help Natalie improve her interpersonal relationships and address her new role, and grief associated with her past stillbirth. For pharmacotherapy, Selective Serotonin Reuptake Inhibitors (SSRIs) like sertraline or escitalopram are often considered safe and effective for postpartum women. They can help alleviate moderate to severe depressive symptoms, they have a good safety profile, and are compatible with breastfeeding. (Hardy, & Reichenbacker, 2019). 1. Natalie has concerns about the stigma associated with seeking mental health care. Discuss at least two (2) strategies the PMHNP can use to address these concerns. PMHNP’s can take several supportive actions to validate and empathize with Natalie. The first strategy would be to acknowledge her feelings and validate her experiences to
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