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Treatment Options by Symptom Severity

EPDS Score or Clinical Assessment

EPDS 0-8

EPDS 9-13

EPDS 14-18

EPDS ≥19

Treatment options

Treatment options in each column may overlap

Limited to no symptoms

Mild symptoms

Moderate symptoms

Severe symptoms

Consider inpatient hospitalization when safety or ability to care for self or baby is a concern

Strongly consider inpatient hospitalization when safety or ability to care for self or baby is a concern

May consider medication

Strongly consider medication

Strongly consider medication

Therapy for mother

Dyadic therapy for mother/baby

Therapy for mother

Dyadic therapy for mother/baby

Therapy for mother

Dyadic therapy for mother/baby

Therapy for mother

Dyadic therapy for mother/baby

Community/social support (including support groups)

Community/social support (including support groups)

Community/social support (including support groups)

Community/social support (including support groups)

Consider as augmentation: Complementary/ Alternative therapies (bright light therapy, Omega-3 fatty acids, acupuncture, folate, massage)

Consider as augmentation: Complementary/ Alternative therapies (bright light therapy, Omega-3 fatty acids, acupuncture, folate, massage)

Consider as augmentation: Complementary/ Alternative therapies (bright light therapy, Omega-3 fatty acids, acupuncture, folate, massage)

Consider as augmentation: Complementary/ Alternative therapies (bright light therapy, Omega-3 fatty acids, acupuncture, folate, massage)

Support with dysregulated baby; crying, sleep, feeding problems

Physical activity

Support with dysregulated baby; crying, sleep, feeding problems

Physical activity

Support with dysregulated baby; crying, sleep, feeding problems

Physical activity

Support with dysregulated baby; crying, sleep, feeding problems

Physical activity

Self-care (sleep, hygiene, healthy diet) and lactation support, if needed

Self-care (sleep, hygiene, healthy diet)

Self-care (sleep, hygiene, healthy diet)

Self-care (sleep, hygiene, healthy diet)

This resource has been adapted with permission from the MCPAP for Moms Pediatric Toolkit for Postpartum Depression.