I got severe PPD after my first daughter in 2005 and started Zoloft after five months of struggle from hell and as many months of trying avoid meds... And when I did start of Zoloft, it helped tremendously. I became pregnant again just a few months after my first daughter and needed to stay on Zoloft because chances of postpartum the second time around are high. After my second daughter, I lowered the dose and my depression changed - it was better in some ways and worse in others. So, I stayed on Zoloft... And now I'm pregnant with my third and staying on the meds because it just makes sense. I can enjoy my children, I can enjoy my life, and I just feel so much better... After all those months of struggle it is a real gift to feel normal.
In terms of how long I will have to stay on Zoloft, I'm thinking at least another two years... I have to give myself at least this much time after this baby is born because those first two years are especially hard for me with sleep deprivation... I was able to lower the dose significantly before becoming pregnant this time and I was doing really well, so I know that it's totally possible for me to be off them.
I would say, give it the time you need to feel like life is good again - a woman's body goes through so much during pregnancy and postpartum, and we do not have the same kind of social support that women of old used to have... with sisters and aunts and neighbours all nearby to help with baby, food preparation, laundry, whatever... I know I was terribly lonely after the birth of my first - and that's with having my mom and two sisters in town.. it's just a different world for new mothers these days. I needed someone to be with me, help me through moments of terrible anxiety and sadness and that just wasn't possible! I mean, after everyone got off work they could come and visit, but the daytime was awful.
Anyway, be gentle with yourself. I truly believe that having a moderately peaceful, or as peaceful as can be first months with your baby is by far more precious and worth doing whatever needs to be done to achieve that. The first 5 months of my first daughter's life were really quite hard and, in all honesty, while I don't mean to scare you, I do have to tell you that now, 5 years later, I still mourn that loss. I know how different my attachment to my second daughter was because I was well...