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©2013 UpToDate ® Print Email Barriers to identifying and treating postpartum depression Patient and provider lack of knowledge about postpartum psychiatric disorders and their treatment Symptoms that are common to both the postpartum state and depression (eg, fatigue, insomnia) can result in delay in diagnosis Denial of symptoms Fear of being labeled mentally ill or an incompetent mother Providers who minimize symptoms or are not accessible Lack of coordinated care among the woman's health care providers Data from: Dennis, CL. Preventing and treating postnatal depression. BMJ 2009; 338:a2975.