Hello thanks for asking from HCM A lot of women suffer post natal blues after birth of baby. It is like mild mood swings in most of females, but in some individuals it may progress to severe levels and can remain persistent. You have been on Escitalopram (Nexito) and successfully completed the course and now you are feeling better. To prevent further recurrence I would advise you to follow following life style changes- - First thing is to exercise daily. Daily exercise helps to secrete endorphins which help to reduce mood swings. - Progressive Muscle Relaxation Exercises and Breathing Exercises help to relax individual and ameliorate the need of medicines. - Have diets rich in omega-3 fatty acids like walnuts, hazel nuts, flex seeds, salmon fish, sardine fish etc. Diets rich in proteins and carbs also improve mood on long term. - Have good at least 7 hours sleep. - Practice yoga and meditation, this will decrease negative thoughts. If symptoms become uncontrollable then consult a psychiatrist for treatment. Thanks