Acupuncture and Massage for Depression During Pregnancy

Inclusion Criteria:- Meet criteria for a current major depressive episode with an HRSD(17)
score of at least 14.

   - Ambulatory women (age³18) with a viable pregnancy,

   - Pregnancy between 22 and 30 weeks of gestation

   - Fluent in English

Exclusion Criteria:- Meeting criteria for a primary Axis I disorder in past 2 months, other
than unipolar depression or social phobia

   - Seasonal affective disorder or episode duration of 2 years or more (chronic
   depression)

   - Abnormal results on a laboratory screen that will include a thyroid panel and a drug
   screen.

   - Serious uncontrolled medical conditions or conditions that may be a medical basis of a
   depression.

   - Cluster B personality disorders.

   - Confounding treatments for depression, including any psychotherapy, herbs, or
   pharmacotherapy.

   - Current use of any prescribed psychotropic medication or any medication that impacts
   mood.

   - Treatment with ECT or vagal nerve stimulation during the last year.

   - Current active suicidal potential necessitating immediate treatment.

   - Absence of prenatal care from an OBGYN practitioner in the community.

   - Any condition that necessitates bed rest.