Barbara.
As a mother of an adopted breastfed three year old and soon to be
breastfeeding another adopted child, I have been on dom for about 3 1/2
years collectively.  I personally never experienced any depression that I
associated with the dom and I moderate an adoptive breastfeeding web
group - (if your client would like to join, she can go to yahoo groups
and look for [log in to unmask])  I have not had anyone relate
such an experience however, I have had moms with depressive symptoms from
breastfeeding, and the losses that may come back with breastfeeding or
any experience with the baby that the mom feels that she lost in not
having a biological child.  Also lack of libido can result just from
breastfeeding itself.  I also believe the fluctuation of hormones,
perhaps less prolactin etc could easily upend her mood especially if she
is prone to depression or just has unresolved issues surrounding the
infertility.  I counsel a mom that is a biological mother that associates
her depression with breastfeeding, as it lasts until weaning, and she
takes a mild anti depressant.  I think where hormones are involved, any
mood changes is easily attribituted to this.  Also from an adoptive
mothers perspective, they almost always imagine having a full supply, no
supplementation.  This is not always possible as I have seen myself
unable to produce more than half my first adopted childs needs.  This
despite having a biological child and no supply issues.  It took a long
time to come to term with this and as I aproach the time when I will be
doing this again I find myself once again, hoping to eventually supply
the babies full needs.  This can sometimes seem like an added failure
when the body has already disappointed by not being able to produce a
child.  I think listening and counseling is the best bet unless
depression is severe or lasts beyond a few weeks.  If she wishes to talk
to others in the same situation, the above group would be a good forum to
start.
JP

She experienced symptoms of sadness, lack of libidio, mild agitation
> and
> fairly high anxiety; symptoms abated in a week or so (support,
> frequent contact
> and active listening/discussion of her feelings of inadequacy re
> infertility and
> inability to produce much milk also seemed to help).
>
> She's doing well now and back to feeling pleased that her baby's at
> breast
> regardless of supply.

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