Tag Archives: Postpartum

Postpartum Depression

Risk Factors, Symptoms, and What To Do

Take a Screening Test for PPD

The Baby Blues has become as much an accepted part of being a new mother as engorged breasts and sleep deprivation. But what if the Blues don’t go away? For 10-20% of new mothers, Postpartum Depression (PPD) is an unwanted and difficult part of the first year of motherhood. The causes of PPD are many, and can include hormonal and lifestyle changes, a lack of social support, sleep deprivation, a high-risk pregnancy, a traumatic birth or difficult recovery, or breastfeeding problems. You are also at a higher risk of PPD if you have suffered previously from depression, or have recent losses or trauma in your life. Symptoms of PPD and related disorders can include:

  • Feeling sad, depressed, numb, or crying a lot
  • Restlessness or irritability
  • Unusually strong feelings of anger or resentment
  • Lack of energy
  • Having headaches, chest pains, heart palpitations, numbness, tingling, dizziness or nausea, hyperventilation or other unexplained physical symptoms
  • Difficulty sleeping or excessive tiredness
  • Loss of appetite or conversely, overeating and weight gain
  • Difficulty concentrating, remembering, and making decisions, or confusion
  • Excessive worry about the baby or lack of interest in the baby
  • Feelings of guilt and worthlessness
  • Lack of interest or pleasure in activities
  • Obsessive thoughts or compulsive behaviors
  • Fear of hurting the baby or yourself

Many mothers experience only a few of these symptoms, but if you feel like something is wrong and you’re not quite yourself, that is an important signal. If these symptoms persist for two weeks or more, the mother should promptly get support by talking to her doctor or a mental health professional. PPD is a highly treatable condition, with therapy, medication, or a combination of the two.

If you need medication and you are told that you must give up breastfeeding, make sure you get the advice of a psychiatrist who is knowledgeable about medications for breastfeeding mothers. There are a few antidepressants which are routinely prescribed for breastfeeding mothers with untraceable amounts detectable in the baby’s bloodstream. Moreover, breastfeeding can be beneficial both for the depressed mother, the long-term health of her baby, and bonding, which is even more challenging when a mother is depressed.

Depression not only affects you: it affects your relationships with your partner and your baby. Untreated, depression can lead to bonding difficulties and delayed development or failure to thrive. Getting the help you need to recover quickly is the best thing you can do for your baby and yourself.

Most importantly, tell your support people (your family, friends, partner) how you are feeling. The burden of trying to seem happy and “keeping it all together” can make the depression worse. You need to lean on the people who care about you, get as much help as you need until you’re back to feeling like yourself, and don’t beat yourself up for having PPD. It is NOT YOUR FAULT.

Commitment and Kids

Why the Couple Relationship Is So Important When You Are Parents

baby shoesWhat is it exactly that makes a committed relationship work, after kids come into the picture? It’s maintaining a loving and safe connection that  allows new parents to weather the storms of raising kids with their relationship intact.

If you want to maintain a good marriage, your relationship with your partner has to come first. Most of us have to work to earn a living, and some of us even enjoy our work. And we all have to take good care of our children. But if your partner always comes last, even a good relationship may fail, which will impact both your children and your financial future. A committed partnership takes love, commitment and hard work, and it’s a rare one that can stand many years of neglect.

Most of us want to be the best parents we can. But we don’t always remember that keeping our relationship happy is one of the most important things we can do for our children’s well-being. This means finding a way to spend time together away from the kids, as well as doing things together as a family. It also means keeping your sex life alive and kicking, whatever that takes. And it means working through your relationship difficulties and finding a way to connect and create time for your relationship despite whatever else is going on. It also requires that you accept your partner as a human being and a parent, as imperfect as they may be. Studies show that children fare much better in a family in which the parents’ relationship is solid, even if the parents do an imperfect job.

Communication is crucial. In the short run, it is always easier to bury resentments and avoid conflict. But in the long run, resentments build up and fester – killing intimacy and poisoning your sexual relationship. Learning how to communicate clearly and connect on an emotional level while remaining responsible for your own feelings and reactions can save your relationship.

For example, if your partner spends time caring for the baby and you’re annoyed that you find him sitting in front of the TV watching football, take a minute to think about how you want to respond. Angrily attacking him for not being engaged with the baby will only drive a wedge between you. On the other hand, biting your lip may be even worse, if it will lead to you feeling resentful and unloving toward your mate. If, after letting yourself cool down, you find that you are still resentful about it, one way to start a conversation is by saying something like: “I know you have had a hard day and you enjoy watching football to unwind. And your time with the baby is yours, so I don’t want to tell you how to do it. But I can’t help feeling resentful, after spending the day entertaining and caring for the baby, when I see you watching TV rather than playing with her.”

It may be that this discussion will involve some conflict, and your partner may express anger. But he also might acknowledge that he is at a loss for how to interact with the baby, or that he feels inadequate or inexperienced with parenting a baby. And you might express your concerns about exposing the baby to TV, and your desire for both of you to be good parents, while acknowledging that a football game probably won’t ruin your child for life.

After such a discussion, you might find that you don’t feel angry anymore. You may understand where your partner is coming from and recognize that the baby will survive some football-watching with Dad. Or, the discussing may spark the idea of giving Dad more time with the baby to improve his confidence. But either way, your feelings of resentment will be less if you work through the issues and understand each others’ feelings.

This is not to say that there are never times when it pays to let something go rather than discussing it with your partner. But the important question to ask yourself is: “will I truly be able to let this go?” If the answer is no, then you have to talk about it, preferably when you are both feeling calm, so you can move past the feelings of resentment and reconnect with your partner.

Remember that there is no intimate relationship that can remain loving without dealing with some conflict. Expressing feelings in a sensitive way is how you grow closer and resolve difficult situations. If you find that these discussions are unproductive, get the help of a qualified couples’ counselor sooner rather than later, so there is enough good will between the two of you to work on making the relationship better.

Often, the issues that keep coming up between you two mask fears and anxieties about the safety and security of your relationship. Reestablishing that bond can make all the difference in resolving the little conflicts that arise and maintaining a strong, healthy bond with your mate.

People-Pleasing Moms: At Risk

Sad new mom holding baby - people-pleasing momsOne of the common themes I come across when working with mothers experiencing depression and anxiety is perfectionism and people-pleasing. Moms get worn out when they are trying to make everyone happy all the time.

There are often good reasons for a tendency to be over-responsible for the feelings of others. Many of us come from families where there was an unspoken expectation that a child must be “good,” because one or both parents were unable to tolerate the challenge of even normal childhood misbehavior. Or sometimes, children develop an unconscious habit of caretaking for others as a way to get their own needs met.

Read the Article

Does Your Personality Style Put You at Risk for Postpartum Depression?

mother baby

By Meri Levy, MA, MFT

What are the risk factors for Postpartum Depression and anxiety? Can your personality contribute to your risk? Check out this article of mine, published on www.GoodTherapy.org.

Returning to Work After Parental Leave

By Meri Levy, MFT

Regardless of what you decided about working after the birth of your baby, facing the reality of going back to work or staying at home once the baby is born can be a very stressful time. Many moms, even those who were certain that they wanted to return to work after their maternity leave, have very conflicting feelings about the reality of returning to work. And some moms who always planned on staying home after having children face unexpected emotional challenges in facing the reality of looking toward a future at home full-time with their child.

What is hard to anticipate when considering the decision to work or stay at home before the baby is born is how big a loss either decision represents. For moms returning to work, it is common to feel:

  • An enormous sense of loss associated with leaving your baby in another’s care
  • A concern that her child will be irreparably harmed by the separation from you
  • Anxiety about being away from your baby and having your baby’s care outside of your control
  • An unexpectedly strong desire to quit your job and stay home with your baby
  • Guilt associated with having a desire to return to work or resentment at having to go back to work
  • A feeling that you must rush through your workday to return to your baby as quickly as possible, for fear your baby will forget you, or you will miss important moments.

For moms choosing to stay at home, it is common to feel:

  • An unexpected sense of loss associated with no longer receiving the validation of purpose that is so often gained by outside work and receiving a paycheck
  • A sense of vulnerability associated with being dependent upon their partner’s income
  • Guilt associated with conflicting feelings about leaving the work world
  • Boredom with the tasks of mothering and loneliness, especially in the early months before the baby becomes more interactive and you find activities you enjoy with your baby
  • Loneliness and isolation associated with being at home with a small baby, especially before you connect with other new mothers at home with their babies.

These feelings can be very confusing, and new moms often struggle with the decision regardless of what their prior plans were. As a new mom, your entire world has changed, your priorities have shifted, and your now occupies a huge place in your heart. It can be a struggle to align the new role of motherhood with the values you previously held. Many moms change course and decide to stay home despite having planned to return to work, or choose to go back to work full or part-time despite planning to remain at home. Financial considerations play a big role in this decision, as does the developing relationship with your baby, your own clarification of your needs and wants, and your relationship with your partner.

Many mothers seek therapy during this time. Getting help to clarify your feelings about returning to work, exploring alternative work arrangements or more flexible careers, and getting validation for your choices can make this difficult time of transition go smoother. Whether you ultimately decide to stay at home for now or return to work, making decisions from a place of self-compassion, and understanding that there is no one “right” answer can allow you the freedom to honor who you are and who you are becoming.

Postpartum Depression and Perfectionism

canstockphoto10868712I recently had an article published on GoodTherapy.org about how your personality style can put you at risk for Postpartum Depression. Check it out on GoodTherapy.org.