Pregnancy and the postpartum period are very vulnerable times. Our bodies change in ways that can feel scary and uncomfortable. It’s also a time when a lot of birthing people experience somatic complaints. Symptoms often include morning sickness and the typical aches and pains of pregnancy and new parenthood. But they can also include sciatica, vertigo, migraine, heartburn, wrist pain, back and neck pain, and even Hyperemesis Gravidarum (severe nausea and vomiting during pregnancy). These symptoms can be scary, and they can make us believe that there is something seriously wrong with our bodies.
When we are experiencing symptoms that scare us, that fear turns up the dial on our perception of those sensations. And those of us who tend to experience these symptoms the most during pregnancy and the postpartum period are folks who “somatize” our stress and emotions — often those of us who’ve experienced childhood adversity and who are also susceptible to depression and anxiety.
I am one of those people. I’ve struggled with chronic symptoms since childhood, including asthma, IBS, TMJ pain, wrist pain, bladder symptoms, etc. But after the birth of my second child, my physical symptoms were the worst I had ever faced. My postpartum anxiety presented as somatic symptoms—constant, overwhelming dizziness and nausea that made it difficult caused me to be unable to care for my children. At the time, I didn’t connect these symptoms to stress or self-neglect, but in hindsight, they were clear signs that I needed better boundaries and self-care. With therapy and support, I learned to prioritize my own well-being, and slowly recovered.
I now know how common it is for new and expecting parents to experience both psychological and physical symptoms during the perinatal period. It’s an incredibly vulnerable time, and stress commonly shows up in the body. The good news is that these symptoms—whether depression, anxiety, vertigo, or pain conditions like headaches, dizziness, wrist tendinitis, neck pain or sciatica—are highly treatable.
As a therapist specializing in perinatal mental health and neuroplastic symptom recovery, I help clients heal both physically and emotionally, so they can return to the full, balanced life they deserve. How we engage with our physical symptoms can either exacerbate or heal them. Pain Reprocessing Therapy teaches us how to view physical sensations from a lens of safety, so sensations are not amplified. And Emotional Awareness and Expression Therapy helps us release strong emotions that can contribute to tension and symptoms in the body.
Psychotherapy can also support birthing people in learning to prioritize our own well-being as we are learning to care for our babies. Not abandoning ourselves while caring for our family helps us become healthy parents in body, mind, and spirit.
Take this Quiz to help you determine if your chronic symptoms are likely neuroplastic.
An article I wrote for GoodTherapy.org about psychiatric medications in pregnancy, in response to the recent biased article in the New York Times Health Blog (9/1/14). 
I 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