Mom & Mind

Today’s important topic is near and dear to my heart. We are discussing what it’s like to be a highly sensitive parent, and if you’ve listened for very long, you know that I am a highly sensitive parent. We can’t shy away from this topic, because it affects many parents, and it puts a different spin on the challenges that are part of the journey to parenthood. Join me to learn more! Amy Lajiness, LCSW, PMH-C, is a psychotherapist and parenting coach with nearly a decade of experience in working in the field of mental health and wellness. She is passionate about teaching highly sensitive, empathic, and overwhelmed moms how to harness their strengths and manage challenges to thrive in parenthood. Amy provides therapy for women and parents in California and offers resources, courses, and video coaching for highly sensitive parents around the world. Amy helps us understand what it’s like to be a highly sensitive parent, along with the ways sensory overload and multiple competing expectations cause parents more stress. Amy shares practical ways to reduce sensory overload and overstimulation and ways to create realistic expectations for yourself as a parent. Being a highly sensitive parent comes with many gifts, and these gifts can be leveraged in positive ways to support yourself and your children. Show Highlights: How Amy realized in her 20s that she experiences the world in different ways–and that was magnified as she became a parent How Amy’s mission became to support parents who don’t fit into a set “box” of postpartum depression or anxiety but find parenting difficult because of their sensitivity The basics of what it means to be an HSP (highly sensitive person) parent: feeling guilt, having a hard time keeping up with parenthood demands, feeling rage/irritability/desire to escape, and losing touch with who they are outside of parenthood How the acronym DOES can be used for the scientific explanation of being an HSP: Depth of processing, Overstimulated easily, Empathy, and Sensitivity to subtle stimuli Why it is important to realize that the signs of an HSP in parenthood can be gifts in certain ways Why highly sensitive parents have to give themselves permission to take a break and take care of themselves–before they hit the WALL How highly sensitive parents deal with stress, overload, and multiple expectations Why highly sensitive parents need to look with introspection and understanding at what they CAN and CAN’T do Practical tips for HSP parents for reducing sensory overload (beyond therapy), like taking micro-breaks, finding balance, setting timers, establishing boundaries, etc. Why we need to dismantle the myth that “good parents” want to be with their kids 24/7 and never need breaks Why the main gifts of HSPs are attunement, empathy, and mindfulness, along with experiencing beautiful things with our children and connecting with them physically and emotionally Resources: Connect with Amy: Website, Instagram, Facebook Visit Amy’s website, find what you’re looking for, and apply coupon code “MOMANDMIND” for 20% off any purchase through all of 2023! Books mentioned in this episode: The Highly Sensitive Child, The Highly Sensitive Person, and The Highly Sensitive Parent (all by Dr. Elaine Aron) Visit www.postpartum.net for resources! I’d love to hear from you! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is about the effects of sexual abuse on pregnant, birthing, and postpartum people. This topic may be difficult for some, even though we are not discussing specific details of sexual abuse events; please determine for yourself whether you are ready to listen to this episode or not. You can find all of our episodes available for you whenever you are ready at www.momandmind.com. If you are ready, join us to learn more in today’s episode! Deborah Flam is a reproductive therapist in New Jersey. She is also a volunteer support group facilitator and a NJ Support Coordinator for Postpartum Support International. She is on the board of PSI-NJ as the Community Outreach and Engagement Board Member. Her training is in perinatal mental health, infertility, birth trauma, perinatal/infant loss, and compassionate/bereavement care. Deborah also has specialized training on the impact of sexual abuse on childbearing individuals. She has volunteered for the Ocean County Sexual Response Team as a Confidential Sexual Assault Advocate and provided training for nursing and social work students on issues related to sexual abuse. In sharing her personal story, Deborah explains how her trauma history impacted her pregnancy and postpartum experience. She also shares how clinicians can help prepare sexual abuse survivors for their baby’s birth and how medical professionals can provide trauma-informed care. Show Highlights: Deborah’s story of anxiety that began with her positive pregnancy test and escalated to depression–even though she was already seeing a therapist How she was in complete denial about her pregnancy, feeling like the baby was a parasite in her body How her labor began at 35 weeks in an unexpected way–and she didn’t feel anything and was eventually sent home How her 37-week appointment found her in labor again—and her son was born a few hours later How Deborah’s postpartum anxiety, depression, OCD, avoidance, and intrusive thoughts plagued her after giving birth How she learned that the pregnancy and postpartum experience can feel terrible What the statistics say about the likelihood of women experiencing physical and/or sexual violence in their lifetime Why many sexual abuse survivors feel shame, fear, and fragility related to pregnancy and their medical care How the gender of the baby can trigger fears and strong emotions among survivors, along with the common medical practices related to pregnancy and birth How some survivors are triggered by fear and shame around bodily functions and bodily fluids during labor and delivery How even the sights, sounds, and smells of the hospital can be triggering for survivors Why nursing personnel should be attentive to the passive patient who seems calm and perfect, the patient who is completely dissociated from the experience, and the “difficult” patient Deborah’s tips for how medical providers and therapists can show up better for sexual abuse survivors in very simple “workarounds” How Deborah’s PMADs experience has led to beautiful healing Resources Connect with Deborah Website Resources mentioned in this episode and recommended by Deborah: RAINN Black Mamas Matter Alliance Time’s Up FORGE Anti-Violence Project The Network La Red Survivor Moms' Companion When Survivors Give Birth book by Penny Simkin It's OK That You're Not OK book by Megan Devine Visit www.postpartum.net for resources! I’d love to hear from you! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Many people experience some kind of mental health condition through pregnancy and postpartum. The reproductive journey brings many challenges, and today’s guest gives us a glimpse into her story of recurrent loss, pregnancy, postpartum, and how she came to self-advocacy and empowerment through her challenges. Join us to hear Megan’s story! Megan Monds fills many roles in life, none more important to her than mother to her two small children, ages 5 and 3. She is a highly-sensitive person who works as a mental health therapist for children, adults, and families. Her passion is working with children and adults with complex trauma histories, and she has her own lived experience with anxiety, depression, and trauma. By sharing her story, she hopes to empower and validate others who are facing a challenging journey to parenthood. Show Highlights: How Megan’s story includes three miscarriages before giving birth to her first child How Megan coped with her first miscarriage by using avoidance–and carried on with her very busy life How two more miscarriages occurred during the next two years, and they didn’t seem as emotionally jarring as the first one even though childhood trauma reappeared How her first full-term pregnancy was hard, making it difficult to connect to her baby How her induction and all the medical interventions did not follow her birth plan at all–again, feeling like it was all happening TO her and beyond her control How Megan saw a therapist and did the work on herself after her daughter was born How she felt more whole, healthy, and understanding during her next pregnancy with her son–much different than her pregnancy with her daughter How her son’s birth played out in a much more peaceful way than the raw and intense birth of her daughter How Megan’s sensitivity and anxiety contributed to her trauma response and impacted every aspect of her emotional experience How Megan realized with her second birth that she could have more control over her environment and her mental state What Megan wants others to know about mental health and getting support Why it is empowering to realize that your experience is more important than what any expert or provider might say, especially when “there isn’t research to support your experience” Why it’s OK if your needs and preferences don’t make sense to others Why it’s important to come at your challenges from a place of curiosity instead of rigid expectations Resources: Connect with Megan: Instagram Visit www.postpartum.net for resources! I’d love to hear from you! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Those trained in perinatal mental health can still struggle with perinatal mental health conditions. Having professional knowledge of the issues doesn’t make someone immune from any mental health problems. I’m grateful that today’s guest is sharing her story to show that those in the helping professions can experience the same struggles that any other person does. Join us to hear Kelsie’s story! Kelsie Hammons is a Licensed Clinical Social Worker and Certified Perinatal Mental Health Therapist in Arkansas. She became a mother in early 2020, which meant that her entire postpartum experience took place during the height of the COVID-19 pandemic. Although she was trained and knew about the supportive tools to mitigate postpartum stressors, she struggled with the additional unpredictable layers of stress in healing from her traumatic birth experience while the pandemic was raging. She attempted to find her own rhythm during the isolation as she felt that she was mothering against the current. Kelsie’s experience lit a fire within her to work to support women during these transition times and help them feel more connected and regulated. Show Highlights Kelsie’s professional career launched about the same time as her pregnancy with her baby, born in February 2020 Her birth didn’t go as planned and required an emergency C-section–and then her postpartum coincided with the pandemic shutdown A struggle to find her new identity as a mother while feeling isolated and unsupported What supports Kelsie had in place before her birth Gaslighting herself and her feelings of anxiety until she reached out for help when her daughter was several months old Kelsie coped with what she knows now was a trauma response Healing has to come at its own pace–and how Kelsie learned this through therapy work Why it was monumental for Kelsie to process her birth experience How Kelsie is able to offer regulation tools to women with understanding because she knows what worked best for her Problems occur when external pressures interrupt internal values for new moms Kelsie’s work has transitioned to Heart Led Mental Health Resources Connect with Kelsie Website (coming soon!) and Instagram Thrive Counseling and Wellness Visit www.postpartum.net for resources. I’d love to hear from you! Click HERE for information on the grief course. Visit my website for more information, resources, and courses you can take today! Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s focus is on thinking ahead in your perinatal mental health journey. Most of us learn about our problems as they are happening, and we have to learn how to cope along the way. When someone who has “been there” is open and honest about their experience, we can plan ahead and be better prepared. Join me to hear the journey story of today’s guest. Kayce Hodos has spent the better part of her 20+ year career in mental health focused on loss and life transitions. After having her son in 2012, her coping skills were put to the test as she struggled through the darkness of postpartum depression and anxiety. With the help of her therapist and supportive husband, Kayce was able to climb out of her pit of despair. When she was healthy again, she had a newfound passion for supporting women through their adjustment into motherhood. Today, she works to empower new mothers with real life strategies for thriving while caring for a tiny human. Show Highlights: An overview of Kayce’s journey into motherhood from 2012 until now How she struggled with breastfeeding, sleep deprivation, and the overall transition into motherhood–even though she had a great support system How crawling out of the pit of depression inspired Kayce to help other mothers Why prevention of mental health problems is missing in preparing new parents for the birth of their child How we can help people learn about perinatal mental health–and prepare them for the possible difficulties How preparation and prevention of mental health problems can happen during three phases: pregnancy, problem-solving, and parenting Why it’s important to build in practices and local resources to support your mental health Why there is a BIG need for providers to be honest with women about perinatal mood and anxiety disorders so they aren’t so scary to encounter Resources Connect with Kayce Website and Instagram Visit www.postpartum.net for resources! I’d love to hear from you! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Talking about your own mental health can be even more difficult if you work in the mental health field. There is shame and stigma attached to a therapist who admits that they need help because the assumption is that therapists don’t need help with mental health. My guest shares her story of postpartum struggles and the effect on her relationships and life as she experienced stress, anxiety, and isolation when her second child was born during the pandemic. Join us to hear her perspective. Laura Galindo is a Licensed Marriage and Family Therapist in California, New York, and Connecticut, where she currently resides. She has been in the field for over a decade, providing therapy for individuals who have chronic mental illness, and she works with those who are actively serving in the US military. She runs her private practice in Connecticut, where she is certified in DBT (Dialectical Behavior Therapy), EMDR, and perinatal mental health. Show Highlights: How Laura’s second daughter arrived just days before the world entered the COVID shutdown How Laura’s maternity leave ended up not going according to the plan, along with feeding problems with her newborn How the pandemic shutdown prevented Laura from receiving the help she needed and left her feeling very isolated How Laura felt “mom guilt” very deeply and still feels resentment about the pandemic Why it was hard for Laura, the therapist, to admit that something was wrong with her How seeing a therapist for EMDR and using “movement as medicine” began to help Laura in many ways Why Laura was torn and conflicted about returning to work and felt guilty about cutting her maternity leave short How Laura finally realized that she had to “fill her own cup” before trying to be a good wife, mom, and therapist How Laura faced the questions from coworkers about shortening her maternity leave– and handled the additional anxiety of learning the new telehealth system Why Laura questioned her therapy skills and knowledge because of her unrealistic expectations for herself Why Laura became certified in perinatal mental health as a result of her experiences How Laura first realized that it was time for her to seek help What Laura would say to struggling parents Resources: Connect with Laura: Website and Instagram https://www.thrivecounselingandwellnessgroup.com Visit www.postpartum.net for resources! I’d love to hear from you! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to another episode and a New Year! A new year brings times of reflection, especially with all that we’ve been through over these last few years with the pandemic, and some people are still struggling with getting back to “normal.” Wherever you are, it’s OK to be integrating into this new normal in whatever ways you can, and every decision is part of a more complex dynamic. Today’s focus is on the burnout that comes with holiday celebrations and the reintegrating we are doing around social gatherings and traditions. Let’s talk about these issues that might affect you wherever you are in your reproductive journey. Join me! Show Highlights: Why decisions are especially tough when they might affect the health and safety of your family Why holiday burnout is a very specific type of burnout with multiple layers Why the overwhelm that was suppressed during the holidays may be showing up now How feeling like a failure is a common emotion after the holidays–both from the way OUR holidays played out AND from what we see on social media from others Why perfection needs to come out of the conversation and expectations Why I hope normalizing these post-holiday feelings can bring a new perspective Why taking time for rest and recovery can take the pressure off–Give yourself permission to rest! Why awareness and naming things are big parts of taking care of ourselves How to check in with yourself by asking, “How am I doing? What do I need TODAY?” Why making changes to shift things for the better will usually cause stress and discomfort at first—but attending to yourself in this way is essential Resources: Visit www.postpartum.net for resources! I’d love to hear from you! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s focus is on pediatric occupational therapy and how it helps many families with a variety of feeding, swallowing, and developmental issues. My guest shares her exciting work and her experience in helping struggling parents with physical difficulties AND mental health. Join us to learn more! Aviril (Apple) Sepulveda, OTD, MS, OTR/L, BSP, SCFES, IBCLC is a board-certified pediatric occupational therapist with over 20 years of experience. She spent most of her career in pediatrics at a children’s hospital in metropolitan Los Angeles where she specialized in infant feeding and swallowing and infant development. She also holds the AOTA Specialty Certification in Feeding, Eating, and Swallowing (SCFES). In addition to her doctorate in Occupational Therapy, she is earning her Ph.D. in Translational Health Sciences at George Washington University. Her clinical areas of expertise include occupational therapy interventions on infant development and feeding, pediatric feeding and swallowing in medically-complex children, sensory processing, lactation, and maternal and infant mental health. Dr. Sepulveda received a fellowship from the Robert Wood Johnson Foundation Clinical Scholars Program from 2016-2019, including grant funding for community-based participatory research to address mental health disparities among Filipino immigrants through parenting programs. She co-founded Nurture Collective to address the gaps in early intervention practice. Her vision for Nurture Collective is to integrate parental mental health in early intervention for children at risk for developmental delays. Show Highlights: How Apple’s journey brought her to the work she does today How she realized the systemic issue (and the broken system) of overlooking the care of moms in treating their babies An overview of occupational therapy and the work of an infant feeding specialist Why feeding issues add a lot of additional stress and shame for parents What Apple notices about the screening process for postpartum depression and why support partners are important for primary caregivers How Apple’s work tries to connect parents with available services that can alleviate their stress in many areas How infant mental health is shaped by their environment and experiences Why special needs kids need their moms to be “on” all the time–which is difficult How Nurture Collective works to support parents Dr. Apple’s basic tips for struggling parents Resources: Connect with Dr. Apple Sepulveda: www.mynurturecollective.com Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Having a perinatal mood disorder is challenging on its own, but it becomes even more difficult in rural communities where the right resources are not readily accessible. In addition, rural areas are made up of small communities where everyone knows everyone else’s business, which further stigmatizes anyone seeking mental health resources. My guest shares her experiences and explains how she found the help she needed. Join us! Hannah Helms is a spouse, trauma therapist, and mother of three. She currently lives with her family in the Pacific Northwest. She experienced perinatal and postpartum anxiety following the birth of her third child in 2018. At the time, she lived and worked in her northern California hometown, and she faced the unique challenges of trying to seek treatment in a rural community. Show Highlights: How Hannah’s story begins with life in her rural hometown and her first pregnancy in 2014–followed quickly by a second pregnancy and children only 15 months apart How Hannah looks back with more understanding about the postpartum rage she felt in those days—but she didn’t know what to call it How Hannah attempted to get counseling, but the therapist had no clue about postpartum issues How Hannah dealt with her third pregnancy in the middle of her MSW program while working full time and being a mom to two toddlers Why social work in a rural community is more challenging than in other places How panic attacks began to occur for Hannah as her anxiety became more severe How Hannah began weekly visits with her primary care provider after her third child was born How Hannah found the help she needed through a telehealth therapist How her family culture and rural culture contributed to the bias she felt about mental health help How “spiritual bypassing” plays into mental health issues, especially in more rural areas How Hannah has learned a lot about PMADs AFTER her third pregnancy–because there is more awareness, more screenings available, and she knows better now How we can do better in offering peer support and eliminating barriers What Hannah thinks we should do in rural communities to increase awareness of PMADs What people in rural communities can do when there aren’t qualified mental health professionals in their towns How Hannah found help, healing, and self-compassion–and how we can offer more help to others Resources: Connect with Hannah on Instagram Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Pregnancy and the postpartum bring multiple challenges. The difficulties can escalate to a much higher level when a mental illness is involved. The good news is that a new mom can survive and thrive with the right support and medication, but the journey to reach that point is not easy. Join us to learn more about one young mother’s journey to parenthood with Bipolar 1. Emily Collins is a young millennial woman living with Bipolar 1. She shares what it’s like to navigate life as a mother and professional while dealing with mental illness. Emily gives us a glimpse into her experience with a high-risk pregnancy, an emergency C-section, and a premature infant who had to spend eight weeks in the NICU. In sharing her story, she helps us understand how she was able to cope and find healing over time despite the many challenges. She is married to her college sweetheart, and they have three children, ages 9, 6, and 4. A pre-kindergarten teacher by trade, Emily’s Instagram account, Lattes and Lithium, pulls back the curtain on what her life is like with bipolar disorder. Show Highlights: What it means to have a bipolar disorder diagnosis (also called manic depression) How Emily first knew something was wrong and felt depression and went through anorexia at age 15 How bipolar disorder and hypomania began to take over Emily’s life during her college years How medication started calming Emily and helped her feel grounded and normal again How Emily’s care team of her husband, therapist, and psychiatrist help her stay grounded today Why it was a difficult decision to stay on her medication during her first pregnancy How her first two pregnancies and deliveries (2013 and 2016) went well with no problems or harmful side effects of Emily’s medication How things were very different with her third pregnancy in 2018 with two frightening bleeding episodes prior to 18 weeks After an ultrasound showed a subchorionic hematoma as the cause of bleeding, her pregnancy took a turn for the worst around 21 weeks with another heavy bleeding incident, total bed rest, and a minimal chance for her baby’s survival How unusual pain and more bleeding at 28 weeks sent Emily to the hospital, where the diagnosis was a partial placental abruption With more severe bleeding, an emergency C-section took place to deliver her son–who went directly to the NICU as a four-pounder in relatively good health How Emily’s hypomania manifested itself with an obsession about being at the NICU to be with her son Why Emily became involved with volunteering at the hospital, wrote articles, and secured an internship to advocate for premature babies—all as a result of her hypomania How Emily’s hypomania lasted for about a year and was followed by severe depression and psychosis for several months How her bipolar took her through alternating episodes of hypomania and severe depression for the next few years with several different medications and a stay at a treatment facility Why mothers of babies in the NICU usually experience forms of PTSD How Emily experienced paranoia as another symptom of bipolar disorder during her postpartum Why there is a sort of grieving process for the time when Emily struggled after her son’s birth What Emily wants people to understand about bipolar disorder and pregnancy/postpartum Resources: Connect with Emily: Lattes and Lithium Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

My guest today shares her story of pregnancy and postpartum where she experienced “the sampler platter” of issues. Her experiences were varied, and they amounted to more than just the classic PPD symptoms. Because she didn’t understand what was happening, she felt like she was a bad parent in every way even though she appeared to be doing “just fine.” Maybe you–or someone you know–can relate to Alison’s story. Join us to learn more in today’s episode! Alison Staiger is a licensed clinical social worker certified in perinatal mental health. She owns Highwire Therapy, a solo private practice serving clients in Illinois and Louisiana, specializing in full-spectrum reproductive mental health through a feminist lens. Her coaching practice, The Matriarchy, helps feminist mothers use rebellious anger and fierce care to lead their families and small businesses with pleasure, purpose, and personality. Alison shares her personal story, along with her perspective on American motherhood and why we need a new culture of care. Show Highlights: Highlights of Alison’s story of unexpected motherhood around age 30 How Alison worked through an eating disorder and several challenges that left her feeling disoriented during pregnancy How medical interventions furthered Alison’s belief that she wasn’t prepared for motherhood and led to an emergency C-section to give birth to her daughter How Alison had to prove that she was OK and handling everything while she was in panic mode on the inside and felt totally dysregulated How it took slow work with a therapist for Alison to believe that she was allowed to have self-compassion Why Alison had the realization with the 2016 election that she wanted to have more autonomy Why Alison felt like she wasn’t showing up as a mom and in her life like she wanted How things began to shift and change for Alison as she gained a new perspective on her feelings How Alison learned that rebellion and anger against society’s norms can be part of being a good mother How she learned that it was OK to be “anti-perfectionist” and question every voice she hears How Alison’s healing became the context for the work she does today to help other moms Why much of parenting is wrapped up in trauma responses–and we don’t even realize it How our societal structure systems of parenthood and perfectionism make it difficult for moms to ask for care and receive care How Alison stresses to her clients the need to drop into their sense of identity as an internal reconnection How Alison offers support to families through her therapy private practice and coaching practice What Alison wants parents to know about becoming a new parent Resources: Connect with Alison: Therapy Website, Coaching Website, and Instagram Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Our story comes from a postpartum depression survivor during the COVID-19 pandemic. It’s normal for parents to have worry and anxiety when sickness is raging all around them, and these feelings are exacerbated by any sort of mental health condition. My guest shares her experience–and success story–of finding the help she needed in the middle of the pandemic. Many people will resonate with her story, so tell a friend—and join us now to learn more! Courtney Ginder is a mom, wife, and a postpartum depression survivor. She became a mom in February 2020, and three weeks later is when the world shut down due to COVID. Courtney and her husband were first-time parents who were cut off from their support network as they rode out colic and silent reflux with their newborn daughter. Courtney feels lucky that she was able to get help for postpartum depression during the pandemic, and she has become a passionate advocate for perinatal mental health, making sure that no parent feels alone. She is a part-time social media and graphics specialist for Postpartum Support International, the Social Media Chair for the Indiana Chapter of PSI, and a Climb Leader for Climb out of the Darkness in Indianapolis. She writes a blog about postpartum depression recovery, parenting, and mood disorders at Beyond Postpartum Depression. Show Highlights: How Courtney and her husband enjoyed about three weeks of normal parenthood before the pandemic shutdown of March 2020 How colic and the “witching hours” set in for her baby Why Courtney tried to justify her early postpartum depression symptoms How Courtney felt like she was drowning with her daughter’s constant feeding schedule and demands How Courtney began thinking intrusive and irrational thoughts and blamed herself for her daughter’s difficulties with silent reflux, thrush, and colic How Courtney and her husband dealt with the baby’s constant crying How her husband insisted that she reach out for help Why Courtney was devastated about not being able to have her six-week postpartum visit in person How Courtney admitted to her doctor that she had postpartum depression and needed help How things improved for Courtney’s mental health and her daughter’s physical issues The reality that someone can be suffering from postpartum depression while appearing perfectly normal to other people How Courtney became involved as an advocate who wanted to do more for struggling mothers How postpartum depression is misrepresented and misnamed in the media How Courtney’s advocacy work gives great meaning to the suffering she went through as a new mom Resources: Connect with Courtney and her resources: www.beyondpostpartumdepression.com, Instagram, Facebook, PSI Indiana Instagram, and Climb Out of the Darkness Instagram Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s story is from a mom who experienced postpartum depression, anxiety, OCD, and rage. Many of us have been through one or more of these symptoms, and it’s especially hard for mental health providers to acknowledge these conditions. Postpartum depression and anxiety can take you by surprise, even if you know what to look for in the symptoms. Join us to hear more from Rosalinda in today’s episode. Rosalinda Heider is a Licensed Clinical Social Worker who received her Bachelor’s in Social Work from West Texas A&M University in 2006 and Master’s degree from the Baylor University School of Social Work in 2008. She has spent the last 12 years working as a mental health and suicide prevention social worker for the Department of Veteran Affairs. In her motherhood experience, she became aware of the lack of support for new mothers who are struggling with mental health. After starting a postpartum support group for mothers in her community in 2017, she also began a virtual postpartum support group within the VA for female veterans. Rosalinda joins us to share her story and her message to those with postpartum struggles, that they can come out stronger than ever with the right type of support and treatment. Show Highlights: An overview of Rosalinda’s story as a social worker and her first pregnancy with her daughter How the pregnancy and birth went well but there were a few feeding issues with her newborn How going dairy-free and chiropractic care helped the feeding/colic situation How Rosalinda began being tearful and emotional and thought it was normal, never realizing she was experiencing postpartum depression and anxiety Why Rosalinda saw her primary care doctor for a postpartum depression screening–and cried all the way through it Why a postpartum depression diagnosis brought a sense of relief to Rosalinda and a realization of how common her feelings are How she felt alone in her diagnosis until she found support in talking to other moms Why Rosalinda didn’t enjoy motherhood until her daughter was about 5-6 months old How therapy and medications helped with the depression, anxiety, and intrusive thoughts How a simple suggestion from her therapist helped Rosalinda get better sleep and combat anxiety Why Rosalinda started a support group for moms in 2017 Why it’s therapeutic just to share your story and have it validated by others–knowing you are not alone in your experience How it took a couple of years for Rosalinda to feel normal again because she felt angry and frustrated so much of the time–and struggled to hold her marriage together How Rosalinda realized and felt shame over all the times she blamed her husband for their problems Why social media doesn’t give a true picture of what people are experiencing—and can make some moms feel even more isolated A glimpse into Rosalinda’s support group for moms Resources: Connect with Rosalinda: Postpartum Support of the Texas Panhandle Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Even though postpartum anxiety is common and carries less stigma than it once did, things escalate to a whole new level when a birth defect diagnosis enters the mix. The stress and anxiety of a mother, father, and caregivers are compounded when new parenthood involves caring for a baby with special needs, and these parents feel more alone than ever. My guest today shares her story to let other parents know they are not alone in their struggles. There is hope, there is help, and there are resources! Join us to learn more! Robin Giesen is a certified perinatal mental health therapist who experienced postpartum anxiety herself. That anxiety was further compounded by the news that her son had a rare birth defect. Robin explains what craniosynostosis is, and how her son’s condition impacted her anxiety. After that totally unexpected diagnosis with her firstborn, her second pregnancy brought the same diagnosis to her second son while in utero. She explains how she coped and why she is invested in helping other parents who are going through similar circumstances. Robin is a Licensed Marriage and Family Therapist in Long Beach, CA. She is certified in perinatal mental health, leads a postpartum anxiety group at her practice, and is a Bringing Baby Home educator. Robin opens our eyes to the rarely-talked-about situation of how a birth defect and caring for a special needs child impact a mother’s mental health. Show Highlights: How Robin’s well-controlled autoimmune disorder brought her worry and anxiety as she experienced her first pregnancy almost 11 years ago How an emergency C-section and a NICU stay complicated what she thought would be a normal labor and delivery How Robin began thinking that some harm would come to her baby if he wasn’t right beside her Why Robin started taking medication to “take the edge off” of her anxiety and intrusive thoughts How Robin noticed something strange about the shape of her son’s head, saw a pediatric eye doctor, and received the diagnosis of craniosynostosis Robin explains craniosynostosis and its impacts How Robin went through the unimaginable scenario of neurosurgery for her newborn son Why Robin felt guilt over her son’s diagnosis and anxiety in preparing for his surgery Why Robin is adamant with her clients today about coregulation and how it begins How Robin’s second pregnancy (through IVF) revealed that her unborn son also had craniosynostosis How her second son was delivered via planned C-section with a totally different outcome—and no anxiety for Robin even though she faced another surgery for her baby Why Robin realizes that she should have done more than talk therapy after her first son’s birth How Robin helps support other moms facing similar situations with their children Resources: Find resources for craniosynostosis and other cranial issues: Cranio Care Bears and Faces Connect with Robin: Website, Facebook, and Instagram Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

I’m excited to introduce you to my guest, who is doing amazing work with fathers. His work is very important and very needed in today’s world, and he’s working to combat the negative stereotypes around uninvolved fathers. I met him recently at the Postpartum Support International conference, where he won an award for his work, and I knew we needed to hear more from him on the show. Join us! Reginald (Reg) Day is a Certified Lactation Consultant, creator of the Get At Me Dad podcast, fatherhood expert, and Southeast Michigan IBCLCs of Color. He is the co-facilitator of the Nature’s Playhouse Fatherhood support group and a community health worker. He has also co-facilitated a community-based birth and breastfeeding support group, “Meet, Nurse, Love,” where he has served by mentoring alongside fathers in supporting their birthing and breastfeeding partners. The married father of two children, who were both breastfed, has made it his mission to change the narrative of how fatherhood is viewed in BIPOC populations. Reg lives out his passion for people by serving as an associate pastor at his local church. He is a fatherhood and family advocate who believes that great communities begin with strong families. He makes his home in metro Detroit with his wife and two children. Show Highlights: How Reg came into the work he does today as a way to reframe his personal experiences around fatherhood How mental health issues carry a stigma in the Black community Why Reg felt unseen, unheard, and devalued as an expectant and new father How therapy became the turning point for Reg, providing an outlet and a healthy way to deal with the stress of fatherhood Why Reg chose to use his experience to help others in changing and challenging the system Why the value of a father can never be underestimated How fathers can advocate for themselves in a system that isn’t listening to them What Reg’s platform, Get At Me Dad, is achieving in educating and supporting fathers What Reg does through his extremely rare role as a Black male lactation consultant How Reg teaches fathers to recognize the signs of postpartum depression and anxiety Why Reg works to get more Black fathers involved to help save communities and bring others out of darkness How the stereotype of Black fathers doesn’t match up with the reality of Black fatherhood How Reg gets his message to the fathers who don’t think they need help and support What Reg wants Black fathers to know Resources: Connect with Reg: Email and Instagram and Podcast Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Even in our modern world, we still have progress to make in terms of education around pregnancy, motherhood, and maternal mental health. Education and information are key in keeping parents from feeling blindsided and helping them feel supported when issues arise. Out of her personal motherhood experience, my guest is making an impact in the world for today’s new mothers. Join us to learn more! Anne Wanlund is a new mom who has been working in maternal/child health for most of her career, primarily in East Africa. Besides her work in maternal and child nutrition, she has been active in other humanitarian work in various corners of the world. She’s with us to share her story of being caught off guard in trying to manage her anxiety and mood during her pregnancy and postpartum. Through her experiences, she realized there was a huge neglected part of maternal mental health of which she was not aware, so Anne decided to dedicate her life to this issue through Canopie, a social impact company focused on preventing and addressing common maternal mental health conditions. In this episode, she shares her work today and what she wishes other moms knew about maternal mental health. Like me, Anne desires for more parents to know about these conditions so they know what options they have and what help is available. Show Highlights: How Anne came to the work she does today with nutrition programs for mothers and babies in East Africa and the US Highlights of Anne’s personal pregnancy experience in managing her anxiety How pregnant Anne was shamed by her doctor upon returning to the US from Rwanda How Anne felt much compassion for other moms and babies but didn’t allow herself the same compassion Why we don’t realize the distinction between those who are there to clinically assess and those who provide care How Anne realized that something wasn’t right in her pregnancy but never found the support she needed at the time How society pressures us into thinking we aren’t supposed to ask for help What Anne wishes every mom knew about motherhood and support What Anne wishes our society would do differently around maternal mental health A look at the work of Canopie to prevent isolation and offer support in motherhood Resources: Connect with Anne and Canopie: LinkedIn and Canopie Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

The world of parental leave is difficult to navigate. Understanding your rights, options, and the law can be incredibly confusing. How do you prepare for taking leave, being out on leave, and returning to work? It’s important to look at this issue collaboratively to make it a supportive situation for both the individual and the organization, and better family outcomes follow when BOTH parents have parental leave options. Join us for a closer look! Dr. Amy Beacom is the founder and CEO of the Center for Parental Leave Leadership, the first full-service consultancy in the US to focus exclusively on parental leave. She conceived of and began developing the field of parental leave coaching and consulting in 2006. Drawing on over 25 years in executive leadership, development, and coaching, Amy consults with Fortune 500 companies, international organizations, working parents, and more, to transform the way companies and our country engage with a parental leave transition. Amy is the co-author of The Parental Leave Playbook: 10 Touchpoints to Transition Smoothly, Strengthen Your Family, and Continue Building Your Career. Another guest today is Sue Campbell, the co-author of The Parental Leave Playbook. She is a writer, author, and coach who has worked with the Center for Parental Leave Leadership since its early days, helping to communicate the transformative impact of their core mission. Her writing, often focused on issues important to parents, has been published in many outlets, including Prevention, Good Housekeeping, Scary Mommy, and Mamalode. Show Highlights: How Dr. Amy and Sue came to this work surrounding parental leave through their journey into motherhood Why their book is the only resource of its kind How Sue came into the work around parental leave because of a difficult transition to parenthood Why parental leave is a systemic issue that employers need to address Why there is real clash in views about parental leave Why there are murky layers to figuring out what parental leave is available (Fact: FMLA is NOT paid leave and is not guaranteed to everyone.) Why their book is written for employees as a “coach in your hand” but applies to managers and HR supervisors also Why parental leave is a time frame that should be prepared for and planned well Why collaboration between managers and employees is vital around parental leave Why grace and kindness are needed regarding parental leave policies An overview of the ten touchpoints from the book in the three phases of parental leave Why the book is 100% applicable to each partner–every parent who is welcoming a child Why equity in caregiving leave for EVERY parent will help remove the unconscious bias in hiring decisions and promotional decisions in the workplace How perinatal mood and anxiety disorders are decreased when parental leave is in place for BOTH parents Words of hope for parents from Dr. Amy and Sue Resources: Connect with the Center for Parental Leave Leadership: Website, Facebook, Twitter, and Instagram Get the book by Dr. Amy and Sue: The Parental Leave Playbook: 10 Touchpoints to Transition Smoothly, Strengthen Your Family, and Continue Building Your Career. Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

To continue with our focus during Pregnancy and Infant Loss Awareness Month, Dvora Entin joins us for her second time on the podcast. Today, she will tell us more about the clinical side of perinatal grief and loss and deepen our understanding of how we can better help those in the grieving process. Join us to learn more! Dvora Entin, LCSW, PMH-C, specializes in reproductive and perinatal mental health with advanced training by Postpartum Support International, ASRM, and the MISS Foundation in compassionate bereavement. Dvora is a clinical consultant for several non-profits and is a lead trainer for Postpartum Support International. As an adjunct professor at the Wurzweiler School of Social Work, she developed a maternal mental health curriculum for MSW students and teaches Coping with Loss. A recent graduate of the Council For Relationship’s Sex Therapy post-graduate training, Dvora maintains a group private practice in Philadelphia and consults and presents nationally about mental health and supporting those who may be struggling. Show Highlights: What people might be surprised to understand about the perinatal grief and loss process Why experiences in the perinatal loss realm are under-acknowledged and confusing for people How perinatal loss encompasses so much more than just miscarriage and stillbirth How our society struggles around loss because we aren’t at all comfortable with death What the grieving person deals with over times, holidays, and special dates How Dvora helps clients deal with the fear of unraveling into grief How partners may grieve a loss and associated trauma in totally different ways Why grief is difficult when society and culture don’t allow us to experience our feelings What Dvora wants grieving parents to know about being present and mindful of their loss experience Why another child doesn’t fully fill the space for–or replace–your baby who died Why Dvora created a data-driven, compassionate grief course for therapists and others who support those in grief Resources: Connect with Dvora: Website Visit www.postpartum.net for resources! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

All through October, we are covering stories of those who have lived experiences of pregnancy or infant loss. As always with episodes with sensitive issues, please judge for yourself whether you are ready for this material. Know that the episodes are always available and waiting for you whenever you are ready. If you are ready, join me now for Jen’s story! Jennifer Burgard is a native of the upper midwest and is a mom to two living children and one who lives solely in her heart. Her titles include loss mom, living mom, wife, founder, podcaster, director, and most proudly–survivor. Upon the death of her second child, Jen set out to fill a gap in accessibility to resources, along with support and community for others also experiencing trauma. With personal experience of her own and her newly formed network, she launched Haven as a service to grieving parents in and around her region. Today, Haven has touched each of the 50 states with their healing gifts, podcast content, and online grief workshops. With a goal to bring awareness and understanding not only to child loss, but our grief culture in general, Jen is creating and building conversations through her podcast called Landscape of Loss. In today’s episode, Jen shares her story and talks about how trauma and PTSD around pregnancy and infant loss can look different from person to person. Her desire is to support families through these losses so they know more than anything that they are not alone. Show Highlights: A look at Jen’s story of the loss of her second child, a son, at 39 weeks How what Jen thought was her water breaking was a bleeding incident that caused her to pass out and undergo an emergency C-section while under anesthesia How Jen’s husband broke the news to her about the complete placental abruption and the grim prognosis that her baby would not survive due to lack of oxygen What it was like to only have 13 hours with their son before he took his last breath and then to face the grief process How Jen began to blame herself and believe she was being punished with her awful fate How her husband helped bring her up from one of her memorable “rock bottom” moments How Jen coped with returning to work part-time, learning to function in public, and building up her “muscle” to protect her heart How Jen’s mind went to ridiculous scenarios and spiraled in new ways that made no sense How therapy gave her the tools to cope with PTSD and build on the healing that had begun How to know when you are “OK enough” to help other people–and how this helped Jen heal even more Why child loss will still make you feel isolated and devastated, no matter how good your support system is How connecting with others and finding community helped Jen see the way through her grief The kinds of support that families need for healing and recovery Why it’s important to talk about our losses and honor the struggles we feel in going through grief What Haven does to offer healing, support, information, and community Hopeful messages and helpful tips from Jen Resources: Connect with Jen: Website, Facebook, and Podcast Visit www.postpartum.net for resources! Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Since October is Pregnancy and Infant Loss Awareness Month, we will be hearing stories of people’s lived experiences in these losses, along with experts who support families during these difficult times. While we honor all kinds of loss, today’s episode focuses on termination for medical reasons (TFMR), a pregnancy loss that deserves compassion and understanding. Join us for this important conversation with today’s guest. Sabrina Fletcher helps grieving parents in the aftermath of terminating a wanted pregnancy for medical reasons. Through community, support groups, and holistic healing, her clients learn to cope with grief and find ways to honor their babies. She chose to work with this specific type of pregnancy loss because she lost her baby in this heartbreaking way in 2018. Sabrina shares her story, as well as mental health concerns that accompany a termination for medical reasons. We will discuss the importance of community, the need to cut through the shame and silence in today’s supercharged political climate concerning abortion, and why there is a lack of trauma-informed care for TFMR patients. Show Highlights: Sabrina’s story of terminating a very wanted and planned pregnancy with her second child in 2018 How her daughter’s diagnosis of several serious issues came at the 11-14 week ultrasound scan How the doctor (in her home state in Mexico) was restricted because of the laws and forced her to choose a plan of action immediately The trauma and frustration that Sabrina went through in making her decision with no support, community, or continuity of care Why the rate of PTSD in TFMR patients is very high Why Sabrina decided to work toward providing support for others in similar TFMR situations Why community is the missing piece for TFMR losses because the loss isn’t acknowledged, recognized, and validated What Sabrina sees as the emotional impact of the silence and isolation that mothers with TFMR losses feel How political and religious considerations play into the emotions of TFMR losses How the shame and stigma around TFMR losses are internalized into emotional distress and hugely conflicting feelings How Sabrina’s work is supporting people for healing and recovery from TFMR losses Resources: Connect with Sabrina: Website, Instagram, Facebook, and TikTok Visit www.postpartum.net for resources! Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to today’s show! Parents have an unfortunate knack for being too hard on themselves, comparing themselves to others, and living in constant judgment of their decisions. This conversation takes a closer look at how self-compassion, understanding, and lighthearted humor can make the parenting journey easier. Join us to learn more! Dr. Carla Naumburg is a clinical social worker, mother, and the author of five nonfiction books, including her international bestseller, How to Stop Losing Your Sh*t with Your Kids, and You Are Not a Sh*tty Parent. She also wrote the upcoming book,How to Stop Freaking Out, which is the middle-grade adaptation of How to Stop Losing Your Sh*t with Your Kids. Carla infuses her witty sense of humor into her work and writing, bringing lightheartedness into subjects that are often filled with judgment, shame, and guilt. In this episode, she explains “Sh*tty Parent Syndrome,” why so many parents are suffering from it, and how self-compassion can make all the difference. Show Highlights: What Sh*tty Parent Syndrome is–and why you are NOT a sh*tty parent Reasons why SO many people feel like they are bad parents–(it comes down to the way our brains are wired!) Why social media causes us to compare ourselves to literally everyone in the world, both inside and outside our demographic Why it’s a gift when people are truly honest about their parenting experiences How Carla learned about self-compassion and how it benefits us as parents to squelch the anxiety and confusion How self-deprecation and self-contempt become our native language about parenting, especially for women Why we need to expect that chaos is the normal state of parenting–(why do we expect anything different?) A fresh look at “happiness” for parents and our kids How treating yourself with compassion (connection, curiosity, and kindness) reduces anxiety and depression and brings better mood and health Why it’s a BIG deal to find connection with the people who let you know that you are not alone How to use curiosity as the antidote to judging ourselves as a sh*tty parent How to treat yourself with kind self-talk (Hint: It takes practice!) Why we need moments of compassion every day Why parents should not judge themselves for the decisions they made during the pandemic Resources: Connect with Carla: Website, Instagram, and Facebook Order Carla's new book, You Are Not a Sh*tty Parent, in paperback, Kindle, or audiobook format! Visit www.postpartum.net for resources! Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s episode features a different take on perinatal mental health conditions. It’s a fresh and more expansive perspective on the things that take place in families during the perinatal process. This episode is loaded with helpful information, and I hope you’ll join us to learn more! Rebecca Geshuri and Jessica Sorci are Licensed Marriage and Family Therapists, Internal Family Systems (IFS) Therapists, and Perinatal Mental Health Certified. As co-founders of Family Tree Wellness in Silicon Valley, California, Rebecca and Jessica lead their one-of-a-kind IFS-informed group psychotherapy practice that provides counseling, education, and support for people who are in the family-building phase of life. They are wildly enthusiastic about creating trainings and supporting other therapists who want to deepen their knowledge and skill in using IFS and working in reproductive mental health. Most importantly, they are mothers on their own healing journeys who bring their own personal experiences with grief and growing, mixed with creative expression and spirituality to their work. Their goal is to heal the intergenerational burdens that are present in humanity. In this episode, Rebecca and Jessica share with us why perinatal mood and anxiety disorders need to be redefined, how IFS psychotherapy works in perinatal mental health, and why their practice offers training for therapists on the mother-centric approach to therapy. Show Highlights: How Rebecca and Jessica came into this work with motherhood and the perinatal population What the mother-centric therapy approach includes and why IFS therapy hits the major pain points for new mothers A basic overview of the Internal Family Systems (IFS) therapy model, which recognizes and approaches the different parts of a person in a non-judgmental, respectful, curious, and compassionate manner How someone becomes the “identified patient” is and why this person might need therapy Why the new mother should be viewed as more of a hero who is revered rather than merely a sick or broken patient to be diagnosed How perinatal mood and anxiety disorders (PMADs) should be redefined to acknowledge patriarchy and shame How IFS therapy and the mother-centric system focus on the shame and inner critic messages within a new mom to unburden her How Rebecca and Jessica look to address both the symptoms AND the shame A look at mother-centric therapy as a contrast to our baby-centric culture How Family Tree Wellness is offering training and resources for other therapists–along with an upcoming book! Resources: Connect with Rebecca and Jessica: Website, Facebook, and Instagram Visit www.postpartum.net for resources! Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

We learn many things from the stories of others. In our quest to spread information, education, and compassion about the many topics we cover on Mom & Mind, it is just as important to hear the lesser-known stories of what people have experienced. Today’s guest shares her story of postpartum-onset bipolar disorder that resulted in postpartum psychosis. Unfortunately, this occurs in more mothers than we are led to believe, and we need more understanding about it. Join us now for a look at this often misunderstood condition. Jessica Ekhoff has written a memoir of her experience with postpartum-onset bipolar I disorder and psychosis. Super Sad Unicorn: A Memoir of Mania will be published in early 2023 by New Degree Press, and it’s available for preorder now. Jessica is a trademark advertising attorney who is a figure skating, board game, and fiction enthusiast. She is a peer facilitator for Postpartum Support International’s support group for pregnant and postpartum women with bipolar disorder. She lives in Chicago with her husband and their young son. Jessica shares her journey with mania and psychosis that began a few days after her son’s birth and landed her in a psychiatric ward. Show Highlights: How Jessica’s symptoms began after the birth of her son, Wells, in 2021, even though there is no history of bipolar disorder in herself or her family How Jessica entered a manic phase that escalated quickly when her son was 2-4 days old How Jessica’s husband knew she was acting very much out of character and urged her to call her parents to come help How she had delusions that her husband had called DCFS to come to take away her son What Jessica now notices in retrospect about her first four days postpartum How she prepared to enter an outpatient therapy program, but Jessica’s condition required hospitalization before the first appointment How she felt scattered, confused, and unstable mentally through days 4-10 postpartum until she went into the hospital Why Jessica was floored when the doctor revealed to her that SHE was the one who needed help How Jessica was convinced that the hospital ward was actually an escape room set up just for her, and later thought God had sent her on a mission there Why Jessica began referring to herself as the “super sad unicorn” during her six-day hospital stay How she improved with medication and was finally able to go home to start the intensive outpatient program, even though she was still experiencing mania How Jessica felt frustrated by many things at home and her husband’s reactions to her plans What things were like when Jessica returned to work and had to re-enter the intensive program How therapy and resources from Postpartum Support International were pivotal in Jessica’s healing and recovery Why Jessica decided to write her book, a memoir of her story that stemmed from her journaling practice Resources: Connect with Jessica: Instagram Pre-order Jessica’s book: https://www.jessica-ekhoff.presale.manuscripts.com/ Visit www.postpartum.net for resources! Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

I love hearing personal stories about someone’s experience, and I’m always honored to share those with you on this podcast. It is powerful to hear someone describe their struggles and journey to healing in their own words. Connecting through the story of a similar struggle can be extremely validating as it allows you to acknowledge what you have been through and find ways to cope. Join us now for Angela’s story of healing. Angela Martin is the mom of two boys, and her professional background is in the field of finance and accounting. She currently enjoys her part-time work in real estate, and she fills her free time with baking, hiking, and reading. She and her family live in a large college town in the Midwest. Having just completed her memoir titled Dirty Laundry, Angela is looking for an agent to help publish her book and put her healing message out to a wider audience. Show Highlights: How Angela realized in retrospect that she suffered from anxiety even before motherhood How the birth of her firstborn son didn’t go well, requiring a C-section, blood transfusions, and general anesthesia How the world seemed like an unsafe place after the loss of her infant nephew ten years ago Why Angela’s relationship with her sister became strained because her son lived and her sister’s did not How we find pieces of healing along the way on our journey, even years after the trauma Why we, as a society, don’t share, help, and advocate for each other as we should Why Angela didn’t seek therapy help for five years after the birth of her first son How EMDR (Eye Movement Desensitization and Reprocessing) helped Angela process her trauma and heal from it How Angela’s life was filled with worry and anxiety that depleted her quality of life–but she looked totally fine on the outside Why one of the most important messages for any woman with similar experiences is “You are not alone” Angela’s advice to others about advocating for themselves How journaling became an important healing activity for Angela Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show takes a look at postpartum depression through a firsthand account of the struggle to understand and heal. My guest is another example that finding just the right therapy makes all the difference because the same treatment modalities don’t work for everyone. Join us for Amanda’s inspiring story. Amanda Cunningham is a Pop/R&B singer-songwriter, wife, and mother of a 10-year-old daughter. Songwriting and singing provide her with an outlet to put her oversharing to good use, letting others know that it’s okay to poke fun at your imperfections and the trauma you’ve gone through and grown from. Amanda has struggled with mental health throughout her life, most recently having been diagnosed with Bipolar II, and she’s here to share her postpartum depression story and her journey to find healing. She shares helpful insights about her feelings of guilt and what it’s like to live in the “fog” of mental health issues. Amanda and I hope that her story can be an avenue of healing for others in similar situations. Show Highlights: An overview of Amanda’s chaotic life and mental health struggles when she got pregnant at age 19 How Amanda had virtually no help or support when her daughter was born How the first two years of motherhood were a blur of mental fog for Amanda that she didn’t realize until years later How Amanda’s Bipolar II diagnosis came in recent months, confirming what she suspected about her mental health issues Why it’s a massive flaw in our standard postpartum care for healthcare providers not to ask more about how a new mother is coping Why Amanda started therapy when her daughter was a few years old How Amanda found music as part of her healing and recovery Why it’s easier to look back with a new perspective when enough time has passed What Amanda has learned about her journey Amanda’s advice to others in similar situations Resources: Connect with Amanda and hear her music: Website, Instagram, and TikTok Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

My guest today shares bits of her personal motherhood story, along with a glimpse at her new book for moms-to-be, new moms, and moms with other children. The book helps these moms make a plan for their postpartum time with evidence-based information, insights, and helpful advice from a physician-mom. Join us to learn more! Dr. Natasha Sriraman is a board-certified academic pediatrician and associate professor of pediatrics at Eastern Virginia Medical School/Children’s Hospital of the King’s Daughters. She is an internationally recognized expert on breastfeeding and postpartum depression. She works with the National AAP, is on the Virginia AAP Board, and is also the Honorary Chair of Postpartum Support Virginia. Dr. Sriraman lives with her husband and children in Virginia Beach, VA. Her first book, recently published, is Return to You: A Postpartum Plan for New Moms, published by the American Academy of Pediatrics. Her book offers insights as a friendly self-help guide to help new mothers prioritize themselves and make it through their “fourth trimester,” the three-month period following childbirth. Show Highlights: How Dr. Natasha’s book came to be, both from her own experiences and from her patients’ stories Why it is very important to be discerning about where your medical advice is coming from An explanation of the fourth trimester and its needs Dr. Natasha’s personal experience of being terrified of motherhood when she went home with her firstborn baby How postpartum support for new moms varies in different cultures Why Dr. Natasha’s book has a fill-in-the-blanks actual postpartum plan How setting expectations and making a plan for postpartum can decrease anxiety Highlights of some of the book chapters which cover social media, guilt, returning to work, childcare, breastfeeding, advocacy, setting boundaries, and more Why Dr. Natasha hopes her book will empower moms in taking care of their children How a pelvic floor therapist can be very helpful in the postpartum How physical and emotional pain are signs that something is wrong and needs to be addressed How Dr. Natasha’s book brings awareness and normalization to focusing on mental health as a priority How Dr. Natasha is working to decrease the stigma around moms asking for and receiving help when they need it Resources: Connect with Dr. Natasha: Instagram Return to You: A Postpartum Plan for New Moms **Dr. Natasha is offering a signed copy of her book to the first listener to comment on this episode on the Mom & Mind YouTube channel. Visit Mom & Mind - YouTube today! Visit my new website, www.wellmindperinatal.com, to get on the Interest List for the upcoming course. You’ll receive notifications when the course is live, and after you sign up, you’ll be able to watch or listen at your convenience. Learn more about your ad choices. Visit megaphone.fm/adchoices

We all know that teachers are underpaid, but they are also undersupported emotionally in times of pregnancy loss and postpartum difficulties. The need is great for bereavement and paid family leave. Join us to learn more about how change can happen for educators in our country. Jackie Mancinelli is a high school English and ESL teacher in New Jersey. She is the mother of two girls, ages 2 and 4, and had a son who passed away in 2016. She is the founder of Start Healing Together, a support organization for educators experiencing pregnancy loss and infertility, as well as the New Jersey ambassador for Count the Kicks. Jackie shares her personal story and the need for bereavement leave for teachers, both in instances of pregnancy loss and failed fertility treatments. Show Highlights: An overview of Jackie’s story that began with her first pregnancy during her first year of teaching in 2014; it ended in a missed miscarriage when she was a few weeks along How her second pregnancy with her son went perfectly until about eight months along, when an emergency C-section sent her silent baby to the NICU–where he didn’t survive How Jackie found support within her immediate family and from her best friend What it was like for Jackie in the 2-3 months following the traumatic loss of her son–and how therapy helped her learn new things about herself What it was like for Jackie to go back to teaching after losing her son How Jackie was prompted to get into advocacy work to help other parents through Start Healing Together How Start Healing Together works with school districts to provide resources and support for educators and help in contract negotiations regarding pregnancy loss, bereavement leave, fertility treatment, and adoption Current initiatives being pursued by Start Healing Together How you can help the ongoing lobbying efforts Jackie’s advice to those experiencing a loss What Jackie learned through her pregnancy and loss experiences Resources: Connect with Jackie: Website, Instagram, and Facebook Visit my new website, www.wellmindperinatal.com, to get on the Interest List for the upcoming course. You’ll receive notifications when the course is live, and after you sign up, you’ll be able to watch or listen at your convenience. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is another story of a spectacular someone who turned their personal grief into a mission to help others. Our focus is on the disparity of medical treatment and care in the Black community regarding maternal mental health, infant loss, and more. Join us for this inspiring story from today’s guest! Kay Matthews is here to share her long-term work through the Shades of Blue Project. She and her team are on a mission to uplift all birthing individuals with the care, respect, and dignity they deserve—no matter their social status or birth outcome. Their focus is on the birthing experience, and they bridge gaps by acknowledging that everyone’s birth story matters. Through education, advocacy, and support, they are dedicated to helping birthing individuals of color whose lives are impacted by racial disparities that amplify their birthing struggles. It is from her personal experience of infant loss and postpartum depression that Kay recognized a critical diversity gap in mental health resources and emotional support for Black and minority birthing individuals. Kay has founded Black Maternal Mental Health Week, which in 2022 falls on July 18-25 with the theme “Collective Efforts for Greater Community Impact and Change.” You can learn more by visiting their Website, Facebook, Instagram, and Twitter. Show Highlights: How Kay came into the work she does today through a totally unexpected journey How Kay’s infant loss experience gave her a “big-picture view” How Kay’s infant loss and postpartum depression were dismissed by healthcare professionals Why Kay decided to “go it alone” to help herself and share helpful advice with others in similar situations How Kay used her journaling practice as a springboard to begin the Shades of Blue Project to help others How the Shades of Blue Project has taken steps to influence policy in Texas and open resource centers in 23 other states Why Kay’s journal became the INSPIRE journal, an acronym for Involve others, Nourishment/exercise, Spirituality/prayer, Patience, Identify and initiate change, Rest/relaxation, and Each day is a new day How Kay has seen growth in awareness and resources for people going through similar struggles with infant loss and maternal mental health Why Kay wanted to focus more on her experience rather than her outcome How mortality and morbidity rates in the Black community require that maternal health and mental health be acknowledged together Highlights of Black Maternal Mental Health Week activities How responsibility and accountability come into play in a collective effort to help others in the Shades of Blue Project How you can help Resources: You can connect with Kay and learn more about the Shades of Blue Project by visiting their Website, Facebook, Instagram, and Twitter. Learn more about your ad choices. Visit megaphone.fm/adchoices

The podcast is six years old this month! With well over 220 episodes, I’m thrilled to know we are reaching so many people in the US and about 90 other countries in the world! What’s most important is that we are getting the message out about perinatal mental health and telling the important personal stories to raise awareness and provide resources for support and healing. I have to say a huge THANK YOU to every listener! With the COVID pandemic and the prevalence of telehealth, every therapist has had to shift in many ways. By the time people reach out for help, they need it right away, and it’s heartbreaking to make them wait. It’s great that more and more people have the opportunity to get the help that they need, but the increase in demand has strained resources and increased the wait times for appointments. Nothing feels more frightening and disheartening than being unable to get the help you need when you need it. We need to bridge the gap and do more–and I, for one, am up for the challenge! Join me to learn more in today’s episode! Show Highlights: Why we need more than online support groups when timing is crucial Why I decided to create an online course for those who are stressed out and overwhelmed in the postpartum period and waiting for a therapist How this course is built to be the bridge that you may need–to give you something to hold onto as a support Why new parents get lost when the expectation is to feel amazingly wonderful all the time Why I’m happy to offer this course as something to help people feel heard and understand in a path forward Details: The course is available in July with multiple modules in bite-size pieces through videos, audio, and accompanying downloadable worksheets. Check out our Resources section below for more information! Resources: Visit my new website, www.wellmindperinatal.com, to get on the Interest List for the upcoming course. You’ll receive notifications when the course is live, and after you sign up, you’ll be able to watch or listen at your convenience. Learn more about your ad choices. Visit megaphone.fm/adchoices

It’s a good time to acknowledge the trauma that is raging around the world, which just adds to the stress from the challenges we have come through with the COVID pandemic. Here in the US, we are going through a time of multiple mass shootings, baby formula shortages, wars in other countries, political issues, and controversy about women’s bodies. There is lots of tense energy, worry, and confusion, along with the normal challenges of parenthood. For many parents, it has become very hard to process it all and keep living life. With so many people experiencing anxiety, depression, exhaustion, and burnout, navigating the journey is a difficult challenge. In today’s episode, I’m calling this trauma what it is and admitting that life can be so difficult at times. Join me for a closer look. Show Highlights: How these traumas bring emotional impacts on parents and kids Why it’s difficult to talk to our kids about the worry, anxiety, and trauma The importance of remaining present with our feelings over tragedies like school shootings How we have been collectively traumatized by many recent events Suggestions for coping by pulling back from social media and the news Why being fully present in your own life is a good option for dealing with stressful times My takeaways and advice: Limit your exposure to social media and news outlets. Find things and people to connect with that make you feel safe and secure. Engage in healthy and restorative activities. Realize that we all bear the mark of collective trauma. Know that you are not alone in the world and your feelings. Remember that things aren’t always going to stay this way. Learn more about your ad choices. Visit megaphone.fm/adchoices

During pregnancy and parenthood, we listen to SO many voices telling us what we should look like, feel like, and do. The stereotypes can be frustrating and demeaning to the point that we feel very unheard and unseen. Today’s conversation brings to the forefront the importance of finding self-worth and fulfillment in yourself and who you are, instead of what other people say. Join us to learn more! Jocelyn Lam is the mother of an energetic, kind, and silly toddler. Jocelyn is a second-generation immigrant who grew up in Calgary, Canada, and currently resides in the Bay Area of CA. She is a licensed marriage and family therapist who helps folks with intersecting identities break intergenerational trauma cycles, particularly in the areas of parenting, re-parenting, and body image. Jocelyn has training through Postpartum Support International and is working toward her certified eating disorder specialization. In today’s conversation, she shares her personal experience in parenting as a second-generation Chinese and Canadian immigrant, along with a diagnosis of hyperemesis gravidarum, which forced her to quit work during her pregnancy to focus on her health. Because of that diagnosis, she became extremely depressed during her pregnancy, which did not set her up for a good postpartum experience. Shortly after her daughter’s birth, her daughter was diagnosed with feeding aversion, which made breastfeeding very difficult and affected Jocelyn’s attachment to her baby. Even with all the resources and the best clinicians, she struggled and experienced intense postpartum depression and anxiety. Jocelyn shares a lot of insight into her story and why things were so difficult for her. Show Highlights: Highlights of Jocelyn’s background and story How her work has been informed by her family background and personal experiences How Jocelyn dealt with Asian stereotypes, racism, and microaggressions as she grew up in white, conservative Calgary How immigrant-related trauma impacted her value and self-worth as she was compared to others in every aspect of life How Jocelyn had to work to undo the mindset that a child’s worth is tied to what they produce and achieve How her daughter’s feeding problems as an infant seemed much like a trauma response How Jocelyn’s diagnosis of hyperemesis gravidarum during pregnancy had her questioning her worth as a mother and left her feeling invalidated How she had to learn that she deserves self-care How fries from In-N-Out Burger became part of her re-learning process How her hyperemesis gravidarum carried through her baby’s birth and postpartum period with constant comments from others about her baby’s size How Jocelyn’s entire world became about baby weight, calories, and comparing her baby to others What it meant to Jocelyn to learn to trust her own body and why she is teaching her daughter to trust her own body and empower herself Why we really need to unpack what society and our family have taught us about food How Jocelyn’s survival instincts came from her parents’ survival instincts until she learned to find space for herself Why Jocelyn had to overcome the hyper-independence in her background and find community and support Why Asian people typically reach out for mental health MUCH less often than the general population because they are taught to “Be strong and self-sufficient” Jocelyn’s key takeaways about our focus on body image, generational trauma, pregnancy, and postpartum, along with the importance of finding community Resources: Postpartum Support International Learn more about your ad choices. Visit megaphone.fm/adchoices

We, as women, have absorbed much history into ourselves over time regarding our bodies and our health. We wonder why we feel unheard and dismissed, and the more we learn, the more enraged we should become about how modern western medicine has treated women with medical and mental health conditions. Join today’s conversation for deep insight and a message of hope. Dr. Elinor Cleghorn is a feminist cultural historian, and her critical writing has been published in several academic journals. After receiving her Ph.D. in 2012, she spent three years as a post-doctoral researcher at the Ruskin School, University of Oxford, where she worked on an interdisciplinary medical humanities project. She is the author of Unwell Women: Misdiagnosis and Myth in a Man-Made World, a book that I recommend highly to all our listeners. Show Highlights: What brought Elinor to write the book after a lupus diagnosis that followed a very complicated pregnancy with her son How Elinor began her research with urgency into her lupus diagnosis and the history of medicine, expanding into other commonly misdiagnosed diseases in women Why Elinor began at the beginning, learning about ancient Greece and the formation of medical practice How women’s bodies were viewed largely as reproductive vessels to produce and mother male heirs Why men in ancient patriarchal societies began to assert social control over women and their bodies How the western medical model has been affected by social thinking, myths, and fantasies about women’s roles How the word hysteria has been applied to a misunderstanding of women and was originally derived from a word for the uterus How medical leverage was used in horrible ways against black enslaved women in 19th century America, leading to gynecological violence and reproductive abuse Why Elinor wanted her book to expand to cover women’s experiences all over the world and not just be her personal story What Elinor has discovered about women’s mental health across history How dominant ideas have shaped societal views about the ideal motherhood and “how mothers SHOULD feel” Elinor’s hopes for readers of the book: “Remember that your body is your own, no matter how medical caregivers might make you feel.” Resources: Amazon: Unwell Women: Misdiagnosis and Myth in a Man-Made World by Elinor Cleghorn Connect with Elinor: Twitter and Instagram Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome! Today’s show highlights some important upcoming dates in the world of perinatal mental health as we celebrate Maternal Mental Health Awareness Month in May. Stay tuned for the end as I have an exciting update to share with you. This podcast is very important to me. My purpose is to foster and provide space for people’s stories but to balance those experiences with a clinical perspective with proven experts in the field. As I say often, we need to raise awareness with information and education to reduce the stigma related to perinatal mental health conditions. Along with that awareness, I want to empower people further to seek help and support without shame or embarrassment. Thank you for coming along for the ride, and don’t forget to share the podcast and available resources with a friend or loved one who might benefit. I’m sharing a lot of helpful resources in this episode, so don’t miss out! Join me! Show Highlights: Important dates in May, Maternal Mental Health Awareness Month: Maternal Mental Health Awareness Week: May 2-6. How you can help spread the awareness: Share your story on social media and use the Postpartum Support International hashtag #maternalMHmatters. Like the PSI Facebook page and adopt the MMHday Twibbon on your Facebook or Twitter profile picture. Tell your story on our blog to help raise awareness of maternal mental health issues so that more women will get treatment and fewer will suffer. Come up with your own ideas to highlight that #maternalMHmatters in your area, and let others know by submitting your event details to us via email. Use our infographic to highlight that maternal mental health is a global issue. World Maternal Mental Health Awareness Day: May 4. There are worldwide efforts to raise awareness through social media, local events, and virtual events through PSI. Learn more at www.wmhday.postpartum.net. JOIN US to raise awareness around the globe: @postpartumhelp on Twitter and @postpartumsupportinternational on Facebook Perinatal Psychosis Awareness Day: May 6. PSI has a Postpartum Psychosis Task Force, which is led by individuals with lived experience and includes providers, researchers, advocates, and PSI staff/board members. The task force organizes around actions to improve public and provider awareness, increase and improve resources, reduce stigma, and provide legal and legislative advocacy. The goal of the task force is to develop resources and integrate knowledge and sensitivity about the experience of perinatal psychosis and the unique insights of survivor-advocates into all perinatal mental health advocacy, awareness, education, resources, and services. Other organizations joining PSI in leading the charge in these areas include Cherished Mom, Maternal Mental Health NOW, 2020 Mom, Maternal Mental Health Leadership Alliance (MMHLA), and more. My exciting update: I have been elected to be the next Board Chair of PSI, starting in July 2022. After volunteering with PSI for many years and serving in various capacities, I’m very proud and honored to take this post and follow in the footsteps of some amazing people who have gone before me! Resources: Postpartum Support International Postaprtum Find PSI on Twitter, Facebook, and Instagram. Cherished Mom Maternal Mental Health NOW 2020 Mom Maternal Mental Health Leadership Alliance (MMHLA) Learn more about your ad choices. Visit megaphone.fm/adchoices

My guest today shares her personal story and clinical perspective of her complicated journey into motherhood. Her story includes the support of reproductive technologies, as well as the loss of her twin daughters and the adoption of her son. Join us to hear more. **Today’s episode covers sensitive topics of perinatal loss and pregnancy loss. Use your own judgment as to whether it’s right for you or not at this time. Jeanae Hopgood, LMFT, M.Ed, PMH-C, is an individual, couple/partner and family therapist, clinical sexologist, author, speaker, doctoral candidate, and occasional adjunct professor. Her Pennsylvania private practice centers people of marginalized identities (specifically Black and LGBTQ+). She helps them heal from family-of-origin challenges, relational difficulties, fertility and family creation processes, perinatal mental health, perinatal loss, healing and healthy sexuality, and realignment of the mind, body, and spirit. Jeanae is also the founder of the Black Angel Mom community, which includes a private Facebook community, a blog, guided journal, and conversation card deck. The card deck can be used by clinicians in therapeutic processing and discussions as a support system for their clients. Jeanae is the mother of twin daughters who have passed and one son earth-side. Show Highlights: How Jeanae had a lifelong dream to be a mom but knew assisted reproductive technologies would be her route How her next steps included multiple failed IUI cycles, fibroid-removal surgery, IVF, and a pregnancy with twin daughters How she experienced fluid loss, both light and heavy, that prefaced the traumatic loss of both girls How Jeanae made something beautiful out of a tragic situation in giving birth to her daughters at 16-17 weeks How Jeanae handled the tough parts of having her daughters photographed, dealing with the funeral home, and leaving them behind when she left the hospital How Jeanae felt anguish, despair, confusion, disconnection, and deep grief after the loss How Jeanae knew she needed help and searched for healing through grief counseling and journaling How Jeanae and her partner tried two more IVF cycles a few months later–with no success How even support groups didn’t feel inclusive of queer Black couples Why Jeanae created her blog to include others who didn’t see themselves in the support groups that were available to them How Jeanae and her partner were “kicked out” of their shared risk IVF program and were approached about the opportunity to adopt their son Why they chose adoption, knowing this would be the end of their fertility journey; because of the expense, they knew they couldn’t do both How the adoption brought conflicting emotions and feelings about becoming a mother in this unexpected way Why Jeanae created the Black Angel Mom community to be the support she needed A deeper look at where marginalization showed up in Jeanae’s journey to parenthood as a queer Black couple Resources: Connect with Jeanae: JHJ Therapy, Instagram, and Facebook Black Angel Mom, Instagram, and Facebook Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show looks at postpartum psychosis, a much-misunderstood condition, and diagnosis. Unfortunately, we usually hear about this condition after a tragedy has occurred, but that is not always the hallmark of postpartum psychosis. My guest shares her journey, including the missteps by the mental health clinicians and medical professionals who didn’t provide the help that she needed. Along with so many misconceptions about postpartum psychosis, the main problem is that people just are not educated about this topic. Join us to learn more. Jillian Parente is a licensed clinical social worker, adjunct professor, multi-trauma and postpartum psychosis survivor, yogi, and holistic wellness advocate. She is a champion of maternal mental health who specializes in trauma and focuses on women’s mental health. Most importantly, she is the mother of a smart and beautiful four-year-old girl. While maintaining her role as a mental health professional, Jillian continues the extensive process of recovery from her episode of late-onset postpartum psychosis, which occurred three years ago. As a result of that condition, she lost everything, and her entire life changed. Her story illustrates that “mental health does not discriminate.” Jillian believes that intensive healing is not an end goal but a journey. **Because of the nature of today’s topic, our discussion may be sensitive for some listeners. Use your judgment, and listen when you are ready. Show Highlights: Jillian’s story, which includes intrusive thoughts in the postpartum period, normal anxiety for a new mom, and increased problems when she and her husband returned to work How Jillian realized in hindsight that she had every risk factor for postpartum psychosis—but no medical professional ever addressed the risk Why Jillian felt like a failure in her attempt to breastfeed her daughter, partly because of a medication-induced milk shortage and a lack of support at her workplace How Jillian’s sense of emotional safety was shaken due to trauma in her marriage How paranoid delusions led Jillian to fear that her husband would harm her and her baby The chain of events that led to Jillian’s daughter being taken from her and her subsequent psychiatric hospitalization Why Jillian came to the point that she knew she needed professional help Why Jillian felt like an unsafe monster to her child even though she never felt like a harm to her The misconception about postpartum psychosis: that it only manifests itself in the mother harming her child and/or herself How Jillian transitioned to a different therapist and became involved in EMDR work Why Jillian is still battling for custody of her daughter What Jillian feels like are the big “misses” in her story where the system failed her and dismissed her How the support and love of a true friend empowered her and made all the difference for Jillian in helping her summon her strength and tenacity to help herself and move forward Resources: Contact Jillian: Jillian Parente Contact Post Partum for resources and support. Learn more about your ad choices. Visit megaphone.fm/adchoices

As couples move into life with a new baby, many changes come with that new little arrival. Everyone has their expectations about what life will be like when the baby arrives, but how does the reality stack up? Life becomes a “new normal.” Whether expectations are realistic or not, adjusting to life with a new baby can be a time with many challenges, and communication with each other is vital. Join us to learn more! Catherine O’Brien is a licensed marriage and family therapist who lives and practices in Sacramento, California. She is the founder of Happy With Baby, which she created for new parents. She gives them the advice she wishes had been there for her as a new parent. Catherine’s new book, Happy With Baby, is a helpful resource for couples who are transitioning into parenthood. Show Highlights: What new parents are facing when a baby arrives, especially the strain on the relationship What surprises many new moms about how their partners adjust to parenthood How people can feel empowered and confident through the transition Why it is difficult for many new parents to ask for help–for various reasons How resentment in the relationship can build a wall over time if partnership and connection with each other aren’t prioritized How to notice the signs of resentment within yourself toward your partner How to start the conversations about connection with your partner and “check in” with each other Catherine’s tips for breaking down each partner’s basic needs to manage health, wellness, and connection How new moms can transition into a new space with their postpartum body and keep intimacy alive How to prioritize time for check-ins together by planning the time–and even a fun activity Resources: Connect with Catherine: Happy With baby, Instagram, and Facebook Happy With Baby by Catherine O’Brien Learn more about your ad choices. Visit megaphone.fm/adchoices

Today we are digging into the topic of rage in motherhood, specifically, postpartum rage. We will discuss what it is, why it happens, what it feels like, and what you can do about it. Join us to learn more! Erica Djossa is a registered psychotherapist, sought-after maternal mental health specialist, and Happy As A Mother founder. She has been practicing for over ten years and is a regular media contributor. Erica helps women adjust and manage the load of motherhood with her popular Happy As A Mother podcast, Instagram platform, and online therapy services. She is passionate about supporting moms and helping them embrace their motherhood journey. She is a Toronto-based mother to three rambunctious boys, and she can often be found sharing insights through her Instagram stories. Show Highlights: How rage shows up in the context of motherhood How the “perfect mother” myths stifle a mom’s ability to express any anger Examples of what rage might feel like for a mom How we form our inward and outward boundaries for expressing anger based on the “rule book” in the way we were raised How “vulnerability factors” are underlying our anger expression How the narrative we tell ourselves around irritation and anger can either increase or decrease our stress levels Red flag indicators to look out for: intensity and frequency of the anger How to use the acronym NESTS: Nutrition, Exercise, Sleep, Time for self, and Support How continued rage after putting NESTS into place indicates the need to dig deeper Why anger is one of the most commonly overlooked symptoms of depression Erica’s personal experience as a mom of three young kids under three years of age How getting the appropriate help can change everything for a mom How mothers experience the depths of shame in feeling anger and rage Steps to take in finding help and support–and taking the first one is the most important! What to expect from Erica’s course of five modules How our stress hormones function in our bodies when we feel irritation, anger, and rage Why support, help, and therapy need to feel accessible to everyone Resources: Connect with Erica: www.happyasamother.co/rage (Many free resources are available!) Instagram and Facebook Erica is hiring remote perinatal therapists to join the Happy As A Mother team! Certified PMH-Cs from all Canadian provinces are welcome to apply! Click the link for details! Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show features a dear friend and colleague as we discuss the mental health impacts on fertility and perinatal mental health. The mental health side of these issues is often overlooked in the process of treatment, and many parents are suffering. Join us as we take a closer look! Dr. Marissa Long is a sought-after expert in the field of reproductive psychology. As the owner and clinical director of ARC Counseling & Wellness, a private practice in southern California, Texas, and Louisiana, Dr. Long is dedicated to helping individuals and couples who are going through fertility treatment. She also works with women with high risk pregnancies and pregnancy loss to relieve the emotional distress associated with these challenges. She recently launched PsychEd Book Club, an innovative book club facilitated by therapists to support mental health, self-help, and social connection through conversation and education. Dr. Long is a lifelong dancer who performed in the halftime show at Super Bowl XXXII and the Sydney Opera House a year later. Show Highlights: An overview of Dr. Long’s work as a health psychologist who connects physical issues and mental health Common issues and challenges that Dr. Long sees with her patients An explanation of reproductive endocrinology and REI terminology and their common treatments Impacts of the fertility process on people’s expectations of how they “thought” conception and pregnancy would happen Changes to the sexual relationship when fertility treatments are needed to conceive How people deal with feelings of shame, guilt, and body betrayal over fertility problems Why mental health challenges don’t end when a successful pregnancy occurs Stressors for patients on the medical side of treatments concerning medications, appointments, etc. How fertility treatment medications can impact a patient’s mental health and emotions Patient perspectives on what makes a good experience in fertility treatment The problem with patients not being referred for mental health treatment soon enough The great need for reproductive psychologists to work in conjunction with fertility clinics What clients need to hold onto during fertility struggles The need for support and connection for fertility patients–and where to find it Resources: Connect with Dr. Long: ARC Counseling & Wellness Instagram and Facebook For support during fertility issues: www.resolve.org and www.fertilityiq.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s focus comes from what has been on my mind and what I hear from many people. Families are feeling the squeeze right now with collective stress, burnout, and trying to cope in the middle of these COVID times. What we are all dealing with and the length of time we have endured this stress so far has many people hitting a wall with their mental health. Join me for this discussion! Show Highlights: Why many of us feel jaded because of all that COVID has messed up for us How anxiety, hypervigilance, and the pressure of decision-making have added to the constant stress of managing everyday life for expectant moms and those with new babies How COVID decisions have brought conflict and confusion between families and friends because of varying perspectives Why we aren’t built to withstand this kind of collective stress and trauma for extended periods of time How our bandwidth for stress has decreased since there is no good place for our frustrated feelings to go–and each new wave brings more uncertainty The value we can find in validating our stress and calling it what it is instead of pretending that things are normal How do we cope when our normal self-care outlets don’t help us? Why we need to view self-care with a new perspective Suggestions for easy self-care practices: Consider unplugging from social media and news outlets at times. Step outside or open a window to breathe fresh air. Move your body or stretch as your body allows. Find ways to connect with people whom you trust. Listen to music or watch movies/TV shows that make you feel good. My advice: Ask yourself, “What is ONE thing I can do today that will help me just a little bit?” Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show gives us a unique perspective on pregnancy and the postpartum while managing a physical disability. Join us to hear our guest’s inspiring story. Rachel Brousseau is a Licensed Marriage and Family Therapist, Registered Drama Therapist, Drama Therapy Board Certified Trainer, and Perinatal Mental Health Certified Therapist. She has a private practice in Burbank, CA, where she specializes in helping highly sensitive mothers throughout their motherhood journey. She is the co-founder of the Creative Center for Motherhood, supporting moms through the use of group creative expression. Rachel has presented for Maternal Mental Health NOW, the North American Drama Therapy Association, USC School of Social Work, Cal State LA, and Heartbeat. She is also a Parent and Me class facilitator and teaches at the Drama Therapy Institute of Los Angeles. Through her personal experience, Rachel is driven to help mothers feel connected so that they never have to feel alone. Show Highlights: Rachel’s story of being diagnosed with a very rare autoimmune disease that affects her muscles at age five; as the progression happened, she had frequent falls and times when she couldn’t walk or navigate stairs How Rachel still played sports and performed in theater with adaptations Why Rachel struggled as an adult to get insurance, being forced to get creative with the medical system to get the services she needed How Rachel learned to advocate for herself and can now support and advocate for her clients How heavy steroids as a child led to eye problems like cataracts, glaucoma, and retinal detachment Why Rachel rejected the idea of parenthood because she overheard a doctor tell her parents that she would never have children How Rachel reconsidered pregnancy after her marriage, even though there was no research to go on for mothers with her condition When she became pregnant, things went well until her third trimester, when she began falling frequently After giving birth, she began having scary thoughts about falling and dropping the baby and her baby getting sick or inheriting her illness How she began attending a Mommy & Me yoga class about 2-3 months postpartum; there were a lot of stairs at the studio, and Rachel was told to “get in shape” when she inquired about an elevator How a similar experience at a second yoga studio left her feeling shut out, unwanted, and like she “couldn’t do motherhood well” How art therapy finally left her feeling acknowledged and made all the difference How Rachel handled going back to work with certain accommodations Why Rachel started researching perinatal mood and anxiety disorders, making sense of it all, and determining to help other moms Why Rachel stuck with strict criteria for her private practice office space to accommodate herself and her clients Rachel’s checklist to consider for disability and accessibility How support and telehealth help during the postpartum period Rachel’s advice for those with disabilities in dealing with “able-ist” attitudes, microaggressions, astonishment, and assumptions Why therapists and providers should take a support role and not an expert stance Resources: Connect with Rachel on her Website and Facebook. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show focuses on attachment and bonding. Some parents feel immediate love and connection with their new baby, but for many, they struggle to achieve a “normal” bond. The good news is that there are specific steps parents can take to understand the basics of attachment and bonding. Join us to learn more! Beth Warren is a psychotherapist in private practice in San Diego, California. She has a passion for reproductive mental health and has worked in this field for over 20 years. Beth is certified in EMDR therapy and Perinatal Mental Health, specializing in perinatal mood and anxiety disorders, birth trauma, pregnancy loss, and infertility. She has worked in both hospital and outpatient psychiatric settings and has led postpartum support groups for new mothers. She is a current member and previously served as the President of the Board of the Postpartum Health Alliance, a nonprofit organization in San Diego dedicated to promoting awareness of Perinatal Mental Health. In addition to working as a therapist and EMDR consultant, she facilitates trainings and is a regular speaker, lecturer, podcast/radio guest. She has written a newly released book called The Pregnancy and Postpartum Mood Workbook, which helps new parents navigate their emotions and build skills towards mental wellness through their journey of parenthood. Show Highlights: The fundamental basics of bonding and attachment How bonding includes feelings of warmth, connection, protection, and responsibility that unfold over time How traumatic births can delay feelings of bonding and attachment How a disruption in attachment from your childhood can play out to delay bonding with your own child How an anxious parent can have an effect on how that child grows up and then parents their own child—and why they might want to parent differently How culture and community can play into parenting because of our experiences in life Why parents have to heal themselves in order to be good parents and break multi-generational patterns How perinatal mood and anxiety disorders can cause delayed bonding, but the good news is that parents can keep working on it How the feedback loop happens as a new baby grows and develops to interact with his parents Why mirror neurons are vitally important for babies to learn from their parents How therapy can help parents learn what they are doing well even when they don’t feel the bonding with their baby that they want How Beth works with parents to help them think about what their baby “would thank them for today” How words of affirmation and encouragement can make all the difference for an anxious mom Beth’s advice for parents to promote bonding and attachment: Talk to your baby during every chance for interaction. Add singing and other motions with eye contact to help them imitate you. “Wear” your baby in a sling to keep them close to you and practice skin-to-skin touch when possible. Why some parents have the distorted belief that their baby doesn’t like them or they are a bad parent when they don’t understand how bonding unfolds over time How positive quiet-time intervention can help the struggling parent How Beth’s new book, The Pregnancy and Postpartum Mood Workbook, has suggested bonding and attachment exercises Resources: Bethany Warren LCSW Find Beth on Instagram. The Pregnancy and Postpartum Mood Workbook: The Guide to Surviving Your Emotions When Having a Baby by Bethany Warren and Beth Creager Berger Learn more about your ad choices. Visit megaphone.fm/adchoices

There are many misconceptions about postpartum depression, what it is, and how it manifests itself. This episode will clear up some of the myths and bring clarity, hope, and awareness to this topic. Join us to learn more! Kristina Deligiannidis, MD, received her medical degree from and completed her psychiatry residency and chief residency in psychopharmacology research at the University of Massachusetts Medical School. After residency, she completed a visiting fellowship and further training in multimodal neuroimaging at the Massachusetts General Hospital/Martinos Center for Biomedical Imaging. Dr. Deligiannidis joined the faculty at Zucker Hillside Hospital, the Feinstein Institutes for Medical Research, and the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell in September 2016. She is board certified by the American Board of Psychiatry and Neurology and currently serves as the director of women’s behavioral health at Zucker Hillside Hospital. As a reproductive psychiatrist, she has expertise in treating women with mood and anxiety disorders linked to the menstrual cycle, pregnancy, postpartum, and perimenopause. Show Highlights: How Dr. D came to this field that blends neuroscience, psychiatry, and women’s health Why her research into postpartum depression focuses on the female hormones before, during, and after pregnancy and childbirth Postpartum depression defined and explained: It is a mix of emotional, physical, and other symptoms that usually begin with sadness, loss of pleasure in activities, sleep difficulties, appetite disturbances, irritability, agitation, guilt, loss of worth, and more. How postpartum depression and “baby blues” differ in severity, onset, and duration How changes in the brain take place due to pregnancy hormones increasing and decreasing with the birth process Risk factors for perinatal depression include a personal history of depression, increased stressors, and minimal support How moms describe postpartum depression with feelings of isolation and a loss of self How many women suffer without getting the help and support they need and have long-term effects Why we need to do a better job in recognizing and treating postpartum depression for the sake of moms, babies, families, and society How the risks for depression in pregnancy and the postpartum can differ from each other D explains a recent study by Healthy Woman that shows the pressure women feel to “do it all” and like they are “bothering someone” if they ask for help How people can prepare for life with a new baby and prioritize their emotional health Why a higher percentage of Hispanic and black women report inadequate social support and poor access to their healthcare providers in the early postpartum period, as compared with white women How a new program, Check On Mom, helps with developing a maternal mental wellness plan Resources: My Check On Mom Connect with Kristina Learn more about your ad choices. Visit megaphone.fm/adchoices

Parents have experienced burnout for generations, but it’s only recently that parent burnout has been recognized as something that needs support. Today’s guest is making a difference in this space, helping parents and families with overall mental and physical wellness. Join us to learn more! Shelley Kemmerer PA-C is the founder of Run Tell Mom, LLC. She is a licensed physician assistant who is certified in parental burnout prevention by The Training Institute for Parental Burnout, the world’s leading training institute on parental burnout. She helps parents and caregivers with live-in children navigate transitions throughout their parenting journey. Shelley provides personalized, customizable resources through one-on-one consultations, collaborative workshops, and master classes with a goal to optimize the parenting experience while filling the space beyond clinical care. Show Highlights: Shelley’s path to the work she does today to help parents How Shelley saw the need for parental burnout resources after the birth of her youngest child Shelley’s unique perspective as a PA and a mom who realized that families need extra support Why Shelley’s social media goals are to allow collaborative discussions with providers, parents, and support specialists--and to bring awareness to available resources How expectation vs. reality is a wide divide in parenthood Why parents need connection, support circles, and therapy; the problem is that they don’t know whether to ask a doula, midwife, pediatrician, or therapist What Shelley noticed from her perspective as a parent: Very brief visits to healthcare providers with not enough time to address all the important issues Difficulties in returning to work after a baby’s birth, especially for those in the healthcare field Contributing factors to parental burnout: perfectionism (competing with other parents to have everything “in order”), social media expectations, limited parental leave, and individualism How parents are balancing “stacked plates” of productivity goals at work, extracurricular activities for kids, keeping a clean home, self-care, and more! How COVID has brought an upheaval in many families and homes that is exhausting, even in dual-parent households, but even more so for single parents Tips for prevention of burnout: division of labor between parents, good sleep, exercise, healthy nutrition, awareness of signs of depression and anxiety, connecting with others, etc. How to support parents in getting good sleep--and why it’s vitally important for many reasons! Top resources for parents that Shelley recommends: Postpartum Support International, Call 2-1-1, social media support groups, and other local support groups Three defining hallmarks of parental burnout: overwhelming significant exhaustion related to the parental role, emotional distancing from one’s child or children, lack of joy or fulfilling pleasure in being a parent (this would be a distinct change in how you WERE as a parent to how you are today) Differences between depression/anxiety and burnout Why these discussions about burnout are difficult to have How to take things off your plate by “triaging” them into what’s urgent and not-so-urgent Parting words from Shelley: “You CAN feel better. There are small steps you can take to make gradual changes to improve what might have gone on for months or years. Have more self-compassion for yourself that you are doing what you can right now. It’s not a sign of weakness if you ask for help. Parents are beautiful, awesome people.” Resources: Email Shelley: runtellmom@gmail.com Check out her website: www.runtellmom.com Find Shelley on Instagram. Find support: Postpartum Learn more about your ad choices. Visit megaphone.fm/adchoices

Therapists are under unique pressure to “have it all together” when pregnancy and parenthood challenges come along. The truth is that no one is immune to these challenges, and therapists experience the same struggles as anyone else. Join us as today’s guest shares her experience in becoming a parent and adjusting to her role in motherhood. Veronica Eyo is a bilingual licensed clinical social worker. Her passion is to help all moms navigate the challenges of parenthood. She transitioned into her practice of working primarily with mothers after her first pregnancy, and her experiences led her to seek specialized training in working with moms of color. Supporting mamas through various walks of life is what grounds Veronica, and this passion influenced her dissertation as she researched student mothers’ success in institutions of higher learning. Show Highlights: Veronica’s experience with her first pregnancy and not holding space for herself as she was for her clients How her daughter’s birth became a whirlwind after a four-day labor and C-section that left Veronica feeling like a failure How her allergy to penicillin resulted in problems for her and her daughter The painful memories of the rocky four-day period in the hospital and not even remembering meeting her daughter for the first time How the breastfeeding difficulties compounded Veronica’s feelings of failure How Veronica learned to focus on “one next step” to keep going with the help of a therapist friend How motherhood became a struggle for Veronica because of the standards she set for herself Why no one around Veronica knew how much she struggled Why Veronica had a difficult time letting other people hold her baby How Veronica found support through Mommy and Me, even though there weren’t other moms there who shared her cultural heritage How Veronica felt about being a stay-at-home mom for a year and then going back to work How Veronica felt guilty and ashamed at first when she took time for herself How Veronica feels that she has changed so much as a mom over the last four years, stepping into her role as a mother as the result of deep work Why “one small thing” has become Veronica’s life motto Why Veronica didn’t stick to her Mexican cultural tradition of 40 days of rest after childbirth because she found it difficult to accept help; with her second and third children, she found it easier to let people help her The need to get correct messaging out there that it’s OK for mothers to take breaks, take time for themselves, and ask for help What Veronica wants other moms to know: “No one has it figured out--and that’s OK. There isn’t ONE right way to do things, so you can decide what works best for you and your family. Your community is important, whether it’s on social media, podcasts, or taking time for self-care. Just take one step at a time.” Resources: Dr. Veronica Find Veronica on Instagram. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s episode turns to pregnancy and infant loss as we acknowledge October as Pregnancy and Infant Loss Awareness Month. We want to spend time honoring all parents who have experienced this unique type of loss. Everyone who experiences a pregnancy or infant loss goes through the grief in their own way and at their own pace, and there are specific ways that we can offer support. Let’s dive into this difficult subject together. Show Highlights: Why you owe no one an explanation about how you feel, why you feel it, or how long you feel it. Why people very often don’t know what to say for a number of possible reasons Why some people may choose not to share openly about their loss Why shame, blame, and trauma accompany this kind of overwhelming loss How we can help erase the stigma, silence, and isolation that many people feel after a loss How it’s common to experience worry and anxiety in trying to become pregnant again after a loss How grief is not a linear process that begins and ends but affects multiple aspects of life How dates become significant in loss for many people, but others may feel awkward about remembering Why it’s OK to tell people to ask how you’re doing, check in on you, help remember the date, etc. Many great supports are available; check out our Resources section below! Resources: PSI Check out the therapist directory, free support groups, and more! Return to Zero: Hope Check out the many resources! Pregnancy After Loss Support Sisters in Loss on Instagram Dr. Jessica Zucker I Had a Miscarriage by Jessica Zucker Star Legacy Foundation Mom & Mind Loss-Related Episodes: 208, 206, 200, and 188--Visit Dr. Kaeni. Learn more about your ad choices. Visit megaphone.fm/adchoices

We are talking about how partners are affected and transformed in their journey into parenthood. Fathers need support and education just like mothers do. Join us to learn more! Scott Mair lives with his wife and seven sons in the UK. He’s here to share how he started supporting new fathers through their journey to new parenthood. Scott is on a mission to set up parental mental health support for parents and promote awareness of paternal mental health. He’s a member of the Paternal Mental Health Alliance, mental health campaigner, trained peer-to-peer leader, team member of the perinatal training CIC, and qualified Beyond Birth mental wellbeing practitioner. In today’s episode, you’ll hear key informative points from Scott about how we can support fathers in the transition to parenthood, as well as how our outdated views of fathers negatively impact men in their transition into fatherhood. Show Highlights: How Scott got started in the field of paternal mental health through the traumatic birth of his seventh son just over two years ago How anxiety began building during his wife’s pregnancy with the seventh son, after almost losing her and his son in the previous birth How Scott was getting his mental health wrong for years, culminating in the circumstances around the difficult two births How approached his local hospital about the need for education for dads about mental health and the realities of parenting How the UK is ahead of the US in its long-term plan for perinatal mental health How Scott offers support for fathers through charities supported by the NHS How mothers and fathers can need support differently, even with the same birth of the same baby How Scott convinces men of the need to talk about their mental health and parenting issues The myth of masculinity and why we need to work to create a world where men can freely show emotions and vulnerability The pressure on moms and dads in pregnancy and parenting How Scott learned to assist his wife and support her as a breastfeeding mom How to model compassion and authenticity in allowing children to feel emotions and express their feelings Scott’s best tips for new parents: Be the parent YOU want to be--not the one society tells you to be. Drown out the noise and opinions of others; try your hardest and find what works best for YOU. Find time for each other as a couple. Make time each day for a brief check-in with each other and enjoy the small moments together. Resources: Connect with Scott: Twitter: @scottmair9 Instagram: @pmh_support Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show focuses on your relationship during pregnancy and the postpartum period. My guest shares her experience through postpartum depression and anxiety and the effects on her marriage. We are covering what you need to know--but no one has told you--about the entry into parenthood. Join us! Kara Hoppe is a psychotherapist, teacher, feminist, and mother. She has spent more than a decade as an inclusive therapist working with individuals and couples toward healing and growing toward becoming grounded, integrated people with better access to their own instincts, wisdom, and creativity. Kara offers workshops for parents and expectant couples based on her book, Baby Bomb: A Relationship Survival Guide for New Parents. She lives with her husband and son in Pioneertown, CA, and sees clients in private practice via telehealth. In today’s conversation, Kara helps us understand how new parents can navigate the unexpected changes in their relationship, including how to communicate, how to maintain intimacy, and how to grow together as a new family. Show Highlights: Kara’s experience with postpartum depression and anxiety through the birth of her son and thought the disconnect was just “normal” How her husband noticed the shift in her and urged her to take time for herself How the relationship changes for Kara brought discomfort and “dizzying vulnerability” in needing her husband so much From her husband’s perspective, it felt good to be needed in a different way and be a necessary partner in parenting--but there were frustrations from his end Why the postpartum aspect is hard to understand when you’re in the middle of it and requires a “big picture” approach Why Kara decided to write a book to help other couples, and how she brought in Stan Tatkin to help How Kara and her husband got back to relationship intimacy on every level to strengthen their marriage How parenthood brings many opportunities for misattunement and hurt within a marriage How Kara teaches secure functioning from attachment theory, which is based on trust, safety, and security How the micro-moments of mistake can be repaired to return to intimate connection Why the couple relationship must come first when the baby arrives How the child gains security by seeing parents taking care of each other’s needs How Kara wants to empower couples to co-create the life they want as equal partners From Kara’s book: how her chapter on sexual intimacy covers navigating the conflict over “touching” How the non-primary parent can offer care without over-touching How to reframe your needs into words that communicate to your partner without blame or attack How Kara’s couples retreats teach skills for repairing your relationship and cultivating increased intimacy Hopeful messages from Kara: “Partners who get support in understanding themselves and what they do can take responsibility and make changes. Awareness is key, and we can teach that.” Resources: www.karahoppe.com Find Kara Hoppe on Instagram, Twitter, and Facebook. Baby Bomb: A Relationship Survival Guide for New Parents by Kara Hoppe and Dr. Stan Tatkin Find Dr. Stan Tatkin on Instagram and Facebook. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s episode is an important one in the field of parental mental health. Unfortunately, fathers are often overlooked in many aspects of parenthood and family dynamics. To build strong families, we need to involve all parents in the path to parenthood and in providing family-supporting resources. Join us to learn more! Jane Honikman, M.S. co-founded Postpartum Education for Parents (PEP), co-founded the Postpartum Action Institute, and founded Postpartum Support International (PSI). Jane is the author of several parenting support books: Community Support for New Families; I’m Listening: A Guide to Supporting Postpartum Families; My Diary: A Postpartum Journey from Pain to Purpose; Postpartum Action Manual: How to Provide Comfort, Encouragement, and Guidance to New Families; and Parental Mental Health: Factoring in Fathers. She was born and raised in Palo Alto, California, and has lived in Santa Barbara since 1970. She and her husband have three adult married children, eight grandchildren, and a cat. Show Highlights: How Jane looked to her mother as a role model but didn’t follow conventional social rules as she became an adult How fantasies about life can set you up for failure and disaster Why Jane was involved in the movement to make mothers and fathers equal partners in parenthood in the 70s How family mental illness and her personal trauma pushed Jane into her work with parental mental health The flip in inequity with what we’ve done to men and their feelings What we should change regarding fathers How Jane partnered with Dan Singley to write Factoring in Fathers Why men today struggle to identify role models in manhood and parenthood How postpartum mental illness affects men in different forms than women How pediatricians can do more in parental mental health with the whole family Available resources for fathers How mental health clinicians can do better in their work with families Why the postpartum period never really comes to an end Resources: Instagram: (@parental_health) Twitter: Parental_Health Factoring In Fathers Jane’s books: Community Support for New Families I’m Listening: A Guide to Supporting Postpartum Families My Diary: A Postpartum Journey from Pain to Purpose Postpartum Action Manual: How to Provide Comfort, Encouragement, and Guidance to New Families Parental Mental Health: Factoring in Fathers by Jane Honikman and Daniel Singley Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s guest shares her story of pregnancy losses and the resulting anxiety and depression that made the journey to parenthood very challenging. Join us to hear her inspiring story of healing and hope. Dorienna M. Alfred, Ph.D., PMH-C is a licensed psychologist and certified perinatal mental health professional. She is the owner of Works of Faith Wellness and Consultation, LLC, a private practice centered on perinatal mental health services in Columbus, Ohio. Through the practice, she provides individual therapy, workshops, and continuing education that promote health equity for those at the highest risk for complications during pregnancy and postpartum. Dr. Alfred is the author of the book, Pregnant with Promise: A Spiritual Journey of Pregnancy, Bed Rest, and Childbirth, which is a memoir of her journey with loss and pregnancy complications. She has been a guest blogger for Pregnancy After Loss Support and has been a guest on the Sisters in Loss Podcast. She is particularly interested in supporting parents with pregnancy complications and pregnancy loss, and is completing a certification to become a birth and bereavement doula. She has co-authored various publications and refereed workshops on topics related to women’s health, racial identity, social justice, and cultural competence. In her free time, she enjoys spending time with her husband and sons, reading novels, scrapbooking, and Zumba. Show Highlights: How Dorienna came into the field of perinatal mental health through two early pregnancy losses The devastating experience of having to deliver the second loss and the resulting anxiety and trauma How Dorianna’s successful pregnancy with her son was joyful but difficult with 14 weeks of bed rest Why Dorienna compiled her book from journal entries of her experiences How the landscape of mental health would change if there were more education and training for therapists in perinatal mental health How Dorienna, even as a psychologist, didn’t receive mental health support through her losses and while on bed rest The need to talk about and educate people about how pregnancy loss can impact future pregnancies and parenting How stress and trauma can result from perceived racism and lack of acknowledgement The importance of giving space to talk about pent-up emotions The benefits of having a doula--and even a postpartum doula for the 4th trimester and beyond The value of therapy in learning new coping skills and knowing you aren’t on your journey alone Final words from Dorienna: “Don’t be afraid to take the risk and find a therapist that works best for you and is a good fit. Therapy can be very beneficial to find the support system you need.” Resources: Works of Faith @doriennamalfred instagram Find Dorienna’s book on Amazon: Pregnant with Promise: A Spiritual Journey of Pregnancy, Bed Rest, and Childbirth Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s episode covers the personal story of a mother who has been through postpartum anxiety, severe colic, and complicated family transitions. Through her difficulties, she has thrown herself into learning about perinatal mental health challenges, supporting herself, and helping other families. Christine Carrig is the director of Carrig Montessori School in Brooklyn, NY. She holds a master’s degree in Early Childhood Education as well as a Montessori certification. Christine has trained as a postpartum doula through both DONA and Ayurvedic Mamas. Most recently, Christine founded The Family Flow, a community that offers online courses for parents of young children, with the aim of helping parents understand and support their children so they can guide them through the messy terrain of development. Christine lives in Queens with her husband and four young children. Show Highlights: In 2012, Christine’s first daughter was born after a wonderful pregnancy As a new business owner of a Montessori school, Christine pushed herself too hard as a new mom and was shocked at her hypervigilance and how it depleted her energy How Christine noticed that her daughter was extremely sensitive and easily overwhelmed by her emotions and frequently overstimulated; she also had sleep issues In 2015, her son was born after a more challenging pregnancy for Christine, and she felt like there was a cloud over her all the time How her daughter started showing harmful aggressive behavior toward the baby and Christine to the point she feared being alone with the two children How Christine felt inadequate to walk through this terrain of transition with her daughter to the point that she felt like a failure as a mother How Christine’s relationship with her own mother changed and left her feeling unsupported and isolated in an extended period of estrangement between them How her newborn son’s fussiness and vomiting escalated into full-blown colic, and Christine drew strength from her husband’s calm optimism How an interaction with her sister gave Christine a new perspective on her situation When her son’s colic settled down around nine months, she sought help from acupuncture, therapy, and learning more about her daughter’s unique needs When Christine became pregnant again, she feared a repeat of her postpartum experience, so she took maternal mental health training and listened to the Mom & Mind podcast, trying to make a different plan for herself and her older two children How Christine took physical and emotional space after the birth of her third child to authentically bounce back and learned to ask for help With her fourth baby, she hired a postpartum doula to help and learned how to ask friends and family for specific help How she made her basement her “recovery cave” and took some “sitting in” time, which left her recovered, steady, and calm as a new mother of four children How Christine helps other families through her Mindful Parenting program at her school and her online classes Resources: The Family Flow Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show marks five years of this podcast. It’s been an unbelievable journey speaking to guests who share their stories and experiences so we can all work to raise the volume on these perinatal mental health conditions. Five years, 206 episodes---and we’re still going strong! Heidi McBain shares her story of birth trauma, miscarriage, and anxiety to shed light on the importance of talking about these experiences, allowing time to grieve for loss, and getting the help you need. Heidi has been married for almost 19 years and has two kids, ages 12 and 15. She's also a dog mom to a high-energy Labrador Retriever. Her family spent six years living in Lima, Peru, when their kids were young, and they have been in Flower Mound, Texas (outside of Dallas) for the last four years. After being a stay-at-home mom when her kids were little, Heidi now works full-time as a therapist. She is licensed in the state of Texas and sees moms during pregnancy, postpartum, and throughout motherhood. Show Highlights: Heidi’s story of her first pregnancy with her daughter and how it was normal until things went downhill and became terrifying and traumatizing How the birth of her son three years later brought the realization of what she had been through during her daughter’s labor and delivery How a 12-week miscarriage between her daughter and son left her feeling guilty, upset, and like she should have been referred to a therapist Why you must create space to grieve for a loss in order to move forward How Heidi’s therapist helped her realize she was experiencing anxiety as umbilical cord concerns cropped up with her pregnancy with her son How Heidi coped with anxiety by going to therapy, meditating, journaling, and spending time outdoors Why Heidi regrets not going back to therapy after her son’s birth How Heidi and her husband worked together as sleep-deprived partners to deal with their son’s reflux problems What Heidi wishes she had known sooner How Heidi’s experiences spurred her to work more in the field of perinatal mental health to help others Resources: Heidi Mcbain Facebook and Instagram: @mentalwellnessformoms Learn more about your ad choices. Visit megaphone.fm/adchoices

Anxiety and intrusive thoughts can be horrifying experiences for new parents. My guest is making significant contributions to the field of perinatal mood and anxiety disorders in the areas of research and education. Join us to learn more about her work. Today’s guest is Dr. Nichole Fairbrother, a registered psychologist and Clinical Associate Professor with the University of British Columbia's Department of Psychiatry in British Columbia, Canada. She is the head of the UBC Perinatal Anxiety Research Lab, and her research is in the area of perinatal mental health with a focus on anxiety disorders and epidemiology. Dr. Fairbrother directs multidisciplinary studies to assess the prevalence of anxiety disorders among pregnant and postpartum women. Much of her work is focused on understanding the relationship of mothers’ intrusive thoughts, OCD, and mothering behaviors, and she is actively involved to bring awareness, help, and education to women around the world. Show Highlights: Nichole’s research around anxiety and intrusive thoughts How her personal experience of unwanted intrusive thoughts at the birth of her first child prompted her research The first small study (only 100 women) showed what women reported about their dark feelings and intrusive thoughts How the study was later replicated with a larger group of 2000-3000 women to help with prenatal education One of Nichole’s current projects: an animated educational video about intrusive thoughts and harmful behaviors Why intrusive thoughts are scary and stigmatizing for most women The evolution of thoughts that lead to increased protectiveness as parents of newborns Why unwanted intrusive thoughts in the postpartum and usually accompanied by OCD behaviors Nichole explains the rates of perinatal OCD and the risk for new moms How we can help by providing prenatal education to help mothers recognize the intrusive thoughts How Nichole is working on developing a cognitive behavioral treatment program and is seeking funding to develop the first training module The ongoing study and how you can participate along with all major English-speaking countries in the world (they are looking for about 3000 women who are up to three months postpartum) Messages of healing from Nichole: “Recovery is absolutely within reach if you’re suffering from anxiety and intrusive thoughts. I see people’s faces change when they realize that they are not alone in this.” Resources: Website and social media links: Website Facebook Twitter Learn more about your ad choices. Visit megaphone.fm/adchoices

As we continue to celebrate Maternal Mental Health Awareness Month, we take a deep dive into the cultural factors that affect perinatal mental health. Today’s guest shares how she’s working to support black, indigenous, and people of color (BIPOC) through the perinatal mental health journey as they transition to parenthood. Divya Kumar is a South Asian-American psychotherapist with a public health background specializing in perinatal mental health, trauma, and anti-oppression work. Her work connects clinical services with public health by addressing unmet needs in direct perinatal mental healthcare and the structure and delivery of perinatal support services. She is one of the Co-Founders of the Perinatal Mental Health Alliance for People of Color, a program within Postpartum Support International, and a Commissioner on the Ellen Story Commission on Postpartum Depression in Massachusetts. She also writes about the intersections of race, trauma, and perinatal mental health. Divya joins us to discuss how culture and immigration impact perinatal mental health. Show Highlights: What Divya wants us to know about her work that helps parents and families in the BIPOC community The relief that comes when someone can relate to your cultural background without needing to hear all the details How our thoughts, beliefs, and ideas about our culture affect our narratives, even down to self-care and what we think about seeking support Why many cultures glorify struggle and suffering for mothers to the exclusion of needing self-care, support, and help of any kind How it brings tension to the family when a first-generation immigrant who becomes a mother chooses to go against cultural norms Why following the narrative for mothers to “just try harder” only creates more self-blame and guilt The pieces of loss that complicate the transition to motherhood when cultural assimilation means abandoning important cultural practices and traditions The sense of grief and loss that comes in deciding which cultural traditions to continue on with your own family How culture shows up in daily parenting, even in small details like teaching kids to manage feelings and emotions How cultural narratives interact with perinatal mental health in areas of gratitude and shame How to reduce shame and guilt by unpacking the story down to its roots Divya’s “BothBrownAnd” philosophy in feeling and validating emotions The myth of “Happy Mommy/Happy Baby”--and why it doesn’t work Why the idea of choosing how to mother can be extremely difficult and also transformative at the same time How to cultivate the voice of self-compassion in sustainable ways Why motherhood is a process and a journey that each person can create How Divya works with clients with gentle and compassionate curiosity Parting words from Divya: “Your parenthood story is still being written. We sometimes feel stuck between two places in the non-linear path that takes us through parenthood. You don’t have to have all the answers. Seeing someone with an empathic stance to how you were raised can make all the difference.” Resources: Connect with Divya Instagram: @bothbrownand_ Learn more about your ad choices. Visit megaphone.fm/adchoices

We can all draw strength and community from the stories of others. Today’s guest uses her talents in acting, producing, and writing to inform and educate people about perinatal mood and anxiety disorders. Her overriding messages are that everyone deserves help and support so they don’t feel like she did, isolated and alone. Elizabeth Masucci is an actress, producer, and writer based in NYC. She started in theater and then began working in TV and film. Liz has starred on several TV shows such as Elementary, Royal Pains, and Public Morals, which was produced by Ed Burns and Steven Spielberg. She now mostly produces her own projects with a company she started with a friend. They have a few TV shows in development, one of which is a dark comedy about women struggling with perinatal mood and anxiety disorders at a maternal mental health center. Since Liz struggled with PMADs while she was pregnant with her daughter, she uses this creative outlet to share her story and spread support and information to others. She is also the mom of a little boy who was born last December. Show Highlights: How Liz experienced depression and anxiety in her first pregnancy in 2018 Because she had no information and no support, she felt confused, and her emotional swings and rage spiraled out of control How she saw a reproductive psychiatrist who prescribed medications, when Liz really wanted to explore further the why and what of her experience How she discovered the Motherhood Center in NYC through Postpartum Support International and signed up for the day program, which turned out to be a lifesaver How the varied aspects of support in the group therapy program helped Liz feel more stable and supported, along with Prozac How Liz transitioned later into her postpartum with the same support from the center What it was like in the beginning when realized that “something wasn’t right;” she felt tired, unmotivated, and totally overwhelmed with the normal tasks in preparing for a baby How Liz felt about telling others about her struggles How Liz immediately felt much better after giving birth The hesitancy and questions around taking medications during pregnancy How Liz felt during her second pregnancy, when she continued on medication; it was during the pandemic, but she had an easy postpartum period with no dark places Why Liz wanted to share her experience as an outlet for her and a way to help others Liz’s projects: a TV show about PMADs and group therapy, and a film about postpartum psychosis Why there is such stigma and misunderstanding around PMADs and postpartum psychosis What Liz wants others to know: “When you’re pregnant and in the postpartum, your body is going through a lot. Things will come up, so don’t ignore them. Don’t feel shame, but find the resources available to help you.” Resources: Liz Musucci @lizmasucci on Instagram and Twitter Learn more about your ad choices. Visit megaphone.fm/adchoices

Whether you are a parent or hope to be a parent someday, we all have assumptions about what pregnancy should be like. What we can’t control is how it will go in reality and how we will feel during the process. Today’s show explores how the journey can be navigated when unexpected circumstances creep in and sabotage our well-crafted plans. Leora Rozin felt blindsided and lost when welcoming her first child in 2012. She wishes she had someone with her background as an occupational therapist to help her navigate pregnancy and postpartum. After having a second child in 2014, Leora was expecting another child in 2019 when a fetal diagnosis at the 21-week anatomy scan rocked her world. This experience ultimately became a source of motivation to become certified in Perinatal Mental Health. Today, Leora is passionate about helping moms when their pregnancy and postpartum journeys feel off course. She lives in New York with her family and is the proud mom of three busy kids. Since April is Occupational Therapy Month, I’m excited to share Leora’s life and work in today’s show. Show Highlights: Leora’s first pregnancy in 2011: a breech baby prompted an emergency C-section and a cascade of events that she wasn’t prepared for In the postpartum, Leora struggle with pain control, feeding the baby, and daily duties; she felt isolated and alone How Leora reached out to her pediatrician for support and got immediate help How Leora never realized the magnitude of stress, adjustment, physical recovery, and the total reorganization of her life Two years later, she had her second child, and she felt more successful and better prepared How the management of two kids, a household, and a job was challenging in unexpected ways How Leora shifted her work as an OT to focus on pregnancy and postpartum The link between postpartum issues and the lack of self-care Why we can’t ignore the “middle space” between function and dysfunction in the lives of new mothers Why Leora’s work focuses on proper support for at-risk mothers How to find an OT who can help you After a miscarriage, Leora was pregnant with her third child when the 21-week scan showed an omphalocele, a severe abdominal wall defect After further tests and an immediate amniocentesis, Leora was able to share her story and find an outpouring of support Why it became Leora’s mission to help every woman in pregnancy and postpartum never to feel alone Update: Leora’s daughter was born and had surgery just a few hours after birth; she spent only six days in the NICU and is now a happy, healthy one-year-old Leora’s words to parents: You are not alone. We each have a unique journey, so just know that you should seek support from friends and family and trained professionals. Resources: Connect with Leora: Motherhood OT instagram.com/motherhood_OT Check out this directory to find an OT who specializes in maternal health: Motherhood OT Learn more about your ad choices. Visit megaphone.fm/adchoices

Are you ready for my big announcement? I wrote a book! I’m so excited to tell you all about it in today’s show. The Pregnancy Workbook: Manage Anxiety and Worry with CBT and Mindfulness Techniques is out on May 4, and it’s available for preorder now! The book is written in a relatable tone that will help you feel supported in your pregnancy journey. It’s full of usable tools to help deal with anxiety during pregnancy and over 60 skills that you can implement right away. Each chapter includes useful information, techniques, and coping strategies to ease anxiety during pregnancy and help you find peace and calm with proven therapeutic methods. The goal of the book is to help you feel guided and supported through pregnancy and the postpartum. Show Highlights: Why the writing process was a new and fascinating experience for me Why the book is dedicated to my daughter, the one who has taken me on the growth journey into motherhood Why it was a big challenge to decide what to include and what to leave out of the book as I honed in on the basics How writing made me look at therapy from a different perspective as I slowed down and thought deeply about my work with my clients How the book’s nine chapters cover topics like intrusive thoughts, anxiety, pregnancy loss, high sensitivity, and skills for relaxation, meditation, and mindfulness Why information for partners is included, along with help for the postpartum period Why the writing process was a challenge with my perfectionist tendencies and high sensitivity How I used therapy and a coach-mentor to help me process “the stuff” that came up during the writing process How the Pomodoro technique helped me chunk the work into small tasks to get things done How I pulled out my woo-woo techniques to help me be more mindful and calm How writing the next book will be easier because of what I’ve learned through this experience Why writing a book has taught me so many things about myself Resources: Wherever books are sold! The Pregnancy Workbook: Manage Anxiety and Worry with CBT and Mindfulness Techniques by Katayune Kaeni, Psy.D., PMH-C Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s guest shares her personal story of recurrent pregnancy loss, including early miscarriage and multiple ectopic pregnancies. She shares how her mental and emotional healing journey led to the writing of a book. Kim Hooper is the author of several novels; her latest is No Hiding in Boise, which comes out this June. She and her co-authors wrote All the Love: Healing Your Heart and Finding Meaning After Pregnancy Loss as a mix of personal stories plus information and awareness from the clinical side. The book covers topics like reconnecting with your partner after loss, considerations for LGBTQ couples, trying again after loss, coping and healing, and racial, cultural, and socioeconomic issues. I’m thankful for Kim’s willingness to share her story of multiple losses, healing, and what it was like to finally give birth to a healthy baby after her long journey. Show Highlights: Kim’s complicated journey to motherhood: 1st pregnancy in 2015 ended as an ectopic that required emergency surgery 2nd pregnancy was a missed miscarriage when the embryo stopped growing 3rd pregnancy was a miscarriage at 17 weeks when her son’s heart stopped beating 4th pregnancy was another ectopic, and the doctor said it was “just bad luck” 5th pregnancy was totally normal and resulted in the birth of her daughter in 2017 How Kim tried to figure things out and get answers in her desperation The mental and emotional roller coaster of recurrent losses and pregnancies How Kim experienced anxiety, anger, and denial How Kim found support in unexpected places How to reconnect with your partner in the aftermath of pregnancy loss Why most men and women don’t grieve in the same ways The statistics: couples who experience miscarriage are 22% more likely to break up than couples who haven’t had a miscarriage How Kim and her husband were able to talk about their grief and recover as a couple How Kim personally turned to therapy and journaling to help her with the trauma The roundabout healing journey through grief The intensely personal aspects of grief and healing What Kim has learned about dealing with grief Details about Kim’s book and who it’s written for Resources: Connect with Kim: Website Facebook Instagram Twitter Turner Publishing Co Authors: Dr. Huong Diep Meridith Resnik, LCSW Learn more about your ad choices. Visit megaphone.fm/adchoices

It’s always helpful to hear someone’s personal story because it will resonate with many more people than they might think. My guest today shares her experience with postpartum depression, which was made even more shocking because it occurred several months after the birth of her second child. Join us to hear Emily’s story. Emily Adler Mosqueda has become a fierce advocate for mothers since experiencing postpartum depression several months after her second daughter was born. It’s different with a second child because a mother receives much less support than with her firstborn. Emily talks about how she realized the signs of her postpartum depression, along with how her profession has been affected. She is a bilingual pediatric speech-language pathologist, Associate Clinical Professor, and Lead Clinical Supervisor at the Young Child Center with the Communication Disorders and Sciences program at the University of Oregon HEDCO Clinic. Emily is the mother of two young daughters who teaches graduate students about parental mental health factors as they relate to communication disorders. Show Highlights: Emily’s story of postpartum depression with the birth of her second daughter: Cruising along with confidence until eight months postpartum Depleted in every way and sleep deprived, Emily finally took a leave of absence from her job to address her postpartum depression and begin regular counseling, acupuncture, and writing How Emily learned to ask questions and research to find answers and educate herself How Emily’s husband, a Chinese medicine physician, was able to relate her symptoms to her pregnancy and postpartum Key contributing factors for Emily: The tendency toward depression that she kept secret Cumulative sleep deprivation Cultural influences about motherhood and perfectionism The pressure to “have it all together” with a second child--and not need help How Emily has learned to value her needs and feel free to express them How Emily felt that her care providers missed the signs and didn’t take the opportunities to ask about her wellbeing Why Emily worried about the language development of her second daughter and took steps to provide early intervention How Emily’s experience with postpartum depression has intersected with her career as a speech-language pathologist who is training grad students to be aware and intuitive A broad overview of language development in kids Tips for parents to support language development by interacting verbally, labeling items, talking about daily tasks and activities, reading books, and giving intention to being more talkative with your child How writing her memoir helped Emily heal Resources: Connect with Emily: Emily Adler Mosqueda Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you identify as a perfectionist? Do you feel like things need to be a certain way and if they aren't, you feel unsettled? How did that affect you when you were trying to conceive, during pregnancy, birthing or postpartum? This is one of those things that really impacts the early stages of motherhood and parenthood (and all stages really). In this episode, I talk about the dynamics that I see with the mamas that I help...and one that I struggled with in my postpartum...and still work on managing. I touch on how it even impacted the recording of this episode. Some of the things we address on this episode... *The struggle with feeling the need to be perfect *It seems that perfectionism often comes with a high sense of morality and conscientiousness - I believe that this makes intrusive thoughts even more unbearable. *Perfectionism often develops as a way to cope and manage life. But that way of coping goes head to head with the challenges of new parenthood. *The stress of perfectionism, can make getting help feel hard. Help can feel SLOW or inadequate. *Accepting that we can't be perfect is very hard, and it's part of the key to healing. If you identify with any of this, take a listen to the episode, give yourself a big hug and please know that this is not a judgment of you. Please know that you can find a new way to cope that is more forgiving to yourself. If you'd like, please check out the blog post on the Postpartum Support International Blog that I mentioned: Soul Level Crisis Please pass this episode along to any person who could benefit! If you haven't yet subscribed to the podcast head over to www.momandmind.com We welcome ratings, reviews, sharing the podcast and spreading the word about perinatal mental health! Lets crush this together! Learn more about your ad choices. Visit megaphone.fm/adchoices

How are you? Sometimes it’s hard to check in with ourselves in the busy-ness of daily life, especially in these pandemic days when our self-care options are limited. High stress, depression, and anxiety tend to feel like personal failure. In today’s show, I want to offer you perspective and encouragement. Show Highlights: How to interpret your feelings during moments of stress How to approach the new considerations brought on by the pandemic: masks, social distancing, virtual connections, etc. Why life is hard in many ways right now for most people Tips on how you can feel better: Remember that you are resilient Getting help is NOT failure Honor your exhaustion by taking a break and setting boundaries Check in with your sleep, eating/hydration, hormones, and stress Turn “What’s wrong with me?” into “What’s going on for me?” Take time to reflect and allow space just to BE Resources: Check out the Mom & Mind Online shop at Mom And Mind. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s episode is packed with helpful information about taking medication during pregnancy and the postpartum period. We’ll also take a closer look at COVID-related issues and the vaccine as they relate to perinatal mental health. Join us to learn more. Dr. Sarah Oreck is a Columbia University-trained psychiatrist who focuses on women’s mental wellness. In addition to her expertise in general and addiction psychiatry, Dr. Oreck is one of very few doctors with specialized training in reproductive psychiatry. She runs a private practice in which she combines the most up-to-date medical treatments with talk therapy, meditation, and a whole-body complementary approach. Dr. Oreck is passionate about teaching, and she regularly lectures at Cedars Sinai Hospital, UCLA, and The Providence Hospital System, in addition to her media work. She is actively involved in advocacy work and is a member of the Board of Directors of Maternal Mental Health Now. Show Highlights: An overview of the field of reproductive psychiatry--and how it helps people The “risk vs. risk” perspective regarding medication and perinatal mental health How Sarah talks to people about the risk of anxiety and depression Why mental health medications can be safer than untreated mental illness The dangers when physicians don’t keep up with new mental health research and literature How Sarah works to train and inform physicians about pregnancy and postpartum How Sarah’s individual clients benefit from her bilingual abilities due to her Colombian heritage The myths of motherhood in the Latin community that only magnify the need for a mental health focus Sarah’s observations about the impact of COVID on perinatal mood and anxiety disorders What it was like for Sarah to have her first baby during the COVID pandemic What we should know about the COVID vaccine regarding pregnancy and breastfeeding mothers How the stigmas around anxiety medication discourage people from taking medications that are necessary and life-saving What Sarah has seen in people getting the help, support, and connection that they need Resources: Sarah Oreck MD Instagram Facebook Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s topic is important, but it is hugely stigmatized in our culture. You may not have even heard about paternal postpartum depression, but my guest today shares what he experienced with the births of his two children. Dr. David Levine is a pediatrician in New Jersey. He was blindsided by postpartum depression because, like most of us, he thought it only happens to women. He shares the struggle of having to talk to his wife about it and how he found help. Even more surprising is that he experienced postpartum while working as a pediatrician. He completed his undergraduate degree at Rutgers College Medical School at NYU and his residency in pediatrics at Yale. Dr. Levine is not on the board of Postpartum Support International (PSI), where he works in professional outreach as a staunch advocate for fathers’ mental health. He’s written a book about his experience, which will hopefully be published soon to get the message out to fathers that they are not alone. Show Highlights: Why so little is known about postpartum mental health, especially concerning fathers David’s experience when his first child was born seven years ago How David felt his aggravation and agitation increase as his infant son cried and could not be calmed How David looked for support groups and resources for dads--and couldn’t find anything How he kept getting worse and started envisioning committing violence against his child: “It was like watching a horror movie in my mind.” How David finally told his wife about his depression and intrusive thoughts How David tried medication briefly and then hit rock-bottom around week 7 of his son’s life How David began his long road to recovery with therapy, a baby nurse, and more sleep How he gained confidence as a father and began to bond with his son when he was 3-4 months old How David began working with PSI and then had his second child three years ago How his experiences were very similar, yet very different with his daughter Why David feels that the traditional traps of masculinity kept him from seeking help earlier How men experience anxiety and depression much differently than women do Why postpartum depression in dads might manifest with anger, withdrawal from the family, and even physical violence The pushback from people who don’t believe that postpartum depression exists for fathers Why there should be more research, understanding, and resources for all aspects of male mental health The hard statistics about male and female depression How we can catch paternal postpartum depression better by teaching pediatricians to screen mothers AND fathers, and teaching obstetricians to inform mothers to check on dads David’s manuscript for his book and his determination to get it published Hopeful messages from David: “Paternal postpartum depression is fixable. We can prevent some of this from happening. With that, we can improve the lives of children and their parents and make stronger families.” Learn more about your ad choices. Visit megaphone.fm/adchoices

We all know that the challenges of new motherhood can be many--and overwhelming. If you are an HSP (highly sensitive person), then those challenges may be magnified---and you probably aren’t focusing on any self-care. This topic resonates deeply with me and intrigues me in the way the trait interacts with motherhood and its challenges. Julie Bjelland is an LMFT, an HSP psychotherapist, and the author of Brain Training for the Highly Sensitive Person: Techniques to Reduce Anxiety and Overwhelming Emotions. Julie’s mission is to help sensitive people reduce the challenges and increase the positives.Through her website specializing in highly sensitive people (the trait also known as Sensory Processing Sensitivity), she offers many valuable resources for both HSP’s and parents of sensitive children. Julie has a mission to spread awareness and education about the trait of high sensitivity and believes the world needs the gifts of sensitive people. Show Highlights: High sensitivity is a trait and not a disorder--and it’s NOT the same as introversion (30% of HSP’s are extroverts and 20% are introverts) From Elaine Aron’s work on HSP’s: Depth of Processing, Overstimulation, Emotionally responsive, and Sensitivity to subtle stimuli (DOES) The judgment around being sensitive and its connection to weakness How scientific research shows real brain differences in HSP’s On the positive side, HSP’s are more empathetic, more aware, and more compassionate Common for the HSP mother is to put themselves at the bottom of the priority list and take care of others first Trained HSP vs. untrained HSP Self-care---a conscious action you take to lower your stress and bring you to a balanced state A key for HSP’s is getting enough sleep in order to understand and meet specific needs An HSP mom’s default setting is to be hard on themselves and focus on everyone else’s needs Certain parts of the brain in HSP moms will be overactive, like merging into everyone else’s moods and experiences Many people who seek treatment for anxiety will also have the HSP trait How HSP contributes to overall perinatal depression and anxiety, since everything changes in mind, body, and spirit Why HSP’s need creative ways to get two hours of alone time each day The tendency to measure everything in ourselves and others against the standard of perfection Self-talk, with low levels of self-compassion and criticism of themselves Common characteristics of HSP’s: perfectionism, sleep-deprived, overstimulated, and misunderstood Steps to help HSP’s: Develop self-compassion (Kristin Neff outlines 3 steps) Take breaks when needed Practice mindfulness 50% of clients in therapy are HSP’s Supporting moms and dads better in pregnancy and the postpartum period could impact parenting differently and offer more support Using the right tools for support in children can prevent many problems and help them gain confidence and have an easier time accepting who they are Resources: Brain Training for the Highly Sensitive Person: Techniques to Reduce Anxiety and Overwhelming Emotions.by Julie Bjelland The Highly Sensitive Child by Dr. Elaine Aron Self-Compassion by Kristin Neff www.juliebjelland.com Find Julie on Facebook: The Highly Sensitive Person Instagram: hsp psychotherapist Twitter: @juliebjelland LinkedIn: highly-sensitive-juliebjelland Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to Mom and Mind, I’m your host, Dr. Kat. Anxiety is at an all time high with covid, political stress, social justice stress, holidays and collective stress. So we are re releasing this episode from 2 years ago, as it is one of the most commonly downloaded episodes. We are talking about Postpartum Anxiety today and more specifically, We touch on the ever present guilt and shame that runs its course through motherhood as well as some ways to cope and manage postpartum anxiety. About Carly Snyder, M.D. Dr. Carly Snyder is a Board Certified reproductive and perinatal psychiatrist with a unique approach that combines traditional psychiatry with integrative medicine-based treatments. Dr. Snyder received her medical degree from NYU School of Medicine and completed general psychiatry residency at Mount Sinai Beth Israel Medical Center with additional reproductive psychiatry elective training at the Payne Whitney Women’s Program at NY Presbyterian Weill Cornell Medical Center, where she remains voluntary faculty. She maintains a private practice on the Upper East Side in NYC, and is working virtually due to COVID19. Dr. Snyder was named a ‘2019, 2020 and 2021 New York Super Doctors Rising Star’ and is a frequent lecturer on the topic of women’s health and wellness. Her weekly radio and HuffPost parenting blog share the “MD for Moms” moniker. She also is a regular contributor to many popular websites and a member of the Women’s Mental Health Consortium and Robyn. Dr. Snyder served on the Board of Postpartum Support International (PSI) for multiple years and remains a member of the Advisory Council. Show Highlights: - What is "normal" anxiety in new motherhood - How can people know when it's becoming more difficult or a clinical issue? - What kinds of anxiety might a mother experience (types) - Examples of cases? - What is a side effect of the perinatal anxiety (guilt, shame, relationship problems, etc) - what can they do to heal/cope/manage? - Hopeful messages of repair/recovery? Great Info, right?! The more we can understand these things, the easier it will be for us to cope and heal. Carly's bio is here: https://www.carlysnydermd.com/about/credentials/ Social Media: Facebook - https://www.facebook.com/CarlySnyderMD Twitter - @CarlySnyderMD For this and all episodes of Mom and Mind, go to www.momandmind.com, join on on FB, twitter and IG as well as our FB group, Mom and Mind connection. Until next time! Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show covers a topic of great concern and high stress for many parents. Many of us don’t understand colic and how to soothe a colicky baby. Today’s guest shares how her experience raising her colicky newborn daughter affected her life and her mental health. Jacqueline DelVecchio is a licensed mental health counselor in Salem, MA. She works in a private practice setting and specializes in perinatal mental health, certified through Postpartum Support International. She’s a wife, mother of two, and doggy-mom to a chocolate lab. Show Highlights: In 2016, Jacqueline’s first child was born after a great pregnancy and birth experience; the all-day crying began immediately and lasted about seven months Even though her daughter was a good eater, with every bottle came the intense crying that lasted for hours The only soothing for her baby came from bouncing on a yoga ball, running the vacuum, and Justin Timberlake’s song, “Can’t Stop the Feeling” How Jacqueline’s daughter would cry for two hours after every feeding but would sleep through the night quite well Why Jacqueline felt helpless, isolated, and guilty Why Jacqueline decided to see a therapist How Jacqueline dealt with the frustration of a constantly crying baby The expectations for parenthood---and the grief that comes from realizing “this is not what I expected” The need for education, resources, and help for parents who are dealing with colic How other parents and even doctors don’t understand what dealing with a colicky baby is like How therapy helped Jacqueline normalize her experiences, thoughts, and feelings The biggest lesson learned for Jacqueline was that all moms are on the same level How Jacqueline was led to specialize in perinatal mental health What Jacqueline has learned about the effects of colic on parents Jacqueline’s tips for parents who are dealing with colic now: Prioritize self-care Ask and accept help from others Educate yourself and advocate for yourself The nervousness and anxiety that came with a second child, wondering if colic would be a problem again Hopeful messages from Jacqueline: “You’re doing a wonderful job even if your baby doesn’t stop crying. That’s not what determines your value as a parent. There is help and support if you’re dealing with colic.” Resources: Connect with Jacqueline: Jacqueline DelVecchio Instagram: @butletsberealistic Learn more about your ad choices. Visit megaphone.fm/adchoices

Even though there is much variation in the stories that women share here on the podcast, it’s amazing how many similarities they share. In today’s conversation, like so many others, we see a commonality in both the suffering, the isolation, and the path to healing. Leila Tualla is an author and poet. She journaled her bouts with pregnancy anxiety, postpartum depression, and preeclampsia in a memoir titled Storm of Hope: God, Preeclampsia, Depression and Me, as a way of healing. Leila is a mental health advocate and is part of 2020 Mom as a Mom Ambassador. She is currently volunteering as a peer support provider for organizations such as International Association of Premenstrual Disorders (IAPMD) and as a mentor for Postpartum Support International (PSI). She hopes that by sharing her maternal mental health and birth stories that moms know they are not alone in their postpartum and premenstrual dysphoric disorder journeys. Show Highlights: How Leila was diagnosed with preeclampsia during her first pregnancy in 2012--and she experienced anxiety over what to expect next How her daughter was born at 31 weeks and spent 46 days in the NICU Leila’s desperate fears during her pregnancy anxiety with her second pregnancy--and how the anxiety developed into postpartum depression later on As a counselor, Leila noticed the signs in herself but wondered why the postpartum pamphlets don’t tell the whole story How her son was born at 34 weeks and spent 11 days in the NICU How Leila’s boss spoke up and encouraged her to get help at six months postpartum How Leila found Postpartum Support International (PSI) and began writing to tell her story Why Leila wrote her book How her faith and writing helped her heal through anxiety, postpartum depression, and two NICU experiences How Leila’s experiences were isolating until she started speaking up How Asian cultural expectations didn’t help Leila and made her feel like she should pick herself up and move forward What it was like to start to talk about her experiences and share her story Why Leila is proud of where she’s been and where she is today What Leila’s healing process was like when she found support for premenstrual dysphoric disorder (PPMD) Resources: Website and Social Media links: Leila Tualla Facebook: LeilaTuallaM Twitter: Leila Tualla Instagram: An_Anxious_Believer Storm of Hope: God, Preeclampsia, Depression and Me by Leila Tualla Learn more about your ad choices. Visit megaphone.fm/adchoices

Weight-loss struggles, eating disorders, endless dieting shame--we all know what it feels like to be stuck with these issues. None of these contribute to mental wellness, joy, and contentment. The problems are compounded for women during pregnancy and the postpartum period. If you’re stuck in the shame cycle about your body shape and dieting failures, join us for today’s show. Catie Lynch is a licensed clinical social worker specializing in eating disorders, body image, and the postpartum period. She has two daughters, a three-year-old and a ten-month-old. She has made it her mission to help women stop dieting and find food freedom for themselves and their children. Show Highlights: Catie’s personal story of her struggle with body image, dieting restrictions, and eating disorders How Catie coped after her wedding with weekly therapy, dietitian appointments, and group therapy Catie’s first pregnancy and the body changes that felt to her like two years of weight gain How Catie felt pressure in the postpartum period to “get my body back” while caring for a newborn How girls and young women are bombarded with ideals about what our bodies should look like What Catie sees in her practice regarding women and body image: Wanting to be “perfect” Obsessing about clean eating Struggling when they don’t “feel” themselves How women can be triggered by their doctors’ views about food How “health” is assessed with weight and BMI, which aren’t always the best indicators of health What your “set point” is, where your body wants to be, and how your body protects itself Why it’s so difficult for women to trust their bodies and feelings Catie’s message to pregnant women who are worried about weight and body image Why Catie wishes she had done things differently in her pregnancy and postpartum, like trusting herself more, talking to others about it less, and focusing on her own needs Top concerns that women share with Catie during the postpartum period Behavioral warning signs that help women know when they need to seek professional help in the postpartum How the health and wellness industry markets dieting today as “lifestyle changes” Catie’s “health at every size” approach, which focuses on intuitive eating Catie’s hopeful messages for women: “Women shouldn’t feel bad about wanting to lose weight. Talk to a coach or therapist who is trained in disordered eating in the postpartum. You know what your body wants, so don’t let your brain hijack your intuition. You’ll be a better person and a better parent for it.” Resources: Catie Lynch LCSW Find Catie on IG: catielynchlcsw Intuitive Eating by Evelyn Tribole and Elyse Resch Learn more about your ad choices. Visit megaphone.fm/adchoices

October is Pregnancy and Infant Loss Awareness Month. Having a high-risk pregnancy and being put on bed rest brings many challenges to a woman already in a heightened emotional state. These emotions carry a lot of anxiety and worry about the health of the mother and the baby. Join us to hear Shenee’s personal story. Shenee Bend experienced a high-risk pregnancy that required her to be on hospital bed rest for a month. It was shortly after this time that she decided to focus her counseling work on pregnant and postpartum women. Shenee Bend is from California and now resides in Georgia with her husband and their two children. She is a licensed professional counselor who is trained in perinatal mental health. Shenee has an online practice serving pregnant and postpartum women in Georgia and Florida. Shenee will be sharing her bed rest pregnancy story along with coping skills to use if you are currently experiencing a high-risk pregnancy. Show Highlights: Shenee’s pregnancy story of her second pregnancy with her son, when things were going very smoothly . . . At 32 weeks, early morning bleeding caused some concern, so Shenee went to the hospital and prepared for a possible preterm delivery After a three-day stay, she was sent home with strict instructions With more bleeding in the next 24 hours, she returned to the hospital for what ended up being a month-long stay until her son was born Many emotions played into the acceptance of her fate and her anxiety about her son’s health and safety The difference between high-risk pregnancy(certain risk factors, like advanced age, multiples, and previous problems) and pregnancy complications(developing health issues, like high blood pressure, anemia, gestational diabetes, and mental health conditions) The link between mental health and pregnancy How Shenee was worried about her baby and sad for her body in the way it was experiencing pregnancy Shenee’s tips about coping skills: Feel all the feelings Forgive yourself Shift your perspective Keep a schedule Use positive affirmations Limit social media use Be selectively social with other people The danger in having negative thoughts How Shenee was induced at 37 weeks after a month in the hospital How to recognize the need for professional help in determining the difference between high-stress situations and clinical depression Hopeful messages from Shenee: “Remember that a bed rest situation is temporary, and you will get through it.” Resources: www.pregnancytherapist.com Check out Shenee’s three-part video series! @pregnancytherapist Learn more about your ad choices. Visit megaphone.fm/adchoices

October is Pregnancy and Infant Loss Awareness month. Mom & Mind honors all of the loss families who are grieving the loss of a child. There is no timeline and no right way to grieve, so we hold your loss with tenderness and love. In this episode, Sarah Arcotta talks about the loss of one of her twins from Twin to Twin Transfusion Syndrome, a condition we haven’t yet covered on the show. Sarah shares the difficult grief from her experience and shares her healing and supportive message for other families. Sarah is an artist and educator who lives just north of Boston. You can find her exploring tide pools with her two young children or making art. She advocates for arts education while earning her Master’s degree in Leadership in Education. Sarah shares her story of loss, postpartum depression, and recovery to bring awareness to a serious condition affecting twin pregnancies. Show Highlights: How Sarah’s story begins 14 weeks into her second pregnancy, when she found out she was having identical twins At 16 weeks, she was diagnosed with twin-to-twin transfusion syndrome (TTTS), which occurs in 10% of twin pregnancies What is TTTS? It occurs when twins share the placenta but have separate amniotic sacs; one twin (recipient) receives too many nutrients due to the blood vessel formation, and the other (donor) doesn’t receive enough nutrients How Sarah lived with fear and anxiety in every single moment, having twice-weekly ultrasounds to check the babies because of the unpredictability of TTTS How Sarah was ill and uncomfortable during the pregnancy, having to have amniotic reduction, but the fluid came right back At 22 weeks, Sarah had laser ablation surgery to try to correct the blood vessel placement How the ultrasounds showed her recipient baby was receiving too much fluid, which put a strain on her heart After making it to 28 weeks, an emergency C-section brought her daughters; the donor baby lived only 45 minutes, and the recipient baby went straight to NICU How Sarah functioned in survival mode with a heightened sense of fear and anxiety every single minute 85 days later, her daughter was still in NICU, and her fear and anxiety remained When her daughter finally came home, a tsunami of emotions hit Sarah, including rage and depression How she felt out of control and tried to push down the rage; when she couldn’t, she turned to alcohol to try to deal with her emotions How Sarah lost her father unexpectedly just a few days after the loss of her daughter and she didn’t feel like herself for about a year How Sarah continues to integrate healing work into her family How Sarah tries to use her experience to enrich her life better How meditation, mindfulness, and creativity help Sarah to feel emotions and have compassion for herself Hopeful messages from Sarah: “This is a very difficult, heartbreaking, and stressful experience, but it’s also something that will enrich and grow your life. It will inform who you are and the kind of family you raise. You can create strength from this hard situation.” Learn more about your ad choices. Visit megaphone.fm/adchoices

Hearing personal stories gives us a unique insight into the nuances of the journey into parenthood, which differ from one person to the next. Today’s guest details her experience in ambivalence about whether having kids would be part of her life story. She shares how her journey into parenthood has shaped and grown her into the person she is today. Dr. Elise Sanchez is a Licensed Clinical Psychologist, speaker, coach, and educator who lives in CA with her husband and toddler. She provides coaching, mentoring, and consultation regarding life transitions, education, sexuality, love, friendship, mental health, diversity, equity, and inclusion. Dr. Sanchez is the founder of Speak the Secret, an online platform created to provide community, connection, and collaboration with people who have a passion for growth and healing. As a new mom, Dr. Sanchez realized there was a long way to go in her healing journey. She created a group on Facebook, #MomLivesMatter, to provide resources, support, and community for moms. She aspires to help everyone she meets feel seen, heard, and understood,r empowering others to use their voice and share stories of strength, resilience, and hope is her mission. Show Highlights: Elise’s story of how she and her husband wavered back and forth about having kids and when to start trying The long process of Elise’s pregnancy, labor, and delivery How Elise learned to “lean into the pain” of giving birth How Elise tore and was stitched up in the traumatic aftermath of her daughter’s birth The difficulty of Elise’s postpartum care in the hospital The breastfeeding difficulty and pain that Elise mistakenly thought was “normal” until her daughter’s lip-tie and tongue-tie were discovered by a lactation consultant Why Elise regrets not listening to her intuition earlier Why the lack of sleep was the biggest postpartum hurdle at home for Elise The blessing of COVID-19 in giving Elise more quality time with her daughter The guilt and shame that Elise feels in expressing her dislike of many of the mothering responsibilities The struggle for Elise to find her new identity as a mom The need to talk about the darker and scarier side of becoming a mother, and why we need to normalize these feelings and prepare new moms for them What Elise wants others to know: “Therapy is valuable. Speak up, find support, and get help when you need it.” How it took about a year to recover and get back to “normal” The value in learning to be present in the moment as a new mom Hopeful messages from Elise: “Giving birth and becoming a mom humbled me and reminded me that I’m human. I have such appreciation for everyone who has kids because they do the impossible every single day. I have huge respect for them. We work like we don’t have kids, and we have kids like we don’t work. We are doing it all and ruling the world.” Resources: Instagram: Dr. Elise Sanchez Speak The Secret Facebook Groups: Mom Lives Matter Learn more about your ad choices. Visit megaphone.fm/adchoices

The journey into motherhood can be filled with many challenges. The situation is worsened if one grew up with a difficult relationship with one or both parents. Such is the personal story you’ll hear in today’s show. Join us. Jaimi Martin came from a very difficult childhood with a mother who suffered from mental illness. Jaimi shares some of the dynamics that played out with her and her mother, carrying over to shape her own journey into motherhood. Jaimi discusses sensitive topics, like suicide, so use your discretion in listening. Since Jaimi is a therapist specializing in perinatal mental health, she is able to give insight into how her early experiences have impacted her. Jaimi now lives in San Diego with her husband and sensitive four-your-old son. After a career devoted to children and adults with emotional needs, Jaimi changed gears after the birth of her son, since she found herself without support or knowledge about what she was experiencing. Once she learned about postpartum depression and anxiety, she became an advocate for women and now serves as a volunteer for Postpartum Support International. Last year, she became perinatal mental health certified and now works with mothers, supporting their growth and discovery through her private practice, Womanhood Counseling. Show Highlights: The basics of Jaimi’s childhood story: Raised by a single mom who also had a difficult and detached relationship with her own mother Jaimi’s mom’s childhood was filled with physical, emotional, and substance abuse Jaimi’s mom had children early, and CPS visits and interventions were frequent Jaimi grew up with many suicide attempts by her mom and an alcoholic stepdad; she was trained to not talk about the family’s dysfunction When Jaimi moved out at 18, her mom followed her and promised many times that she would change, but she never followed through Jaimi’s mom blamed Jaimi for all her troubles A therapist urged Jaimi to move far away to escape her mom, so she went to San Francisco and pursued a career in social work The call that told Jaimi her mother had been successful in her final suicide attempt How Jaimi suffered through the grief of her mom’s suicide, thinking that it was a game and that she would surely “show up” one day The sense of “relief” that Jaimi felt because her mom was gone, which prompted much shame and secrecy about her feelings How Jaimi worked through the grief process with a therapist but knew she didn’t want to ever become a mother When she met and married her husband at age 39, the doctor said she would probably never get pregnant without intervention The relief that Jaimi felt about not having kids, but her husband was left grieving the loss of fatherhood Ironically, Jaimi became pregnant the next month and felt wholly betrayed by her body because it did what she didn’t want it to do The birth of Jaimi’s son, along with intense fear and anxiety that he would never attach to her The additional fears of karma “catching up to her” for what she had done to other families as a CPS worker Jaimi’s postpartum crisis, when she lost weight and “didn’t feel OK” Jaimi’s terrifying experience with a postpartum therapist How Jaimi found the Mom & Mind podcast and the pieces fell into place to make sense of her attachment issues How Jaimi found help in books, podcasts, and moms’ support groups How Jaimi learned to give her son what he needs as a sensitive child How Jaimi made the shift from CPS work to her private practice Jaimi’s hopeful messages: “If you’ve gone through the suicide of a loved one, you are not alone. There is a community out there that understands. There is no shame when someone you love dies by suicide. Own your feelings and hold space for them.” Resources: Womanhood Counseling Facebook: Womanhood Counseling Instagram: Womanhood Counseling Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is about an important topic that isn’t talked about very often. We’ve all heard of morning sickness, but there is a much more severe condition called hyperemesis gravidarum. It brings all-day nausea and vomiting and can result in significant physical and emotional effects. Lauren Harris is a married mother of three kids who lives in western Massachusetts. She’s a licensed mental health counselor who owns the Center for Perinatal Wellness. Lauren is also the Western Massachusetts Regional Coordinator for Postpartum Support International. In today’s show, Lauren shares her story of hyperemesis gravidarum (HG) through three separate pregnancies. We’ll hear how she learned of her condition and dealt with for a very long time with little support. Lauren also shares about her struggles with postpartum anxiety, along with how her experiences propelled her into the field of perinatal mental health. Show Highlights: Lauren’s story of her surprise pregnancy at age 22 with her daughter, Natalie, now 13 At eight weeks, Lauren was hit with incredible nausea that kept her vomiting up to 12 times each day; she was unable to keep food/liquids down, but was told it was “normal.” There were four separate times that Lauren was hospitalized for IV fluids due to dehydration; she lost 40 pounds during the first 20 weeks of her pregnancy. She was frustrated that no one took her seriously, and she couldn’t work or function each day, which put a financial strain on their family. Late in her pregnancy, she was prescribed Zofran, which was the only thing that would help. Her parents helped pay the out-of-pocket cost at $90 per pill; Lauren had to take three pills daily for several weeks. What it felt like to be told that her extreme sickness was “normal” Why Lauren had the conversation with her mother about terminating her pregnancy How HG affected Lauren’s work as a mental health counselor How Lauren met the emotional challenges to keep going day by day After a 23-hour induction, her perfectly healthy baby girl was born, weighing 8 lbs. 11 oz. Why the birth was followed by a D & C because of a hemorrhage Four years later, Lauren was pregnant with her second child; she had similar nausea and vomiting but felt much more supported by her medical team With her third pregnancy, she took more care with rest and hydration but experienced much more postpartum anxiety The irony was that as the HG improved with each pregnancy, the anxiety issues became worse How Lauren coped by using therapy and medication Why Lauren was propelled into perinatal mental health work by her personal experiences Lauren’s practice has three clinicians now but is looking to expand soon because the need is so great What Lauren learned about HG and herself Resources: Email Lauren: lauren@laureneharris.com Lauren’s practice: www.cpw.care Find the Center for Perinatal Wellness on Facebook Learn more about your ad choices. Visit megaphone.fm/adchoices

In many ways, our life experiences around reproduction impact us and our mental health significantly. Today’s show focuses on the story of adult sexual trauma and how our guest was affected as she became a mother. **The nature of this topic of sexual trauma and differing birth experiences prompt a sensitivity warning for some listeners. Use your judgment in listening now or at a later time. Emily Finomore is a mother and clinician who couldn’t find information on what to expect with a pregnancy and childbirth experience after adult sexual trauma. Emily wants people to know that each person’s birth experience can be different and yet bring healing. Emily is a child and adolescent therapist as well as outpatient clinic manager for WVU Medicine in Behavioral Medicine. Her previous work includes more than ten years working in various capacities in child welfare systems, clinical work in family treatment drug court, implementing a large scale research project at the Air Force Academy, and working in private practice. Her area of clinical focus is complex developmental trauma. In an effort to support communities in West Virginia as they work to meet the challenging needs of these children, Emily has trained frontline staff, educators, behavioral health professionals, and families on understanding the neurodevelopmental effects of complex trauma and appropriate interventions to support regulation and healing. Emily is the parent of five children, through both biology and adoption. She shares her story in an effort and with the hope that you know that you’re not alone in your experience. Show Highlights: Emily’s story of sexual assault as a college student and becoming a mom for the first time a few years later Emily’s various birth experiences with her four biological children and one adopted child How parenting taught Emily how little control she has over life events Why Emily thought that a natural birth experience with her first child would bring healing How her second pregnancy came quickly after her first child and led to a planned induction How the epidural allowed her to stay present, focused, and joyful How Emily’s third child was adopted from foster care: “the longest and hardest labor of all” How the journey to adopt her daughter brought up trauma triggers for Emily A move to Colorado allowed Emily to consider more natural birth options for her fourth child, using a certified nurse-midwife in the hospital How having birth photography for the first time played an important role in Emily’s trauma response How a surprise pregnancy brought a fifth child and the opportunity to use a birth center and have all her children present with her How important relationship and connection were in the childbirth space The great need for resources in helping people find trauma-informed care providers Emily’s suggestions for other trauma survivors regarding communicating with your spouse and engaging with your clinician Hopeful messages from Emily: “There are many ways to find healing, one of which is becoming a parent. Birth is the start of your parenthood journey, and I’m continuing to heal and grow. Sharing my experiences with others helps my healing, and I’m grateful for all the pieces.” Resources mentioned: Email Emily: emilyfinomore@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Perinatal mood and anxiety disorder can leave you feeling lost, alone, and confused by the symptoms. This is why it’s so important that we hear personal stories of others that show us we are not alone. Alisa Pastecki is a Sales Executive for a network equipment and services provider that works with telecommunications companies all over the US and Canada. She lives in Batavia, NY--just outside of Buffalo--with her husband Doug, two-year-old daughter Gloria, and their dog Lily. The family spends as much time outdoors as possible, enjoying hiking and camping. After the birth of her daughter, Alisa suffered from postpartum depression, anxiety, and OCD. She has since realized just how important it is to raise our voices in the fight against maternal health stigmas, and she wants to help normalize PMADs for moms in her community. Show Highlights: How depression and OCD tendencies began for Alisa even before she was pregnant Trying to conceive, an endometriosis diagnosis, surgery, and plans for IVF An unexpected pregnancy just in the nick of time led to insensitive comments by a nurse that escalated Alisa’s anxiety about the pregnancy With an easy pregnancy, Alisa’s daughter was born full-term, but Alisa’s anxiety kept escalating with the pressure of her doubt in second-guessing every decision Midwife and doula plans, induced labor, painful procedures, and a C-section What Alisa wishes she had done differently Why Alisa had never been so scared before as she was during her C-section Problems with breastfeeding and weight loss for her baby How Alisa felt about being constantly bombarded with a black and white approach to each obstacle she faced Problems with OCD, disconnected feelings, and anxiety in the first few postpartum weeks How the anger and rage set in for Alisa and led to irrational fears about her daughter How intrusive thoughts began around three months postpartum How Alisa stumbled onto the PSI (Postpartum Support International) website and found helpful resources How Alisa found a therapist who let her know that she would be OK; now, two years later, she is still working with that therapist who provided her the tools and meds to change her life The difference that therapy and medications made in giving Alisa confidence as a new mom Lessons learned for Alisa: Many medical practitioners aren’t sufficiently educated on postpartum care, so you need to find a doctor who understands PMADs Reach out to peers and a support group who will honestly open up about the bad and ugly of the postpartum experience Be vocal and help break the stigma around mental health issues Resources: Alisa Pastecki Learn more about your ad choices. Visit megaphone.fm/adchoices

We are constantly learning more about the importance of mental health and its impact on the overall health of parents, children, and the entire family. More and more clinicians are getting trained in perinatal mental health, which is exactly what is needed. In today’s show, we get a pediatrician’s perspective of stepping in to help new moms, even though their primary role is to support and care for the child. Dr. Natasha Sriraman is a pediatrician and Associate Professor of Pediatrics at Eastern Virginia Medical School. She’s an attending physician, researcher, wife, and mother. Her main areas of research include breastfeeding, postpartum depression, and health disparities. Natasha is a strong advocate who lobbies for breastfeeding support in the workplace and postpartum depression screening within the pediatric setting. She researches, publishes, and speaks around the country about postpartum depression and anxiety, breastfeeding, and the importance of the mother in the fourth trimester. When not working, Natasha enjoys running, boxing, yoga, traveling, reading, and going to the beach with her family. In this episode, Natasha shares her perspective, experience, and knowledge of being a pediatrician who incorporates perinatal mental health awareness and screening into her practice as well as how her own experience prompted her to become a lactation consultant. We’ll touch on how the added stress of COVID-19 is impacting families in receiving necessary care and how pediatricians can play an important role in perinatal mental health. Show Highlights: Natasha’s practice and focus on perinatal mental health and the “fourth” trimester, based on her experience and difficulties as a mom The unique opportunities that pediatricians have to engage with babies and mothers during the first year of a baby’s life and “bridge the gap” for families Why Natasha is screening moms even before the first six-week checkup for the baby The delicate balance for a pediatrician of navigating the issue of a mom’s mental health when the baby is your patient How to differentiate between normal “new mom nervousness” and postpartum depression and anxiety that requires help New worries from pregnant women and new moms in the time of COVID-19 Extra precautions in the doctor’s office during COVID-19: taking temperatures and wearing masks How Natasha navigates her work as a lactation consultant Why patients should never feel like they have to choose between breastfeeding and getting treatment for anxiety/depression The need for widespread education in perinatal mental health Natasha’s hopeful message: “It’s been wonderful to see moms achieve a level of comfort in talking to their physicians and pediatricians in the fourth trimester. One positive aspect of COVID-19 is increased access to virtual support groups.” Resources: Natasha.Mom.MD: Care For Kids, Empowerment for Moms Facebook: Natasha Mom MD Natasha Mom MD Learn more about your ad choices. Visit megaphone.fm/adchoices

We have the honor of hearing from Dr. Sheehan Fisher about new fathers, the transitions they may go through when a baby comes along, as well as the challenges and strengths that they may experience. There are quite a few gems in our talk today, one of which is how the role of fatherhood is changing and adapting to the times…AND thoughts about navigating that. Dr. Fisher’s take on these transitions is not to be missed. I’m sure you’ll want to share this with the fathers, men and partners of men in your life. PLEASE DO! We also discuss: - The spectrum of mood changes that fathers might experience postpartum, such as depression, anxiety, anger - how it affects them, what they might experience - what their partners might notice - Looking at the family as a system and how family members affect each other - What can they do? What kinds of support or therapy, available? - Coping suggestions - hopeful messages for fathers Connect with Dr. Fisher: Twitter: @SheehanDFisher Facebook: @SheehanDFisher Instagram: @DrChefSheehan Dr. Sheehan Fisher is a clinical psychologist and Assistant Professor at Northwestern University, Feinberg School of Medicine, with an appointment at Lurie Children’s Hospital. His research and clinical interests focus on perinatal mental health, with a subspecialty in father’s mental health and role in the family. His aim is to understand the mechanisms that place mothers and fathers at risk for perinatal mood and anxiety disorders, and the effect of both parents' mental health on infant health outcomes. He also is passionate about increasing fathers' competence in the home and reconstructing views of masculinity. For this and all episodes, visit www.momandmind.com To join in the discussion and community, find us at https://www.facebook.com/MomandMindPodcast/ https://www.facebook.com/groups/MomandMindConnection/ Learn more about your ad choices. Visit megaphone.fm/adchoices

My goal is for the show to be a mix of personal stories, expert interviews, information, and education. Even though my story isn’t usually at the forefront, I find that it’s powerful and meaningful to share my experiences, and that’s the focus of today’s episode. Join us! You know me as Dr. Kat, but my full name is Katayune Kaeni. I’m a psychologist, wife, and mother to two lovely humans. I’m perinatal mental health certified, and my entry into the world of perinatal mental health began ten years ago with the birth of my first child, my daughter. I’m proud of my children, and I look at this podcast as another beautiful creation that I’ve birthed into the world. Just like the motherhood journey, my four-year podcast journey has been full of many mistakes and lots of learning; we’ve covered many topics, but there is so much more to learn! To date, Mom & Mind is heard in 69 countries, with over 356,000 downloads and a horde of social media followers. Welcome to Episode 180! Show Highlights: For everyone with a perinatal mental health issue, there is always a story behind the pain Why and how my relationship with my body changed and began a different phase in my life How I knew at age 12 that I wanted to be a mental health counselor, even though I already was dealing with anxiety and depression In high school, a skiing accident left me with an ACL injury that required surgery, along with my first concussion In college, risk factors kept building as PMS brought panic attacks and more depression; over the years I tried doctors, diuretics, birth control pills, acupuncture, Chinese medicine, and energy healing In grad school, family stressors brought more depression and anxiety, and I met and married my husband; a biking accident led to my second concussion that wasn’t treated properly As I entered the world of employment, I suffered yet another concussion; other risk factors included anxiety, depression, being a highly sensitive person and a perfectionist, and then---my first pregnancy Because pregnancy brought me relief from PMS and hormonal craziness, I actually felt wonderful--better than I had in many years Ten years ago, in 2010, my daughter was born, and the problems began on Day 1 How I dealt with breastfeeding issues, poor sleep, and intense anxiety; the intrusive thoughts were overwhelming and embarrassing because of their sexual nature Why I never even told my husband how I was feeling--even a year into our daughter’s life As a psychologist, I didn’t want anyone to know that I was suffering, so I lied on a depression screen How I finally decided to make changes, and I started with learning more about perinatal mental health and helping others How getting past the shame, guilt, and embarrassment was a huge obstacle for me How I started accepting clients into my private practice and continued to learn more and more Today, I’m still triggered from time to time, but I can recognize the signs now better than before With my second child, I had similar experiences, but the problems were less intense because I knew what was happening How my PMS symptoms became worse and more difficult to manage after my two children were born How I’m taking measures to manage my mental health Why I want people to have a broader sense of perinatal mental health conditions My goal for myself is to learn to live with it well and have more opportunity for healing My healing isn’t complete, because life brings up things I have to deal with on a daily basis My goal with the podcast is to normalize the fact that we all struggle, and make it OK to reach out and get help Resources: Email me: hello@momandmind.com Find my website: Mom And Mind Learn more about your ad choices. Visit megaphone.fm/adchoices

We are talking with Professor Chinyere Oparah and Dr. Sayida Peprah, who are part of the Black Women Birthing Justice collective. Today we are discussing some of the research they have done and the report called Battling over Birth. Highlights from our discussion include the power dynamics in the birthing environment for black women, history of sexual survivor issues and how that might impact the birthing experience, empowering Black women in the birth space and some glimpses into what the Battling over Birth report recommends. Julia Chinyere Oparah is a social justice educator, collective leader, activist scholar, and experienced community organizer who has spent over two decades producing critical scholarship in the service of progressive social movements. Oparah is Provost and Dean of the Faculty and professor of Ethnic Studies at Mills College, and she was educated at Cambridge University and Warwick University Show Highlights: Black Women Birthing Justice: A collective of African-American Caribbean, and multi-racial women who are sharing about the negative experiences they’ve had in their maternal care and childbirth How a negative birth experience can be turned around with a great midwife and doula team How the actions that are being taken by medical providers are disempowering black women How BWBJ began in 2011 with a Research Justice project, with over 100 women being open and honest about their stories Battling Over Birth: a human rights report that unpacks the stories of those 100 women and how they found themselves in conflict with their medical providers Before the sharing circles, some of the women had no idea of what they had missed out on in their birth experiences The comparison with this topic and the sexual survivors of the Me Too movement, and how their birth experiences are re-triggering and re-traumatizing, with further victimization How doctors use fear-based coercion to get the women to do what THEY want The ramifications and implications for these women, along with the potential stress and trauma The opportunity to change the narrative and “do it differently” How to have empowerment in the birth experience, including how providers interact with you for physical exams during labor and birth How the mental health of these women is affected The ways we can make sure this doesn’t keep happening--”This doesn’t have to be normal.” How the impact of the negative birth experience bleeds over into breastfeeding How the timelines followed in the birthing process don’t take into account the stress and trauma that are added to the process What the report shows about the link between postpartum depression being linked to the birth experience, and not just to hormones How those disadvantaged in race, class, and relationship status had toxic postpartum environments more frequently The shame and judgment that black women feel in admitting postpartum depression, because they are supposed “to be strong” Resources: Professor Oparah: https://www.juliachinyereoparah.com/ Dr. Sayida: www.DrSayidaPeprah.com To learn about Dr. Sayida’s non-profit click here: www.DiversityUplifts.org, To learn more about the Black community-based doula program and COVID19 doula initiatives Dr. Sayida is working on, click here: www.FrontlineDoulas.com Please find out more by reading that Battling over Birth report at Find the report here: http://www.blackwomenbirthingjustice.org/battling-over-birth Twitter @birthingjustice Instagram @birthingjustice Facebook: https://www.facebook.com/pg/Black-Women-Birthing-Justice-216928328357571/posts/?ref=page_internal Learn more about your ad choices. Visit megaphone.fm/adchoices

Going through a postpartum mental health event can be a transformative experience. Many survivors feel inspired to change the course of their lives and careers and dedicate themselves to supporting and serving others. Such is the case of today’s guest, and her story is a fitting way to round out Maternal Mental Health Month. Join us! Linet Madeja-Bravo is a working mom, wife, and the proud daughter of Filipino immigrants. She lives in the Pacific Northwest and is Mommy to two-year-old Isabella. Professionally, Linet has worked for local government for almost a decade and is most passionate about serving those in her community that are most marginalized and furthest from opportunity. Overwhelmed by the unexpected realities of being a new mom, breastfeeding issues, and other life events, Linet decided to seek professional help at eight weeks postpartum. Linet’s experience with postpartum depression and anxiety ignited a passion for helping other new moms and families. She is also passionate about decreasing cultural stigma and reducing barriers to mental health support and resources for those who need it most. Linet continues to work through her postpartum depression and anxiety with a specialized therapist and shares her story as a way of healing. She also hopes to one day become professionally trained to become a therapist or support person who specializes in perinatal mood and anxiety disorders. Show Highlights: Linet’s story of always wanting to be a mom, getting pregnant soon after their marriage, and an easy pregnancy How she experienced anxiety about the birth process, but then felt overwhelming joy at her daughter’s birth As the difficulties began, Linet found that breastfeeding was the biggest contributor to her postpartum anxiety Why it was hard for Linet to know who to listen to At three days old, her daughter had to go to the hospital due to losing weight; she had to take formula and be treated for jaundice in the NICU How the nurses didn’t explain the problems and treatments to Linet, and she found out later her baby had been weighed incorrectly What Linet learned in the NICU stay: how to pump and how to wash bottles properly How Linet realized that breastfeeding and sleep were her biggest issues, along with an unexpected surgery for her daughter’s tongue-tie issue How LInet realized that everything she tried to control didn’t work out and made things worse How Linet took her daughter to different feeding specialists and therapists, later realizing she was being obsessive How Linet had random crying fits and felt guilty for her postpartum anxiety and suicidal thoughts The breaking point at eight weeks postpartum, when Linet went to the hospital with abdominal pain that turned out to be diverticulitis Why Linet saw a therapist to get help for the first time The unseen pressure in immigrant cultures about mental health How returning to Linet’s faith and her church community helped with her healing The hardest things in Linet’s journey Hopeful words from Linet: “You have everything you need to be a great parent. Your confidence in parenting will ebb and flow, and there will still be hard days. I’ve accepted that parenting is full of hard moments and new things. The most beautiful thing is that I’ve never felt such deep love, passion, and reward. Parents need to prioritize self-care and give themselves grace.” Learn more about your ad choices. Visit megaphone.fm/adchoices

No one will escape this life without feeling the pain of loss, and there is no better way to channel that pain than through creating something beautiful out of it. In today’s show, you’ll meet a devoted husband and father who wasn’t content to wallow in his loss on the sidelines. He’s turned his pain into purpose as he helps countless families through the challenges of maternal mental health treatment. Steven D’Achille is president and founder of The Alexis Joy D’Achille Foundation for Postpartum Depression. He’s an advocate for maternal mental health issues because he realizes that women’s health is a family health issue. His passion is creating access to care for struggling families. He’ll go deep into his story today, sharing how postpartum depression took the life of his wife, Alexis. I’ve had the pleasure of serving on the board of Postpartum Support International with Steven, and I’ve seen up close his passion and dedication springing from the horrible and unnecessary outcome of his wife’s death. He is changing the landscape in Pittsburgh and wherever he goes to share his wife’s story and the foundation in her name. Steven is a passionate advocate for fathers, in addition to his support of maternal mental health because he realizes the need for caring for the whole family, especially fathers and partners. As his six-year-old daughter, Adriana puts it, “He wanted to change the world.” **Sensitivity Notice: Difficult topics are discussed in this episode related to suicide. If you aren’t in a place to listen today, feel free to find the episode at a later date. Show Highlights: Get to know Steven and his story that began with the traumatic birth of his daughter, Adriana How Steven’s wife, Alexis, believed that her first act of motherhood was to damage her child How things started unraveling almost immediately for Alexis, who knew she needed help How Alexis experienced serious anxiety and saw an LCSW for coping mechanisms, receiving a PTSD diagnosis The increased anxiety, shame and stigma, and scary options More symptoms included depression, insomnia, and loss of appetite The disconnect between psychiatric care and Ob care for mothers How HIPAA rules prevented the pediatrician from notifying anyone of her concerns about Alexis How Alexis was prescribed an antidepressant and the depression escalated to suicidal thoughts; her plea for help went unacknowledged How Alexis begged to be admitted for weeks and then hung herself in their basement--just 14 days after beginning the new antidepressant How the system failed Alexis How Alexis survived to get to the hospital and make it to ICU How Steven got clarity on how to move forward and make something good come out of Alexis’ tragedy, to get other moms the help Alexis could not get How The Alexis Joy D’Achille Foundation’s hospital treated 3000 moms in 2019 The family services provided by the foundation The importance of a father’s perspective in going through this journey and raising a 6-½-year-old daughter without her mom How our laws protect puppies more than we do moms and babies The reality of postpartum depression treatment in the US---and what needs to change The power in telling your story What the new standard of care should be Resources: Alexis Joy Foundation Facebook: Alexis Joy D’Achille Foundation for Postpartum Depression: @Alexisjoydachille Instagram: @ajd_foundation Learn more about your ad choices. Visit megaphone.fm/adchoices

In honoring Maternal Mental Health Awareness Month, today’s topic is mother burnout. It’s something a lot of us moms feel, but we often don’t recognize it until it’s too late. Let’s learn more! Diana Spalding is Digital Education Editor at Motherly, along with being a certified nurse-midwife, pediatric nurse, and mother of three. She wrote The Motherly Guide to Becoming Mama, which was just released. We’ll discuss what burnout means, why it’s important to pay attention, how to recognize the early signs, and what to do from there. Show Highlights: How Diana became interested in burnout The facts: 85% of moms don’t feel supported by society The “occupational phenomenon” of burnout, which is a diagnosable condition with real consequences Characteristics of burnout: fatigue, exhaustion, negativism, cynicism, and not feeling like you’re doing a good job Good mom, bad mom, and how we judge ourselves and each other Contributing factors to mother burnout How and when burnout begins Why parents don’t trust themselves, and how we can empower them How to recognize signs of burnout and be aware of your mental health The importance of reaching out for help and finding connection How certain factors related to the current pandemic contribute to burnout, like isolation, lack of support, and unreasonable demands How our culture teaches us to deal with uncomfortable feelings How our capacity for empathy and sympathy is stretched Long-term effects of chronic stress Diana’s book, a new resource with a holistic focus on mental health Resources: Motherly Instagram: Motherly Facebook: Motherly Media The Motherly Guide to Becoming Mama: Redefining the Pregnancy, Birth, and Postpartum Journey by Diana Spalding, Jill Koziol, and LIz Tenety Learn more about your ad choices. Visit megaphone.fm/adchoices

May is Maternal Mental Health Awareness Month, and today, May 6, happens to be World Maternal Mental Health Day. It’s a fitting day to bring you this show with an expert who is the driving force behind a pioneering study to help diagnose postpartum depression earlier and get moms the treatment they need. Dr. Samantha Meltzer-Brody, MD, MPH, is co-principal investigator of the Mom Genes Fight PPD research study, as well as the Assad Meymandi Distinguished Professor and Chair of the UNC Department of Psychiatry and director of the UNC Center for Women’s Mood Disorders. Her funded research is focused on understanding the genetic signature of postpartum depression and investigating novel technologies and treatment modalities to optimize and personalize treatment for women with perinatal depression. Most recently, this has included the MOM GENES app and the brexanolone clinical trials, the first FDA-approved medication for postpartum depression. She knows a lot, and she’s done a lot with her significant work in perinatal mental health. Show Highlights: What postpartum depression is and why Dr. Meltzer-Brody is studying it The MOM GENES study that began in 2016 (learn how you can participate) How the study can help us identify who is at risk so intervention can happen earlier Who can participate in the study The confidentiality and anonymity of the study The availability of resources for participants in the study How the DNA samples are collected and pooled together How the genetic information will be used to determine treatment and outcomes The preliminary findings: not all women have the same types of postpartum depression Why women with co-occurring anxiety disorders are encouraged to apply for the study Examples of postpartum depression and the signals that mean someone needs to seek help How the study and the app have already helped people in many ways Resources: Mom Genes Fight PPD Learn how you can join the study from the comfort of your own home. Learn more about your ad choices. Visit megaphone.fm/adchoices

Emilia Ortega-Jara, LCSW is a psychotherapist, Founder and Clinical Director of Corazon Counseling Service Inc., a holistic culturally-rooted community-based counseling center that focuses on all things Preconception, Pregnancy, Birth, and Postpartum! Emilia has over 20 years’ experience working in the mental health field and has been a longtime advocate for culturally and linguistically appropriate mental health services in the Latinx community. She has worked with various social justice organizations and community based mental health agencies throughout California. After the birth of her son, Emilia took special interest in developing her clinical expertise in the treatment of perinatal mood and anxiety distress among Chicana/Indigenous and Latinx communities. She is Certified as a Perinatal Mental Health Specialist through Postpartum Support International and is trained in EMDR, she uses EMDR techniques in the treatment of Perinatal Loss and Birth Trauma. Emilia is passionate about supporting and empowering parents at all stages of their parenting journey through the use of traditional ancestral knowledge and modern trauma-informed psychotherapy. Emilia is a mother to a spirited and emotionally attuned 8-year-old who loves the fact that mommy helps other mommies not be sad, and wife to the most supportive and socially conscious husband. Nayeli Corona-Zitney is a bilingual, licensed clinical social worker whose private practice in Rancho Cucamonga, CA, specializes in Perinatal Mental Health. Her experience includes therapeutic work with adolescents, families, and new parents experiencing perinatal mood disorders. Nayeli is an active member of Postpartum International (PSI) and currently volunteers as PSI’s support coordinator for Riverside and San Bernardino Counties in California. Nayeli is committed to offering her expertise to the community. She does this through her private practice and also by facilitating pregnancy and postpartum support groups in the community in both English and Spanish. Nayeli is a wife, mother of two, and Perinatal Mental Health Advocate who integrates a social justice framework, which recognizes how migration and historical socio-political policies can negatively impact certain groups. Puntos destacados del podcast: Es de vital importancia cuidar la salud mental de las madres durante el parto y posparto. Por la situación de incertidumbre actual, el estrés en la mujer es especialmente difícil para las embarazadas y para las que acaban de dar a luz. Hay que garantizar el bienestar de las madres, cuidarlas y darles el apoyo emocional que necesitan, siendo tan vulnerables y sensibles en esta etapa. Depresión y ansiedad en la etapa perinatal, Nayeli se especializó en esta fase porque durante el embarazo de su hija tuvo un parto traumático y le tuvieron que hacer una cesárea de emergencia. deben ser lo suficientemente fuertes como para hacerlo ellas solas. La obligación de dar y recibir apoyo no solo recae sobre la madre sino a todo el mundo de su alrededor. Recursos: Consejería Terapia del Diálogo: Terapia cognitiva conductal Terapia interpersonal Desensibilización y deprocesamiento por medio de movimientos oculares. Grupos de terapia del Hospital Columbia Valley: 2 veces al mes, el primer y tercer miércoles de cada mes. Grupos de apoyo PSI (Postpartum Support International) Corazón counselling Nayeli LCSW Corazon Counseling Learn more about your ad choices. Visit megaphone.fm/adchoices

One challenge that every therapist faces is helping clients through a difficulty that hits very close to home. For instance, when you’ve experienced a personal perinatal mental health challenge, then it can be triggering to provide support for others. Today’s guest has found a way to handle those difficult moments and turn her experience into commitment and advocacy for others. Bridget Cross is a Licensed Clinical Social Worker, certified perinatal mental health professional, and mom to two daughters. She lives in Savannah, Georgia, and works in private practice providing individual, family, and group therapy to new, hopeful, and expectant moms. Bridget is also a volunteer coordinator for the Georgia chapter of Postpartum Support International, and she’s a member of the Maternal Mental Health Collective of Savannah. Bridget’s passion is supporting women in all phases of life, but especially as they encounter and cope with the transition to motherhood. Bridget discusses what it’s like to work as a therapist with pregnant and postpartum moms when going through infertility, and what it’s like working with a perinatal population when going through her pregnancy and postpartum period., Therapists are human, and they have to deal with their own challenges while helping their clients. Show Highlights: Bridget’s three-year journey with IUI and IVF to have her first daughter, now 5 The crippling anxiety, anger, intrusive thoughts, and panic that set in quickly and intensely at her daughter’s birth Why Bridget felt that she “should be stronger than this” How Bridget found herself in deep, dark depression when her daughter was one month old How Bridget withdrew from everyone in her life and “hid out” The external stressors of work, moving to a new city, and career pressure How Bridget went back to work and became involved with PSI The moment of relief and recognition for Bridget that brought clarity on her next steps as a therapist How Bridget covered up and justified her feelings when people tried to help her The assumption that mental health professionals will know to ask for help if they need it How hard it is to admit to others that you need help, especially as a mental health professional When Bridget’s daughter was two, she got pregnant again with IVF, which resulted in an easy pregnancy and wonderful birth Why Bridget expected postpartum depression with her second daughter’s birth and felt better prepared; she started early medications, therapy, and returned to work in a few weeks Bridget’s commitment to becoming an advocate for pregnant and postpartum women, knowing this was part of her personal healing journey The difficult parts of seeing pregnant and postpartum clients even though some stories are triggering and painful How to handle the tendency to get angry about her own story and clients’ stories How to hold space for the anger, hopelessness, and helplessness in this community Why Bridget believes her path has made her a better therapist Bridget’s message to other therapists: “Try to prioritize taking care of yourself and your feelings. Check your boundaries and notice presenting issues that are just too much to handle. Know when you need to step away. Listen to yourself and get connected to the perinatal mental health community.” Resources: Bridget Cross LCSW Facebook: Bridget Cross LCSW Listen To Moms Learn more about your ad choices. Visit megaphone.fm/adchoices

The focus of our chat is on sex, but it’s also about relationships and stress and how our brains work. Our guest Emily Nagoski, Ph.D. shares her brilliant wisdom with us in this episode. Given the current state of the world, we are living in times of unprecedented stress, which absolutely affects how we relate to each other. I’m excited for you to hear this episode and learn more about your brain, sex and stress, especially postpartum. (FYI, sex related body parts, sex related words are used in our chat). Emily Nagoski is a sex educator and the author of Come As You Are: The Surprising New Science That Will Transform Your Sex LIfe and Burnout: The Secret to Unlocking the Stress Cycle. Her job is to travel all over the world, training therapists, medical professionals, college students, and the general public about the science of women’s sexual wellbeing. Show Highlights: The dual control model of how your brain perceives and processes sex Why you might feel judgment about your sexual response, which “hits the brakes”--not the accelerator Why the magical six-week timeline doesn’t work for most women How your brain responds to the physical changes that come with giving birth The best perspective on the six-week timeline Steps to take in the chaos: Identify what is causing you to hit the brakes Have non-sexual sharing and touching Why Emily doesn’t use the term “libido” Why sexual desire differential is the #1 reason people seek sex therapy The secrets of sexuality in long-term relationships Why desire does NOT come first Why you need to identify the sex you want---and don’t want Why “pleasure is the measure” of your sexual wellbeing Why Emily reads her own audiobook versions Creating the ultimate sex-positive context through kindness and compassion The difference in confidence and joy Resources: Emily Nagoski Come As You Are: The Surprising New Science That Will Transform Your Sex Life by Emily Nagoski Burnout: The Secret to Unlocking the Stress Cycle by Emily Nagoski Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is a special episode with difficult and sensitive topics. We’ll be hearing about Nora and her story of postpartum psychosis and filicide. We have the honor of hearing from Nora’s mother, Kathryn Gahl. She will share from her perspective as a mother and what it’s been like to see what Nora has been through and continues to experience in her imprisonment after filicide. We’ll also hear from Dr. Brooke Laufer, a clinical psychologist who picked up on this case and has followed it closely. Nora has given her permission for us to have this conversation with Brooke and Kathryn about her case. The goal is to get information out in the public about postpartum psychosis, its detection, and treatment. Join us to hear the mother’s perspective, the clinical perspective, and what’s going on in Nora’s life right now. Nora’s mother, Kathryn Gahl, became a widely-published, multi-genre writer after a long career as a nurse manager. She is the mother of a daughter and a son, and in 2004, she lost her young grandson to filicide. Now, her bookshelves sag with letters from her imprisoned daughter, who is also a registered nurse. Kathryn believes in the transformative power of dance, dark chocolate, and red lipstick to help her get through life. Brooke Laufer has been a practicing psychologist since 2005. She began her clinical work in psychiatric wards with severely mentally ill patients and then worked in schools with adolescents and their families. She is currently in private practice doing psychoanalytic psychotherapy. After having her first child, Brooke had a disturbing postpartum OCD experience, which inspired her to begin researching, understanding, and specializing in the area of perinatal mental illness. She recently started working as an expert witness for women who have committed a crime in a postpartum episode. Brooke has two children of her own, along with a Golden Retriever and a loyal husband; they live, work, and play in Evanston, Illinois. Show Highlights: The overview of Nora’s story, from Kathryn Nora’s experience: suffocating her 14-month-old son, Leo, and then attempting suicide because of her postpartum psychosis Circumstances that contributed to Leo’s death Nora’s psychiatric diagnoses: major depressive disorder severe with paranoid ideation, excessive-compulsive personality disorder, and PTSD What these events were like for Kathryn How Kathryn’s writing and dancing have helped her cope with these horrifying events How Kathryn was surprised at the people evaporated from her life and those who stepped up to support and help her How Brooke got involved through corresponding with Nora because of a childhood connection Why Nora believed she deserved to suffer and be punished Altruistic filicide (defined as believing that bringing death to the child is better than if the child survives) is an apt label for Nora What it’s like to be in a state like Wisconsin, where a case like this gets very little support and legal consideration Why Nora made the decision to plead guilty The main issue is how poorly we treat mental health issues in our US legal system that is deeply flawed How other countries deal with mental health, motherhood, and postpartum psychosis How Kathryn dealt with this experience with only one bout of depression Why postpartum psychosis is an issue that shows the failure of our culture A message from Brooke: “We need to understand that motherhood is equally dark and light. We need to ask for good help when we need it.” Why family members need to speak up when a mom seems “off” A message from Kathryn: “Trust your hunch.” The dire need for more postpartum screening Resources: Dr. Brooke Laufer Kathryn Gahl Gahlstone Twitter: @kathryngahl Learn more about your ad choices. Visit megaphone.fm/adchoices

Perinatal mental health is the focus of many Mom & Mind episodes, but infant mental health is often overlooked in our discussions. It’s fascinating to see the intersection of infant mental health and perinatal health, and research shows that we need to consider how these two systems work together to bring mental health to both parents and their babies. We are jumping into this interesting topic with today’s guest. Meyleen Velasquez is a psychotherapist who specializes in infant and perinatal mental health. Her practice supports individuals identifying as women and clinicians working on practicing from an anti-oppressive framework. In today’s episode, we’ll talk about what infant mental health is and why it’s important to consider--along with perinatal mental health. Many moms worry about not doing the right thing for their child, so they fall into the traps of modern parenthood. Meyleen talks about the reality of parenthood, assuring you that you aren’t messing up your kids if you don’t attend to them ALL the time. Show Highlights: What infant mental health and why it’s important The intersection of infant mental health and perinatal mental health: infants need a caregiver to provide calming, soothing, focused attention, and the caregiver needs a safe space to express emotions Why there isn’t much focus on the crossover between infant mental health and perinatal mental health The need to share information with parents in the space of compassion and gentleness In the parent/child relationship, a basic need is that struggling parents need support Why an infant who doesn’t show a full range of emotions is cause for concern, but those emotions can’t be overinterpreted The need to be “good enough,” and look at parenting as a whole and not just what happened in one day Why parents need at least 30 min./day to take care of themselves The red flag of developmentally inappropriate regression in young children Overinterpretation vs. under interpretation Myths and misconceptions about infant mental health How we can help an infant learn to co-regulate Why parents need to take breaks to soothe themselves How babies respond differently in different settings and relationships Hopeful messages for parents: “Infants and young children are extremely resilient. If parents can get the support they need, then babies can bounce back. Nothing is a forever situation because we can be good enough and create healthy, thriving babies with relationships that we also enjoy.” Resources: Hummingbird Counseling Facebook: Hummingbird Counseling Zeroththree Learn more about your ad choices. Visit megaphone.fm/adchoices

We talk about a lot of things that people don’t want to talk about or even hear. Still, they are very real, challenging, and difficult circumstances surrounding pregnancy, birth, and postpartum. It’s important to share these stories because these difficulties become a reality for many people. Today’s show focuses on birth trauma and breastfeeding as we hear our guest’s personal account. Erin Northrup is a mom of four busy children, ranging in age from 2-10. She lives in Atlantic Canada, where she enjoys spending time in nature with her family. With the birth of her oldest child, Jack, she experienced birth trauma, and this experience sparked her passion for researching trauma. Erin holds a bachelor’s in Psychology and is currently pursuing a Master’s in Health Services Research. Her current research explores the experience of breastfeeding after birth trauma. Her own experience of breastfeeding after birth trauma inspired her to become a volunteer with a breastfeeding support organization offering community-based, peer to peer breastfeeding support. She is committed to raising awareness of the intersection of birth trauma, breastfeeding, and perinatal mental health. Show Highlights: Erin’s birth trauma experience with the birth of her son, Jack, now 10 How her Ob prepared her to have a C-section because of an ambiguous condition How Erin’s water broke a week early, and her spinal didn’t take, so the C-section proceeded under general anesthesia, while Erin felt dissociated from the entire experience In recovery, she was told that her son was taken to the NICU because of low blood sugar, and she couldn’t see him yet How Erin’s mom, a physician, stepped in to advocate for Erin to see her son While eating breakfast a few hours after the birth, Erin felt a popping sensation in her incision and felt a gush of blood Erin was rushed back to the OR, and the spinal worked this time while Erin cried on the table--all of this was before she had even held her baby How Erin was repeatedly spoken about like she wasn’t even in the room; she felt like her input wasn’t even important When Erin got home, survival mode kicked in, and she regretted not advocating more strongly for herself How Erin questioned whether or not her son was even the right baby, worrying that a mix-up could have occurred in the hospital because neither she nor her husband witnessed his birth How she determined to “make it up” to her son by breastfeeding him How the Ob told her at two months postpartum that her condition should not have warranted a C-section in the first place---which just made everything worse How Erin felt an erosion of trust in her doctors and the medical system How Erin asked where the growth and meaning was in her situation and how she could use her experience to help others Erin applied to a Master’s program and went on to have three more kids with positive birth experiences How Erin found support for breastfeeding What Erin has found in her research by asking mothers about their experience with birth trauma and breastfeeding The magnitude of the response she has received, but the difficulty in hearing the painful stories of birth trauma The results from Erin’s research: Birth trauma is destabilizing to the breastfeeding process because of the physical and emotional pain in childbirth and the postpartum from mistreatment The importance of trauma-informed care How women with these experiences feel like the trauma is somehow their fault What care providers should be aware of in their work Resources: Instagram: Live Learn Lactate Learn more about your ad choices. Visit megaphone.fm/adchoices

We know that our body systems are complicated. There’s no way we can understand everything we need to know to have a healthy pregnancy and postpartum, but the more we know how the brain and body work together, the more prepared we can be. Today’s show focuses on the thyroid, the small--but mighty--organ that impacts fertility, loss, pregnancy, and postpartum. Dr. Hilary Mandzik is a licensed psychologist in private practice in Cary, NC. She also sees clients remotely throughout North Carolina and Virginia. Hilary holds a doctorate in clinical psychology from George Washington University and a Master’s in Education from Harvard. In addition, she has advanced clinical training in perinatal mental health. Hilary is passionate about supporting parents in their journey from conception and onward. She wants to help parents and children feel connected to each other and live their best lives as individuals and as a family unit. In today’s show, Hilary tells us about how her thyroid condition impacted her fertility journey. We’ll discuss other clinical aspects to consider concerning the thyroid, as well as what you need to know if you’re working toward pregnancy. You’ll learn that many people have thyroid conditions and don’t even know it. Show Highlights: Hilary’s personal story of two pregnancies and a missed miscarriage, which clued her in to possible thyroid issues How Hilary didn’t fit the typical thyroid symptom profile How Hilary’s midwife discovered her thyroid issues With research, Hilary discovered that thyroid imbalance is a well-known cause of miscarriage, infertility, anxiety, and depression Why TSH and other hormone levels should be checked routinely in pregnancy How Hilary changed doctors five times within the first six weeks of her third pregnancy, refusing to see a doctor who would dismiss her thyroid issues How pregnancy is a major trigger for autoimmune issues The big difference between normal and optimal in lab ranges How Hilary’s experience has changed how she views perinatal mental health The partnership Hilary feels with functional medicine practitioners How thyroid conditions are often overlooked What tests to ask for from your provider The important role of mental health clinicians to help address health issues and refer clients Why we should take care not to stereotype people with thyroid issues Hilary’s advice to those struggling to get pregnant: educate yourself, connect with doctors who listen to you, and advocate for yourself How the thyroid can impact other systems in the body How the support of a mental health clinician can help you cope How Hilary went on to have a healthy pregnancy after finding and treating her thyroid issues Resources: Hilary Mandzik Stop the Thyroid Madness book Stop the Thyroid Madness website Stop the Thyroid Madness 2 book Hangry book: 5 Simple Steps to Balance Your Hormones and Restore Your Joy (Including a Customizable Paleo/Mediterranean Plan!) The Sarah & Dr. Brooke Show podcast The Autoimmune Solution book by Dr. Amy Myers The Root Cause book by Dr. Isabella Wentz The Hashimoto’s Protocol book by Dr. Isabella Wentz Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to a new year! This is a monumental year for me, as it marks ten years since I was pregnant with my daughter and experienced postpartum depression, anxiety, and OCD. I never dreamed back then that I would be where I am today, trying to help moms and families because of my personal mental health experience. In today’s show, I’ll reflect on those thoughts and feelings that were so overwhelming for me. Show Highlights: As I look back, it’s easier to have compassion and a lighter heart about my experiences than it was a few years ago My planned and wanted pregnancy was actually a break for me from the ups and downs of PMS How I realized with reflection that anxiety was present in my life even before my pregnancy How it felt like I had done something wrong when I experienced a bleeding episode during my pregnancy Why positive and negative experiences get woven together as you reflect on the past The shame and guilt that came with my mental health condition Because of our deepest vulnerabilities, we don’t want to feel our feelings or talk about them The shame, anger, and fear that make you feel alone How scary and intrusive thoughts become traumatizing Why good, specific therapy is crucial My favorite parts of therapy in helping moms realize they aren’t crazy Why I urge you to see a perinatal mental health specialist, join a support group, or find resources to get the help you need The year I spent in an emotional freak-out space, feeling broken and alone Finding a safe person to talk to who will understand Why I am 100% sure that you can get better, too Resources: Postpartum PSI Directory Learn more about your ad choices. Visit megaphone.fm/adchoices

As we close out the year, I’m reflecting on my work over the past years. I’m struck by how incredibly strong you all are, and I mean every person who’s endured a perinatal mental health condition. Perinatal mental conditions are very difficult to encounter, and many people navigate their way through these experiences without any help at all. Show Highlights: Going through pregnancy or taking care of a newborn while experiencing a mental health condition is tough, much more so when you have to take care of the other elements of life Loneliness and confusion come with the suffering Worry about other children, finances, and jobs adds to the pressure There are incredible amounts of strength and resilience from people who keep fighting Just getting the sleep you need and getting the right medications can bring amazing hope and relief When the mind relaxes into a new sense of self, then the body relaxes, too It’s worth celebrating when you realize you don’t have to suffer for the rest of your life If you’ve experienced a perinatal mental health condition or a loss, I see you and honor you and respect you Moments of sadness are normal and dehumanizing, but you deserve compassion You are not alone There are many trained professionals who know how to help, so find them and take advantage of the available resources Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you find the holidays stressful? We would all have to say YES if we’re completely honest. For a pregnant mom, a postpartum mom, or a mom experiencing loss, the holiday obligations can be overwhelming in magnified ways. In today’s solo episode, we will discuss how to survive the holidays and manage stress by setting healthy boundaries and prioritizing self-care. Show Highlights: The holidays: a mix of lovely things and difficult moments with the unseen pressure of motherhood to take care of everyone Boundaries are not easy, and sometimes confusing, but necessary Set boundaries around family, friends, spending, activities, and the time you spend with others Don’t be afraid to communicate what your needs are In spending time at someone’s house, have a set time limit or some kind of communication with your partner to signal when it’s time to go To figure out where you need boundaries, ask yourself, “What brings me stress? What do I find difficult?” Why we feel guilty for setting boundaries How anger and resentment toward others will develop when we don’t set boundaries How pushback from someone else can signal the need for boundaries It’s OK when you need a time-out from the tension of social situations Important skills include knowing when to say NO and when to say YES Why you shouldn’t feel obligated to do things that aren’t good choices for you Allow flexibility and compassion in considering your needs How saying YES and NO protects against resentment building up in relationships Ask yourself what you need when you feel anger, guilt, anxiety, and sadness If sleep and self-care are not on your holiday list, then you will feel depleted Sleep is essential for health and restoration, but especially for pregnant moms, postpartum moms, and moms with loss Give yourself permission NOT to do everything Steps to take to manage stress: Think about times in the past when you’ve ignored your own needs Figure out where you can make adjustments Find places where you can say YES and set limits Don’t allow yourself to feel guilty Why your new holiday regimen should be ways to manage stress, keep your energy level, and feel like yourself What feels restorative, whole, and good to you? Set intentions for baths, yoga, solitary walks, connection time with a friend, alone time, or time with your partner Learn more about your ad choices. Visit megaphone.fm/adchoices

We’re diving deep into acupuncture and traditional Chinese medicine. We’re talking specifically about how these treatments can be used in support of people dealing with reproductive health issues and mental health conditions. Abigail Morgan is a mother of two, a licensed acupuncturist and herbalist, and a writer. She is board certified by the state of CA in traditional Chinese medicine and has an additional board certification from the American Board of Oriental Reproductive Medicine (ABORM). She is the owner of FLOAT Chinese Medical Arts in Glendale, CA, an integrative private practice that focuses on reproductive health for all genders and all aspects of the childbearing cycle. Abigail is a passionate advocate for choices in childbirth, and she’s been helping families get pregnant, stay pregnant, and thrive as parents since 2006. She is currently writing a memoir about her experience with postpartum anxiety and her remarkable recovery from it. She’s partnered with a nutritionist to create a new podcast. In today’s episode, we discuss how acupuncture and traditional Chinese medicine help with stress during pregnancy and the postpartum. There is a lot of information here for us to learn about these ways to promote healing. Show Highlights: Abigail’s work with clients in the childbearing cycle and all aspects of reproductive health How Abigail works in conjunction with many therapists about perinatal mental health Why stress, anxiety, depression, and insomnia are common issues with Abigail’s clients What acupuncture is and how it works Common misperceptions about acupuncture and the needles used Benefits of acupuncture: regulates the nervous system, increases blood flow, and reduces blood pressure An interesting study from Georgetown in 2013 about how acupuncture works on a molecular level How we give and receive energy (qi) in our bodies How acupuncture specifically helps with nausea during pregnancy Why the common contributors to anxiety are exhaustion, poor nutrition, headaches, insomnia, and pain The importance of self-care How traditional Chinese medicine helps integrate the mind-body connection How Abigail does empathetic listening with her clients The supports that Abigail offers her clients for the early postpartum period Emotional and physical changes that happen in the early postpartum period How Abigail refers clients out to others who can help them Herbal medicines that nourish the blood and body Why isolation is the #1 risk factor for postpartum anxiety and depression How to find a licensed acupuncturist (visit A.B.O.R.M.) The podcast that Abigail co-hosts with nutritionist Gloria Williamson, “A Nutritionist and Acupuncturist Walk Into a Bar” Resources: Float Chinese Medical Arts Instagram: Mama Float Facebook: Float Chinese Medical Arts Podcast: Instagram: Nutrition Acu Podcast A.B.O.R.M. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is a personal story of the darkness of postpartum depression and the healing that comes through professional help, self-awareness, and gentleness. The best part of my guest’s experience is the passion she’s gained for helping other moms reach through the darkness to the other side of hope and healing. Teresa Wong is a Canadian writer who has written the graphic memoir, Dear Scarlet: The Story of My Postpartum Depression, which was released last Spring. The book has already had a positive impact on the world and has been featured on NPR and Buzzfeed, as well as in the Paris Review and the NY Times. If you have experienced a perinatal mood and anxiety disorders or any complications related to pregnancy or postpartum, there is something in this graphic memoir that relates to your story. It also shows how culture plays a part in our experience. Through Teresa’s pain, there are beautiful parts interwoven into this story and her healing journey. Show Highlights: How the idea came to Teresa for writing Dear Scarlet when she was pregnant with her third child and needed closure for her postpartum depression experience Why Teresa decided to make it a graphic memoir with pictures Why it was important to Teresa to keep the book short and readable for moms who need to read it How Teresa handled the sketches and drawings for her book How Teresa sought help for postpartum depression when she knew things weren’t right The feelings of guilt, shame, and regret that Teresa experienced The major hemorrhage at Scarlet’s complicated Why Teresa didn’t know what was normal with the birth of Scarlet, her first baby How Teresa’s mom came to help when she got home after Scarlet’s birth, which is part of the Chinese culture How Teresa was diagnosed with postpartum depression at about six weeks and sought additional help from a psychiatrist for about nine months How Teresa hoped and prepared for a better experience with her second pregnancy by having a doula After her second child was born, Teresa went through postpartum depression again at about eight months Why Teresa was disappointed in herself because she had taken preventative measures, but she knows how to get help when she needed it Why Teresa did cognitive behavioral therapy instead of medication for the second time and then had no postpartum issues with her third pregnancy How Teresa’s healing journey has helped her in other ways, like being aware of her feelings and knowing how to handle them The positive reactions from readers of Teresa’s book Teresa’s hopeful messages: “Be gentle with yourself and talk to yourself like you would to a good friend whom you love. These feelings are normal, but you need to get help. You don’t have to live with postpartum depression and muddle through. Ask for help. Resources: By Teresa Wong Instagram: By Teresa Wong Learn more about your ad choices. Visit megaphone.fm/adchoices

October is Pregnancy and Infant Loss Awareness Month, and we are trying to honor each and every one of those losses. Each one has brought significant pain to many people, including grief that is most difficult to acknowledge and navigate. Today’s show focuses on one such loss that has led to the creation of a specific kind of support for thousands. Lindsey Henke is the founder and Executive Director of Pregnancy After Loss Support. She is a clinical social worker specializing as a reproductive mental health therapist with a focus on the grief and trauma that happens after a perinatal loss and the pregnancy that follows. She is also a writer, wife, and, most importantly, a mother to two beautiful daughters and one sweet boy. Tragically, her oldest daughter, Nora, was stillborn after a healthy full-term pregnancy in December 2012. Lindsey’s second daughter, Zoe, was born healthy and alive in March of 2014. Her writing about life after loss has been featured in Listen to Your Mother, Scary Mommy, Healthline, and The New York Times. Lindsey has had the honor of speaking all over the world on the topic of pregnancy after a previous perinatal loss, including at the 2020 Moms’ Maternal Mental Health Forum 2015, Pregnancy and Infant Death Alliance 2016 Conference, Postpartum Support International 2019 Conference, The 2019 Stillbirth Summit, and at The International Women’s Maternal Mental Health 2019 Conference in Paris. She is currently working on her first book. Show Highlights: How and why Lindsey started Pregnancy After Loss Support (PALS), an online support organization for the birth person who is experiencing pregnancy after loss How Lindsey had a stillborn daughter in 2012 after a full-term pregnancy---a devastating and heartbreaking experience How she relied on writing and psychotherapy to help her heal Lindsey’s second pregnancy with her daughter, Zoe, and how she made weekly posts as a blogger Lindsey found that there wasn’t a support space for those experiencing pregnancy after loss How the PALS group was formed and then blossomed into 15 groups for thousands of members How Lindsey digests the research in the field of pregnancy loss to meet the specific needs and wants of the community What’s unique about the experience of pregnancy after loss The insensitive comments that people make during a pregnancy after loss experience The amount of fear and anxiety that occur in pregnancy after loss The balance of grief, fear, and stress, along with joy and hope Knowing when the “expected anxiety” crosses over into the need to seek professional help Invalidating messages that may come from healthcare providers and family members The dance between choosing hope and holding onto fear The circles of grief and how we need to seek support The prevalence of postpartum depression and anxiety in subsequent pregnancies How friends and family can be supportive in validating the experience of the mother Why you should think about what you say and how you say it to someone who has had a pregnancy loss Other steps that family, friends, and healthcare providers can do to give additional support to moms with pregnancy after loss Resources: Pregnancy After Loss Support Facebook: Pregnancy After Loss Support Instagram Facebook: LindseyMHenke Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is another moving, personal story of the journey from pain to healing, and all that happens in the middle. My guest tells the story of how cultural challenges added yet another layer of complexity to her postpartum depression and anxiety experience. Esmeralda Cardenas is a bilingual Licensed Professional Counselor in San Antonio, Texas. She is the owner and provider at Pillars of Life Counseling. Besides being a mental health provider, Esmeralda is a wife and mother of two sons, ages 6 and 8, with both pregnancies bringing her postpartum depression and anxiety. After working with children in different settings for many years, Esmeralda became an advocate and provider for parents experiencing perinatal mood and anxiety disorders. She realized that she needed to own her story and overcome the many fears that came with it. Taking this step has allowed Esmeralda to serve moms and dads in her community with an effort to decrease stigma and help parents know that they are not alone. Show Highlights: The issues Esmeralda faced as an undocumented immigrant from Veracruz, Mexico Her first pregnancy, with no complications until the C-section delivery How Esmeralda was triggered with anxiety, pressure, and judgment from others because of the cultural stigma attached to not having a “natural birth” The symptoms of anxiety and depression, along with the guilt and shame How the pressures of new motherhood and a therapy practice led to Esmeralda’s struggles with rage and intrusive thoughts Why Esmeralda was terrified to let anyone know how she really felt How she finally shared with her husband what was really going on with her With her second pregnancy, two years later, she was much more anxious, but going back to work helped with the depression How the feelings piled up on Esmeralda How Esmeralda dug deeper into grace in owning and sharing her story---and redefined herself The challenges of being a working mom AND a stay-at-home mom Esmeralda’s advice for other moms The evolution we go through to become a happier parent in a better place Why there is hope for everyone, and no mom is ever as alone as she might feel Resources: Pillars Of Life Counseling Instagram: polcounseling Facebook: Pillars of Life Counseling Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is a personal story of postpartum anxiety and depression that led to a voluntary psychiatric hospital evaluation. My guest will share how she got to that point, along with the signs and symptoms that went unnoticed for a long time. We will also hear about her journey to healing and how she’s helping other moms now. I believe that hearing the details in others’ experiences can help us recognize these signs in ourselves and our loved ones. Celeste Chapko lives with her husband and three children in Northwest Indiana. She is the founder of Childbirth Melodies (soon to be the Northwest Indiana Center for Maternal Wellness), offering individual and group peer support and music therapy to moms dealing with postpartum depression and other perinatal mood and anxiety disorders. Celeste is a survivor of severe postpartum depression and anxiety and is passionate about supporting moms on their journey to wellness. She is also a volunteer state coordinator, online peer support group leader, and Climb Out of the Darkness leader for Postpartum Support International. Show Highlights: Celeste’s journey with postpartum anxiety and depression: she noticed rage and anxiety at seven months into her third pregnancy, but after the birth, she convinced herself that nothing was really wrong with her How intrusive thoughts convinced her that she needed help; her Ob prescribed Zoloft over the phone and Celeste began seeing a therapist How Celeste went through panic attacks and just “wasn’t functioning well with life” Why she called her husband one day to take her to the hospital’s psychiatric unit After five days in the psych unit, she left with four medications and a referral to see a psychiatrist The signs in Celeste’s first and second pregnancies that went unnoticed The guilt and shame that mother feel, which lead to increased anxiety Why Celeste refers to herself as “a recovering perfectionist” How Celeste’s anxiety and rage manifested themselves in her pregnancy with excessive worry and obsessive thoughts How Celeste knew she needed next-level care in the psych hospital The feelings of hopelessness with nowhere to turn The need for more perinatal psych units for moms How Celeste came into the work she does today on “the other side” How Celeste is more laid back, compassionate, and understanding to herself and others The potential for positive change with the right help and support How Celeste’s experience has changed how she is raising her children to know how to take care of themselves Celeste’s professional journey: music therapist, special education teacher, doula for music-assisted childbirth, and peer support group leader Celeste’s program, The SHARE Journey (Support, Hope, Assessment, Referral, and Education) and how it helps moms with peer support Celeste’s work with her Northwest Indiana Center for Maternal Wellness The difficult task of getting people connected to the resources they need Resources: Childbirth Melodies Facebook: Childbirth Melodies Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is an interesting look into how postpartum issues were dealt with, or not dealt with, in the past. We are looking from the perspective of a daughter who has been on a quest to discover the truth about her birth, her unusual childhood, and her mother’s illness. Nyna Giles is the author of The Bridesmaid’s Daughter, a deeply personal memoir about family, mental health, and revisiting the past. We’ll hear her perspective about growing up with a mother who had mental illness, and how she now knows that her mother had untreated postpartum psychosis. Back then, there was not much knowledge or support for mothers going through any perinatal crisis. We get to hear from Nyna’s perspective what it was like to grow up in that environment and what she reflected on as an adult that she shares through writing The Bridesmaid’s Daughter. Nyna is the youngest daughter of Carolyn Scott Reybold, a Ford model best known as one of Grace Kelly’s bridesmaids. Nyna has worked with leading media organizations and is the COO of Giles Communications. She’s an advocate for the mentally ill, traveling the globe to share her story, revealing the challenges brought on by her mother’s untreated mental illness and her own lost childhood and education. Nyna is a board member of NAMI Westchester and serves on the NAMI New York State Legislative Committee. She is also a volunteer with Postpartum Resource Center of NY. She lives in Westchester with her husband and has three children and three stepchildren. Show Highlights: How the book tells the story of Nyna’s mother’s untreated mental illness A summary of her mother’s glamorous life as a successful model in the 1940’s and 1950’s and best friend to Grace Kelly How her mother married, built a dream house on Long Island, and gave up her career to become a full-time mother to Nyna’s two older sisters How Nyna’s birth was traumatic because she was almost 11 lbs.! Her mother had to have her third C-section and a hysterectomy How Nyna’s father had an affair while she was an infant, and her mother had no family close by and no support Why Nyna had a lack of formal education, no friendships, and was trapped with her mother in a cycle of dysfunction The only diagnosis her mother ever received was paranoid schizophrenia in her 50’s How the change was evident in Nyna’s mom in pictures before and after Nyna’s birth As a child, Nyna never felt connected to or safe with her mom---even though she was with her all the time Nyna’s social anxiety as a teenager, and why she left home at age 14 Why mental illness was a topic that no one talked about back then Now Nyna’s father started staying away from home because he didn’t want to deal with his wife and her mental illness How Nyna’s mom gave away all her money and became homeless Why Nyna has to balance and limit the pain she feels from the past Nyna’s transition to motherhood with her three children Why Nyna felt compelled to get her school records What Nyna learned through her discovery in understanding her birth and what really happened to her mother The revelation Nyna learned about the sexual abuse of her mother by her stepfather How we can each help with mental health by engaging in real conversations Resources Mentioned: Find out more about the book and Nyna: The Bridesmaid's Daughter Facebook: Nyna Giles Author Twitter: Nyna Giles Instagram: Nyna Giles Author Learn more about your ad choices. Visit megaphone.fm/adchoices

One aspect of postpartum depression and anxiety that doesn’t get much attention is the rage that comes along with these issues. People who experience this rage can feel overwhelmed and confused, and it can be a scary scenario. Today’s guest shares her story of how she came through postpartum depression, anxiety, and rage, and how she uses her healing process to help other moms today. Jen Gaskell is a quality professional who works full-time outside the home. She and her husband live near Milwaukee with their two daughters, ages 8 and 11. Jen used her writing and her blog to help navigate her journey through postpartum depression and anxiety. She was a former co-producer of Listen To Your Mother Milwaukee, where she was part of the inaugural Milwaukee cast telling her story of PPD. Jen has written for Postpartum Progress and was a member of their editorial team for three years. Jen was a Climb Out of the Darkness team leader for Milwaukee for four years. She helps lead a Facebook group of local moms who’ve been through postpartum mood disorders and recently became a PSI helpline volunteer. Show Highlights: How Jen struggled with postpartum depression and anxiety following the birth of her youngest child When she didn’t know who or where to turn to, she turned to Google to research her symptoms How she knew she needed to see someone but was afraid of having her kids taken away How Jen found a therapist and was able to get help quickly The signs in the beginning that told Jen that something was wrong The pressure Jen put on herself because of gestational diabetes and the details of managing the risks How her anxiety turned to irritability during her pregnancy and then spiraled into rage in the postpartum The feelings of irritability and rage that Jen noticed The key indicators that something was wrong How Jen learned about her triggers and when to take a break The guilt Jen felt for needing a break from her kids The internal pressure to be “on top of things” all the time How Jen learned to cope, especially journaling and learning to give herself grace How hard struggling moms work not to let others know the truth of how they feel How Jen became comfortable in sharing her story to help others The importance of normalizing the therapy process and the steps to get better Jen’s hopeful message to other moms: “It’s not you. Those negative thoughts are not who you are. There is so much support available, so reach out. This is a common condition, and it’s treatable. It won’t be like this forever.” Resources: Tranquila Mama Twitter and Instagram: @jenrenpody Facebook: Tranquila Mama Blog Listen To Your Mother on YouTube Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is a fascinating discussion about the law and postpartum psychosis. My guests helped usher a new law through the Illinois legislature, and the bill became law in January 2018. It’s the first criminal law in the nation to recognize the effects of postpartum depression and postpartum psychosis, so we’re digging into what it took to get the legislation passed and what steps you can take to get the law changed in your state. Dr. Susan Feingold is a licensed clinical psychologist, perinatal legal advocate, and author. She’s a member of the President’s Advisory Council and Postpartum Psychosis Task Force for Postpartum Support International. Susan wrote Happy Endings, New Beginnings: Navigating Postpartum Disorders, and has specialized for over 26 years in women’s mental health issues related to reproduction. She’s an advocate and expert witness involved in legislative efforts for women with postpartum depression on the state and national level and served as the President of the Board of Trustees for Depression After Delivery, Inc. Along with Barry Lewis, Susan won the 2018 Maternal Mental Health Innovation Award in Policy and Advocacy; she also won the 2016 Distinguished Alumni Award for her work in perinatal issues and women’s mental health. Barry Lewis is a litigation attorney with over 44 years in the private practice of law, primarily in the area of criminal law. He’s the past chair of the Chicago Bar Association Lawyer Referral Committee, winner of an award from Chicago Volunteer Legal Services, and has been a continuing legal education lecturer. His most recent published work was in The Champion, the magazine of the National Association of Criminal Defense Lawyers, and was titled A New Model of Law Offers Hope: Postpartum Disorders and the Law. Barry and Susan have a book coming in January 2020: Advocating for Women with Mental Illness: Changing the Law and Transforming the National Climate. The book covers why the law needs to be changed and the steps we can take to make it happen! Show Highlights: Why Susan and Barry are busy working on their new book due out in January One purpose of the book is to motivate others to help change laws in their states How a small group of people was able to make a change in the Illinois law How the change process began with two incarcerated women in Illinois who were serving 30-year and 33-year prison sentences How the new law recognizes postpartum depression and postpartum psychosis as mitigating factors in sentencing when women commit crimes while suffering The long process in getting legislation passed The typical charges in infanticide or postpartum psychosis/depression cases and the shortcomings of the law in dealing with them The difficulty for defense attorneys in making an insanity plea The arbitrary aspect of sentencing from state to state and case to case because there are not sufficient laws The magnitude of women who could be supported and helped with new, sweeping legislation The steps that need to be taken in treatment and sentencing for incarcerated women suffering from postpartum depression/psychosis Why these women benefit from being declared unfit for trial What people can do to start the change process in other states: Find the legislation schedule Look for a sponsor in the House or Senate Take an advocate training session How infanticide laws differ in England, Scotland, and Wales The important first step: eliminate mandatory minimum sentences Why unique conditions call for unique laws How the new Illinois law has opened the door for other legislation The development model to follow in dealing with these issues inhumane ways: Identify the problem Write the law clearly Document the need for new laws Attract a sponsor Convince legislators to act Examples of appropriate sentencing Resources: Websites: Dr. Susan Feingold and Barry Lewis Law Email: susanbf@sbcglobal.net and blewislaw@att.net Learn more about your ad choices. Visit megaphone.fm/adchoices

If you’ve ever had to be on bed rest during pregnancy, then you know it’s not as simple as it sounds. It takes intention to get through it with your mental health intact. Today’s guest, Jessica Vanderwier was on bed rest and she’s here to share how this experience impacted her, along with her best advice about how we can better support moms on bed rest. Jessica Vanderwier is a registered psychotherapist from Guelph, Ontario, who is passionate about supporting families. She is known online for Our Mama Village, a platform where she shares daily pieces of encouragement and support for moms and families. Jessica started this page after she went through a difficult transition into motherhood, and saw the need for a supportive community that moms would access anytime they needed. In her therapy work, Jessica supports families from preconception to working with children with mental health concerns. In her private life, Jessica loves her role as a mom and wife and spends her time with her husband and two-year-old daughter. Show Highlights: Jessica’s pregnancy: started normally, even though she was still working 40-50 hours/week At 20 weeks, cramping began, and she felt terrible after overdoing it planning a Christmas party, so she headed to the hospital to get checked The first clue that something serious was wrong at the hospital was the way the nurses kept repeating internal exams and ultrasounds--with no explanation why The nurse insisted that Jessica get in a wheelchair, so panic set in, with still no reason for the concern The diagnosis was incompetent cervix, preterm labor, and early dilation; the on-call Ob said the next step was bed rest to take the pressure off her cervix Jessica’s instructions were to be on the couch or in bed with her feet up all day, only getting up for brief bathroom breaks Why it was a difficult mental adjustment to have no work and no purpose other than to rest all-day How Jessica tried to keep a schedule each day in moving from bed to the couch, reading, books, and even taking an online course When she reached 34 weeks, her restrictions became a little more flexible; she was allowed to do dishes and ride in the car with her husband Her full-term birth was an answer to prayer, but then she entered a postpartum time of anxiety How she navigated life after bed rest How she felt like those who had helped her during the bed rest were burned out, so she didn’t ask for postpartum help At four months postpartum, Jessica decided to ask for help The frustration when the doctor discounts your postpartum feelings of anxiety and depression How this frustration fuels Jessica’s work today with moms How she got sleep, help with childcare, and therapy to feel better How Jessica looked for ways to help other moms Our Mama Village began as a Facebook page where moms could go for hope and encouragement and know they aren’t alone Why Our Mama Village has grown because the need is great and the message needs to get out to moms Jessica’s advice to others on bed rest: Be gentle with yourself Find something that gives purpose and meaning to each ay Find ways to talk and connect with your baby Schedule each day so they don’t roll along indefinitely Have something each week to look forward to Seek professional support, even if it’s online therapy Jessica’s online course (coming soon) with effective tools for dealing with anxiety and simple strategies to help moms enjoy motherhood Resources: Our Mama Village Instagram: Our Mama Village Facebook: Our Mama Village Learn more about your ad choices. Visit megaphone.fm/adchoices

Dealing with perinatal mental health issues is a difficult enough task, but the problem is compounded for Muslim women living in the US. My guest today helps us understand the issues and how we can best support these moms. Dr. Venus Mahmoodi specializes in trauma and reproductive mental health. More specifically, in today’s show, she’ll tell us about perinatal mental health for Muslim women, including the rates of depression for the Muslim community in the US, what makes them particularly vulnerable to perinatal mood and anxiety disorders, and how we can support Muslim women in a culturally competent way. Dr. Mahmoodi completed her Ph.D. in Clinical Psychology at Palo Alto University in California, with an emphasis on women’s neuroscience and health through collaboration with Stanford University. Her clinical training included working with refugees and torture survivors, veterans, and perinatal women in a specialized, intensive outpatient program. Her dissertation focused on the perinatal experience of Muslim women living in the US, including the protective aspects of Islamic practice during and after pregnancy against depressive symptoms. Dr. Mahmoodi completed specialized training through Postpartum Support International, and advanced specialized training in grief/loss and distress related to infertility at the Seleni Institute in NY. She now cares for individuals and couples at the Seleni Institute, which focuses on perinatal mental health as well as the Haleel Center, which focuses on the mental well-being of Muslims. Show Highlights: Why the percentages of perinatal mood and anxiety disorders increase for women of color, including Muslim women (up to 28%), but there are lower levels of support, services, and resources How culture and religion play huge roles in the Muslim population The unique challenges for Muslim women, including issues with their country of origin, because their practices will differ from those in other countries The far-reaching effects of Islam in countries around the world, with Indonesia and South Asia having the largest numbers The misconceptions that Muslims only come from Middle Eastern countries How the two sects of Muslims differ in how their religion is practiced and expectations for pregnancy and postpartum Societal pressure and family pressure within the Muslim community How family traditions in pregnancy and postpartum can lead to stress and anxiety for moms Religious practice and prayer restrictions in the Muslim community Other coping strategies that Muslim women can use when they are restricted from prayers Feelings of inadequacy for the Muslim mother How The Haleel Center finds ways to incorporate religious thought and women’s expectations Vulnerabilities for Muslim women in gender roles and stigmas for patriarchal societies Strengths for Muslim women in that religion protects them against mental illness, helps them cope with and manage stress, and gives them a sense of connection to God How we can support Muslim women in culturally competent ways by being curious and avoiding assumptions Join our Patreon today and support this Podcast: Patreon: Mom And Mind Our listeners get a 10% discount on Ritual Vitamins for your first three months! Ritual Mom And Mind Resources: Counseling Muslims: Handbook of Mental Health Issues and Interventions Edited by Sameera Ahmed and Mona M. Amer Learn more about your ad choices. Visit megaphone.fm/adchoices

Everyone eagerly anticipates becoming a grandparent, right? Think again. There are various reasons why you might be apprehensive about achieving this milestone in life. The truth is that it’s not socially acceptable to admit these feelings. People may shrink away in horror if you dare to confess being hesitant about what you are supposed to embrace with unbridled joy. In today’s show, we are diving deeper into this hush-hush topic. Dr. Shoshana Bennett was the very first guest on the podcast for Episodes 1 & 2. She very graciously came on when I was new at this, and she tolerated my fumbling around and my poor sound quality, too! I’m so grateful to have her back as the first guest to kick off the 3rd year of the Mom & Mind podcast. This time, she’s bringing the perspective of being a new grandmother with her own history of postpartum mental health challenges. This is such a necessary conversation, especially as the field of perinatal mental health grows, and we are recognizing and treating the conditions more. As those mothers develop into grandmothers, this will be something to consider for that time of life. Affectionately known as “Dr. Shosh,” she educates, engages, and empowers her audiences while discussing serious and often uncomfortable topics using humor, the latest research, solution-based protocols, and firsthand knowledge she gleaned after experiencing life-threatening postpartum depression. After two life-threatening bouts of postpartum illness, Dr. Shosh helped pioneer the field of maternal mental health. She founded Postpartum Assistance for Mothers in 1987, became president of California’s state organization, Postpartum Health Alliance, and then served as president of Postpartum Support International. She is the author of Children of the Depressed, Postpartum Depression for Dummies, Pregnant on Prozac, and is the co-author of Beyond the Blues: Understanding and Treating Prenatal and Postpartum Depression & Anxiety. She is an executive producer of the documentary, Dark Side of the Full Moon, and co-founded the Postpartum Action Institute. To date, Dr. Shosh has helped over 20,000 women around the world recover through private consultations, teleclasses, and support groups. At the time of this interview, Dr. Shosh wasn’t a grandmother yet but became one on June 5. In spite of anxiety and scary thoughts, she’s been able to enjoy her grandson and watch her daughter have a totally different postpartum experience than she did. Show Highlights: Shosh reads her recent article, “Scared to be a Grandma” What she heard when she submitted this article to various publications How Dr. Shosh is breaking ground in the field of reluctant grandparenting, just as she did with perinatal mental health back in the 1990s The difficulty in understanding that a grandmother may be apprehensive The fascinating feelings in the grandparent experience Why Dr. Shosh has been getting therapy support in preparing for her grandchild Embracing the whole journey to grandparenthood Finding ourselves and identifying what needs to unfold to deal with our feelings The importance of starting the conversation and being honest without judgment Maintaining the connection between parents and new grandparents Shosh wants to hear your comments, questions, and thoughts! See her contact info below! Resources: Dr. Shosh Email: drshosh@drshosh.com Dr. Shosh’s books: Children of the Depressed Postpartum Depression for Dummies Pregnant on Prozac and Beyond the Blues Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show is a bonus episode as we celebrate our 3rd anniversary! It’s been an adventure and a learning process along the way. I’ll admit that I had no clue what I was doing when we started, or what was involved in doing a podcast, but I knew we needed to get information and resources out there to moms and families. So now, after 152 episodes, I’m proud of how far we’ve come on the journey---and we’ll keep going to get the word out to even more moms and families in the future! Show Highlights: The incredible details of the podcast’s reach: we’ve had 240,000 downloads in over 75 countries! The facts that show the need: 20% of new parents will experience perinatal mood and anxiety disorders, so we still have a lot of work to do How I got started without knowing anything about podcasting The rewarding feeling from the feedback, knowing the show has helped listeners The benefit in sitting and sharing with each other The intensity of our heavy topics and episodes Why I don’t want anyone to feel alone in this struggle The expenses involved to keep the show going, along with our new fundraising efforts Information about the new Monthly Mom and Mind Collaborative Resources: Patreon for Mom & Mind Podcast Learn more about your ad choices. Visit megaphone.fm/adchoices

I first heard today’s guest when she appeared on Rebecca Scritchfield’s Body Kindness podcast, and I couldn’t wait to get her on the show! We’re talking about body image in the perinatal period and why we should be talking more about it. We’ll discuss her research, the roles of self-compassion and mindfulness, and some wonderfully helpful resources. Dr. Jennifer WEbb is an associate professor in the Department of Psychological Science and a core member of the Health Psychology Ph.D. program clinical faculty at the University of North Carolina at Charlotte. She received her baccalaureate degree in Cognitive Neuroscience from Harvard, went on to complete her Ph.D. in Clinical Psychologist at the University of Southern California, and did her postdoctoral fellowship training in Clinical Health Psychology at Duke Integrative Medicine. Her research program is informed in culturally and body diverse groups. Her particular emphasis involves the enhancing of the integration, dissemination, and accessibility of evidence-based, mind-body approaches to strengthen embodied self-regulation, positive body image, and wellbeing among women during the developmental transitions of young adulthood, pregnancy, and the postpartum. Show Highlights: How researchers are playing “catch up” in the field of body image and how it’s affected by mood and anxiety during milestone periods How negative body image 3 months postpartum and during pregnancy can increase the chances and severity of depressive symptoms later on The definition of body image: how we think and feel about our bodies, how they move, and how they function The impact of sociocultural pressures and the media and social media messages that we get during pregnancy and postpartum times Western notions of what pregnancy and postpartum body should look like: a narrow portrayal, thin ideal, and a constrained approach Why we need more cross-cultural research across diverse groups of women Obsessiveness around body image can even come from well-meaning healthcare providers The concepts of body surveillance and disordered eating The importance and impact of conversations with healthcare providers, which offer a huge opportunity to help with the reframing process A “health at every size” perspective and non-dieting, weight-neutral understanding Fighting against the “get your body back” messages that our society gives women during the postpartum How researchers define the elements of positive body image: Appreciating and accepting the body as it is Respecting the body through active self-care Protecting the body from negative messages What it means to show acceptance to ourselves and our bodies as we go through changes Lisa Rubin’s research on women during pregnancy and how appreciation for our bodies can help during pregnancy and postpartum and become a lifestyle commitment How mind-body practices can help How Jennifer’s research suggests that mindful self-care was negatively related to negative body image and depressive symptoms in a sample of women Other ways to support women: intervention work, collaboration, guided self-help, and a focus on wellbeing and not diet culture Resources: Body Kindness by Rebecca Scritchfield Breathe, Mama, Breathe by Shonda Moralis Mindful Motherhood by Cassandra Vieten Books by Dr. Marjit I. Berman Expecting Mindfully by Sharon Salzberg, Sherryl H. Goodman, and Sona Dimidjian Body Confident Mums` Learn more about your ad choices. Visit megaphone.fm/adchoices

As we approach the 3rd anniversary of the podcast in June, I’ve been doing lots of reflection about the journey we’ve taken and what we’ve accomplished. Your feedback has been vital in letting me know that the show has a positive impact and is meaningful to many people. The underlying message in everything we do is that no one is alone on their parenthood journey---and that message will continue. Show Highlights: How the podcast was born out of my suffering and healing process with postpartum depression, anxiety, and OCD The reality: no one is immune from these postpartum problems---even a therapist like me Why normalizing postpartum mental health issues is important for every mom and dad How depression and anxiety lie to us in sneaky ways How you’ll try to bargain with yourself, convince yourself that nothing is wrong, and blame other stressors in your life Why depression screening questionnaires don't’ always work, because we often refuse to come to terms with our condition How a connection to others with the same experience gives relief and validation How the healing process occurs over time How therapy, self-care, and connection to others can bring healing How I can look back now and see the risk factors that I overlooked What I would have done differently to prioritize my sleep The importance of prevention information to help prepare and educate new parents What’s coming up in June for the show: a slight change in format Resources: Email us: info@momandmind.com I’d love to hear from you! Learn more about your ad choices. Visit megaphone.fm/adchoices

Postpartum psychosis is a sensitive topic that we’ve talked about on the show, but today we are taking a deep dive into the legal ramifications of the journey for a mother. The more we understand, the better foundation we have for advocacy. George Parnham is a soft-spoken attorney who once trained for the priesthood, and was thrust into the national spotlight through representing such high-profile clients as Andrea Yates and Clara Harris. Parnham has practiced law for 43 years in Houston, Texas, specializing in criminal defense. He has become an expert on the defense of individuals with mental illness and a passionate advocate for legal reform of their treatment in the criminal justice system. Parnham is called upon frequently by local and national news media, as well as state bar organizations, to render an opinion on mental health. George has an unmistakable passion and concern for these mothers and their families. Show Highlights: How George was drawn into the postpartum psychosis field with the Andrea Yates case How “murder” in the mother-child relationship differs from any and every other scenario and must be treated differently by an attorney Why some lawyers in these cases might be hesitant to reach out to experts Mental illness is the underlying cause of the legal and moral wrongs committed by these mothers (this is the crux of what the defense attorney has to explain to the jury) Why the mother’s history, even back in early childhood, can be causal What a defense attorney has to accomplish in the trial: Put the jury in the eyes of the mom on trial Convey all aspects of the circumstances to the jury Counterbalance what has been disclosed by law enforcement to the public A glimpse into the mental state of a mom after a postpartum psychosis incident The best case outcome for a postpartum psychosis case What happens if the defendant pleads insanity and the jury accepts that plea The tedious legal steps that a defense attorney has to take The status of Andrea Yates and her treatment today Resources: Email George: georgeparnham@aol.com Find George and his practice: Parnham And Associates Learn more about your ad choices. Visit megaphone.fm/adchoices

Struggling to conceive, enduring a pregnancy, giving birth, and caring for a new baby are all parts of a challenging process. Inevitably there are hiccups along the way for almost every mom, but living with a chronic illness makes things even more difficult in the process of motherhood. My guest is here to discuss the unique dynamics and challenges a mother might face and some common misconceptions we may not understand. Jenna Daly is a clinical social worker with certifications in Perinatal Mental Health, and she works in private practice in southern Maine. She primarily works in perinatal and parental mental health, as well as perinatal loss and grief. Her interest in perinatal and parental mental health was fostered by her work as an oncology social worker at Memorial Sloan-Kettering Cancer Center, known for its cognitive-existential and motivational approaches. She also promotes articles and other information regarding perinatal mental health and all aspects of parenting. Show Highlights: How a medical condition impacts perinatal mental health for moms who may have already struggled How a mom with chronic illness may already have a medical team in place and have had to advocate for herself For these women, their choices are already limited, and their power is taken away, which can lead to increased stress One concern around advocacy for your medication during pregnancy is whether it’s safe for the fetus Why some women report feeling adrift after the baby’s arrival The mindset differences between promotion and prevention Don’t let yourself be pushed into positivity, but own your decisions Identity shifts in a system that overmedicalizes you The burden of managing an illness AND a pregnancy The likelihood of anxiety and depression is higher for the chronically ill The concern of a genetic condition being transferred to baby Standout strengths: the ability to reframe and find meaning with optimism and hope Diabetes and gestational diabetes as examples How we can better support those with a medical condition Where our personal bias and misconceptions come into play How it’s hard to know what the experience is like When the postpartum is not what you thought it would be Hopeful messages: how the internet has helped people build community and normalize the experience Resources: Jenna Daly LCSW Facebook: Grounded Parent Learn more about your ad choices. Visit megaphone.fm/adchoices

We are taking a closer look at the cultural aspects of maternal mental health for Asian Indian mothers. There are barriers to finding and receiving mental health care that bear similarites to many Asian cultures. We also hear how culture impacts the motherhood experience. How can we best support them and to seek the help that’s available to them? We’re covering these topics and more in today’s show. Dr. Deepika Goyal is a Professor of Nursing at San Jose State University and a family nurse practitioner who is passionate about maternal mental health, specifically for women of Asian Indian descent. Dr. Goyal’s research adds to the postpartum mental health narrative regarding Asian American women’s experiences, mental health help-seeking behavior, and preferred management of postpartum depression. Her research findings provide clinicians with the information they need to provide culturally-informed care to promote optimal maternal-child well-being outcomes. Show Highlights: Goyal’s research from 2001-2002 on postpartum depression, regarding sleep disturbances, infant temperament, marital satisfaction, and social support---all with American women of Indian descent More than half of the women who responded to Deepika’s survey said they had experienced depressive symptoms Mental illness and depressive symptoms are very stigmatized in Asian cultures The range of symptoms are anxiety, “baby blues,” postpartum depression, and postpartum psychosis; there are more mainstream policies and awareness now, but the changes haven’t occurred as quickly in Asian cultures Asian women have a fear of someone in their family finding out, bringing shame to the family, and being seen as a weak woman----if they report postpartum depressive symptoms The most concerning piece Deepika found was that the women wouldn’t seek help until it was a last resort, and they are very much against medications to help their symptoms Why mental health care is seen as a personal failure Why women are beginning to be more open in seeking help, especially those who have been in the US longer The importance of at least 6 hours of uninterrupted sleep for a new mom, and the impact on mental health Some of the postpartum cultural practices of Asian American women: A female relative comes to stay with the new family for 3-4 months 30-40 days of rest at home after birth, with no household duties or leaving the house Herbs are used that improve breast milk production and healing, in addition to special foods rich in fats and healing properties The importance of equipping women DURING pregnancy with information about symptoms and how to know when to seek help when symptoms become more severe Similarities in cultural practices for women from India, China, Korea, and Vietnam What we can do to best support Asian American women in the postpartum How a therapist can understand and best offer help to these women How mom’s health can benefit the baby’s health, and mother-baby bond, and the child’s cognitive and language development What Deepika wants to do in the future with non-pharmacologic interventions, especially in the area of sleep Resources: Postpartum Support International Deepika Goyal Selected Works of Dr. Goyal can be found HERE *****Today's podcast is brought to you by Audible - get a FREE audiobook download and 30 days free trial at http://www.audibletrial.com/momandmind Learn more about your ad choices. Visit megaphone.fm/adchoices

We’ve talked a lot on the show about postpartum depression, but there’s another condition that new moms experience that carries much shame, and no one talks about it. It’s called postpartum regret, and it’s that feeling of dissatisfaction and unhappiness with the demands of motherhood and the changes that come with this life transition. We’re talking about how to identify this condition and what to do to pull yourself through it. Marissa Zwetow is a Licensed Marriage and Family Therapist who specializes in prenatal and postpartum counseling. Marissa became passionate about helping mothers prepare and adjust to a new baby after experiencing postpartum depression. She understands what it takes to be on a healing journey to find acceptance, meaning, and happiness in the role of motherhood. Show Highlights: Marissa’s personal journey as she struggled with the transition into motherhood and knew she needed help How she identified postpartum regret as the feeling of regret at becoming a mother, but no one was talking about it How the shame, embarrassment, struggle, and disappointment can lead to postpartum depression Why Marissa wanted validation for herself and other moms who hated being a mom and were saying, “I don’t like this” How she went through an identity crisis in becoming a mom A look at Marissa’s 12 Taboo Postpartum Truths: Lack of bond with the baby during the “golden hour” A baby that’s not easily soothed Breastfeeding is not always wonderful A mother may experience grief for her past life Why Marissa wishes she would have sought help and taken antidepressants sooner Solutions to postpartum regret: Find your tribe and know that you’re not alone Get help any way you can Redefine what being a mother is to YOU Why moms need permission to figure out how they can best show up in parenting that works for them Resources: PostpartumHappiness Find Marissa on Facebook Find Marissa on Instagram: @postpartumhappiness Marissa’s books: Postpartum Happiness: What to do when you love the kids but hate the job 12 Taboo Postpartum Truths: What you may need to know, but probably haven’t been told Learn more about your ad choices. Visit megaphone.fm/adchoices

The pressure that new moms feel is tremendous. Sometimes they are working so hard to just get through the day that they don't notice (or don't want to notice) how bad they really feel. They are working so hard to manage everything that they might not notice what's going on for themselves. Such was the postpartum experience of today’s guest, Darcy Sauers. She suffered for a long time without realizing that what she felt was a common experience for most new moms. This is all too common and I know that a lot of us experienced this too. Let’s jump into this conversation about how we can offer better support for new moms! Darcy Sauers is The Doula Darcy, a postpartum doula offering in-home postpartum doula services to the moms in her local area. She also provides on-demand postpartum doula support for new moms everywhere so moms can get they help they need---when they need it. Darcy co-hosts the Your Birth, Your Worth podcast. She had three babies in four years, and her experiences fueled her decision to quit her advertising job and certify as a postpartum doula so she could help other women have a better experience than she did. Show Highlights: Darcy’s experience with her first pregnancy and postpartum---over 15 years ago How she was terrified to take her baby home from the hospital The first weeks of motherhood, with difficulties, discomfort, and “going through the motions” What she thought about postpartum depression, and why she COULD NOT have it A year later, she found herself pregnant again How she chalked her feelings up to sleep deprivation or too much sugar For her 3rd pregnancy, she thought things would be better since she planned it out and took better care of herself How she left her advertising career and pursued being a doula because of her obsession How a postpartum doula would’ve changed everything for Darcy The mixture of relief and anger at herself for not recognizing the signs of postpartum depression How she realized she was constantly trying to convince herself that she was a good mom How she constantly fantasized about running away The involuntary, intrusive thoughts that horrified her How getting a babysitter a few hours a week would have made a huge difference The lies we tell ourselves about what it means to be a “good mom” How an antidepressant helped her feel better How she realized what she went through was common Pressures that new moms feel, along with the isolation of not having a “tribe” to help How she couldn’t honestly admit her thoughts to herself Why Darcy wants people to become educated about the real signs of postpartum depression Darcy’s transformation to being a doula and how she helps: Supports with hands-on help for new moms Talks listens, and answers questions Offers on-demand support videos to cover common issues and topics The mental health stigma that new moms feel, and how it prevents moms from getting the help they need Darcy’s podcast, Your Birth, Your Worth---and how it offers more support for new moms Resources: Find Darcy: Facebook The Doula Darcy Instagram: The Doula Darcy The Doula darcy Your Birth Your Worth Podcast Learn more about your ad choices. Visit megaphone.fm/adchoices

Postpartum depression---and comedy. You might be surprised that anyone can join the two, but my guest today has a passion for women who are suffering as she did, and she hopes to raise awareness and erase the stigma around postpartum depression (PPD). Because of what she has been through, she is committed to using her talents to help change the outcomes for others. Angelina Spicer is a comedian, actress, social media influencer, wife, and mother. A cum laude graduate of Howard University, Angelina has smartly delved deep for comedy that’s authentic, transparent, and relatable. By using her social media platform, she became an outspoken advocate for maternal mental health after she was admitted to a psychiatric facility for treatment of PPD. It was then that her journey to remove the stigma of the shame and guilt associated with PPD began. She became the 2018 Spokeswoman for The Blue Dot Project, lobbied on Capitol Hill, helped pass three new pieces of legislation for new moms in California, and has been featured in USA Today and Essence magazine. She’s now channeling her efforts into making a documentary film about her experience with PPD. Show Highlights: How Angelina became an “accidental activist” After her daughter’s birth, she felt “off” and disconnected from everything she loved, “blindsided by all the curveballs of motherhood” Her breaking point--8 months postpartum--when she was happy to have relief by being admitted to the hospital Why she wants to give other moms the help they need How she decided to do a documentary about her story once she became comfortable with sharing her truth Why transparency is the key to bringing humor to a heavy topic Angelina’s unique, humorous perspective to PPD and motherhood The transformative process after PPD and how “the path reveals itself” The more we open up about PPD, the more others will feel cool about sharing their struggles How we should focus on eliminating the social stigma of PPD so mothers will feel comfortable talking to their doctors How Angelina is “all in” with advocacy since she “came out of the PPD closet” on social media Angelina’s upcoming work in bringing more awareness to PPD The Kickstarter to help finish production on her documentary---and how you can help! Resources: Find out more about Angelina and her Kickstarter campaign: Angelina Spicer Find Angelina on Instagram and Twitter _____________________________________________________ This episode is supported by Ritual Prenatal and Ritual Essential for Women. Mom & Mind listeners get 10% off during your first three months! Visit ritual.com/MOMANDMIND to start your ritual today. Use code MOMANDMIND Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show takes a look at the difficult topics of postpartum psychosis and infanticide through the eyes of the filmmakers of the documentary, Not Carol. The film covers the story of Carol Coronado, who was convicted of the 2014 murders of her three young daughters in CA while highlighting the desperate need for education and services for mothers and fathers in recognizing and treating postpartum psychosis. Join us for a conversation with the producers and directors of Not Carol, Eamon Harrington and Veronica Brady. Eamon Harrington has co-owned Planet Grande Pictures since forming the company in 1993 with John Watkin. During that time, he has produced and directed hundreds of hours for all the major broadcast and cable outlets, winning seven Emmys along the way. Other industry honors include a Peabody Award and a DuPont Columbia Baton. Before forming Planet Grande, Eamon spent three years as Head of Production at VH1 in New York. Eamon has directed dozens of documentaries and unscripted series. His Emmy award-winning documentaries include Grandpa, Do You Know Who I Am? (with Maria Shriver for HBO), Shades of a Single Protein (with Oprah Winfrey for ABC), Positive: A Journey into AIDS (ABC), and In Full Effect (FOX). Eamon is a hands-on producer and director, and frequently shoots many of his projects. That same hands-on approach brings him into the editing room on nearly every project. Show Highlights: How the documentary takes a look at maternal mental illness, specifically postpartum psychosis Not Carol, which follows the story of 30-year-old Carol Coronado, arrested for the murder of her three young daughters, all under 2-½ years old The 4-5 year filmmaking journey looking at postpartum psychosis through the lens of Carol’s case wrapped up in advocacy and information What really happens when psychosis sets in and how little we know and understand about it The importance of populating the film with leading experts on postpartum psychosis and survivors who have lived through it What surprised Eamon and Veronica about the lack of laws for infanticide in the US, meaning these women are tried for 1st-degree murder with no recourse for legal defense, all based on laws dating back more than 150 years How these women are at risk even when they are incarcerated How the title Not Carol came about and fits the story What Eamon and Veronica wished people understood about postpartum psychosis: how to recognize this treatable, temporary illness The lack of substantial help for those left behind after a postpartum psychosis tragedy The double whammy of the illness AND the trauma The numbers: 4 million babies are born in the US yearly; 1 in 5 moms will experience some form of postpartum depression; about 2 in 1000 will have postpartum psychosis; of these with PP psychosis, 4% will commit infanticide, and 5% will commit suicide Why Eamon and Veronica think young women AND young men should see the film, to help them understand that postpartum psychosis is a real thing Why much patience was required in the filmmaking process How Eamon and Veronica secured the trust and approval of individuals and Postpartum Support International to tell the story How Eamon and Veronica have become advocates in Carol’s story and for her family How to have a screening in your area Resources: Film information and the 5-part podcast: https://www.notcarol.com/ For more information, please see the Planet Grande website: https://www.planetgrande.com/ Postpartum Support International: www.postpartum.net Learn more about your ad choices. Visit megaphone.fm/adchoices

We know that a NICU stay makes for a difficult postpartum period, but what are the profound and long-lasting effects from this experience? In today’s show, we’re taking a close look at the experience of parents AND babies who go through a stay in the NICU. My guest brings a wealth of information based on her personal and professional experience. Dr. Mara Stein is a clinical psychologist in private practice who specializes in the emotional aspects of coping with crisis around pregnancy, parenting and medical crisis, child development, and relationship-based developmentally-supportive care to babies and their families. She’s a Certified EMDR therapist, EMDRIA Approved Consultant, and an EMDRIA Approved Trainer for the Insitute for Creative Mindfulness. She’s certified in other modalities, like Emotion-Focused Family and Couple Therapy, is a Gottman Certified Therapist, and continues to pursue training in Clinical Hypnosis and Ego-State therapies. She brings a wealth of clinical expertise and insight along with all she has learned interviewing families around the world for her two books, her EMDR Basic Trainings, and her advanced practice workshops. All of this is grounded in her personal experience and perinatal journey, which began 25 years ago and took her through infertility, twin pregnancy, prolonged hospital bedrest, the NICU, and nearly 23 years of raising NICU graduates. We’re diving into the babies’ experience in the NICU and the interplay that may occur with their parents. Show Highlights: How Mara’s specialty came about from her personal journey when she realized that resources were lacking in this area for parents’ emotional needs How she found a worldwide online support group for parents of preemies, which became the foundation of her work How she became passionate about writing and teaching about perinatal trauma Her EMDR work and training over the last 16 years The range of conditions and ages of NICU babies How NICU departments vary around the world in how they operate Factors that interrupt a baby’s natural pattern in traditional NICU, with the environment, lights, sounds, etc. The long-term effects of a NICU stay The sensory mismatch for babies, with sounds, lights, and interruptions How a developmentally-supportive NICU differs from traditional NICU Why moms feel like they need to “stay out of the way” How parent feel disoriented in many ways How overstimulation and stress affect a NICU baby How parents navigate their connection to their baby Why it’s hard to attune to a NICU baby, and a parent’s hesitation may be misinterpreted as lack of attachment The first time Mara felt like her NICU baby’s mother The mental health of parents, and how they can work through and heal Why parents ask, “Who is like me?” and “Where are the others?” Transitions and processes for parents The healing, so parents see themselves as whole human beings Why parents need to see the combination of disarray and competence The necessity of developmentally-supportive help to parents to see their baby as whole The empowering message to parents to nourish them and help them recover and develop Why the post-traumatic moments and grief do NOT invalidate your experiences as a NICU parent Resources: www.docmara.com Parenting Your Premature Baby and Child: The Emotional Journey by Deborah L. Davis, Ph.D. and Mara Tesler Stein, Psy.D. Intensive Parenting: Surviving the Emotional Journey through the NICU by Deborah L. Davis, Ph.D and Mara Tesler Stein, PsyD www.parentsondemand.com www.specialneedsfamilyhour.com The Welcome to Holland Essay Learn more about your ad choices. Visit megaphone.fm/adchoices

Today I’m speaking from the mind and heart about some topics that have been at the forefront of my thoughts regarding recent postpartum tragedies in the news and in our community. It’s a devastating reality every time mothers and babies are lost due to postpartum mental health issues--and we’ve got to do more to help. Show Highlights: The split that may occur between people who blame postpartum depression or psychosis and people who vilify the mothers who have done something terrible These tragedies highlight the severe lack of information and understanding about postpartum psychosis Why people who aren’t well shouldn’t be tasked to heal themselves alone How we fail these moms multiple times during a very intense time of transformation in their lives How are these moms and their families getting help and finding community support? Why most of society is uneducated about how bad the postpartum mood disorders can get How our laws treat women through the legal process after a tragedy occurs What these women go through while in jail or a psych unit---do they get the help they need there? Why it’s a delicate balance between healthcare, legal, social services, housing, witnesses, neighbors, first responders, medical teams, hospitals, and more The road to recovery for families is a long process that could have been prevented in the first place Why information and resources need to be available to everyone Why we need to normalize postpartum mental health issues and show the reality, and not just put the “social media spin” on them Why it’s easy to feel hopeless about the situation--and how we are failing these mothers The hard part: the help doesn’t always get to the people who need it most How can we build a better safety net? Resources: Email me with your thoughts: info@momandmind.com Get help and information at www.postpartum.net Learn more about your ad choices. Visit megaphone.fm/adchoices

It’s called “baby wearing” or “baby carrying”--- you may have heard of this technique and wondered what it’s all about. It’s a good idea logistically, but the great news is that it supports mental health and overall well-being in parents and caregivers when a new baby comes into the family. We’re finding out more about the ins and outs of baby wearing on today’s show. Laura Brown is a baby wearing expert. She has been passionate about this topic for over a decade. She’s here to share details about this practice from her perspective, and how she uses her experience to help moms and partners after baby comes home. Since the birth of her first child, Laura has dedicated herself to providing the latest evidence-based information and support to caregivers throughout the birth and postpartum period. She founded one of the largest baby wearing non-profit organizations, helps train other birth and postpartum professionals, counsels manufacturers, and speaks nationally about baby carriers and their use. In addition to being a baby wearing consultant, she is also a full-spectrum doula, child passenger safety technician, lactation educator, and is kangaroo-care certified. I personally used this technique with both of my kiddos, and I saw firsthand the many benefits of baby wearing. Show Highlights: Baby wearing: the act of carrying your baby on your body with a baby carrier Laura’s work, and how it began 10 years ago with the birth of her first child, when she noticed the benefits to baby, maternal mental health, and the freedom to leave the house with baby How she teaches baby wearing classes, works with other healthcare professionals, and consults with baby carrier manufacturers The importance of teaching caregivers this skill set How to find a carrier that’s right for you and why most people will need more than one type of carrier Why ONE carrier will not fit your every need and every situation How a baby wearing class, consultant, or expert can help you find the right carrier and the right fit Why baby wearing is important in the postpartum period: Babies need constant attention, so baby wearing can alleviate stress for mom Helps the baby’s muscle development, social development, and brain development Helps bond the baby to their caregiver Why baby wearing is just another tool in a caregiver’s toolbox, shouldn’t be used all day every day, and can be custom-tailored for how you care for your baby How baby wearing helps with anxiety and depression for mom, releasing oxytocin and connecting mom and baby When baby wearing may not be a good idea: when baby has complex health issues or the caregiver has chronic pain Where to get help with baby wearing: most localities have groups or non-profits where you can learn about different carriers and take classes; even some retailers and manufacturers offer help, and YouTube has videos with troubleshooting information about baby carriers The hopeful message about baby wearing: “Keeping baby close to you enables you to do what you need to do in the postpartum period.” Resources: Visit Laura’s website: www.mamabirdlosangeles.com Find Laura on Instagram: @mamabirdlosangeles Learn more about your ad choices. Visit megaphone.fm/adchoices

There’s a new model of care available to moms and new families. The Motherhood Center in NYC hopes to be the prototype for superior support and services for other facilities around the world. Today’s show highlights this center and the important work being done there in perinatal and postpartum support. Dr. Catherine Birndorf is cofounder and medical director of The Motherhood Center in NYC. It’s the first of its kind as a treatment center for pregnant and new moms who are experiencing anxiety and depression. There aren’t many centers like this one, offering holistic and long-term care. We’re going to hear how The Motherhood Center is providing unique care and how Dr. Birndorf is changing the face of perinatal mental health care. Dr. Birndorf is the Founding Director of the Payne Whitney Program at New York-Presbyterian Hospital/Weill Cornell Medical Center, where she is an Associate Professor of Psychiatry and Obstetrics and Gynecology. Dr. Birndorf is a board member of Postpartum Support International, a non-profit organization for awareness, prevention, and treatment of mental health issues related to childbearing worldwide. For 10 years, Dr. Birndorf was a regular mental health columnist for Self Magazine, and has appeared on numerous TV programs, including the Today Show, Good Morning America, MSNBC, CBS Evening News, and CNN. Her first book, The Nine Rooms of Happiness, which she co-authored with Lucy Danzinger, was a NY Times bestseller, published in 2010. She has co-authored with Alexandra Sacks, What No One Tells You: A Guide to Your Emotions from Pregnancy to Motherhood, which will be released in April. Show HIghlights: How Dr. Birndorf blends her two interests, obstetrics and psychiatry, into what she terms “reproductive psychiatrist,” to help women before, during, and after birth How she got into this field and began teaching it as a subspecialty at Cornell The passion and fire for women’s health Her other endeavors in related fields and services The importance of getting the information out about simple things like medications while pregnant, etc. Parts of the Motherhood Center’s work, like consultation services and frontline provider information How the Center began in NYC in 2014-2015: “a NOT feel like a hospital place” How patients feel like they are being mothered How the Center caters to moderate to severe perinatal or postpartum anxiety and depression The intensive work that expedites recovery How passion and creativity drive the model One of the goals---to replicate the model in other places Part of the next phase: mentoring others How Dr. Birndorf sees her new book as yet another way to help people The book, which covers the ways people classify motherhood and the mental phases of the process that can be a struggle for many How the book covers the challenges in a unique way that no other book has done Resources: https://www.themotherhoodcenter.com/ Instagram: @themotherhoodcenter Facebook: @motherhoodnyc Twitter: @MotherhoodNYC The Nine Rooms of Happiness by Catherine Birndorf and Lucy Danzinger What No One Tells You: A Guide to Your Emotions from Pregnancy to Motherhood by Catherine Birndorf and Alexandra Sacks Learn more about your ad choices. Visit megaphone.fm/adchoices

Today’s show begins to scratch the surface in bringing more information, knowledge and advocacy to the perinatal period for transgender, gender queer, and gender diverse people. We are discussing pronoun use, the stress and anxiety transgender people may encounter during conception, pregnancy, birth and postpartum and other stressors related to interactions and misunderstandings from their healthcare providers. Thanks to Abbie Rolf, BA for continuing this conversation with us. Abbie Rolf is a Master’s level graduate student in Clinical Mental Health Counseling. They are a behavioral health student intern at Metro Inclusive Health in St. Petersburg, FL. Abbie is a member of WPATH, ALGBTIC, and is actively working toward becoming a gender specialist. Abbie’s intersectional identities include being queer. This and other minority identities inform the lens through which they practice. Abbie is sex-positive and kink-aware. Abbie’s areas of interest include gender-inclusive perinatal mental health, grief/loss, trauma, and consensual non-monogamy. Show Highlights: Think of “transgender” as an inclusive term to include anyone who lives in a way that their gender is incongruent with their sex assigned at birth Under the umbrella of transgender are binary gender, gender queer, non-binary, and agender---”ways pepole can self-identify their nuanced gender experience” Don’t assume a person’s pronoun based on the way they present The best way to find out someone’s pronouns is to introduce yourself and your pronouns and ask how they want to be addressed To be known authentically, it’s important to use the right language to identify ourselves and others Part of bringing awareness to gender issues is to acknowledge that there can be no assumptions based on the way a person presents The microaggressions in misnaming and misgendering people How transgender people are affected by the constant state of being unseen and unvalidated Unseen stressors in the mental health system and how awareness of gender bias in the postpartum may be a manifestation of gender dysphoria Resources: Abbie’s Professional Facebook Page: https://www.facebook.com/Abbie-Rolf-BA-Graduate-Student-Mental-Health-Counseling-INtern-224253768482880/ Transgender Perinatal Mental Health for Professionals (closed Facebook group) https://www.facebook.com/groups/TransgenderPerinatalMHForProfessionals/ www.PracticeWithPronouns.com National Transgender Discrimination Survey: https://transequality.org/issues/national-transgender-discrimination-survey Pronoun Options: http://www.transstudent.org/pronounsgraphic.jpg Gender Identities Overview: https://www.genderspectrum.org/the-language-of-gender/ For Birthing People and Professionals: Facebook Group: Birthing and Breast or Chestfeeding Trans People and Allies: https://www.facebook.com/groups/TransReproductiveSupport/ Queer Birth Project: https://www.facebook.com/QueerBirthProject/ The Feminist Midwife https://www.facebook.com/FeministMidwife/ Learn more about your ad choices. Visit megaphone.fm/adchoices

You’re probably familiar with the term HSP, a designation for a highly sensitive person. You may have heard this trait discussed on some of our previous shows. We know many mothers are HSP’s, but can an infant be a highly sensitive person? Is it even possible? If you’re a highly sensitive person, then this topic may resonate deeply with you, as it does personally for me. Join us for today’s discussion. Julie Bjelland is an HSP psychotherapist, global HSP consultant, and the author of several books for the sensitive person. Her work has helped thousands of sensitive people around the world. As an HSP herself, and the mother of highly sensitive children, Julie understands the trait on a personal level, and she’s distinguished herself as one of the leaders in the field of high sensitivity education. Her mission is to spread awareness and education of this trait, and to help HSP’s reduce the challenges, so they can access their many gifts. Julie invites you to explore her website, which is full of helpful resources. Show Highlights: How proper support in childhood can prevent symptoms of anxiety and depression in adulthood, but lack of support usually means increased symptoms What to look for in an infant (keep in mind that these indicators can show up differently): Advancement in speech and language Highly observant Frequent overstimulation, with crying and meltdowns Sensitive skin and frequent rashes Prone to allergies and food sensitivities Sensitivity to detergents and chemicals Aversion to certain food textures and fabric textures Strong reactions to being wet, dirty, and sticky Preferences of adults with softer energy levels Sleep sensitivities Sensitivity to noise and temperature changes Needing to be held a lot How we create more stress in the way we label HSP behaviors How our sensitivities go down when we are balanced and our needs are met How to support mom and baby if they both have HSP tendencies The HSP trait: it’s innate, affects 20% of the population, is equal in gender distribution, and 70% of HSP’s are introverts Why it’s recommended that HSP’s have 2 hours of alone time each day Changing the culture and helping new moms have “down time” An infant’s mirror neurons when mom is not balanced Recovery times that mom and baby need How the brain perceives anxiety---and how deep breathing can help Difficulties when mom and baby have the HSP trait The roles of sleep, sickness, stress--and how HSP’s are affected What can do to prevent overwhelm and overstimulation How a non-HSP parent can understand an HSP child Why it’s important to work with a good therapist The need for reducing and removing self-judgment The value of finding your tribe and feeling understood Resources: www.juliebjelland.com The Empowered Highly Sensitive Person by Julie Bjelland www.empoweredhsp.com Brain Training for the Highly Sensitive Person by Julie Bjelland www.braintraininghsp.com Email me: momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Why are birth outcomes for black women in the US so much different than for white women? The statistics are shocking, and we should all be concerned about this disparity. What can be done about it? Today’s show dives deep into the problem and possible solutions. Alexandra Samuel-Sturgess, LCSW, is passionate about possible solutions to empower black women when it comes to better health care and better birth outcomes. Alex is someone I work with personally, and she’s an awesome advocate and therapist. She’s the founder of Spirited by Truth, a private practice located in Ontario, CA, and she specializes in perinatal mental health. She creates a safe space in her practice for black women to focus on their healing. Alex is an aunt to an angel baby and the sister of a postpartum depression survivor. Spirited by Truth came to fruition due to the overwhelming need to provide holistic pregnancy and postpartum mental health services catered to the needs of black women. Alex is passionate about prenatal and postpartum education and providing culturally responsive treatment for black women seeking mental health services. She is a Postpartum Support International coordinator for San Bernardino county and is a black maternal mental health advocate. At Spirited by Truth, she provides education, community, and support for expecting black mothers to assist in the fight toward healthier birth outcomes for black women and infants. Show Highlights: Statistics for black birth outcomes in the US: black women are 4X more likely to die in childbirth, 30% of black women experience perinatal mental health crises, and 60% of these don’t receive any treatment or support Reasons why black women don’t receive treatment or support as often as white women The focus on finding solutions Solutions we can address for improvement of the situation: Finding things black women CAN control in the childbirth process Finding healthy ways to manage chronic stress Eliminating the taboo for black women who seek mental health treatment How black women can be empowered in asking for a black nurse or Ob The need for education in healthier lifestyles, especially on nutrition and exercise Education about the birthing options, like home births and birth centers Alex’s sister’s birth experience Leapfrog ratings of hospitals across the country Why the infant mortality rate is higher, because of misinformation and lack of education about SIDS Simple dangers of crib bedding and stuffed animals that are normalities in black families How we can give current and updated information to empower black women Why black women need to ask for support and learn self-compassion Why black women fall prey to the “Superwoman” syndrome The need for culturally responsive services for black women Alex’s “Spirited Mama Tribe”--the support circle for black women, including workshops, CPR training, and doula/midwife services Why black women need help in managing preeclampsia, gestational diabetes, chronic stress, and hypertension Resources: www.spiritedbytruth.com Find Alex on Instagram and Facebook: @spiritedbytruth www.leapfrog.org www.tdbh.ca.gov Learn more about your ad choices. Visit megaphone.fm/adchoices

Things don't always go as planned and sometimes life gets in the way of the best laid plans. So, what do we do? We go with it and jump right back in where we left off! Find out how life has been happening to me and what I'm doing about it! Learn more about your ad choices. Visit megaphone.fm/adchoices

Many people still may not be clear about the role of a doula in prenatal, birth, and postpartum support. On today’s show, we’re focusing specifically on how a doula can help with trauma for the mother and reduce overall risks during the entire pregnancy and birth process. Courtney Butts is a Licensed Master Social Worker and Certified BEST Doula in Dallas, TX. After the birth of her son, Courtney knew she wanted to serve in support to families as a doula and childbirth educator. This work has allowed her to merge two passions: working with trauma survivors and her love of all things pregnancy and postpartum. She also provides therapy focused on maternal mental health. Alexis Edwards is a Licensed Clinical Social Worker, Certified BEST Doula, and owner of Birth 360, a private practice in Austin, TX, that provides prenatal and postnatal therapy and doula support. She is a survivor of sexual assault and an advocate for healing through birth. Her own traumatic births and journey to motherhood inspired her to become a doula with a holistic, trauma-informed practice that incorporates not only birth and postpartum support, but also recognizes the link between birth and maternal mental health. These two women came together in January 2018 to co-create a trauma-informed support training for birth and postpartum professionals that they teach across the US. As mental health professionals and birth workers with a background of serving survivors, they bring a unique perspective on how to better support women carrying trauma through the childbearing years. Show Highlights: The role of a doula in birth and postpartum: a non-medical professional who provides non-judgmental support and information to improve physical, emotional, and mental health How they want to provide information for their clients to be able to speak up with control and empowerment in the birthing process Most doulas are passionate about advocating and educating outside of birthing spaces, all to help moms have better outcomes How doulas help in trauma that may show up in the birthing process How some women navigate past trauma AND new traumas in the birthing space How they look for triggers and teach grounding techniques Balancing the boundary between the doula and therapist roles and how they hold safe space for clients in both roles Having conversations about potential triggers, like certain types of touch The information that Alexis and Courtney want medical professionals to have to bring better outcomes for moms The need for education, like in understanding the maternal mortality rates for black women in the US Supporting moms to be heard and seen, even before the birthing process How doulas support trauma recovery As a doula, being in tune with the client’s needs and understanding their birth plan wishes The Polyvagal Theory---referring to the vagus nerve, the longest in the human body How we interpret and respond to threats: fight, flight, or freeze How the work of medical professionals should come from a trauma-informed lens How Alexis and Courtney deal with clients with trauma and offer support The focus on grounding and finding a safe space How Alexis and Courtney’s training gives tools and techniques that doulas can use How their training helps in specific ways How doulas can improve outcomes: decreases in C-sections, pitocin, and pain relief meds, and an overall increase in vaginal births Resources: Courtney: @courtneybuttsdoula (Instagram and Facebook) www.courtneybutts.com Alexis: @birth360atx (Instagram and Facebook) www.birth360.net Learn more about your ad choices. Visit megaphone.fm/adchoices

Laura Fry is a wife and mother to 3 amazing kids. She is a former health care professional, turned stay at home mom after the birth of her first son. During that birth she suffered a 4th degree perineal tear and in January 2015 created a Facebook support group for others who have also sustained 4th degree tearing in childbirth. The group has grown to 1,200 members from all over the world, representing 6 continents and 33 countries. Laura is now using the knowledge she has gained from that support group to raise awareness of severe tearing and advocate for better care by using social media and speaking at conferences. Please share your story - How do you think this impacted your mental wellness - Looking back, what do you think you needed at the time. What could have supported you better? - How can health and mental health care providers do better? - Hopeful messages for moms and families out there - Share a bit about your work now. Facebook support group - https://facebook.com/groups/1538075199800995 Facebook page - https://www.facebook.com/Mothers-with-4th-Degree-Tears-1548538518602609/ Instagram - @motherswith4thdegreetears Twitter - @MothersWith4DTs Blog - https://motherswith4thdegreetears.wordpress.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Pediatric chiropractic care is a healthcare field that most people know nothing about. Most of us don’t fully understand how amazing this level of support can be, even for newborn babies, and how it brings relief and confidence to weary and frazzled parents. Dr. Sheena Lee is a family chiropractor serving babies, kids, pregnant moms, and growing families. She has extensive pediatric and prenatal training through the International Chiropractic Pediatric Association, and additional training to serve kids with neurodevelopmental challenges. In addition, she’s also a trained birth doula. Dr. Sheena is on a mission to elevate the consciousness of her community about what it means to be truly healthy from the inside out, what it means to make empowered choices, and what it means to feel deeply connected. Why? Because, as a teen, she struggled tremendously and felt disconnected from everyone, including herself, and even felt trapped in her own body. A visit to a chiropractor drastically changed things for Sheena, and she knows she was ultimately reconnected to her body and set free. Things have come full circle for her, as she’s now a chiropractor who is passionately concerned about caring for babies and children so they can thrive from the very beginning of their life, and not experience the same struggles that she did. Dr. Sheena practices at Vibrant Health Family Chiropractic in San Dimas, CA, a space dedicated to serving families so they can shine vibrantly from the inside out. Show Highlights: How chiropractic care for babies and kids differs greatly from adult chiropractic, and covers immune suppression, growth/development, behavior, and symptoms such as reflux and colic Why these issues come down to stress and how the nervous system reacts For adjustments on babies and kids, only fingertip pressure is used, as the chiropractor still adjusts the spine, but doesn’t “crack” the bones Why special attention should be paid to the upper neck and lower back, because of how the baby was positioned in utero and how they came through the birth canal How Dr. Sheena also uses the Insight Nervous System scan to detect stress in a baby’s body Why Dr. Sheen emphasizes the gentle pressure of the adjustment, with no twisting or pressing Most parents will see a lactation consultant and a pediatric dentist--when a pediatric chiropractor may have the answer How to find a pediatric chiropractor The specialized training that not all chiropractors have How chiropractic can help with sensory processing disorders, evidenced by colic and sleep issues, reflux and constipation, ear infections and respiratory infections, allergies and eczema, and motor and speech delays How things stack up with worsening symptoms until chiropractic care brings them back into balance Why chiropractic isn’t a one-time fix, but much relief can be found when it’s used to maintain wellness Resources: www.getvibranthealth.com Check out Dr. Sheena’s website and her free webinars Find her on Instagram and Facebook: @DrSheenaLee and San Dimas Chiropractor www.icpa4kids.org Find a pediatric chiropractor near you Learn more about your ad choices. Visit megaphone.fm/adchoices

Sometimes traumas occur that aren’t discussed or supported in the ways they should be. It takes some brave soul to forge the path in changing the narrative for those who follow. Today’s show is an important conversation of a personal story of egg donation, what can go wrong, and the emotional trauma that might follow. Meghan Coltrane is a Licensed Professional Counselor in perinatal mood and anxiety disorder. Her private practice is in Asheville, NC. She’s here to share her personal experience of being an egg donor, which led her into the field of perinatal emotional health. I’m putting a sensitivity notice on this episode for anyone who has experienced obstetrical complications or trauma related to a procedure. This kind of complication is very rare, but it CAN happen, so we want to bring awareness to it and learn, understand, and support people through all aspects of their reproductive and mental health. Show Highlights: Meghan’s rare complications are an uncommon experience in egg donation When she was 25, she applied to be an egg donor and went through the required testing Within days of being approved, two different couples had chosen her as their egg donor and she prepared for her next cycle with the necessary medications and many ultrasounds Who needs an egg donor? Any couple seeking to do IVF without their own viable eggs 20 eggs were retrieved during the procedure and her mother drove her home to rest, with her plan being to return to work the next day She tried to sleep, then woke up, and fainted on her way to the bathroom The on-call nurse told her to drink more water She went back to sleep, but kept waking up with increasing abdominal pain; it became sharp, like nothing she’d ever felt before The on-call nurse prescribed Tylenol with codeine Later, her roommate took her to the ER, where she was given IV fluids and was admitted for 3 days The diagnosis was ovarian torsion, in which the ovaries were twisting on themselves and severe bleeding was occurring Throughout her hospital stay, her caregivers were always on guard for the need for emergency surgery, which would have meant the removal of her ovaries After her discharge, she visited 6 different doctors and began having anxiety, terrors, and emotional issues Her physical recovery took 1-2 weeks, but the emotional healing took much longer Meghan was anxious, terrified, scared, and filled with irrational fears and repeated nightmares Her body responded as though she had been through a sexual assault, with her even being terrified of every man she came into contact with Why she hunkered down and shut everyone out of her life She had no energy, was exhausted, and lost a lot of weight She saw her therapist and went to Yoga for Trauma classes She saw a psychiatrist for medication to help her eat and sleep During the first year, she threw herself into self-healing and did TRE (trauma releasing exercises) and EMDR (Eye Movement Desensitization and Reprocessing) with her primary therapist The fertility clinic kept calling, asking her to donate again, even though she had told them she was done Why she felt treated “like a machine that gave them their product” There was no discussion about the hormonal effects or the possible mental effects of the process or the risks Meghan’s desire is not to discourage egg donation, but to encourage trauma-informed care How Meghan has started doing trauma-informed care training How she wouldn’t do it again, but gained a lot of insight in how to care for herself and set boundaries The financial benefits of egg donation, taxes, and why it’s not worth it Her official diagnosis: anxiety, depression, and PTSD What Meghan wants others to know about this process and the impact on perinatal mental health Meghan’s advice: “Be open to healing and surround yourself with those who respect your boundaries.” Resources: www.meghancoltrane.com www.weareeggdonors.com Learn more about your ad choices. Visit megaphone.fm/adchoices

What are the key factors to wellness? Wellness is important for everyone, but is vitally important during pregnancy and the postpartum period, both for new moms AND dads. Let’s talk about the key factors on the path to wellness. Adrienne Griffen is the founder and Executive Director of Postpartum Support Virginia. She started PSVA to fill a gap in services in her area. When she experienced postpartum depression and anxiety in 2002, it took almost six months to find the help she needed. Since then, she’s been providing information, outreach, and support to new mothers and the healthcare providers who serve them. For her efforts, Adrienne was selected as the Peer Specialist of the Year by the National Council for Behavioral Health in January 2016, and a Woman of Vision by Arlington County’s Commission on the Status of Women in June 2018. Adrienne graduated from the US Naval Academy and has a Master’s in Public Policy from Harvard’s Kennedy School of Government. Her early career included military and government service at the White House, Pentagon, and IRS. Adrienne lives in Arlington, VA, with her husband and three children. Show Highlights: Adrienne’s The Path to Wellness, a one-page summary to help moms; it starts with the basics and moves into self-care, social support, therapy, and medications The scaffolding approach of The Path to Wellness Self-care and its four key components: eat, sleep, exercise, and time off How Adrienne helps moms realize the necessity of self-care Tips to get good sleep (4-5 uninterrupted hours) for new moms Nutrition for new moms: eat when the baby eats, and focus on nutrient-dense, high protein snacks with lots of water Tip: stock a feeding station wherever you feed the baby To get good exercise, go for a walk outside, which can benefit both mom and baby To get “time off,” figure out what can make you better for the day, whether it’s showering, yoga, meditation, journaling, etc. For social support, get connected to other women who are going through the same thing Support will give you validation, normalization, and hope Social support can take varied forms, so find the one that works best for you In-person support groups can offer positive reinforcement Talk therapy or counseling can help moms gain control over emotions and learn coping strategies One goal is to “soften up” women who are in a brittle state so they can be more stable Medications are not a first step, but some are safe for pregnant and breastfeeding moms Why there are many misconceptions and much misinformation about medications Why mental health meds are perceived as optional, but not other meds How these valuable interventions help new moms Why we do new moms a disservice by not talking about postpartum issues How single moms can find the help and support they need The value in short-term help, especially for getting good sleep The warning signs of too much sleep, not falling asleep well, or not staying asleep Words of Hope from Adrienne: “You are not alone. You are not to blame, and with help, you WILL be well.” Resources: www.postpartumsupportinternational.org Find PostpartumVA on Facebook Contact Adrienne: adrienne.griffen@gmail.com Find the printable Path to Wellness sheet: http://www.postpartumva.org/wp-content/uploads/2013/11/Path-to-Wellness-February-2015.pdf Learn more about your ad choices. Visit megaphone.fm/adchoices

Are you feeling it? You know holiday stress comes in different ways for each of us. It can make us feel frantic, overloaded, and completely overwhelmed. But deeper than that, how do you cope and heal in general? What’s your unique way? What have you found out about your strength and resilience? In this episode, I’m having a personal chat with you about the chaos and stress that we all tend to feel. About the depths that we go to ‘get through’. It’s a good time to call it out and come to you with a different energy, one that’s geared toward healing, health, and wellness. One that is uniquely you. Show Highlights: The inherent strength and resilience in mothers and fathers A new baby brings massive change, which can be even more difficult during the holidays Self-care can be healing and can come in different ways Using similar tools can still mean different healing processes; there’s not just ONE right way to heal With a new year, don’t focus on what you need to do better, but focus on your internal strengths How do you get through those quiet moments when you feel alone and misunderstood? Internal resources vs. external resources Why vulnerability is a strength---not a weakness YOUR way of healing is worthy, valuable, and unique My personal path to healing, which came in unconventional ways Ask: What do I need? What are my strengths? What does resilience look like for me? Look into yourself and listen deeply You CAN get through whatever you’re going through! Learn more about your ad choices. Visit megaphone.fm/adchoices

What if YOUR idea of your birth plan and first few postpartum days differs wildly from what your in-laws imagine? How do you stay true to your values and set boundaries without causing an irreparable rift in the family? We’re tackling these topics and more on today’s show! Felicia Hurst is a Licensed Professional Counselor in private practice, serving the needs of the Ardmore, Oklahoma community. She graduated with a Master’s of Science in Clinical Mental Health Counseling from East Central University and has post-Master’s advanced training in perinatal mood and anxiety disorders. Her passion is working with women prior to conception, pregnancy, postpartum, and throughout motherhood, and spreading awareness about perinatal mood and anxiety disorders. In today’s show, she shares her background and professional experience, along with her personal experiences in setting boundaries with her in-laws and family. Don’t miss Felicia’s great tips that anyone can use in navigating these difficult conversations. Show Highlights: How the desire to have children affected decisions for her and her husband, as they waited for the right time How this anticipation played into perinatal mood and anxiety for Felicia Why they decided to set boundaries for her birth and postpartum time The expectations her in-laws had for the birth and postpartum, which wasn’t at all what Felicia wanted for her new family Having the difficult discussions about expectations that clearly weren’t in alignment with each other How people-pleasing can lead to regrets, a desire to withdraw, and even aggression How Felicia held boundaries with the nursing staff about limiting and prohibiting family visits in the hospital Coping with others’ hurt feelings while affirming your values and holding to your boundaries Using a different approach with different family members How Felicia and her husband had discussions about the boundaries Why setting boundaries is important to have the kind of experience you want, without shame and regrets later on How you can get through it and come out on the other side Why it’s never too late to start setting boundaries, but setting them early on sets the stage for how things will go later and eliminates conflict ahead of time Felicia’s tips: Pick the right time and place to have the difficult conversations Be clear and direct in telling others your preferences about boundaries Communicate with family how they can support you best in helping out with cleaning, babysitting, cooking, running errands, etc. Felicia’s advice: Be true to yourself, recognize what your values are, get clear on what’s important to you, and communicate to your partner and go from there Felicia’s work, which focuses on maternal mental health, and her position as Chair for Postpartum Support International’s Oklahoma chapter Felicia’s passion for educating people on perinatal mood and anxiety disorders and reducing the stigma around them How people in rural areas get the care they need, through Ob-gyns, nurses, midwives, and doulas Resources: www.feliciahursttherapy.com Find Felicia on Facebook: Felicia Hurst, MS, LPC Learn more about your ad choices. Visit megaphone.fm/adchoices

Chances are that you or someone you know very well, has experienced pregnancy loss. One of the ongoing difficulties surrounding loss, is that it is an uncomfortable subject to discuss, both for the parents and other people in their lives. So, these mothers and parents often suffer in solitary silence. When you couple that with the lack of education, information, and support for Perinatal loss and grief, you have a recipe for mental, emotional and physical devastation. My guest today is on a mission for change. Thank you Nicole for sharing your story through miscarriages and then having your rainbow baby! Nicole Curran Sanchez was born and raised in Orange County, CA, and has lived in Sacramento since 2008. She works at the state capitol as a Senior Legislative Assistant and scheduler to the Chair of the Assembly Health Committee. Nicole is very active in her community and loves to help people navigate state resources. She is especially gifted in helping people understand paid family medical leave, Medi-Cal, and other state programs to help the most vulnerable populations, such as the homeless, seniors, and children. Nicole and her husband, Rick, are thankful for their rainbow baby, their five-year-old son, Cruz. Show Highlights: Nicole’s story of two miscarriages, beginning in 2011, and the depression and heartache that came from never being given the opportunity to talk about her feelings How she “kept on grieving” without even knowing why she was grieving Even as a health advocate, she couldn’t even focus on what was really happening to her In 2012-- a second miscarriage at 14-½ weeks, and the doctor treated her like a statistic As the doctor searched for a heartbeat, she told Nicole that 1 in 4 women experience miscarriage How Nicole felt, with no sympathy, no care, and no hand-holding The domino effect that occurred when Nicole posted a little about her story on social media and then a group of women shared and connected over their losses Why she found a new Ob-gyn AND got a rescue dog who ended up rescuing her When she was pregnant again, she was excited, scared, anxious, and very paranoid After 38 hours of labor and an allergic reaction to the epidural, she experienced the birth of her rainbow baby, Cruz How she felt: “a void of empathy, lack of care, and feeling alone” The ways of support that worked and helped her push herself to not get depressed Nicole’s advice to other moms: Name the losses, make a keepsake box, and honor the losses How her husband was her biggest support and constant source of comfort The emotional rollercoaster that dads go through with losses How Nicole wants to help and support others who go through loss How Facebook allows Nicole to reach out and share to help others How Nicole advocates for other moms in her meetings with healthcare professionals Hopeful messages from Nicole: “Families come in all shapes and sizes and they are all different. Your family is YOUR story and you aren’t just a statistic. Let others be there for you to help and support you.” Learn more about your ad choices. Visit megaphone.fm/adchoices

We all know about the unfair stereotypes and stigma that exist in our society, but have you ever thought about---or experienced---what a plus-size woman goes through in pregnancy? The body shaming and unfair assumptions are particularly tough to take. Today’s guest is passionate about changing the stereotypes and offering help to these often unsupported moms. Jen McLellan is a published author, speaker, and founder of Plus Size Birth, and she now hosts the Plus Mommy podcast. Plus Size Birth is a premier resource for all things plus-size pregnancy, with over four million page views. Jen is passionate about plus-size pregnancy, sharing tips on embracing your body and navigating the bumps along the road of motherhood. Through the Plus Size Mommy podcast and other social media outlets, she seeks to create an environment of acceptance and to end the stigma surrounding plus-size pregnancy with education, support, and a sense of humor. She is a certified childbirth educator, wife, and mother to a charismatic 8 year old. We’re discussing many great topics related to being a plus-size mom, education, and statistics on things we should consider in supporting plus-size moms to have the happy, healthy pregnancies that they deserve. Show Highlights: In 2010, Jen became pregnant, went online for support, and was horrified at the messages there for plus-size moms Why she decided to break the cycle by telling her story and starting a blog How she found a community of followers who were hungry for resources that weren’t there Why she became a childbirth educator The stories of mistreatment for plus-size women, even by their healthcare providers How a woman’s mental health is affected by this treatment The importance of connecting with a size-friendly care provider Ways to handle weight issues with doctor appointments Stigma about pregnancy and birth for plus-size moms The assumptions: that a plus-size pregnancy won’t have a positive outcome, will definitely have gestational diabetes, cannot have a vaginal birth, and will probably smother her baby while breastfeeding Jen’s work: sharing images of plus-size pregnant women, so they see “someone who looks like me” The care that’s available to help plus-size moms with breastfeeding Why plus-size women should wear clothes that celebrate pregnancy Why plus-size moms don’t take pregnancy photos Ways to normalize the pregnancy experience for larger bodies The importance of connecting with a therapist during the postpartum period Be mindful of language that might be triggering, like “obese” What you can’t tell about a plus-size woman: what she eats, how much she eats, or how she struggles Why we need to come from a place of compassion and not a place of shame How Jen was changed forever by a midwife who had compassion and believed in her The “health at any size” approach, and why it’s important The need to work through your own personal bias The podcast: the topics that are covered with transparency and the hopeful messages that make an impact How the Plus Mommy community as grown as people learn that people don’t deserve to be mistreated just because of their size Resources: Plus Size Birth: http://www.plussizebirthcom Plus Mommy Podcast: http://www.plusmommy.com Social Media: Facebook: https://www.facebook.om/plusmommyblog/ Instagram: https://www.instagram.com/plusmommy/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you find the holidays stressful? We would all have to say YES, if we’re completely honest. For a pregnant mom, a postpartum mom, or a mom experiencing loss, the holiday obligations can be overwhelming in magnified ways. In today’s solo episode, we will discuss how to survive the holidays and manage stress by setting healthy boundaries and prioritizing self-care. Show Highlights: The holidays: a mix of lovely things and difficult moments with the unseen pressure of motherhood to take care of everyone Boundaries are not easy, and sometimes confusing, but necessary Set boundaries around family, friends, spending, activities, and the time you spend with others Don’t be afraid to communicate what your needs are In spending time at someone’s house, have a set time limit or some kind of communication with your partner to signal when it’s time to go To figure out where you need boundaries, ask yourself, “What brings me stress? What do I find difficult?” Why we feel guilty for setting boundaries How anger and resentment toward others will develop when we don’t set boundaries How pushback from someone else can signal the need for boundaries It’s OK when you need a time-out from the tension of social situations Important skills include knowing when to say NO and when to say YES Why you shouldn’t feel obligated to do things that aren’t good choices for you Allow flexibility and compassion in considering your needs How saying YES and NO protects against resentment building up in relationships Ask yourself what you need when you feel anger, guilt, anxiety, and sadness If sleep and self-care are not on your holiday list, then you will feel depleted Sleep is essential for health and restoration, but especially for pregnant moms, postpartum moms, and moms with loss Give yourself permission NOT to do everything Steps to take to manage stress: Think about times in the past when you’ve ignored your own needs Figure out where you can make adjustments Find places where you can say YES and set limits Don’t allow yourself to feel guilty Why your new holiday regimen should be ways to manage stress, keep your energy level, and feel like yourself What feels restorative, whole, and good to you? Set intentions for baths, yoga, solitary walks, connection time with a friend, alone time, or time with your partner This Episode Sponsored by Ritual Women's Essential and Essential Prenatal Vitamin www.ritual.com/MIND Learn more about your ad choices. Visit megaphone.fm/adchoices

Imagine what it would be like to not even trust yourself to be alone with your children---for fear of doing them harm. What if you KNEW something was wrong with your mental health, but couldn’t find the help and support you needed? Dealing with anxiety is always a problem, but never more so than in the postpartum period, when a mom is called upon to give SO MUCH of herself to care for her new baby. Yet moms are not informed and educated about the possibilities that may occur, or given access to the resources that can provide help. My guest today is committed to getting the word out that there is help for new moms. Alexis Bruce is a stay-at-home mom turned maternal mental health advocate after the traumatic birth of her youngest son. Her birth experience, postpartum anxiety, and intense OCD fears and thoughts have been the impetus for her desire to help others in these situations. Through her struggle, it became clear that there is a lack of information and education about perinatal mood and anxiety disorders, and her mission has become to change that narrative. Alexis now works with Moms Mental Health Initiative, a local non-profit group whose mission is to help moms navigate perinatal mood and anxiety disorders by sharing information, connecting them to resources, and providing the necessary peer support. Alexis lives in Milwaukee, Wisconsin, with her husband, Tyler, stepdaughter Ava, and sons Noah and Leo. Show HIghlights: How Alexis struggled long-term with anxiety that was usually manageable until her first son was born, and the intrusive thoughts began, with fears, panic attacks, and guilt Becoming unexpectedly pregnant again, when Noah was only 8 months old, caused a spike in anxiety Intrusive thoughts began again, and Alexis now knows that this is the way her brain sends alarms She went to a therapist and things got better until she was 33 weeks along Around midday, while home alone with Noah, she experienced severe bleeding, called her husband, and paramedics came and took her to the hospital by ambulance, all the while with her fearing she had lost the baby The baby’s hearbeat was OK and they started preparing for an emergency C-section, but then decided to wait and see what would happen Steroid shots for the baby to help lungs develop, and the hope that she could wait 48 hours to deliver Discomfort, contractions, and then intense pain: within 5 minutes, 12 people from the NICU team, several nurses, and the doctor were all present in the room How Alexis pushed once and Leo was born, but he was whisked away The helpless feeling of listening to the medical team trying to get the baby to breathe With no information about their baby’s condition, they watched the baby taken away to NICU Alexis felt no sympathy or attention to the severity of the trauma she had been through; the nurse came in and told her to start pumping, something she did 10x each day for the next few days She finally got to see her son about 3 hours later, but he was covered in tubes and medical tape A hopeful message from Alexis: “You aren’t alone. Help is available. It’s possible on the recovery end to grieve the pregnancy and postpartum period that you wanted to have.” Alexis’ advice: “Be aware of vulnerabilities, be gentle with yourself, and have self-compassion.” Resources: www.momsmentalhealthmke.org www.postpartum.net Email Moms Mental Health Initiative: mmhimke@gmail Find Moms Mental Health Initiative on Facebook Learn more about your ad choices. Visit megaphone.fm/adchoices

How is perinatal loss handled in the Orthodox Jewish community, or in any other faith-based culture? Today’s show takes a deep dive into a new perspective as my guest shares how she offers faith-based support and understanding of perinatal loss in a unique culture of rich traditions. Dvora Entin, LCSW, developed and directs JFCS Ma’oz in Philadelphia, a unique initiative to engage the Orthodox community on mental health issues. With specialized training in maternal mental health and perinatal death, Dvora moderates the Pregnancy Loss phone support calls for K’nafayim and for Yesh Tikvah Yeesh on infertility. In 2017, her BLOOM program to engage the Orthodox Jewish community on Perinatal Mood and Anxiety Disorders won the Perinatal Mental Health Society Innovation Award. Dvora provides private sessions for supportive counseling and consultation and presents nationally about perinatal loss and compassionate bereavement. She resides in Philadelphia with her husband, Isaac, and their children. Show Highlights: How stigma and shame play a role in perinatal loss and seeking support in a culture and religion with a very long history What orthodox Judaism is The need for a niche approach with mental health, one that is specific and tailored to the needs of the community Dvora’s work as an emotional doula and mental health counselor with 50-100 women monthly from the US and other countries Why mental health is not openly talked about, especially in light of the tendency to help “arrange” marriages The community’s approach to loss and bereavement with the 7-day Shiva Why there is no ritualistic tradition for any loss of a baby who hasn’t lived 30 days How families are given a meaningful space for grief The orthodox community is in tune with mental health, and wants to increase awareness, as long as it doesn’t conflict with religious law Why some women wonder what they’ve done “wrong” to encounter a perinatal loss Why they question their grief and the strength of their faith, wondering if their faith is not strong enough, since they are grieving The stigma around having only 3-4 children, when the norm is many more than that The deeply driven core identity of motherhood for the Orthodox Jewish woman The norm: marry young, have children quickly, and have many overall; if they don’t, then something MUST be wrong In Dvora’s work, she sees the transition from an anonymous phone support space to an in-person space Why early losses are isolating because pregnancy isn’t announced until the 2nd trimester, so women have to act like “everything is fine” if they suffer an early loss The blend of faith and American Jewish heritage The struggle with faith questions and shame Why support is available for men, but it’s difficult to engage them The challenges for husbands to support their wives when there are strict rules about physical contact when a woman is bleeding The challenges in communication skills with a very young couple who now must deal with the intricacies of a multi-layered loss The goal is to more deeply understand the impact of perinatal grief on a woman, her husband, their children, family, and community How Dvora helps them find the pathway to OK and allows them to ask the questions The challenges of different kinds of losses and disenfranchised grief The deep hole that occurs after making the decision to terminate a life-threatening pregnancy Why there is room for growth in any faith community and how remembering their pain helps bring connection Resources: www.dvoraentin.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you thought about--or personally experienced--the stigma surrounding single moms? We all know that the road can be tough for these women, but what support is available? Today’s show features someone who has been there, caught in the swirl of shame, doubt, and fear as she struggled to go through pregnancy and single motherhood. She’s turned the narrative on its head and spreads an empowering message to women who are fearfully stuck in relationships that aren’t healthy and nurturing. There is hope for you, Single Mom! Jaren Soloff is a women’s health practitioner based in San Diego who became a single teen mom after enduring an abusive relationship. As a young, single mother of her daughter, now 7, Jaren is passionate about creating a new narrative for moms to find their voices and connect to themselves. Jaren has the unique experience of raising a child while navigating college, career, and parenting. She hopes to share her journey of single parenting to empower others on their journey. Jaren is a registered dietitian and lactation educator, and the founder and owner of Empowered RD, Nutrition+Lactation, a private practice dedicated to empowering women through their reproductive years, from preconception to postpartum. Jaren shares her perspective on changing the narrative and the language we use around single motherhood. Show Highlights: Jaren’s unplanned pregnancy while in college--and the on/off abusive relationship with the father of her child The shaming reactions and conversations from her family, filled with criticism and judgment How her partner felt about the pregnancy and manifested his power and manipulation Jaren’s next steps: how she left school, moved back home, and braced herself to face motherhood alone How she knew the relationship would have to end for the safety of herself and her child How her mom and her conservative religious background affected her during her pregnancy How Jaren felt about herself and her mental state during this time The chaotic postpartum period and how she returned to school just five weeks after giving birth The helpful support Jaren found in her doula What she really needed was partner support and community with other moms The validation she felt when there was a label put to what she was going through How Jaren finished school when her daughter was four--and then got her nutrition credential Her great job at a university, with good psychological and social support Why resilience was one strength that helped Jaren survive Why we need better support for single moms How Jaren helps support single moms today with her passion and sense of responsibility to serve them and women who are breastfeeding and facing other feeding challenges How we can create a different narrative by eliminating the stigma and shame around single motherhood: Help them form their own identity and interests Teach them to prioritize self-care Help them be unafraid to do well and thrive Resources: www.empoweredrd.com Find Jaren on Instagram: @empoweredrd Facebook: Empowered RD, Nutrition+Lactation Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you know the benefits of chiropractic and massage during pregnancy and the postpartum period? Despite the opinions of some, these practices can be a regular and extremely beneficial part of overall maternal wellness. What does chiropractic care for prenatal women look like and what conditions can be treated in this way? We’re diving into these topics and more with today’s expert guest. Dr. Elliot Berlin is an award-winning prenatal chiropractor, childbirth educator, and labor doula. He’s here to share how chiropractic care can support mental wellness and, specifically, perinatal mood and anxiety disorder. He shares how he came into this amazing work, almost by accident. His Informed Pregnancy Project aims to utilize multiple forms of media, including a weekly podcast, documentary films, and a YouTube series to compile and deliver unbiased information about pregnancy and childbirth to empower new and expectant parents to make informed choices regarding their pregnancy and parenting journey. Show Highlights: Dr. Berlin’s work and how it resulted from his lifelong interest in holistic medicine He and his wife took a long medical journey to have a child---with no success A holistic approach brought them their first baby, and then another every two years for awhile! When they moved to Los Angeles, he started a program to help others improve their health and fertility naturally He was soon surrounded by pregnant women who wanted to continue their wellness with chiropractic and massage care His work grew into attending births and body work, so he and his wife completed doula training together Their holistic perspective of prenatal wellness that developed over time The debate over C-section and VBAC (vaginal birth after Caesarean) How he wrote articles, then a blog, then a magazine, then a podcast, then documentary films, and then a YouTube series How he sees about 15 pregnant patients each day and tries to make sure they are informed about their choices Common conditions that people seek chiropractic care for during pregnancy: sciatica, hip pain, neck/shoulder pain, headaches, pubic joint pain, heartburn, nausea, and positioning problems The analogy of the birth canal: a stretchy rubber band and a squishy basketball How chiropractic care helps with mental wellness, especially with perinatal mood and anxiety disorder The Importance of improving sleep during and after pregnancy Every appointment at Dr. Berlin’s clinic includes at least 25 minutes of massage and body work Being “part of the puzzle” to perinatal mental health Misconceptions about chiropractic care: getting one adjustment isn’t enough unless you keep coming back, and pregnancy isn’t a good time for chiropractic and massage If you are looking for a chiropractor/massage therapist, you need to know that no special training is required for prenatal/postnatal chiropractic Dr. Berlin’s podcast, Informed Pregnancy, airs one episode weekly; they have great audience interaction as they provide information and entertainment about pregnancy, postpartum, and early parenting. They present facts about topics in an unbiased way and let people know about their choices The YouTube series: The Real Midwives of Los Angeles, Heads Up, a documentary about the disappearing art of vaginal breech birth, and VBAC, about vaginal birth after C-section Today's episode supported by Ritual Vitamin! Essential for Women and Essential Prenatal. Go Find out how awesome this vitamin is at www.ritual.com/mind Resources: Find resources on Instagram: @DoctorBerlin icpa4kids.com Find a chiropractor for pediatric patients and pregnancy Find Dr. Berlin on Twitter @DrBerlin or on Facebook @InformedPregnancy Parents on Demand network Find parenting resources! Learn more about your ad choices. Visit megaphone.fm/adchoices

If you know something is wrong, wouldn’t you want your doctor to listen? How does it feel to advocate for yourself with no success? My guest shares her story of dealing with postpartum depression for years while she tried to advocate for herself. Listen in to see how she finally found healing, and why she shares her story with honesty and openness. Jessica Mirisis lives in Massachusetts and is the mother of three girls, ages 2, 6, and her stepdaughter, age 12. Jessica works as an RN and helps her husband run their two businesses. Jessica battled several issues with maternal mental health for years, not getting the help she needed. Show Highlights: In May 2012, her first daughter was born, about the time she graduated from nursing school, got married, and bought a house With her pregnancy, she was sick all the time Her labor was slow and long, the baby came four days early, and she had low iron after the birth Her breastfeeding struggles for 6 weeks and then switching to formula How her baby didn’t sleep well and woke up every 3 hours to eat Her husband tried to tell her doctor that something was “off” How Jessica continued to struggle with motherhood and going back to work Her frustration and anger that continued for almost 2 years Again, she tried to tell her doctor that something was wrong, that she wasn’t sleeping, and that she was angry and frustrated----but the doctor discounted her feelings Why Jessica saw a psychiatrist and therapist on her own With her 2nd pregnancy, the anxiety increased and the constant sickness returned Why she had a scheduled C-section to avoid another long, hard delivery When her daughter was born, her in-laws came for an extended visit and Jessica still felt the anger and frustration She started Zoloft, but wasn’t getting any better an continued to go downhill The wine rack incident that was the last straw Why she switched to another psychiatrist Another episode that scared her Jessica’s hard time functioning as a mom, with suicidal thoughts and desires to run away How the psychiatrist suggested a partial hospitalization that helped immensely The group sessions, where people actually listened and helped her Jessica’s youngest daughter was almost 2 years old before she started to feel better The diagnoses: generalized anxiety, major depressive disorder, PTSD, and panic Jessica’s new “8 pm rule” and how it helps her every day How journaling has helped her Why she finally feels ready to return to work as a nurse and begin helping others again What Jessica wants others to know about postpartum depression: “Motherhood is not all rainbows and butterflies. Take the advice of others, but make your own decisions.” Her advice to others who may be going through postpartum depression: “You may not even realize what’s going on. Talk to someone who can help and keep going.” Jessica’s rules she lives by now in her recovery How postpartum depression can affect the entire family---not just the mom Resources: Find Jessica Leigh Mirisis on Facebook Learn more about your ad choices. Visit megaphone.fm/adchoices

If you’ve had any experience with eating disorders, then you know how difficult the recovery process can be. If you’ve ever been a new mom, then you know the perinatal period is crammed full of physical changes, emotional adjustments, and lifestyle challenges. Putting these two volatile situations together can be a recipe for disaster, mainly because of all the triggers and the constant fear of relapse. My guest today has been there. She knows the common triggers for those with eating disorders and how to cope; she’s here to share what she’s learned. Linda Shanti McCabe is a licensed clinical psychologist in CA who has worked in the field of eating disorders, chemical dependency, anxiety, depression, and co-dependency recovery since 1999. She has served in a variety of settings as a therapist for women and their families, and she now is in private practice in San Francisco. Her doctoral research focused on reimagining the body, using expressive arts with women recovering from bulimia, anorexia, and binge eating. Doing work with eating disorders in the postpartum field is her true labor of love, especially since she has recovered from an eating disorder 20 years ago. She will tell us about her new book, The Recovery Mama Guide to Maintaining Your Eating Disorder Recovery in Pregnancy and Postpartum, which is coming out in February, 2019, and available for pre-order now! Show Highlights: What we should know about relapses and shame around eating disorders in the perinatal period The culture of “fat chat” in perinatal circles The societal myths and pressure around thinness Common body image struggles in the perinatal period Eating-related stress and body image problems that exist even in those not officially diagnosed with an eating disorder How hormone shifts and sleep changes set new moms up for difficulties The disruption of hunger and satiety clues for new moms How former eating disorders are triggered How Linda’s own journey has led to connection and understanding for others “You can’t keep it unless you give it away, and you can’t give it away unless you have it.” Common triggers for those with eating disorders include body image changes, relapse into mood disorders, past abuse triggers, lack of sleep, food cravings, nausea, and new hunger cues The myth that eating disorders are limited to straight, white, adolescent women The truth: eating disorders affect people of all genders, sexual orientations, and ages Eating disorders are usually the result of trying to work throught some sort of trauma Why people don’t realize that talking about their struggle will be what gets them through the struggle What an eating disorder really is and the different types How perfectionism and rejection play into eating disorders An overview of chapter topics in Linda’s new book More information about the telesummit next year Hopeful messages about recovery (Are you an orchid or a dandelion?) Action steps: get support, decrease isolation, and lower the bar on your expectations Resources: www.drlindashanti.com Find her on Instagram: @Dr.LindaShanti Find her on Facebook: “Recovery Mama” The Recovery Mama Guide to Maintaining Your Eating Disorder Recovery in Pregnancy and Postpartum by Linda Shanti McCabe--available in February and pre-order now! www.ellynsatterinstitute.org Helpful resource for parents! Learn more about your ad choices. Visit megaphone.fm/adchoices

If you’ve gone through a trying experience and NOT had the support or services that you needed, then you become distinctly passionate about helping others find those services. If those services don’t exist, then you may be determined to help provide for others exactly what YOU needed and didn’t have. This is precisely the story of today’s guest, who turned her lemons into lemonade after her own experiences and lack of support inspired her to fill the need in her area. Meisha Shockley is the owner and executive director of Shore Grace, a family wellness center providing wrap-around services to support families on the eastern shore of Maryland who are welcoming a new baby to their home. Meisha is a doula, speaker, and coach with a specialty in maternal mental health for women of color, high risk pregnancies, prematurity, and pre-eclampsia awareness. She holds a BA in Rehabilitation Counseling and is currently pursuing her MA in Marriage and Family Counseling with a specialty in Sex Education. It was her own experience with pre-eclampsia and the premature birth of her daughter that led to the opening of Shore Grace. Show Highlights: After college, Meisha worked full-time in case management with moms who just needed support When she was 24 weeks pregnant with her second child, she went to a walk-in clinic with a headache and swollen feet, not realizing her blood pressure was dangerously high and she would be admitted to the hospital After tests showed pre-eclampsia, she was stabilized and discharged She saw her Ob the next day, was readmitted to a different hospital, educated about pre-eclampsia, and put on meds to go home on bed rest At 25 weeks, she was told she would have to deliver the baby soon and was put in ICU on bed rest At 27 weeks, an ultrasound showed obstructed blood flow to the baby and a C-section was scheduled, but then rushed up as an immediate life or death situation When her daughter was born, weighing 1 lb. 6.9 oz., she remembers them saying, “It’s a girl!” Why she didn’t want to see her baby because she thought she would be burying this baby soon The baby went to NICU and she didn’t see her for two days A pivotal moment when her husband said, “Our daughter is in there fighting, and I need you to fight with her.” Even though the baby had bleeding on the brain and a hole in her heart, she was not in critical condition and had stabilized How Meisha started spending more and more time with the baby 70 days in NICU and then the scariest part: bringing her home at 3 lbs. With no one to turn to, Meisha battled postpartum depression After bringing her daughter home in August, she found out she was pregnant again in November As she started worrying and knew she was not ready for another pregnancy, she started seeing a therapist As she started journaling and using Facebook as an outlet to share, she developed a following She felt frustrated about the lack of education about pre-eclampsia How she became interested in becoming a doula, because it is the kind of support that SHE needed She started Mothering Mother Postpartum Doula Services, but knew families in her area needed more than just birth support Shore Grace Family Wellness was born, providing doulas and counselors whose goal is “to touch families wherever they are in their walk” Why Shore Grace builds lifelong relationships with families and not just provides short-term help Meisha’s efforts to break the stigma and generational habits with black women about not going to therapy or talking about the hard things Why she takes very good care of her mental health and pays attention to her triggers How she and her husband teach a Postpartum Recovery and Infant Care class together Resources: www.shoregracefamily.org Find Shore Grace on Instagram and Facebook: @ShoreGraceFam and Shore Grace Fam Find Meisha on Instagram: @MeishaShockley Learn more about your ad choices. Visit megaphone.fm/adchoices

Did you have a difficult relationship with your mother? If so, then those issues may have an impact on your own mothering process. Today’s show address this topic and gives information that can be valuable in the healing process and applicable to the experiences held in this vital relationship between mother and child. Crystal Clancy, LMFT, has a private practice specializing in perinatal mental health. She is one of the founding members of Pregnancy and Postpartum Support MN, which is the Minnesota State Chapter of PSI. She has been a PSI State Coordinator for 5 years. She is married and the mother of a son and a daughter. Show Highlights: How Crystal had a difficult relationship with her mother that intensified when her daughter was born and she encountered postpartum depression Crystal noticed the common theme in her clients of a difficult mother relationship, which can also apply to a father Factors to consider when examining a difficult relationship with a parent The problems when a parent is centered and focused on their own needs over those of their child The difficulty in mothering when you had a difficult relationship with your mother usually manifests itself after your baby is born Sometimes a healthy level of attachment hasn’t been realized and the mother goes to one extreme or the other, either detaching or going overboard with care and control A big step a new mom can take: find someone in your “village” or a professional who validates your feelings Why new moms can feel ungrounded and unsettled Depression and anxiety may be more common for these women due to shame, guilt, and lack of quality support How Crystal helps women and teaches them to find the goal in the parent/child relationship Scripted responses to use to say to a mom that can rewire self-talk The grief that never ends, over the fact that you didn’t get the kind of mom you wanted and deserved Accept that your parent is not capable of giving what you needed and not because of who you are What Crystal has seen with moms reclaiming themselves The intricacies of the healing process to empower and come through with resilience Tools and resources that can help: Will I Ever Be Good Enough? By Karyl McBride Children of the Self-Absorbed by Nina Brown The value of writing therapeutic letters The Little Shaman Healing (youTube.com) Other Resources: www.irisrepro.com Find Crystal on Facebook: @irisrepro or @ppsupportmn Learn more about your ad choices. Visit megaphone.fm/adchoices

Susana Marquez, LMFT, is the founder of Me Myself N Mommy Therapeutic Services, a private practice in Long Beach, CA. The practice focuses on Latina maternal mental health. Due to her personal struggles with postpartum depression and anxiety, Susana opened up a practice that specializes in providing education, support, and resources to Latina mothers and their families on what maternal mental health is and the importance of a mother’s mental and emotional wellbeing. Her mission is to bridge the gap between Latina mothers and mental health support while bringing awareness to the real issues they face both culturally and socially. Show Highlights: The hard adjustment and loneliness she felt while she experienced postpartum depression and anxiety following the birth of her son in 2014 How her culture expects mothers to deal with motherhood issues and not need extra support Why she couldn’t share her dark and negative feelings and shut down from everyone How the sudden, tragic loss of her father sent her spiraling out of control How she put herself on the back burner and didn’t care for herself or process her grief and anxiety Living with the myth that “time heals all wounds” Dealing with grief, triggers, and having no one to connect with How a colleague insisted that she see a therapist for help and how he changed everything for her The pressure on Latina moms as they are compared and held to the highest standard of motherhood in the Virgin Mary How Susana wanted to put her clinical skills and education to use to help other Latina moms Realizing what is missing in services and resources for Latina moms How she reached out to provide classes and education in her area Offering something for free and still being turned down Raising awareness and erasing the stigmas “Latinx”---the new gender-neutral term Feeling like what you’re doing is “not enough” Cultural specifics that make postpartum a challenging time for Latinx moms In Latina culture, there is not room for setting healthy boundaries and limits How Susana is reaching out to moms and spreading the word about available resources Working with doulas to provide info to pregnant moms and not waiting for postpartum problems to appear Why maternal mental health is not a “one size fits all” issue What Susana wants Latina/Latinx moms and the providers who support them to know Susana’s biggest takeaway for Latina moms: Ask for help Susana’s biggest takeaway for providers: Ask how cultural traditions may play into a lack of support for Latina moms Resources: www.memyselfnmommy.com Find Susana on Instagram, Facebook, and Twitter: Me Myself N Mommy Learn more about your ad choices. Visit megaphone.fm/adchoices

Infertility, pregnancy loss, infant and maternal mortality----none of these are topics that we enjoy talking about, but the number of women and families affected by these obstacles is astounding. For African-American women, there is a stigma attached to these issues, and the compounding problem of their voices not being heard.Today’s show addresses these topics and more in honor of October being Pregnancy and Infant Loss Awareness Month. Erica McAfee is the founder of Sisters in Loss, LLC, a faith-based grief and pregnancy loss coaching company that helps black women turn their pain into purpose after loss. Sisters in Loss provides consulting and coaching services to help women step beyond anxiety and fear into trust and peace after loss. The Sisters In Loss goal through courses, retreats, and conferences is to help women minimize regrets, maximize memories, and manage their path forward after loss. Their self-titled podcast spotlights faith-filled black women who share miscarriage, infant loss, and infertility stories and testimonies to heal, gain clarity and peace, find hope, and become victorious after loss. Launched in August 2017, the podcast has a community of 5000+ Sisters in Loss. Erica is a Grief and Pregnancy Loss coach, pastor’s wife, and Mom to two angels in heaven and one rainbow baby, Maxwell, also known as Super Mighty Max. She is an alumnus of Virginia Commonwealth University where she earned a BS degree in Chemical Engineering. Show Highlights: How Erica found podcasts a few years ago when she had a long commute to work each day, but she couldn’t find one that told the stories that aligned with what she and her friends had experienced with traumatic loss The year-old podcast shares weekly stories of real women of color and how faith helps them gain clarity, peace, and learning Erica’s coaching work with those still early in their loss experience or those in pregnancy after loss How loss affects everyone around you How the podcast helps African-American women know what questions to ask their medical professionals, no matter where they are in their journey to parenthood The example set by celebrities recently who have shared their pregnancy and birth stories The power of storytelling in healing the pain of loss How the podcast helps support women through the grieving process by building a community Seeing success stories of others helps people in their personal experiences How Erica and her guests share their faith on the podcast and the role faith plays in the journey to healing How the podcast gives scripture, tools, and resources for support How some people going through loss cling to faith and others push it away Sometimes the grieving process isn’t “over and done” and we tend to shove those feelings down because we feel guilty holding onto them What we should know about supporting women of color through loss: Maternal and infant mortality is an issue that African-American women face 3-4 times more than other races Why black women are not taken seriously by their medical providers and their voices aren’t being heard Erica’s message to friends and family of those who have lost: Continue to check on loved ones who have gone through loss, because they may have deep, dark moments. Be a listening ear for your loved ones. How healing requires you to do the work Resources: Find Erica and Sisters in Loss: www.ericammcafee.com www.ericammcafee.com/podcast www.sistersinloss.com www.instagram.com/ericammcafee www.facebook.com/ericammcafee’ https://www.ericammcafee.com/summit Find out about Erica’s free healing and prayer summit, Oct. 15-19 Therapy for Black Girls, a podcast by Dr. Joy Harden Bradford Learn more about your ad choices. Visit megaphone.fm/adchoices

We all know that the path to parenthood can look very different than we dreamily imagine. Sometimes it’s a tough and traumatic experience that leaves us stunned. It’s when our personal struggles motivate us to bring about change that we use our experiences to help others. That’s exactly what today’s guest has done. Fawn McCool, LCSW, is based in Portland, Oregon with Aiyana Counseling. She holds certification in Interpersonal Neurobiology through Portland State University and MamaCare certificate through Shoshana Center. She is the creator of Interpersonal Neurobiology of Perinatal Mood Disorders and Birth Trauma, an online training for professionals that explores the impact and practices of attachment and bonding, including development and interventions for families affected by perinatal mood and anxiety disorders and birth trauma. She offers clinical therapeutic services through Aiyana Counseling and also sits on the board of NICU Familes Northwest, as well as volunteers with Baby Blues Connection. She is the mother of two girls, the oldest of which was born prematurely at 29 weeks. After 8 weeks in a southern California NICU, Fawn vowed that she would work tirelessly to change the mental health outcomes for NICU parents nationwide through advocacy and education. In today’s episode, Fawn discusses her experiences as a parent in the NICU and the work she’s doing to support families in their NICU experiences. We are discussing the common stressors in having a child in the NICU and what it’s like to spend time there and then take that baby home. Fawn also shares about the strength and resilience she sees from parents with their NICU experiences and how we can better support children and parents through their time in NICU. Show Highlights: Fawn’s gratefulness to the maternal mental health community for the support she’s received With her first child, Fawn knew something was wrong at 28 weeks, but she was sent home for bed rest How she had to be pushy and insistent to save her baby’s life How she never felt safe, secure, or cared for through her emergency birth and NICU experience Her baby was diagnosed with reverse blood flow and was not getting the nutrients needed to survive, so an emergency C-section was scheduled, with Fawn being told her daughter had a 50% chance of survival Why the mother’s mental health should be at the forefront The financial stress and the loss of parental autonomy in the NICU experience How NICU parents find strength and resilience--”The size of the body does not reflect the size of the spirit.” NICU parents learn to celebrate their child’s uniqueness and learn that they can’t control outcomes The support Fawn would like to see: advocacy for more peer support, counselors, zero separation, psychological education about the effects of trauma, massage, connection to mental health support, and to prioritize maternal mental health Fawn’s message: “There is strength in numbers and you are not alone. Believe in your child.” Resources: www.fawnmccool.com Find out about Fawn’s work and her online class Learn more about your ad choices. Visit megaphone.fm/adchoices

We all know that the challenges of new motherhood can be many--and overwhelming. If you are an HSP (highly sensitive person), then those challenges may be magnified---and you probably aren’t focusing on any self-care. This topic resonates deeply with me and intrigues me in the way the trait interacts with motherhood and its challenges. Julie Bjelland is an LMFT, an HSP psychotherapist, and the author of Brain Training for the Highly Sensitive Person: Techniques to Reduce Anxiety and Overwhelming Emotions. Julie’s mission is to help sensitive people reduce the challenges and increase the positives.Through her website specializing in highly sensitive people (the trait also known as Sensory Processing Sensitivity), she offers many valuable resources for both HSP’s and parents of sensitive children. Julie has a mission to spread awareness and education about the trait of high sensitivity and believes the world needs the gifts of sensitive people. Show Highlights: High sensitivity is a trait and not a disorder--and it’s NOT the same as introversion (30% of HSP’s are extroverts and 20% are introverts) From Elaine Aron’s work on HSP’s: Depth of Processing, Overstimulation, Emotionally responsive, and Sensitivity to subtle stimuli (DOES) The judgment around being sensitive and its connection to weakness How scientific research shows real brain differences in HSP’s On the positive side, HSP’s are more empathetic, more aware, and more compassionate Common for the HSP mother is to put themselves at the bottom of the priority list and take care of others first Trained HSP vs. untrained HSP Self-care---a conscious action you take to lower your stress and bring you to a balanced state A key for HSP’s is getting enough sleep in order to understand and meet specific needs An HSP mom’s default setting is to be hard on themselves and focus on everyone else’s needs Certain parts of the brain in HSP moms will be overactive, like merging into everyone else’s moods and experiences Many people who seek treatment for anxiety will also have the HSP trait How HSP contributes to overall perinatal depression and anxiety, since everything changes in mind, body, and spirit Why HSP’s need creative ways to get two hours of alone time each day The tendency to measure everything in ourselves and others against the standard of perfection Self-talk, with low levels of self-compassion and criticism of themselves Common characteristics of HSP’s: perfectionism, sleep-deprived, overstimulated, and misunderstood Steps to help HSP’s: Develop self-compassion (Kristin Neff outlines 3 steps) Take breaks when needed Practice mindfulness 50% of clients in therapy are HSP’s Supporting moms and dads better in pregnancy and the postpartum period could impact parenting differently and offer more support Using the right tools for support in children can prevent many problems and help them gain confidence and have an easier time accepting who they are Resources: Brain Training for the Highly Sensitive Person: Techniques to Reduce Anxiety and Overwhelming Emotions.by Julie Bjelland The Highly Sensitive Child by Dr. Elaine Aron Self-Compassion by Kristin Neff www.juliebjelland.com Find Julie on Facebook: The Highly Sensitive Person Instagram: hsp psychotherapist Twitter: @juliebjelland LinkedIn: highly-sensitive-juliebjelland Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you think there is a specific need for therapists of color to help African-American women and other women of color who are PMADS (perinatal mood and anxiety disorders) sufferers? You may not think race, ethnicity and culture are factors to be considered in this treatment, but it can be--mostly due to stigmas, access, and the dynamics around seeking out services as a woman of color. Join us for today’s conversation around this important topic. Shivonne Odom, LCPC, is the founder of Akoma Counseling Concepts, LLC, which is the only minority-owned private practice in Washington, DC that focuses on minority maternal mental health. Shivonne provides continuing educational training on cultural competence and minority maternal mental health. She loves to promote awareness on these important issues via community panel discussions, podcasts, and local media outlets. She is passionate and excited about all things mental health and advocacy for women’s health initiatives. In today’s episode, she talks about things on her mind and things everyone needs to hear about more culturally competent services, the need for more therapists of color to be trained in maternal mental health, and the stigma around postpartum depression for black moms. She even touches on how some organizations could do much more to support perinatal mental health. Show Highlights: How Shivonne started her practice just a year ago in response to the realization that there were no local counseling spaces for moms of color for perinatal mental health How she worked at a community healthcare clinic in DC and saw the need, noticing that 90% of their clients were African-American Why she wanted to make as many mental health services as possible open to as many people as possible What Shivonne saw at the clinic: services focused on diabetes, hypertension, and reproductive services---but not on maternal mental health What it means to provide culturally competent care What Shivonne has seen in pushback regarding mental health from reproductive justice organizations The story of Erica Garner, who died a few months after giving birth and losing her father to police brutality----how she could have been helped with more comprehensive services How mental health and stress affect one’s physical condition Thoughts on the changes that meed to be made and securing more therapists of color being trained to help with culturally competent care during the perinatal period The dominance in healthcare of hetero-normative care and the need for diversity in patient-centered training The trainings Shivonne offers: Perinatal Mood Disorders in Minority Mental Health (See the link below for more info on her upcoming webinar on Sept. 28) At her trainings, Shivonne helps therapists discuss and identify cultural and spiritual issues to be able to assess PMADS and to explain how perinatal health impacts mental health in the African-American community The class teaches what a therapeutic dialogue should sound like with a client of color and what help-seeking behaviors might look like for a mom of color with PMADS The feedback she has received about the “powerful experience” of the webinar, and how people felt connected and established professional relationships with each other How Shivonne’s work has been the most rewarding therapy ever The far-reaching impact of this work to help families The myth that moms believe: that it’s selfish to consider their own mental health Resources: Shivonne’s website: www.akomacounselingconcepts.com Use promo code “momandmind” to receive 10% off Shivonne’s webinar on September 28! Find Shivonne on Twitter: https://twitter.com/akomacounseling Instagram: https://www.instagram.com/akoma_counseling Facebook: Akoma Counseling Concepts Learn more about your ad choices. Visit megaphone.fm/adchoices

How would it feel for your own doctor to discount your postpartum anxiety? Today’s guest experienced this, along with pregnancy loss and depression. The important part of the story is how healing showed up for her and how she is using her experience to help others. Ivy Sias earned her Master’s of Science and Mental Health Counseling from Walden University and became licensed in Louisiana in 2015. In 2017, she founded Ivy Counseling and Wellness Services, a private practice with a focus on assisting people with planting seeds of insight, growing in self-awareness, and making life changes that flourish from the inside out. After her experience with postpartum depression and anxiety and her struggle to find assistance and support in her community, the focus of her practice shifted to maternal mental health and the treatment of perinatal mood and anxiety disorders. A Compton, California native, Ivy has always believed that change happens when people are loud about injustice and when those who have experienced adversity boldly stand in their truth. She’s a wife to her loving husband, Joseph, and the mother of a son, Carter, 4, and daughter, Ryan, 1. Ivy is a National Certified Counselor (NCC) and a Licensed Professional Counselor and Supervisor (LPC-S) in Louisiana. She is passionate about helping underserved populations through therapy, advocacy, and promoting total wellness as a way to heal and grow. Show Highlights: Her son was born in June 2014 after an easy pregnancy, but he had breathing issues and pneumonia which landed him in the NICU for 10 days, while his parents felt helpless How high blood pressure put her on bed rest for 2 days after giving birth Her baby came home, Ivy went back to work soon after, and life returned to the “new” normal In 2016, they decided to have another baby, but had an early miscarriage in June After deciding to try again, Ivy got pregnant right away in September, even though she didn’t feel emotionally ready How she felt disconnected to this pregnancy and felt guilty for not processing the loss and not celebrating the coming daughter How her pregnancy was uncomfortable and full of guilt and worry, with Ivy being constantly upset, frustrated, and in tears In June 2017, her daughter was born during a difficult labor and delivery, in which Ivy had an allergic reaction to the epidural How she didn’t see her baby for several hours after the birth She went home and started feeling sadness and didn’t have much of a support system Upcoming for Ivy is a way to reach out to local daycare centers who might see moms who need resources and support Ivy’s parting advice to moms and families: “You’re not alone. There are social media connections you can make until you find local services. Trust your instinct if you feel that something’s wrong. Share your story.” Resources: Find Ivy on Facebook and Instagram: Ivy Counseling and Wellness Learn more about your ad choices. Visit megaphone.fm/adchoices

How have your personal experiences launched you into a certain line of work or the pursuit of a passion? Today’s show is about someone who used the tough and challenging journey into motherhood to find ways to help others through their difficulties. If your road to motherhood has been anything but smooth sailing, then you don’t want to miss today’s show! Mellisa Reeves is a doula, coach, and the co-founder of the Motherbirth podcast and community. She shares her personal story around postpartum anxiety and the difficulties that caused in connecting with her son, along with the subsequent loss, birth trauma, and milestones that came and went. She shares about what she had to overcome and how she felt disconnected after the birth of her son and how her experiences have shaped the work she does today. Mellisa works with women who have experienced pregnancy loss and want to trust their bodies again, helping them find their path to hope and healing through the innate intuition they each possess. Brought up with an innate love for simple, natural, rhythmic living, Mellisa’s perspective on motherhood and life comes from a slow reawakening to the depth of feminine wisdom through her experience of stillbirth, multiple miscarriages, and postpartum anxiety. Mellisa is based in Portland but travels semi-fulltime with her husband and two children. Show Highlights: How Mellisa’s interest in perinatal wellness was sparked by her first pregnancy loss, and then intensified with a difficult postpartum period with her son and the stillbirth of her second son As the oldest of ten siblings, she grew up on a farm in Canada with a hippie mother who was either pregnant or breastfeeding for Mellisa’s entire childhood and youth How her mother was very intentional, thoughtful, and present as a mom, and how Mellisa drew confidence from her about the manual aspects of motherhood, but felt severely lacking in the emotional preparation The challenges with a difficult birth, postpartum, and bonding issues with her son How she struggled with postpartum anxiety and felt like that trying time period would NEVER end How she was so overwhelmed that she couldn’t comprehend having more children, lacked any peer support, and lacked connection with her intuition and inner voice How her son reacted with force to her attempts to control him and she thought she would never have a connected relationship with him Why it’s difficult to admit that our relationships with our children are less than ideal because of what it says about us as mothers How her podcast shares stories and experiences of women and the significant identity shift that takes place with the birth of the firstborn How the podcast shares stories of the transition to motherhood and its themes and narratives that are common and shared Her co-host, Laura, is finishing up her doctorate in Nurse Midwifery and focuses on the power of storytelling and group coaching Resources: The Conscious Parent by Shefali Tsabary Find Mellisa online, along with her courses and group coaching: www.trustyourbodyagain.com Find the Motherbirth podcast: www.motherbirth.co Connect with Mellisa on Instagram Learn more about your ad choices. Visit megaphone.fm/adchoices

What are the most important needs of women during pregnancy, postpartum, and the days of new motherhood? You might guess that nutrition, healthy habits, physical fitness, and emotional support are some of the most important needs---and they are! Wouldn’t it be ideal if there was a way to wrap up all of these AND a sense of connection and community with other moms? Join me for today’s show and find out how my guest has found the perfect intersection in meeting the needs of women embarking on their journeys to motherhood---and it just might be available in your hometown. Lisa Druxman is the Chief Founding Mom of FIT4MOM, the parent company to Fit4Baby, Stroller Strides, and Body Back. With nearly 2000 class locations nationwide, FIT4MOM is one of the fastest growing franchises in the country. Lisa is the author of The Empowered Mama and the host of The Empowered Mama podcast. She has been featured on The Today Show, Good Morning America, and more. Lisa is a speaker, writer, and thought leader with a passion for helping moms get out of overwhelm and into a healthy and happy life. We connected through the podcasting network, Parenting on Demand, where we both have our podcasts. Show Highlights: How Lisa felt “lost” 17 years ago on maternity leave with many questions, no confidence, and a loss of identity Why she started a stroller workout to help moms get back in shape as they helped her learn about motherhood The growth of Stroller Strides from 2001 until now, through word-of-mouth advertising; now, it’s a nationwide program that provides a sense of community and much more than just a workout for moms The programs offered now: Fit4Baby (prenatal), Body Back (transformational, high-intensity), and the new brand, FIT4MOM, with 300 franchises and 2000 class locations across the US Our Village, the play group and Mom’s Night Out program as part of Stroller Strides How the positive support leads to success with many motherhood issues How they provide fitness classes and provide education for moms to understand fitness and exercise science The instructors are not therapists, but are trained to be aware of signs of postpartum depression and recommend needed resources How the classes are benefitting new moms and creating amazing success stories of life-changing reconnection and rebuilding relationships and confidence How the classes teach moms to treat themselves the way they hope their kids will someday treat themselves A main point is the focus on inclusivity and that every mom is welcome Lisa’s podcast and book: helping moms reclaim their time, their selves, and their health The podcast format: solo episodes where Lisa shares personal experiences and body image issues, and interviews with amazing moms about their expertise and how they balance their lives Mama Well, the new digital program with 42 weeks of exercise videos, birth preparations, and nutritional guidance---and it includes a private Facebook group Why this holistic program works for general health and wellness for moms---and is different from anything else in the country The new programs coming later this year Lisa’s #1 takeaway: “Every single minute of every single day, you are writing the story to your only life.” ---Katherine Center Resources: www.fit4mom.com Facebook: http://www.facebook.com/lisadruxman Twitter: http://www.twitter.com/lisadruxman Instagram: http://www.instagram.com/lisadruxman The Empowered Mama by Lisa Druxman Learn more about your ad choices. Visit megaphone.fm/adchoices

Every woman’s pregnancy experience is different, and each pregnancy brings its unique challenges. Today you’ll hear one woman’s story of her pregnancy, loss, and the obstacles she faced due to pre-eclampsia, which can affect women during pregnancy and in the postpartum period. My guest is gracious enough to share the heartbreaking details of her story, with the hope that those in similar circumstances will know they are not alone. Stacey Porter is president and founder of The Tangerine Owl Project, a nonprofit devoted to offering peer support to families, started in memory of her daughter after a NICU loss in 2012. Stacey has been dedicated to efforts centered around supporting families who have suffered infant loss and traumatic birth since 2013. Stacey is heavily invested in efforts to support maternal mental health as it intertwines so greatly with traumatic birth and bereavement experiences for these families. She works as a contractor with the 2020 Mom Project, leading a volunteer program, social media, and a handful of other projects. She sits on the board of directors for local nonprofit Beyond the Baby Blues, which offers clinical group support to women suffering from perinatal mood and anxiety disorders, and she serves on the bereavement committee for the Mothers’ Milk Bank of the Western Great Lakes. Stacey is a member of the National Perinatal Association and Preemie Parent Alliance, and has collaborated on projects for patient education including online curriculum for staff on psychosocial support for NICU parents. Show Highlights: Stacey was pregnant with her third child in 2012 after two picture-perfect pregnancies with her son and daughter Why this was a completely different pregnancy experience, when swollen ankles at a 24-week appointment prompted her doctor to probe further and discover pre-eclampsia Within a few days, she found herself hospitalized and then transferred to a more equipped hospital The baby began to decline rapidly and her doctor told her to be prepared for delivery A C-section was scheduled and the baby was given a 40% chance of survival What is pre-eclampsia? A pregnancy condition in which maternal blood pressure rises to dangerously high levels, the baby is deprived of oxygen, and the placenta’s health can be affected Pre-eclampsia can occur in pregnancy or postpartum, causing vision problems and seizures, and can decelerate the baby’s heart rate Pre-eclampsia can affect people in different ways; Stacey didn’t have the typical risk factors, which include: the first pregnancy, a pregnancy with a different partner than previous pregnancies, smoking, and advanced maternal age Pre-eclampsia can be mild or severe and can affect women of every race and every age Her baby became lethargic and the doctor discovered an infection from hospital-acquired bacteria The baby became septic and they tried antibiotics for the aggressive Pseudomonas infection that they couldn’t get control of After three days of sickness, they spent the last moments with her and held her as she passed away Stacey realized that there is not a lot of peer support for people going through infant loss The Facebook connection that became Stacey’s lifeline, because even though friends and family tried to help, they just couldn’t understand like someone who had been through the same experience How people feel helpless and like they want to help but don’t know what to do or say How the Tangerine Owl Project was inspired through the experience with her daughter, Delilah How Stacey has grown and learned through her grief, starting the organization on the anniversary of her daughter’s death How anxiety, depression, and panic attacks started a couple of years later, even though she was doing everything she could to deal with her feelings How Stacey has become an advocate for maternal mental health Resources: www.tangerineowl.org Find Stacey on Facebook: @Tangerine Owl Project or Stacey Dunlap Porter Learn more about your ad choices. Visit megaphone.fm/adchoices

How do we, as mothers, keep ourselves centered while raising our little ones? It’s a tough question to answer, but it becomes even more difficult when perinatal mental health is in jeopardy. Many times, we think that dealing with the crisis is the most important focus, but it’s the time period that follows the crisis---and the healing--that deserves big attention. Don’t miss today’s conversation covering these important topics. Graeme Seabrook is a Motherhood Life Coach whose approach to coaching is that YOU must be a priority in your own life in order to thrive. Following a traumatizing birth experience that left her with PTSD, and surviving postpartum depression and anxiety, Graeme began a healing journey as a mother and a woman. That healing journey led her to train as a life coach and to create spaces where mothers can come to be witnessed, nurtured, inspired, and supported, so they can integrate motherhood with personhood and not the other way around. She does this work because she believes we are living in a global culture that treats mothers as if we are inhuman and expects us to be superhuman. Graeme’s work is dedicated to helping mothers reclaim their humanity. Today we discuss her work in helping mothers recover from recovery, the stabilization after a perinatal mental health issue, and the way to build resilience after the crisis passes. Show Highlights: How the conversations are now happening to help those who are “in it,” but still have active triggers Why we don’t talk about how your life may be changed for years or even decades Carrying the guilt and pressure to be “the perfect mom” and “make up” for what you’ve put your family through Readjusting and cleaning up after the “storm” has passed How Graeme is using the pain and anger as a catalyst to tell her story and do her advocacy work The process of “recovering from recovery” and how Graeme borrowed the phrase from a therapist who helped her How Graeme figured out the next step in recovery: resilience Recognizing triggers and going through the checklist to make a totally different experience in the process of healing Explaining the process of recovering from recovery: when you have made peace with your journey into motherhood The grieving process inherent in motherhood over what we thought it would be Learning to be a mother in the storm of mental illness trauma The tendency to neglect self-care as we recover after the crisis Our underlying drives and how we deal with them How to cultivate resilience: learn to prioritize, make connections, and learn what “balls” to juggle and when Graeme’s program of online coaching: 12 weeks, with no more than 10 people at a time, for moms who are out of the crisis period Graeme’s passion-filled and heart-centered work, which is what she was looking for a few years ago The power and potential connections through the internet Success stories of how moms have transformed with Graeme’s help and become more in control of their lives Resources: Website: www.graemeseabrook.com Twitter: @graemeseabrook Instagram at @Graemeseabrook Learn more about your ad choices. Visit megaphone.fm/adchoices

We are all familiar with morning sickness that is a common part of pregnancy, but have you heard of hyperemesis gravidarum (HG)? It is a very significant medical issue that is very different from “normal” morning sickness, yet it’s been minimized even in the medical community, and the expectant mothers who suffer from this condition have not been treated with the care and respect that they deserve. Knowledge is power, so I hope with today’s show comes the education to help people empower themselves in this extreme condition that affects 1-2 out of 100 pregnancies. Kaleigh Mancha is a licensed mental health therapist, certified full spectrum doula, body positive yoga teacher, and mother. She runs her business, K.a.y. & M.e., offering various wellness services in the Las Vegas Valley. Advocating for underserved and underrepresented populations has been a lifelong passion of hers and is what brought her into the mental health field ten years ago. She has also been heavily involved in advocating for equitable access to education. Her practice specialties include trauma, anxiety, life transitions, and concerns related to reproductive justice, pregnancy, postpartum, and parenthood. As a body positive yoga teacher, she believes that all bodies, abilities, and experience levels are welcome on the mat, and her goal is to reach people who, like her, didn’t grow up in spaces where wellness was a familiar experience. Kaleigh lives by the motto that “Wellness is a necessity, not a luxury.” She believes all people deserve better access to resources and the knowledge to help them live their best lives. She’s here to share her personal story about HG and how this condition has affected her life in many ways. Show Highlights: Ten years ago, she was pregnant with her daughter, extremely sick beyond what is “normal,” but filled with gratitude because a prior surgery had jeopardized her fertility At 8 weeks pregnant, her doctor downplayed her nausea and sickness, but she became dehydrated and was diagnosed with HG From 8 weeks to 8 months, she was severely sick, but it went away immediately at the birth of her daughter As she planned for a 2nd child, she prepared her partner for the idea of more extreme sickness She quickly became pregnant in December 2017, felt symptoms right away, but didn’t think it would be a big deal At 5 weeks along, her partner was overwhelmed and decided not to continue to be a part of the journey How she dealt with full-time work as a yogi, therapist, and doula while pregnant and so sick Planning for a home birth with a midwife, but was hospitalized again with dehydration; she then tried acupuncture and CBD oil and was hospitalized again Symptoms and facts about HG: Affects less than 2% of pregnancies and is characterized by intense nausea and vomiting (10-20 times/day); can lead to severe dehydration, organ failure, and extreme weight loss. It can vary in severity, can last the entire pregnancy, and is thought to be genetic. The impact on Kaleigh was hopelessness and isolation How her doula, Christina Hernandez, helped her formulate a plan Trying a couple of different medications, which don’t really treat HG well. One was a mixture of B6 and Unisom (a sleep medication) How she had to move in with her parents so they could help care for her and her daughter, close her practice, and cancel her doula clients How the illness left immediately and she felt like herself again, but then she had to deal with the grief and loss. She took 3 weeks for self-care and healing Her recommitment to her patients, to use her experience to become a better doula to help others who don’t have the same support that she did. She now offers free help for those suffering from HG. Resources: Find Kaleigh on Facebook: Kay and Me Doula and Wellness Services Visit her website: www.kayandme.com Find Kaleigh on Instagram: @kaym86 On Facebook, find HG Moms For more info, visit www.hyperemesis.orgI Learn more about your ad choices. Visit megaphone.fm/adchoices

Are there experiences in your life that you just can’t “get past”? We all have those memories that seem to crop up again and again, bringing anxiety, depression, and other effects. What if these memories are tied to a pregnancy or postpartum experience? You can see how this might be difficult for a woman to work through on her own. Even traditional talk therapy is not always effective at clearing through these feelings. Today we are discussing the benefits of using a therapy model called EMDR (Eye Movement Desensitization and Reprocessing) to help women. Bethany Warren has been interested in this modality as a treatment for some time and has a passion for women’s mental health issues. She has worked in this field for 20 years, specializing in Perinatal Mood and Anxiety Disorders, also working with women who experienced birth trauma, pregnancy loss, infertility, adoption, and surrogacy. She is certified in EMDR and the trauma processing lens and attachment model guides most of her work with clients. She is passionate about coaching and guiding parents through their adjustment to new roles and assisting women who have children with medical and other health-related issues. She has worked in hospital and outpatient psychiatric settings and is now in a group private practice. Bethany serves on boards and community organizations that promote women’s health and wellness. She is also an adjunct professor at a local university in San Diego and supervises clinicians working toward their licenses. Show Highlights: EMDR has been used mainly in treating veterans with PTSD, but now is a tool found to be useful in many areas, including maternal mental health The connection between EMDR and REM (Rapid Eye Movement) sleep The differences in memories that have been fully processed and those that are “free floating” The statistics: 12% of pregnant women and 9% of postpartum women meet the PTSD criteria, and 34% of women report having a traumatic birth experience How EMDR has impacted Bethany’s practice with more insight-oriented therapy that processes memories the way the brain already knows to do The components of EMDR therapy include eye movement, tapping, and headsets with sounds---these can be used separately or in combination These tools are used to process memories and negative beliefs in the correct part of the brain How does it help? “The memory becomes unstuck” For the therapist, treatment involves less talking and more observing How the therapy works without making clients “take a trauma bath” in the experience they’ve learned to avoid EMDR does NOT involve sitting with a therapist and talking through your traumatic experiences My personal experience with the power of EMDR therapy in getting past stuck feelings and deep-rooted traumas How EMDR helps with early attachment repair, early memories of shame and failure, and repeated harmful patterns The leading researchers on EMDR: Carol Forgash, Amy Robbins, Andrew Leeds, and Claire Stamrood Bethany’s advice: Find a trained and certified EMDR therapist Those who should NOT do EMDR include anyone who is psychotic or currently using substances or is in current chaotic circumstances Hopeful messages of success in how clients have responded and been able to move past the things they never thought they could Resources: Bethany’s website: http://balancehealth.org/therapist_bethany_warren.html Follow Bethany on Instagram: @bethanywarrenlcsw http://www.birthtraumaassociation.org.uk http://www.emdria.org/ EMDR International Association http://pattch.org Prevention and Treatment of Traumatic Birth http://www.solaceformothers.org Solace for Mothers after Traumatic Birth http://tabs.org.nz Trauma and Birth Stress Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever dealt with pregnancy loss? Unfortunately, it’s more common than we think and the topic is one that we just don’t talk about. Dealing with one miscarriage is difficult enough, but when you have the pain of multiple losses, it can be almost unbearable. How does a couple get through these times? How do you offer support to each other and keep your relationship strong? These are the questions addressed in today’s episode, in which we talk to a husband AND wife together about their experience with loss. Shane and NaKaisha Banks are a couple who dealt with loss, birth, loss again, and birth again. They share about their two rainbow babies, the anxiety and depression that came after, and how they have navigated all of this as a couple. In this powerful episode, NaKaisha and Shane share their story in hopes of increasing awareness about loss as a couple of color. Although this is one couple’s story, it’s a great catalyst for us to think of the family as a system. While we tend to focus on what happens with the mother, the male partner is deeply affected as well. You’ll hear the strength of their relationship and how they were able to pull together through their experiences. NaKaisha loves her roles in life, including Social Worker and life coach through her practice D.U.O. Empowerment Services, which stands for “Do Unto Others” and was begun in 2008. She is the author of The Birdcage, released in April 2018. She is the mother of two beautiful girls, London and Germany, and has been married to Shane for 12 years. Shane is a minister who enjoys fishing, sci-fi and action-packed movies, and lives a blessed life as a husband and father. Shane and NaKaisha share a passion of serving in ministry together, in which their faith is the foundation of life and difficult times. Show Highlights: Why their daughters, London (8) and Germany (2) are “rainbow children,” since Shane and NaKaisha suffered a pregnancy loss prior to each of the girls’ births The first loss was in 2009, when they weren’t even trying to conceive because they were living their lives and waiting to see what God ordained for them as a couple The first pregnancy and its complications, then a miscarriage at 9-11 weeks and a flood of unexplained emotions From Shane’s perspective: he was excited about the baby but found the miscarriage a tough thing to go through. He wanted to be strong and support his wife as much as possible How communication transcends across the relationship and allows you to be present, even without a voice How NaKaisha finds personal healing in being able to help others because of her understanding and empathy Resources: Connect with NaKaisha at www.nakaishatolbertbanks.com Find NaKaisha Tbanks on Facebook, DUO Empowerment Services on Facebook, and @1stLadyGiggles on Twitter and Instagram Learn more about your ad choices. Visit megaphone.fm/adchoices

When it comes to sex after having a baby, what’s normal? If we’re honest, we have had these questions and probably been afraid to ask. After all, who do we ask? How do we improve the communication between partners about sex and sexuality? These topics are very important, both during the pregnancy and during the postpartum period. We talk primarily about heterosexual relationships in this episode but some of the dynamics affect all sexual relationships. My guest today holds nothing back! She has a refreshing, honest, and direct approach to everything you want to know about this topic. Elyse Springer, MA, MFT, is a licensed marriage and family therapist who practices in the Los Angeles area. She uses a combination of Cognitive Behavioral Therapy, EMDR Therapy, and psychodynamic modalities to assist people with depression, anxiety, death and loss, relationship conflicts, HIV/AIDS, Perinatal Mood and Anxiety disorders, substance abuse, and trouble with the creative process for artists and writers. Elyse has taught and lectured in a variety of settings and serves on boards and task forces in support of Maternal Mental Health and other causes that are closely related to her work in private practice. Show Highlights: How it became clear that this topic is one that Elyse wants to help people understand more fully A common complaint during the postpartum period for moms: being “touched out” The difference in sex and sexuality and how a woman’s sexuality can change after giving birth Adult woman’s sexuality vs. younger woman’s sexuality The definition of a “sexless marriage”---having sex 10 times/year or less The average frequency of sex before a baby is 1-3 times/week---the key after giving birth is to look at what the frequency was before the birth How fatigue and sleeplessness impact sex drive Is there a difference in a woman’s sex drive after a C-section as opposed to vaginal birth? The specific overall pattern to resuming sex after a baby A common dynamic is when the partner isn’t supportive but still wants sex The distinction between sex and emotional intimacy that allows for sexual satisfaction in a relationship The four parts of sex: desire, arousal, orgasm, and relaxation (for women, sometimes the desire comes AFTER the arousal) Different levels of desire and communication for men and women How a baby can fulfill the mother’s need for connection and intimacy For survivors of sexual trauma, the pregnancy, birthing, and postpartum period are full of potential issues The tricky dialogue around sexual victimization--especially if the woman hasn’t been 100% honest The common cycle of anger vs. anger vs. anger The amazing groundbreaking research by Darby Saxby from USC about the equal dynamic in households How touching increases the connection How a mother changes physically AND mentally after giving birth Elyse’s exercise about writing down your five best sex moments before the birth and asking how you can get back to those How resentment forms from HER irritation and HIS rejection and withdrawal How to listen to those bids for affection How open dialogue about sexual satisfaction can be the precursor to actual sex in the postpartum The ridiculously inaccurate stereotypes of female and male sexuality on TV and in movies: the vampy young woman, the cougar, and the goofy inept dad stereotype The concrete assumption that it’s ALWAYS the mom who doesn’t want sex How men’s testosterone drops in the 4-6 months postpartum Common issues with dads: not knowing the oral language of caring and affection and bearing the mental load to ease up anger and resentment Resources: www.elysespringer.com Twitter: @espringermft Learn more about your ad choices. Visit megaphone.fm/adchoices

You may have wondered about the process required for certification in perinatal mental health. There is much confusion around any supplemental certification and in many cases, the process isn’t clear. What is clear, however, is the increasing need for certified professionals to deal with the issues faced by many new mothers and their families. Birdie Gunyon Meyer is an RN with a Master’s Degree in Psychology/Counseling. She is the Coordinator of the Perinatal Mood Disorders Program at Indiana University Health in Indianapolis, Indiana. She is a Past-President and Past-Chair of Education and Training for Postpartum Support International and currently is the Director of Certification. PSI is the world’s largest non-profit organization dedicated to helping those suffering from perinatal mood and anxiety disorders. Birdie is also on the President’s Advisory Council for PSI and for the International Childbirth Education Association. She specializes in the recognition and treatment of pregnancy and postpartum mood and anxiety disorders. She is a childbirth educator and a lactation counselor and speaks frequently to communities, nursing schools, grand rounds, and conferences. Birdie has been interviewed frequently for radio, television, and print media. She is highlighted as a PMD expert in PSI’s DVD that is shown around the country: “Healthy Mom, Happy Family: Understanding Pregnancy and Postpartum Mood and Anxiety Disorders.” Today’s show covers everything you need to know about getting certification in perinatal mental health. Show Highlights: The history of the PMD certification: the money was donated for the program and PSI took on the task of developing and overseeing the certification program Subject matter experts were chosen (and they volunteered their time) to develop the core competencies for certification How the “blueprint” was developed from which test questions for the exam are fornulated The process of determining the questions is complete and the test should be ready by August 1, 2018 The certification has three tracks: psychotherapy, psychopharmacology, and affiliated professions The prerequisites to sit for the exam: basic training (13-14 hrs.) OR the PSI webinar (18 hrs.) OR an equivalent approved training---AND then a third day advanced training in one of the three tracks The cost of the exam is $500, which covers a lifetime certification as long as the 6 hours of continuing education yearly in your track are fulfilled to keep the certification A common question people ask is if they can bypass the prerequisite courses and just take the exam, especially if they have been in practice for a long time. The answer is NO, that everyone must take the same path to achieve the certification and protect its integrity Resources: www.postpartum.net http://www.postpartum.net/professionals/certification/ certification@postpartum.net Learn more about your ad choices. Visit megaphone.fm/adchoices

You may think that postpartum depression covers all aspects of perinatal mental health issues that new mothers face. The fact is that there are other kinds of mood changes, some that are talked about and some that are relatively unknown and uncommon. Today’s show focuses on one specific problem that some mothers experience: it’s called D-Mer, which stands for Dysphoric Milk Ejection Reflex. Heidi Koss, MA, LMHC, is a psychotherapist in private practice in Redmond, WA. She specializes in perinatal (pregnancy and postpartum) mood disorders, birth trauma, sexual abuse, and parent adjustment issues. Heidi has been the WA State Coordinator for Postpartum Support International www.postpartum.net, and has volunteered for over 20 years with Perinatal Support Washington www.perinatalsupport.org. She served as past board member for PATTCh – the Prevention and Treatment of Traumatic Childbirth, www.pattch.org. Heidi is active leading trainings for clinicians on appropriate assessment and treatment options for perinatal mood disorders and birth trauma. She leads monthly clinical consult groups mentoring mental health care providers to develop their competency and expertise in perinatal mental health issues. Heidi was a co-founder of the Northwest Association for Postpartum Support (NAPS, www.napsdoulas.com) a postpartum doula organization as well as the recipient of the Doulas of North America (DONA) Penny Simkin Doula Spirit and Mentorship Award. Prior to her psychotherapy career, Heidi was a Postpartum Doula and Certified Lactation Educator for 12 years. Show Highlights: Heidi’s work as a mother and perinatal mental health therapist and lactation educator: ”Helping moms with mind, body, and breast” Why D-Mer is not often talked about and often misunderstood What D-Mer is: Dysphoric Milk Ejection Reflex. It occurs when milk onset/letdown happens and lasts a few seconds or minutes D-Mer is a strange emotional phenomenon with negative emotions of sadness, dread, despair, nervousness, anxiety, and irritability D-Mer can be severe, with fleeting suicidal thoughts and urges for self-harm The biochemical connection is with two hormones, dopamine and oxytocin, in which they “go rogue,” misfire, or become overactive No studies have shown who is more predisposed to experience D-Mer For some women, D-Mer symptoms ease as the baby ages, but some have no change until weaning D-Mer symptoms might be harder to treat and control in women who already have a diagnosed anxiety or depression disorder What D-Mer is NOT: nausea, postpartum depression, anxiety, breastfeeding aversion---”It’s NOT the mom’s fault.” The best treatment is to educate women about D-Mer How some women can “talk themselves through” D-Mer episodes Ideas for easing symptoms include rewiring the stress hormones, making positive associations with breastfeeding, and positive touch (massage) General good habits for life will ease D-Mer symptoms, like mindfulness, meditation, good sleep and self-care, reduced stress, and managing blood sugar fluctuations To target dopamine, nursing locations should be aesthetically pleasing to make a pleasant mental and physical experience for the mother Some women find D-Mer intolerable and decide to wean, while some can deal with the symptoms and continue to breastfeed Wellbutrin works for some women to ease the symptoms How to find support: Find a lactation consultant and pursue therapy with a perinatal mental health therapist Resources: www.d-mer.org www.heidikoss.com Email Heidi: heidi@heidikoss.com Learn more about your ad choices. Visit megaphone.fm/adchoices

You’ve heard of postpartum depression, but have you heard of postpartum psychosis? Do you know the difference and how to recognize the signs and symptoms? We are talking about a very difficult mental condition that can wreak havoc on a new mother, her baby, and her family. Fortunately, there are signs to look for and ways you can help if someone you know might be experiencing this rare condition. In this episode, we are hearing from Tarah, a woman who experienced postpartum psychosis after the birth of her twins. Tarah’s mother, Julie, joins this chat, which is the first mother-daughter duo we’ve had on the show to talk about the postpartum experience. One or two out of 1000 women will experience a postpartum psychosis, and while it’s very rare, it is a serious condition that requires immediate treatment. Most people have been misled to think that postpartum depression and postpartum psychosis are synonymous, but they are not. Psychosis is a break from shared reality and is an emergency situation that looks very different from postpartum depression. Please note that Tarah’s story may be sensitive for some listeners and is not necessarily what all moms with postpartum psychosis experience. Resources for support are available and listed below. Show Highlights: Tarah married in 2007 and began trying to have a baby in 2009. After Clomid and two miscarriages, she experienced a textbook pregnancy with her twins The twins were born almost 4 weeks early and the postpartum depression began immediately Julie noticed how Tarah didn’t want to hold the babies a lot and seemed disconnected and anxious Three days after the twins were born, Julie noticed that Tarah was not acting normal and took her to the hospital The hospital gave Tarah Xanax and an antidepressant and sent her home, but the symptoms snowballed into psychotic fears and extreme anxiety Two days later, Julie took Tarah for the 2nd visit to the ER and they admitted her to treat her exhaustion Two hours after Julie went home to rest, the hospital called to say Tarah had jumped through a window to escape (she was later found, bleeding, wandering around the parking lot) How one doctor nailed the diagnosis and saved Tarah’s life Tarah was transported to a behavioral health hospital because she thought people were out to hurt her What Tarah and Julie want you to know: This is a real condition and not made-up Someone you know may need help and not even know it People are not aware of postpartum psychosis as something to look for There are some risk factors that can help you know if you are susceptible to a postpartum psychosis or postpartum bipolar onset. Learn more here... Resources: If you are concerned about yourself or a loved one, please reach out to a local organization that supports postpartum women or reach out to Postpartum Support International (PSI) for information Postpartum Support International (PSI) www.postpartum.net If you feel that your family member is experiencing some of the symptoms of postpartum psychosis, please take them to medical care immediately. PSI also has a specialized support coordinator, providing non-emergency support to women and families dealing with postpartum psychosis: Michele Davidson, PhD, CNM, CFN, RN--703-298-3247 or michelerdavidson@gmail.com Mom and Mind Connection FB Group Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever considered how the systemic and institutional racism, implicit bias and disempowerment of women might be played out with birth? This is especially true for Black women, many of whom are experiencing discrimination, bias, racism and/or poor care while pregnant, birthing or postpartum. Today’s show explores these dynamics, the findings of a research project and the recommendations that have come out of that research. We are talking with Professor Chinyere Oparah and Dr. Sayida Peprah, who are part of the Black Women Birthing Justice collective. Today we are discussing some of the research they have done and the report called Battling over Birth. Highlights from our discussion include the power dynamics in the birthing environment for black women, history of sexual survivor issues and how that might impact the birthing experience, empowering Black women in the birth space and some glimpses into what the Battling over Birth report recommends. Julia Chinyere Oparah is a social justice educator, collective leader, activist scholar, and experienced community organizer who has spent over two decades producing critical scholarship in the service of progressive social movements. Oparah is Provost and Dean of the Faculty and professor of Ethnic Studies at Mills College, and she was educated at Cambridge University and Warwick University Oparah is the author of Other Kinds of Dreams: Black Women’s Organizations and the Politics of Organization, the only comprehensive history of the black women’s movement in Britain. Her most recent book, Birthing Justice: Black Women, Pregnancy and Childbirth, places Black women at the center of debates around childbirth and highlights their role in the emerging birth justice movement. Dr. Sayida Peprah became certified through DONA International Inc., as a Birth Doula and began assisting mothers professionally in their journey of pregnancy, childbirth and breastfeeding. Show Highlights: Black Women Birthing Justice: A collective of African-American Caribbean, and multi-racial women who are sharing about the negative experiences they’ve had in their maternal care and childbirth How a negative birth experience can be turned around with a great midwife and doula team How the actions that are being taken by medical providers are disempowering black women How BWBJ began in 2011 with a Research Justice project, with over 100 women being open and honest about their stories Battling Over Birth: a human rights report that unpacks the stories of those 100 women and how they found themselves in conflict with their medical providers Before the sharing circles, some of the women had no idea of what they had missed out on in their birth experiences The comparison with this topic and the sexual survivors of the Me Too movement, and how their birth experiences are re-triggering and re-traumatizing, with further victimization The ramifications and implications for these women, along with the potential stress and trauma How to have empowerment in the birth experience, including how providers interact with you for physical exams during labor and birth The ways we can make sure this doesn’t keep happening--”This doesn’t have to be normal.” How the impact of the negative birth experience bleeds over into breastfeeding Resources: Professor Oparah: https://www.juliachinyereoparah.com/ Dr. Sayida: www.DrSayidaPeprah.com To learn about Dr. Sayida’s non-profit click here: www.DiversityUplifts.org, To learn more about the Black community-based doula program and COVID19 doula initiatives Dr. Sayida is working on, click here: www.FrontlineDoulas.com Please find out more by reading that Battling over Birth report at Find the report here: http://www.blackwomenbirthingjustice.org/battling-over-birth Twitter @birthingjustice Instagram @birthingjustice Facebook: https://www.facebook.com/pg/Black-Women-Birthing-Justice-216928328357571/posts/?ref=page_internal Learn more about your ad choices. Visit megaphone.fm/adchoices

Join us for this very special episode, celebrating 100 episodes of Mom and Mind! In this episode, Dr. Kat takes a look back at some of the most impactful episodes of the first 100! You also get to hear messages from other listeners. These are messages of encouragement and hope. The first 100 episodes is a huge milestone, but to be honest, we are just getting started! There's still so much more to discuss and so many more people to talk to. So join us as we celebrate this milestone, and keep coming back week after week because we are just getting started. Share this episode with a friend and if you haven't already joined the Facebook group, what are you waiting for? For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Maternal Mental Health Month continues and so do we! Hearing real life situations and experience is so important for us. In this episode, Kate Rope talks about her personal experience with pregnancy and postpartum Anxiety. She also shares about her book, Strong As A Mother, which addresses pregnancy, postpartum throughout the first year and pressures that society place on women. This is book is built to be a useable resource for moms to help guide them through the transition to motherhood. Kate discusses: *How having a medical test during pregnancy made her worry more. *How a Pericarditis diagnosis lead to more testing, which lead to increased Anxiety and intrusive thoughts about illness *Exhaustion from Anxiety *Meeting with a Reproductive Psychiatrist for Anxiety and starting to take the medication Sertraline *"Zoloft was sort of like a snooze button for my brain and I was able to rest" *"Keep talking until you get somebody who listens" *How her book, Strong As A Mother supports women to make the decisions that will help them through the journey into motherhood. Connect with Kate Here: twitter: @katerope insta: @strongasamotherbook FB: https://www.facebook.com/Strongasamotherbook http://katerope.com/ For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com KATE ROPE is an award-winning freelance journalist whose work has appeared in many publications and online outlets including The New York Times, Time, Real Simple, CNN.com, Shape, Glamour UK, BabyCenter, Parade and Parenting. She is author of the forthcoming, Strong as a Mother: How to Stay Healthy, Happy and (Most Importantly) Sane from Pregnancy to Parenting (St. Martin’s Press, May 2018), coauthor of The Complete Guide to Medications During Pregnancy and Breastfeeding and lives in Atlanta with her husband and two daughters. Learn more about your ad choices. Visit megaphone.fm/adchoices

Kristina Cowan shares her story and her book, When Postpartum Packs a Punch: Fighting Back and Finding Joy. (We discuss sensitive content for birth injury and complications.) May is maternal mental health awareness month and Mom & Mind is dedicated to highlighting the lived experience of moms, partners and families. Kristina discusses her experience through a traumatic birth experience, a postpartum thyroid condition and her path to healing. She has written an amazing book that includes her experience, others stories of lived experience and great information from experts in the field. She wrote, “When Postpartum Packs a Punch” and we will learn a bit about that today. Kristina touches on: *Birth Trauma *Postpartum Depression *Medication for treatment *Postpartum onset of Hashimoto's Thyroiditis *Healing and recovery *The resources in her new book Connect with Kristina Here! Website: www.kristinacowan.com Facebook author page: https://www.facebook.com/cowankristina/ Twitter: @kristinacowan Instagram: kcowan8863 LinkedIn: https://www.linkedin.com/in/kristinacowan/ Find the book here: https://www.amazon.com/When-Postpartum-Packs-Punch-Fighting/dp/1946665002 For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Maternal Mental Health Week is Here! 4/30-5/4 World Maternal Mental Health day is Wednesday 5/2 We are addressing the myths of motherhood and parenthood while digging a little deeper to see how those myths become the beliefs that we carry about ourselves. What are these myths? So glad you asked! They basically sound like perfection at it's most perfect... * You will get pregnant easily * You and your baby will be healthy * You will love being pregnant and being a mother * You will know what to do and how to do it * Breastfeeding will be easy * You will instantly bond with your baby postpartum And so on...What can you add to the list? WELL, what happens when these myths don't become reality???? We feel like failures. We blame ourselves. We think that we did something wrong. We feel like bad mothers. Let's tear this down and start over. Yes, some people have these really lovely experiences, but for those of us who don't...we are suffering by the pain of these "failures". I say, we say, that's enough. Let's call it out and realize that you're working so hard and you are a good mom. Join in and raise your voices for #maternalmentalhealth This week check out these organizations... The Blue Dot Project https://www.thebluedotproject.org/ #realmotherhood #noshame Maternal Mental Health Day (5/2): http://wmmhday.postpartum.net/ #maternalMHmatters For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Raja discusses the importance of multidisiplinary approaches to health and wellbeing in pregnancy and postpartum. He shares his rich and global perspective on how care providers can work together across roles to make sure that perinatal mothers are receiving the care they need. Here are some of the topics we touch on: *OB's are one part of the care team for pregnant mothers *There might be different care pathways in different countries but if we are working together as a care team, we can "join the dots" *How the World Health Organization defines health: physical mental and social well-being. *Keep mothers and families in the heart of everything. "If you listen to the mothers and the families, you can never go wrong" *Discussing Maternal Death and thoughts on prevention *Identify and understand your role in the care of women, which includes making appropriate referrals and following up to make sure she gets support. *Acknowledge your limitations as a provider and offer to find out more. * The International Forum for Wellbeing In Pregnancy: Open access information resource to discuss and learn about different aspects of wellbeing in pregnancy, to understand different practices in different parts of the world. Dr. Raja Gangopadhyay is a Consultant Obstetrician from the UK with a special interest in Perinatal Mental Health and the Founder of International Forum for Wellbeing In Pregnancy." Connect here: International Forum for Wellbeing in Pregnancy (IFWIP): http://www.ifwip.org/ Facebook: https://www.facebook.com/raja.gangopadhyay IFWIP FB page: https://www.facebook.com/ifwip/ Twitter: @RajaGangopadhy3 and @ifwip1 Linkedin: https://www.linkedin.com/in/raja-gangopadhyay-b0816875/ Links to the information that Dr. Raja discussed: Global scenario: http://www.who.int/mental_health/maternal-child/maternal_mental_health/en/ Confidential Enquiries into Maternal Deaths (UK & Ireland): https://www.npeu.ox.ac.uk/mbrrace-uk/reports Red Flag symptoms: Pg 3 of https://www.npeu.ox.ac.uk/downloads/files/mbrrace-uk/reports/MBRRACE-UK%20Maternal%20Report%202015%20-%20Lay%20Summary.pdf IFWIP Resource page: https://www.ifwip.org/resources/ For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Alyssa Berlin is on to talk about planning for life after the birth of your child. We often don't consider what happens after the baby comes home, or how our relationship might change. It's important to consider planning for life after you come home with baby! Dr. Berlin uses some really great analogies and examples about our needs during this time. She discusses how to strengthen the couple to be prepared for life with baby, but also normal life after a child. We discuss what postpartum planning is...real expectations, relationships changes, planning for 'normal and learning what could happen... Connect with Dr. Berlin! http://www.doctorberlin.com/dr-alyssa-berlin-psyd Dr. Alyssa Berlin is a clinical psychologist specializing in pregnancy, postpartum and parenting, a labor support doula and a certified Gottman educator. Dr. Berlin is the creator of The AfterBirth Plan Workshop, a program that prepares couples for what to expect after a baby is born and how to prepare for a physically and emotionally healthy postpartum transition for the baby, for each partner and for the evolving relationship. Dr. Berlin is is on the Board of Advisors for the International Cesarean Awareness Network (ICAN) and is a faculty member of Maternal Mental Health NOW Training institute. You can read Dr. Alyssa's blogs on the Huffington Post where she contributes to PBS's 'This Emotional Life" project. Dr. Alyssa and her husband, prenatal chiropractor Dr. Elliot Berlin live in Los Angeles and are the proud parents of four amazing children. For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Kathleen Kendall-Tackett is talking about some essential info on how stress affects postpartum moms and what to do about it! This is a must listen, it's so fascinating. This episode is jam packed with great information and insight. You might want to take notes and pass this along to others. What is so fantastic about this episode is that most people don't have access to this kind of info and education. We aren't reading research articles or even able to understand them half the time. Kathy gives us some education on how our bodies work, which I believe really helps us to take the blame off of ourselves. There are real things happening in our brains and bodies that affect how we feel, think and behave. There are really too many gems to count here... *Depression in pregnancy *Depression and breastfeeding *The stress response: what's normal, what hurts us *The role of inflammation in our illness *WHAT YOU CAN DO TODAY to get on the path to reducing stress and inflammation! Connect with Kathy here: UppityScienceChick.com, BreastfeedingMadeSimple.com KathleenKendall-Tackett.com PraeclarusPress.com Google Scholar link: http://bit.ly/1nSwWIW The article we discussed: http://www.uppitysciencechick.com/ibj_new_paradigm.pdf HAVE YOUR VOICE BE HEARD for MATERNAL MENTAL HEALTH MONTH! ****Listeners, we want to HEAR YOU! Click on this link to find out how to leave me a voice message to be used on the podcast for Maternal Mental Health Month in MAY! https://goo.gl/forms/Kjdzxjp7cDIvxqCJ2 **** For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Crystal Karges, MS, RDN, IBCLC is sharing her personal story of dealing with postpartum depression after three of her five children. She then went on to use her professional skills to help and support other moms find balance with nutrition and breastfeeding. Crystal touches on many aspects of her experience that so many moms can relate to: -a past eating disorder of anorexia and worry that she wouldn't be able to get pregnant due to that history -feeling disconnected from her children because of postpartum depression -dealing with the pressure to be happy because she was able to have children -breastfeeding difficulties, feeling the pressure to breastfeed and having the support of a lactation consultant Crystal shares how her experiences shaped her work and passion to help mothers nourish themselves and nourish their new babies. Please share this episode with other mothers or partners who are struggling with these similar issues. Crystal shares the message that we talk about on this podcast...you are not alone mamas! With some compassion and understanding you can get through this. Connect with Crystal! Instagram/Twitter: @ crystalkarges Facebook: https://www.facebook.com/crystalkargesnutrition/ FB group: Start with You Moms: https://www.facebook.com/groups/635731143293755/ Website: www.crystalkarges.comFor this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Kat gets on her soapbox! Dishing on a few things that get her upset and maybe get you upset too?!?! We have a long way to go to do better for pregnant, birthing, loss and postpartum moms! Here are some of the things she touchs on... *Can we just be supportive to moms? Can we stop with the shaming and guilt? It's hard enough to be a mom...we need a softer approach on how we treat new parenthood in general. *I have some thoughts about the pressure to breastfeed... *My fantasy and utopia of how if we could treat mothers and families well, with the right kind of support that we can lessen the impacts of stress for generations. *Healthcare providers need to do a better job of supporting perinatal mental health. It's a cop-out to say that "we can't screen mothers because we don't know what to do with them". My advise...figure it out. Let me know what you think! What are the topics that get you on your soapbox? Raising our voices to speak to the stigma and disparities for mothers can be productive if it leads to doing something about it! Have those important conversations! Listen in and share with a mama in need! Let's support each other into wellness! For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

There are some powerful experiences that new moms go through when coming in to psychotherapy. Moms who are pregnant, experienced a loss, birth trauma or postpartum are often transforming in to a new version of themselves. Here's what we reflect on... *These moms are brave and strong. *New motherhood is a mirror. Sometimes a magnifying glass. *Motherhood makes your heart open and can make you a deeper sense of vulnerability, anxiety, be in touch from deeper feelings. That can happen for partners too. *Working through some of the pain leads to healthier lives. *Therapy helps you understand that it's not "you" it's what you're going through. *You can heal through past events that are impacting you now. *You are not alone and you can feel better! For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Kat goes solo in this episode and talks about self care and the process of healing. Self care is a complicated topic for motherhood and parenthood. It's pretty straight forward as a concept, but it can be hard to actually do. I'm on here to break down some of those barriers to understanding what self care looks like for you. We talk about how self care is part of the healing process. It's something that you can do for yourself, today. It's not going to fix everything, but it does help over time. Listen in and share with a mama in need! Let's support each other into wellness! For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Birth planning is very important. Postpartum planning is essential. Arianna Taboada talks about so much, including some of the reasons we need this kind of support in the US specifically or places where maternity leave is not well supported. More specifically, these plans are very supportive for mothers who have any history or risk of perinatal mental health challenge, such as postpartum depression or postpartum anxiety. We touch on: What is a postpartum plan and why do we need it? What's in a postpartum plan and what should be on there? "Who's your crew?" getting the support of others. This is the resource that Arianna discussed... Postpartum eco-map(for anyone) Postpartum eco-map for entrepreneurs Connect with Arianna: Instagram: @ ariannataboada Facebook: www.facebook.com/ariannataboadaconsulting/ Twitter: @ ariannataboada website: www.ariannataboada.com Arianna is a maternal health consultant who works with experienced entrepreneurs who are becoming first time mothers, helping them customize their maternity leave plan and return to work. She is deeply committed to providing on-going, multi-faceted support that meets the professional, physical, mental, social, and emotional needs of entrepreneurs as they babyproof their business and navigate new motherhood. Prior to her consulting practice, Arianna worked on maternal health issues for over a decade as a health educator, a social worker in a mental health clinic, a reproductive health researcher, and a yoga therapist. She draws from her expertise as a maternal health professional, combined with her experience as a business owner and mother, to provide highly personalized services so expecting entrepreneurs have the tools and information they need to make decisions and take action when it comes to balancing their business with a new baby. Arianna lives, works, and plays with her family in Playa del Carmen, Mexico. For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

As we’ve talked about many times on this podcast, hearing personal stories can be very liberating and shame relieving for mothers. Stories are real, educational, heart breaking and heart opening all at the same time. Today we are hearing a personal story, the lived experience of Molly Caro May. She is going to tell us about parts of her story and how as a writer, she was able to use her story in her own healing and the hope to heal others…. In her book entitled, Body full of Stars: Female Rage and my Passage into Motherhood. She talks about incontinence, breastfeeding challenges, relationship challenges, pregnancy illness, postpartum rage and what she thinks we all need to know in order to keep ourselves well. Please get connected with Molly and check out her book: Website: http://www.mollycaromay.com Facebook: Molly May Instagram: @mollycaromay Twitter: @mollymay26 For this and all episodes of Mom & Mind, please subscribe and find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

We are talking about Postpartum Anxiety today and more specifically, what’s common and what’s cause for concern and treatment. This is a question that moms have so often and I’m happy for Dr. Carly Snyder to come on and dispel some of the confusion. We touch on the ever present guilt and shame that runs its course through motherhood as well as some ways to cope and manage postpartum anxiety. Some of what we touch on: - What is "normal" anxiety in new motherhood - How can people know when it's becoming more difficult or a clinical issue? - What kinds of anxiety might a mother experience - What you can do to begin feeling better Connect with Dr. Snyder here: Facebook - https://www.facebook.com/CarlySnyderMD Twitter - @CarlySnyderMD Dr. Carly Snyder is one of a small cohort of medical physicians in New York City specializing in reproductive psychiatry. Her unique approach combines traditional psychiatric treatment with integrative medicine-based treatments. Dr. Snyder is an attending physician on staff in the Department of Psychiatry at Beth Israel Medical Center. She also holds a teaching appointment at Mount Sinai School of Medicine, and is an assistant attending with a teaching appointment at Weill-Cornell in the Payne Whitney Women’s Program. Dr. Snyder is on the Postpartum Support International (PSI)Board of Directors as the Research Chair. She frequently speaks to various audiences, such as ‘The Pregnant New Yorker,’ and at professional conferences and meetings. Dr. Snyder is also a member of the Women’s Mental Health Consortium. She is the Director of Women’s Health for Family Health Associates. Her weekly radio show, MD for Moms, can be heard Wednesdays at 1pm ET on the BBM Global Network and TuneIn radio, or anytime on BBMglobalnetwork.com/MD-for-moms. Dr. Snyder’s HuffPost parenting blog shares the MD for Moms moniker. For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Katie Flores shares her personal story and how she became an holistic health coach for new mothers. She describes her depression, a miscarriage, the stress that she felt with her daughter who was fussy all of the time for a whole year and sleep deprived that whole time. She discusses some of her underlying biological factors that added to her experience. Katie talks about what she sees as root causes and biological contributors to postpartum depression, including trauma, loss physical illness and nutrition. She started her own podcast to address these issues, called Natural Postpartum Support Podcast. Please note: This is not medical advice. If you are concerned that you may be experiencing some of the things that are discussed in this episode, please contact your Naturopathic Doctor or Primary care doctor. If you are interested to learn more about Katie and her work, Connect here: Website: katieeflores.com For updates on the podcast: bit.ly/naturalpostpartumsupportpodcast PPD Root Cause Assessment: katieeflores.com/ppdrootcause FB: facebook.com/KatieFloresFanPage Instagram: instagram.com/KatieEFlores Katie Flores is a certified holistic health coach + postpartum depression survivor. She provides a natural approach for moms struggling with postpartum depression so they can show up as their happiest self and connect with their kids in a way they never could imagine. As an integrative nutrition health coach, mother, and advocate, she's discovered that postpartum depression can happen based on a variety of circumstances, but the missing factor that most doctors overlook, is that it can be treated nutritionally. Postpartum depression is a symptom, not the final answer.​ For this and all episodes of Mom & Mind, go to www.momandmind.com Also find us on: FB: https://www.facebook.com/MomandMindPodcast/ Instagram: https://www.instagram.com/momandmind/ Twitter: https://twitter.com/DrKaeni FB Group: Mom & Mind Connection Learn more about your ad choices. Visit megaphone.fm/adchoices

Shame thrives in the dark. Sharing our story and having ourselves reflected out in the world releases that shame. Sometimes we feel relief right away. Sometimes it takes time. Today I want to talk with you about what happens for you when you hear another person share their pregnancy, loss or postpartum story. I’m talking specifically to the people who are or have experienced a perinatal mood change like depression, anxiety, ptsd, bipolar or psychosis. Or a pregnancy loss. Or a situation similar to yours. What is your experience when you hear others talk about what they went through? What happens for you in your mind, body and soul? There seems to be such power in listening and being reflected out in the world. In fact, I know there is power in that because it was my experience too…. The hope of this podcast and platform is to offer some way that you are all reflected out in the world. There will be parts of your story that are reflected here in our discussions, maybe not in a single episode, but across several. If there are moms or dads listening who DO want to share here on the podcast, please reach out to me at momandmind@gmail.com For some, This may not be the place you feel comfortable, so search for a place that you do. There are really great people doing work that may better reflect your needs. For this and all episodes of Mom & Mind, please find us at: www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Dr. Kat meets with clients in her Claremont, CA office or Online with anyone in the state of California. If you're looking for help, please reach out drkaeni@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Stigma is a terrible 6 letter word and it gets in the way of connection, truth, healing and compassion for moms. Dr. Walker Ladd is on to talk about some of her amazing research into stigma, her books about understanding women's stories and her new podcast Rebel Research Radio. The sting of stigma is so very real and we have internalized it in such a way that we hold shame about ourselves, when we should have understanding. Listen in to hear what Dr. Ladd has to say about mothers and motherhood. We also touch on some really fascinating facts about what happens with baby DNA! Connect with Dr. Walker Ladd Twitter @DrWLadd https://twitter.com/DrWLadd Facebook: @Rebel Research Radio https://www.facebook.com/RebelResearchRadio/ Dr. Walker Ladd has been a thought-leader in the field of maternal mental health care for over a decade. Her first book, “Transformed by Postpartum Depression: Women’s Stories of Trauma and Growth (Praeclarus, 2015), was based on her research of the transformative nature of postpartum depression. She just completed a study of the stigma of mental illness for women diagnosed with a bipolar disorder the first year postpartum and is currently working two new studies about stigma. Her next book will be based on her project When Postpartum Grows Up: Reflecting. Researching. Reclaiming. https://whenppdgrowsup.com/. Walker is the host of a new podcast, Rebel Research Radio, on the Mental Health Network Radio, where she interviews leading women researchers about the art of research. For this and all episodes of Mom & Mind, please find us at www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Dr. Kat meets with clients in her Claremont, CA office or Online with anyone in the state of California. If you're looking for help, please reach out drkaeni@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

We are getting into some good stuff today about attachment and bonding in new parenthood. We are talking again with Dr. Juli Fraga about what all of this means and what it means for you and your baby. In particular, what might be going on for a mother experiencing a perinatal mood change. *We will be touching on the difference between attachment and bonding. *What can happen in new parenthood when a mother or father is struggling. *We touch on the ever present shame and guilt. *Getting support for your perinatal mood change can support good bonding and attachment. *That you don’t need to be perfect in order to have a good connection. Connect with Dr. Fraga! Twitter @dr_fraga www.drjulifraga.com Dr. Juli Fraga is a psychologist in San Francisco where she specializes in maternal mental health concerns. Dr. Fraga is also a freelance health writer and she's written about women's health concerns for Refinery29, NPR, Quartz, Psychology Today, The Huffington Post and the Washington Post. For this and all episodes of Mom & Mind, please find us at www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Dr. Kat meets with clients in her Claremont, CA office or Online with anyone in the state of California. If you're looking for help, please reach out drkaeni@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Why Compassion? I'll tell you... I’ve been doing some deep thinking about the podcast, perinatal mental health in general and how to continue the movement forward through our neck of the woods here. I really believe and feel deeply that more information, awareness and support need to get to mothers and families. I believe that we can improve our efforts at prevention too and I’m hopeful to have that reflected in the podcast this year. How can we improve the lives of mothers, fathers, babies, couples? It’s a complicated issue or set of issues... For now, I’ll talk about one way through this in particular that I see A LOT. Well, maybe two ways. We need to change our culture of perfection-or-nothing and into a culture of compassion and flexibility. I think this is key to combat stigma, guilt and shame. I’m going to talk a little bit about developing self-compassion AND how OTHERS can be more compassionate towards those who are suffering. Short-hand: if you’re in it and suffering, be kind to yourself and allow for learning to happen. If you’re not in it, but looking from the outside… LISTEN, be kind to the person who is struggling and allow you both to learn. Tune in to this episode to hear more! I really hope this give you a tool or two in coping and healing through the yuck and getting back to the good! For this and all episodes of Mom & Mind, please find us at www.momandmind.com Connect with us! Facebook: Mom & Mind Facebook Group: Mom & Mind Connection Twitter: @drkaeni Instagram: @momandmind For Sponsorship and Guest Inquiries, please email momandmind@gmail.com Dr. Kat meets with clients in her Claremont, CA office or Online with anyone in the state of California. If you're looking for help, please reach out drkaeni@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

We have the honor of hearing from Dr. Sheehan Fisher about new fathers, the transitions they may go through when a baby comes along, as well as the challenges and strengths that they may experience. There are quite a few gems in our talk today, one of which is how the role of fatherhood is changing and adapting to the times…AND thoughts about navigating that. Dr. Fisher’s take on these transitions is not to be missed. I’m sure you’ll want to share this with the fathers, men and partners of men in your life. PLEASE DO! We also discuss: - The spectrum of mood changes that fathers might experience postpartum, such as depression, anxiety, anger - how it affects them, what they might experience - what their partners might notice - Looking at the family as a system and how family members affect each other - What can they do? What kinds of support or therapy, available? - Coping suggestions - hopeful messages for fathers Connect with Dr. Fisher: Twitter: @SheehanDFisher Facebook: @SheehanDFisher Instagram: @DrChefSheehan Dr. Sheehan Fisher is a clinical psychologist and Assistant Professor at Northwestern University, Feinberg School of Medicine, with an appointment at Lurie Children’s Hospital. His research and clinical interests focus on perinatal mental health, with a subspecialty in father’s mental health and role in the family. His aim is to understand the mechanisms that place mothers and fathers at risk for perinatal mood and anxiety disorders, and the effect of both parents' mental health on infant health outcomes. He also is passionate about increasing fathers' competence in the home and reconstructing views of masculinity. For this and all episodes, visit www.momandmind.com To join in the discussion and community, find us at https://www.facebook.com/MomandMindPodcast/ https://www.facebook.com/groups/MomandMindConnection/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Andrea Schneider, LCSW is sharing with us about how our difficult, toxic or traumatic past relationships might affect our journey into motherhood, fatherhood and parenthood. This fascinating discussion digs deeper into how we may respond, behave and interact as new parents...based on our own early experiences with our own caregivers, parents or influential difficult relationships. We chat about: * What is relational trauma? How does it show up for perinatal mothers and fathers? * What are some signs that a person might notice if they are impacted by this? * What can they do? What kinds of support, therapy, etc is available? * Coping suggestions & hopeful messages Connect with Andrea: facebook: https://www.facebook.com/andreaschneiderlcsw/ https://www.facebook.com/aschneiderlcsw/ Twitter: @SavvyShrink @andrea_schneid Website: Andreaschneiderlcsw.com The Savvy Shrink Podcast: http://www.blogtalkradio.com/thesavvyshrinkAndrea Schneider, MSW, LCSW is a licensed clinical social worker and psychotherapist in private practice in San Dimas CA. She obtained her BA in Psychology from UCLA and a Masters in Social Work at University of Michigan. Andrea's practice centers on a broad range of concerns related to trauma, including narcissistic abuse recovery, maternal mental health, special needs parenting and grief/loss. She is EMDR trained. Andrea writes a regular blog for Psych Central, as well as The Minds Journal and goodtherapy.org She also has a podcast entitled The Savvy Shrink. In addition to providing psychotherapy for clients in her office and telephonically, she also supervises pre-licensed therapists and provides training for clinics and hospitals in the area. Find all Mom & Mind episodes at www.momandmind.com Join the discussions on our FB Group- Mom & Mind Connection: https://www.facebook.com/groups/MomandMindConnection/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Diane Sanford is talking with us about coping skills for wellness! Pregnancy and postpartum mental health changes can really take you by surprise and leave you feeling disoriented. When we have skills for coping that we can rely on, it really helps us heal. Our guest, Dr. Dianed, has been supporting perinatal mothers for many years. Shares a bit about how she's seen the landscape change in supporting mothers. AN she dishes on what she'd like to see more of in support of perinatal mothers. We talk on: * Using mind-body and integrative health to support mothers. * Use able, short skills that fit into the lives of busy people. * We are often unprepared to cope with difficulty, skills can be really helpful * How simple skills can support us * 3-5 minutes of a break from stress is better than NO break. * Notice your accomplishments!!!! Connect with Dr. Diane https://drdianesanford.com/ FB: https://www.facebook.com/drdianesanford/ Twitter: https://twitter.com/drdianesanford Bio Dr. Diane Sanford is a psychologist, author and educator whose work in health psychology has received local and national attention. In practice for 30 years, she is an internationally recognized expert in perinatal mood and anxiety disorders. She is co-author of Life Will Never Be the Same (2010), Midlife and Menopause: A Celebration of Women’s Health (1998) and Postpartum Survival Guide (1994). For the past ten years, she has studied mindfulness-based skills to reduce stress, anxiety and depression, and promote health and well-being. In 2012, she opened the Midwest Mind Body Health Center where she provides counseling and classes in her mindfulness skill program “Stress Less. Live More.” Her newest book, “Stress Less. Live More: Mindfulness if 5 Simple Steps which describes her stress reduction program is now available. Dr. Sanford obtained her Masters and PhD degrees in clinical psychology from Syracuse University. She completed her internship in 1984 at the Oklahoma Health Sciences Center. She is an adjunct faculty member of St. Louis University’s School of Public Health, Department of Community Relations, and on the Medical Advisory Board of BabyCenter.com. Come connect with the Mom & Mind Connection FB Group! https://www.facebook.com/groups/MomandMindConnection/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Annika O'Melia breaks through stigma to share her story about alcohol use in early motherhood and increase awareness about the impact of substance use for perinatal mothers. Annika is speaking out about her experience and has created a podcast, Mother Recovering, that focuses on supporting these mamas. *She talks about the thought process that happens with substance use and how we sometimes can't see how bad things are getting. *Substance use is a way to cope, but ends up making things worse. *Health care providers aren't asking enough questions *What "normal" drinking limits are for women and how to notice when it's going beyond that limit. *The social messaging to mothers that drinking is what get's you through motherhood. *Use compassion when talking with mothers, and mothers who are struggling with substance use. *What we can do better to support mamas *Safety concerns that we should consider for kids *Getting past quitting and onto living *What coping in a new way can look like Connect with Annika: www.motherrecovering.com https://twitter.com/MommingSober https://www.facebook.com/motherrecovering/ Quad City Women’s Therapy, PLLC www.qcwomenstherapy.comBooks & Resources mentioned in this episode by Annika: "Drink: The Intimate Relationship Between Women and Alcohol" "The Drunk Mom" "Drinking: A Love Story" She Recovers - http://sherecovers.co/ The Bubble Hour Podcast Annika O'Melia Bio Annika O’Melia is a Licensed Independent Social Worker and runs her own private psychotherapy practice, Quad City Women’s Therapy, PLLC, where she specializes in reproductive & maternal mental health. Annika is particularly interested in the impact of trauma and addiction on pregnancy and motherhood and utilizes Eye Movement Desensitization and Reprocessing (EMDR) to assist clients with trauma recovery. Annika is a mother of four, including twins who just turned one, and has been living in recovery from alcoholism for over six years. Annika is also a survivor of rape and sexual assault and has benefitted greatly from therapeutic and recovery programs in her own personal healing and return to wholeness. Annika hosts a podcast called Mother Recovering that focuses on what it’s like to Mom Sober! For all Episodes, go to www.momandmind.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Caribbean Mothers and Perinatal Mental Health with Dr. Kendra Flores-Carter One of the important pieces of understanding perinatal mental health, is putting it in the context of culture, immigration and other socio-cultural factors. When we use the culture to inform healing, a depth of relief and understanding happens. Today we will learn a bit more… Today we have on Dr. Kendra Flores-Carter to discuss perinatal mental health from the lens of Caribbean mothers. As we have stated on previous episodes about culture, there are many different cultures within the Caribbean. So, this is not meant to be specific or prescriptive, rather it is information for us to keep in mind for pregnancy and postpartum. She talks about: *Broad cultural differences for Carribean Mothers *How immigration and length of time in the US impacts seeking help *Ways that Caribbean mothers may experience or express perinatal mental health difficulties *Ways to support mothers Dr. Flores-Carter Bio Dr. Kendra Flores-Carter received her BA in psychology from California State University, Dominguez Hills in 2002 her MSW from Cal State, Long Beach and her Doctor of Social Work from the University of Tennessee, Knoxville. Dr. Flores-Carter currently works as a Maternal Child and Pediatrics Associated Clinical Social Worker. She is a proud researcher in the Perinatal Mental Health Field. Dr. Flores-Carter received her certificate in Maternal Mental Health training from Postpartum Support International and works as an expert in Maternal Mental Health. She is a member of Arrowhead Regional Medical Center Institutional Review Board and has several research projects in the works. She has done several trainings and presentation on topics related to maternal mental health as well as other issues relating to women’s health including breastfeeding, intimate partner violence, and disparities in health care. Dr. Flores-Carter currently serves as co-chair of the Inland Empire Maternal Mental Health Collaborative. She’s an active member Postpartum Support International, and facilitates a free monthly Postpartum Support Group for women and their families’ on-site at Arrowhead Regional Medical Center. Dr. Flores-Carter was a recipient of the 2016 ARMC Employee Recognition Award for her effortless work to improve Maternal Mental Health care at ARMC and within the community. She also received the 2017 Golden Ida M. Cannon Award for her work to bring awareness and education on Maternal Mental Health concerns to ARMC’s Women’s Health Department. If you’d like to listen to more episodes of Mom & Mind, please go to www.momandmind.com, where you can get links and subscribe on your favorite listening platform. Learn more about your ad choices. Visit megaphone.fm/adchoices

Just in time to honor Veterans Day, we talk with Dr. Melinda Thiam about what life might be like for some military mamas. In this fascinating and necessary discussion, Dr. Thiam talks with about the unique aspects of perinatal mental health in the military family. Dr. Thiam highlights: *The stressors for both for the perinatal mother who is in active duty and for the perinatal mother who is the spouse of an active duty person. *She addressed the need for more healthcare providers to receive training in Perinatal Mental health to be able to help mothers. *The need for healthcare providers to take TriCare insurance so that these mothers and families can access the care that they need. *Understanding the stress that military life may bring and how that may impact social supports. Resources: Link to Book: https://www.routledge.com/Perinatal-Mental-Health-and-the-Military-Family-Identifying-and-Treating/Thiam/p/book/9781138924789 Postpartum Support International: http://www.postpartum.net/get-help/psi-support-for-military-families/ Dr. Thiam Bio Dr. Melinda Thiam, M.D. is a board certified staff psychiatrist who was a military psychiatrist until she retired this past June 2017. She is currently splitting her time between private practice psychiatry with Future Psych Solutions in Columbia, SC and Community mental health. During her time in pediatrics, Dr. Thiam witness the challenges of perinatal mental health for numerous spouses who had to give birth alone while their spouses were overseas serving the country. Dr. Thiam also was able to experience first-hand the challenges of being an active duty mother in the military. Through these experiences, Dr. Thiam saw many mothers suffer in silence as they found that pregnancy was not the joyous period they thought it was and new motherhood was met with darkness, sense of shame and belief that one was a ‘bad’ mother. The plight of the pregnant and postpartum mother led Dr. Thiam to switch to psychiatry with desire to specialize in women’s mental health. She initiated/led a mother-infant dyadic therapy group for last two years of residency and went on to recruit of group of perinatal mental health experts in the military/civilian population to edit manuscript Perinatal Mental Health and the Military Family: Identifying and Treating Mood and Anxiety Disorders. While this book is targeted toward military population, it is all applicable to general population and is my desire to build a practice specializing in women’s mental health/reproductive psychiatry. For all Mom & Mind episodes, go to: www.momandmind.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Expectful offers guided meditations for all of the transitions through motherhood from fertility, pregnancy, postpartum and motherhood. They heard feedback that many mothers who experienced pregnancy loss, didn't have guided meditation support they needed. So, they teamed up with Dr. Jessica Zucker, who is well known for her strong advocacy through the #ihadamiscarriage campaign. Together, they made a beautiful resource to help mothers to cope through guided meditations and supportive information. It is so hard to know how to heal after a pregnancy loss. In this episode, we are talking about using guided meditations as a way to cope and heal. We honor all who have dealt with such grief and hold space, love and support for you, especially through October for Pregnancy and Infant Loss Awareness Month. Our guests share: -Some of the unique stress and grief that comes with pregnancy loss -How guided meditation can support healing and give a sense of grounding through the upset of pregnancy loss. -The importance of having a supportive community with other people who really 'get it'. -Expectful is a resource that can be supportive to you 24/7, whenever you need. Connect with Expectful and Dr. Jessica Zucker: www.expectful.com Pregnancy Loss Support Guide on Expectful https://expectful.com/pregnancy-loss-support/ IG: @expectful FB: facebook.com/expectful Twitter: @expectful http://drjessicazucker.com/ IG: @ihadamiscarriage Twitter: @DrZucker Dr. Jessica Zucker Dr. Jessica Zucker is a Los Angeles-based licensed clinical psychologist specializing in women’s reproductive and maternal mental health. Jessica primarily works with women struggling with fertility, pregnancy ambivalence, pregnancy loss, during transitions in motherhood, prenatal and postpartum adjustments, perinatal and postpartum mood and anxiety disorders, pregnancy and postpartum body image concerns, and in the midst of relationship challenges after the loss or birth of a child. Mark Krassner Mark Krassner is the founder of the fertility, pregnancy, and motherhood meditation guided meditation app, expectful. He’s an unlikely person to head this up as a 33-year-old unmarried man with no children. Expectful - a meditation web and mobile app that empowers current and soon-to-be moms to live happier, healthier lives. Mark’s mother struggled with anxiety and depression throughout her pregnancy and early parenting years. As an adult, Mark experienced the power of meditation and its positive effects on his health, relationships, and even his professional career, and it occurred to him that his childhood may have been very different for him and his mother if she had access to a meditation practice. It was this realization that led to him years of research and, eventually, Expectful was born. For more episodes of Mom & Mind, go to www.momandmind.com Learn more about your ad choices. Visit megaphone.fm/adchoices

When you can really start to understand how stress and trauma affects you on a physiological level and emotional level, you can hold more compassion and understanding for yourself. Nkem Ndefo is on with us today, teaching, informing, shedding light on how to think realistically, holistically about stress. This is totally necessary to understand for pregnancy and postpartum...but also for pretty much everything. Nkem is teaching us about how our bodies and minds respond to stress and ways to build resilience. There are too many gems in this episode to quote, you'll just have to soak this up when you listen. Here are some of the things Nkem discusses with us. * Understanding how a "disorder" may actually be an "adaptive response" to stress. * "What can we build up, what's good, what's working"... "How do we build on that and help build out the strengths?" * "We do grow, we do get stronger, but it has to be within our window of tolerance, if it's outside of our window of tolerance its too much, it doesn't cause us to grow, it causes us to break" * "What are the systemic factors [of stress] and what are the individual factors...one of the most damaging things we say to people is to hold them responsible for systemic factors" * High stress in pregnancy and how that affects the mother and baby. * Ways to support regulating the body-mind system in a supportive way, by being a partner in care. Connect with Nkem and Lumos Transforms: http://lumostransforms.com/ Facebook: @lumostransforms Insta: @lumos_transforms Twitter: @lumostransforms Nkem Ndefo is the founder and president of Lumos Transforms and creator of The Resilience Toolkit. As Certified Nurse Midwife, Nkem holds a Master’s degree in Nursing from Frontier Nursing University. She has extensive post-graduate training in complementary health modalities and emotional therapies, including Level 3 certification in Tension/Trauma Release Exercises and Level 5 certification in Emotional Transformation Therapy. She brings an abundance of experience as a clinician, educator, consultant, and community strategist to innovative programs that reduce stress and build resilience for individuals, organizations, and communities throughout the US. As a clinician, Nkem has worked in settings ranging from large volume hospitals to mobile community clinics. She founded and operated a full scope midwifery and homebirth practice from 2000-2007. And she has maintained a small holistic private practice in Los Angeles since 2007. She worked for California Maternal Quality Care Collaborative researching maternal death outcomes and served on the Los Angeles County Trauma-and Resilience-Informed Systems Change Initiative Workgroup. Currently she sits on the Strategic Planning Committee for the Trauma-Informed Task Force of Greater Los Angeles #theresiliencetoolkit #lumostransforms #buildresilience To check out all of the Mom & Mind episodes, go to www.momandmind.com! Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you identify as a perfectionist? Do you feel like things need to be a certain way and if they aren't, you feel unsettled? How did that affect you when you were trying to conceive, during pregnancy, birthing or postpartum? This is one of those things that really impacts the early stages of motherhood and parenthood (and all stages really). In this episode, I talk about the dynamics that I see with the mamas that I help...and one that I struggled with in my postpartum...and still work on managing. I touch on how it even impacted the recording of this episode. Some of the things we address on this episode... *The struggle with feeling the need to be perfect *It seems that perfectionism often comes with a high sense of morality and conscientiousness - I believe that this makes intrusive thoughts even more unbearable. *Perfectionism often develops as a way to cope and manage life. But that way of coping goes head to head with the challenges of new parenthood. *The stress of perfectionism, can make getting help feel hard. Help can feel SLOW or inadequate. *Accepting that we can't be perfect is very hard, and it's part of the key to healing. If you identify with any of this, take a listen to the episode, give yourself a big hug and please know that this is not a judgment of you. Please know that you can find a new way to cope that is more forgiving to yourself. If you'd like, please check out the blog post on the Postpartum Support International Blog that I mentioned: Soul Level Crisis Please pass this episode along to any person who could benefit! If you haven't yet subscribed to the podcast head over to www.momandmind.com We welcome ratings, reviews, sharing the podcast and spreading the word about perinatal mental health! Lets crush this together! Learn more about your ad choices. Visit megaphone.fm/adchoices

"It is ridiculous that when you are the person in the middle of a crisis, that you are the person who is faced to do the heavy lifting" - Joy Twesigye Lack of social support is a part of what is impacting perinatal and postpartum wellness. Could we start to count on our social supports more if we are giving them some fundamental info? Joy Twesigye has a great perspective on how we can all support perinatal mothers more fully. She is talking about a fundamental need for change in the way WE, not medical or mental health professionals, but us, the people close to mamas, support mothers. Some gems from Joy: - Empathy for the mothers - We can support the support people though education - Changing our mindset to better support mothers and babies - Not making the person who is having the crisis, do the work!!!! YES!!!! Joy Twesigye Joy is an impact driven health care administrator with 16 years progressive experience in health systems and policy. 2017 marks 26 years of starting and managing socially responsible organizations framed around maternal and family support, community and school-based services, and healthcare reform. In 1991, she founded The Dining Room, the first sustainable soup kitchen for Delaware, OH. In 1993, became a founding member of Andrews House, a not-for-profit community center in the same town. Joy is currently a volunteer Maryland State Co-Coordinator for Postpartum Support International, Ohio Wesleyan University Baltimore Chapter Leader and Maryland Association of School-Based Health Care board member. Learn more about your ad choices. Visit megaphone.fm/adchoices

Pregnancy & Postpartum: Soapbox Edition II Yeah, no. I have some thoughts about how mothers are treated.... I'm hoping back on the soapbox! And this time, I'm shouting out some of the things that the Mom & Mind listeners are upset about too! Thanks for sharing! Let's see..most of the things I discuss are about how other peoples OPINIONS and JUDGMENTS affect mama's and partners. Can we just stop spouting out whatever comes to our mind when we see a pregnant person, or someone with a new baby? How 'bout that?!?!?! I also touch on some potentially controversial topics related to birth, birthing justice and maybe upsetting to some medical providers. Let's just say there are mostly amazing providers and a few that are less than amazing.... As always, please come join us, listen in, share, subscribe, rate and review this podcast! Find links to places to listen at www.momandmind.com CONNECT WITH US! FB @momandmindpodcast Twitter @drkaeni Instagram @momandmind Learn more about your ad choices. Visit megaphone.fm/adchoices

Bipolar disorder in pregnancy and postpartum is not often discussed. Dyane Harwood is advocating for that to change. In this episode, Dyane shares her personal journey through postpartum bipolar, what she wishes people would understand and how we can all be more supportive to mothers experiencing this difficult and often misunderstood condition. In this rich discussion, we touch on: -Some signs, symptoms and what it may look like to others -Insight into what it might feel like for a mother to be going through Bipolar in postpartum. -Supportive tips on what might help in early detection, prevention and healing. Connect with Dyane: Twitter: @DyaneHarwood Website: www.dyaneharwood.com Facebook Page: https://www.facebook.com/BirthofaNewBrain Instagram: birthofanewbrain Birth of a New Brain is available for pre-order on Amazon and Kindle. Released on October 10 2017. https://www.amazon.com/Birth-New-Brain-Postpartum-Disorder/dp/1618688014/ref=sr_1_1?ie=UTF8&qid=1506311992&sr=8-1&keywords=birth+of+a+new+brain Support and Resources: International Bipolar Foundation (IBPF) http://www.ibpf.org (858) 598-5967 Depression and Bipolar Support Alliance (DBSA) http://www.dbsalliance.org (800) 826-3632 National Alliance on Mental Illness (NAMI) https://www.nami.org (800) 950-6264 Helpline Postpartum Support International http://www.postpartum.net (800) 944-4773 Dr. Aluwaidan Twitter: @MoAlsuwaidan Dr. Alsuwaidan's article - excellent advice for mood support/stability https://medium.com/@MoAlsuwaidan/exercise-mood-part-iii-from-science-to-action-4f668e96c83a Dyane Harwood graduated from UC Santa Cruz with a degree in English and American Literature. In 2007, Dyane was diagnosed with postpartum bipolar disorder (also known as bipolar, peripartum onset). Her book "Birth of aNew Brain - Healing from Postpartum Bipolar Disorder" will be published by Post Hill Press on October 10th 2017. Dyane has been a freelance writer for twenty years and has written for the Huffington Post, Self Magazine, and Postpartum Support International. She founded a chapter of the Depression and Bipolar Support Alliance and facilitated support groups for moms with mood disorders for nine years. Dyane lives in the Santa Cruz Mountains of California with her husband Craig, their daughters Avonlea and Marilla, and their Scotch collie Lucy. Learn more about your ad choices. Visit megaphone.fm/adchoices

We talk about feeling bad about our bad feelings in postpartum & pregnancy. How many of us have had feelings in pregnancy or postpartum that we didn't understand, but then also felt guilt or failure for having them at all? Melissa Divaris Thompson, LMFT shares with us some of her personal experience and a great discussion on the roller coaster of feelings that we may have related to anger, rage, failure and guilt. This is SUCH a common mix of feelings. Most of us don't know about this, because we don't talk about it much as a society. SO, we get in to it here! Breaking the silence on anger and rage, normalizing the pattern and reducing the stigma of having negative feelings in motherhood and feelings with our babies, relationships and ourselves. Listen in, deepen your understanding and feel understood. We got you mamas and parents!!!! Connect with Melissa here: www.embracingjoy.com www.honestmamas.com Twitter: Embracing_Joy Twitter: HonestMamas Melissa Divaris Thompson, LMFT Is a licensed Marriage and Family Therapist with a private practice in New York City, seeing primarily women in their 20s and 30s, pregnant women, and new moms. As a holistic and depth oriented therapist, her role is to support her clients in finding wholeness — mind, body, and spirit — creating more joy, ease, and healthy relationships. Learn more about your ad choices. Visit megaphone.fm/adchoices

To those of you who are living through the natural disasters all over the world right now, the Mom & Mind Podcast is with you. Especially the pregnant and postpartum mothers and new families. In this episode, i'm adding my support and a couple of thoughts and ideas of how we can support you. This episode is proudly supported by Maternal Mental Health Now and their online, self-paced, Perinatal Mental Health Training. We all really need to be trained in this, it’s essential. I can’t even count anymore the number of mothers who have said that they can’t find the appropriate help that they need, then suffer needlessly. The format that MMH Now offers, easy to integrate in to your life and work, because you can access it at your convenience. And they offer education units to boot! Go to www.maternalmentalhealthnow.org to check out their training. In this episode, we touch on: *It is essential to help reduce the level of stress for pregnant and postpartum mothers, especially now, as it helps them to have healthier pregnancies, healthier babies. *For those of us who are able, it will be essential to give what you can to local and on the ground non-profits that support these mothers and families. Diapers, formula, toys, underwear, bras, used clothes and shoes, money, shelter, support. Anything you think you’d need if you were in their position. *People who deal with any kind of devastation may not feel the weight of their stress right away. Sometimes after they are safe is when then they feel their feelings. Let's be checking in on folks for a while, not just for the next few weeks. Resource for Pregnant and Postpartum support: Postpartum Support International warm line and website: 1-800-944-4773 http://www.postpartum.net/get-help/locations/ Episode Sponsor: Maternal Mental Health Now Online Training! You can learn more in-depth about perinatal mental health issues like (1) Risk Factors & Prevalence, (2) Symptoms & Diagnoses, (3) Screening & Assessment, (4) Attachment & Bonding, (5) Interventions, (6) Treatment Plans, and (7) Psychopharmalogical Considerations. This training, given by experts in the field, is helpful to anyone who supports pregnant and postpartum families! Go to www.Maternalmentalhealthnow.org Mom & Mind can be found wherever you listen to podcasts and at www.momandmind.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Stefani Reinold, MD shares some about her personal experience through pregnancy and postpartum and how she is helping other moms cope and manage with eating disorders in the perinatal time. This episode's super supporter: Maternal Mental Health NOW- Online maternal mental health training! In this episode, we touch on: -Pressures that mothers feel to keep weight down in pregnancy and lose weight postpartum. -Dr. Reinold shares her story and getting a diagnosis of intrauterine growth restriction (IUGR), potentially due to stress and not eating enough. - What a mother may be experiencing with an eating disorder while pregnant or postpartum - The pressures of weight gain/loss and the scale, binge eating disorder, restriction of food -Who's at risk? History of eating disorder, anorexia, binge eating, other body image challenges? - How marketing, social media, health care providers and other societal factors impact how we think and feel about ourselves. Dr. Stefani Reinold A Reproductive Psychiatrist, mother of two, and women’s mental health advocate. She has presented nationally and internationally on the topics of eating disorders, body dissatisfaction and body image in pregnancy and postpartum. Her mission is to encourage new moms to stop suffering and to start embracing motherhood. Connect with Dr. Reinold: www.stefanireinoldmd.com Instagram: @pushpastpostpartum Facebook: stefanireinoldmd Sponsor! This episode of the Mom & Mind Podcast is proudly supported by Maternal Mental Health Now. They offer an online training on all things related to Perinatal Mood and Anxiety Disorders. It is the only self paced and virtual training for perinatal mental health that you can do whenever you want and wherever you want. Find them online at www.maternalmentalhealthnow.org, Also on FB, Twitter and IG: Facebook: MaternalMentalHealthNow Twitter: @mmhealthnow Instagram: @maternalmentalhealthnow Learn more about your ad choices. Visit megaphone.fm/adchoices

Bebo Mia's Bianca and Natasha talk about what mothers deal with who are labeled as overweight. Have you ever been labeled as being overweight, plus size or obese during pregnancy? Has that lead to providers telling you what you are or are not able to do in pregnancy and birth? Has that lead you to feel badly about yourself or "less than"? How does that impact your mental wellness? Here's what we touch on: -Myths of what "overweight" mothers are capable of in birthing and assumptions about their health in pregnancy. -How the BMI labels women and their bodies. -Stressors of weight gain in pregnancy and weight loss in the postpartum period. -How some moms are losing there decision making power because of how they are being treated. -Self advocacy and how to talk to your providers. -Focusing on body positivity and informing mothers of their options. Connect with Bebo Mia Facebook & Instagram handles: @bebomiainc Website: www.bebomia.com Only for Mom & Mind Listeners! Bebo Mia is offering 20% to you listeners off of all of their programs! use the code: MOMANDMIND Check out these links (affiliate) to see if these workshops help you: The doula training (next one begins Sept 28th) : https://jx201.isrefer.com/go/Doula/momandmind/The informational workshop for those who are thinking about doula work (on Sept 13th): https://jx201.isrefer.com/go/doulawebinar/momandmind/The sleep certification: ​ https://jx201.isrefer.com/go/sleepybaby/momandmind/Bebo Mia Bebo Mia is a training & mentorship organization for women in the maternal health field, including pregnancy/birth professionals, childbirth educators & parenting specialists. They offer comprehensive skills, business support & community care through an innovative online structure that spans a global market. A very different culture from both the patriarchal boardroom model & the female-centric multi-level marketing industry, bebo mia offers opportunities for women to work from home while making an income for themselves and their families. They develop inclusive, accessible trainings for women that provide the skills needed to grow & sustain a lucrative business. Bebo mia remains fiercely committed to their original mission that was developed in 2008: To connect women to their intrinsic value and power. Learn more about your ad choices. Visit megaphone.fm/adchoices

Postpartum Psychosis, while rare, is very serious. 1-2 in 1,000 new mothers experience this and most have no idea what is going on. Kristina Dulaney shares her story and her journey through recovery. The recovery process can be long. Kristina tells us about the length of her recovery and what she did to get back to herself. This is another important highlight of why we HAVE to educate mothers, families, healthcare providers and whoever will listen. Prevention and early intervention are NECESSARY! Some of her story highlights why we HAVE to have more specialized units for postpartum mothers and very specifically for postpartum psychosis. We have to understand this experience, treat these mothers well, with respect and with dignity. Then we have to educate everyone, get more resources that will actually help, rather than just contain them. She describes how the support of her husband, family and faith really helped her to get to feeling better. Kristina is working to reduce stigma and increase awareness, gather resources for her community in Tennessee. She is looking into the future to make sure resources are available for moms and families going forward. Her message and hope for moms: reach out and get help. Connect with Kristina here: www.facebook.com/intothelightandthriving Her story here on Postpartum Progress: http://www.postpartumprogress.com/experience-postpartum-psychosis-hospitalization-recovery Kristina Dulaney now lives in East TN with her husband and 2 children, now 4 and 2. Her postpartum crisis occurred May 22,2015 when her youngest was 5 1/2 months old and they lived just outside of Greensboro at the time. She has made a full recovery and now advocates for perinatal mental health in her area. She enjoys spending time with her family and taking pictures! Learn more about your ad choices. Visit megaphone.fm/adchoices

Julie Andrews, LCSW is sharing a glimpse of the Native or Indigenous mothers pregnancy, birth and postpartum experience. This is such a valuable discussion and even though we just scratch the surface of cultural and societal understanding, it is a deeply needed start on our podcast to understanding Native mothers experience. Julie discusses some of the mental health impacts affecting Native mothers related to pregnancy and postpartum. She is sharing what she's seen and understands mostly of the stressors and strengths of Native mothers in her local community. She touches on the challenges of identity, historical trauma, current issues that mothers face in the local clinic and ways in which the community is working to support pregnant and postpartum mothers. Connect with Julie Riverside-San Bernardino County Indian Health, Inc. http://www.rsbcihi.org/ Facebook Native RC Julie Andrews, LCSW Julie Andrews is an enrolled member of the Sicangu (sick an-gu) Band of the Lakota Nation/Rosebud Sioux Tribe. Ms. Andrews is an LCSW employed by Riverside San Bernardino County Indian Health Services Inc. in the Native American Resource Center since 2007. Ms. Andrews work includes the field of clinical mental health, prevention and early intervention, and domestic violence advocacy. Riverside San Bernardino County Indian Health Services Inc. Native American Resource Center 11980 Mt. Vernon Ave. Bldg B Grand Terrace, Ca 92399 Learn more about your ad choices. Visit megaphone.fm/adchoices

Encore! Dr. Diana Lynn Barnes We are re-airing some episodes while I take a break and regroup for a moment! This is one of the popular episodes of the podcast. This one is #7, The Good Mother, and I think it's a great reminder for us to understand some of the myths of motherhood that we are all quietly fighting against. Dr. Barnes shares some of her own experience, as well as her thoughts about the pressure of new motherhood. It's a tough job and we are generally too hard on ourselves! Listen in to this episode, even if you already have, its such valuable perspective. Connect with Dr. Barnes FB - Dr. Diana Lynn Barnes twitter - @ppddoc There is help and you will get better with the right help. If any of you listening need resources, go to www.postpartum.net, search "get help" and find someone in your state or country who may be able to support you. CONNECT WITH Dr. Kat!!! Go to www.momandmind to check out more episodes and grab a FREE download of 27 Top Tips for New Parents Mental health. Podcast FB Page, Mom & Mind OR the Mom & Mind Connection FB Group! Twitter @drkaeni Instagram @momandmind Learn more about your ad choices. Visit megaphone.fm/adchoices

My Postpartum Story - Redux We are taking a short break from new episodes, 'cause well, this mama's taking a vacation! We won't leave you with no episodes though! We've picked a couple of the most popular episodes to Re-air over the break. Here is an Encore of Episode #1, where I share my story of Postpartum Depression, Postpartum Anxiety, Postpartum ODC and well, Postpartum Rage. So many things were going on...intrusive thoughts, sadness and crying, a deep and almost painful love for my daughter and utter overwhelm. Most people wouldn't have guessed it by looking. I didn't even know what was going on. On a lighter note, listen if you haven't before, just to hear how stiff I was and how bad the audio quality was! We've come a long way from Episode 1 to Episode 62! Yay for growth! Anyhow, mamas who are suffering, please know that you are not alone. I went through it and so do many other people. There is help and you will get better with the right help. If any of you listening need resources, go to www.postpartum.net, search "get help" and find someone in your state or country who may be able to support you. CONNECT WITH US!!! Go to www.momandmind to check out more episodes and grab a FREE download of 27 Top Tips for New Parents Mental health. Podcast FB Page, Mom & Mind OR the Mom & Mind Connection FB Group! Twitter @drkaeni Instagram @momandmind Learn more about your ad choices. Visit megaphone.fm/adchoices

Tanya Newbould - Producer of When The Bough Breaks and Personal Story of Postpartum Depression *sensitive content at 7:00 & 20:50* Tanya shares her personal journey with Postpartum Depression and how her experience sparked the beginning of the When The Bough Breaks - A Documentary about Postpartum Depression. Narrated and Executive Produced by Brook Shields, this documentary takes a close look at Perinatal Mental Health, with stories from mothers, partners, advocates and experts. The film features personal stories of postpartum depression from producers Lindsay Gerszt and Ms. Newbould, Carnie Wilson, Peggy Tanous, Aarti Sequeira and many other courageous women and partners. Tanya tells us: -About her personal experience of pregnancy, birth and postpartum -How she came to know that she had postpartum depression and antenatal depression. -How she coped and what helped her to recover -What it was like to do the documentary after her own experience This documentary is in over 70 countries in 5 different languages! You can find the film on iTunes, Netflix or even bring it to your community through a screening. Check out the links below and be sure to connect with them! Connect with Tanya Instagram-tanya4re Twitter-@tanyanewbould FB-Tanya J. Newbould Find the Film FB : https://www.facebook.com/whentheboughbreaksdoc/ iTunes : https://itunes.apple.com/us/movie/when-the-bough-breaks/id1210503223 Netflix : https://www.netflix.com/title/80175828 Tanya Newbould Actress for over 20 years and Producer of When The Bough Breaks, a Point Of View Pictures feature-length documentary about postpartum depression and perinatal mood disorders. Exectutive Produced and Narrated by Brook Shields, Directed and Produced by Jamielyn Lippman, Produced by Lindsay Gerszt and Ms. Newbould. Tanya and Lindsay connected in a common bond from suffering the same symptoms, but finding little to no in formation on the subjects, despite the big impact of Perinatal mood disorders. Learn more about your ad choices. Visit megaphone.fm/adchoices

Coretta Rae Daniel – Postpartum Depression & Anxiety, Personal Story and helping women of color *Sensitive Content, 17:45-20:45* Coretta shares her personal story of postpartum depression, how it impacted her first months of motherhood. As she was coming out of the heaviness of PPD, she realized that the women of color in her community in Ohio did not have enough resources. So, she went to work. You will hear how passionate and driven she is to help mothers and women of color. She talks about: - Her experience through Postpartum Depression, worry, intrusive thoughts, colic and exhaustion -How her experience impacted new motherhood -The issues that she has seen in cultures and communities that make it difficult for women of color to get help. -How to support mothers -Her organization 2BNurtured that aims to help under- served and under-represented women and families. Please connect with Coretta here: Facebook: Coretta Rae Daniel Instagram: @coretta.r.daniel Twitter: CorettaRDaniel Birthing Beautiful Communities: http://www.birthingbeautiful.org/ Coretta Daniel Coretta Rae Daniel is a resident of Cleveland, OH, a wife, a full time mom of 16 month old Charles Jr. and 4 Month old Zaria. She holds her license in Social Work and will be pursuing her Master's in Clinical Mental Health this fall. It is with the birth of her son where she suffered and overcame postpartum depression and discovered her passion to help other minority women in her community find the support that she so longed for. She developed 2BNurtured in April 2016, a growing organization that seeks to build partnerships with others who desire to raise awareness of maternal mental health issues among the under-served and under-represented populations. It is her belief that motherhood should not be done alone. If you know someone who would benefit from this episode, feel free to share this podcast as a resource. If you need support, please go to www.postpartum.net For additional resources, access to all of the episodes, and links to iTunes, Stitcher Radio, GooglePlay Music, YouTube, please visit www.momandmind.com Join our FB community, Mom & Mind Connection Learn more about your ad choices. Visit megaphone.fm/adchoices

Ingrid Esparza - Personal story of Postpartum Anxiety Ingrid tells us about her experience after birth and in the early months of life with her new son. Again, we get to hear the powerful ways in which a mother copes and fights to get through medical complications, breastfeeding challenges and the anxiety that came with it all. She tells us about: - How a postpartum hemorrhage affected her and her first days of motherhood. - The challenging experience with breastfeeding and how that fueled her anxiety -Some factors to her experience, related to her Mexican culture that impacted your experience? -How she dealt with and coped through the experience? - How she is advocating for mothers now. Thank you, Ingrid. By sharing your story, you are putting out a hand to help other moms find their way through. Ingrid Esparza Ingrid Esparza is originally from Mexico, but have lived in the US since she was 9 years old. She moved to Lincoln, Nebraska in October 2015 from Savannah, Georgia. She is married and has a son who will soon be 3 years old. She has the privilege of staying at home with her son, but plans to go back to work outside the home this fall. She has a Masters Degree in Early Childhood Education. She’s led a Climb out of the Darkness event in Lincoln for the past two years, and hope to continue to do more to bring awareness, education, and support to her community about Perinatal Mood and Anxiety Disorders. Learn more about your ad choices. Visit megaphone.fm/adchoices

Lindsay Marie Gibson We discuss some topics that may be sensitive for some listeners. Many mothers experience a trauma in life prior to having children. More specifically a sexual trauma. These experiences can sometimes come up and affect us in a way that we did not expect when we have kids. Lindsay discusses her journey to find Joy after trauma. We talk about her inspirational path to healing and helping mothers, after going through harrowing life experiences. -She shares about her children and the experiences of the birth of her first child, the loss of her second child, her rainbow baby, Hyperemesis Gravidarum (HG) and Postpartum depression. -She shares how the loss of her son made it necessary to deal with her past trauma of rape and attempted murder at the age of 16. -The devastation of postpartum depression after having her rainbow baby. - She is healing through yoga, writing, spiritual coaching and other supportive approaches, and is helping mothers find their own joy and healing. -She is writing a memoir of her life experience, with the goal of helping other mothers and families. (Link to support getting the Memoir published below) If you are in need of support and are pregnant, experienced a loss or have babies, please contact www.posptartum.net to find resources in your area. Connect with Lindsay: http://lindsaymariegibson.com/ Support the book: https://www.indiegogo.com/projects/just-be-how-my-stillborn-taught-me-to-surrender FB - https://www.facebook.com/authorlindsaygibson/ IG - @authorlindsaygibson Twitter - @LindsayMarieJoy Always with Me Foundation www.alwayswithme.org Lindsay Marie Gibson Hello! My name is Lindsay and I am a Motivational Speaker, Writer, Doula, Trauma Yoga Instructor, Birth Psychology Specialist and Joy Restoration/Health Coach for Mamas. I wear many hats in the work that I do but my focus is helping to bring light back into women that promotes inner healing. I am the creator of my 7-Week therapeutic writing series, “Journal Back to Joy." Here in Connecticut, I also teach my JOYoga® series. They are yoga classes for women that are designed to prepare for Motherhood, mind, body and spirit, clear energy and restore JOY! I spend most of my time taking care of my two young blondie daughters, Lillian and Layla, being a wife to my Irish (brogue and all) husband Jason, and all that motherhood/wifely duties entail. I am also a mother to my angel son above, Joseph, whose love shines through me every day. My greatest passion is writing to inspire through my heart and through God. I am currently working on my first book, an inspirational memoir, entitled "Just Be" so stay tuned! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Rebecca Moore - Understanding Birth Trauma We are discussing traumatic birth experience and it's impacts. Did you know that someone could feel traumatized by their experience and you can't tell by looking at them? Yep, sometimes a traumatic experience can happen that only the birthing mother is aware of. Sometimes it's very clear that there is a trauma. Dr. Moore talks about -the Medical system in the UK and how they are helping mothers -What is birth trauma? -How it can affect the birthing mother and partner -working across cultures -Her birth trauma conference and upcoming book on birth trauma. Connect with Dr. Moore on twitter: @dr_bjm Dr. Rebecca Moore Dr. Moore is a UK London based psychiatrist who has worked in the perinatal field for 20 years. She has a special expertise in Birth Trauma and runs an annual conference in London each year. She works in a very deprived area of London where 50% of the population are Bangladeshi. She is a 70/30 Ambassador a UK scheme to reduce child maltreatment by 70% by 2030. She is also a Winston Churchilll Fellow for 2017 and is funded to travel to the US to meet colleagues there and produce a report. She is writing her first book on Birth Trauma and it's due to be published in 2018 Please visit www.momandmind.com and consider a donation to support keeping this podcast afloat to get these amazing resources and information out to the people in need. Thank you Learn more about your ad choices. Visit megaphone.fm/adchoices

Perinatal Mental Health Alliance for Women of Color – PMHAWOC Here are three powerhouse women who have come together to co-found a beautiful and needed organization focusing on perinatal mental health for women of color. This is what closing the gaps and supporting women of color, in a BIG way, looks like. Divya Kumar, Desiree Israel and Jabina Coleman are doing outstanding work. Please listen in, connect with PMHAWOC, learn about the work that's being done and what still needs to be done. Also, connect with each of the co-founders individually via their contact info listed below. In this episode, we all get to learn about these women and the amazing work that the organization is doing. Connect here: http://www.pmhawoc.org Facebook: https://www.facebook.com/pmhawoc www.postpartum.net Divya B. Kumar ScM, CPD, CLC Divya is a South Asian American woman who holds a Masters in Public Health and is a certified lactation counselor. Her work connects postpartum support with public health by addressing unmet needs in the structure and delivery of perinatal support services. In 2013, she helped create a postpartum depression prevention pilot program in four community health centers in Massachusetts and currently provides comprehensive perinatal support at Southern Jamaica Plain Health Center. She is a Commissioner on the Ellen Story Commission on Postpartum Depression and also co-founded the Every Mother Project, an organization that provides training and support for women’s health professionals around addressing perinatal emotional complications. A writer and a truth-teller, Divya brings a fresh voice, compassion, and humor to her work with new families. She lives in Jamaica Plain, MA with her husband and two children. Connect with Divya: http://www.divyakumar.org/ Desiree Israel LGSW Through her own journey into motherhood, Desirée knows just how far compassion can go. With a foundation of authenticity, integrity and fully understanding the African proverb, “It takes a village to raise a child,” Desirée works each day to assist women in their own journeys and understanding through motherhood, postpartum support and healing. As a licensed social worker, Usui Reiki II practitioner and perinatal psychotherapist in Baltimore, MD, and the owner of her private practice, Postpartum Recovery, Desirée assists women decipher the funk of motherhood through integrative and eclectic therapeutic modalities. When she's not tending to her two sons, Desiree is a volunteer for Postpartum Support International and board member for 2020 Mom Project. Connect with Desiree: Website: www.desireeisrael.com Facebook: www.facebook.com/pprecovery Instagram: @pprecovery Twitter: @DLIsrael Jabina Coleman LSW, IBCLC She makes breastfeeding a habit and a hobby. Jabina, a mother of two, Licensed Social Worker and International Board Certified Lactation Consultant has dedicated more than a decade of her life to protecting, promoting and supporting breastfeeding. Jabina focuses a lot of her work on educating women, families and the community to make informed decision about breastfeeding. She empowers women to trust their bodies throughout the perinatal period and provides guidance during the process. She specializes in perinatal mood disorders and helping women and families adjust to motherhood and parenting. Jabina lives in the Philadelphia, PA area. Connect with Jabina: http://lifehouseorg.weebly.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Kat - Soapbox edition, sounding off! Hey everyone! It’s just me in this episode, to bring you a special soapbox edition of Mom & Mind. Basically, there are some things that get me really heated about new parenthood, pressures on new moms and dads and the way that we look at the transition to becoming a parent. I have a few choice thoughts…I’m sure you can relate…and I’m sure I won’t cover ALL of them. This episode marks THE one year anniversary of Launching the Mom & Mind podcast! Thank you so much for listening and being a part of this journey into podcasting!!!! It’s sort of hard to believe that it’s been a year, it’s gone by so quickly, I still feel like the podcast just started. I do know that I’m more comfortable doing this than I was a year ago, that’s for sure. I’m getting soapboxy about is harsh reality stuff that LOTS and LOTs of women face... I’m speaking for all of us who ever thought or felt “why didn’t anyone tell me about this”, “I feel crazy”, “this sucks”, “I’m not getting enough help”, “im Some of the topics: *Motherhood is magical *You’ll just know what to do *Getting pregnant, staying pregnant, giving birth, being a new mother is “easy”, *You’ll love everything about motherhood *I'm a Bad Mother *Cant’ say anything negative *Pressure from society *Where’s the f’ing village? Who said we are supposed to do this by ourselves, oh, and also do everything else. THIS IS NOT A VACATION. *You feel crazy without enough sleep *People don’t believe you when you say you’re not doing well NEW STUFF JUST FOR YOU ALL! Download just for you! We’ve put together a list of the 27 Top Tips for New Parents for Mental Health! There are 27 Experts and advocates who have come together from this years episodes to give you their wisdom to help you through the transition to parenthood. I LOVE THIS LIST! Please go grab it from the podcast page website at www.momandmind.com Facebook Group- So, in honor of the year anniversary and of all of you amazing folks listening out there, This is an official announcement! The podcast now has a place just for you, a new FB group called Mom & Mind Connection. I’m personally inviting all of you to join in this closed group, that’s just for listeners to have a place to connect, ask questions about episodes and topics of perinatal mental health, get resources and know that you are not alone. This won’t be a formal support group, as there are already so many great ones out there on FB and online. But it Will be a place to be honest about things, get inspiration or ideas on wellness, have a forum to ask the questions about the podcast episodes that you want more answers for. Support for the Podcast! I’m looking forward to continuing on with the podcast, for as long as I can! While it is a labor of love, it also does cost me quite a bit in time and money. Moving forward, I’ll be looking into sponsorships to help support the growth of the podcast and cover costs which will allow me more time to develop other perinatal mental health projects. When the time is right and the kind of sponsorship is right, you all will hear that the podcast has the support of some organizations or companies. Until then, I’ll be adding a Donation Page for the podcast. LAST BUT NOT LEAST ---- THANK YOU - THANK YOU - THANK YOU!!!!! I'm so happy to have you on board and thank you so much for listening!!!! Learn more about your ad choices. Visit megaphone.fm/adchoices

Elyse Springer, MFT Elyse shares vital info and awareness in this focused conversation on LGBTQ perinatal mental health. There are many many facets to cover, so in this chat, we start with some basics and dig a little deeper into these aspects: -Elyse talks with us about LGBTQ fundamentals and how people identify themselves, sexuality, gender and attraction. -Perinatal mental health is not just "maternal" or "paternal", it's everybody. - LBGTQ parents having to "pass" in straight spaces and the stress that comes with that dynamic. - Intrusiveness of questions from others to explain pregnancy, sexuality and gender related to pregnancy and postpartum. - Trauma related to the history of the person, coming out or other stressors as it can impact the carrier of the child. -Not enough research or studies into the factors that may contribute to postpartum mood disorders for LGBTQ. -Lack of access to care, increased stigma, community inclusion, "fitting" into a category. -Touch on current politics and how that stress could impact making and having a family. - We touch on the intersection of LBGTQ and race There is so much more depth that we can cover and need to cover as you can see from our talk. I'm so glad to learn from my guests and I hope you are too. Please write in to momandmind@gmail.com to send me your thoughts on this and any other episodes of Mom & Mind. Connect with Elyse: http://www.elysespringer.com/ Twitter: @espringermft Elyse Springer M.A., M.F.T. is a licensed marriage and family therapist focusing on perinatal mental health, anxiety and depression, death and loss, HIV/AIDS, substance abuse and creative blocks. Elyse is training faculty and Governing Council for Maternal Mental Health Now, board member for 2020 Mom and past co-chair of the Los Angeles County HIV Mental Health Task Force. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Christine White, ND - Fascinating Discussion about Whole-Person perinatal wellness. What is Naturopathic Medicine and how can it help you? Dr. White tells us how she supports whole-person wellness. We discuss the ways in which pregnant or postpartum mothers can be supported by this type of care, specifically when dealing with postpartum depression, postpartum anxiety and postpartum psychosis. As. Dr. White states "Stress and life change and sleep deprivation are extraordinarily impactful on the being" and we need to address these things to support the perinatal period. This is great information, specifically for mothers who have tried to get support through conventional medicine, but are still not able to feel well. Sometimes there are underlying hormonal or systemic issues that can be addressed for increased wellness. We discuss hormone testing, neurotransmitter testing and so many other cool assessments. How to work with a conventional doctor AND have the support of a Naturopathic doctor as well. I share a little bit about my own experience with Naturopathic medicine as well, specifically related to hormone imbalances. Our chat aims to give you another avenue and perspective on health and wellness, options for care and a deeper understanding of how our bodies function during the perinatal period. I'd love to know what you all think about this episode and welcome your feedback! click here to take a quick survey on your experience listening to Mom & Mind: https://www.surveymonkey.com/r/S6DD7YK Resources from Dr. White: If you are interested in finding a Licensed Naturopathic Doctor, go to http://www.naturopathic.org/ Dr. White Website: http://montananaturalmedicine.com/ Dr. White Facebook - Black Bear Naturopathic Clinic, PC - https://www.facebook.com/Black-Bear-Naturopathic-Clinic-PC-157397260960749/ Dr. Christine White, naturopathic physician, has a general family practice in Missoula, MT where she treats patients along the full spectrum from prenatal to hospice care support. As a naturopathic physician her focus is on treating the whole person, regardless of the specific diagnosis, and working to uncover the underlying, root causes of illness. She has become increasingly involved in the care of women dealing with perinatal mood disorders and offering perspective and treatment options beyond traditional medication options. Dr. White regularly collaborates with colleagues across many disciplines and specialties in the health care realm. Dr. White is actively involved in the profession of naturopathic medicine serving in the state naturopathic association, including past president, as well as holding a Governor appointed seat on the State of Montana’s Board of Alternative Health Care, the licensing board for naturopathic physicians in Montana. Learn more about your ad choices. Visit megaphone.fm/adchoices

Graeme Seabrook, The Postpartum Mama, shares her personal story through a very difficult postpartum depression and how it shaped the work that she does to support moms now. She talks about real self care - not just nice things to do for yourself, but how to change things in your life to keep yourself on the priority list. She is passionate, engaged and upbeat, I'm sure you'll enjoy our chat! Listen in to her insights on what real self care is and why your self care actually important for your family too! There are things you can do to help in pregnancy and postpartum to cope! Find Graeme here: Website: www.graemeseabrook.com Twitter: @graemeseabrook Instagram at @Graemeseabrook Graeme Seabrook is a Life Coach who works with moms to find and re-center themselves in their lives. She is a blogger, a speaker, and a course creator and a mom. Learn more about your ad choices. Visit megaphone.fm/adchoices

Raul Martinez - Postpartum Suicide- The loss of a wife and mother. After losing his wife, Kelly, Raul became a powerful advocate for moms and families. He shares about Kelly, his message to mothers and partners and the work that he does now to advocate for better care of perinatal mothers and families. We talk about how postpartum mood changes impacted his wife and the how knowing what he knows now, what he would have helped to do differently. He shares about the loss of his wife Kelly, her complications from postpartum depression, her specific risk factors which lead to her suicide when their daughter was just 3 months old. He discusses things to look out for and how sleep deprivation factored in for Kelly. Raul emphasizes to take care of the mom too, not just the baby. He offers advice for partners of new mothers Resources If you or someone you know may be struggling, please reach out. You can look at www.postpartum.net, Postpartum Support international for resources in your area as well as information about symptoms and risk factors. Raul shares Kelly's story is in the recently released Documentary - When the Bough Breaks - A Documentary about Postpartum Depression www.mmhcoalition.com www.maternalmentalhealthnow.org www.postpartumstress.com Please take a short minute to complete this anonymous survey about your listening experience: https://www.surveymonkey.com/r/S6DD7YK Raul Martinez lost his wife, Kelly, to complications with postpartum depression in 2010, when their daughter was only 3 months old. Since then, Raul has become an advocate for improvements in perinatal depression awareness, prevention, and treatment. Raul has been featured in documentaries about postpartum depression and has spoken before the California Legislature, at medical training seminars, and to numerous community groups in an attempt to raise awareness and to effect change on behalf of the women, children, and families of California. Learn more about your ad choices. Visit megaphone.fm/adchoices

EPISODE 50! Jane Honikman - Mother of Maternal Mental Health 2 OMG's at once, Jane Honikman is on with us and we are at Episode 50! I'm honored to bring you this weeks episode with Jane, she is the founder of Postpartum Support International which is having it's 30 year anniversary AND the co-founder of Postpartum Education for Parents (PEP) coming up on it's 40 year anniversary this June! Most recently, Jane also co-founded the Postpartum Action Institute, which she runs with Shoshanna Bennett, PhD. In this episode: -Jane talks with us about how Maternal Mental Health as a discipline began, how it's changed and what she hopes to see as we move forward. -The collaboration with Dr. James Hamilton of Marce Society, in getting psychiatry, science, medicine and social supports engaged in helping moms and families. -Silos of healthcare that have made it difficult to establish care for families. -On caring for people, focusing on wellness - "you don't wait for someone to be ill, you automatically assume everybody needs support" -Maternal Mental health should be more about Parental Mental Health because it is about THE WHOLE FAMILY! More from Jane! www.janehonikman.com Books: Community Support for New Families, I’m Listening, My Diary A Postpartum Journey from Pain to Purpose, and Postpartum Action Manual. -Join Jane Honikman and Shoshana Bennett for an Open House Celebration of 40 years of PEP and 30 years of PSI! In Santa Barbara June 3rd and 4th, 2pm-5pm. get more information at jane@janehonikman.com or call 805-967-9757. On June 3rd at 7pm, PEP is also hosting a Playing Monopoly With God - One woman's story through Postpartum Psychosis. Tickets at http://www.sbpep.org/ Postpartum Education for Parents PEP - http://www.sbpep.org/ Postpartum Support International PSI - www.postpartum.net Postpartum Action Institute PAI - www.PostpartumAction.org Marce Society - https://marcesociety.com/ Bio Jane Honikman, M.S. Santa Barbara, California Jane Honikman was born and raised in Palo Alto, California. She moved to Santa Barbara in 1970 and began her career in maternal mental health in 1977 when she co-founded Postpartum Education for Parents (PEP). In 1981 Jane received a grant from the American Association of University Women to study the Growth and Dynamics of Postpartum Support Groups. She became the Executive Director of the Santa Barbara Birth Resource Center in 1984. In 1987 she founded Postpartum Support International (PSI) after organizing a conference on Women’s Mental Health Following Childbirth. She was elected PSI’s first President in 1989 and operated the organization from her home until 2004. Jane has authored many articles and educational materials on postpartum issues and how to start community support networks. Her books are: Community Support for New Families, I’m Listening, My Diary A Postpartum Journey from Pain to Purpose, and Postpartum Action Manual. In 2012 I’m Listening was adapted by the humanitarian organization CARE as a Facilitator’s Training Guide for use in Bangladesh. It has also been translated into Chinese and Hebrew. Her expertise is based upon her struggles as a new mother. Her most recent endeavor is the Postpartum Action Institute. She continues to lecture and train internationally on the role of social support and the emotional health of families. Jane’s own family includes her supportive husband of 50 years, 3 adult children, their spouses, and 8 grandchildren (and a cat). She enjoys living a healthy and active lifestyle in Santa Barbara, California. Learn more about your ad choices. Visit megaphone.fm/adchoices

Special Episode: MMH Awareness Week! Just me, chatting with you! Hey everyone, welcome to maternal mental health week! I wanted to come in and have a chat with you guys about all of the awesomeness happening to raise awareness during the month of May and also touch base about why we need this awareness. The Mom & Mind podcast goal is first and foremost to get information and awareness of maternal mental health issues out in the public. I really really believe that we deserve to be aware and educated on these topics so that we can make informed decisions about our health and mental health. May 1st -7th National Maternal Mental Health Week! MMHCoalition www.mmhcoalition.com http://mmhcoalition.com/mmhawarenessweek/ May 3rd WORLD Maternal Mental Health Day! http://wmmhday.postpartum.net/ (international supporters listed) http://www.postpartum.net/join-us/world-maternal-mental-health-day/ Postpartum support international www.postpartum.net Here are some hashtags to use and follow! #maternalMHmatters #connectthedots #youarenotalone Subscribe to Mom & Mind, find links on www.momandmind.com Other Resources for maternal mental health: www.postpartumstress.com www.maternalmentalhealthnow.org www.seleni.org www.postpartumaction.org www.2020mom.org http://www.med.unc.edu/psych/wmd/ Morel International organizations Marce - https://marcesociety.com/ Africa - www.psnafrica.com UK- http://reachingoutpmh.co.uk/ Please check in with your local area networks in MMH to find out how to support local causes and local actions! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Ivy Love Margulies - Perinatal loss expert & Death Midwife Going through a loss of a child during pregnancy, birth or postpartum can be devastating to a family. It's also hard to know what to do...how to even make decision moving forward. Psychlogist, Dr. Ivy Love Margulies shares her expertise in perinatal mental health, reproductive mental health, perinatal loss and her unique work as a death midwife, Reiki healer and ritual facilitator. We discuss: - Many parents are also dealing with trauma and PTSD after infant loss and we talk about how distressing it can be to deal with that in addition to the loss. - Parents may be experiencing symptoms that are outside of "standard" Grief that are hard to understand. We talk about some of those too, which is so important to be aware of. - How men and women grieve differently and things that you may notice about your partner. - Trying to understand how you will get through this. - Ivy also supports parents through the process of grief with her work as a death doula or death midwife by creating ritual, using healing crystals, meditation and many ways to help a parent ground themselves and find ways to comfort. Resources: Contact Ivy for a Grounding meditation and more about the resources she offers: http://drivymargulies.com/ drivylove@gmail.com Angels Born Still Pregnancy Loss Therapist Directory Facebook: Dr. Ivy Margulies Angels Born Still Instagram: @drivymardulies Learn more about your ad choices. Visit megaphone.fm/adchoices

Diana Collins- Personal Struggle and Loss of a friend *Sensitive Content* Please be aware that our discussion may be overwhelming for some people. Resources for support listed below. We discuss Diana's friend who died from postpartum depression suicide. Diana also shares some of her personal struggle with depression and her suicide attempts. We are going to learn about how her personal story, losing her friend to postpartum suicide has shaped what she is doing now to spread awareness. - She tells us her experience of losing her friend to PPD suicide - what the impact has been on her, her friends, family - Diana's own struggle and effects on marriage - Messages she has to mothers who are suffering - The podcast she started in her friends honor : Always With Me Podcast Diana is Mom of two beautiful girls and has been married to her best friend of 4 years. Two under two is tough but never boring! She loves spending time with her little family, crafting, and reading. She recently quit her day job to accomplish a mission in spreading PPD and suicide awareness by sharing other mothers stories on her podcast called, Always With Me. Although she has experienced a tragedy, she has found joy and has never been happier. Life is so short and we must choose to live every single day! Facebook page: https://www.facebook.com/Alwayswithmepodcast/ Website: www.Alwayswithme.org If you are in need of your own support, please contact: Postpartum Support International at www.postpartum.net or call the warmline at 1-800-944-4773. The National Suicide Prevention Hotline: 1-800-273-8255 Learn more about your ad choices. Visit megaphone.fm/adchoices

Jamie Zahlaway Belsito Do you ever wonder who is doing any thing about maternal mental health? LOTS OF PEOPLE! Listen in to Jamie to find out what is being done and about the rockstars who are at the forefront. Jamie is the Director of Advocacy for the National Coalition for Maternal Mental Health. She tells us about the national legislation that is up regarding PPD and why it's important. “Bringing Postpartum Depression Out of the Shadows Act of 2015” (HR3235/S2311]) -How to get people involved -Potential impacts of the bills (what happens if they pass, don't pass) -Lobby day- May 17th and 18th 2017 in DC Jamie Zahlaway Belsito is a member of the the North Shore Postpartum Taskforce [NSPPDT and is a Commissioner with the Commonwealth of Massachusetts Special Commission on Postpartum Depression. Jamie helps educate the Statehouse and stakeholders on maternal mental health illnesses, gaps in the system and what mom’s may need to get better. Jamie partnered with grassroots groups and local legislators to help ensure passage of funding for MCPAP for Mom’s, PPD pilot program and implementation of universal maternal mental health screening for Mom’s in the Commonwealth, commencing in 2016. In partnership with Senator Lovely, Senator Tarr and Representative Story, Jamie helped to establish the first ever maternal mental health Advocacy and Awareness Day at the Statehouse in June 2015. Jamie has since been working with Congresswoman Katherine Clark [D- MA5], Senator Elizabeth Warren [D- MA] and Senator Ed Markey [D- MA] offices on federal level maternal mental health complications legislation. She is working with Congress to pass House and Senate bills “Bringing Postpartum Depression Out of the Shadows Act of 2015” [HR3235/S2311]. She has over 15 years working in state and federal advocacy. Jamie is a two time survivor of pregnancy and postpartum depression. It was during this time that Jamie learned first hand about the difficulties of finding quality mental health care to address maternal mental health complications, as well as the lack of communication around the issue of maternal mental health complications at the OB/GYN’s, primary health care, and pediatrics offices. www.mmhcoalition.com https://twitter.com/MMHcoalition https://www.facebook.com/MMHCoalition Jamie on FB - https://www.facebook.com/jamie.zahlawaybelsito Learn more about your ad choices. Visit megaphone.fm/adchoices

LaShonta Edwards - A Mothers Sanctuary LaShonta is a doula, advocate, author of A Dark Secret, founder and CEO of A Mothers Sanctuary. She shares with us the amazing work and model program that she is doing in Huston, Texas to help mothers and families in the community. What is so great about her organization is that it both offers workshops for moms to learn about postpartum depression and postpartum anxiety, they offer support groups AND educate the community health care providers, including Mental Health First Aid classes. This is vital work. The first Gala to benefit the organization is coming up in May, see details below! She shares her book A Dark Secret, where 15 different women came together to tell their personal stories of pregnancy and postpartum mood challenges, including their messages of hope...how they healed from their Dark Secret. The book is for all of us mothers who have been through this pain and who need to see ourselves reflected in the world. Things like postpartum depression, postpartum anxiety, postpartum OCD, and so much more...the book shows us that we are not alone. A Mothers Sanctuary: www.Amsmothers.com Living Life with LaShonta: www.Lashontaedwards.com A Dark Secret - http://lashontaedwards.com/a-dark-secret/ A Mothers Sanctuary Gala - May 6th - with Keynote from Jane Honikman, MS, founder of Postpartum Support International https://www.eventbrite.com/e/an-evening-of-hope-masquerade-gala-tickets-31490890100 Learn more about your ad choices. Visit megaphone.fm/adchoices

Elly Taylor - Becoming Us Now there IS a training manual for becoming a family! We talk in depth about the stages and life changes that couples go through when they bring a baby into the relationship. It’s hard for a lot of expecting parents to know what they DON’T know. She says that we can prepare parents for the unknown and she has figured out how. Did you know that the transition to parenthood can take years? And Parents don't change at the same times? Elly Taylor tells us about her research and work supporting the transition to parenthood. We will talk about some of the misconceptions about becoming parents, what couples can do to prepare and grow together smoothly… while Becoming Us Elly Taylor is an Australian Relationship Counsellor, Parenthood Researcher and Writer. She began researching the transition into parenthood when she and her husband started experiencing stretch marks in their relationship at a time they thought they would be happier than ever. She discovered this was normal and was on a mission to find out why. Over 15 years, Elly researched the transition and was shocked to find that partners went through different stages as they adjusted to becoming parents. She wants the next generation of parents to be prepared for this. More from Elly Taylor: Elly will be speaking at the Northwest Area Childbirth Educators Forum Live level one training- NACEF in Portland Or, May 5th 2016 http://nacef.net/annual-conference-may-5-2017/ Book- Becoming Us: 8 steps to grow a family that thrives Becoming us facilitator training…bring the knowledge to your community Social media links: www.Ellytaylor.com Facebook - https://www.facebook.com/EllyTaylorBecomingUs Twitter - @Becoming_Us LinkedIn - https://www.linkedin.com/in/ellytaylor/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Jessica Diggs - Birth Disparities Thank you Jessica for being on with us to talk about this, vital to understand and very distressing reality for pregnant and postpartum mothers. We have to be doing better by mothers. Learning from Jessica in this episode is an important part in doing better, being more aware and taking intentional steps to be more supportive to mothers. We talk about what birth disparities means, effects on pre-term labor and infant mortality, stats on birthrates and effects of disparities on African-American women and babies, how the stress of systemic racism effects health and mental health, what should we be doing differently and how can we be better support and advocate for pregnant and postpartum mothers of color. Jessica Diggs is a DONA certified birth doula, ICEA trained childbirth educator, and NCM midwifery student. She aspires to become a midwife who works alongside the obstetric and doula communities for collaborative maternity care. Jessica provides evidence-based information to expecting families and believes in freedom of choice based on knowledge of alternatives in childbirth. Along with her birth work, Jessica is also the proud owner of a small childcare agency called Child & Friend. Find out more from Jessica here: Website: www.jessicadiggs.com Instagram: @jessicaadiggs Learn more about your ad choices. Visit megaphone.fm/adchoices

Parijat Deshpande, High Risk Pregnancy - How to talk with your providers. In this episode, we discuss how we don't know what we don't know...That it's okay and necessary to ask questions, talk with providers, ask for needs to be met...why it's okay and important to ask questions...who can be an ally in the process...what kinds of questions can a mom be thinking about? We are talking about how communication with the doctors or medical team can help manage stress and be supportive to the mental health of the mom.Check back on episodes 21: High risk pregnancy and 27: Bed rest. Parijat Deshpande is the leading perinatal wellness expert who specializes in working with women during a high-risk pregnancy. She educates and guides women on how to manage their stress and anxiety so they can have healthier pregnancies, decrease their risk of preterm birth and give their baby a healthy start to life. Parijat is a clinically trained therapist, a women’s wellness expert and an experienced speaker on the impact of stress on health and wellness. Parijat is also a certified wellness coach, a certified stress management coach and a certified marriage educator. Parijat is the creator and host of a Podcast called Delivering Miracles that is all about supporting women who are struggling to get pregnant, stay pregnant, and healing when baby comes home. Find all of the help here: www.parijatdeshpande.com - Free resources Facebook: facebook.com/parijatperinatalwellness Twitter: twitter.com/parijatdesh Instagram: instagram.com/parijatdesh Podcast Page: https://deliveringmiracles.wordpress.com/author/deliveringmiracles/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Kiley Hanish - Return to Zero It's hard to imaging being able to get through the loss of a baby during pregnancy. Kiley shares with us some of her story and how her experience shaped what she does now to help other mothers who have lost a child. Kiley's talks about how the stillbirth of her son affected her, the retreat for grieving mothers and the film "Return To Zero" that she and her husband created. We talk about ways that stillbirth affects mom and dad, the feelings that can come up, Ideas and ways that you can honor yourself and your baby. It's also important for healthcare providers to understand how to support the family through the loss. Dr. Kiley Hanish is a bereaved mother, founder of the Return to Zero Center for Healing, and doctor of occupational therapy at the University of Southern California. Kiley and her husband Sean are creators of the Emmy-nominated film Return to Zero, which is based on their personal experience of their son Norbert, who was stillborn. This experience of the film inspired her to create the Return to Zero Center for Healing. Dr. Hanish has dedicated her practice to bringing occupational therapy to the community of bereaved mothers and the providers who interact with them. Here are links to the things we discussed: http://www.returntozerohealingcenter.com/ Next Healing Retreat May 18-21: http://www.returntozerohealingcenter.com/ojai/ Facebook: https://www.facebook.com/returntozerofilm/ Other resources and training for health professionals: Find a therapist in your area: www.pregnancylossdirectory.com www.resolvethroughsharing.com www.shoshanacenter.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Karen Kleiman, MSW, LCSW Oh, this is such a great chat! We talk about helping pregnant and postpartum mothers, Karen's scope of work, training providers so they can really help these moms and of course, her latest book "The Art of Holding in Therapy: An Essential Intervention for Postpartum Depression and Anxiety". Great stuff! Karen Kleiman, MSW, LCSW, is Founder and Executive Director of The Postpartum Stress Center. Founded in 1988, The Postpartum Stress Center is a treatment and professional training center for pregnancy and postpartum depression and anxiety. She is author of 9 books on perinatal distress including the groundbreaking title: This Isn't What I Expected: Overcoming Postpartum Depression, now in its second edition, and Therapy and the Postpartum Woman. Her latest book is The Art of Holding in Therapy: An Essential Intervention for Postpartum Depression and Anxiety. All I can say is...Get all of the books! Please find more of Karen's work and information here: Website: http://postpartumstress.com/ Twitter: @ppstresscenter Instagram @postpartumstress Fb: The Postpartum Stress Center Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Samantha Meltzer-Brody Dispelling the myths of medication use in pregnancy and postpartum We are talking with Expert Dr. Samantha Meltzer-Brody about psychiatric medication during pregnancy and postpartum. We will go over some of the fundamental things it’s important to know about med use, risks to mother or baby for treated AND untreated illness, clear up some of the misconceptions of medication use and hopefully give you a good understanding of the risks and benefits. Dr. Samantha Meltzer-Brody, MD, MPH, is an Associate Professor and Director of the UNC Perinatal Psychiatry Program of the UNC Center for Women’s Mood Disorders. Which is the first program of its kind in the US. She is currently funded by multiple NIH grants to investigate epidemiologic, genetic, and other biomarker models of postpartum depression and has recently worked to establish an international postpartum depression genetics consortium (PACT). In addition, she is investigating novel treatment options for depression in perinatal women. Dr. Meltzer-Brody also studies maternal depression in high-risk groups including adolescent mothers, and mothers of children with neuro-developmental delays. Find all of the resources we discussed here: www.womensmooddisorders.org PPDACT app http://www.pactforthecure.com/ https://thehummingbirdstudy.com/ Twitter: @uncwomensmood Facebook: https://www.facebook.com/pg/UNCWMD/about/ www.postpartum.net www.postpartumprogress.org Learn more about your ad choices. Visit megaphone.fm/adchoices

Onyedikachi Ekwerike I’m honored and excited to have Onyedikachi Ekwerike, speaking with us from Nigeria about maternal mental health for African mothers. He discusses some of the culture specific challenges for African mothers, how maternal mental health has been historically understood, stigma around maternal mental health issues, the work being done in Nigeria and throughout Africa to spread awareness and advocate for mothers. Onyedikachi Ekwerike is a clinical psychologist and the founder of Postpartum Support Network Africa (PSN Africa) an organization he set up in 2015 to raise awareness about PPD in Africa and provide support for mothers suffering PPD in Africa. He's a member of the international task-force that planned and executed the first ever 'World Maternal Mental Health Day' held May 4th 2016. Find out more about this essential work here: Website: www.psnafrica.com Instagram, Twitter @psnafrica Facebook: psnafrica Learn more about your ad choices. Visit megaphone.fm/adchoices

Melissa Bangs tells us parts of her personal story of postpartum mania and psychosis, a hospitalization, how her husband and supports helped her through and how her experience transformed into a powerful stage performance. She is a writer, director, storyteller and comedian who is currently on a year-long West Coast tour with her husband, Eric, four year-old daughter, Adelaide and 130 pound Bernese Mountain Dog, Etta James. They are touring Melissa's nonfiction storytelling performance PLAYING MONOPOLY WITH GOD & OTHER TRUE STORIES, a tragicomedy unlike anything you have ever experienced. In September 2012, at 40 years old, Melissa Bangs gave birth to her beautiful daughter Adelaide. A month later, dramatically hormone depleted and sleep deprived, Melissa is admitted to the an in-patient psych unit in a complete manic state. After nearly a month, she is sent home with a bipolar diagnosis and on lithium. What comes next is an extraordinary journey. Find Melissa Here: You can watch the trailer, read reviews, purchase tickets, check tour dates (upcoming dates and locations listed below)! Website: www.playingmonopolywithgod.com Facebook: Playing Monopoly With God & Other True Stories Twitter: @melissabangs1 Follow the tour and connect others with the show up and down the West Coast and far beyond by LIKE-ing Playing Monopoly with God & Other True Stories on Facebook or Melissa Bangs on Twitter and then sharing posts and tagging friends. Upcoming Shows!!!! Pasadena, March 17th & 18th Santa Cruz, April 26th Santa Barbara, June 3rd Portland, August 4th, 5th & 6th Dates to be set soon in San Diego and the Bay Area!!! Learn more about your ad choices. Visit megaphone.fm/adchoices

Postpartum Psychosis I’m honored to have expert Dr. Diana Barnes back with us today to discuss Postpartum Psychosis. This is a highly-misunderstood part of postpartum mental health and it absolutely needs to be understood and clarified so that mothers get the help they need. See below for supportive resources. We will go over: -What IS postpartum psychosis? - Who is at risk? -"How" does this happen? - The most important things for people to know about PPP -Speak to the stigma and how that damages mothers -How can we support and better interact with a mom who is suffering? Please go check out Episode 7: The Good Mother, where Dr. Barnes discusses the psychological gestation of motherhood. It’s an essential and fascinating look in to how we become mothers. Diana Lynn Barnes Psy.D, LMFT is a past president of Postpartum Support International is a member of the training faculty of Maternal Mental Health Now in Los Angeles as well as the California statewide Maternal Mental Health Collaborative and the 20/20 Mom project. She also sits as the mental health consultant for the California Commission on the Status of Maternal Mental Health Care. In addition to private practice specializing in women’s reproductive mental health, Dr. Barnes presents nationally and internationally. As an Expert witness, she has had close to 60 cases in the last 15 years all over the country covering everything from pregnancy denial and neonaticide to postpartum psychosis and infanticide to child abuse causing death. More from Dr. Barnes: Book: Women’s Reproductive Mental Health Across the Lifespan (Springer, 2014) http://www.springer.com/us/book/9783319051154 Website: http://dlbarnes.wixsite.com/dianalynnbarnes Facebook: https://www.facebook.com/TheMotherhoodConsortium/ Postpartum Psychosis resources/support/information: http://www.postpartum.net/get-help/postpartum-psychosis-help/ http://www.postpartum.net/learn-more/postpartum-psychosis/ Action on Postpartum Psychosis (UK): http://www.app-network.org/ http://www.postpartumprogress.com/the-symptoms-of-postpartum-psychosis-in-plain-mama-english Learn more about your ad choices. Visit megaphone.fm/adchoices

Sarah Randall, Psy.D. Coping with Perinatal PTSD We are talking with Dr. Sarah Randall today about PTSD (Post Traumatic Stress Disorder) related to maternal mental health and how it can show up during pregnancy, birth and postpartum. Trauma can result from a real threat to life, to a moment where a person feels that they don't have control. It is really in the eye of the beholder, sometimes others may not even realize that you have experienced something traumatizing. -We talk about what PTSD can look like or feel like -Vulnerable times and how to cope -What to do and what kind of help to get Many mothers (and fathers) deal with the symptoms of PTSD and may not know what is happening. We will discuss what PTSD is, how it affects moms, and considerations for healing or treatment. Dr. Sarah Randall is a licensed psychologist at Calabasas Behavioral Health specializing in peripartum mood and anxiety disorders. She also has extensive experience with trauma resolution. Dr. Randall received her doctorate from Pepperdine University, where she is an adjunct professor at the Graduate School of Education and Psychology. www.calabh.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Gabrielle Kaufman LPCC, BC-DMT, NCC Postpartum Suicide is a very real risk to new mothers. In this episode we are discuss Suicide as it relates to maternal mental health and postpartum, resources to support prevention of suicide (see below), as well as: -Suicide is the 2nd leading cause of postpartum maternal deaths! -Asking about suicide does not “give” someone the idea to do it. -what to look for and how to be there for a new mom. -Suicide is preventable when we get mom the right help Clearly, this is a very difficult topic, but it is essential that we talk about this so we can all be aware of the very real impacts of mental health for new moms, and more importantly making sure that moms are safe and well cared for so that we can prevent suicide in postpartum. Gabrielle Kaufman is a dance/movement therapist and licensed professional clinical counselor with over 20 years experience in the helping profession. Currently, she is director of Training and Technical Assistance for Maternal Mental Health NOW. Ms. Kaufman has spoken widely, published articles on parenting, and served as editor for Bringing Light to Motherhood. She serves as Los Angeles coordinator for Postpartum Support International, is on faculty of PSI/2020 Mom, and UCLArts and Healing, and has a private practice in Los Angeles providing services in both English and Spanish languages. Maternal Mental Health NOW www.maternalmentalhealthnow.org Facebook: https://www.facebook.com/MaternalMentalHealthNow/?fref=ts Instagram: @maternalmentalhealthnow Twitter: @MMHealthNow Gabrielle Kaufman : www.gabriellekaufman.com Suicide Prevention Resources: APP (support) www.my3app.org www.Suicideispreventable.org https://suicidepreventionlifeline.org/ National Suicide Hotline: 1-800-273- TALK (8255) Postpartum Support International (warmline, leave a message, non-emergency) 1-800-944-4773 _______________________________________________________________ This episode was sponsored by 2020Mom 2020Mom is hosting the 7th Annual "Emerging Considerations in Maternal Mental Health" This year's Forum will be held in Los Angeles on February 13th and will discuss the MMH link to hormones and inflammation, as well as the role of diet. You can register for the live event in Los Angeles or view a webcast from the comfort of your own home or office. So, anywhere in the world you are, you can watch this forum! Learn more at www.2020mom.org/annual-forum *** Listeners of this podcast will also receive a 15% discount by using registration code MOMANDMIND *** Also, Listen back to episode 11 where I interview Joy Burkhard, the founder and executive director of 2020 mom. Thank you 2020Mom for supporting this Podcast! Learn more about your ad choices. Visit megaphone.fm/adchoices

Deb Rich, Ph.D. Understanding perinatal grief. We are talking with Dr. Deb Rich about pregnancy loss and neonatal loss. This is a very difficult topic for folks to hear about, but even harder for those families who are trying to deal with the loss of a child. Its so important for us to be talking about pregnancy loss…the impacts on the family…and how to support people who have experienced loss. We discuss: -The different kinds of pregnancy loss and neonatal loss. -The importance of understanding loss as how it may impact the transition to parenthood. -This type of grief needs a deeper understanding for the complexities that it brings. -Being informed is important because mothers, fathers AND Providers will either experience loss or be in a position to support others who have. -How to get support and be supportive during this difficult time. Deb Rich, PhD. is a licensed psychologist with over 25 years of specialty experience. She provides patient care, consults with local health care professionals, teaches graduate, medical and nursing students, and lectures nationally. She is the founder and clinical director of Shoshana Center, which is named in memory of Dr. Rich’s first child, a daughter, who was stillborn in 1985. Dr. Rich is the creator and facilitator of MommaCare training and Perinatal Bereavement Training in St. Paul Minnesota. I have taken this training and I HIGHLY recommend this for psychotherapists working with perinatal mothers. Connect with Dr. Deb Rich Website: http://www.shoshanacenter.com/ Training: http://www.shoshanacenter.com/mommacare.shtml Facebook: https://www.facebook.com/ShoshanaCenter/?fref=ts For more support in your area, check out Resolve Through Sharing: www.bereavementservices.org _________________________________________________________________ This episode was sponsored by 2020Mom 2020Mom is hosting the 7th Annual "Emerging Considerations in Maternal Mental Health" This year's Forum will be held in Los Angeles on February 13th and will discuss the MMH link to hormones and inflammation, as well as the role of diet. You can register for the live event in Los Angeles for $95, or view a webcast from the comfort of your own home or office for $50. So, anywhere in the world you are, you can watch this forum. Listeners of this podcast will also receive a 15% discount by using registration code MOMANDMIND. Learn more at www.2020mom.org/annual-forum. To learn more about 2020Mom, listen back to episode 11 where I interview Joy Burkhard, the founder and executive director of 2020 mom. Thank you 2020Mom for supporting this Podcast! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Juli Fraga Asian American Moms: Cultural Sensitivity in the perinatal period. In this episode, we discuss maternal mental health in the context of Asian cultures. There are many different cultures under the banner of Asian American, so we are giving an overview of some cultural considerations to keep in mind when supporting an Asian American mother. We will talk about some of the cultural challenges faced by pregnant and postpartum mothers, and how to better support their mental health. Some of the important topics we discuss: *Individualistic (western) vs. Collectivist (non-western) cultural perspectives on family, pregnancy and postpartum *Thinking about cultural components that providers can be sensitive about for the mother *Some of the “non-western” concepts of birthing and motherhood. Dr. Juli Fraga is a psychologist in San Francisco where she specializes in maternal mental health concerns. She also co-facilitates a postpartum support group, "The Afterglow" at UCSF, as well as a three-week pregnancy support circle, "The New Nest." Dr. Fraga is also a freelance health writer and she's written about women's health concerns for Refinery29, NPR, Quartz, Psychology Today, The Huffington Post and the Washington Post. Connect with Dr. Fraga here: Twitter @dr_fraga www.drjulifraga.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Helena Vissing, Psy.D. Our bodies, our minds and how we understand them in the change to motherhood. In this episode we are talking with Dr. Helena Vissing, about maternal ambivalence and some of the feminist psychanalytic and somatic perspectives on how women feel about their body related to pregnancy and postpartum. We are looking at how to broaden our understanding of maternal ambivalence and how ambivalence comes up how our body in motherhood. We discuss the mental changes of becoming a mother and the mixed feelings we sometimes have about our children - Love and Hate - Dr. Vissing has a Psy.D. in Applied Clinical Psychology. She has experience working as a School Psychologist and in private practice from her home country Denmark. She moved to Los Angeles in 2010, where she conducted a doctoral dissertation study on the experience of becoming a mother in the Psy.D. program at The Chicago School of Professional Psychology. She has published peer-reviewed articles and book chapters on the psychology of the emotional and somatic changes related to motherhood. She is active in the non-profit organization Maternal Mental Health NOW She works in a group practice called Triune Therapy Group, where she runs a moms group. She is also Adjunct Faculty at The Chicago School of Professional Psychology. Helena is contributing with a chapter to a book titled "A Womb of Her Own: Women's Struggle for Sexual and Reproductive Autonomy" which will be released in January. Helena's chapter is an exploration of the Birth Rights Movement and the psychology of birth. Check it out here: http://section-three.org/events-calendar-2/upcoming-book/ Connect with Helena here: Blog: All Things Maternal allthingsmaternal.wordpress.com Twitter: @allthingsmat Triune Therapy Group facebook: https://www.facebook.com/triunetherapy/ Facebook group called Maternal Studies Scholars Network https://www.facebook.com/groups/787721161279489/?fref=ts Learn more about your ad choices. Visit megaphone.fm/adchoices

Lauren DePaola, LCSW SLEEP, SLEEP, SLEEP! We are talking about a very important topic…SLEEP! We’ve all heard that new moms and parents don’t sleep when they have a baby, but its actually a pretty huge deal. Lauren DePaola is going to give us the information we need to know about how it Impacts us and why we need to be taking a closer look on protecting our sleep as much as possible. We cover stages of sleep, how much sleep you really need and what kind, what can happen when you don't get enough sleep and why its so important!!!! Lauren DePaola, LCSW is a wife, mother of two boys and a Licensed Clinical Social Worker in Florida. She owns a private mental health practice with a focus on reproductive mental health: Postpartum Wellness & Family Counseling, located in Gainesville, FL. Lauren is the founder of the Alachua County Perinatal Mental Health Coalition, the President of the Florida Chapter of Postpartum Support International and Co-Chair of the newly formed Florida Maternal Mental Health Collaborative. website: www.postpartumwellnessandfamilycounseling.com Facebook: https://m.facebook.com/pwandfc/ Alachua County Perinatal Mental Health Coalition website: http://ppwandfc.wixsite.com/acpmhc Learn more about your ad choices. Visit megaphone.fm/adchoices

Lisa Cross, LMFT Finding Empowerment and Meaning through your pregnancy or postpartum experience. On this episode we are talking with Lisa Cross, LMFT about finding empowerment and meaning in your pregnancy, birth or postpartum story. This is an essential piece of making your way through the struggle that can come with pregnancy and postpartum. As you find your way through, your meaning may be very personal, your empowerment may only be known to you, or it could be a huge life changing experience. In any case, finding meaning or empowerment in our experiece can be incredibly healing. Lisa is a licensed marriage and family therapist who is in private practice in Plymouth Minnesota and also serves as the Co-Director of a non-profit organization called Pregnancy & Postpartum Support MN. She has a certificate of training in Perinatal Mental Health through Postpartum Support International. 12 years ago this, Lisa welcomed her first child into the world. Along with her daughter came an illness called Postpartum OCD. Unprepared for this disorder, she embarked on a battle to understand and overcome her illness. It was this experience that lead her to focus her career in Perinatal Mental Health. Connect with Lisa and PPSM here: Pregnancy and Postpartum Support Minnesota www.ppsupportmn.org Facebook Twitter and Instagram @ppsupportmn Lisa Cross, LMFT Twitter @lisacrosslmft Learn more about your ad choices. Visit megaphone.fm/adchoices

Jessica Scales, LMFT How much do we really think about how a baby will impact or change the relationship that we have with our partner? Generally, not enough! This episode discusses that topic and how to be intenetional about life with a new baby! In this episode we will talk with Jessica Scales about how to help couples navigate the changes that new parenthood brings. It can be hard to know if you need that kind of support or not, most folks think they will be fine, but really, everyone can use this kind of support. Jessica Scales is a licensed Marriage and Family Therapist practicing in the greater Seattle area. She works with both individuals and couples to navigate life transitions with intention, specifically, couples transitioning from a childless couple to parenthood. She teaches a Life with Baby class to help couples identify and plan for common relational challenges couples face when becoming parents. www.nextleveltherapynw.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Parijat Deshpande - High Risk Pregnancy Wellness Expert I'm excited to share the second interview in our series with Parijat Deshpande. In our first interview, Episode 21: High Risk Pregnancy? Who, What, How & Thrive, We discussed how high risk pregnancy might lead to bed rest, so please go check that out too! In this episode, we are discussing Bed Rest, what that is, how it impacts mental health and how to cope. Parijat Deshpande is the leading perinatal wellness expert who specializes in working with women during a high-risk pregnancy. She educates and guides women on how to manage their stress and anxiety so they can have healthier pregnancies, decrease their risk of preterm birth and give their baby a healthy start to life. Parijat is a clinically trained therapist, a women’s wellness expert and an experienced speaker on the impact of stress on health and wellness. She has over 4 years of experience as a Psychology Lecturer UC Berkeley and is the founder of MySahana, a South Asian mental health nonprofit. Parijat is also a certified wellness coach, a certified stress management coach and a certified marriage educator. Find Parijat here: Facebook: facebook.com/parijatperinatalwellness Twitter: twitter.com/parijatdesh Instagram: instagram.com/parijatdesh LinkedIn: linkedin.com/in/parijatd Learn more about your ad choices. Visit megaphone.fm/adchoices

Jessica A. Walker B.S, RADT Jessica shares some of her personal story of working through postpartum depression. We talk about some of the stressors that Black, African-American and women of color face during motherhood. Our conversation is a small part of the necessary conversations around how race, ethnicity and culture impact motherhood. Jessica is a Joyologist, Reseracher & Your New Media Producer works as the president of JAW Research Institute, an online business education institute and social advocacy media enterprise. Jessica is a standing contributor to California Task Force on the Status of maternal mental health with 2020 Mom, Speaker for stop stigma Sacramento a multimedia projects which aims to reduce stigma and discrimination that face individuals living with mental illness, NAMI California peer support workshop facilitator, Media start youth educator for national inst., Eunice Kennedy Shriver National Institute of Child Health and Human Development volunteer, bridge network helping incarcerated teen mothers, and works along side physician and psychologist to increase cultural competence in service delivery to mothers & ethnic groups. When SHE ISN'T IN HER CLOSET HIDING OUT eating cookies and drinking milk. You can catch her using social media as a tool to spread awareness, educate the world, teach people how to use happiness in a professional and personal context to make a positive impact in the lives of others, show up in the world and make it happen every day. As a mother of 6, wife, dancer, sister and daughter, daily she suffers from lack of sleep and dehydration among other things but she wouldn't have it any other way. Author of the forth coming book & Online course Happily Depressed - The Work set to be released in 2017 Her mission statement is Wellness in life & in business. Jessica A. Walker (JAW) http://www.jawresearchinstitute.com/#bio Sign up: http://bit.ly/jawMIM Learn more about your ad choices. Visit megaphone.fm/adchoices

Courtney Novak- Personal Story, postpartum mental health This episode contains content that may be sensitive for some listeners. In this episode, we are talking with Courtney Novak about her personal experience and journey through postpartum mental health struggles. Her story and experiences like hers are so important for us to hear and understand. She discuses some important details about how breastfeeding concerns impacted her, what can happen in our thoughts, intense feelings, interactions with family and with health care providers. We need to know that these mental health complications are very real and they happen to very real people. Also… that help and healing is possible. Courtney will share with us her experience and how she is now helping moms through her own podcast and community support. Courtney had postpartum depression, postpartum anxiety, and postpartum OCD after the birth of her daughter Pippa in 2013. As part of her recovery, she started writing a memoir, Adventures With Postpartum Depression, that will be published in early 2017. She wanted to share more than her own story, though, so she started a weekly podcast called Adventures With Postpartum Depression. She also runs a weekly peer-to-peer support group for moms who have or had a maternal mood disorder. See below for ways to connect with Courtney Social media: IG @courtney_novak FB Facebook.com/PPDadventure. Website PPDadventures.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Lindsay Lipton Gerszt shared her story about the difficulty she experienced after the birth of her son. Her story is highlighted in a new documentary called “When the Bough breaks- a documentary about postpartum depression”. I was able to see this documentary when it screened and can attest to the power and necessity of this film. If you’ve been listening to the podcast and hearing stories from mothers, you may be seeing that pregnancy and postpartum mood changes happen to a lot of women. Hearing their experiences is so important, so that we can really have a heartfelt understanding of moms during this time of life. I’m honored to have Lindsay here to share her story. Lindsay was born and raised in Miami, Florida. Lindsay had the pleasure of working with, managing and doing PR for some of the biggest artists in the music industry. In 2007, she stepped back from the music industry to begin her beautiful family. It was at this stage in her life, that she came face to face with postpartum depression. She has now committed herself to raising awareness for PPD, it's many faces and the path to a healthy life and family. Her commitment to PPD has included working on the important documentary...When The Bough Breaks-a documentary about postpartum depression, as well as fundraising, producing and telling her story, along with helping other women tell their story. This effort has become her passion. About the Film (from the website): "When The Bough Breaks is a feature length documentary about postpartum depression and postpartum psychosis. Narrated and Executive Produced by Brooke Shields, this shocking film uncovers this very public health issue which affects one in five new mothers after childbirth. The film follows Lindsay Gerszt, a mother who has been suffering from PPD for six years. Lindsay agrees to let the cameras document her and give us an in depth look at her path to recovery. We meet women who have committed infanticide and families who have lost loved ones to suicide. Babies are dying, women aren't speaking out and the signs are being missed. When The Bough Breaks takes us on a journey to find answers and break the silence. This film also features stories from singer Carnie Wilson, actress Tanya Newbould, celebrity chef Aarti Sequeira and Peggy Tanous of The Real Housewives of Orange County." The Documentary can be found: Website: http://www.whentheboughbreaksfilm.com/#/ Documetary Trailer is on YouTube FB: When The Bough Breaks - A Documentary About Postpartum Depression Twitter: @boughbreaksdoc Learn more about your ad choices. Visit megaphone.fm/adchoices

Mark Williams: Paternal Postpartum Depression “He’s not talking about it” This episode contains sensitive content for some listeners. On this episode, I get to chat with Mark Williams, a dad who when through paternal postpartum depression and is now an amazing advocate for Dads perinatal mental health. He is sharing with us some of his own story, some of his wifes journey through her Postpartum Depression and how he is getting the word out as a speaker around the world. He is from the UK, but recently spoke in Melbourn Austrailia at the Marce Sosciety conference, in Seattle speaking on mental health with the PSI and was asked to speak for the www.headstogether.org.uk campaign with the Royal Family!!! So Cool! We touch on topics related to Paternal Postpartum Depression, Maternal Postpartum Depression, Traumatic Birth, coping with substance use, suicidal ideation and the lack of services and knowledge that so many families face. He discusses how the traumatic situation of his son’s birth affected his wife and himself, how things for them worsened quickly and the journey of how he came to be a speaker and supporter of parental mental health. He hopes that providers take a FAMILY FOCUSED approach to caring for people during pregnancy, birth and postpartum. Fathers Reaching Out - UK http://www.reachingoutpmh.co.uk/ https://twitter.com/MarkWilliamsROW @MarkWilliamsROW ____________________________________________________________ Mom & Mind Podcast with Creator and Host, Dr. Kat, Katayune Kaeni, Psy.D. Mental health during conception, infertility, pregnancy, pregnancy loss, birth and postpartum. More episodes on www.momandmind.com , iTunes, YouTube, GooglePlay Music and Stitcher Radio. You deserve to be informed! Learn more about your ad choices. Visit megaphone.fm/adchoices

Using laughter and empowerment to heal NaKaisha Tolbert-Banks, LCSW, LCAC, CLYL, CEC, ELI-MP In this episode, we are talking with NaKaisha Tolbert-banks. She is sharing some of her personal story and journey through Postpartum Depression and how she got through it, as well as her professional role as a clinical social worker helping people through perinatal mood disorders and she is also a Laughter Coach utilizing laughter and humor for therapeutic purposes. NaKaisha is a Licensed Clinical Social Worker and Licensed Clinical Addictions Counselor. She is a Certified Laughter Yoga Leader as well as a Certified Empowerment Coach. NaKaisha serves as Adjunct Faculty for the University of Cincinnati, and has previously been Adjunct Faculty for Indiana University’s School of Social Work. NaKaisha believes there is no health without mental health, and translates this belief into her private practice, D.U.O. EmpowerMEnt Services. She provides professional counseling and life coaching services, and educates the community through various speaking opportunities on various aspects of mental health and wellness. In her spare time, NaKaisha enjoys spending quality time with friends and family, cooking, baking, and traveling. NaKaisha enjoys laughing with her husband and two young daughters, as it is an important part of her everyday life, because laughter, to her, gives life meaning! www.duogiggles.weebly.com Twitter: @1stladygiggles FB: DUO EmpowerMEnt Services Info.duoservices@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Parijat Deshpande - High Risk Pregnancy Wellness Expert This Episode is Part 1 of the high risk series with Parijat Deshpande who helps women through high-risk pregnancy. We will discuss what high-risk means and some of the associated risk factors, implications for mental health and we will talk about how to cope with the stress that can come with potentially difficult pregnancies. Parijat Deshpande is the leading perinatal wellness expert who specializes in working with women during a high-risk pregnancy. She educates and guides women on how to manage their stress and anxiety so they can have healthier pregnancies, decrease their risk of preterm birth and give their baby a healthy start to life. Parijat is a clinically trained therapist, a women’s wellness expert and an experienced speaker on the impact of stress on health and wellness. She has over 4 years of experience as a Psychology Lecturer UC Berkeley and is the founder of MySahana, a South Asian mental health nonprofit. Parijat is also a certified wellness coach, a certified stress management coach and a certified marriage educator. You can connect with Parijat here: Facebook: facebook.com/parijatperinatalwellness Twitter: twitter.com/parijatdesh Instagram: instagram.com/parijatdesh LinkedIn: linkedin.com/in/parijatd Learn more about your ad choices. Visit megaphone.fm/adchoices

Latina Maternal Mental Health Emilia Ortega-Jara, LCSW discusses cultural considerations for Latina Moms who are dealing with maternal mental health issues. We will cover some of the relevant issues about Latina moms during pregnancy and postpartum, some cultural specific practices, some of the barriers to treatment and access to care for these moms and families and taking a strengths based approach to care. Emilia is a psychotherapist in private practice. Emilia has been a longtime advocate for culturally and linguistically appropriate mental health services for the Latino Community. She has worked and collaborated with social justice organizations as a community organizer and trainer on issues highlighting women and girls. In addition, she has worked with various community based mental health agencies as a counselor facilitating the healing process of youth, women, and families who have experienced trauma. Emilia has extensive experience developing and facilitating both therapeutic support groups and leadership advocacy groups for women. Emilia took special interest in developing her clinical expertise in the treatment of perinatal mood disorders, after the birth of her son. Emilia is certified by Postpartum Support International and has been the Postpartum Support International Coordinator for Riverside County warm line for the past 5 years. She is also an active member of the Inland Empire Perinatal Mental health Collaborative and the San Bernardino County Maternal Mental Health Working Group. She facilitates trainings and workshops on Maternal Mental Health issues throughout the Inland Empire. She is the founder of Corazón Counseling Service which provides culturally appropriate and affordable psychotherapy to Spanish speaking mothers, couples and families in the Inland Empire. Emilia Ortega-Jara, LCSW www.corazoncounseling.com https://www.facebook.com/corazoncounseling/ corazoncounseling@gmail.com Other resources listed during the interview: Ansestral Healing: indigemama.com Birth Services: lamatrizbirth.com IEPMHC Conference October 27th http://www.iepmhc.org/conferences-events Learn more about your ad choices. Visit megaphone.fm/adchoices

Aarti Sequeira I’m very honored and excited to have the super awesome Aarti Sequeira on with us today. She is here to share her personal experience and journey through postpartum depression and now She has become a powerful advocate for maternal mental health. After her experience she competed in Cutthroat Kitchen, where she chose Postpartum Support International as her charity for donation, after having been helped by a PSI volunteer. As a result she has helped raise awareness of postpartum depression and the importance of maternal mental health. She is in the documentary called When the Bough Breaks- a documentary on postpartum depression and was keynote speaker at the PSI conference this summer. Aarti is well known from being on the Food Network and for two things: spinning her Indian soul into American favorites, and her laugh. Armed with both, the former CNN producer won Food Network Star, going on to host Aarti Party a cooking show that grew out of the popular blog and YouTube show shot in her kitchen with actor-director husband, Brendan McNamara. Her cookbook, Aarti Paarti ranked in the top three Indian-Middle Eastern cookbooks on Amazon, outdone only by Yotam Ottalenghi! A judge on Guy’s Grocery Games and Clash of the Grandmas, she also contributes to Unique Sweets, and competes on behalf of Postpartum Support International, the organization that helped her on the road to healing from postpartum depression. Catch her on Today Show, The Talk, Dr. Oz and her podcast, Pass the Salt. She lives in Los Angeles with Brendan and her two daughters, Eliyah and Moses. Find Aarti in these awesome places... Pass The Salt Podcast: https://itunes.apple.com/us/podcast/pass-salt-food+pop-culture/id974240842?mt=2 When the Bough Breaks – A documentary about postpartum depression: https://www.youtube.com/watch?v=JN4le6EipeU Aarti Parti Cook Book: http://www.aartipaarti.com/cookbook/ Social media info: instagram: aartipaartipics twitter: aartipaarti facebook: aartifanpage Website www.aartiparti.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Rachel Rabinor, LSCW Infertility and Mental Health With our conversation today, we really want women, partners and families to know that they are not alone, there is support available for them and hopefully continue to reduce the stigma and sometimes shame that comes with infertility struggles. Rachel is a psychotherapist and Licensed Clinical Social Worker. She has a private practice in San Diego, California where she specializes in Maternal Mental Health… She also provides trainings to birth workers including doulas, nannies, lactation consultants, midwives and other allied professionals. Rachel serves on the board of San Diego's Postpartum Health Alliance where she co-chairs their outreach efforts… Their current work focuses on training prenatal birth providers on the risks, signs and symptoms of developing perinatal mood and anxiety disorders so they can help prepare their clients for the adjustment to motherhood and decrease their likelihood of developing a perinatal mood or anxiety disorder. Rachel started her career in New York City working at a pregnancy prevention program. After many years in prevention she began working with pregnant and parenting teens and their families in San Diego…. After giving birth to her first child she knew that some day she would start a private practice serving all women transitioning to motherhood…. What she didn't know at that time was how her own subsequent journey through secondary infertility would shape her future practice…. Rachel is a member of Resolve, the National Infertility Association, and is in the process of starting an open, supportive and judgement-free group in San Diego for those struggling with primary or secondary infertility. rachelrabinor.com https://www.facebook.com/rachelrabinorlcsw/ https://www.pinterest.com/rabinorlcsw/ https://www.instagram.com/rachel_rabinorlcsw/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Daniel B. Singley, Ph.D., ABPP Today we are switching gears to talk about DAD and Mind with Dr. Singley. Dads have their own experience and transition into parenthood and we need to be talking about their mental health as well, so we WILL! But not just today, I’m excited that Dr. Singly will come back for a series of interviews to share with us this important information about men and the transition to fatherhood! -We talk about dads journey into fatherhood -Things to keep in mind about his mental health -Paternal postpartum depression and other mood changes in fathers Dr. Singley is a San Diego-based board certified psychologist and Director of The Center for Men’s Excellence. His research and practice focus on men’s mental health with a particular emphasis on reproductive psychology and the transition to fatherhood. He is Past President of the American Psychological Association’s Section on Positive Psychology and currently serves on the Board of the APA’s Society for the Psychological Study of Men and Masculinity as well as Postpartum Support International. He conducts trainings and presentations around the country to assist individuals and organizations to enhance their level of father inclusiveness and founded the grant-funded Basic Training for New Dads, Inc nonprofit in order to give new fathers the tools they need to be highly engaged with their infants as well as their partners. In his free time, Dr. Singley likes to cook, surf, read, and take his two sons on hikes to get muddy and throw rocks at things. Follow him @MenExcel and www.facebook.com/MenExcel/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Postpartum Psychosis and Depression Lisa shares her personal story of struggle through Postpartum depression and psychosis. This is very important for us to talk about and I'm so grateful to Lisa for sharing her story with us because this is a very human and real experience that we should know about and have compassionate understanding of. Postpartum Psychosis is very serious and it is treatable. Lisa Abramson is and entrepreneur, speaker, executive coach and maternal mental health advocate. She co-founded Mindfulness Based Achievement, the New MBA, which teaches high potential women how to create sustainable success. The New MBA has been taught to thousands of women at Google, Cisco, Salesforce, Mattel, LinkedIn, Microsoft, The Stanford Graduate School of Business and many other organizations. Abramson has given a TedX talk on her experience with Postpartum Psychosis and Depression and has been featured in Fast Company, sharing 5 Ways To Lean In Without Burning Out. Lisa was recently honored as one of the 100 Most Influential Leaders Empowering Women Worldwide by EBW. Over 12,000 people have taken part in Mindfulness Based Achievement's free 10 Day Meditation Challenge. Lisa graduated from Vanderbilt University in Nashville, TN and lives in Menlo Park, CA with her husband and daughter. Find Lisa's TedX talk on YouTube, "Lets talk about postpartum depression" Find her on twitter @lisaaabramson Learn more about your ad choices. Visit megaphone.fm/adchoices

Bethany Warren, LCSW Postpartum OCD- We talk about how difficult it can feel to have the scary and intrusive thoughts happen with postpartum OCD. The great news is that it’s treatable and you can feel better! Bethany has a passion for women’s reproductive and health issues and has worked in this field for over 18 years. She specializes in Perinatal Mood and Anxiety Disorders, working with individuals and couples struggling with pregnancy loss, infertility or facing adoption or surrogacy. She is passionate about coaching and guiding parents through their adjustment to their new roles and helping couples develop their solid identities as parents. Additionally, she assists women recovering from birth trauma and families who have children with medical and other health-related issues. Bethany also enjoys being active in the community, and serves on the Postpartum Health Alliance Board and volunteers for other community organizations promoting and supporting women’s health and mental illness. Beth is an adjunct professor at a local University and provides clinical supervision for clinicians working towards their licenses as teaching others in the same field is a passion of hers. San Diego Resource: Postpartum Health Alliance https://postpartumhealthalliance.org/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Christina Hibbert Resources for Support and Exercise for Mental Health Dr. Christina Hibbert is the bestselling author of 8 Keys to Mental Health Through Exercise, Who Am I Without You? , and the Independent Publisher’s Book Award-winning memoir, This Is How We Grow. Dr. Hibbert is a clinical psychologist specializing in Women’s Mental Health, Grief & Loss, Motherhood,Parenting, Perinatal Mental Health, Self-Esteem, & Personal Growth, and is the host of the weekly radio show, Motherhood, on WebTalkRadio.net or iTunes.Dr. Hibbert is a frequent keynote speaker, 30Second Mom contributor, founder of the Arizona Postpartum Wellness Coalition, and producer of the internationally-sold DVD, Postpartum Couples, now available free online. Mostly, though, “Christi” is a wife and full-time mother of six children, ages 19 to 8. When she’s not trying to keep up with her family, Christi enjoys traveling, songwriting & singing, naps, reading & learning, doing almost anything outside on a beautiful day in a hammock, and dark chocolate. Learn more about Christi by connecting with her on Instagram, Facebook, Twitter, and visit her website and popular blog, “The Psychologist, The Mom, & Me,” at www.DrChristinaHibbert.com. There, you can also download free gifts, watch her YouTube video series, and join her free, online Personal Growth Group or one of her Facebook support groups (Growing Through Motherhood; Women’s Emotions: Overcoming, Becoming, Flourishing; Who Am I Without You? Breakup/Divorce support group; Exercise 4 Mental Health Group; This is How We Grow Personal Growth Group; Growing Through PPD & Anxiety Group;Blog 2 Book Deal Author Branding & Platform Group www.DrChristinaHibbert.com Host, “Motherhood," on www.WebTalkRadio.net Author, This is How We Grow & Who Am I Without You? & NEW! 8 Keys to Mental Health Through Exercise www.Facebook.com/drchibbert www.Twitter.com/DrCHibbert www.Pinterest.com/drchibbert www.Instagram.com/drchristi_hibbert www.plus.google.com/christinahibbert www.YouTube.com/drchristinahibbert Learn more about your ad choices. Visit megaphone.fm/adchoices

Catherine O’Brien We are talking with Catherine O’Brien from Happy with baby about couples adjustment to parenthood. Catherine O’Brien is a licensed marriage and family therapist, speaker, and educator, and is the founder of HappyWithBaby.com which provides counseling and coaching for new and expecting parents, facilitates courses to help parents manage expectations of parenthood, as well as understanding developmental milestones of infants and children. She is a California state co-coordinator in the greater Sacramneto area for Postpartum Support International (www.postpartum.net) and has been volunteering with them since 2011, she also helped establish A Mother’s Heart a local organization in Sacramento that supports women and families affected by perinatal mood and anxiety disorders (http://a-mothers-heart.org/). Catherine found her true passion after giving birth to her first child and realizing that even with a strong relationship adding a beautiful little baby really rocks your world. She wants to help couples have a plan to thrive during this transition instead of just surviving. Catherine is also married to her "perfect" partner and is a mother of a 7 year old son and 3 year old daughter and knows what it's like to be a parent that is overwhelmed, exhausted, and doubting her competency. Find Catherine Obrien, information, article, tips for new parents on www.happywithbaby.com Instagram, pinterest, twitter and facebook @happywithbaby Learn more about your ad choices. Visit megaphone.fm/adchoices

Crystal Clancy - Screening for Depression in Pregnancy and Postpartum Topics addressed: Pregnancy and Postpartum screening for depression, Edinburgh Postnatal Depression Scale (EPDS), PHQ-2 and PHQ-9, screening is not enough, screening is not a diagnosis, follow up from provider is necessary, talk about responses, this screening doesn’t address anxiety or trauma. Crystal is a Licensed Marriage and Family Therapist with a private practice Burnsville, MN. She specializes in perinatal mental health, stillbirth/pregnancy loss, and infertility. She is co-director and one of the founding members of Pregnancy and Postpartum Support Minnesota, which is also the MN Chapter of Postpartum Support International. Facebook- PPSM, https://www.facebook.com/pregnancypostpartumsupport/ Twitter- @ppsupportmn Instagram- @ppsupportmn Link to EPDS- EPDS SCREEN Learn more about your ad choices. Visit megaphone.fm/adchoices

Joy Burhkard Topics discussed: Maternal mental health, local, state and national advocacy and legislative actions, supporting hospitals to be “mom friendly”, training healthcare providers about maternal mental health issues. Joy is a founder, Executive Director and Board Chair of 2020 Mom, a non-profit 501c3 organization formed in 2011 and formerly known as the California Maternal Mental Health Collaborative. Though the non-profit is still young, 2020 Mom has become well known for it’s work convening, collaborating and inspiring change in the maternal mental health field. Recognizing doctors alone can’t fix the maternal mental health problem, 2020 Mom looks at the common denominators in a woman’s life during this time and identified the best practices in it’s framework for change, called the 2020 Mom Project. Recognizing the shortage of trained providers and training programs, 2020 Mom launched a web-based training program in MMH, with a sister non-profit, Postpartum Support International, in 2013. Joy also founded the National Coalition for Maternal Mental Health in 2013. The National Coalition brings together the leaders of other non-profits focused on maternal mental health, to engage in collective impact. In addition to running the non-profit, Joy serves as a compliance project manager for Cigna, where she has worked for 19 years. Before founding 2020 Mom, Joy had a rich volunteer life with the Junior League, serving most recently as the Junior Leagues of California State Public Affairs Committee Co-Chair and was recognized by the Junior League of Los Angeles in 2013 with their Founder’s Cup, given to just 4 women in 85 years. Joy is a wife and the mother of two children Alex (7) and Emelia (6) and lives in Valencia, California (Los Angeles area). Twitter and Facebook @2020momproject @joyburkhard www.2020mom.org Learn more about your ad choices. Visit megaphone.fm/adchoices

Liz Brown shared her story of depression and anxiety during pregnancy, her struggle with finding the support she needed and trying to decide if she would take medication that had been prescribed for her. This is a story that a lot of mothers can relate to… Liz is a writer and former social worker specializing in emergency mental health. She holds an MSW from UCLA and was recently published on Vice.com for her memoir piece about pregnancy depression entitled: "What It's Like to Be Pregnant, Depressed, and Scared of Pills." Topics discussed: Pregnancy depression, pregnancy anxiety, medication, guilt, alarming article headlines “Internalized stigma of being pregnant and depressed” Check in soon to @thelizbrownshow on twitter to find more information about Liz’s upcoming blog on pregnancy mental health. http://www.vice.com/read/i-gave-birth-to-a-zoloft-baby Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Caron Post from Maternal Mental Health NOW is with us to discuss how the organization offers training, advocacy and support for mothers and families who are dealing with mental health stress during pregnancy and postpartum and works with L.A. County to support maternal mental health sensitive services. Please go to www.maternalmentalhealthnow.org to learn more about their ONLINE TRAINING in maternal mental health, the maternal mental health directory and connect with them to learn how to make changes in your county. Dr. Caron Post received her doctorate in clinical psychology from New York University. She is a clinical psychologist who specializes in maternal mental health, couples therapy, depression and anxiety, perinatal mood disorders, early childhood development and parent -child relationships. She is the former Director of the Clinical Training Program at the Early Childhood Center-Cedars Sinai Medical Center in Los Angeles, Program Coordinator of Adult Outpatient Services at Didi Hirsch Community Mental Health Centers and since 2009 has been the Executive Director of Maternal Mental Health NOW, formerly known as The Los Angeles County Perinatal Mental Health Task Force. She maintains a private practice in Los Angeles, California. Topics addressed in this episode: Maternal mental health, online directory, advocacy, integration into medical offices, screening, online training www.maternalmentalhealthnow.org Twitter: @MMHealthNow Facebook: https://www.facebook.com/MaternalMentalHealthNow/ Instagram: https://www.instagram.com/maternalmentalhealthnow/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Kate Badey discusses Infertility, Adoption, Post Adoption Depression, Embryo Adoption. Kate is a mom of three who was in the infertility trenches for 3 years before experiencing the joy of motherhood. Her journey led her down a path to adoption, and later embryo adoption. Her experience with post-adoption depression after the arrival of her first son was a struggle she did not expect and certainly did not comprehend entirely at the time. She utilized all these experiences to help women on the same path through education and support. Kate is sharing her story with us today, and the hope is for moms and families to know that they are not alone and that they can reach out for support. Learn more about your ad choices. Visit megaphone.fm/adchoices

Diana Lynn Barnes, Psy.D. LMFT Topics discussed: The Psychological gestation of motherhood, transition to motherhood, societal pressures in motherhood, Postpartum Depression, Postpartum Anxiety, Body and Mind, how chronic continuing stress has an impact on pregnancy and postpartum, who is the “good mother”. Diana Lynn Barnes, Psy.D., LMFT is a past president of Postpartum Support International and currently sits on their President’s Advisory Council. She is a member of the training faculty of Maternal Mental Health Now in Los Angeles as well as the California statewide Maternal Mental Health Collaborative and the 20/20 Mom project. She also sits as the mental health consultant for the California Commission on the Status of Maternal Mental Health Care. She is widely published in the academic literature on all facets of perinatal mental health and wrote the guidelines on Assessment and Treatment of Perinatal Mood and Anxiety Disorders for the Perinatal Advisory Council of Los Angeles. In addition to private practice specializing in women’s reproductive mental health, Dr. Barnes presents nationally and internationally and is often retained by legal counsel on cases of infanticide, pregnancy denial, and neonaticide where perinatal illness has been at issue. In 2009, Dr. Barnes received a Lifetime Achievement Award for her contributions to the field of child-bearing related mood disorders. Dr. Barnes is the editor and a contributing author of a 300 page reference text called “Women’s Reproductive Mental Health Across the Lifespan (Springer, 2014) and the co-author of “The Journey to Parenthood: Myths, Reality and What Really Matters” (Radcliffe Publishing, 2007). Dr. Barnes maintains a private practice in Sherman Oaks, California where she specializes in women’s reproductive mental health. For more from Dr. Diana Lynn Barnes, check out: www.postpartumhealth.com Twitter: @ppddoc Learn more about your ad choices. Visit megaphone.fm/adchoices

Real and Personal Story from suffering to healing: Postpartum Depression, Anxiety, PTSD from Birth Trauma and OCD *Sensitivity notice - difficult content* Amy Corn, Mom and Advocate, Is a mother of two and a survivor of postpartum depression, anxiety, OCD and PTSD. She is actively working as a volunteer and advocate for maternal mental health in her community north of the Atlanta Georgia area. She's been working with her pediatrician to develop a postpartum assessment program where all mothers with children 12 months and younger will be assessed at each well visit. She recently organized a workshop where 18 therapists received training specifically in postpartum mood and anxiety disorders. Topics Discussed: Postpartum depression, Postpartum Support International, Postpartum Progress, coping skills, breathing, taking time for yourself- mommy time, Brook shields book: Down Came the Rain was helpful, screening at pediatrician’s offices, medication and recovery www.postpartum.net www.postpartumprogress.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Executive Director of Postpartum Support International, Dr. Wendy Davis!!! Wendy shares some of her personal story and how she came to specialize in perinatal mental health. We also discuss all of the amazing working parts of Postpartum Support International, including the training certifications, advocacy, volunteer opportunities, group support, phone support and much more! Wendy Davis, PhD, has a counseling and consulting practice in Portland, specializing in pregnancy, birth, and postpartum mental health. She is the Executive Director for Postpartum Support International (PSI) www.postpartum.net, where she coordinates PSI services, programs, and 300 U.S. and International Support Volunteers. Wendy is the Founding Director of Baby Blues Connection www.babybluesconnection.org, Oregon’s first perinatal mental health support organization, and now serves as their clinical advisor and volunteer training consultant. She chaired Oregon's Maternal Mental Health Workgroup convened by legislation in 2009, and the subsequent committee that wrote Oregon’s Maternal Mental Health Patient and Provider Education Act in 2011. She is a founding member of the National Coalition for Maternal Mental Health, and consults to community, clinical, and public health systems. She is dedicated to improving public awareness and provider capacity to increase resources for pregnant, post-loss, and postpartum families. Postpartum Support International Warm-line 1-800-944-4773 PSI Website www.postpartum.net PSI Learn More http://www.postpartum.net/learn-more/pregnancy-postpartum-mental-health/ PSI Get Help, link to national and international support http://www.postpartum.net/get-help/locations/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Rachel shares her personal story and discusses how breastfeeding complications contributed to her postpartum mental health. This is a story that so many mothers can relate to and connect with! Rachel is a licensed independent social worker with a background in behavioral health. She currently writes at www.fullmotherhood.com about emotional wellness for mothers. To learn more from Rachel, visit her blog here: https://fullmotherhood.com/featured-writing/ *Please Note: The Mentoring 4 Moms program discussed in this episode has been discontinued. Learn more about your ad choices. Visit megaphone.fm/adchoices

Did you all know that you can get training or psychotherapy from Dr. Shosh? She is very active in treating, training and advocacy. Dr. Shosh is with us again today! We get to delve into the Postpartum Action Institute, that she co-founded with Jane Honikman. They offer small group training, support and guidance for therapists who are looking to serve mothers and families. Dark Side of the Full Moon Documentary about the maternal mental health and the effects on mothers and the Free app, PPD Gone which offers so much hand-held support for mothers to get support for mental healing!!! These are great contributions to maternal mental health training, awareness, support and advocacy! Find this and more from Dr. Shosh www.drshosh.com www.postpartumaction.org www.darksideofthefullmoon.com www.drshosh.com/ppdgone-app/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Shoshana Bennett This amazing woman has pushed the field of perinatal mental health forward with her advocacy, expert knowledge, training for psychotherapist, produced a film on PPD and even has an APP. Please listen in to this wealth of knowledge and look into the amazing resources that she offers! Affectionately known as Dr. Shosh, she educates and empowers her audiences while discussing serious and often uncomfortable topics, using humor, the latest research, solution-based protocols and first hand knowledge she gleaned after experiencing life-threatening postpartum depressions. She is the co-founder of Postpartum Action Institute, Executive Producer of Dark Side of the Full Moon documentary, Author to: Children of the Depressed, Postpartum Depression for Dummies, Pregnant on Prozac and Beyond the Blues: Understanding and treating Prenatal and Postpartum Anxiety and Depression. She has also developed a Free App for postpartum depression called PPD Gone! www.drshosh.com www.darksideofthefullmoon.com www.postpartumaction.org Learn more about your ad choices. Visit megaphone.fm/adchoices

In the first part of the episode, I discuss my own personal story of postpartum depression, anxiety and OCD. ***I discuss some topics about intrusive thoughts that may be sensitive for some listeners*** In the second part of this episode, I discuss some of the basics of Maternal Mental Health (MMH) diagnosis, which include Depression, Anxiety, Panic, OCD, PTSD, Bipolar and Psychosis. We mention pregnancy loss, paternal depression and post adoption depression as well. While this is not an exhaustive list of what can be challenging during the reproductive years, its a good reference for many of the topics that we will discuss in future episodes. I'm so glad you're hear with us, being a part of learning, hope, healing and change for moms and families who need to know that they are not alone! Learn more about your ad choices. Visit megaphone.fm/adchoices

This podcast focuses on the mental health aspects of becoming pregnant, being pregnant and early parenthood. Just by listening and becoming aware of maternal mental health issues, you are already a part of the change. The reason this topic is so important, is because about 20% of moms will experience a significant and sometimes devastating change to their mental wellbeing during pregnancy and postpartum. So many moms are unaware and surprised that things like anxiety and depression can happen while pregnant, with a loss or after the baby is born. They don’t want to feel bad, but they do. This is a very real thing. For instance, Postpartum Depression is the #1 complication of childbirth, but because we as a society don’t talk about it enough, many moms feel lost, alone or ashamed. Here’s the good news, with the proper information and proper help, moms don’t have to be stuck or alone in their pain. It’s the goal of this podcast to make this information available and also provide real life stories of moms who have struggled and made their way through to feeling better. We will talk with experts, leaders and advocates in the field of maternal mental health and maternal health. We will discuss all of the maternal mental health challenges that so many moms and families face while going through the transition to motherhood. We will address the overwhelming stigma that mothers face when they don’t feel like they are “supposed” to feel. We’re gonna get real. We’re gonna get honest. We’re gonna put on our stigma crushing boots and address the realities of the transition to motherhood. This podcast offers information, resources, real personal stories, expert perspective and community. This is not a replacement for therapy and treatment. If you or anyone you know may be struggling, please know that there is help. You can find resources on www.momandmind.com Dr. Kat can be found Twitter @momandmind Instagram @momandmind Learn more about your ad choices. Visit megaphone.fm/adchoices