Perinatal mental illness is a significant complication of pregnancy and the postpartum period. Depression and anxiety are common manifestations, with prevalence rates for major and minor depression up to almost 20% during pregnancy and the first 3 months postpartum. As research and public awareness gains momentum, more attention is being placed on medical protocols, interventions and better access to treatment.
For many years now, Karen Kleiman has changed the face of maternal mental health (MMH) for both clinicians and families. As a speaker reaching many through outlets such as The Oprah Winfrey Show and as an author, through her many books for families and clinicians, Karen was a pioneer in this field providing the mainstream community with an understanding of this devastating illness, validating the women who suffered and helping clinicians gain insight into the experience postpartum depression.
Karen and I first spoke several years ago when I called her out of the blue to brainstorm solutions. I, as an advocate in maternal metal health policy and systems change was combing the landscape to learn why women weren’t being screened, diagnosed and treated routinely by their physicians. I knew that Karen had developed one of the only training programs for clinicians in the U.S. at the time.
After speaking, Karen and I knew that more providers needed to be expertly trained so we could reach more women, augment recovery and improve outcomes. Since then my organization, 2020 Mom along with Postpartum Support International has launched web-based training to easily reach clinicians all over the U.S. and meet a growing demand to learn about this field. Though we have a long way to go, training is now available to more people than ever and Karen’s intensive postgraduate training program at The Postpartum Stress Center continues to produce expert clinicians and is recognized as a best-in-class training.
Recently the United States Preventive Services Task Force, the American College of Obstetrics and Gynecology, and the Council on Patient Safety in Women’s Health Care, joined in this mission and have highlighted the importance of screening and proper treatment of maternal depression. It is now more important than ever that we train providers.
Therapists in this highly specialized field have often turned to Karen’s books for guidance when working with the perinatal population. The Art of Holding in Therapy: An Essential Intervention for Postpartum Depression and Anxiety introduces a novel strategy for treating women with postpartum depression and anxiety. At a time when we are finally paying attention to this widespread crisis in maternal mental health, this book provides a hands-on resource for therapists who are dedicated to making a difference in the lives of women seeking their help.
Clinicians, we need you now more than ever; moms and families are counting on you. Karen Kleiman, thank you for your extraordinary contributions to the field – without your work we’d be several steps behind.
Joy Burkhard, MBA
Founder and Director;2020 Mom
Chair;The National Coalition for Maternal Mental Health