This is What You Should Do if You Think You Might Have Postpartum Depression

You’ve recently had a baby. You are more than 3 weeks postpartum. You do not like the way you are feeling. You wonder if you are too anxious or too depressed. Your family, friends and healthcare provider have tried to reassure you, but you wonder if they really understand how bad you feel. You worry that […]

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PREFACE

My clients have gotten so much younger. Not so long ago we were all the same age. We were comrades in parallel worlds, raising our babies together, in a manner of speaking, navigating the ebbs and flows of new motherhood. I would observe through a therapeutic lens, and later reflect on the relevance to my […]

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Pay Attention to Your Marriage

  Fathers are at risk for depression and anxiety after the birth of their baby.  If their wife has PPD, husbands are most at risk as she begins to recover. As noted in THIS ISN’T WHAT I EXPECTED: “As you continue to recover and resume normal activities, an interest­ing phenomenon may occur. You may find […]

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Are You Working with Postpartum Women?

Women have been telling me, for almost 30 years, what they need, what they want, to help them recover. Most of what has been written in my books, came directly from their voices and their experiences. Postpartum women are very tuned in to what works, what doesn’t work, their sensibilities are often on hyper alert […]

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12 Things Your Therapist* Wants You to Know About Negative, Intrusive, Scary Thoughts

DISCLAIMER: These points refer to therapists who have been trained to treat perinatal depression and anxiety. If you do not feel like you are in the presence of a therapist you can trust or if you find yourself questioning his or her level of expertise in this area, please find yourself another therapist. We can […]

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Symptoms Associated with Positive Response to Medication*

Ever wonder why some women with postpartum depression take medication and some do not? There may be any number of reasons that vary from woman to woman, but one reason may be that a certain set of symptoms are more responsive to biologic intervention than others. The following is a list of some symptoms of […]

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Postpartum Depression: Whose Problem is it?

Postpartum depression and anxiety  are getting tons of attention in the media. From catastrophic accounts of misdiagnosed psychotic episodes, and an increase in state legislative action, to emerging research, as well as an explosion of passion-driven personal narratives from women who have recovered. All of this translates into greater awareness and activity in research, in clinical […]

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I’m not ashamed. I had a miscarriage.

There’s something that women everywhere need to talk about.  It’s time, time to bring it out from its hidden place of shame and solace.  It is time to make this mainstream. Miscarriage. A shocking 25% of woman will experience such a loss.  One in four women.  That is a devastating number.  Do you know anyone […]

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Postpartum Psychosis Emergency Room Guidelines|

Postpartum Psychosis Emergency Room Guidelines You cannot afford to miss this diagnosis. Postpartum psychosis occurs in approximately 1-2 out of every 1,000 deliveries. The clinical onset is rapid, with symptoms occurring as early as the first 48 to 72 hours postpartum, although the majority of episodes develop within the first 2 weeks after delivery. Postpartum psychosis is […]

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Tokens of Affection: A Review

Many thanks to Kathleen Kelley, Psychiatric Mental Health Nurse Practitioner in Oregon, for submitting this review of Tokens of Affection. I’m thrilled to get the message out to families who can use the support. Thank you, Kathleen, for supporting my work and for making such a difference with the work that you do at your […]

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My Breast Was Not Best

In 2001 when I had my first baby, breastfeeding was just becoming more focused on. Breast is Best was everywhere and I was looking forward to nourishing my baby from my body. When my baby arrived, I kept waiting for my milk to come in. Nurses told me since I had a traumatic delivery, it […]

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My Story

Like many moms, when I received the news that I was pregnant with my first baby, I was elated. I spent the next ten months… yes, ten, she was very late… preparing in all the ways that baby and pregnancy magazines tell you to. I cleaned everything with toothpicks, I painted rooms, (well ventilated, of […]

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Keeping it Real for the Holidays

So we’ve all read the top ten lists of how to survive the holidays. Even the PPSC came up with a list of how to find your holiday brave. It’s all over the Internet. Everyone has their own suggestions for what to do, what not to do, and how to do it. Sometimes these common […]

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Ways to Find Your Holiday Brave…

The Holiday crunch is looming. Shopping. Eating. Rushing. Family. Friends. Too much? Not enough? Excited about it? Anxious about it? Dreading it? Overwhelmed by it? Ambivalent about it? If you have a history of depression or are currently depressed, the weeks before and during the holidays can descend with crushing anxiety. It is easy to […]

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Foreword to CBT

Foreword Amy Wenzel and I were first introduced at the University of Pennsylvania, where we met with two colleagues to join forces on behalf of postpartum women. The four of us convened to contribute to what developed into a new screening tool for postpartum women. I confess I was simultaneously impressed and intimidated by the […]

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