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 […]

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 […]

Physical Activity and Depressive Symptoms After Stillbirth

Physical Activity and Depressive Symptoms After Stillbirth Informing Future Interventions Jennifer Huberty, Jenn A Leiferman, Katherine J Gold, Lacey Rowedder, Joanne Cacciatore, Darya Bonds McClain BMC Pregnancy Childbirth. 2014;14(391) DISCUSSION “This was the first study to determine women’s preferences for and experiences with physical activity after stillbirth. As such, it offers information necessary for healthcare providers to […]

Is Suicide Contagious?

Published on August 13, 2014 by Karen Kleiman, MSW, LCSW in This Isn’t What I Expected PSYCHOLOGY TODAY     While much of the entertainment world and its devoted audience continue to grapple with the abrupt death of a beloved public figure, the loss of Robin Williams seems to have triggered an avalanche of panic […]

PPSC SUICIDE ASSESSMENT

SUICIDE ASSESSMENT FOR A POSITIVE EPDS SCREEN (#10)  Are you asking the hard questions? Do not make the mistake of thinking that she looks too good to be that sick. Every single woman who walks into your office could be having thoughts of hurting herself.  Regardless of how she looks, what she says, how she […]

Postpartum Depression: Be Your Own Best Advocate

“Postpartum depression emerges at a time in a woman’s life when both the demands and stakes are high.  In addition to the disturbing feelings and symptoms, there is one more complicating factor.  There is a baby in the picture.  This makes everything more dramatic, more precarious, and much more urgent. Whether it’s her first bout […]

Token #5 Token of Sanctuary

Token of Sanctuary Inventory Read each statement and check the ones you feel are true for you. Put a circle around the boxes which reflect those you need to work on. My partner and I have one or more places that we feel comfortable openly discussing hot topics that may be difficult or upsetting to […]

Token #3 Token of Compromise

Token of Compromise Inventory Read each statement and check the ones you feel are true for you. Put a circle around the boxes which reflect those you need to work on. When disagreeing, I am comfortable letting others be right. In instances when I truly believe I am right, I can still see my partner’s […]

Token #2 Token of Collaboration

  Token of Collaboration Inventory Read each statement and check the ones you feel are true for you. Put a circle around the boxes which reflect those you need to work on. It is easy for me to trust and accept my partner’s opinions and judgments. My partner and I work well on projects together. […]

Journalists, Doctors, Everyone: Let’s Get it Right

Let’s get it right. Lives depend on it. There are, to be sure, tons of complex theories and contradicting explanations when it comes to mental illness and diagnoses. Discussing maternal mental health is no exception. Definitions are blurry, research is not always consistent with what we see in clinical practice, experts challenge existing classifications, and […]

Dads and Depression: Should We Call it Postpartum Depression?

Yesterday, Katie Couric talked about postpartum depression with Dr. Craig Garfield and Craig, a father who experienced paternal depression. The research study carried out by Dr. Garfield was groundbreaking and brings attention to the needs of dads during the postpartum period. We discussed this “together” in the article in The Atlantic, “Postpartum Depression Can Happen […]

An Open Letter to Postpartum Therapists Treating Women With Scary Thoughts

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 […]

Scary Thoughts. A Mother’s Worst Fear.

It has been described how one’s own mind can “try to torment you with the thoughts of whatever it is you consider to be the most inappropriate or awful thing you could do” (Baer).  Lee Baer, Ph.D., Harvard professor and author, describes how a person’s most vulnerable self can become engulfed by thoughts that cut […]

4 Things You Must Do If You Have Postpartum Depression

1) Name it. If you have been given a diagnosis from a doctor you trust, accept this so you can begin to move forward. Acknowledge it.  PPD is a real illness that has a name, a treatment course, and an end to it, called recovery. Do not let your fear convince you that things are […]

Talk About Your Postpartum Depression

We hear a lot about postpartum depression these days. What it is, what it isn’t. Not everyone agrees on the definitions, even healthcare providers demonstrate variable degrees of knowledge in this specialized field. If you are pregnant or if you recently have had a baby, and are not feeling well, try not to focus on […]

Are There Still Gaps in Screening?

Published on October 29, 2013 by Karen Kleiman, MSW, LCSW in PSYCHOLOGY TODAY This Isn’t What I Expected In healthcare or clinical settings where women are presumably in the care of providers who are well-equipped to provide relief, women who harbor scary thoughts remain reluctant to reveal what they are thinking.  When women are asked specifically if they […]

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