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  • Home
  • About
  • Services
    • Prenatal and Postpartum Therapy
    • Reproductive Mental Health Therapy
    • General Maternal Mental Health
  • Patient Info
    • Patient Forms
    • Rates & Insurance
    • FAQ
    • Useful Therapeutic Apps
    • Patient Portal
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The Twist on Positive Self-Affirmations

10/27/2022

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By: Kat Gage
Using positive self-affirmations has been said to help break the cycle of negative self-talk. Positive self-affirmations also help you develop new thinking habits while practicing self-compassion all of which are very beneficial to improving our mental health, but are the affirmations alone enough? 

In the short term, affirmations are very helpful, but over time if we continue this practice without any other method of developing emotional resiliency, the affirmations begin to lose their effectiveness. As a result, overtime we begin to feel worse about ourselves and our ability to reach goals and endeavors that we set for ourselves.

The Mind and Memories…Storytelling

You may be surprised to learn that our brains have a great imagination…even as adults. We imagine so well and it feels so real that sometimes we may have a hard time trying to figure out if that memory is real or not. The memory may not be real. According to Jeffrey Davis, M.A., this happens because, “imagining an object, situation, or action in vivid detail lights up the same neural pathways that the same object, situation, or action would trigger in real life” (Davis, 2022).

This function of our brain is what sets us back when it comes to positive affirmations. Positive affirmations are essentially wishful thinking or fantasies. We repeat mantras or picture ourselves acing a test or an interview, etc. When we envision doing well on a goal, but don’t actually accomplish the goal in real life, our brain’s storytelling function tricks us because we feel the same sense of reward as if the goal was satisfied in real life. 

This becomes problematic because we believe we’ve already won and/or we have boosted our ego which may lead to a loss of motivation or feeling completely crushed and overwhelmed by the obstacles that we need to conquer to reach our goals. 

If positive affirmations alone don’t work, what’s the missing tool we should utilize to improve our overall mental health and ensure we are conquering our goals?

Learned optimism, defined by positive psychologist Martin Seligman, is the key! 

Jeffrey Davis, M.A., states, “There is an important distinction between wishful thinking and what Seligman termed “learned optimism.” While the former can easily lapse into escapist fantasies, the latter is the conscious practice of viewing the world from a positive perspective. It means understanding “failures” or misfortunes—and the negative emotions associated with them—as temporary setbacks and opportunities for growth” (Davis, 2022).

When faced with a failure, practicing learned optimism helps us feel empowered to redirect our path and conquer future obstacles and reach our goals.

To help us in practicing learned optimism, Seligman designed the ABCDE model which allows us to explore the stories our brain is writing, the behaviors surrounding those stories, and helps us challenge the negative stories that come along. 

To learn more about the ABCDE (Adversity, Belief, Consequence, Disputation, & Energization) model, to start practicing learned optimism, to begin feeling less hopeless, and more motivated, click the link below! 

References
Davis, J. (2022, September 29). Self-Affirmations Alone Don't Work. Psychology Today. Retrieved October 6, 2022, from https://www.psychologytoday.com/us/blog/tracking-wonder/202209/self-affirmations-alone-dont-work

Self-Affirmations Alone Don't Work
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3 Easy Things to Try to Immediately Improve Your Mood

9/20/2022

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By: Lisa Firestone Ph.D. | September 10, 2022
"There are a million things that can cause our mood to rise and fall throughout any given day. Whether or not we show it, and no matter how hard we work to keep calm and carry on, our emotional responses can run widely outside of our control.
It’s an unavoidable and entirely human thing to react to what goes on around us. Our feelings don’t have to be rational to show up. They’re instinctual, immediate, and can trickily be triggered by our past. They can make perfect sense or puzzle us when they arise.

Adding to their mystery are the feelings on top of feelings — the harsh judgments that flood in from our own inner critic, for example, the guilt we feel for being angry at our 6-year-old for throwing a monster fit over screen time. The embarrassment we feel over our disappointment when a date falls through. The resentment we experience when we feel anxious and overworked either at home or in the office. The shame we have around our sadness when it’s particularly close to the surface for no particular reason.

The complexity of our daily emotions makes it hard to suggest a one-size-fits-all approach to feeling better. However, there are some ongoing practices we can adopt that orient us toward more resilience. When asked for a more immediate method for what to do to get out of a bad mood, these are pretty much the three main things I advise:

1. Embrace Self-Compassion
The first thing we need to do is suspend any judgment around our feelings. As I said, our immediate emotions are largely outside of our control. This doesn’t mean they have to overpower us or that we can justify our behavior because of them, but it does mean that we shouldn’t be cruel or critical toward ourselves for having them.
When we have a big reaction, we should try to meet that reaction with self-compassion. Self-compassion, as defined by leading researcher Kristin Neff, comprises three things:
  1. Self-kindness over self-judgment
  2. Mindfulness instead of over-identification with thoughts and feelings
  3. Common humanity over isolation and feeling different and alone

Self-kindness means meeting ourselves where we are, having compassion for the fact that we’re struggling, and offering ourselves time, space, and patience around our emotions.

Mindfulness, which I’ll get into more later, is all about letting our thoughts and feelings be there without over-attaching to them or tending to them like fires we need to put out immediately. Having a more mindful approach helps us avoid falling into a pattern of rumination or a feeling of being totally overwhelmed.

Accepting our common humanity is a way of seeing our suffering as part of a broader human experience. We’re not alone or singled out in our struggles. Many people have been where we are, and we, like them will get through it. Common humanity helps us extend the same compassion we’d have for others to ourselves, but it also helps us avoid victimization or a sense that we’re different in some way that makes our situation worse than everyone else’s.

What this all boils down to is essentially treating ourselves the way we would a friend going through the same thing. People are highly prone to self-evaluation and tend to have a harder time accepting themselves where they’re at. This applies as much to our mood as anything else. We tend to not have a lot of patience for our own ups and downs.

By instantly meeting our mood with self-compassion, we curtail both the self-pity and self-hatred that often accompanies our feelings. Instead, we treat ourselves with kindness and accept these feelings as part of our very human experience.

2. Try Mindfulness Exercises
Because self-compassion is more an attitude than an action, it can sometimes seem a little vague or easier said than done. For that reason, I like to dive a little deeper into one of its components. Practicing mindfulness can be a powerful way to not get too attached to each and every fleeting feeling that comes our way.

Mindfulness can be practiced through meditation, but it’s also something we can connect with in specific moments throughout our day. While focusing on breathing or predictable, repetitive actions is helpful, the basic idea is to allow our thoughts and feelings to come and go without judgment. We can think of each feeling like a ship passing along the ocean. We can watch it make its way across the horizon, but think of ourselves more like an island, allowing the thought to pass. We can calmly ignore the impulse to jump aboard every ship and get carried away, or the opposite, where we try and run away from our feelings and shut them out. This paradoxically keeps them stuck. 

​Emotions come and go, and their intensity rises and falls much like the tide. The more we can be curious and accepting of what we’re going through, the more we allow the feeling to run its natural course. Mindfulness helps us stay in our bodies, focusing on things like breathing in and out or putting one foot in front of the other. We may try connecting with each of our five senses or a quick practice like 4-7-8 breathing.

The main thing to remember is that there are options available to us in moments when we feel overwhelmed or overpowered, and our mood plummets. These simple-seeming practices can help us embrace (and actually believe) the expression that “feelings aren’t facts.” Not everything our brain tells us to be anxious or upset about is actually worth our time and energy. Mindfulness helps bring us back to ourselves by cultivating a curious and open attitude toward our reactions that doesn’t allow these reactions to define us or take over our entire outlook."
Continue Reading: 3 Easy Things to Try to Immediately Improve Your Mood
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4 Reasons Why You Should Massage Your Pregnant Partner

9/15/2022

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Lisa van Raalte Ph.D. | August 23, 2022
"It might not come as a surprise, but since the COVID-19 pandemic forced many into lockdown, there has been a surge in pregnancies in the United States. Initially, the onset of the pandemic resulted in a “baby-bust” where there were fewer pregnancies as compared to the previous year; those numbers have since reversed, however, and the U.S. has seen a rebound in pregnancy numbers.

Following the overturn of Roe v. Wade in June 2022, family planning has been a topic of conversation for a lot of households. For those who are already expecting, added stress to pregnancy can be harmful to the mother and child. Thankfully, romantic partners can help pregnant companions through massage.
​
Massages are a great way to reduce stress for both the receiver and provider. Not only does massage between romantic partners increase feelings of closeness, but this specific behavior also has several health benefits for mothers.

Here are four benefits of massage for pregnant women:


  1. Back massages promote oxytocin and break milk production. For new mums, the stimulation of spinal muscles through massage encourages the release of oxytocin in the body and increases milk production. In this study, mothers were asked to sit on a chair and lean forward with their arms on the table without clothing on the upper half of their bodies. The massage, provided by a researcher, massaged the spinal muscles. This type of massage would be easy to reproduce at home by a romantic partner and likely would reap the same benefits.
  2. Endorphins from massages help anxiety levels during labor. Massages are known to stimulate the production of endorphins in the body. Because endorphins help promote a sense of calm and comfort, mothers who receive a light massage can significantly reduce their anxiety levels during labor.
  3. Massage reduces back pain in the third trimester. Lower lumbar pain is a common experience for mothers as their bodies adjust to pregnancy. Another benefit of endorphins being released through massage is that endorphins help reduce discomfort and pain in the body. A review of nine journal articles indicates that massage in the third trimester can significantly produce endorphins and reduce back pain for mothers."
Continue Reading 4 Reasons Why You Should Massage Your Pregnant Partner
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How Nature Nurtures the Brain

9/8/2022

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By: Sebastian Ocklenburg, Ph.D. | September 7, 2022
"Life in a large city can be incredibly stressful. Psychological research has shown that people who live in cities may have an increased risk for depression, anxiety, and schizophrenia compared to people living in more rural areas. In contrast, many people perceive hiking and spending time in nature as stress-relieving and calming. What has been largely unclear so far, however, is the question of how specifically spending time in nature affects our brain function to reduce stress.

The positive effects of nature on mental well-beingA new study, published in the journal Molecular Psychiatry (Sudimac et al., 2022), focused on precisely this question. In the study, entitled “How nature nurtures: Amygdala activity decreases as the result of a one-hour walk in nature,” a research team led by Sonja Sudimac from the Max Planck Institute for Human Development in Berlin investigated how stress-related brain regions reacted to a one-hour walk in an urban environment—a busy street in Berlin—compared to a natural environment; in this case, a forest.

The researchers used a neuroscientific technique called functional magnetic resonance imaging (fMRI) to measure brain activation in 63 healthy volunteers in two groups: walking in nature or walking in an urban environment. In both groups, brain activation was measured before and after the walk, using two different tasks in the MRI scanner. The first fMRI task was a fearful-faces task designed to activate anxiety-related brain networks, and the second fMRI task was a social-stress task designed to activate stress-related brain networks.

In the fearful-faces task, volunteers watched faces with fearful and neutral expressions while lying in the scanner. The so-called MIST (Montreal Imaging Stress Task) was used as the social stress task. In the MIST, volunteers have to solve very complicated mathematical tasks designed to be beyond their abilities, while they get compared to a fake "average." The fake average the volunteers see is always better than their own performance, so that they may feel stressed since they perform so badly.

Amygdala activity is reduced after a walk in natureThe scientists found very similar results in both the fearful faces and the stress test. For the group of volunteers that walked for one hour in an urban environment, there were no changes in the activation of fear or stress-related networks between the two scans. In contrast, for the group of volunteers that walked for one hour in nature, there was a decrease in activity in one specific brain area for both fMRI tasks after the walk: the amygdala; in particular, the right amygdala."
Continue Reading How Nature Nutures the Brain
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3 Immediate Ways to Restore Your Sense of Inner Peace

8/24/2022

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By: Mark Travers Ph.D. | August 22, 2022

"Relationships are the foundation of life, and the one we have with ourselves is paramount. Unfortunately, many of us take it for granted. Here, I’ll talk about three research-backed ways to calm your inner demons and approach life with a heightened sense of self-compassion.

1. Respect Your Learning Curve
Many of us have unrealistic expectations about how long it takes to acquire new skills or adapt to new environments. We believe that if we enroll in a program, or take a course, our brains will magically open up and absorb all the new information. Of course, the marketing of quick-fix and speed-learning programs is much to blame for our unrealistic expectations. (Sorry, but there’s no such thing as eight-minute abs or four-hour work weeks.)

Cognitive psychologists will tell you that learning is a gradual process and one that cannot be rushed. There has been a lot written about the 10,000-hour rule—the premise being that, on average, it takes about 10,000 hours to master any new skill. While there’s a lively debate over how accurate this rule actually is, the broad takeaway is highly relevant: Learning takes time.

Yet we routinely chastise ourselves for not getting things right on our first, second, or third tries.
When you start thinking this way (and we all do it), you need to remember to be nice to yourself and respect the learning process. If you don’t, you run the risk of disengaging with the learning exercise altogether.

Furthermore, we have to be careful about setting comparison points. What I mean by this is that if we compare how much progress we’ve made from this week to last week, we’re probably going to be let down. Remember, learning is a gradual process. However, if we widen the comparison window—say, from last summer to this summer—we might find a bit more appreciation for the gains we’ve made. Remember Bill Gates’s famous adage, “Most people overestimate what they can do in one year and underestimate what they can do in 10 years.”

On a similar note, it’s important to keep in mind that forgetting is a necessary part of learning. Don’t beat yourself up for forgetting things. If we didn’t forget, our brains would fill up with useless information. Forgetting allows us to synthesize information into usable "models" that reflect how the world works.


2. Show Yourself the Same Kindness You Show Others
Many of us find it easy to express kindness when interacting with others. However, when it comes to ourselves, we are overly critical. We may believe that self-compassion is self-indulgent and lazy, or that it will somehow fundamentally undermine our motivation.

But this is a flawed and counterproductive belief. In fact, research published in Personality and Social Psychology Bulletin, led by psychologist Christine Chwyl of Drexel University, found self-compassion to be something of a "motivational supercharger": Our research echoes what studies have found time and time again—self-compassion not only feels better than harsh self-criticism, but it works better too, helping us rise to life’s inevitable challenges.

So, the next time you experience a setback, try reflecting on it from a place of self-compassion (e.g., “How am I a better person because of this?”) as opposed to a place of self-criticism (e.g., “Why do I fail at everything?”).

Other new research on self-compassion published in Personality and Individual Differences finds that the ability to treat ourselves with kindness not only helps us get through difficult times, but it also helps us savor the good times. According to psychologist and lead author of the study, Benjamin Schellenberg: 
People who are self-compassionate may have a better ability to be mindful and present during good times and recognize that they deserve to experience positive experiences to their fullest."
Continue Reading the 3 Immediate Ways to Restore Your Sense of Inner Peace
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Want a Better Relationship? Try Collaborative Communication

7/25/2022

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By: Lisa Firestone Ph.D. | July 24, 2022
"Many people have only heard the term “collaborative communication” used in the context of company culture and teamwork. It’s basically defined as a method of exchanging information that helps people work toward a common goal. Yet, it’s not just businesses that reap the rewards of this type of relating.

Studies have shown that couples who practiced collaborative communication experienced more overall relationship satisfaction. When you get into the steps of collaborative communication, it’s clear how it can be a powerful tool for improving interpersonal relationships. Here, I break down what it entails and why it makes such a difference to the quality of a relationship.
​
What is collaborative communication?
Collaborative communication does not just refer to the words that come out of our mouths. Rather, it encompasses all the intricate ways we communicate through tone, expression, body signals, etc. Most of us aren’t even aware of all the messages we send on both verbal and non-verbal levels. Many conflicts between couples arise from misreads, misunderstandings, and lapses in our communication.

In order for two people with two completely different minds and two complex personal histories to live harmoniously, there needs to be a certain amount of balance and understanding. Collaborative communication offers a pathway to achieve just that by helping people become more aware of all the ways they communicate and guiding them to make an effort to align themselves with the other person in order to achieve a shared understanding.

How can we cultivate collaborative communication in our closest relationships?
Communicating collaboratively means taking actions that draw our partner out and trying to understand an interaction from their perspective. Our goal is to align our state with theirs, so we get a fuller picture of their experience separate from our own. When we do this, we often have to fight our own impulses to come from a more reactive, defensive, or combative place in ourselves.

Successful collaborative communication further focuses on how we can express our own perspective in a manner where we are more likely to be heard by our partner. Enhancing our ability to communicate with more vulnerability, openness, and empathy creates more trust in the relationship. Couples can form much stronger connections where each person feels known and understood by the other.

The specific techniques we can work on to achieve this type of communication with a partner include:

1. Becoming a better, more attuned, and less defensive listener
In order to be on the same team, we have to work on our listening skills. Tuning in to our partner and aligning our state with theirs is crucial. We can do this by really hearing them out without interrupting or arguing with their perspective. This doesn’t mean we have to agree with everything they say, but our goal in this moment is to understand where they’re coming from as best we can, put ourselves in their shoes, and empathize with their unique experience. This is part of creating a shared understanding.

2. Separating our past from the present
In order to press pause on our immediate reactions, especially those that are exaggeratedly emotional or defensive, we have to do some reflecting on why we get triggered by certain interactions. Some of us get set off by a partner’s exasperated expression or instructive tone. Others feel provoked by hearing a series of complaints or getting any sort of feedback.

Understanding that both what we hear and how we react during conflict is influenced by the lens of our past helps us recognize that what we’re reacting to in real time isn’t always fully to blame for the big feelings that emerge within us. The more we get to know and recognize our triggers, the more we can resist falling victim to them. Rather than blindly following our flared-up reactions, we can be mindful and choose how we want to respond to our partner.

3. Expressing ourselves in ways that allow our partner to know and feel for us
Our tendency to feel like we need to protect ourselves often leaves us using more defensive or combative language. Instead, we should focus on expressing how we think and feel in a way that doesn’t lay blame on the other person but rather invites them to know and feel for us. For example, instead of saying, “You never listen to me. You only care about what you want,” you could say, “I feel hurt when I don’t feel listened to. I really appreciate when you take time to hear me out and take my feelings into consideration.”

4. Repairing after ruptures in communication
Let’s face it, we all make mistakes and are bound to have moments when we’re not at our best (to say the least) with the people we care most about. The best thing we can do to get back on the same team is to repair. Acknowledge what took place, accept responsibility for your part in it, and try to find a more balanced way to communicate your thoughts, feelings, wants, or needs. Listening to our partner’s experience of the rupture is also essential. Making space for them to express their perspective helps them feel heard and allows for healing."
Finish Reading- Want a Better Relationship? Try Collaborative Communication
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10 Ways to Deal with Mom-Shaming

6/14/2022

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Susan Newman Ph.D. | ​Posted October 17, 2017
"Who hasn’t had her child-rearing choices questioned—by family, friends, your spouse, or a stranger? Who in your circle is most judgmental?

As a parent, you are subject to comment on a host of parenting decisions: Whether you decide to breastfeed or not; to co-sleep or not, go back to work or stay home with your children, what you let your children eat for breakfast; how you discipline or dress them, the bedtime you set or the time you allow or don’t on “screens”…Often, the “advice” or “suggestion” is completely unsolicited and makes you feel guilty or uncertain.

On social media, even benign parenting practices are subject to criticism. Unlike the rest of us, celebrities are publicly “mom-shamed” more frequently on the Internet. Mariah Carey received a wave of criticism for posting a photo of her 4-year-old son still using a pacifier. Several stars, from Mila Kunis to Chrissy Tiegen to Maggie Gyllenhaal, have been targeted online for breastfeeding in public. Actress Olivia Wilde was berated for posting a picture kissing her young son on the lips.

A new poll finds a majority of American mothers are being judged, some on the Internet, some in person. The University of Michigan’s C.S. Mott Children’s Hospital conducted a national poll surveying 475 mothers of children aged 5 and younger. They were asked if they’ve ever had their parenting questioned.

Sixty-one percent responded that they have been criticized for their child-rearing decisions. The most common topic of criticism: Discipline. Seventy percent of criticized moms reported this. The second-most-cited denunciation concerned diet and nutrition; the third, sleep; the fourth, breast versus bottle-feeding, fifth, child safety, and sixth, childcare decisions.

Although sometimes the criticism is intended to be constructive, 62 percent of those sampled said they believe mothers receive “a lot of unhelpful advice from other people”; 56 percent said mothers “get too much blame and not enough credit for their children’s behavior.”

Family More Likely to Judge
According to the study, family members comprised the top three groups of “mom shamers.” The moms who felt criticized said their own parents (37 percent), co-parent (36 percent) and in-laws (31 percent) were the most frequent to pass judgment. “This may reflect the high volume of interactions with family members, or that mothers may interpret family criticism as an attack by those who should be more supportive,” the researchers noted.

Remarking on the stress and overwhelming choices of new parenthood, the study points out that 42 percent of the criticized mothers said the judgment “made them feel unsure about their parenting choices.” As a parent, you have the ultimate say—even if you’re conflicted about your choices.

10 Tips for Standing Up To Mom-Shaming
​When it comes to standing up to those who judge you, it can be tricky to assert your parenting authority and keep conflicts at bay. Here are 10 insights and suggestions to help bolster you against those who believe they know what you should be doing and how to do it.
  1. Accept the fact that being a parent who is not judged, at least in some way, is probably unlikely. In other words, expect to be challenged so you won’t be surprised or caught off guard when it happens.
  2. Understand that judging and criticizing makes some people feel better. Your mother, for example, may assert herself only to feel involved.
  3. Keep ears perked for critics who dispatch information just to hear themselves talk—the know-it-alls."
Finish Reading: 10 Ways to Deal With Mom-Shaming
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3 Simple Strategies to Boost Your Brain Health Today

5/12/2022

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By: Austin Perlmutter M.D. | The Modern Brain
"There’s just no way around it: our brain health is about the most valuable thing we own. When our brains are unhealthy, we can’t think straight. Our mental health is poor. We simply can’t enjoy life as well. With this in mind, finding ways to prioritize brain health every day is vital. So what are some of the most scientifically sound, easy ways to make sure you’re helping care for your brain? Here are three of the best:

1. Prioritize Good Sleep
Why it’s key: You’ve probably heard people diminish the importance of sleep by saying things like, “I’ll sleep when I’m dead.” But if you don’t prioritize sleep, you’re doing your body and especially your brain a great disservice. Pick just about any disease and you’ll find that it’s more prevalent or more severe in people who don’t get good sleep. For example, we now know that people with Alzheimer’s tend to have issues sleeping. Poor sleep may also increase the risk of developing dementia. When it comes to mental health, these same trends hold. Sleep issues are very common in people with mental health issues, and are also thought to increase one’s risk for developing these conditions.

Tips for better sleep: Many are seeking quick fixes for sleep issues, especially insomnia. But while some people may benefit from short-term use of drugs, there are mounting concerns about the side effects and efficacy of prescription sleep aids. To this end, finding non-pharmaceutical methods of promoting healthy sleep are likely a better long-term solution for most people. Simple strategies to facilitate better sleep include winding down with a regular routine that minimizes blue light/screen exposure in the hours before bed. Also, consider sleeping with your room a bit cooler, as this may promote better sleep. Try cutting out caffeine after 2 p.m. (or earlier) and consider avoiding alcohol before bed, as this throws off sleep quality. Lastly, consider speaking to your physician about an evaluation for sleep apnea, especially if you are male, overweight, or someone who snores. Sleep apnea is a very common condition that majorly compromises sleep quality and is often missed.
​
2. Move Your Body
Why it’s key:  Study after study shows that regular exercise is linked to better brain health. People who move more tend to think better and have better mental health. In fact, a recent review in JAMA showed that exercise may act as an antidepressant. So why is exercise such a brain booster? It may lower inflammation (which damages brain function), increase molecules like BDNF (which promotes healthier brain function and growth of new brain cells), and it does great things for our blood sugar (higher blood sugar may damage brain health).

Tips for physical activity: You don’t need to train for a marathon or become a professional athlete to get the brain benefits of exercise. This is all about sustainability, and if you hate or get injured when you’re exercising, it’s unlikely you’ll stick to it. Instead, look for ways to make physical activity enjoyable. A walk with a friend, some yoga, lifting some weights, or going for a swim—it’s all great stuff. The best exercise is the one you enjoy because it’s what you’re most likely to keep doing. So, find something you can look forward to.


3. Clean Up Your Diet
Why it’s key: The foods you eat are the literal building blocks for your brain. Food is also what turns into neurotransmitters. Your diet significantly influences your immune and endocrine (hormone) systems that play key roles in your brain health. Food is also one of the best opportunities we have to influence our health on a day-to-day basis because we absolutely have to eat, but we get to choose whether that food is a vote for a healthier or a less healthy brain."
Continue Reading 3 Simple Strategies to Boost Your Brain Health
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First Weeks With A Newborn Baby | Things I Wish I Knew

4/26/2022

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By: Abby Lindquist
"Today I'm sharing all of my tips and tricks for getting through those first few weeks with newborn baby. These are the things I wish I knew when I had my first baby. I hope they are helpful for you! Please give this video a thumbs up and subscribe if you aren't already! Thanks so much for watching!"
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After baby, don’t bounce back. Bounce forward!

4/21/2022

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Tiffiny Hall | TEDxDocklands | March 15, 2019
"Tiffiny Hall is founder of TIFFXO.com and author of nine books. She is passionate about helping women feel confident and strong. Tiffiny explores the pressures placed on women to bounce back and lose weight after they give birth and shares her experiences in dealing with the bounce back culture after she had a baby. Speaking on the importance of mind over matter during the fourth trimester, Tiffiny shares her tips to help women gradually return to fitness after pregnancy and birth. Celebrity trainer, founder of lifestyle program TIFFXO.com, author, podcaster and martial arts expert, Logie nominated Tiffiny Hall has many titles tucked under her 6th Dan Taekwondo black belt.

Tiffiny Hall is a one-woman fitness business, with over 20 years’ experience as a personal trainer and coach. Expert in HIIT and HIRT, she rose to prominence on TV in many roles from a Gladiator on Gladiators to a trainer on The Biggest Loser Australia and is now transforming devotees – from athletes to new mums – via her very successful health and fitness app TIFFXO.com. She is a mum, mentor and magnate. One of the most qualified martial artists in the world for her age, she’s a 6th Dan Taekwondo black belt and has mixed martial arts workout plans that will kick your butt in the best possible way. She is the Director of Training for the largest global fitness app in the world. A role that has seen her travel the world & work with the most famous and prestigious experts in the wellness space This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at
https://www.ted.com/tedx"
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Why We All Need to Talk About Postpartum Depression

4/14/2022

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By: Auburn Harrison | TEDxUniversity of Nevada
"It's the most common complication of childbirth, yet PPD is a condition clouded with stigma, shame and guilt for mothers who experience it. According to Postpartum Support International, 15% of women suffer from postpartum depression, yet women are forced to suffer in silence and shame. Based on a personal experience with an extremely severe case of postpartum depression, anxiety and psychosis, Nevada-based nonprofit executive, Auburn Harrison, paints a heartbreaking and harrowing picture of why our society's silence on the topic is hurting mothers. Auburn Harrison serves as a nonprofit executive director for nonprofit dropout prevention program for at-risk youth, Communities In Schools of Western Nevada. Her organization provides basic needs and case management to local students living in poverty, including wraparound student support services such as mentoring, tutoring and resources to help students stay in school, graduate and achieve life success. Auburn has been involved in the Northern Nevada non-profit and philanthropic and nonprofit community for over a decade. Auburn spent five years as an on-air television reporter at at KOLO 8 News Now, and five more years as an enlisted journalist in the US Navy. She holds a master's degree in Writing from University of Nevada, Reno. In 2019, Auburn was named one of the Top Twenty Young Professionals Under 40 by the Reno Tahoe Young Professionals Network. Auburn lives in Reno with her husband and three little boys. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx"
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Four Reasons to Practice Mindfulness During Pregnancy

2/7/2022

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​BY KIRA M. NEWMAN | AUGUST 17, 2016
"Mothers-to-be don’t spend their entire 40 weeks of pregnancy glowing radiantly; there are also midnight worries, endless shopping lists, and swollen feet. Somewhere around 18 percent of women are depressed during pregnancy, and 21 percent have serious anxiety.

Research is starting to suggest that mindfulness could help. Not only does cultivating moment-to-moment awareness of thoughts and surroundings seem to help pregnant women keep their stress down and their spirits up—benefits that are well-documented among other groups of people—it may also lead to healthier newborns with fewer developmental problems down the line.

The research is still in its infancy (pun intended), but researchers are hopeful that this low-cost, accessible, and positive practice could have transformational effects. Here are four benefits for pregnant women.

1. Mindfulness reduces stress
Jen, an entrepreneur friend of mine who recently had her first child, was put on bed rest and couldn’t even exercise to keep her stress down. “I had so much anxiety,” she recalls. “Meditation really helped me stay calm and sane.”

She isn’t alone. In a small pilot study in 2008, 31 women in the second half of their pregnancy participated in an eight-week mindfulness program called Mindful Motherhood, which included breathing meditation, body scan meditation, and hatha yoga. In two hours of class per week, participants also learned how to cultivate attention and awareness, particularly in relation to aspects of their pregnancy: the feeling of their belly, the aches and pains, and their anxiety about labor.

Compared with women waiting to enter the program, participants saw reductions in their reports of anxiety and negative feelings like distress, hostility, and shame. These were all women who had sought therapy or counseling for mood issues in the past, but the program seemed to be helping them avoid similar difficulties during a chaotic and transformative time of their lives.

A 2012 study of another eight-week mindfulness program found similar reductions in depression, stress, and anxiety compared with a control group, though only 19 pregnant women participated. In interviews, participants talked about learning to stop struggling and accept things as they are; they remembered to stop and breathe, and then take conscious action rather than acting out of anger or frustration.

“I’ve learned to take a step back and just breathe and think about what I’m going to say before I open my mouth,” one participant said.

These stress-busting and mood-lifting effects mirror those found in mindfulness programs for the general public, but can mindfulness help with the specific anxieties and fears that go along with pregnancy? Many pregnant women have a loop of worries that easily gets triggered: Will my baby be healthy? I’m scared of labor. Something doesn’t feel right—do I need to go to the doctor?

A 2014 study looked specifically at these feelings, called pregnancy anxiety. Forty-seven pregnant women in their first or second trimesters, who had particularly high stress or pregnancy anxiety, took a mindfulness class at UCLA’s Mindful Awareness Research Center. For six weeks, they learned how to work with pain, negative emotions, and difficult social situations. Compared with a control group who read a pregnancy book, participants who took the class saw bigger decreases in their reports of pregnancy anxiety during the duration of the experiment.

Mindfulness, perhaps, gave them the tools to navigate complex emotions that wouldn’t budge, even in the face of the most reassuring reading material.

“It is inspiring to witness a mother with extreme fear of childbirth cancel an elective caesarian because she now feels confident enough in her own strength to go through the birthing process,” said one mindfulness teacher. “It is humbling to hear how the couple whose first baby died during labour were able to stay present during the birth of their second, observing their fear without getting lost in it.”

2. Mindfulness boosts positive feelings
Not all mindfulness involves meditation; you can also become more mindful by noticing the way moods and bodily sensations fluctuate throughout the day. This type of mindfulness can counter our tendency to be “mindless,” when we assume things will be the way we expect them to be—the way they were in the past—and we don’t notice new experiences. For example, pregnant women might expect pregnancy to be exhausting and painful, so they pay less attention to the happy and peaceful moments.

In a 2016 study, a small group of Israeli women in their second and third trimesters received a half-hour training in this type of mindfulness. Then, for two weeks, they wrote diary entries twice daily about how they felt physically and mentally, a way of helping them realize how much things change.

Compared with groups of women who simply read about other women’s positive and negative experiences during pregnancy, or did nothing specific at all, women in the mindfulness group saw greater increases in their reports of well-being and positive feelings like enthusiasm and determination across the duration of the exercise. Also, the more mindful they were after the experiment (as measured by questionnaire), the higher their well-being, life satisfaction, self-esteem, and positive feelings one month after the birth—a time when women need all the resources they can get.

Nurse-midwife Nancy Bardacke developed the Mindfulness-Based Childbirth and Parenting (MBCP) program after training in and teaching Mindfulness-Based Stress Reduction (MBSR), a widely researched program developed by Jon Kabat-Zinn. MBCP takes principles from MBSR and applies them to pregnancy, teaching mindfulness practices alongside insights about labor and breastfeeding. It includes three hours of class per week for nine weeks, as well as a daylong silent retreat.

In a small 2010 pilot study, 27 women in their third trimester of pregnancy participated in the MBCP program with their partners. In addition to improvements in pregnancy anxiety and stress, participants also reported experiencing stronger and more frequent positive feelings—such as enjoyment, gratitude, and hope—after the program.

“I definitely am aware of trying to be in the moment and that each moment, good or bad, will pass,” said one participant. “When I got really worried about the birth, I would just breathe to stop my mind from going all sorts of bad places.”
​
3. Mindfulness may help prevent premature birth
Among pregnant women’s worries, the possibility of a premature birth looms large. “Preemies” (babies born before 37 weeks) are at risk of breathing problems, vision and hearing issues, and developmental delays. And mothers of preemies have high rates of anxiety, depression, and stress, which often go unacknowledged in the face of the baby’s needs.

Here, too, mindfulness may have a role to play. In a 2005 study of 335 pregnant women in Bangalore, India, half were assigned to practice yoga and meditation while the other half walked for an hour per day, starting in their second trimester and continuing until delivery. The yoga group, who took yoga classes for a week and then practiced at home, had fewer premature births and fewer babies with low birthweight.

Another indicator of newborn health is the Apgar score, usually measured minutes after birth, which takes into account the newborn’s complexion, pulse, reflexes, activity level, and respiration. In the 2016 Israeli study mentioned above, women’s reported levels of mindfulness after the experiment were linked to their babies’ Apgar scores, even after controlling for socioeconomic status.

One 2011 study found that a mindfulness program reduced premature births, but not birthweight or Apgar scores. Here, a group of 199 second-trimester pregnant women in Northern Thailand either got typical prenatal care or participated in a mindfulness program. Two hours a week for five weeks, the mindfulness group learned different meditations and how to cultivate awareness and acceptance of their thoughts and emotions. During and afterward, they were encouraged to meditate for over an hour daily across several different sessions. In the end, only six percent of women in the meditation group delivered their babies prematurely, compared with 16 percent in the care-as-usual group.

Could mindfulness help reduce premature births in women who are most at risk for them, including low-income and older women? That’s a question for future research to address."
Finish Reading The Four Reasons to Practice Mindfulness During Pregnancy
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Body Image: Loving Your Body Before, During, and After Your Pregnancy

2/3/2022

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By: American Pregnancy Association
"Loving your body image before pregnancy can help you get through the physical and emotional changes during pregnancy. Having a positive body image of yourself is not about what you look like, but how you feel about yourself. This is crucial in pregnancy since there will be body changes that you cannot control. It is also helpful to understand why your body is going through these changes.
According to Ann Douglas, author of The Unofficial Guide to Having a Baby, “A woman who feels good about herself will celebrate the changes that her body experiences during pregnancy, look forward to the challenge of giving birth, and willingly accept the physical and emotional changes of the postpartum period.”

Loving Your Body When You Are Pregnant:
Knowing that your body’s changes are essential to your developing baby is reason enough to embrace these changes!

Understanding what your body is doing for your baby:
As soon as your egg is fertilized and implanted in your uterus, your body begins to go through changes. These changes are a result of your baby’s growth and development. Your baby has a fetal life-support system that consists of the placenta, umbilical cord, and amniotic sac. The placenta produces hormones that are necessary to support a healthy pregnancy and baby.

These hormones help prepare your breasts for lactation and are responsible for many changes in your body. You will have an increase in blood circulation that is needed to support the placenta. This increase in blood is responsible for that wonderful “pregnancy glow” that you may have.

Pregnancy Metabolism:
Your metabolism will increase, so you may have food cravings and the desire to eat more. Your body is requiring more nutrients to feed both you and your baby. Your uterus will enlarge and the amniotic sac will be filled with amniotic fluid. The amniotic fluid is there to protect your baby from any bumps or falls.

Here are a few things you can do to love your body image during pregnancy:

Exercise:
Exercise during pregnancy can help you feel fit, strong, and sexy.  According to the American College of Obstetricians and Gynecologists, pregnant women are encouraged to exercise at least 30 minutes a day throughout pregnancy, unless your health care provider instructs differently.

Before starting any exercise program, ALWAYS check with your health care provider. For more information on exercise throughout pregnancy, check out the Nutrition & Exercise section.

Pamper yourself:
Treat yourself to a body massage or a makeover. Go shopping, take a warm bubble bath, or go for a walk outside. Focus on activities that make you feel healthy, and make the most of these wonderful 9 months!"
Finish Reading Body Image: Love Your Body Before, During, and After Your Pregnancy
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5 Couples Therapy Techniques to Try in Your Relationship

1/27/2022

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By: Rubin Khoddam Ph.D. | January 23, 2022
"Are you looking for some new techniques to strengthen your relationship? If you’re interested in integrative behavioral couples therapy (IBCT) but don’t seem to be able to fit it into your busy schedule, many couples are utilizing teletherapy as a simpler way to make time for their relationship. Scheduling a teletherapy session with an experienced therapist is convenient and can help you work through relationship issues, but why wait? Here are five tips to get started today.

1. Express Appreciation
Understanding what makes your partner feel the most appreciated is a step in the right direction. Over time, we may stop expressing appreciation in our relationships because what was once novel has become routine. Maybe resentments have built up over the years, or we assume our significant other already knows how we feel about them. But when we notice and appreciate the little things, people often go out of their way to be even more thoughtful. This doesn’t require big gestures, although it can. Often, simply acknowledging what other people do for us is enough to make any relationship warmer. In fact, I often encourage couples to end the day by listing at least three things they are grateful for from that day about their partner or even about the day itself. Knowing that you will have to express your appreciation for things at the end of the night will make you more mindful of things to appreciate during the day.

2. Practice Reflective Listening
Practice might not ever make perfect, but it sure helps. It’s common for people to mistakenly believe that if they withhold approval or affection, their partner will change in the ways they want them to. While this might cause your partner to change, it probably won’t be in ways you like. Practicing reflective listening is one of the best techniques to improve communication in your relationship. So what does it mean?

This is something that a skilled couples therapist can walk you through during your session, but essentially it means that you listen to what your partner says and then repeat it back to them in your own words. You can try a simple reflection where you basically repeat back what’s been said, perhaps paraphrasing a little or you can try a complex reflection where you might infer a feeling or an experience based on what was said. This accomplishes two things. It validates what they’ve said because they know they’ve really been heard and it also clarifies any confusion. Instead of waiting for our turn to speak, we’re actively listening to what is being said and trying to understand what they’re telling us.

​3. Schedule Important Conversations
On a related topic, there are some conversations that are tough to have no matter how skilled we are at communicating. So, when it comes to sensitive issues, it can be helpful to set aside time to discuss them. I call these “relationship business meetings.” For example, maybe your partner wants to have a baby but you’re not sure if it’s a good time for you to start a family, or if you even want children. This is a situation that could quickly escalate into an argument, particularly if the topic comes up in a moment when you already feel stressed out about work or money or any number of other things.

Instead, consider setting aside a weekly meeting for an hour to explore the idea or any other hot-topic relationship issues. Choose a time when you both have the mental and emotional bandwidth to be fully present, and keep in mind that you don’t necessarily need to find an answer at this time. The intent is to simply get the conversation started when you’re both in a calm and receptive state of mind—maybe even over brunch. You can always schedule a follow-up for later on, which will give you time to consider things in more depth.

By setting aside a weekly time to meet, you consolidate arguments into a single episode rather than have them bleed into the relationship throughout the week. It also allows time and space for each partner to reflect on their experience and opinions, and to come to the conversation more thoughtful and respectful of their needs and their partner's.
If you’re still finding it difficult to find your way through an issue, bring it to your teletherapy session. Your couples therapist will be able to offer you a fresh perspective and some useful insights into your current dynamic."
Finish Reading The 5 Couples Therapy Techniques To Try in Your Relationship
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Pregnancy Yoga & Pilates Fusion Class | 1st, 2nd, 3rd Trimester (Pregnancy Yoga + Pregnancy Pilates)

1/6/2022

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By: ​Pregnancy and Postpartum TV
"Join me for this 25-min pregnancy yoga & pilates fusion class! Pregnancy Yoga + Pregnancy Pilates
Guide to cope with pain in natural labor:
http://bit.ly/31MnU5Q
Pelvic Floor Guide For Birth Prep: https://bit.ly/2NI407r
Pregnancy Meal Plan:
https://bit.ly/3g7tmrS Pregnancy Yoga Cards: https://www.pregnancyandchildhoodnutr..."
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Affirmations for Difficult Times

12/29/2021

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Written by Sharon Martin, LCSW on March 19, 2020 
"Stress is an inevitable part of life. We all feel overwhelmed, confused, and anxious at times. And there are many effective and healthy ways to cope with stress, including releasing physical tension (such as through exercise or a hot bath) and reducing obsessive worries and negative thoughts.

Using affirmations is one way to change our thoughts and feelings. They can help us focus on how we want to feel and on our ability to cope.

However, if affirmations are going to work, they need to be realistic and authentic. Some positive affirmations are really corny and unbelievable (like, I am full of peace and joy). Telling yourself that you're full of peace and joy when you're actually full of tension and worry, probably isnt going to feel true or helpful. Instead, try to acknowledge your situation and feelings (that you feel stressed and anxious) and focus on how you want to cope — what you want to think, feel, and do in response.
Below are some affirmations that you may find helpful during times of stress and uncertainty. What feels true and right and helpful, certainly varies from person to person. So, use these as ideas to create your own affirmations or mantras. For example, you can make them more specific by stating something in particular that you're grateful for or a particular coping strategy that you will use.

Affirmations for stress and anxiety
  1. This is stressful, so I will take extra good care of myself.
  2. I will stay present-focused and take this one day at a time.
  3. I choose to be optimistic.
  4. I'm doing what I can to remain physically and emotionally healthy.
  5. This too shall pass.
  6. I will get through this.
  7. I will focus on what I can control and release the rest.
  8. My fear is understandable, but constantly worrying about the worst-case scenario isn't helpful.
  9. I will try to be kind and gentle with myself.
  10. I can be both afraid and courageous at the same time."
Continue Reading Affirmations for Difficult Times
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Best Pregnancy Stretches | 15-Min Full-Body Daily Stretch Routine | Relieve Pregnancy Symptoms

12/22/2021

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By: Pregnancy and Postpartum TV | August 12, 2021
'These are great daily pregnancy stretches (a stretch routine) to keep away pregnancy aches and pains and help pregnancy symptoms. Guide to cope with pain in labor: http://bit.ly/31MnU5Q 5-min warm-up to do before this stretch routine: https://youtu.be/bJSrELdWksM "
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10 Fun Christmas Party Games for Kids of All Ages

12/13/2021

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By Fiona Tapp
"Keep your holiday party going strong this season with these festive Christmas games for preschoolers, big kids, tweens, and teens—and parents, too!

Whether you throw your own Christmas party for your kids and their friends or you're just expecting to attend more than a few, having a collection of fun Christmas party games in mind will keep everyone entertained.

Mix it up with games for all ages, with some that encourage movement, require music, help them all let off some steam and then calm down and cool off before they go home.

Try these 10 Christmas games at your next kid's party, which require minimal setup, and you'll be crowned the party planner of the year!

1. Stack The Gifts
Best for: All ages
All you need is a collection of empty boxes wrapped up to look like gifts and some enthusiastic kids. Challenge individuals or teams to stack their tower of gifts the highest without any of them falling over. To increase the pressure you can introduce a time limit of 60 seconds.

2. Dress-Up Relay
Best for: Preschool and Elementary age kids
This Christmas party game will help kids use up a lot of energy in a fast-paced dress up race.
Each child will start by lining up in front of a pile of winter clothes. They will then be challenged to dress completely in a hat, mittens, snow pants, and coat before having to unwrap a candy with their hands in mittens. Finally, they have to return to the start and take everything back off, replacing it in a neat pile again. It's great practice for those busy mornings once school starts back again!

3. Candy Cane Hunt
Best for: Elementary age kids and up
Hide candy canes around the house and have children hunt them. They can then hang them on the Christmas tree and cash them in for a small prize.

4. Snowball Race
Best for: Elementary age kids and upKids are given a styrofoam or ping pong ball and a drinking straw and have to blow their "snowball" across the finishing line before their friends.

5. Snow Shovel Race
Best for: Ages 7 and up
You'll need some bowls and cotton balls to challenge kids to a snow shovel race but not the kind you're thinking of. To "shovel the snow" they will need to balance cotton balls on a spoon and transfer them into t
he bowls before their friends beat them (it's harder than you think!)"
Finish Reading: Fun Christmas Party Games for Kids of All Ages
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OB-GYNs Debunk 16 Postpartum And Breastfeeding Myths | Debunked

12/9/2021

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By: Science Insider | October 17, 2021
"High-risk obstetricians Laura Riley and Dena Goffman debunk 16 postpartum myths. They talk about how breastfeeding will not prevent pregnancy, why baby bumps don't disappear right after you give birth, and how breastfeeding doesn't always come naturally. They also debunk the myth that you'll need to keep having C-sections if you've previously had one.

Riley is the chair of OB-GYN at NewYork-Presbyterian and Weill Cornell Medicine. She specializes in maternal fetal medicine. You can learn more about her work here:
https://weillcornell.org/laura-e-rile...

Goffman is the chief of obstetrics at NewYork-Presbyterian and Columbia University. She is also a maternal fetal medicine specialist. You can learn more about her work here: https://www.columbiaobgyn.org/profile..."
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A rural hospital closed its obstetrics unit, hitting most vulnerable the hardest

11/22/2021

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By Jean Lee | November 21, 2021
"Shantell Jones gave birth in an ambulance parked on the side of a Connecticut highway. Even though she lived six blocks away from a hospital, the emergency vehicle had to drive to another one about 30 minutes away.

The closer medical center, Windham Hospital, discontinued labor and delivery services last year and is working to permanently cease childbirth services after “years of declining births and recruitment challenges,” its operator, Hartford HealthCare, has said.

But medical and public health experts say the step could potentially put pregnant women at risk if they don't have immediate access to medical attention. Losing obstetrics services, they said, could be associated with increased preterm births, emergency room births and out-of-hospital births without resources nearby, like Jones' childbirth experience.
The dilemma Jones faced is one that thousands of other pregnant women living in rural communities without obstetrics units nearby are encountering as hospitals cut back or close services to reduce costs. Nationwide, 53 rural counties lost obstetrics care from 2014 through 2018, according to a 2020 study in the Journal of the American Medical Association, which also found that out of 1,976 rural counties in the country, 1,045 never had hospitals with obstetrics services to begin with.

The problem is particularly acute in communities of color, like Windham in northeastern Connecticut, where the population is 41 percent Latino, while the statewide Latino population is only 16.9 percent, according to the U.S Census Bureau. The community is 6.2 percent Black. Local activists say they fear low-income residents will bear the brunt of the hospital’s decision because Windham has a 24.6 percent poverty rate compared to 10 percent statewide, according to the census.

The night Jones delivered her son, her mother, Michelle Jones, had called 911 because Jones was going into labor a few weeks early, and after her water broke they knew the baby was coming soon. Both expected the ambulance to drive the short distance to Windham Hospital, where Jones received her prenatal care.

But the ambulance attendant was told Windham wasn't taking labor and delivery patients and was referring people to Backus Hospital in Norwich, Jones said.

In the ambulance, she was without her mother, who was asked to follow in her car.

“I was anxious and scared and traumatized,” Jones said."
Continue Reading: How the Rural Hospital Closing it's Obstetrics Unit Hit the Most Vulnerable the Hardest
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The effect of childbirth no-one talks about

11/16/2021

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By Sarah Griffiths |  April 24, 2019
"Giving birth can be one of the most painful experiences in a woman’s life, yet the long-term effects that trauma can have on millions of new mothers are still largely ignored.

It’s 03:00. My pillow is soaked with cold sweat, my body tense and shaking after waking from the same nightmare that haunts me every night. I know I’m safe in bed – that’s a fact. My life is no longer at risk, but I can’t stop replaying the terrifying scene that replayed in my head as I slept, so I remain alert, listening for any sound in the dark.
This is one of the ways I experience post-traumatic stress disorder (PTSD).

PTSD is an anxiety disorder caused by very stressful, frightening or distressing events, which are often relived through flashbacks and nightmares. The condition, formerly known as “shellshock”, first came to prominence when men returned from the trenches of World War One having witnessed unimaginable horrors. More than 100 years after the guns of that conflict fell silent, PTSD is still predominantly associated with war and as something largely experienced by men.

But millions of women worldwide develop PTSD not only from fighting on a foreign battlefield – but also from struggling to give birth, as I did. And the symptoms tend to be similar for people no matter the trauma they experienced.

“Women with trauma may feel fear, helplessness or horror about their experience and suffer recurrent, overwhelming memories, flashbacks, thoughts and nightmares about the birth, feel distressed, anxious or panicky when exposed to things which remind them of the event, and avoid anything that reminds them of the trauma, which can include talking about it," says Patrick O’Brien, a maternal mental health expert at University College Hospital and spokesman for the Royal College of Obstetricians and Gynaecologists in the UK.

Despite these potentially debilitating effects, postnatal PTSD was only formally recognised in the 1990s when the American Psychiatry Association changed its description of what constitutes a traumatic event. The association originally considered PTSD to be “something outside the range of usual human experience”, but then changed the definition to include an event where a person “witnessed or confronted serious physical threat or injury to themselves or others and in which the person responded with feelings of fear, helplessness or horror”.

This effectively implied that before this change, childbirth was deemed too common to be highly traumatic – despite the life-changing injuries, and sometimes deaths, women can suffer as they bring children into the world. According to the World Health Organization, 803 women die from complications related to pregnancy and childbirth every day.

There are few official figures for how many women suffer from postnatal PTSD, and because of the continued lack of recognition of the condition in mothers, it is difficult to say how common the condition really is. Some studies that have attempted to quantify the problem estimate that 4% of births lead to the condition. One study from 2003 found that around a third of mothers who experience a “traumatic delivery”, defined as involving complications, the use of instruments to assist delivery or near death, go on to develop PTSD.

With 130 million babies born around the world every year, that means that a staggering number of women may be trying to cope with the disorder with little or no recognition.

And postnatal PTSD might not only be a problem for mothers. Some research has found evidence that fathers can suffer it too after witnessing their partner go through a traumatic birth.

Regardless of the exact numbers, for those who go through these experiences, there can be a long-lasting impact on their lives. And the symptoms manifest themselves in many different ways.

"I regularly get vivid images of the birth in my head,” says Leonnie Downes, a mother from Lancashire, UK, who developed PTSD after fearing she was going to die when she developed sepsis in labour. “I constantly feel under threat, like I'm in a heightened awareness.”

Lucy Webber, another woman who developed PTSD after giving birth to her son in 2016, says she developed obsessive behaviours and become extremely anxious. “I’m not able to let my baby out of my sight or let anyone touch him,” she says. “I have intrusive thought of bad things happening to all my loved ones.”

Not all women who have difficult births will develop postnatal PTSD. According to Elizabeth Ford of Queen Mary University of London and Susan Ayers of the University of Sussex, it has a lot to do with a woman’s perception of what they went through.
"Women who feel lack of control during birth or who have poor care and support are more at risk of developing PTSD,” the researchers write.
The stories from women who have developed PTSD after giving birth seem to reflect this. 

​Stephanie, whose name has been changed to protect her identity, says she was poorly cared for during labour and midwives displayed a lack of empathy and compassion. A particularly difficult labour saw her being physically held down by staff as her son was delivered. “He was born completely blue and taken away to be resuscitated and I was given no information on his condition for hours.”
Finish Reading The Effects of Childbirth No One Talks About
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How can you manage anxiety during pregnancy?

11/12/2021

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By Stephanie Collier, MD, MPH, Contributor
"​Pregnancy is an exciting time. You will soon become a parent to an adorable, tiny human. You may expect to experience the rollercoaster of emotions during pregnancy, or emotions may catch you off guard. Some women feel joy at every flutter or kick, marveling at their changing bodies. For other women, pregnancy is hard, giving no reprieve as it brings severe fatigue, mood changes, and constant worries. You may notice that with every passing month, your thoughts are spiraling out of control, affecting your performance at work and your relationships at home. But how do you manage your anxiety, and should you treat it?

What causes anxiety during pregnancy?
Worries during pregnancy are universal. Hormonal changes of pregnancy, prior heartbreaking miscarriages, and sleep difficulties may all contribute to anxiety for mothers-to-be. You may worry about how a baby will affect your relationships with friends or family members, the health of your future child, the delivery experience, or the financial burden of an additional family member. All of these worries are completely normal. For humans, a certain amount of anxiety is protective; how else could we motivate ourselves to complete our work or run away from a bear?

What are the symptoms of anxiety disorders during pregnancy?
Although it’s normal to be worried about the health of your baby, in some cases this worry becomes debilitating and may require further attention. Thoughts about the health of the baby may become obsessive, even when doctors are reassuring. Worries may also appear as physical symptoms, such as a rapid heartbeat, difficulty breathing, or panic attacks. If this is the first time you experience a high level of anxiety, this may be frightening in itself. When anxiety starts to interfere with your day-to-day functioning, relationships, or job performance, it may be classified as an anxiety disorder — if your doctor picks up on it.

Anxiety can occur at any time during pregnancy, or it may first appear after delivery (perinatal anxiety is the term used for anxiety during pregnancy and after delivery). The rates of generalized anxiety disorder appear to be highest in the first trimester, likely due to hormonal changes. The most common symptoms of anxiety include constant worrying, restlessness, muscle tension, irritability, feeling dread, an inability to concentrate, and difficulties falling asleep due to worries. Some women also experience symptoms as a result of other anxiety disorders, including panic disorder, obsessive-compulsive disorder, or post-traumatic stress disorder.

Unfortunately, two of the most common mental health screening tools in pregnancy (the Edinburgh Postnatal Depression Screen and Generalized Anxiety Disorder 7-item Scale) are not great at detecting anxiety in pregnancy. Although underdiagnosed, anxiety disorders during pregnancy and in the postpartum period are common, and may affect up to one in five women. Many women suffer in silence.

What are the effects of untreated anxiety on the fetus?
When thinking about management of anxiety, it is important to consider both the risks of treatment as well as the harms of untreated anxiety. Although less studied than depression, research suggests that anxiety may negatively affect both the mother and the fetus. Anxiety increases the risk for preterm birth, low birthweight, earlier gestational age, and a smaller head circumference (which is related to brain size).

What are some treatments for anxiety during pregnancy?
Fortunately, there are many treatments that can reduce anxiety during pregnancy and help you feel better. For many women, anti-anxiety medication is not an option during pregnancy, as there is little information on the safety of such medication on the fetus. Some women who had previously taken medications for anxiety may wish to discontinue medications during pregnancy for personal reasons.

Therapies such as cognitive behavior therapy (CBT) demonstrate promise in the peripartum period (the period shortly before, during, and after giving birth). CBT focuses on challenging maladaptive thoughts, emotions, and actions, and it uses anxiety management strategies such as diaphragmatic breathing (adapted to pregnancy).

If your anxiety is severe, medications may be an option for you. Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for depression and anxiety during pregnancy and after delivery. It does not appear that SSRIs are associated with an increased risk of major congenital malformations. However, SSRIs may be associated with transient neonatal symptoms such as jitteriness, tremor, crying, and trouble feeding, which resolve on their own in a few days.

The use of benzodiazepines such as lorazepam (Ativan) and alprazolam (Xanax) during pregnancy has long been a controversial topic. Although older studies showed an association between their use and an increased risk for cleft lip and palate, a more recent study looking at benzodiazepine use during pregnancy did not show this link when these medications were used alone (although there may be an increased risk when combined with antidepressants)."
Finish Reading How to Manage Anxiety During Pregnancy
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Meditation For Pregnancy | Night-time | Guided By Cindy

11/1/2021

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By: Cindy & James Mindful Relaxation
"Meditation For Pregnancy is a comforting and relaxing meditation that can be done at any time but works best before sleep. It's a super-effective way to reduce anxiety and connect with your baby."
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9 essential self-care tips for busy moms

10/25/2021

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By: Kaiser Permanente | 2021
"Time is valuable for any busy mom. There never seems to be enough of it. And when you think about your priorities, making time for self-care probably falls near the bottom of your list —below work, kids, home, and family.
But if you don’t take time for yourself, you could be doing more harm than good.  Stress, exhaustion, burnout, and even illness can take more of a toll when you aren’t getting what you need. So whether you carve out a few minutes for yourself, or a whole day, here are some ideas to get you started:

1. Focus on the physical
  • Getting your blood pumping and getting outside is a great way to feel refreshed.  Pick what’s right for your fitness level.
    • Take a walk around the block.
    • Stretch or do some yoga.
    • Kayak in Lake Washington or Lake Coeur d’Alene.
    • Take your bike out for a spin..
    • Train for a 5K walk or fun run.
    • Spend time tending your garden.

2. Give your brain a boost
  • Write in your journal.
  • Sketch something you love or pick up a coloring book.
  • Meditate.
  • Read a good book.
  • Do a crossword puzzle.

3. Pamper yourself
  • Relax in a hot bath.
  • Plan a spa day.
  • Sneak in a nap.
  • Splurge on your favorite flowers.
  • Give yourself a facial.

4. Find time for your friends
  • Have lunch at a new restaurant.
  • Go to an Art Walk in Seattle, Tacoma, Olympia, Kennewick or Spokane.
  • Make a walking date.
  • Go window shopping.
  • Volunteer with a friend.
  • Join a book club or moms group.

5. Take a leap
Do something big that you’ve never done before, like:
  • Go-cart racing.
  • Visit a local landmark for the first time.
  • Geocaching.
  • Indoor rock climbing.
  • Start writing your memoir.

6. Hone your skills
  • Up your cooking game by trying a new and different recipe.
  • Get back into a sport you love.
  • Take a painting or drawing class.
  • Strum that guitar you’ve neglected.

7. Get silly
  • Sing along to your favorite music.
  • Host a game night.
  • Go see a comedy show.
  • Dance in your living room."
Finish Reading the 9 Essential Self-Care Tips for Busy Moms
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Is It Safe to Use Essential Oils While Pregnant

10/18/2021

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Source: WebMD Medical Reference | ​Reviewed by Dan Brennan, MD on March 05, 2021
"What Are Essential Oils?
Essential oils are plant abstracts made by steaming or pressing different parts of a plant to capture the compounds that produce fragrance. It can take several pounds of a plant to produce just one bottle of essential oils. 

When evaluating essential oils' effectiveness, research is promising, but the human clinical trials are mixed. Some studies show an improvement for people, while others show no improvement at all. 

The most common way essential oils are used during pregnancy is to help treat anxiety, aches, and lack of focus. There are many varieties of oils to choose from. Finding a high-grade quality variety is recommended. It’s also helpful to consult with your doctor before you start using essential oils while pregnant. 

Is It Safe to Use Essential Oils While Pregnant?
Essential oils come in different scents and qualities. Certain varieties are safe to use while pregnant while others should be avoided.
Essential oils that are good to use while pregnant:
  •  Cardamom. Helps with morning sickness and nausea
  •  Frankincense. Stimulates calm, relaxation, and a good night’s sleep 
  •  Geranium. Promotes a positive mood 
  •  German or Roman chamomile. Stimulates calm, relaxation, and a good night's sleep 
  •  Ginger. Helps with morning sickness and nausea
  •  Lavender. Stimulates calm, relaxation, and a good night's sleep 
  •  Lemon. Improves your mood
  •  Neroli. Stimulates calm, relaxation, and a good night's sleep 
  •  Patchouli. Improves your mood
  •  Petitgrain. Stimulates calm, relaxation, and a good night's sleep 
  •  Rose and rosewood. Stimulates calm, relaxation, and a good night's sleep 
  •  Sandalwood. Improves your mood
  •  Wild orange. Improves your mood
Here are some other essential oils that should not be used while pregnant:
  • Aniseed
  • Basil
  • Birch
  • Camphor
  • Clary Sage
  • Hyssop
  • Mugwort
  • Oak Moss
  • Parsley Seed or Leaf
  • Pennyroyal
  • Peppermint
  • Rosemary
  • Rue
  • Sage
  • Tansy
  • Tarragon
  • Thuja
  • Thyme
  • Wintergreen

How to Use Essential Oils Safely
If a doctor or midwife recommends essential oils to help you during pregnancy, use them carefully. A few good tips to keep in mind include:
  • Start with a small amount (maybe just a drop) and gradually increase based on your tolerance. Pregnancy can heighten sensitivity to smell which may make some essential oil scents overwhelming. Try putting a small amount of oil on a cotton ball or tissue and gently breathe in.
  • Avoid putting essential oils directly on the skin unless otherwise directed. Some essential oils can cause skin irritation or rash.
  • Don't ingest essential oils. There is not enough evidence to prove that this is safe.
  • Consult with your doctor and a qualified aromatherapist with questions or concerns.
​
Safety Risks of Using Essential Oils While Pregnant
Some people may experience an allergic reaction or skin irritation after using essential oils. You're more likely to have a bad reaction if you have atopic dermatitis or a history of reactions to topical products. 
Some essential oils that may carry a higher risk of causing an allergic or skin irritation include:
  • Oregano oil
  • Cinnamon bark oil
  • Jasmine oil
  • Lemongrass oil 
  • Ylang-ylang oil
  • Chamomile oil
  • Bergamot oil 
If you get a red, itchy rash or hives after using essential oils, contact your doctor as these symptoms are often signs of an allergic reaction."
Finish Reading About Essential Oil Safety While Pregnant
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