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."
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By: Abigail Brenner M.D. | January 16, 2022 "You may be on the same page with your partner for most things, but there will inevitably come a time when you don’t see eye to eye. You have some choices: You can ignore your differences and just circumvent the issue, or you can keep on trying to persuade your partner to see it your way, or you can get increasingly angry and eventually let your partner have it.
It’s probably a better idea to try to tackle your differences, the areas where you disagree, and attempt to iron out the problem in a way that allows both of you to express your opinions and beliefs, with the goal of finding some common ground, some area of compromise. How do you do that when you feel strongly about an issue or problem, but so does your partner? Surely, you want to please yourself but you want your partner to feel satisfied as well. However, most of us are not taught how to have a constructive discussion. We model what we see around us. We may have seen people angry to the point where they stop talking to each other, or try to intimidate each other through insults and threats. We’ve perhaps seen situations where the conversation ends when one person declares their point of view the “winner.” Here are some tips to help you navigate disagreements constructively and respectfully. Be present and focused. Clear away all distractions—no emails, texts, or phone calls. Leave aside all other issues and things you need to do. Put everything else on hold. Pay close attention. Your only job is to listen carefully and to try to understand, not only what’s being said, but the emotions being expressed. Give your partner all the time they need to explain their side of the argument, discussion. Don’t lecture. You probably have done this already but making time to constructively work on your differences is a completely different kind of exercise. It’s meant to be a give-and-take, back-and-forth discussion to help clarify your different points of view and to reach some kind of reasonable agreement about how to move forward. Your ideas and beliefs are just that—you’re ideas and beliefs. No more or less valid than your partner’s ideas and beliefs. Don’t lecture, or worse, pontificate from a superior position. This exercise is meant to level the field." By: Shahram Heshmat Ph.D. | January 18, 2022 "Many of our everyday choices require making tradeoffs between the present and the future. These choices tend to have delayed consequences. In general, we want things now rather than later. This tendency is known as present bias. Present bias occurs when individuals place extra weight on more immediate rewards than future rewards. The more we disregard our longer-term interests in favor of immediate gratification, the more likely we will have an overspending problem.
The present bias is partially attributed to judgments of connectedness between the present and future self (Hershfield, 2018). We tend to think about our future selves as if they are someone else, wholly different from who we are today. If we view our distant self as another person who is more of a stranger to us, then the future selves’ well-being is none of our concern. Feeling psychologically close to one’s distant self motivates more farsighted decisions that could lead to better outcomes in the future, such as having more money, better health, and fewer regrets. So how do we learn to relate to our future selves? 1. Psychological continuity Psychological continuity refers to the perceived connectedness between the current self and the future self. To feel connected to our future selves means the continuation of our core identities such as values, life goals between the present and future self. When individuals feel similar to their future self, they are more likely to delay present gratification and make plans for the long run. Research has shown that higher levels of self-continuity to be positively correlated with better academic performance and less procrastination. 2. Imagination The inability to imagine a realistic future self fully and vividly is another reason for poor choices over time. Having a vivid view of the future ahead is a sign of social maturity for young adults. Education is shown to enlighten the person about the value of deferred versus current consumption. We might also spend time with older generations (our parents or grandparents) to remind ourselves of what our lives might be like 20 years from now. Vivid examples are often processed more emotionally, and this can affect motivation. For example, people who viewed age-progressed images of themselves expressed increased intentions to save for retirement. 3. Small steps Another strategy is to frame sacrifices felt by the present self as being less burdensome. The key to reaching long-term goals often starts with small acts. A study demonstrated higher response rates for an automatic savings program when contributions were framed in daily terms, which feel less painful to the current self. For example, $5 a day in savings versus $150 a month." By: Judith Orloff, M.D. | December 16, 2014 "A survival guide for empaths to stay grounded and centered."
"Sensitive people or empaths have an ability to be emotional sponges that can heighten when they are at a social event, around co-workers, or in crowds. If empaths are around peace and love, their bodies assimilate these and flourish. Negativity, though, often feels assaultive or exhausting. For empaths to fully enjoy being around others, they must learn to protect their sensitivity and find balance. Since I’m an empath, I want to help them cultivate this capacity and be comfortable with it. I’ve always been hyper-attuned to other people’s moods, good and bad. Before I learned to protect my energy, I felt them lodge in my body. After being in crowds I would leave feeling anxious, depressed, or tired. When I got home, I’d just crawl into bed, yearning for peace and quiet. Here are six strategies to help you manage your sensitivity more effectively and stay centered without absorbing negative energy.
Pregnancy Yoga & Pilates Fusion Class | 1st, 2nd, 3rd Trimester (Pregnancy Yoga + Pregnancy Pilates)1/6/2022 "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..." 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
By: Heather S. Lonczak, Ph.D. | 6/12/2021 "Most adults will become parents at some point in their lives (i.e., around 89.6% of the adult population worldwide; Ranjan, 2015).
And while most of us strive to be great parents, we may also find ourselves confused and frustrated by the seemingly endless challenges of parenthood. As both parents of toddlers and teenagers can attest, such challenges are evident across all developmental stages. But there is good news— numerous research-supported tools and strategies are now available for parents. These resources provide a wealth of information for common parenting challenges (i.e., bedtime issues, picky eating, tantrums, behavior problems, risk-taking, etc.); as well as the various learning lessons that are simply part of growing up (i.e., starting school, being respectful, making friends, being responsible, making good choices, etc.). With its focus on happiness, resilience and positive youth development; the field of positive psychology is particularly pertinent to discussions of effective parenting. Thus, whether you are a parent who’s trying to dodge potential problems; or you are already pulling your hair out— you’ve come to the right place. This article provides a highly comprehensive compilation of evidence-based positive parenting techniques. These ideas and strategies will cover a range of developmental periods, challenges, and situations. More specifically, drawing from a rich and robust collection of research, we will address exactly what positive parenting means; its many benefits; when and how to use it; and its usefulness for specific issues and age-groups. This article also contains many useful examples, positive parenting tips, activities, programs, videos, books, podcasts – and so much more. By learning from and applying these positive parenting resources; parents will become the kind of parents they’ve always wanted to be: Confident, Optimistic, and even Joyful. Before you continue, we thought you might like to download our three Positive Relationships Exercises for free. These detailed, science-based exercises will help you or your clients build healthy, life-enriching relationships. What is Positive Parenting? Before providing a definition of positive parenting, let’s take a step back and consider what we mean by “parents.” While a great deal of parenting research has focused on the role of mothers; children’s psychosocial well-being is influenced by all individuals involved in their upbringing. Such caregivers might include biological and adoptive parents, foster parents, single parents, step-parents, older siblings, and other relatives and non-relatives who play a meaningful role in a child’s life. In other words, the term “parent” applies to an array of individuals whose presence impacts the health and well-being of children (Juffer, Bakermans-Kranenburg & van Ijzendoorn, 2008). Thus, any time the terms “parent” or “caregiver” are used herein; they apply to any individuals who share a consistent relationship with a child, as well as an interest in his/her well-being (Seay, Freysteinson & McFarlane, 2014). Fortunately, parenting research has moved away from a deficit or risk factor model towards a more positive focus on predictors of positive outcomes (e.g., protective factors). Positive parenting exemplifies this approach by seeking to promote the parenting behaviors that are most essential for fostering positive youth development (Rodrigo, Almeida, Spiel, & Koops, 2012)." Best Pregnancy Stretches | 15-Min Full-Body Daily Stretch Routine | Relieve Pregnancy Symptoms12/22/2021 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 "
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 the bowls before their friends beat them (it's harder than you think!)" 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..." By Lauren Hale | December 15, 2015 "Jingle bells, jingle bells, mama had a baby. Now she’s sad but she must look glad, oh my will she ever survive?
Oh, the holidays. The holidays when we are supposed to be so happy, festive, and joyous even when we do not feel up to the task at hand. Sound familiar, my fellow Perinatal Mental Health mamas? I don’t know about you, but I dreaded the holidays when I was in the thick of it. Dreaded them. When we are in the midst of a battle for our mental health, for our sanity, it isn’t simple to choose peace. We cannot choose peace any more than someone who has cancer can choose to be cancer free. We wait and hope for the best, hope for a light at the end of the tunnel. Once we find our light, however, we carry it with us through our lives and it makes us a stronger person. It changes us deep down. Hard days make me grateful for my experience with Postpartum Obsessive Compulsive Disorder. Grateful that despite the horrid darkness into which I sank, I rose above it with the help of others. I am grateful for the silence and the magic of the world around me and being able to choose to see the beauty instead of ruminating on the what ifs of chaos. Speaking of chaos, as we head into the holiday season, many are struggling to keep anxiety and other issues at bay due to the increased social expectations. Above all else, please remember to take care of yourselves. Here are a few tips to help keep your holidays (and you) sane. Holiday survival tips for moms with perinatal mood and anxiety disorders
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." 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.” Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT — Written by Charlotte Lillis on September 24, 2018 "Many women experience gas during pregnancy. It usually goes away on its own, but home remedies can help ease discomfort and reduce the quantity of gas.
Raised levels of the hormone progesterone relax the intestines during pregnancy. This relaxation slows digestion, making constipation more likely and often leading to bloating, belching, and flatulence. A woman may also experience more gas during the later stages of pregnancy, when the growing fetus places additional pressure on the abdominal cavity. While it is impossible to prevent gas during pregnancy, several safe home remedies can reduce gas and relieve discomfort. Many of these prevent constipation, which significantly contributes to gas. 1. Drinking plenty of water The United States National Academy of Medicine, formerly the Institute of Medicine, recommend that pregnant women drink around 10 cups, or 2.3 liters, of water a day. Drinking water before or after a meal helps the stomach digest food. Any undigested food passes into the small intestines, where bacteria break it down, producing gas in the process. Staying hydrated can, therefore, help reduce the buildup of gas. Hydration can also prevent constipation, another cause of gas. When a person is dehydrated, their stool becomes dry and hard. Drinking plenty of water keeps stool soft, helping it pass more easily through the colon. Also, it is best to sip slowly, rather than gulp. People are more likely to swallow air when they gulp, which can contribute to gas. 2. Avoiding certain drinks Some people experience gas when they drink beverages containing the following ingredients: Carbon dioxideCarbon dioxide is a gas in a wide range of drinks, including:
The added sugars or artificial sweeteners in many carbonated drinks can also contribute to intestinal gas. Fructose Fructose is a natural sugar that occurs in most fruits. Manufacturers often add fructose to a variety of desserts and drinks. Some people are unable to digest fructose. In this case, the sugar can ferment in the large intestine, causing gas and bloating. The medical term for this digestive disorder is fructose malabsorption. Sorbitol Sorbitol is a low-calorie sugar substitute. However, the body is unable to digest sorbitol. Some people experience abdominal pain, bloating, and gas as a result. 3. Keeping a food diary During pregnancy, many women choose to eat a more healthful diet. Many healthful foods are rich in fiber, and adding them to the diet can increase the amount of gas in the short term. Some high-fiber foods also contain complex carbohydrates called oligosaccharides. When bacteria in the gut break down oligosaccharides, they produce nitrogen gas. Some people are more sensitive to this effect than others. Foods that contain oligosaccharides include:
4. Eating more fiber Although high-fiber foods can increase gas in the short term, over time they help to reduce constipation, which is a major cause of intestinal gas. Fiber achieves this by drawing in water and softening stool. This eases its passage through the intestines, speeding digestion and giving gas less time to build up. If a person is switching to a high-fiber diet, the following strategies can help prevent temporary increases in gas:
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)." 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."
Bedtime Affirmations for Closing Off The Day | Let Go of Anxiety Before Sleep | Find Peace of Mind10/28/2021 By: Unlock Your Life | December 5, 2017 "These bedtime affirmations are designed for listening in the evening to allow you to close off the day, let go of what has happened today, and let go of any anxiety about what will come. They remind you that you have done enough, have worked hard enough and that you deserve rest. These positive affirmations should allow you to peacefully end the day and transition into sleep, waking more collected and connected in mind, body and spirit the next morning."
By: Red Ted Art | October 18, 2018 "Love Halloween? MUST MAKE Spookie Halloween DIYs from Halloween Room Decor to Halloween Gift Ideas, check out these brilliant Halloween Crafts."
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
2. Give your brain a boost
3. Pamper yourself
4. Find time for your friends
5. Take a leap Do something big that you’ve never done before, like:
6. Hone your skills
7. Get silly
BY GOOD HOUSEKEEPING EDITORS | Oct 12, 2021 "Halloween comes every year on October 31, but it's not every year that you get to wear a pregnant Halloween costume when it does. If you're expecting a baby when it's time to dress up, lucky you! You get to find a costume that shows off your creativity and your baby bump. These clever maternity costumes make the most of both!
Are you on a budget? All of the items on our list are affordable DIY costumes, because we know you can't reuse them year after year. And in even better news, if you waited until the last minute for your costume — hey, we get it, you're busy getting ready for baby! — most of the items involved are already hanging in your closet. Even if you're not naturally super crafty, most of these maternity Halloween costumes are simple enough that you can tackle the steps without much trouble. And just in case the stork stops by early or you're already planning ahead for trick-or-treating with a little one in tow next year, check out our best costumes for babies and best family Halloween costumes. (We promise they're just as cute!)" "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:
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:
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:
By Melissa Willets | Updated August 22, 2021 "The term rainbow baby may not be familiar to people who haven't experienced a loss. But to those of us who have, it has a very deep and even life-changing significance.
So what is a rainbow baby? It's "a baby born after a miscarriage, stillborn, or neonatal death," says Jennifer Kulp-Makarov, M.D., FACOG. "It's called a rainbow baby because it's like a rainbow after a storm: something beautiful after something scary and dark." She adds, "It's an extremely emotional and devastating experience to lose a pregnancy [or baby]. To create a life or bring a baby into the world after such a loss is amazing like a miracle for these parents." I'm currently seven months pregnant with a rainbow baby, and indeed, I feel like I'm walking around with a miracle in my belly. There was a time when I never thought I could feel hopeful again. Just last year, we lost our beloved baby Cara at 23 weeks of pregnancy. The days, weeks, and months after she became our angel baby were the darkest of my life. But soon a dim hope flickered inside my heart, and eventually ignited a flame, that became my desire to try again, in part to honor Cara, and to find meaning in her loss. Rainbow Babies Can Honor an Angel Baby Moline Prak Pandiyan, a previous ambassador for March for Babies, March of Dimes Eastern North Carolina, knows this feeling well. She lost her son Niko when he was five months old due to complications related to his premature birth. "Although Niko lost his fight, his spirit lives on, and he continues to inspire many," she explains. Not only is this mama involved in fighting prematurity, but she was also inspired to conceive a rainbow baby. Not that she previously knew the meaning of the term "rainbow baby." "I remember the feeling that I had when I first heard [it]," says Pandiyan. "It was perfect. I so much wanted to make sure that Niko wasn't forgotten, and the term so eloquently acknowledges the babies who we've lost, while also celebrating the joy of our babies who do survive." Prak Pandiyan is now a proud mom of a little girl, her rainbow, who truly informs her parenting philosophy. "My husband and I always wondered what life would have been like if our son could be discharged and come home with us," she says. "When we welcomed our rainbow baby into this world, our perspective as parents shifted. Whenever things get hard—feeding challenges, sleeping challenges, mild illnesses—we always make it a point to step back and remember that things could be so much worse." Parenting a Rainbow Baby May Feel Different Mama Stephanie Sherrill Huerta, who has one daughter, is also expecting a rainbow baby, via adoption, after several miscarriages and failed adoption attempts. She too acknowledges that parenting her rainbow baby will be different, telling Parents.com, "We will love him a little differently than our daughter because we went through so much grief and pain before meeting him. He will truly be the light at the end of the tunnel, the pot of gold under the rainbow, and the rainbow after our storm." That same spirit has encouraged me to enjoy my current pregnancy more than before. Morning sickness and heartburn can't take away my gratitude for the chance to carry a healthy baby. Elizabeth Lorde-Rollins, M.D., MSc, OB-GYN at CareMount Medical says this is normal. "For parents who have experienced the loss of a child, whether that loss occurs before or after birth, the life adjustments associated with pregnancy are accompanied with an acute sense of gratitude even when they are uncomfortable," she notes. "And although most of us have the great fortune of being wanted babies, parents tend to have a special, and in many cases incredibly sharp, sense of being blessed when they are expecting and then giving birth to a baby that follows loss." By Jessica Zucker, Ph.D. | April 22, 2021 "Elisha M., 31, a clinical research coordinator for oncology clinical trials living in New Jersey, can hardly put into words the joy she felt the moment she held her rainbow baby in her arms. Having previously experienced a pregnancy loss, she says she felt "so grateful and excited" to finally have her baby earthside, healthy and thriving.
But her son was also fussy and hard to soothe, and before the two were discharged from the hospital, Elisha found herself appreciably overwhelmed and crying nonstop. "By the end of the first week with him, I knew the emotions I was having were more than just the 'baby blues,' because I felt like I wanted to give up. I didn't want to be a parent anymore," Elisha tells me. "I loved him so much, but I also wanted out." According to Centers for Disease Control and Prevention (CDC) research, one in eight experience symptoms of postpartum depression (though it's believed the rate is even higher, given the lack of reporting, education, and support resources available to postpartum women). In a country saddled with mental health care and health insurance crises—to say nothing of the pervasive systemic racism within the healthcare system that makes support even more unattainable for Black and brown postpartum people—treatment can be prohibitively expensive, if not completely out of reach. "By the time I spoke to someone about the way I was feeling, counseling was pretty much off the table for me," Elisha says. "I started to have thoughts of hurting myself." Elisha says she took four to five months off from work so that she could work on herself and be mentally present, and recalls her insurance being billed nearly $1,000 for a single visit to simply speak to a doctor. "We couldn't necessarily afford for me to be out of work, but my husband really encouraged me to do whatever it was that I felt like I needed and he would figure out everything else," she explains. "It did set us back financially for some time, which I think added another strain on our relationship in addition to the strain postpartum depression was already having on us as a couple." I wanted to give up. I didn't want to be a parent anymore. On average, mental health providers practicing in major U.S. cities charge anywhere between $75 to $150 per 45-minute session, though rates in places like New York City, for example, can be upwards of $300 per session. And while costs of certain postpartum depression and anxiety medications can vary widely and depend on insurance coverage, the recent $34,000 price tag for a postpartum depression one-time infusion drug that's said to provide "fast relief" highlights just how expensive the cost of postpartum depression can be—and how unattainable it is for those who are not affluent. In 2017 alone, the cost of maternal depression was an astounding $14.2 billion—an average of $32,000 per mom. Arden Cartrett, 28, who works in real estate and recently started a miscarriage doula business, says she paid anywhere from $150 to $200 per session with a mental health professional after realizing she was struggling with postpartum depression. "When my son turned exactly 6 months old, I felt a shift," Cartrett tells me. "I had struggled with anxiety, feeling alone, and worrying about the pandemic, and honestly wasn't sure what would be considered normal or abnormal. Physically and mentally, I felt foggy and was having a really hard time keeping up with life." Still, due to the high cost of care, Cartrett says she spaced out her therapy sessions—to the detriment of her mental health. "I do have insurance, but it's a high deductible plan, which means I basically pay out-of-pocket expenses until I reach a certain amount (which is high), so I am having to pay hundreds out of pocket per session which unfortunately limits how often I can use that resource," she explains. "However, medication-wise, I'm on a common medication that is reasonably priced." Of course, the cost of postpartum depression isn't just limited to a person's finances, nor does it only occur when a person experiences a live birth. In my book I Had a Miscarriage: A Memoir, a Movement, I outline the many costs of postpartum depression that exist with or without a baby in your arms—and those costs are physical, mental, emotional, and financial. Kayte de la Fuente, 41, a California administrative assistant going to school to become a preschool teacher, says she and her husband have spent upwards of $100,000 between postpartum depression treatment, acupuncture, blood tests, medications, chiropractor visits, and IUI and IVF treatments. She has experienced three pregnancy losses in the last five years. How does one continue to power through postpartum depression and the various ways it affects a life...while also managing the financial toll? "It wasn't until we had done more rounds of IUI and having them not work that I really started to recognize the depression that I was in because of that [initial] miscarriage and all of the unsuccessful treatments," de la Fuente tells me. She says that she sought out "unconventional treatments" as well, including a 12-week program provided by a friend of a friend that focuses on finding your inner child, and an infertility support group as well. The program cost $1,200 and the group cost $200 for eight-week sessions—none of which was covered by insurance. "Of course, because you're looking at all of the bills and you're trying to figure out what your next steps are because you already have all of this financial burden," she says. "Do you keep going?" How does one continue to power through postpartum depression and the various ways it affects a life—symptoms such as mood swings, sadness, anxiety, guilt, loss of interest or pleasure in activities, irritability, restlessness, reduced concentration, feeling overwhelmed, trouble sleeping, or all of the above—while also managing the financial toll? It's a question anyone who identifies as a parent and who is struggling, whether they've had a live birth or not, has to ask themselves: How do I keep going? Can I keep going? How do I find a way to keep going?" By Loren Kleinman | May 12, 2021 "The day Lily was born, my husband, Joe, took pictures, murmured soft words, and held her every moment he could. "I want to stay home with her for her first year," he said. "I read it's important for their development."
Luckily, he was able to as he was honorably discharged from the Navy. But despite my three-month maternity leave, I wanted to go back to work. But when we returned home from the hospital, I unraveled. No time to shower, eat, or pay a bill. Our lives revolved around Lily. Everything I imagined about motherhood exploded. Dreams of gardening with my daughter in a Snugli on my chest were replaced with her unrelenting cries and endless diaper changes. Yet to Joe, she was just a baby. "What did you think having a baby would be like?" he asked. "Not like this," I snapped, taking off my spit-up covered shirt and replacing it with a clean one. It wasn't just the dirty shirt. I had thoughts of hurting myself and my baby, an alarming desire to drive us both off the road. I hated myself for these thoughts, but I hated her more. I hated that she never slept, and resented that I couldn't, either. I hated breastfeeding, which was not magical as I'd pictured, but painful and lonely. I missed our date nights, coming and going as I pleased, and clean clothes. Darkness settled over me, unlike any depression I'd experienced. I began experimenting with cutting myself just to feel something other than exhaustion, spending long minutes in the bathroom, my only escape. With each cut came relief from the burden of this new, agonizing life. "You were in there a long time," Joe teased me. Low spirited, I replied, "I wish I never had to come out." He reached out to console me and saw the cuts on my arm. I didn't hide them. I didn't care. But Joe called his therapist, who told him about a clinic for women with postpartum depression. "He doesn't even know me," I argued. "You're going," a frazzled Joe said. "Today." My First Dose of Postpartum Depression Treatment We arrived to find a room filled with infants, dads, and moms, many of the latter red-faced and crying, while their husbands stood by, holding babies. I was amazed to see so many men like my husband, cradling their little ones, in solidarity with their wives, as the women went one by one to meet with a psychiatrist. When it was my turn, I looked back at Joe and Lily. A concerned smile dusted his face. "We'll be right here when you're done." During my intake, I asked flatly, "Will I ever love her?" "This is a classic postpartum depression question. You will love her," the psychiatrist assured me. "But I have to ask, do you have any plans to kill yourself?" Without hesitation, I said, "I want to drive off the road." Then I wept. I wasn't allowed to drive until further notice, and if I didn't abide, the psychiatrist warned, "We'd have to consider hospitalization." Joe ferried me to and from the clinic every day, no matter how many times he'd been up with Lily the night before. On weekends, Joe tended to me and to Lily, making sure we both ate and slept, as his parents flew out from Washington State to lend a hand, a relief to both of us. For the first time, I felt some hope. Every week, I attended weekly dialectical behavior therapy sessions (DBT), learning skills for coping with my anxiety and insomnia like radical acceptance and positive self-talk. Things Only Got Worse Then, one night, after Joe put Lily to bed, we sat on our back porch, me with my usual glass of wine, him with his Coke and ice. "Are you OK?" he asked, as I stared, glassy-eyed, into the trees. Before coming outside, I'd already washed down a handful of Tylenols, along with sedatives and a few glasses of wine. "I can't live like this anymore." I paused. "Lily deserves a mom, not me." Joe sighed and said, "I'm calling the clinic's emergency line." The therapist on duty advised Joe to bring me to the hospital immediately, even though I protested. But I had no choice. I confessed my desire to kill myself, so I could go voluntarily or in an ambulance. Joe stayed with me for nine hours in the emergency room, until there was a bed ready in the psychiatric unit. His parents watched Lily at home. "Please don't let them take me away," I called out to Joe, as a nurse led me to the unit. "I'll see you in the morning," Joe answered back. "You will be OK." When he arrived the next day, I pleaded with him to get me out. "Someone tried to kill themselves last night," I cried. "I don't belong here." "Can you give it a chance?" he begged. I sat back in my chair and folded my arms. I resented Joe for bringing me here. At the beginning of our relationship, I'd been the strong one, helping him through his own hardships. But Lily changed everything. "I have to get back," he said. "Focus on getting better, not getting out." When Joe leaned in to give me a kiss goodbye, I stopped him. "I want a divorce when this is over," I whispered. He teared up and said, "You've said some of the meanest things anyone has ever said to me." I felt no remorse. Before the baby, we never went to bed angry. Now, I loathed him for keeping me here. I was determined to punish him, and I did, lashing out constantly, but he kept visiting and taking my phone calls. He never stopped trying. I was discharged after five days. Joe and I argued for the entire ride home. When we arrived at the house, I imploded: "I can't take this anymore!" I threw chairs and baby toys, wailing, and punching the wall. Joe couldn't calm me, so he took Lily and his parents to the farthest part of the house. The next morning, Joe gave me a choice: "You either go to your parents' house and take a break, or you go back to the hospital." I chose the first option. A few days later, Joe called me. "I told my therapist what happened. He called Child Protective Services," he said matter-of-factly. "They're going to take Lily away?" I asked. Shocked, I suddenly realized how much I wanted her." By Paige Glidden | May 07, 2021 "During TheBlueDotProject's Maternal Mental Health Awareness Week, it's time to focus on the mental health of mothers—especially during a life-changing pandemic. The most recognized maternal mental health disorder is postpartum depression, but there are other common mental health concerns to look out for.
Juggling societal and familial expectations is a heavy burden for anyone. But when you add a new baby into the mix (during a pandemic!), it can become overwhelming. Sleepless nights, hormones, and new emotions all feed into overwhelm after the birth of a baby, not to mention that maternal anxiety and depression are the most common complications of childbirth, impacting up to 1 in 5 women. The first week of May serves as Maternal Mental Health Awareness Week, bringing to light the challenges that moms face and the reality of postpartum depression and anxiety. Maternal Mental Health Disorders (MMHDs) include a range of disorders and symptoms, including depression, anxiety, and psychosis. Although often referred to more commonly as "postpartum depression," there are several different types of postpartum mental health disorders that affect new moms. Symptoms can occur during pregnancy and/or the postpartum period (together often referred to as the perinatal period). These illnesses can affect anyone—and they are far more common than you'd think. Although an estimated one in five women have a maternal mental health disorder, most cases go undiagnosed, leading experts to believe that the number should be much higher. New parents also experience the baby blues, which is not formally considered an MMHD—up to 80 percent of women suffer from this in the initial two to three days postpartum, according to Bridget Frese Hutchens, Ph.D., CNM, RN, CNL, PHN. What's worse is that only 30 percent of women who screen positive for depression or anxiety seek or receive treatment. When left untreated these disorders can cause devastating consequences for moms, babies, families and communities. The good news is that risk for both depression and anxiety can be reduced (and sometimes even prevented), and with treatment, women can recover. It can be hard to identify some of the symptoms of postpartum mental health challenges, but it's worth paying attention to. Here are five types of maternal mental health conditions to look out for: Common Maternal Mental Health Disorders 1. Postpartum Depression Pregnancy and Postpartum Depression (PPD) is a mood disorder that can begin during pregnancy or in the first three weeks after having a baby, according to ACOG, the American College of Obstetricians and Gynecologists. Symptoms can range from mild sadness, trouble concentrating, or difficulty finding joy in once-loved activities to severe depression, and mothers with pre-existing depression prior to or during pregnancy are more likely to experience postpartum depression, according to The Blue Dot Project. While there is no single cause for PPD, experts attribute it to the drop in hormones estrogen and progesterone following childbirth and general stressors which increase during pregnancy and the postpartum period. With proper mental health care, PPD is treatable and the risk of severe depression can also be prevented. 2. Dysthymia, Persistent Depressive Disorder Dysthymia is defined as a low mood occurring for at least two years, along with at least two other symptoms of depression. According to the Mayo Clinic, people with dysthymia may lose interest in normal daily activities, feel hopeless, or have overall feelings of inadequacy. Women with pre-existing dysthymia may be at a higher risk for severe symptoms/depression during the perinatal period, according to The Blue Dot Project. 3. Pregnancy and Postpartum General Anxiety It might seem normal to worry before or after having a baby, but if your anxiety is more than just the baby blues and you can't get these worries out of your brain, you might be suffering from pregnancy or postpartum related generalized anxiety . Around 10 percent of women will develop anxiety during pregnancy or after childbirth, according to the American Pregnancy Association. Anxiety is treatable during pregnancy and postpartum. Symptoms often include restlessness, racing heartbeat, inability to sleep, extreme worry about the "what if's"—questions like "what if my baby experiences SIDS" or "what if my baby has autism," and extreme worry about not being a good parent or being able to provide for her family, according to The Blue Dot Project." |
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