Mom and Mind

This episode explores how doulas integrate themselves into the healthcare system to enhance outcomes for mothers, families, and babies. There are countless benefits to hiring a doula to improve the pregnancy, birth, and postpartum experience. Join us to learn more! HeHe Stewart is a leading childbirth educator, advocate, and maternity care reform expert. With a master’s in human development and over a decade of experience, she empowers families with evidence-based birth prep, informed decision-making, and postpartum readiness. She is a fierce advocate for informed consent, reducing unnecessary interventions, and ensuring patient autonomy in birth. Beyond working with families, HeHe is actively involved in legislative efforts to improve women’s health policies and expand access to midwifery care. She works to reform maternity care by advocating for patient rights, increased birth options, and improved mental health outcomes. As the host of The Birth Lounge Podcast, HeHe interviews leading experts in women’s health, pregnancy, and newborn development, giving parents the knowledge they need to navigate birth and postpartum with confidence. Her work continues to drive meaningful change through education, advocacy, and policy reform.  Show Highlights: HeHe’s path to this work–a continual emphasis on advocacy Birth doulas and postpartum doulas: What they do and how they help A doula is beneficial for every pregnancy and birth, offering unique care. The intimate relationship between doula and client (“I have a cheerleader who will advocate for me.”) The benefits of a birth doula result in reduced risks and problems. HeHe’s role in “pausing the room and giving space” for the patient to ask questions of the healthcare providers The big lesson for healthcare providers: The person who’s giving birth will never forget how you make them feel in their experience.  When a doula notices problems and needs to intervene Doing better for women in pregnancy and the postpartum What HeHe wants women to know about self-advocacy Resources: Connect with HeHe Stewart: The Birth Lounge, Tranquility by HeHe, The Birth Lounge Instagram, Tranquility by HeHe Instagram, and The Birth Lounge App (available from the Apple App Store and Google Play) Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

We are starting something different today that will carry through the next few Behind the Sessions episodes. I’m tackling those “middle-of-the-night” feelings during pregnancy and the postpartum. Nighttime can bring feelings of dread and loneliness that mothers experience as a heaviness, and all of this can magnify and intensify any perinatal mood and anxiety disorders to make life very challenging for a sleep-deprived parent. You are not alone, and there is a whole community of people experiencing the same things. Think of these subsequent few sessions as your “2 am pep talk.” Join me now! Show Highlights: The importance of connection Sleep deprivation makes everything darker. You may feel like you’re doing everything wrong. You are doing a LOT while giving love and care to your baby. You aren’t a bad mother if you don’t LOVE middle-of-the-night care. Don’t judge yourself because of how you feel at 2 am. The next few episodes will include coping skills for the middle of the night. Join me for a guided visualization to ease your feelings of isolation. Join me for self-compassion affirmations to try today. Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms. Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s episode brings you interesting insights into the connection between sleep and temperament. We dig into the science and psychology behind why it is harder for some babies to settle into sleep—and the connection to their overall temperament. Join us to learn more about this fascinating topic. Macall Gordon is a researcher, speaker, and author specializing in the link between temperament and sleep, especially as it relates to sleep training advice. Her master’s degree in applied psychology is from Antioch University, and her B.S. degree in human biology is from Stanford. She is a certified Gentle Sleep Coach and has worked with thousands of parents of alert, sensitive, intense children. Issues with her own two children and feeling that she hadn’t slept for 18 years have influenced her focus on this work. Her book is Why Won't You Sleep?! A Game-Changing Approach for Exhausted Parents of Nonstop, Super Alert, Big Feeling Kids. Show Highlights: Temperament: When does this form in a baby? Managing expectations without blaming yourself Why some babies don’t sleep well Myths about training newborns Regulation in relationships just makes sense. Self-soothing: Are babies capable of soothing themselves? At what age? Understanding “differential susceptibility”: Mellow babies vs. sensitive babies Parent blame and unnecessary stress because of sleep issues Temperament mismatch between parents and children Macall’s advice to parents who are struggling right now: Start moving/shifting, and realize that kids usually need more sleep than they indicate.  Resources: Connect with Macall Gordon: Website, Instagram, TikTok, YouTube, and Why Won't You Sleep?! book Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s topic is maternal near-miss. If that term is unfamiliar, please join us to learn more about this perinatal scenario that profoundly impacts many birthing people, their partners, and the future of their mental health, marriages, and families. Our guest shares her professional expertise and her personal experience with navigating pregnancy loss, postpartum hemorrhage, and postpartum anxiety. Since this is an intense topic, please judge for yourself whether you are ready to listen.  Tiffany Lowther is a Licensed Mental Health Counselor in Florida. She owns Lowther Counseling Services and is certified in Eye Movement Desensitization and Reprocessing (EMDR) and Perinatal Mental Health. She specializes in supporting adults through pregnancy and postpartum mood and anxiety disorders, along with trauma and PTSD related to pregnancy, birth, and the postpartum.  Show Highlights: Tiffany’s journey leading to her specialization in perinatal mental health Explaining maternal near-miss: a life-threatening complication during pregnancy, childbirth, or up to 42 days postpartum, where a birthing person almost dies, but survives Don’t dismiss or ignore feelings that something is “off.” Racial disparity and medical bias need to be changed. Emotional impacts of maternal near-miss (on the birthing person AND the family) The range of complicated feelings with maternal near-miss Conflicting emotions when the partner has to take over for the mother The importance of men taking care of their own mental health, even though they may find it uncomfortable Avoidance, dismissal, and a hesitation to have more children after a maternal near-miss Turning toward each other with honesty and love–how it helps the relationship. Steps to healing after maternal near-miss: Reach out to your support system and the appropriate mental health professionals. Talk to others in support groups to find empowerment. Tell your story! It helps the healing process. Recall the beautiful parts of your story. Tiffany’s perspective: What mothers say about their healing, reconciliation, recovery, and relief after doing the hard work Tiffany’s advice for those who have been through a maternal near-miss and might want to have another child Resources: Connect with Tiffany Lowther: Website and Facebook Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

In today’s episode, I want to discuss the feeling many people have that “something’s not right,” but they may not have the words to articulate exactly what it is. That feeling can come during pregnancy or postpartum, and it can follow a loss or a grueling infertility journey. For the most part, when people don’t feel like themselves, they don’t have the language to express that they might have a perinatal mood and anxiety disorder. They may even internalize their feelings in extreme isolation and conclude that they are just “a bad parent.” I’m talking today about why people need space for their feelings, and above all, why they deserve to feel seen and heard. Join me! Show Highlights: Signs and symptoms of a mom who is suffering Be curious in your support of a new mom. Giving space for feelings and making someone feel seen and heard can make a HUGE difference. Examples of validating responses and resources that can be very helpful People have been dismissed and had their feelings minimized—even by their healthcare providers. Turning to the internet for validation is a natural step. Dr. Kat’s advice to those who want to help a new mom who is suffering Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident seeking a therapist in perinatal mental health, please email me about openings for private pay clients. Learn more about your ad choices. Visit podcastchoices.com/adchoices

“I have to stop taking my mental health medications during pregnancy, right?” This question is a common one for pregnant moms, and the answer might surprise you. There are many misconceptions about medications during pregnancy, especially those for mental health conditions. Many moms have been misinformed about their available options, and today’s expert guest is here to set the record straight. If you are suffering from mental health conditions and are newly pregnant, it is essential to know your options. Join us to learn the risks and benefits of medications, what to look for in a provider who meets your needs, and much more.  Dr. Stacy Stuart is a board-certified Psychiatric Mental Health Nurse Practitioner who obtained her Doctor of Nursing Practice degree from Auburn University and is currently in private practice, contracting with Revival Psychiatry in Athens, AL. She is married to her husband, Will, and is the proud mom of two kids, ages 8 and 6. In her free time, Dr. Stacy enjoys watching football, coordinating neighborhood events, and taking long naps with the family dog.  Show Highlights: Dr. Stacy’s path to her specialty practice and her current work Common misconceptions about medications during pregnancy It is important that medications are not abruptly stopped when someone becomes pregnant! The need to expedite patients’ appointments in a more timely manner Barriers that keep healthcare providers from feeling comfortable in supporting pregnant moms Dr. Stacy’s goal: providing education and information that opens up possibilities for people Tips for finding a psychiatric treatment provider Advocating for collaborative healthcare Dr. Stacy’s project: using the EPDS screening tool at 28 weeks of pregnancy Dr. Stacy’s wish for the future of reproductive psychiatry Today’s takeaway: “Mental health affects physical health. It cannot be set aside for 10 months.” Resources: Connect with Dr. Stacy Stuart: Website, Instagram, and Facebook Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s episode covers infertility and its impacts on a couple. We recognize that these challenges can be stressful on a relationship, and our goal is to provide as much support as possible to couples facing these scenarios. Join us to learn more! Rebecca Reddin is a psychologist, licensed marriage and family therapist, and certified perinatal mental health specialist with Postpartum Support International. She runs a private practice, Mindful Roots Counseling, and has worked for 15 years with individuals and couples within the tender transition to parenthood. She is the founder of The Perinatal Mental Health Institute, which provides education and training around mental health challenges to perinatal providers worldwide. Rebecca is a member of The Irish Fertility Counsellors Association and has specialized training in the unique impact of infertility and fertility challenges on relationship dynamics, believing that this is an essential part of perinatal work. She is a board member of the Psychological Society of Ireland’s Special Interest Group for Perinatal and Infant Mental Health and is Ireland’s Support Coordinator for Postpartum Support International. Rebecca is passionate about advancing support and advocacy for all those navigating the transition to parenthood.  Show Highlights: Foundational elements of infertility, which can be different for each couple The statistics: 1 in 6 individuals struggle with their fertility (Only about 10% will not be able to conceive after 2 years of trying naturally.) Defining infertility Testing for infertility (hormones, structural problems, and “unexplained” infertility) Issues Rebecca covers with her clients Feeling like infertility is “all my fault” The partner’s perspective on infertility Relationship success AFTER infertility challenges The differences in grief processes from person to person Benefits of couples counseling on an infertility journey The immense mental load of infertility (needs to be shared by both partners) Being proactive in protecting yourself and your relationship Rebecca’s suggestions to couples Resources: Connect with Rebecca Reddin: Website, Instagram, and LinkedIn Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms. Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

One goal of this podcast is to shed light on aspects of our self-perception that have been in the shadows. Moms often feel shamed and judgmental about discussing their feelings, and they frequently believe they are alone in their experiences. Therapy can be very helpful for a parent who feels overwhelmed and overloaded, because talking about issues helps develop coping skills to navigate their imperfect lives as they allow the healing process to begin. The pressure to “know everything” in motherhood can weigh a new mother down, especially if their mother instincts aren’t kicking in. There needs to be a greater understanding and compassion for mothers facing this challenge. Let’s unpack this topic in today’s episode. Show Highlights: Common socializations around motherhood and the mother instinct Pressures are NOT truths!  Events in our lives can greatly affect our mother instinct. Blanket generalizations about mother instincts are unfair. What we are leaving out is the mother’s FULL experience as a human. We need a new approach. Let’s take the pressure off new parents! What we can do to offer better support Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s guest tells her story of birth trauma, postpartum preeclampsia, and how therapy helped her to process her emotions. I’m thrilled to have Courtney here to share her story and how she is helping other moms. Join us! Courtney Costello is a licensed master’s social worker with nearly 15 years of experience in the field. She worked predominantly with families and children before having her son in 2023, when she became personally and professionally passionate about maternal well-being and mental health. After going to therapy for her own postpartum challenges (birth trauma and PTSD), she was inspired to be more of a support for others in the perinatal period. Combining her education and lived experience, Courtney now works as a perinatal mental health counselor in Buffalo, NY. In addition, she runs an online maternal mental health training for other clinicians who are interested in learning more about supporting mothers. This year, Courtney is acting as a co-leader for Buffalo’s local Climb through Postpartum Support International.  Show Highlights: Courtney’s “normal” pregnancy and the labor/delivery that did NOT go according to plan Labor/delivery expectations vs. reality Feeling fear with a sense of not knowing what was happening Finally, a healthy baby—and a blizzard rolls in to complicate everything and add stress Uncertainty and conflicting restrictions about leaving the hospital with their newborn son Driving home, getting stuck in a white-out, and finally making it to her brother’s house A story of fear and multiple kindnesses from others A few days postpartum: feeling “off” and seeing floaters in her vision A diagnosis of postpartum preeclampsia and a hospital stay, but not much of an explanation from the nurses Getting home and facing fear and anxiety about being separated from her family Finding help with therapy with a therapist who was the perfect fit Questioning her return to her job and finding where she fits best in working with the perinatal population Finding healing and deciding to have a second child, which previously felt impossible Resources: Connect with Courtney Costello: Website, Instagram, and Psychology Today  Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms. Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s episode focuses on patients who receive devastating news during the perinatal period. Unfortunately, this scenario is all too common, and complexities are affecting both the patient and the medical provider, most notably the delicate balance of professionalism, compassion, and humanity. Our conversation explores the psychological impacts and ways of handling these situations.  Dr. Christiane Manzella is a senior licensed psychologist at the Seleni Institute, a nonprofit organization providing comprehensive reproductive and maternal mental health services. She specializes in working with individuals navigating bereavement, trauma, fertility challenges, miscarriages, late-term loss, stillbirth, termination for medical reasons, child loss, and life transitions. Her purposeful and caring manner helps her patients recover and navigate these complex situations.  Dr. Babalola (Femi) Jinadu is a board-certified OB-GYN with over a decade of experience in women’s health. He earned his medical degree from the New York College of Osteopathic Medicine and completed his residency at Jersey City Medical Center. He currently practices medicine in northern New Jersey, specializing in comprehensive obstetric and gynecological care. He is affiliated with Holy Name Hospital in addition to the Hackensack Meridian Health and Atlantic Health networks. Dr. Jinadu has been featured on the Hot and Bothered Podcast, discussing the economic impact of women’s health issues. He serves on the boards of the New Jersey Partnership for Maternal Health and Seleni, a nonprofit focused on maternal mental healthcare and clinician education. His dedication to patient care and medical education highlights his commitment to advancing women’s health.  Show Highlights: Dr. Manzella’s perspective on giving patients the bad news that becomes a “flashbulb moment” in their lives, based on how they are cared for Dr. Jinadu’s perspective on delivering the very best news—and the very worst news Understanding that people connect with different doctors in different ways, especially when there has been a tragic loss Establishing trust and rapport with compassion and understanding A definite shift in medical care to emphasize the hospitality aspect of patient care, rather than simply delivering data and treatment options Mental health IS healthcare. The long-term effects of perinatal bad news and the loss of hopes and dreams Reaching out with humanity as a physician in pivotal moments Dr. Jinadu’s thoughts about the impact of loss on a partner Dr. Manzella’s work with couples in grief and loss A patient’s perspective on how they wish to be treated in grief and loss The doctors’ perspectives on patients using AI, Google, and social media for medical care Key takeaways from Dr. Manzella and Dr. Jinadu  Resources: Connect with Seleni, Seleni Instagram, Dr. Jinadu Instagram, Dr. Jinadu Creative Tyde, and Dr. Jinadu LinkedIn Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

You may think that postpartum depression covers all aspects of perinatal mental health issues that new mothers face. The fact is that there are other kinds of mood changes, some that are talked about and some that are relatively unknown and uncommon. Today’s show focuses on one specific problem that some mothers experience: it’s called D-Mer, which stands for Dysphoric Milk Ejection Reflex.  Heidi Koss, MA, LMHC, is a psychotherapist in private practice in Redmond, WA. She specializes in perinatal (pregnancy and postpartum) mood disorders, birth trauma, sexual abuse, and parent adjustment issues. Heidi has been the WA State Coordinator for Postpartum Support International ⁠www.postpartum.net⁠, and has volunteered for over 20 years with Perinatal Support Washington ⁠www.perinatalsupport.org⁠. She served as past board member for PATTCh – the Prevention and Treatment of Traumatic Childbirth, ⁠www.pattch.org⁠. Heidi is active leading trainings for clinicians on appropriate assessment and treatment options for perinatal mood disorders and birth trauma. She leads monthly clinical consult groups mentoring mental health care providers to develop their competency and expertise in perinatal mental health issues.  Heidi was a co-founder of the Northwest Association for Postpartum Support (NAPS, ⁠www.napsdoulas.com⁠) a postpartum doula organization as well as the recipient of the Doulas of North America (DONA) Penny Simkin Doula Spirit and Mentorship Award. Prior to her psychotherapy career, Heidi was a Postpartum Doula and Certified Lactation Educator for 12 years.  Show Highlights: Heidi’s work as a mother and perinatal mental health therapist and lactation educator: ”Helping moms with mind, body, and breast” Why D-Mer is not often talked about and often misunderstood What D-Mer is: Dysphoric Milk Ejection Reflex. It occurs when milk onset/letdown happens and lasts a few seconds or minutes D-Mer is a strange emotional phenomenon with negative emotions of sadness, dread, despair, nervousness, anxiety, and irritability D-Mer can be severe, with fleeting suicidal thoughts and urges for self-harm The biochemical connection is with two hormones, dopamine and oxytocin, in which they “go rogue,” misfire, or become overactive No studies have shown who is more predisposed to experience D-Mer For some women, D-Mer symptoms ease as the baby ages, but some have no change until weaning D-Mer symptoms might be harder to treat and control in women who already have a diagnosed anxiety or depression disorder What D-Mer is NOT: nausea, postpartum depression, anxiety, breastfeeding aversion---”It’s NOT the mom’s fault.” The best treatment is to educate women about D-Mer How some women can “talk themselves through” D-Mer episodes Ideas for easing symptoms include rewiring the stress hormones, making positive associations with breastfeeding, and positive touch (massage) General good habits for life will ease D-Mer symptoms, like mindfulness, meditation, good sleep and self-care, reduced stress, and managing blood sugar fluctuations To target dopamine, nursing locations should be aesthetically pleasing to make a pleasant mental and physical experience for the mother Some women find D-Mer intolerable and decide to wean, while some can deal with the symptoms and continue to breastfeed Wellbutrin works for some women to ease the symptoms How to find support: Find a lactation consultant and pursue therapy with a perinatal mental health therapist  Resources: ⁠www.d-mer.org⁠ ⁠www.heidikoss.com⁠ Email Heidi: ⁠heidi@heidikoss.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s guest returns to the podcast with her passion for perinatal mental health, and I’m honored to share our conversation with you about her work and her new book, which offers holistic and realistic support for new parents. We cover topics related to birth and postpartum with her real and honest perspective as an Ob/Gyn. Join us! Dr. Jessica Vernon, PMH-C, is a board-certified OB/GYN who has cared for and supported thousands of people throughout their reproductive journeys during the past 15 years. She is the Associate Medical Director and the Director of Mental Health at Oula, a midwifery-based women’s health startup in New York City. As a mom of two, she brings her lived experience in the transition to parenthood to her work, along with a deep passion for providing holistic, people-centered, culturally humble care. Dr. Jessica has developed programs to increase access to perinatal mental health care and improve health equity. She has received professional recognition and been quoted in the media for her work and expertise in the field, as well as for her openness in sharing her story. She serves on the board of directors for Postpartum Support International and is the author of Then Comes Baby: An Honest Conversation About Birth, Postpartum, and the Complex Transition to Parenthood. Show Highlights: An integration of a passion for perinatal mental health, motherhood, and her practice as an OB/GYN The OB/GYN’s role in treating “uncomplicated” postpartum anxiety and depression Dr. Jessica’s current role in collaboration with midwives  The decision to write Then Comes Baby The biggest postpartum struggles for new parents Learning to use language with patients that allows them to accept their new feelings and emotions The art of communication and sitting with people–when it’s not taught in medical school Meeting diverse people where they are and with the understanding they need, not with ONE strict protocol for everyone Overcoming cultural factors in transitioning to parenthood and accepting help Matrescence: the changes and shifts in the transition into motherhood An overview of the topics and structure of Dr. Jessica’s book, Then Comes Baby In postpartum, it’s essential to take a pause until your body is ready to resume normal activities. Dr. Jessica’s hopes for those who read her book Resources: Connect with Dr. Jessica Vernon: Website, Instagram, and Then Comes Baby: An Honest Conversation About Birth, Postpartum, and the Complex Transition to Parenthood. Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s guest is sharing her story as a survivor of postpartum depression, postpartum anxiety, and birth trauma caused by random placental abruption. She is also a NICU mama who learned to balance parenting with the start of her psychotherapy practice to bring therapy to a rural area. Her story has multi-faceted, beautiful parts, and we are honored to have her here. Beth Partain is a licensed clinical social worker and the mother of three beautiful children. She founded Flourish Counseling and Consulting in 2020 to empower women and bring specialized perinatal expertise to an area where it was previously inaccessible. Her passion stemmed from her experience with the local hospital as she struggled through PPD, PPA, and birth/NICU trauma. Beth is the first mental health provider in Owensboro, KY, and the western Kentucky area to have a perinatal mental health certification. She serves on the new Maternal Health Council at her hospital and is a Blue Dot Ambassador, working in advocacy with the Maternal Mental Health Leadership Alliance. She has led two PSI Climbs in Owensboro. Beth works hard to help train local healthcare workers and therapists to identify PMADs from a trauma-informed care focus.  Show Highlights: Beth’s story: Her first pregnancy was normal until a random placental abruption at 34 weeks forced an emergency C-section, a three-week NICU stay, and almost zero mental health support. Placental abruption: what it is, how it is detected, and the results Beth’s shock and surprise at how quickly things changed and progressed to an unexpected birth, and navigating a NICU stay for her baby Looking back at the mental health struggles for Beth and her husband, with no support Beth’s realization that she had postpartum depression and anxiety, but did not have access to help Finding help and starting therapy (as a therapist) Making the difficult decision to have another child and grow their family further Beth’s commitment to bringing perinatal care to her rural area and training more providers in the care that she wished she could have had Making connections and partnering with PSI Great strides of progress and encouraging outcomes in changing the PNMH climate in Beth’s area of Kentucky Resources: Flourish Counseling and Consulting Connect with Beth Partain: Facebook Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s episode explores a crucial topic that warrants our attention. We are discussing the after-effects of postpartum depression, postpartum anxiety, and perinatal mental health conditions. The lingering sense of guilt, sadness, regret, grief, anger, and frustration comes as a result of feeling that you weren’t present during the postpartum time. How much time does it take to “make up” for that time that you felt disconnected and anything but joyful about motherhood? Do you feel that you missed important milestones in your baby’s life? All of these are important questions that many mothers wrestle with in a constant mental battle. Let’s take a closer look. Show Highlights: Where does the unreasonable pressure come from? Are you punishing yourself? The truth: You WERE there in all the ways you could manage at the time. You do acts of love and caring, even if you don’t feel like doing them. What you need now is what you needed then: compassion, support, and loving thoughts. Self-compassion brings gentleness into the picture. Healing needs to happen (and that means allowing yourself to grieve). Dr. Kat leads a healing exercise to try on your own. (Try it!) Your healing is valid and worthwhile, even if you can’t see it yourself. Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms. Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

We are hearing Alyssa’s story in today’s episode. She shares her experience with postpartum anxiety, depression, and OCD, as well as her lifelong battle for mental health. We’ve discussed many times on the podcast that a history of mental health issues is a significant risk factor for perinatal mood and anxiety disorders. Because Alyssa did not get the help she needed when she needed it most, she has become a passionate advocate and supporter of other moms and families facing these issues.  Alyssa Verge is a 31-year-old mom of a two-year-old and the stepmom of an eight-year-old. After her child was born, she was diagnosed with postpartum depression and anxiety and eventually with postpartum OCD. She’s passionate about mental health and healing generational trauma.  Show Highlights: The birth story of Alyssa’s son, when she felt the “baby blues” immediately after his birth Being told everything she was feeling was “normal,” even though she was sincere and open about her experience Alyssa’s husband finally found a therapist for her because he knew this couldn’t be normal. Alyssa’s relief when she found out her feelings weren’t normal, and she was diagnosed with postpartum depression and anxiety The prevalence of OCD, which wasn’t identified for several months Unnatural fears about leaving the house and getting sick OCD was manifested in her body’s refusal to take medication, even though it was what she wanted to do to get better. Therapy tools that didn’t help for Alyssa: exposure therapy, scripts, positive brain talk Feeling guilty for being a burden and not being able to get better Finding balance in looking for support, with boundaries Alyssa’s advice to others about accepting “normal,” having patience, and finding help Resources: Connect with Alyssa Verge: Instagram Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident seeking a therapist in perinatal mental health, please email me about openings for private pay clients. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s topic is all things matrescence as we look at the book, Mothershift: Reclaiming Motherhood as a Rite of Passage. We will discuss the process of matrescence and the developmental steps that many people do not understand. Join us to learn more! Jessie Harrold is a coach and doula who has been supporting women through radical life transformations and other rites of passage for over 15 years. She works one-on-one with women and mothers to facilitate mentorship programs, women’s circles, rituals, retreats, and nature-based experiences. Jessie is the author of Mothershift: Reclaiming Motherhood as a Rite of Passage and Project Body Love: my quest to love my body and the surprising truth I found instead. She also hosts The Becoming Podcast. Jessie lives on the east coast of Canada, where she raises her two children, writes, and tends the land. Show Highlights: What is matrescence? Comparisons between matrescence and adolescence (both transitions are processes that take time) Jessie’s model of matrescence: The Four Elements of Radical Transformation: Earth – Orient yourself to what’s true, and name the change. Water – (Think tears.) Grief over the self you were before this transformation is a normal part of transitioning to motherhood. Air – The liminal space of the “in-between” when you haven’t fully integrated into the identity of being a mother. Fire – An igniting of the ember within you as you integrate into the identity of motherhood. This motherhood transition is an opportunity to let go of other things that aren’t serving us well. Systemic factors that force women into “losing themselves in motherhood” The challenges we face in motherhood are part of the development into matrescence, but we still need the tools and resources to navigate them. “The Mother Powers”- the things that help us get through matrescence Matrescence is a beautiful process. A glimpse into Jessie’s next book project  Resources: Connect with Jessie Harrold: Website, Instagram, Email, Mothershift: Reclaiming Motherhood as a Rite of Passage, Project Body Love: my quest to love my body and the surprising truth I found instead, and The Becoming Podcast.  Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients. Learn more about your ad choices. Visit podcastchoices.com/adchoices

The end of the school year and the transition to summer bring different types of mental load for parents. There is a shift in schedule, priorities, and what you’re thinking about each day, and there can be more to manage, especially for the default parent who usually takes care of everything. It’s a different type of stress, but it is stress nonetheless. There can be a wide variance in the load you carry, depending on your partner and other supports you have in place. We must acknowledge that the mental load is an invisible load yet a significant burden; it’s a labor of thinking, remembering, organizing, and planning that keeps the family and household running smoothly. It can all be overwhelming! Join me in today’s episode for a closer look. Show Highlights: The constant hum in your mind of all that needs to be done The potential for contention between parents in remembering ALL the details (along with anxiety, depression, and disconnection) Remember that two things can be true at the same time! Partnership is essential in co-parenting and co-managing the household. Examples of how a partner can step in to help in meaningful ways: taking over specific tasks, being emotionally present, and having a weekly time for an honest check-in with each other Advice to moms and dads for communicating and validating each other Setting boundaries, saying NO, letting go of some tasks, and asking for help The importance of finding community, connection, and support groups Key takeaways from Dr. Kat: “Acknowledge your feelings, state them aloud, and share them. Only then can you start to change.” Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Have you felt the pressure to be a “supermom”? We are examining the supermom fallacy, which often accompanies thoughts like, “I’m a failure, I can’t keep up with this, and I’m a bad mom.” The problem with trying to be a supermom is the impact on mental health. This theme commonly comes up in therapy, and the idea that we have to do everything and do it well is too much pressure! Join us as we explore this topic, which will resonate with many people. Stacy McCann is a licensed mental health therapist and the owner of Present Moment Counseling Services, specializing in motherhood, postpartum, and beyond. She works with mothers to help them cope with the challenges of motherhood, including burnout, overwhelm, overstimulation, self-advocacy, and an equitable mental and physical load at home. Stacy launched the Supermom Dropout Club, a virtual community for moms who want to take up space, use their voice, and leave their supermom capes behind. She is the mom of a sweet and spicy 5-year-old and lives in the St. Louis area, where she enjoys gardening, cooking, and traveling.  Show Highlights: Stacy’s path through social work, parent education, and her motherhood specialty today Common characteristics of maternal burnout: overwhelm, loss of identity, feeling invisible, and giving everything they have to others Trying to live up to the “ideal motherhood experience” is impossible! Solutions for moms: Prioritize your own needs and use the right words to talk about it Dealing with the workload at home from a logistics standpoint (How to handle this task with your partner through open communication about standards of care) We still need a shift to support working parents and postpartum mothers. Thoughts on men’s roles in the home, offering emotional support, and bonding more with their babies in the postpartum period  The need for help in shifting societal expectations about what makes a good dad: What does it mean to lead and support your family? The influence of social media on parenting  Stacy’s virtual community, The Supermom Dropout Club, and the support it offers Resources: Connect with Stacy McCann: Website and Instagram Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s guest shares her story of postpartum psychosis, including the contributing factors, navigating the healthcare system, the overall lack of understanding of PMADs, and the preventative actions she took for her second pregnancy. She shares how her experience propelled her to take considerable steps to help and support others. Nancy Di Nuzzo, a mother of two, is an accountant-turned-postpartum doula. She is the founder of Anamav Postnatal Care, an agency providing comprehensive postpartum care in the Greater Toronto area. Their services include doula support, lactation support, psychotherapy, and sleep coaching. Nancy was inspired to create Anamav after her own traumatic postpartum experiences. As a perinatal mental health advocate, she is fiercely determined to support new parents and families to help fill the gaps in our healthcare system.  Show Highlights: Nancy’s first pregnancy experience with her daughter, born in 2020: In summary, sleep deprivation led to the first postpartum psychotic episode and subsequent hospitalization. The labor and delivery and the first five days postpartum, when everything changed for Nancy Feeling the intensity of hyperdrive and an overwhelming need for perfection Hallucinations (not threatening or violent) and a break from reality that prompted a call to 911 A shocking twist: The ER records showed suspected postpartum psychosis, but they still discharged Nancy and prescribed sleeping pills; she ended up back there three days later. Cultural stigma and family interference that did not help Nancy Nancy’s misdiagnosis from the psychiatrist: A bipolar disorder that required lifelong medication The first night in the hospital and the traumatic events that still haunt Nancy’s memories Reconnecting with her daughter after a week-long stay in the hospital Preparing for a second pregnancy with preventative measures–and finding a very different birth and postpartum experience in 2023 Nancy’s perspective on what SHOULD have happened during her first pregnancy and how we can do better in the area of awareness The facts: Every postpartum journey is different; problems can happen with a first, second, or third pregnancy—or with none at all.  Anamav Postnatal and how they work to help others Resources: Connect with Nancy Di Nuzzo and Anamav Postnatal: Website and Instagram Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone or text at 1-800-944-4773. There are many free resources available, including online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to become more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today’s episode focuses on a recent article in JAMA Internal Medicine regarding maternal mental health in the United States. I’ll explain and summarize the study and results, and discuss the most appropriate next steps. Since I’m presenting the information in summary form, please read the article for yourself by clicking the link in the Resources section for this episode.  Show Highlights: The findings of this study are sobering and validating. Scope and value of research findings like this to “fill the gap” in maternal mental health The details of the study subjects: 198,000+ US mothers from 2016-2023 who self-reported their physical and mental health The key findings: The percentage of mothers reporting a rating of “excellent” mental health dropped dramatically during the time frame, the percentage reporting “fair” or “poor” mental health increased, and the trend of declining maternal mental health crosses through all socio-economic groups. The key factors contributing to maternal mental health conditions  Results of the study show that we need more investment into the underlying causes of mental health decline, especially for lower socio-economic status moms. Moms are suffering under the weight of silence, stigma, shame, and societal expectations. Studies like this one are vital to break down barriers to care and support. Learning to identify your needs, choose rest when needed, and prioritize self-compassion What we can do to help: offer screenings at multiple points, effect policy change, and find positive ways to support the entire family system. Resources: Read the JAMA article, “Trends and Disparities in Maternal Self-Reported Mental and Physical Health.” Click here. Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources available, including online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to become more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices