A Must for All New Jersey Medical/Mental Maternal Healthcare Practitioners, Doulas, Midwives, etc.

After a two-month dry spell in posting on my blog due to lots going on at home and at work, here I am briefly to help spread the word for the Postpartum Support International 2-day training on November 15-16, 2018 in Fort Lee, New Jersey:  Perinatal Mood Disorders: Components of Care. 

Led by PSI’s very own Birdie Gunyon Meyer, RN, MA (whom I’ve known since I became a member in 2006), Lisa Tremayne, RN, CPPD, CBC, and Joanna Cole, PHD, it is a critical training intended not just for mental health care practitioners but anyone and everyone who would ever need to care for an expectant or new mother.  That includes obstetricians/gynecologists, general practitioners, pediatricians, doulas, midwives, nurses, ER doctors and their staff, etc.

You can visit the site that goes over the training objectives, location, and cost via the above link, but the training will cover the basics in identifying/treating perinatal mood and anxiety disorders (PMADs)–which include antepartum depression, postpartum depression, postpartum anxiety, postpartum panic disorder, postpartum OCD, postpartum PTSD, and postpartum psychosis–as well as understanding risk factors, treatment options, breastfeeding, consequences of untreated conditions, impact on loved ones, importance of social support, cultural differences, spirituality, etc.

Please attend and/or help spread the word about this training.  It is so, so critical that we ensure as many people as possible are trained so that fewer mothers suffer unnecessarily (like I did) and even worse, fall through the cracks and become another tragic outcome of a perinatal mood disorder.

 

Advertisements

World Maternal Mental Health Day: May 2, 2018

With just a few minutes left to World Maternal Mental Health Day, I wanted to do check one more thing off my TO DO list: Taking a picture with The Blue Dot Project sign with a very important message on it to do my part in spreading awareness about the statistics (1 in 7 new moms), common symptoms, who to call for support/where to find resources & info (Postpartum Support International or PSI), a positive message (the PSI mantra: You’re not alone, this is not your fault, you will get better with the right treatment), and the hashtag #RocktheBlueDot.

 

 

 

 

 

 

 

Earlier in the week, I did the whole Twibbon thing with the #WorldMMHDay on social media, I have been sharing the daily Facebook posts of The Blue Dot Project on both my personal and my author page, and I figured I would wrap up today with this blog post.

With May as Maternal Mental Health Month, keep your eyes open for all sorts of social media campaigns, fundraisers, news articles, and blog posts.  The wealth of information is satisfying to see, as it is 100 times–to say the very least–more than what I had when I found myself stuck all alone and scared on the very difficult postpartum depression (PPD) path I found myself forced to take over 13 years ago!   We need to keep the public awareness going to continue to chip away at the stigma and ignorance that still prevent moms suffering from PPD (and their loved ones) from knowing what to look out for, knowing how to get help, having all medical/mental healthcare professionals that work with moms knowing how to detect/diagnose/refer moms who need help.

Please, please, please do your part to spread awareness.

Click here to find out how you can take your very own #RocktheBlueDot picture with your own message, and share it with the ladies over at The Blue Dot Project so they can share it on their end as well.

Share Postpartum Support International, The Blue Dot Project, and posts by other maternal mental health organizations across the globe.

Join the movement!

 

Recent PPD Successes and Failures in the Media

I went from blogging once in two months to 8 times so far this month!  With Maternal Mental Health Month a little less than a week away, a lot of fundraising, training and public awareness events are being prepped to happen throughout May.  Another reason to love this time of year….hello spring!

Okay, so the title of my post is “Recent PPD Successes and Failures in the Media.”  There were 2 things in the media that caught my attention on my Facebook feed today that motivated me to blog once again. One is a success and one is a failure.  If you’ve been following my blog for some time, you would know that one of my favorite things to blog about are successful and failed attempts at depicting new mothers suffering from a mood disorder in the media, like my recent post about “Black-ish.”

Let’s start with the SUCCESS……
On this morning’s Megyn Kelly TODAY a postpartum mood and anxiety disorder (PMAD) survivor, Ashley Abeles, shared her experience.  The segment also included brief appearances by Dr. Catherine Birndorf and Paige Bellembaum who are the Medical Director and Program Director, respectively, of The Motherhood Center of New York. The Motherhood Center provides support services for new/expectant moms and treatment for PMADs. I met these ladies from the Motherhood Center at previous Postpartum Support International conferences.  If you missed the show, you can watch it here.  We need more moms sharing their PMAD experiences on shows like this!  Experiences kind of like my own that, as her husband explains, isn’t “headline-grabbing” material involving the tragic death of the mother and/or baby.  Because guess what, the vast majority of PMADs experienced by new mothers are NOT headline-grabbing material.  They’re mothers suffering from anxiety, panic attacks, insomnia, weight loss and/or intrusive/obsessive thoughts who need medication and/or therapy to recover.  Yes, severe postpartum depression (PPD) can cause a mother to feel so depressed that she just wants to disappear or her baby would be better off without her since she can’t feel joyous like a new mother should, but postpartum psychosis is too-often confused with and lumped under PPD (as a catch-all term) by both the general public and doctors alike.  Yes, doctors!  Also, PPD is not the same as the baby blues and even today, doctors still mix up the two!  We’ve come a long way since I had PPD when it comes to information in the news, in publications, on the Internet and in social media.  But we still have a LONG way to go.

And here’s the FAILURE……
The movie “Tully” starring Charlize Theron.  A Motherly post by Diana Spalding titled “We’ve seen Tully– and we’ve got some real concerns” it seems yet another movie director/producer has failed to do their homework about PPD before coming up with the screenplay and releasing it.  What every movie director/producer or TV show director/producer needs to do before even contemplating a movie or TV show about PPD is consult with Postpartum Support International.  This organization is the leading authority on maternal mental health matters and should ALWAYS be consulted to ensure the right information is incorporated into the movie/show plot.  “Tully” attributes the bizarre experiences of Tully (i.e., hallucinations she has of Marlo, frantic baking and cleaning late into the night, impulsive behavior that leads to her car crash, suicidal ideation) to PPD.  However, her behavior is actually attributable to postpartum psychosis, hence this movie spreads misinformation about what PPD really is.  Her talk of suicide is brushed off by her husband, which I can see happening in the real world when loved ones fail to “get it” and ignore the mother’s serious need for help.  While this is a movie and movies don’t necessarily have to educate–after all, this is not a documentary–it should at least get terms right (postpartum psychosis, NOT PPD!)  and it should try to mention at some point that yes, the new mother who’s obviously not well and diagnosed, albeit incorrectly, with PPD needs help!  Maybe put some kind of disclaimer at the beginning or end of the movie like you sometimes see at the beginning or end of a TV show.  Something along the lines of:

“Approximately one out of seven new mothers suffers from a postpartum mood disorder.  If you are a new mother that is experiencing any of the following symptoms: insomnia, crying/sadness for more than 2 weeks, lack of appetite, sudden weight loss, rage, hopelessness, lack of interest in the baby, loss of interest in things you used to enjoy, thoughts of harming the baby or yourself, please know that you are not alone, what you are experiencing is not your fault, and you will recover if you get the right treatment.  Contact Postpartum Support International at 800-944-4773 or visit http://www.postpartum.net

Playing Monopoly with God – New York City Performances!

I am super excited to share the news that “Playing Monopoly With God” is coming to New York City! (Unfortunately, I won’t be able to make it due to prior commitments).

“Playing Monopoly With God” is an amazing, one-woman play.  Melissa Bangs is the talented and passionate actress behind this play.

Her mission is to share her experience and in so doing, spread awareness on what it’s like to be one of the 20% of new mothers who suffer from postpartum mood disorders and encourage mothers to share their experiences.

Melissa has been touring for 4 years putting on 37 shows—including sold-out shows in Seattle and Los Angeles– reaching nearly 5000 people

♦♦♦♦♦♦♦♦♦♦♦♦♦

Postpartum Support International presents:

Playing Monopoly with God & Other True Stories
Hilarious. Heart-wrenching. Human. 
A true tale of childbirth, madness and the journey home.
LIVE. NONFICTION. STORYTELLING. PERFORMANCE.
 
TICKETS ON SALE NOW!!! MAY 17th – 20th

Evening
 Performances – 6PM Doors – 7PM Performance
THE RATTLESTICK THEATRE @ 224 Waverly Place, New York, New York
Thursday, May 17th – Live Performance followed by a PSI Gala Event at Bobo NYC ($175)
Friday, May 18th – Live Performance w Wine, Cheese and Panel Discussion ($75)
Saturday, May 19th – Live Performance (also to be webcast) ($45 in-person)
and a Mimosa Matinee…
Sunday, May 20th – 1PM Doors/2PM Show ($45)
 
In September 2012, at 40 years old, Melissa Bangs gave birth to her beautiful daughter Adelaide.  A month later, dramatically hormone depleted and sleep deprived, Melissa is admitted to the Providence Psychiatric Facilities in a complete manic state.  After nearly a month, she is sent home with a bipolar diagnosis and on lithium.  What comes next is an extraordinary journey.
 
On her path back to wholeness, one of the things Bangs did was read her entire 100 plus page hospital record.  Somewhere, around page 87, there is a nurse’s note that looks as if it were scribbled late at night after a long shift.  It reads, “Patient says she will do comedy on this experience.”  Upon reading this, Bangs laughed out loud.  
 
The psych team couldn’t have possibly known that Bangs has been a storyteller her entire life and did comedy for a stint, as a student, at the Upright Citizens’ Brigade in New York City.  They couldn’t have known that transforming details from the most painful experience of her life into a room full of laughter would prove healing for so many.
 

Join Postpartum Support International for an evening of storytelling full of bewilderment, chaos and hilarity.  Bangs has a knack for telling true stories that cut to the bone of our shared, vulnerable human condition. Her true gift, however, comes in the moments in which she’s able to strip away the shame or agony of an experience and transform the room into an uproar of laughter.

Postpartum Depression Doesn’t Look the Same Across the Board

I always try to keep up with the multitude of articles that feature Karen Kleiman, MSW, LCSW, founder of The Postpartum Stress Center and author of numerous books on perinatal mood disorders.  This particular article from October 4, 2017, titled “Postpartum Depression May Look More Like Anxiety Than Sadness” that appeared on Well and Good, by Annaliese Griffin,  caught my attention.  It caught my attention because it’s because when my doctor told me 13 years ago that I had postpartum depression (PPD), I didn’t believe him.  I thought “How could I be depressed if I’m not even sad?”  He explained that depression could manifest as anxiety, but did I understand that at the time?  Nope. Little did I know that I was about to embark on a journey to discovering what PPD really was….that it’s a catch-all term that encompasses all postpartum mood disorders, which includes postpartum anxiety, postpartum OCD, and postpartum psychosis.  That my PPD caused insomnia, weight loss, loss of appetite, and being a shell of a person unable to enjoy anything, and unable to pretty much do anything.  I was so concerned about my baby’s cradle cap and eczema and her bowel movement/feeding schedules that, by the time her colic came and went at my 6th week postpartum, PPD set in and I had no idea what was happening to me.

This article is very important because the number of women suffering from postpartum mood and anxiety disorders (PMADs) is pretty common.  And I should know because of the number of hits I get on my blog for the symptoms that I experienced.  So, if it’s been over 3-4 weeks since you had your baby and if you are feeling anxious, unable to sleep even when the baby sleeps and unable to function and enjoy things you’re normally able to enjoy (like listening to music), having moments of rage, having panic attacks, and/or having obsessive and even scary thoughts, please go the Postpartum Support International (PSI) website to seek help near you.  You are not alone, there is nothing to feel ashamed of, and you will get better with the right help.  Do not be afraid to ask for and accept help.

Jessica Porten’s story went viral a week ago because she admitted to the nurse at her OB/GYN office that she was experiencing feelings of anger, and that admission was unfortunately not handled correctly.  This, my friends, is why I have been blogging for the past nearly 9 years.  My mission is to help spread awareness and in so doing dissipate the stubborn stigma that refuses to go away because there is still so much ignorance about PPD.  My mission is to also help mothers as much as I can to get the help they need.  Anger/rage is another way that PPD can manifest for some mothers.  Everyone’s PPD experience is unique to that person because we are all complex people that– when emotions, temperaments, hormones, heredity, childbirth experience, and history come together–symptoms manifest differently from one person to the next.  Symptoms can range from feelings of sadness to anxiety, anger and even rage to insomnia, sleeping too much, lack of appetite, eating too much, obsessive/intrusive thoughts, etc.  As such, treatment of these moms will vary from one mother to the next.  Some moms need medication. Some moms need therapy.  Some moms need a combination of medication and therapy.  The duration of treatment will vary as well.  But there is one thing in common among all mothers suffering from PPD:  they need help.  They don’t need to be treated the way Jessica Porten was treated.  They don’t need to be treated like I was treated 13 years ago.

Erica Chidi Cohen, a doula and co-founder and CEO of  Loom in Los Angeles attributes postpartum anxiety to first-time mothers feeling uncertain and anxious about going through childbirth and taking care of a baby for the first time. It is more common than you think for first-time mother to feel anxious but when the anxiety morphs beyond worry to insomnia, lack of appetite, etc. is when medical attention is needed.  A traumatic childbirth experience increases the chances for a new mother to experience PPD.

Click here to visit Kleiman’s The Postpartum Pact. It is an important postpartum toolkit for expectant mothers and their partners and loved ones to review before baby’s arrival.  It truly pays to be prepared, regardless of whether you think you may be at risk for PPD or not.  One never knows, as I have said in prior blog posts and in my book, whether something may happen during pregnancy/childbirth that could lead to PPD.  It can’t hurt to review the pact and prepare to have folks lined up to help once baby arrives to ensure the new mother has adequate practical support, especially if this is her first baby or if she has another little one(s) to take care of already.

Speaking of adequate support, it’s organizations like Loom in Los Angeles and Whole Mother Village  in W. Orange, NJ — two examples of many childbirth, pregnancy, and reproductive wellness communities that have sprouted around the country to provide support, information, referrals and services from preconception to parenthood– that are critical because it takes a village when it comes to a family’s well-being.  Going it alone is not a viable option nowadays, especially when the significant other needs to work to support the family and the new mother is not well and family members are not close by and/or are too busy to provide emotional and practical support.  It really is no wonder there are so many cases of PPD.  Please see my past posts about the importance of mothering the mother and how it takes a village to minimize the occurrence of PPD here and here.

 

 

Journey of a PPD Survivor – Q/A Series – #2

Welcome to the second of my Journey of a PPD Survivor Series!

Laura Winters, LCSW, whom I’ve had the pleasure of knowing since we met at this year’s Postpartum Support International conference in Philadelphia, is a therapist specializing in infertility and prenatal/postpartum stress.  We are both members of the recently-established PSI-New Jersey chapter.  Laura is passionate about helping women on their journeys through motherhood, offering individual and group support.  Her practice, Postpartum Health & Harmony, is located in Chatham and Mountain Lakes, NJ.  For more information or to contact Laura, please visit www.postpartumhh.com.

Thank you, Laura, for taking the time to provide my blog readers some insight into your journey as a PPD survivor!

*  *  *  *  *  *  *  *  *  *  *  * *  *  *  *  *  *  *  *  *  *  *  * *  *  *  *  *  *  *  *  *  *  *  * *  *  *  *  *  *

Question 1:
Can you please describe your journey to becoming a Licensed Clinical Social Worker and what motivated your passion to help women with infertility issues (which I experienced) and mothers suffering from a perinatal mood disorder? How long have you been helping women experiencing infertility and perinatal mood disorder?

 When I was considering careers, I wasn’t totally sure what I wanted to do, but I knew that I wanted a career that would enable me to make a difference in people’s lives.   Social work was suggested to me and it was a perfect fit!  I started out my career working with children and teens and I really enjoyed helping them through various challenges.  In 2007, I started working in private practice, primarily focusing on families.  It wasn’t until about 2011 that I first started seeing some women who were struggling with perinatal mood disorders.  At that time, it wasn’t a specialty of mine, so I only saw a few new mothers.

In 2013, I became a mother and had an entirely new appreciation for parenthood.  It was incredibly difficult in ways I never imagined.  Breastfeeding was not going well, which caused me a lot of anxiety, sadness, and added to my exhaustion.  My husband and I both felt more like roommates and our relationship was strained.  This experience inspired me to make some career changes, most notably acquiring more advanced training in perinatal mood disorders and developing this specialty in my practice.

As I began to work with more pregnant and postpartum moms, I also started getting referrals for women experiencing infertility and postpartum moms who had gone through fertility treatments.  Once again, I felt a need to learn more and was interested in adding this focus to my practice.  I see these times in women’s lives, when you’re trying to conceive or newly postpartum, as being so precious and yet such a vulnerable period.  For the most part, everyone assumes that they will get pregnant easily and that motherhood will be challenging but amazing.  When things don’t go as planned, it can completely turn your world upside down and have you questioning everything about your life.  My personal experience definitely fueled my passion for supporting moms as well as couples trying to conceive.

 

Question 2:
In your practice, have you seen a correlation between infertility and a perinatal mood disorder? Do you treat mothers who you’d also seen while they were struggling with infertility issues and ended up suffering from a perinatal mood disorder?  Have you treated women suffering from infertility issues who ended up not suffering from a perinatal mood disorder?

 Infertility treatment is a risk factor for a perinatal mood disorder and I do see this correlation in my practice, though not across the board.  There are so many factors that influence whether a mother will develop a perinatal mood disorder.  I’ve seen women who have been through infertility treatment and did not end up experiencing any perinatal mood disorders.  Support and early intervention are very helpful in protecting a mom’s mental health.

  

Question 3:
Can you provide an overview of the services you provide? I see that you help patients in person, online, and even in a support group setting. Do you find one way of seeing your patients is more helpful? 

 I offer individual, couples, and group counseling.  I see almost all of my clients in person.  I offer online and phone sessions for times when clients may not be able to come to the office, such as not having child care available or in the first few weeks after childbirth.  Online and phone sessions are a great way of continuing sessions when life gets in the way.  The support group is open, meaning that you don’t have to register and can come as often as you need.  The moms that come to the group tend to be looking for different support than those who come for individual counseling.  The group moms are often looking to connect more with other moms going through similar experiences.

  

Question 4:
In your practice, what kinds of treatments for postpartum depression do you recommend?

In addition to therapy, I will recommend medication for those that are open to it or who have tried other things and are still struggling.  I also encourage my clients to try to incorporate exercise and a healthy diet into their routine.  For clients that are interested, I may recommend meditation or teach them an acupressure technique called Emotional Freedom Technique (EFT).

 

Question 5:
Have any medical healthcare practitioners–like IVF doctors, general practitioners, OB/GYNs or pediatricians–ever refer their patients to you?

 Yes, medical healthcare practitioners are great referral sources.  I definitely get more referrals from those healthcare professionals who take the time to talk to their patients about mental health.

 

Question 6:
What do you think medical health practitioners who come in contact with new mothers, like OB/GYNs, GPs and pediatricians, can do to help prevent, detect and treat perinatal mood disorders?

I would encourage medical health practitioners to take time to talk to moms about mental health.  Ask them about their mood and stress level.  Look their patients in the eyes and ask them how they are really doing.  Normalize how challenging being a mother is.  Making comments such as “motherhood is tough” or “you have a lot on your plate now” can go a long way in helping a mother feel comfortable to open up to you.  And having referral sources on hand when their patients need more support is extremely important.  Don’t leave it up to a new mom to have to find help herself.

 

Question 7:
Is there one key piece of advice you would offer to an expecting or new mom?

For expecting moms, I would tell them to make a postpartum plan that outlines things such as who they can count on for specific types of support (baby/childcare, cooking, advice, etc), how they will protect their sleep, and where they can turn if they need support.  For new moms, I would advise them to take breaks, ask for and accept help, and know that challenges come in phases but do eventually end.

 

Question 8:
What would you want to say to women currently suffering with a postpartum mood disorder?

This is the most common complication of childbirth and not an indication of who you are as a mother.  There is a lot of support available out there including counseling, support groups, and other moms who have been there and are happy to offer encouraging words.  You will feel better once you get the support that’s right for you.  Other moms have recovered and you will too.

 

Question 9:
What advice would you offer to friends/family members of a woman who is currently suffering with a postpartum mood disorder?

Reach out to her often – call, text, stop over.  Be there for her when she’s ready to talk.  Try to listen and validate her feelings.  Consider what support you can offer her—including cooked meals, childcare, cleaning, keeping her company—and rather than asking if she wants that help, tell her that this is how you’d like to help.  Tell her when you’re available to provide that support and then let her decide when you can come over.  Most moms will turn down help initially, but when you are very specific with what you can do and when you can do it, it’s harder to turn that down.  Also, it may help you better understand what she’s going through by researching information on perinatal mood and anxiety disorders.

 

Question 10:
What do you see as the biggest challenge in helping a mother recover from a postpartum mood disorder?

Lack of support and lack of insurance coverage are big obstacles.  It’s hard enough finding a therapist or psychiatrist, let alone when you have an infant and aren’t feeling like yourself.  Whether you have insurance coverage or not can help or hinder the process.   I find that the more support a mother has around her (people who can help with certain tasks and give her breaks), the easier recovery is.  It’s really challenging when you don’t have enough support at home and are expected to do a lot of the childcare and household tasks.  It doesn’t allow enough time for moms to tend to their needs.

Journey of a PPD Survivor – Q/A Series – #1

Welcome to the very first of my Journey of a PPD Survivor Series!

I know many, many survivors whose journeys led them to helping other mothers feel less alone and suffer less than they themselves did.  These women have gone on to become doulas, social workers, psychiatrists, psychologists, psychiatric nurse practitioners, peer support group leaders, founders of not-for-profit groups, bloggers (like myself), book authors (like myself), fundraisers, volunteers (like myself), etc.

Kathy Morelli, whom I’ve had the pleasure of knowing since we met in 2011 at the Postpartum Support International conference in Seattle, has the honor of being my very first interviewee for this series.  Back in 2012, she wrote the most amazing book review for my book.  She herself is a book author in addition to being a licensed professional counselor and licensed massage therapist for pregnant/postpartum women.

Thank you, Kathy, for taking the time to provide my blog readers some insight into your journey as a PPD survivor!

*****************************************************************************************************************************************************************************

Question 1:
Can you please describe your journey to becoming a Licensed Professional Counselor and Director of BirthTouch, LLC and what motivated your passion for maternal mental health matters
?

Ivy, lol, this could be a looooong answer! I’ll try to keep it reasonably brief!  I came of age in the 1970s when feminism was just starting to impact our society. I was raised to believe that I could go to college and get a good job, just like the boys. But I was also enculturated to stay home with my children. My mom didn’t work outside the home. There was no Title IX, equal funding of boys’ and girls’ sports, etc. when I was growing up. There was no family leave, no daycare centers included on corporate campuses. So, the tantalizing idea that a woman could work equally as a man was out there, but there were no plans for what to do about motherhood. What to do with a newborn during a career trajectory. These things were not in the public discourse at all. So, I never thought about how the integration of career and family is an enormous life challenge. How would I know?

I was the first-generation Italian American in my family to go to college.   I started my career in my 20s in data processing on Wall Street. I worked my way up to be an AVP at a major international bank. I managed the Database Department there. It was extremely stressful and not really emotionally fulfilling to me. But it was a good job that paid well. I was the only woman of 12 mid-level managers. It was challenging to be the only woman in this peer group. I never felt comfortable in that situation. They talked about things I wasn’t interested in. And sometimes they went to a strip club down the street for lunch. I certainly wasn’t going to do that.

The long commute led to my finding a job at another large data processing facility in New Jersey. My husband and I planned to start a family, and I didn’t want to commute on the subways while pregnant.  I had my son (now 22!) when I was 37 years old. I never changed a diaper or babysat very much at all, as my older sister did all that!  I also didn’t know much about the processes of pregnancy and birth, so it was all big mystery to me.

I actually had negative physical reactions to the idea of putting my son in daycare.  Daycare was a new concept 22 years ago. We made the decision for me to stay home with my son for a few years. I had postpartum depression (PPD) after I had my son. Looking back, it’s obvious that the life changes and the identity shifts were challenging for me. I had always been a high achiever, so shifting to taking care of a baby, which I had never done before, was not easy. I felt isolated. The feelings of depression were difficult to handle and caring for a baby on top of that was just so overwhelming.  In retrospect, I should’ve taken medication. But I wouldn’t, as I was nursing and I was concerned about the effect medication would have on my son.  Back then, there wasn’t the abundant research regarding the relationship of psychotropic medication to breastfeeding that there is now. If I had the information available now on such sites as Mother to Baby , I would’ve been able to make an informed choice with research data as input. I would’ve chosen the medication. Even with counseling, I was depressed for two years. It was a joyful yet painful time.

In short, my journey to becoming a therapist has been founded on my desire to have a career where I could make a difference in the world. From my experience, I also had insight into what it was like to become a mother and go through a lot of biological and psychological shifts all at once.

 

Question 2:
Can you provide an overview of what services you provide?

I’m a Licensed Professional Counselor (LPC) and Licensed Massage Therapist in the State of New Jersey. As an LPC, I work with a broad range of people experiencing everyday family and marriage issues, depression, and anxiety. I have an integrative approach and use both traditional verbal therapies and mind-body therapies.  For many years, I’ve had a special focus on perinatal mood disorders, the transition to parenthood, and birth trauma, but I see a broad range of people.

Currently, I am shifting my focus to using interventions such as eye movement desensitization and reprocessing (EMDR), Somatic Experiencing (SE) and cranial sacral body work to treat post-traumatic stress disorder (PTSD) for single incident and chronic trauma.  Single incident trauma can be birth trauma, trauma from even necessary medical interventions (such as for cancer), a car accident, a rape, etc. Chronic trauma includes childhood sexual, physical, and/or emotional abuse.

So many women talk to me about their pregnancy and birth experiences and how traumatic and medicalized childbirth is. Sometimes the medical trauma is something that is necessary such as when there are true complications and other times the medical trauma is from too many unnecessary, cascading interventions coupled with a general atmosphere that lacks compassion at an individual level.

So, I’m an advocate for woman and family-centered childbirth and have been for 22 years. I’m an advocate for social programs that promote a true family centered focus in our society.

 

Question 3:
You wrote three books, correct? Can you give an overview of what your books are about? 

Yes, I did!  They are all about self help and education for women and families in the childbearing year. They are all available on Amazon!

BirthTouch® Shiatsu and Acupressure for the Childbearing Year is all about education and self-help for the pregnant mom and her family.  There’s information about the difference between infant bonding and attachment, emotional management and safe touch to promote the relaxation response and family bonding during and after pregnancy.  There are numerous studies that conclude that safe massage promotes the relaxation response and family bonding. Safe touch promotes the release of relaxing endorphins and oxytocin and downregulates cortisol, the stress hormone. It’s all about self care in the family unit. Shiatsu is done fully clothed, and it’s a simple shiatsu routine, so even small children can participate, as well as an acupressure routine that is known to promote childbirth. As a massage therapist, I have certifications in shiatsu and acupressure, so the mind body connection is quite relevant to me and how I practice.

BirthTouch® Healing for Parents in the NICU  is a slim volume meant for parents who have a baby in the NICU. The focus in the NICU, is, of course, on the baby, but this slim volume is meant for the parents to help remind them to turn towards each other and support each other through this difficult time. It is a short-seated shiatsu routine that can be done in a waiting room.

BirthTouch® Guide to Perinatal Mood Disorders for Childbirth Educator is a slim volume meant for childbirth professionals, who are often the first line of support for the new mom. This slim volume fully delineates the different perinatal mood disorders and their differential diagnoses for the childbirth educator, so s/he can know what to look for.  It also explains why it’s not always easy to differentiate between the various perinatal mood disorders, because of the overlap and subtlety of symptoms.

 

Question 4:
Can you please explain how shiatsu and acupressure can help a pregnant/new mother? How did you learn these techniques and how did you discover that they can be effective in treating perinatal mood disorders?

I studied shiatsu and Jin Shin Do® Acupressure at the Meridian Shiatsu Institute in Pennsylvania from 1996 – 2000. I became certified in both modalities. The owner of the school retired over a decade ago and closed the school.  I started BirthTouch® around that time, which was a massage and bright hypnosis business for pregnant moms and their families. Women and midwives started to ask me what the acupoints were to begin birthing. I would write them out on a piece of scrap paper at first for my clients, and then eventually I developed a short workbook.  I began studying psychology. I found the intersection of my two fields, touch and psychology, in the seminal work of Dr. Tiffany Field at the Touch Institute in Miami.  Her studies were really the first research examining the effects of touch on mood in pregnant/postpartum women and in infants. Now, it’s a mainstream idea and you can see there are hundreds of studies that validate the use of touch to promote relaxation and mitigate the symptoms of depression and anxiety in pregnant/postpartum women.

After working with many women and families, I realized that people wanted to learn some safe, easy techniques for touch during pregnancy, birth, and postpartum. After teaching these techniques for many years and seeing the clinical benefits, I wrote my BirthTouch® book in 2012.  I hope to run a research project specifically around BirthTouch® techniques in 2019. I will keep you posted on this!

 

Question 5:
I can remember when I first met you at a Postpartum Support International conference a number of years back. How long have you been a member?  What prompted you to become a member?

I think I’ve been a member of Postpartum Support International since 2010.  I was a Warmline Volunteer for about a year on Wednesday evenings, but then it was too difficult to keep it up, as my practice was so busy and Wednesday evening is prime time! I now do some work for the New Jersey Chapter of Postpartum Support International. I wanted to become a member, as I wanted to complete their training and to attend the wonderful conferences and actually meet and be a part of the researchers and clinicians who work in women and family advocacy every day!

 

Question 6:
Is there one key piece of advice you would offer to an expecting or new mom?

Please plan for the Fourth Trimester!  Here’s a link to my website BirthTouch®, with an article about the Fourth Trimester.  Don’t try to do it all yourself or with your partner.  If you don’t have local friends or family who are free to physically help you, then hire some help. It is well worth it! Ask for help, don’t be afraid to tell your doctor how you feel and if you need help, don’t suffer alone. Planning for the Fourth Trimester is key! Have list of resources at ready, in case you need them….friends, family, community resources, food prep, sleep plan, therapist phone number, doctor phone numbers, etc.  Talking to a therapist and taking medication is not shameful!

 

Question 7:
What would you want to say to women currently suffering with a postpartum mood disorder?

Recognize that you have a treatable mood disorder and that taking care of your emotional health is as important as, if not more important than, taking care of your physical body.  Talk to your primary care physician, your obstetrician, a therapist, or a psychiatrist.  Perinatal mood disorders are treated by talking to a therapist and/or taking medication.

Taking care of a baby is hard work. Please get yourself help in many different ways: sleep, food prep, taking time off from baby care by asking family or hiring help, etc. This new dynamic of having an infant to care for sets off feelings where you wonder whether you need to attend to my baby’s needs or my needs? Of course, the baby’s needs must be fulfilled and you need to include your needs in there in some way as well. It’s a new way of being.

To find resources in your area, call Postpartum Support International’s Warmline where you will be connected to someone in your area who can refer you to perinatal mental health resources in your community.

Postpartum Support International Warmline: 1-800-944-4773

 

Question 8:
What advice would you offer to friends/family members of a woman who is currently suffering with a postpartum mood disorder?

Please recognize that your loved one needs support and understanding. Don’t undercut her mothering skills by giving suggestions on how she should manage her baby. If she is struggling, ask her how she feels. Use active listening techniques, ask open-ended questions, and help her get to a therapist and/or doctor to get the help she needs.

And also, as caregiver, try to remember to take care of yourself, although this can be challenging. Caregivers get burned out and depressed as well. Take it easy on yourself and practice lovingkindness towards yourself and others.

 

Question 9:
In your practice, what kinds of treatments for PPD do you recommend? Is there a type of therapy/ies you would recommend?

I think the best treatment is developing a realistic baby-feeding, sleeping and self-care plan that take into account both mom’s and baby’s needs….all of this can be truly overwhelming.

Going to a therapist who has special training in perinatal mood disorders to help process the feelings around the transition to motherhood and the feelings around childbirth events is a good way to manage perinatal mood disorders.

Sometimes talk therapy is not enough. If medication is needed, going to a psychiatric nurse practitioner or psychiatrist is a normal part of treatment.  Feel proud you are taking steps to care for yourself.

In my practice, I take an integrative approach and use a variety of therapies tailored to the individual’s needs. My basis is insight-oriented therapy, combined with some dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), and cranial sacral therapy (CST) tools.

 

Question 10:
What do you see as the biggest challenge in helping a mother recover from a postpartum mood disorder?

 The biggest challenge is that people often don’t want to reach out for professional help. They think they can manage okay by toughing it out and ignoring their own needs. This approach isn’t emotionally healthy. You want to learn to optimize your own and your family’s emotional health.  If mama ain’t happy, no one is happy!

 

Question 11:
What do you think medical health practitioners who come in contact with new mothers, like OB/GYNs, GPs and pediatricians, can do to help prevent, detect and treat perinatal mood disorders?

Prevention starts with a solid social safety net, which our society does not provide.

Individual medical practitioners can coach pregnancy moms and their partners about the possibility of the occurrence of perianal mood disorders, and help them recognize this before the mom becomes seriously incapacitated from a mental health issue. If a mom has a previous episode or a family history of perinatal mood disorder, then pre-treatment–with counseling and perhaps medication–is the best way to minimize occurrence.

Medical practitioners who come in contact with new mothers need to be trained to recognize the presence of a perinatal mood disorder and have resources to offer her and her family. Studies show that having the mom complete an abbreviated 3 question version of the Edinburgh Postnatal Scale is as effective as the original 10 question EPDS.

Medical practitioners who treat new mothers for perinatal mood disorders should take specific trainings in these disorders in order to effectively treat their patients. Postpartum Support International has such trainings and also a supportive professional community that shares resources and knowledge.

—————————————————————————-
If you wish to contact Kathy, she has an office Wayne, New Jersey
Her phone number is 973-713-5966
Her websites are: kathymorelli.com  and birthtouch.com