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POSTPARTUM DEPRESSION
21:56
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What If Mother don't feel depressed?
21:12
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Most are unaware the PPD
is only one in a spectrum of Perinatal mood and anxiety disorders that also includes
antenatal depression, postpartum OCD, postpartum anxiety, postpartum panic
disorder, postpartum post traumatic stress disorder and postpartum psychosis. Not
everyone feels sadness or depression when they have a perinatal mood or anxiety
disorder. Here is a list of perinatal mood and anxiety disorders to be known.
- Postpartum Depression can feature appetite and sleep problems, difficulty concentrating and making decisions, lack of interest in the baby, irritation or anger, withdrawal from interacting with others, sadness, the constant feeling of being overwhelmed, and/or possible thoughts of harming oneself or running away.
- Antenatal Depression has symptoms similar to PPD but instead occurs during pregnancy.
- Postpartum Anxiety is marked by excessive worries and fears, often centered on the baby, and sometimes physical symptoms like diarrhea, headaches or nausea.
- Postpartum OCD is characterized by obsessions – persistent disturbing thoughts or mental images generally related to the baby – and compulsions – doing things over and over to reduce the fears and obsessions.
- Postpartum Panic Disorder involves recurring panic attacks, which can include shortness of breath, chest pain, heart palpitations and numbness or tingling in the extremities. Some women liken it to feeling like they’re having a heart attack.
- Postpartum Post-Traumatic Stress Disorder, usually brought on by a traumatic childbirth (or the perception of one), is similar to other forms of PTSD in that sufferers re-experience the trauma they experienced in thoughts and nightmares.
- Postpartum Psychosis is a rare and dangerous illness that is considered a psychiatric emergency and features delusions and/or hallucinations and mania.
PPD & Normal New Mom Stress
21:05
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PPD may be common, but it’s not normal.
It’s not normal for a woman to suffer in new motherhood. It is not normal for her to feel anxious most of the time, it is not normal for her to feel overwhelmed most of the time, and it is not normal for her to feel trapped and angry and uncertain most of the time. There is no doubt that new motherhood is overwhelming and scary for most of us, but when these feelings take charge — when they become more dominant than feelings of relative wellb eing — there is something else going on.
Healthy (or “Normal”) Postpartum Adjustment
- Some feelings of overwhelm and anxiety that decrease with reassurance
- Some “escapist fantasies” (a desire to run away) that occur when the logistics of mothering are challenging but go away when you baby is soothed, when you are rested, and when you are validated
- Fears about harm coming to your baby that come and go, that you know are not “realistic” but that do not cause lasting distress, and that decrease as your experience and comfort with motherhood grows
- Sleeplessness that occurs from caring for your baby at night, while still having the ability to sleep when your baby is sleeping or when given the option to rest
- Fatigue that comes from late night feedings and interrupted sleep
- Some feelings of frustration towards your partner regarding differences in parenting choices or differing roles
- Moments of sadness, disappointment, or anger towards your parents when reminded of the ways that you were parented, but the ability to hold insight and perspective regarding your own relationship with your baby
- Feelings of isolation that are caused by the increased time spent with your baby especially when a newborn, but also a desire and motivation to connect with others
- Uncertainty that comes with this new job, and building confidence that comes with time
- A hesitancy and worry that comes with allowing others to care for your baby, but a willingness to do this when you are in need of a break
- A decrease in eating that is caused by the logistics of being a new mom
- Temporary body aches and pains that are a result of childbirth and/or feeding
- Feelings of worry about your baby’s ability to latch or feed as you hoped that decrease with feeding improvement or that shift when a new feeding option is chosen
- Acknowledgement of the challenge that comes with new motherhood, but also the ability to look forward to things getting easier
- Increases in energy that come with increases in sleep
- Vulnerable feelings that come and go but that do not alter the way that you think about yourself
Postpartum Distress that Requires Support
- Feeling anxious and overwhelmed most of the time, an anxiety that doesn’t go away with reassurance
- Feelings of regret over becoming a mom that do not seem to go away
- Repetitive and intrusive thoughts of harm coming to your baby that cause great distress and that impact your ability to care for your baby
- Thoughts of hurting yourself
- Sleeplessness that occurs due to “monkey brain” – anxious thoughts that will not go away
- A deep fatigue that is not alleviated with rest and/or a desire to remain in bed all day
- Lacking appetite or a need to keep eating despite being full
- Body aches and pains with no apparent cause
- Relentless feelings of anger or rage towards your partner and/or others
- Resurfacing memories about your own early childhood that cause great distress, anxiety, or sadness
- Loneliness and isolation that occur while also pulling away from those who care about you; a lack of desire or motivation to connect with others
- Persistent feelings that you’re not a good mom or you’re not good at doing motherly things, even despite validation or reassurance from others
- Feelings that your baby does not “like” you because he cries or is not feeding well
- Unrelenting anxiety about having others help care for your baby and a deep fear and inability to let go of some of this control
- Never-ending feelings that you will never feel better
- Sudden increase in energy that occurs despite a decrease in sleep; this may or may not include seeing or hearing things that aren’t really there
- A general feeling of “not feeling like yourself”
- Any uncomfortable or vulnerable feelings that persist for longer than 2-3 weeks – especially when these interfere with your ability meet your basic needs and/or live your life as you would like to
Please remember, new motherhood is challenging, but it should not be consistently distressing or miserable. And it you are finding yourself wondering if what you are struggling with is “normal”- a good question to ask your self is, “Is this normal for me when I am well?” If it’s not, there is help waiting. You do not need to suffer through Postpartum depression.
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