A one-day seminar for Psychologists, Counselors, Social Workers, Nurses, and anyone else working with new parents.
CEU credits available for social work and nursing.

CEU credits available for social work and nursing.
A one-day seminar for Psychologists, Counselors, Social Workers, Nurses, and anyone else working with new parents.
CEU credits available for social work and nursing.

CEU credits available for social work and nursing.
And Other Risk Factors for Postpartum Depression
I really don’t know of any women who go into pregnancy wanting or expecting to be a bad mom. We want to do it all: have the baby, get back in shape, feel rested and refreshed, have a clean house, healthy meals for the family, start the new baby in music, swim, sign language classes, and all of this while having a great hair day.
This may be a bit of an exaggeration, but many women set very high expectations for themselves during pregnancy and after the baby is born. When these expectations are not met (and in reality they rarely are), women feel disappointed, discouraged, and even feel as though they have failed.
The “SuperMom” complex is one of many psychological/social risk factors for postpartum depression. A few other psychological risk factors include:
Life Style Changes – For instance, relationship with friends who do not have children will change. New moms and dads will not be able to pick up and go whenever they want any more. Parents may not have time for activities they once enjoyed.
Life Stressors: Any major life stressor will increase the risk for postpartum depression. Moving, starting a new job, death of a loved one, major family illness, financial problems, and divorce (to name a few) can trigger depression in anyone. Add caring for a new baby, loss of sleep, and fluctuating hormones and you can see why the risk increases!
History of Trauma: If the new mom has experienced abuse of any kind, rape, neglect as a child, or any other trauma, caregivers and loved ones should watch carefully for signs and symptoms of depression. Click here for the signs of perinatal mood disorder.
One of the best things we can do for women is reminding they don’t need to be perfect. We can re-define what it means to be SuperMom. It doesn’t mean that she has to have a perfect house, perfect body, perfect meals, and perfect baby. It may mean there are days when SuperMom doesn’t make dinner on time (or lets dad order out) or the house may stay messy or someone else needs to do laundry. SuperMom may decide to take a nap instead of cleaning the bathroom when the baby is sleeping because she needs to rest. Being SuperMom means she is able to care for herself and the baby and get help when she needs it. Help out by encouraging a SuperMom to care for herself today (or bring her dinner, do her laundry, play with the baby so she can rest, vacuum the floor, or just point out to her what she is doing well).
Postpartum depression is serious, impacting around 15% of women: here are some resources if you or someone you love is suffering:
www.postpartum.net
www.postpartumprogress.com
www.momsbloom.org
www.spectrum-health.org/postpartumdepression
www.postpartumstress.com
Our bodies are like a house. There are a variety of spaces and systems that fill needs and perform necessary functions. Anxiety is your body’s warning system, its like a smoke alarm – it goes off for a real fire or just because the toast is burning. It’s not a smart system. You have to take a step back to evaluate the situation and determine if it’s really a crisis requiring action or just burnt toast, simply requiring you to turn the alarm off.
Anxiety is a normal part of life. It can even be useful when it alerts us to danger. For some people however, anxiety is not a reaction to real danger and becomes a persistent problem that interferes with daily activities such as work, school or sleep. This type of anxiety can disrupt relationships and enjoyment of life, and over time it can lead to health concerns and other problems.
The “fire” of anxiety – how it physically affects people can be different for each of us. Some have trouble sleeping, some get headaches, or eye strain or eye twitches, others have a gastro reaction and get stomach aches, reflux, vomiting, nausea, diarrhea, loss of appetite, or overeating. The most common physical manifestations of anxiety are: skin (rashes), headaches, facial twitches, stiff neck, shoulders, or back, stomach/gastro problems, heartbeat irregularities and behavioral problems like increased substance use.
Anxiety that goes on for more than a couple of weeks or is very persistent can affect your health. How do you tell if your health is being affected? First check your stress. There are many ways to do this. There is a Holmes Rahe Stress scale online (and posted on our blog at pinerest.wordpress.com) with questions about common stressors, financial, relationship, work, etc. It gives you a score to let you know if your stressors will likely affect your health.
If you feel stressed, overwhelmed or anxious try taking a break or vacation and see if your health improves. If you are anxious and losing sleep, have lost interest in what you love, feel guilty, have low energy or trouble concentrating, if your appetite is off, and any of these is going on for a couple of weeks or more, it a sign that your anxiety is affecting your health. You need to see a doctor or therapist.
Another great thing to do to control anxiety is meditation. Meditation is a wonderful way to return to your center when you are overwhelmed. Deep breathing and relaxation can be great tools as can spirituality. Church families can often provide hope and reassurance that you are not alone. Don’t forget the power of prayer. Talk to God. He’s the best friend we’ve got. Whatever you do, try not isolating yourself. Isolation is the biggest predictor of depression, and depression is very closely tied to anxiety.
Sometimes anxiety gets the best of you and turns into a panic attack. The Mayo Clinic defines a panic attack as “A sudden episode of intense fear that develops for no apparent reason and that triggers severe physical reactions.” Panic attacks can be very frightening. Panic attacks can occur at any time with no warning.
Physical symptoms can include:
• A sense of impending doom or death
• Rapid heart rate
• Sweating
• Trembling
• Shortness of breath
• Hyperventilation
• Chills
• Hot flashes
• Nausea
• Abdominal cramping
• Chest pain
• Headache
• Dizziness
• Faintness
• Tightness in your throat
• Trouble swallowing
If you experience panic attacks go see your doctor. Panic attacks are hard to manage by yourself and can get worse if untreated. Possibly the scariest thing about a panic attack is the fear of having another one.
If you or someone you know experiences anxiety or panic attacks recognize that they are treatable. The mind is the most powerful part of the human body. That power can convince you something is wrong when it’s not and it can also help you overcome that reaction. It is your biggest tool when dealing with panic and anxiety.
Learning about yourself by becoming aware of the triggers for an anxiety or panic attack then practicing techniques to deal with it before it gets out of control can help you manage attacks. Most people learn – train themselves – to wait it out. This can take 5, 15, 30 or 60 minutes. Remember, it will pass, like a rain storm or fire; it can only go on for so long. Learning what works for you, whether it’s deep breathing exercises or meditation, then practicing those skills when you are not having an attack will help you most successfully manage through an attack. when you do.
Sometimes medical treatment is necessary. There are good short term medications to help relieve anxiety, but you need to be under a doctor’s care. Talking to a therapist can help you identify things that trigger your attacks and why. Pine Rest has a number of therapists at various locations across West Michigan who can help. To find one near you call our Central Access Center Monday – Thursday 8 a.m. – 8 p.m. and Friday 8 a.m. – 5 p.m., and can be reached at (866) 852-4001. They will help identify the right therapist at the right location to meet your needs.
http://www.apa.org/topics/anxiety/panic-disorder.aspx
http://www.mayoclinic.com/health/panic-attacks/DS00338
http://www.medicinenet.com/panic_disorder/article.htm
http://www.webmd.com/anxiety-panic/guide/mental-health-panic-disorder
Like almost 22 million other Americans, I have 2 sons still at home and a few years ago my mom, who is in her 80’s, came to live with us as well. That’s when I became part of the Sandwich Generation – those of us (largely baby boomers) who are juggling jobs, kids and parents (or other elder relatives) who come to live with us or who need our care remotely, because they are experiencing health issues. We are the generation of caregivers.
The Sandwich Generation faces a unique set of challenges. Due in large part to the advances in health care, people are living longer, often with health concerns that require care-giving. Couple this with the trend in our generation to have our children later in life, and mix in a full time job and people like me are feeling the big squeeze. Juggling kids, parents (whether living with you are at a distance), a spouse and a job is no small feat. It’s no wonder many times care giving leads to needing care for mental and physical health problems.
Care givers are under A LOT of stress. They are twice as likely as others in their demographic to suffer from depression and have a significantly higher risk of experiencing a variety of stress related illnesses – largely because they forget to take care of themselves. The more time demands on you the harder it is to find the time for yourself. Often just thinking about taking time for a bath, a walk or a night out alone with your spouse can cause a lot of guilt. Job pressures and financial strain can create the perfect storm of stress for the care giver. And many times the emotional and mental strain doesn’t end when the sandwich situation does. Grief is very emotional and feelings that you could have done more will prolong feelings of guilt. Similarly, if your kids go off to college you may feel you lost precious time with them and didn’t give them your best.
The good news is there is a lot you can do to lessen the stress. The first and most important thing you can do is surround yourself with a strong support system. Friends, family and your church community can help with eldercare or just listen. Don’t be afraid to lean on your spouse or a friend. It may help them understand what you are going through and prevent problems in you r marriage or other relationships too! Your support network can help in other ways too. And let your employer know what’s going on. Next, stay healthy – eat healthy, exercise, and so on. Don’t drink too much or turn to drugs. Finally, remember God is always there to listen and support you. One of my favorite sayings is “Let go and let God.”
And ask for help if you need it. For instance if you live in Western or Northern Michigan, Pine Rest has staff that specializes in these issues and types of situations. Our Central Access Center Monday – Thursday 8 a.m. – 8 p.m. and Friday 8 a.m. – 5 p.m. can be reached at (866) 852-4001. They will help identify the right therapist at the right location to meet your needs.
It’s important to let the guilt go. Let it go! It’s really important to take time for yourself. Schedule time for you – take a bath, go to a movie (without kids or parents), get your nails done – do whatever relaxes you. Taking care of yourself is the single most important factor in maintain your physical and mental health.
Remember, being in the “Sandwich” isn’t all bad. It’s an opportunity to teach your children about the value of older adults and is a life lesson in selflessness and love. God wants us to treat others as we would have them treat us.
Carolyn King, MD is a child and adult psychiatrist at Pine Rest Christian Mental Health System in Grand Rapids, Michigan. And an Assisstant Clinical Professor MSU School of Medicine.
Dr. King’s clinical experience includes child inpatient and outpatient, as well as adult inpatient and outpatient psychiatry. Dr. King specializes in the treatment of Depression, Anxiety, ADHD, and Developmental Delays across the Life Span.
Dr. Carolyn King
Resources:
http://www.caregiver.com/channels/rural/articles/sandwich_generation.htm
http://marriage.about.com/cs/sandwich/a/sandwichgen.htm
http://abcnews.go.com/GMA/Parenting/story?id=4487229
http://pilgrimmanorgr.posterous.com/tips-for-caregivers-feeling-sandwiched-at-bac
http://money.cnn.com/2007/02/20/magazines/moneymag/tug_of_war.moneymag/
http://www.psychologytoday.com/blog/adventures-in-old-age/200904/caregiver-stress-would-you-some-angst-sandwich-generation
http://www.cbsnews.com/stories/2006/05/08/eveningnews/main1600179.shtml
http://www.bls.gov/opub/mlr/2006/09/art1full.pdf
http://www.squidoo.com/thesandwichgeneration
http://www.strengthforcaring.com/manual/balancing-work-and-family-family/the-sandwich-generation/
http://www.hopetocope.com/item.aspx/744/sandwich-stress
http://www.forbes.com/2007/07/25/geriatrics-medicare-medicaid-pf-retire-in_sm_0725reti
Postpartum Depression
The good news is postpartum depression (PPD) is treatable. Those who suffer from it are
not bad parents. They are not monsters who will hurt or damage themselves, their child,
or others. They do have an illness that can be treated. Postpartum and other perinatal
mood disorders (PMD) can have serious consequences when left untreated. These
consequences affect not just the sufferer but those closest to them as well. The littlest yet
most important victims of untreated PMD are the babies.
Research has shown that left untreated, PMD can have serious ramification for the
children of those who suffer from it. Problems in babies and children include behavioral
issues, problems with emotional and social development, cognitive delays, and a greater
risk for lifelong struggles with depression. Some of the research findings include:
• Depression during pregnancy causes problems for the newborn such as
inconsolability, sleep problems, decreased appetite, and less responsiveness with facial expressions.
• Babies with depressed mothers have a high incidence of excessive crying or colic.
• Mothers with PPD report infant sleep and crying problems more frequently than non-depressed mothers.
• Children whose fathers suffers with depression are about twice as likely to have behavioral problems in preschool.
• PPD in the mother is linked to poor cognitive test scores in children which can include learning to walk and talk later than other children the same age, learning difficulties, and problems in school.
• PPD in parents can lead to emotional problems later on for children such as increased anxiety, low self esteem, and less independence.
• Older children in the family may lose part of their childhood due to
emotional detachment from the child as part of the PPD.
• In rare but serious cases, there are instances where a parent commits suicide due to PMD. Children whose parents commit suicide are at greater risk for suicide later in life.
PMD Impacts Children
PMD can and does impact children. The adverse effects can start during pregnancy and
occur for multiple reasons.
Untreated depression and anxiety during pregnancy impact the developing baby as
maternal hormones cross the placenta. These hormones lead to complications after birth
such as fussiness, crying, and inconsolability. In one study, researchers looked at the
brain activity of babies born to depressed mothers. These babies’ brain activity matched
the brain activity of adults diagnosed with major depression.
The effects of untreated PMD continue after birth, changing from biological to
environmental. It is difficult for people struggling with depression (not sleeping, irritable
mood, tearfulness, appetite problems) to care for an infant. Bonding between mother and
baby can be interrupted when the mom is depressed. The mom may have difficulty
responding to the infant’s cues. Babies bond with their mother by giving cues (crying
when wet or hungry, smiling, cooing) and having the cues responded to appropriately
(changing the diaper, feeding, smiling and talking to back). Mothers with PMD may be
withdrawn and at times even feel hostile towards the baby making it difficult to respond
to or many times even recognize cues.
It is important for all parents struggling with PMD to know that it is not their fault.
Please note that it is untreated PMD impacts children. The message for people
struggling with PMD is that there is hope and healing but they need to get help. It is easy
to read all of the negative impacts of PMD on children and feel discouraged. But getting
help not only will allow the parent feel better, but can prevent negative impacts in
children as well.
Here is what you can do if you or a loved one is struggling:
Look for a good support group in your area. See www.postpartum.net for a support group
near you. Find a therapist who has been trained in PMD. Let your physician, psychiatrist,
OB/GYN know you are struggling. Remember: this is not your fault and with the right
help you will get better.
For more information:
http://www.helpguide.org/mental/postpartum_depression.htm
http://cjournal.concordia.ca/journalarchives/2006-07/may_24/011126.shtml
In West Michigan
www.PineRest.org
www.momsbloom.org
www.dadsgrow.com
www.healthykent.org
Call 1-866-852-4001 to find the right therapist for you
This article is Part IV in a series.
Click on the individual articles below:
Part I: “What Happens When There is No Joy?”
Part II: “Baby Blues or Something More?”
Part III: “Postpartum Depression – Not Just a Woman’s Illness”
Summer is here. Bathing suit season is upon us. Every year this single item of clothing causes stress and self esteem issues and puts a spotlight on the topic of weight. Too fat? Too skinny? What are the causes…and cures?
Many times mental health problems are present along with weight issues. Which comes first the pounds or the problems? Do weight issues cause mental health problems like depression or do mental health problems cause weight issues like anorexia? The short answer is both. You cannot look at one without considering the other and you need to do that absent of bias and stereotypes.
Weight and mental health issues can be intimately connected but aren’t the only factors. Genetics, life style and environmental factors can also play a role. We supersize our meals then sit and play video games. If your parents had depression or other mental health issues you are at higher risk. Stigma surrounding mental health issues like depression and obesity can result in discrimination and unfair bias and stereotyping. Being subjected to that can lead to or contribute to depression and weight issues.
Depression is often related to weight gain and anxiety is often related to weight loss. These two are so interrelated the medical diagnosis is changing to “Anxious Depression” effective in the year 2013. Depression/anxiety can cause weight gain or loss and weight problems can cause depression/anxiety.
The body’s own attempts to feel better can further exacerbate the problem, perpetuating an already vicious cycle. Depression can make a person crave certain foods, like sweets, carbs, and caffeine. It’s the brain’s attempt to make you feel better. This can lead to an increase in weight. Too much weight gain and you are overweight, which can cause a lowering of self esteem. What started out as a good thing – increased appetite to make you feel better- when done in excess can lead to a real obesity problem and more problems with depression. Weight and mental health issue can quickly become a vicious cycle that is hard to break free of.
The other side of the weight-mental health relationship occurs when mental health issues affect weight. Depression can cause weight loss. For instance, suffering the loss of a loved one can cause a loss of appetite translating to weight loss. Another example is Anorexia Nervosa. Anorexia Nervosa is an eating disorder characterized by refusal to maintain a healthy body weight and an obsessive fear of gaining weight. Anorexia Nervosa can lead to starvation and serious health problems like osteoporosis, kidney damage, heart disease and sometimes, death. Anorexia, and all eating disorders are complex, and experts don’t really know what causes them. They may be due to a mix of family history, social factors, and personality traits. Anorexia may start with simple dieting that ultimately results in chronic loss of appetite and a turns into anorexia.
Weight and mental health issues are intimately tied together. In order to have success treating either we must look at the whole person and recognize that the mind is a part of the body, not separate from it. We need to treat the whole person. Some other recommendations include:
• Treat the mental health issue first or at the same time as dealing with the weight issue (unless it is life-threatening of course). Work towards breaking the cycle.
• Pay attention and listen. If someone you love thinks they are too skinny or fat and you look and think “they’re nuts” remember their perception of self is what really matters. They may need professional help to obtain a more realistic perception of self.
• The brain isn’t prejudiced: skinny is as bad for you as fat. Try and let go of your innate biases and stereotypes.
• Exercise really can help the mind as well as the body
Finally, and most importantly, get professional help. Find a therapist or doctor that specializes in the problem and patient.
For those living in the West Michigan area:
Pine Rest will match you up with the doctor or therapist that best meets your needs and situation. Call 1-866-852-4001.
http://www.webmd.com/mental-health/anorexia-nervosa/anorexia-nervosa-topic-overview
http://www.anad.org/get-information/about-eating-disorders/anorexia-nervosa/
http://www.psychiatrictimes.com/schizoaffective/content/article/1145628/1470231
http://www.azdhs.gov/bhs/qhi/files/qhi1_4provider.pdf
http://www.ncbi.nlm.nih.gov/pubmed/20919592
http://www.goodtherapy.org/blog/mental-health-weight-self-esteem/
http://www.nimh.nih.gov/health/publications/eating-disorders/complete-index.shtml
http://www.something-fishy.org/isf/mentalhealth.php
http://www.webmd.com/mental-health/anorexia-nervosa/anorexia-nervosa-topic-overview
http://well.blogs.nytimes.com/2010/06/16/exploring-the-links-between-depression-and-weight-gain/
http://www.jahonline.org/article/S1054-139X%2898%2900160-8/abstract
http://kidshealth.org/teen/your_mind/body_image/male_bodyimage.html#cat20125
http://www.pinerest.org/today-magazines
http://kidshealth.org/teen/your_mind/body_image/body_image.html?tracking=T_RelatedArticle#cat20125
http://kidshealth.org/teen/your_mind/body_image/body_image_problem.html#cat20125