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Mom and Mind

Mom and Mind

Katayune Kaeni, Psy.D., PMH-C

Posptartum Depression is real. And it's only part of the story. We dig in to ALL of the stuff that no one tells you about, but you NEED to know. Dr. Kat, Psychologist and specialist in perinatal mental health, interviews moms, dads, experts and advocates about how to cope, manage and recover from perinatal mood and anxiety disorders. We talk about postpartum depression, postpartum anxiety and SO MUCH MORE! We get real. We get honest. We put on our stigma crushing boots and address the realities of the transition to motherhood and parenthood. Learn about it before you find out about it the hard way! You don't have to suffer! www.momandmind.com
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Goodpods has curated a list of the 10 best Mom and Mind episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Mom and Mind for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Mom and Mind episode by adding your comments to the episode page.

Mom and Mind - 9: Maternal Mental Health NOW
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07/25/16 • 33 min

Dr. Caron Post from Maternal Mental Health NOW is with us to discuss how the organization offers training, advocacy and support for mothers and families who are dealing with mental health stress during pregnancy and postpartum and works with L.A. County to support maternal mental health sensitive services.

Please go to www.maternalmentalhealthnow.org to learn more about their ONLINE TRAINING in maternal mental health, the maternal mental health directory and connect with them to learn how to make changes in your county.

Dr. Caron Post received her doctorate in clinical psychology from New York University. She is a clinical psychologist who specializes in maternal mental health, couples therapy, depression and anxiety, perinatal mood disorders, early childhood development and parent -child relationships. She is the former Director of the Clinical Training Program at the Early Childhood Center-Cedars Sinai Medical Center in Los Angeles, Program Coordinator of Adult Outpatient Services at Didi Hirsch Community Mental Health Centers and since 2009 has been the Executive Director of Maternal Mental Health NOW, formerly known as The Los Angeles County Perinatal Mental Health Task Force. She maintains a private practice in Los Angeles, California.

Topics addressed in this episode: Maternal mental health, online directory, advocacy, integration into medical offices, screening, online training

www.maternalmentalhealthnow.org

Twitter: @MMHealthNow

Facebook: https://www.facebook.com/MaternalMentalHealthNow/

Instagram: https://www.instagram.com/maternalmentalhealthnow/

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Today’s episode is packed with helpful information about taking medication during pregnancy and the postpartum period. We’ll also take a closer look at COVID-related issues and the vaccine as they relate to perinatal mental health. Join us to learn more.

Dr. Sarah Oreck is a Columbia University-trained psychiatrist who focuses on women’s mental wellness. In addition to her expertise in general and addiction psychiatry, Dr. Oreck is one of very few doctors with specialized training in reproductive psychiatry. She runs a private practice in which she combines the most up-to-date medical treatments with talk therapy, meditation, and a whole-body complementary approach. Dr. Oreck is passionate about teaching, and she regularly lectures at Cedars Sinai Hospital, UCLA, and The Providence Hospital System, in addition to her media work. She is actively involved in advocacy work and is a member of the Board of Directors of Maternal Mental Health Now.

Show Highlights:

  • An overview of the field of reproductive psychiatry--and how it helps people
  • The “risk vs. risk” perspective regarding medication and perinatal mental health
  • How Sarah talks to people about the risk of anxiety and depression
  • Why mental health medications can be safer than untreated mental illness
  • The dangers when physicians don’t keep up with new mental health research and literature
  • How Sarah works to train and inform physicians about pregnancy and postpartum
  • How Sarah’s individual clients benefit from her bilingual abilities due to her Colombian heritage
  • The myths of motherhood in the Latin community that only magnify the need for a mental health focus
  • Sarah’s observations about the impact of COVID on perinatal mood and anxiety disorders
  • What it was like for Sarah to have her first baby during the COVID pandemic
  • What we should know about the COVID vaccine regarding pregnancy and breastfeeding mothers
  • How the stigmas around anxiety medication discourage people from taking medications that are necessary and life-saving
  • What Sarah has seen in people getting the help, support, and connection that they need

Resources:

Sarah Oreck MD

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We continue in the month of May, Mental Health Awareness Month! We always need more awareness and advocacy for mental health in general, but for far too long, maternal mental health has been underrecognized and underdiagnosed. So many people have suffered without good resources and the proper support in place. Today’s guest has vast experience with perinatal mental health, and it allows her to see the long view of how far we’ve come and how far we still need to go. Join us to learn more!

Karen Kleiman is a well-known international maternal mental health expert with over 35 years of experience in the field. She is a strong advocate and the author of several groundbreaking books on postpartum depression and anxiety. Her work has been featured online and in the mental health community for decades. In 1998, Karen founded The Postpartum Stress Center, and in 2022, she founded The Karen Kleiman Training Center, which is dedicated to the advancement of clinical expertise and therapeutic strategies for the treatment of perinatal mood and anxiety disorders. All of her advanced trainings are heavily influenced by The Art of Holding Perinatal in DistressTM model of intervention, created by Karen. In this conversation, we take a close look at intrusive thoughts and identify those that are normal and those that need an increased level of intervention. Karen’s latest book is Good Moms Have Scary Thoughts: A Healing Guide to the Secret Fears of New Mothers. Her other books include The Postpartum Partner, What About Us?, This Isn’t What I Expected, The Art of Holding in Therapy, and Dropping the Baby and Other Scary Thoughts.

Show Highlights:

  • Why Karen writes books as a unique avenue to empower moms
  • How the pandemic doubled and tripled exponentially the anxiety and fears for new moms
  • How the “scary thought” range can vary from mild to very awful–and they don’t always come with thoughts of hurting your baby or yourself
  • Why postpartum depression doesn’t always feel like symptoms–but like the mom is broken
  • How to know if scary thoughts are “too scary” by measuring a mom’s distress:
  • How much is it interfering with her ability to get through the day?
  • How much is it interfering with who she is and how she functions?
  • How women are built to function well with very high levels of distress
  • Why Karen hopes her book can help moms ask for help when they need it
  • What the statistics show around intrusive thoughts about harm to a mother’s baby
  • How every new mom experiences some obsessions and compulsions around their baby’s safety
  • Why the core of Karen’s work has become holding space for the authentic suffering of moms when they think they are “fine”
  • Why relationship problems have to be addressed along with postpartum depression and anxiety
  • Why connection to a partner is the #1 most important way to help a suffering mom

Resources:

Connect with Karen: Website, Twitter, Instagram, Facebook, Book: Good Moms Have Scary Thoughts, and LinkedIn

Check out Karen Kleiman’s other books: Website and Amazon

Visit www.postpartum.net for resources and support!

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!

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In my therapy practice, I meet with moms at all stages of their reproductive journeys. It is a consistent thing that perinatal mental health conditions sneak up on people. Many new moms don’t know when to be concerned and when to seek help for perinatal depression, which can happen at any point in the reproductive journey and worsen in the postpartum. It’s important to notice the signs and symptoms. Let’s take a closer look!

Show Highlights:

  • The “baby blues” vs. postpartum depression—”How do I tell the difference?”
  • Symptoms that signify a deeper problem and possible postpartum depression
  • Identifying issues with eating and sleeping patterns that could point to postpartum depression
  • Postpartum depression differs in context from generalized depression.
  • Feelings of failure, self-criticism, and isolation as a new mother
  • “I FEEL bad because I AM bad.”
  • Postpartum depression is relatively common (Around 20% of mothers will experience it.)
  • Difficulty bonding with a new baby can indicate postpartum depression.
  • Thoughts about the stigma of postpartum depression and the fear of judgment
  • Good news! There is help and free support available. You CAN get better!
  • Dr. Kat’s advice about what you can do RIGHT NOW

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!

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Are there experiences in your life that you just can’t “get past”? We all have those memories that seem to crop up again and again, bringing anxiety, depression, and other effects. What if these memories are tied to a pregnancy or postpartum experience? You can see how this might be difficult for a woman to work through on her own. Even traditional talk therapy is not always effective at clearing through these feelings. Today we are discussing the benefits of using a therapy model called EMDR (Eye Movement Desensitization and Reprocessing) to help women.

Bethany Warren has been interested in this modality as a treatment for some time and has a passion for women’s mental health issues. She has worked in this field for 20 years, specializing in Perinatal Mood and Anxiety Disorders, also working with women who experienced birth trauma, pregnancy loss, infertility, adoption, and surrogacy. She is certified in EMDR and the trauma processing lens and attachment model guides most of her work with clients. She is passionate about coaching and guiding parents through their adjustment to new roles and assisting women who have children with medical and other health-related issues. She has worked in hospital and outpatient psychiatric settings and is now in a group private practice. Bethany serves on boards and community organizations that promote women’s health and wellness. She is also an adjunct professor at a local university in San Diego and supervises clinicians working toward their licenses.

Show Highlights:

  • EMDR has been used mainly in treating veterans with PTSD, but now is a tool found to be useful in many areas, including maternal mental health
  • The connection between EMDR and REM (Rapid Eye Movement) sleep
  • The differences in memories that have been fully processed and those that are “free floating”
  • The statistics: 12% of pregnant women and 9% of postpartum women meet the PTSD criteria, and 34% of women report having a traumatic birth experience
  • How EMDR has impacted Bethany’s practice with more insight-oriented therapy that processes memories the way the brain already knows to do
  • The components of EMDR therapy include eye movement, tapping, and headsets with sounds---these can be used separately or in combination
  • These tools are used to process memories and negative beliefs in the correct part of the brain
  • How does it help? “The memory becomes unstuck”
  • For the therapist, treatment involves less talking and more observing
  • How the therapy works without making clients “take a trauma bath” in the experience they’ve learned to avoid
  • EMDR does NOT involve sitting with a therapist and talking through your traumatic experiences
  • My personal experience with the power of EMDR therapy in getting past stuck feelings and deep-rooted traumas
  • How EMDR helps with early attachment repair, early memories of shame and failure, and repeated harmful patterns
  • The leading researchers on EMDR: Carol Forgash, Amy Robbins, Andrew Leeds, and Claire Stamrood
  • Bethany’s advice: Find a trained and certified EMDR therapist
  • Those who should NOT do EMDR include anyone who is psychotic or currently using substances or is in current chaotic circumstances
  • Hopeful messages of success in how clients have responded and been able to move past the things they never thought they could

Resources:

Bethany’s website: http://balancehealth.org/therapist_bethany_warren.html

Follow Bethany on Instagram: @bethanywarrenlcsw

http://www.birthtraumaassociation.org.uk

http://www.emdria.org/ EMDR International Association

http://pattch.org Prevention and Treatment of Traumatic Birth

http://www.solaceformothers.org Solace for Mothers after Traumatic Birth

http://tabs.org.nz Trauma and Birth Stress

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Today’s focus is on pediatric occupational therapy and how it helps many families with a variety of feeding, swallowing, and developmental issues. My guest shares her exciting work and her experience in helping struggling parents with physical difficulties AND mental health. Join us to learn more!

Aviril (Apple) Sepulveda, OTD, MS, OTR/L, BSP, SCFES, IBCLC is a board-certified pediatric occupational therapist with over 20 years of experience. She spent most of her career in pediatrics at a children’s hospital in metropolitan Los Angeles where she specialized in infant feeding and swallowing and infant development. She also holds the AOTA Specialty Certification in Feeding, Eating, and Swallowing (SCFES). In addition to her doctorate in Occupational Therapy, she is earning her Ph.D. in Translational Health Sciences at George Washington University.

Her clinical areas of expertise include occupational therapy interventions on infant development and feeding, pediatric feeding and swallowing in medically-complex children, sensory processing, lactation, and maternal and infant mental health. Dr. Sepulveda received a fellowship from the Robert Wood Johnson Foundation Clinical Scholars Program from 2016-2019, including grant funding for community-based participatory research to address mental health disparities among Filipino immigrants through parenting programs. She co-founded Nurture Collective to address the gaps in early intervention practice. Her vision for Nurture Collective is to integrate parental mental health in early intervention for children at risk for developmental delays.

Show Highlights:

How Apple’s journey brought her to the work she does today

How she realized the systemic issue (and the broken system) of overlooking the care of moms in treating their babies

An overview of occupational therapy and the work of an infant feeding specialist

Why feeding issues add a lot of additional stress and shame for parents

What Apple notices about the screening process for postpartum depression and why support partners are important for primary caregivers

How Apple’s work tries to connect parents with available services that can alleviate their stress in many areas

How infant mental health is shaped by their environment and experiences

Why special needs kids need their moms to be “on” all the time–which is difficult

How Nurture Collective works to support parents

Dr. Apple’s basic tips for struggling parents

Resources:

Connect with Dr. Apple Sepulveda: www.mynurturecollective.com

Visit www.postpartum.net for resources!

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!

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The idea of “not doing enough” comes up every week with moms in therapy who feel like they aren’t getting enough done on their to-do list, whether it’s an actual list or a mental list in their minds. Let’s explore this topic deeper.

Show Highlights:

  • The parenting to-do list increases exponentially as you become a new parent.
  • We shouldn’t discount ALL the things new parents do on a daily basis.
  • Pressure from within and without brings unrealistic expectations that a mom should do “all the things.”
  • Irritability, agitation, frustration, and negative self-judgment lead to questions like, “What’s wrong with me?”
  • Dealing with an overloaded and overwhelmed emotional state
  • Compassionate reflection can be helpful in overcoming negative thought patterns.
  • The importance of sleep (Sleep deprivation can get in the way of basic daily tasks.)
  • Advice for anyone who is being hard on themselves

Resources:

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 a better support 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!

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Today’s episode sheds light on the truth that we never know what someone has been through, especially regarding the journey to parenthood. It’s so easy, and often inaccurate, to assume that another person’s path has been somehow easier than our own. My guest’s story includes many elements, including infertility, recurrent pregnancy loss, and the decision to use a surrogate, also known as a gestational carrier. A beautiful part of her story is that her best friend chose to carry her twins for her, and a spontaneous pregnancy added another happy plot twist to the mix. Join us for Katelin’s story.

Katelin Buchanan is a Licensed Professional Counselor in Virginia with extensive experience treating those with anxiety, depression, trauma, substance abuse disorders, and major life transitions. She is passionate about working with women coping with infertility, pregnancy loss, and perinatal mood and anxiety disorders. She co-founded a private practice, Women’s Therapy & Wellness, that treats women virtually throughout the state of Virginia. She has completed advanced perinatal mental health training through Postpartum Support International, serves as a volunteer with Postpartum Support-Virginia, and is trained in both EMDR and perinatal IPT.

Show Highlights:

  • Katelin’s journey: knowing something was “off,” PCOS, multiple IUIs, IVFs, and recurrent pregnancy loss in a five-year struggle to have a child
  • How her best friend, Erica, offered to carry her baby–but had a miscarriage on the first attempt
  • How Katelin began therapy along her journey and reached a point where she couldn’t continue
  • How Erica carried Katelin’s twins, who are now five-years-old
  • The emotional toll of the infertility journey
  • Why Katelin had to withdraw from many people to protect her mental health
  • How a local Resolve support group helped Katelin have an outlet
  • How she dealt with the anger that came with her journey
  • How she became spontaneously pregnant when her twins were 2-1⁄2 after being told it would never happen for her
  • How Katelin had severe postpartum anxiety and did a lot of grief work with her therapist
  • What it’s like to be the intended parent in a surrogacy/gestational carrier situation
  • Katelin’s advice about taking a self-care audit and finding joy in life

Resources:

Connect with Katelin Buchanan: Website

Visit www.postpartum.net for resources and support!

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!

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If you’ve ever had to be on bed rest during pregnancy, then you know it’s not as simple as it sounds. It takes intention to get through it with your mental health intact. Today’s guest, Jessica Vanderwier was on bed rest and she’s here to share how this experience impacted her, along with her best advice about how we can better support moms on bed rest.

Jessica Vanderwier is a registered psychotherapist from Guelph, Ontario, who is passionate about supporting families. She is known online for Our Mama Village, a platform where she shares daily pieces of encouragement and support for moms and families. Jessica started this page after she went through a difficult transition into motherhood, and saw the need for a supportive community that moms would access anytime they needed. In her therapy work, Jessica supports families from preconception to working with children with mental health concerns. In her private life, Jessica loves her role as a mom and wife and spends her time with her husband and two-year-old daughter.

Show Highlights:

  • Jessica’s pregnancy: started normally, even though she was still working 40-50 hours/week
  • At 20 weeks, cramping began, and she felt terrible after overdoing it planning a Christmas party, so she headed to the hospital to get checked
  • The first clue that something serious was wrong at the hospital was the way the nurses kept repeating internal exams and ultrasounds--with no explanation why
  • The nurse insisted that Jessica get in a wheelchair, so panic set in, with still no reason for the concern
  • The diagnosis was incompetent cervix, preterm labor, and early dilation; the on-call Ob said the next step was bed rest to take the pressure off her cervix
  • Jessica’s instructions were to be on the couch or in bed with her feet up all day, only getting up for brief bathroom breaks
  • Why it was a difficult mental adjustment to have no work and no purpose other than to rest all-day
  • How Jessica tried to keep a schedule each day in moving from bed to the couch, reading, books, and even taking an online course
  • When she reached 34 weeks, her restrictions became a little more flexible; she was allowed to do dishes and ride in the car with her husband
  • Her full-term birth was an answer to prayer, but then she entered a postpartum time of anxiety
  • How she navigated life after bed rest
  • How she felt like those who had helped her during the bed rest were burned out, so she didn’t ask for postpartum help
  • At four months postpartum, Jessica decided to ask for help
  • The frustration when the doctor discounts your postpartum feelings of anxiety and depression
  • How this frustration fuels Jessica’s work today with moms
  • How she got sleep, help with childcare, and therapy to feel better
  • How Jessica looked for ways to help other moms
  • Our Mama Village began as a Facebook page where moms could go for hope and encouragement and know they aren’t alone
  • Why Our Mama Village has grown because the need is great and the message needs to get out to moms
  • Jessica’s advice to others on bed rest:
  • Be gentle with yourself
  • Find something that gives purpose and meaning to each ay
  • Find ways to talk and connect with your baby
  • Schedule each day so they don’t roll along indefinitely
  • Have something each week to look forward to
  • Seek professional support, even if it’s online therapy
  • Jessica’s online course (coming soon) with effective tools for dealing with anxiety and simple strategies to help moms enjoy motherhood

Resources:

Our Mama Village

Instagram: Our Mama Village

Facebook: Our Mama Village

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Understanding culture is extremely important, especially in the field of perinatal mental health. The cultural context has everything to do with how someone experiences the world and manages their mental health. Join us in this episode to learn more!

Kalena Kaopuuokalani Lanuza is a Kanaka Maoli (Native Hawaiian) and a doctorally prepared, fully-certified family and psychiatric mental health nurse practitioner and certified lactation counselor. She currently resides in the unceded territory of the Ventureño Chumash, which is commonly known as Ventura, California. We discuss the connection between colonialism and settler colonialism, cultural and intergenerational trauma, and mood and anxiety disorders in Native Hawaiians and Pasifika. Kalena also shares her current work and how the reconnection to culture and land can be important for Native Hawaiian and Pasifika people who were removed from their ancestral lands.

Show Highlights

  • How Kalena became interested in perinatal mental health
  • How Kalena’s personal experience with perinatal anxiety with the birth of her son in 2014
  • How Kalena opened her practice last June with the intention of being available for other Native Hawaiians
  • Why Kalena named her practice with the symbolic name “Mana
  • How Kalena found “the truest space” for her to fulfill her calling and work to help other mothers
  • Why changes are needed in health care to establish and maintain cultural competence
  • How Native Hawaiians are inextricably connected to their land
  • How the ramifications of colonialism and settler colonialism influence mental health challenges
  • Why Kalena has to be mindful of ALL the different facets that come into play when working with indigenous people
  • How “lumping” together different populations/cultures has been detrimental–and the data needs to be segregated and recalculated
  • Why we need more and more cultural competency and cultural humility in today’s world
  • Kalena’s message to other providers about sitting with each person and giving them space
  • How specific aspects of perinatal mental health can be best supported through a cultural lens
  • How the identity of a Native Hawaiian solely wrapped up in “vacation mode” is hurtful and inauthentic

Resources

Connect with Kalena Lanuza: Website and Instagram

Visit www.postpartum.net for resources! I’d love to hear from you!

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!

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How many episodes does Mom and Mind have?

Mom and Mind currently has 382 episodes available.

What topics does Mom and Mind cover?

The podcast is about Health & Fitness, Parenting, Kids & Family, Mental Health and Podcasts.

What is the most popular episode on Mom and Mind?

The episode title '9: Maternal Mental Health NOW' is the most popular.

What is the average episode length on Mom and Mind?

The average episode length on Mom and Mind is 42 minutes.

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Episodes of Mom and Mind are typically released every 7 days.

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The first episode of Mom and Mind was released on Jun 17, 2016.

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