Postpartum Depression

What is Postpartum Depression?


Postpartum depression, experienced by 1 in 9 women, is a significant change a woman can face after childbirth due to hormonal changes and lifestyle adjustments, impacting sleep, eating, and daily activities. This condition is a form of major depressive disorder, characterized by similar symptoms which emerge during pregnancy or within the first postpartum month. Symptoms include a range of emotional and physical experiences, with at least five being experienced simultaneously over a two-week period.

  • Having a depressed mood most of the day, almost daily. This could be something they are aware of themselves, or has been observed by others
  • Having a markedly diminished interest in pleasurable activities and hobbies they previously enjoyed
  • Significant weight loss when not trying to lose weight, or a decrease in appetite
  • Insomnia or hypersomnia
  • Psychomotor agitation nearly every day
  • Loss of energy or fatigue
  • Feeling worthless, or having inappropriate guilt
  • Struggling to concentrate, or make decisions almost every day.
  • Recurrent thoughts about death, suicidal ideation without a plan, having a plan for suicide, or a suicide attempt

It is important to note that some of the symptoms noted are not uncommon after a woman has a baby. For example, sleep disturbances and changes in appetite could be a natural part of a woman’s recovery. It is important that if you suspect that you are struggling with postpartum depression that you speak with a health care provider about your symptoms. Together, you can tease out what is an expected part of the postpartum period and what is concerning.

Who is affected by Postpartum Anxiety


Postpartum depression can be triggered by a low level of thyroid hormones, verifiable by a blood test. Various factors contribute to its development, as identified by the Office of Women’s Health.

  • Feeling tired after labor and delivery
  • Tired from lack of sleep, or broken sleep
  • Feeling overwhelmed with their new baby
  • Doubting their ability to be a good mother
  • Trouble adjusting to changes in their routines
  • Having an unrealistic expectation of being a perfect mother
  • Grief and loss of who they were before having a baby
  • Feeling less attractive, or unhappy about their body
  • Struggling without free time

“Baby Blues,” different from postpartum depression, typically pass within 3-5 days. Symptoms include mood swings, sadness, anxiety, crying spells, appetite loss, and sleep disturbances.

Experience Hope

How We Treat

Resilience DBT & Eating Recovery, with teams in New Jersey, Florida, and Maryland, provides expert outpatient therapy for various mental health issues, including postpartum depression. Utilizing diverse therapeutic approaches like DBT, CBT, CBT-E, Family-Based Therapy, and Expressive Arts Therapies, we create individualized treatment plans. Recognizing that childbirth can bring immense changes and potential challenges, our goal is to provide a safe, supportive environment for treatment, benefiting not only the woman but also her entire family.

How do I begin?


Our team is dually and expertly trained in the Treatment of Eating Disorders and DBT for Mental Health. Our Evidenced-Based approaches include FBT, CBT-E, DBT-ED, and Comprehensive DBT for co-occurring mental health conditions. Our outpatient practice has helped Children, Teens and Adults achieve full Eating Disorder Recovery and Mental Health Stability for over 25 years.

1

Schedule your 15 minute free phone consultation

This phone screening is highly confidential to help determine if coming to the Resilience practice is the best course for you or your loved one.

2

Complete an Expert and Comprehensive Intake

During your intake appointment we will gather more information to identify your stressors and needs. And work with you to develop your resilience treatment plan.

3

Get connected with Your Personalized Care Team

Meet with a practitioner to get started on your journey of healing and wellness you know you deserve.

Start Your Path To Recovery


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Postpartum Anxiety

What is Postpartum Anxiety?


Postpartum anxiety, a rarely discussed issue often accompanied by feelings of guilt and shame, affects many women. While normal worries about newborn care are common, postpartum anxiety disorders can interfere with daily functioning, like a mother being fearful to move around the house with her baby. Such disorders can impact the ability to care for the baby and may involve feelings of guilt, frustration, tension, irritability, mood swings, difficulty concentrating, and may include obsessive-compulsive disorder or post-traumatic stress disorder.

Who is affected by Postpartum Anxiety


Postpartum anxiety disorders, affecting women across all demographics, are seen in approximately 6-27% of women six months post-childbirth (Ali 2018). Ongoing research continues to uncover common risk factors associated with this condition.

  • Having anxiety during their pregnancy
  • Having limited social support
  • Not feeling supported by their health provider
  • Having differences between their expectations of having a baby and their reality

Women who have a traumatic birthing experience could develop postpartum posttraumatic stress disorder. Women who experience extreme pain during birth, and feel as though they lost control during the birthing process, are at a higher risk of developing this form of postpartum anxiety.

How We Treat

At Resilience DBT & Eating Recovery, we specialize in treating postpartum anxiety disorders through Dialectical Behavioral Therapy (DBT). Our services, available in New Jersey, Florida, and Maryland, help manage mental health concerns during pregnancy, reducing postpartum anxiety risk factors. Our DBT program focuses on mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness, and middle path, enhancing your coping skills. If you’re struggling with postpartum anxiety, reach out to us for compassionate, personalized care.

How do I begin?


Our team is dually and expertly trained in the Treatment of Eating Disorders and DBT for Mental Health. Our Evidenced-Based approaches include FBT, CBT-E, DBT-ED, and Comprehensive DBT for co-occurring mental health conditions. Our outpatient practice has helped Children, Teens and Adults achieve full Eating Disorder Recovery and Mental Health Stability for over 25 years.

1

Schedule your 15 minute free phone consultation

This phone screening is highly confidential to help determine if coming to the Resilience practice is the best course for you or your loved one.

2

Complete an Expert and Comprehensive Intake

During your intake appointment we will gather more information to identify your stressors and needs. And work with you to develop your resilience treatment plan.

3

Get connected with Your Personalized Care Team

Meet with a practitioner to get started on your journey of healing and wellness you know you deserve.

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
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Perinatal Mental Health

Perinatal Mental Health Concerns


The perinatal period, spanning from roughly 20 weeks gestation to 4 weeks post-birth, can present mental health concerns for women, impacting both mother and baby. Women with prior mental health issues, tumultuous relationships, or other stressors are at greater risk of developing perinatal mental health concerns such as depression, anxiety, and postpartum psychosis. Regular mental health screenings throughout pregnancy and postpartum are essential for effective treatment and management.

How Can Pregnancy Affect an Eating Disorder?

PERINATAL DEPRESSION

Perinatal depression, affecting roughly 18.4% of women with depressive symptoms and 12.7% diagnosed with major depressive disorder, is a significant mental health concern. Common symptoms include sadness, anxiety, guilt, mood swings, excessive worry about the baby, hallucinations, and harmful thoughts towards self or baby. Depending on symptom severity, professional help and lifestyle adjustments may be recommended.

PERINATAL ANXIETY DISORDERS

Perinatal anxiety disorders, encompassing generalized anxiety, obsessive-compulsive disorder, panic disorder, and social anxiety, vary in prevalence: 6.1-7.7% of women experience generalized anxiety, 1.2-5.2% obsessive-compulsive disorder, 1.4-9.1% panic disorders, and 0.2-6.5% social anxiety. Importantly, 66% of women with perinatal depressive disorders also develop a perinatal anxiety disorder. Women with a history of anxiety disorders are more prone to their intensification during the perinatal period.

PERINATAL PSYCHOSIS

Postpartum psychosis, affecting two in every 1,000 births, can manifest as mood shifts, confusion, bizarre behavior, insomnia, and hallucinations soon after birth. Women with a history of bipolar disorder have a 23.3% risk of needing psychiatric care within the first month postpartum, with factors like genetics, hormonal changes, sleep deprivation, and mood changes playing a role.

How We Treat

Resilience DBT & Eating Recovery, a team of outpatient therapists in New Jersey, Florida, and Maryland, provides healing clinical services, offering perinatal and postnatal care for diverse mental health concerns. We guide women through pregnancy, delivery, and postpartum phases, using Dialectical Behavioral Therapy (DBT) to foster mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. If you or a loved one is grappling with perinatal mental health issues, reach out to us today for customized treatment plans.

How do I begin?


Our team is dually and expertly trained in the Treatment of Eating Disorders and DBT for Mental Health. Our Evidenced-Based approaches include FBT, CBT-E, DBT-ED, and Comprehensive DBT for co-occurring mental health conditions. Our outpatient practice has helped Children, Teens and Adults achieve full Eating Disorder Recovery and Mental Health Stability for over 25 years.

1

Schedule your 15 minute free phone consultation

This phone screening is highly confidential to help determine if coming to the Resilience practice is the best course for you or your loved one.

2

Complete an Expert and Comprehensive Intake

During your intake appointment we will gather more information to identify your stressors and needs. And work with you to develop your resilience treatment plan.

3

Get connected with Your Personalized Care Team

Meet with a practitioner to get started on your journey of healing and wellness you know you deserve.

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
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Eating Disorders In Pregnancy

Types of Eating Disorders in Pregnancy


Eating disorders, affecting all genders, ages, and cultures, can manifest in various forms without meeting the full clinical criteria, often referred to as atypical eating disorders (Ward, 2008). They can occur during pregnancy as:

ANOREXIA NERVOSA

Anorexia nervosa is an eating disorder that typically includes a distorted body image, simply meaning that how the individual sees themselves is different than how others perceive their body. Individuals struggling with Anorexia have a fear of gaining weight, which contributes to behaviors such as not eating enough, exercising too much, and using laxatives.

BULIMIA NERVOSA

Bulimia nervosa involves binge eating and purging, such as overeating followed by vomiting or excessive exercise. The most prevalent eating disorders in women are anorexia nervosa and bulimia nervosa, although atypical eating disorders, still not fully researched, could be even more common.

How Can Pregnancy Affect an Eating Disorder?


Pregnancy can significantly impact an eating disorder in various ways. Hormonal changes and weight gain associated with pregnancy can exacerbate body image concerns and trigger or worsen eating disorder behaviors. Some women might find that their symptoms temporarily ease during pregnancy due to focusing on the baby’s health. However, others might experience intensified symptoms due to the physical changes. The postpartum period can also be challenging, with body changes and added stress potentially leading to a resurgence or worsening of eating disorder symptoms.

How Can Pregnancy Affect an Eating Disorder?


Eating disorders can have serious impacts on both a woman and her baby during pregnancy. For the baby, potential risks include:

  • Premature birth: Babies might be born before the expected due date.
  • Low birth weight: Babies could weigh less than 5 pounds, 8 ounces at birth.
  • Respiratory distress: Babies could have difficulty breathing on their own.
  • Feeding difficulties: Babies might have problems feeding properly.
  • Slower development: There could be a delay in reaching major milestones.
  • Postnatal complications: Increased risk of complications after birth.

For the pregnant woman, maintaining an eating disorder increases risks of complications, such as gestational diabetes, miscarriage, hypertension, hyperemesis gravidarum, and postpartum depression.

How We Treat

Pregnant women with eating disorder history or risk factors should ideally consult with an obstetrician experienced in eating disorders, or otherwise, a specialized mental health professional. Their treatment may involve frequent check-ups, nutritional education, and coaching to focus on baby-beneficial health changes. Honest discussion about pregnancy-related body and weight changes can aid in acceptance. If her eating disorder poses health risks and outpatient improvements aren’t seen, higher care levels might be necessary.

Resilience DBT & Eating Recovery, with teams in New Jersey, Florida, and Maryland, offers specialized outpatient perinatal care for pregnant women coping with eating disorders. Reach out to us to learn how our customizable services can address your unique needs.

How do I begin?


Our team is dually and expertly trained in the Treatment of Eating Disorders and DBT for Mental Health. Our Evidenced-Based approaches include FBT, CBT-E, DBT-ED, and Comprehensive DBT for co-occurring mental health conditions. Our outpatient practice has helped Children, Teens and Adults achieve full Eating Disorder Recovery and Mental Health Stability for over 25 years.

1

Schedule your 15 minute free phone consultation

This phone screening is highly confidential to help determine if coming to the Resilience practice is the best course for you or your loved one.

2

Complete an Expert and Comprehensive Intake

During your intake appointment we will gather more information to identify your stressors and needs. And work with you to develop your resilience treatment plan.

3

Get connected with Your Personalized Care Team

Meet with a practitioner to get started on your journey of healing and wellness you know you deserve.

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
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Maternal Mental Health Conditions

Childbirth brings substantial hormonal and lifestyle changes for women, which can be challenging even for those with older children. Regular mental health assessments during pregnancy and postpartum are common. If you’re grappling with issues like anxiety or depression during this period, we urge you to seek help.

Types Of Maternal Mental Health Conditions


During pregnancy and postpartum, women may face mental health issues like eating disorders, anxiety, and depression. These conditions, while possibly affecting their caregiving abilities, do not define their parenting. If you’re struggling with these issues, it merely indicates you might need additional support.

EATING DISORDERS IN PREGNANCY

Eating disorders in women, often linked to weight and body shape, can be impacted by pregnancy. Those with current or past eating disorders, such as anorexia nervosa, bulimia nervosa, or binge eating disorder, risk symptom escalation during pregnancy (Ward, 2008). However, some women may experience decreased symptoms due to focus on the baby’s health.

PERINATAL MENTAL HEALTH

Perinatal mental health concerns, encompassing issues arising during pregnancy or the first year post-birth, include anxiety, depression, and bipolar disorder (O’Hara & Wisner, 2014). Women should undergo screening during perinatal appointments, as these issues can affect both the woman’s and baby’s health. Any struggles should be honestly communicated to healthcare providers for appropriate monitoring.

Postpartum Anxiety

Postpartum women may experience anxiety disorders including generalized anxiety disorder, postpartum panic disorder, obsessive compulsive disorder, and posttraumatic stress disorder (Ali, 2018). Symptoms range from restlessness, fatigue, irritability, sleep issues, to unexpected panic attacks and time-consuming obsessions. Emotions tied to postpartum anxiety, such as loss, frustration, guilt, and body tension, can greatly affect a woman’s wellbeing.

POSTPARTUM DEPRESSION

Postpartum depression shares symptoms with major depressive disorder, including persistent depression, fatigue, loss of interest, and recurring thoughts of death, impacting a woman’s ability to care for her baby. Some women might have ‘baby blues,’ characterized by sadness, loneliness, fatigue, and tearfulness, generally shorter-lived than depressive symptoms. It’s crucial to distinguish natural postpartum changes, such as fatigue and weight shifts, from depression symptoms.

How We Treat

Resilience DBT & Eating Recovery, with outpatient therapists in New Jersey, Florida, and Maryland, offers help for Maternal Mental Health disorders. Our diverse team, experienced in treating conditions like eating disorders, depressive disorders, anxiety disorders, and more, provides personalized prenatal and perinatal care. We strive to create a supportive environment and design tailored treatment plans. For maternal mental health treatment, we encourage you to reach out for the necessary support.

How do I begin?


Our team is dually and expertly trained in the Treatment of Eating Disorders and DBT for Mental Health. Our Evidenced-Based approaches include FBT, CBT-E, DBT-ED, and Comprehensive DBT for co-occurring mental health conditions. Our outpatient practice has helped Children, Teens and Adults achieve full Eating Disorder Recovery and Mental Health Stability for over 25 years.

1

Schedule your 15 minute free phone consultation

This phone screening is highly confidential to help determine if coming to the Resilience practice is the best course for you or your loved one.

2

Complete an Expert and Comprehensive Intake

During your intake appointment we will gather more information to identify your stressors and needs. And work with you to develop your resilience treatment plan.

3

Get connected with Your Personalized Care Team

Meet with a practitioner to get started on your journey of healing and wellness you know you deserve.

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations