- ISBN: 9780470073353 | 0470073357
- Cover: Paperback
- Copyright: 1/10/2007
Foreword | p. xix |
Introduction | p. 1 |
About This Book | p. 1 |
Conventions Used in This Book | p. 2 |
What You're Not to Read | p. 3 |
Foolish Assumptions | p. 3 |
How This Book Is Organized | p. 4 |
Bringing Postpartum Depression into the Light: What It's All About | p. 4 |
The Three Little Letters: PPD and You | p. 4 |
Diagnosis Confirmed: Looking at the Treatment Options for PPD | p. 4 |
Traveling the Road to Recovery | p. 5 |
Moving Beyond PPD | p. 5 |
The Part of Tens | p. 5 |
Icons Used In This Book | p. 5 |
Where to Go from Here | p. 6 |
Bringing Postpartum Depression into the Light: What It's All About | p. 7 |
The Big Adjustment: Welcome to Motherhood | p. 9 |
The Reality of Motherhood: Let Bootie Camp Begin! | p. 10 |
The Reality of Postpartum Depression (PPD) | p. 12 |
Debunking Denial: A Glimpse from Yours Truly | p. 14 |
Denial's more than a river in Egypt | p. 15 |
Why some doctors may be hush-hush about PPD | p. 18 |
When Depression Begins in Pregnancy | p. 19 |
Distinguishing between pregnancy hormone changes and PPD | p. 20 |
Understanding the urgency of getting help at this stage | p. 21 |
A Brief Overview of Treating and Recovering from PPD | p. 22 |
Timing is everything, so begin your treatment now | p. 22 |
Knowing your three main treatment options | p. 24 |
Fostering recovery on your own | p. 25 |
Before You Begin, Take Some Hope for the Journey | p. 26 |
These Ain't No Baby Blues: PPD, Up Close and Personal | p. 27 |
Baby Blues: Cute Name for a Crummy Time | p. 28 |
What the lighter side looks like | p. 28 |
Getting support | p. 29 |
When the Misty Blues Turn to Darker Hues | p. 30 |
Distinguishing between baby blues and PPD | p. 30 |
Identifying the symptoms of PPD | p. 32 |
Understanding the risk factors | p. 33 |
Considering Special Situations Where PPD May Be on the Horizon | p. 35 |
If Baby is seriously ill | p. 36 |
If Baby passes on | p. 37 |
If babies come in pairs (or more) | p. 38 |
If you're a teenage mom | p. 38 |
Extending beyond Biological Moms: PPD in Dads and Adoptive Moms | p. 39 |
Letting go of preconceptions: Dads with PPD | p. 39 |
Feeling the weight without the labor: Adoptive moms | p. 40 |
You Mean There's More? Five Related Postpartum Disorders | p. 41 |
Penciling in Some Lines: A Quick Comparison of Mood Disorders | p. 41 |
When Fear Strikes: Panic Disorder | p. 43 |
Searching for the root of an attack | p. 44 |
Calming your panic | p. 44 |
Helping others help you | p. 46 |
Facing the Aftermath: Post-Traumatic Stress Disorder | p. 46 |
Reducing post-traumatic stress | p. 48 |
Helping others help you | p. 49 |
Breaking the Cycle: Handling Obsessive-Compulsive Disorder (OCD) | p. 50 |
The obsessive side of OCD | p. 52 |
The compulsive side of OCD | p. 54 |
Putting OCD to bed | p. 54 |
Helping others help you | p. 56 |
Riding the Emotional See-Saw: Bipolar Disorder | p. 57 |
Balancing the scales of bipolar disorder | p. 58 |
Helping others help you | p. 59 |
Immediate Attention Needed: Psychosis | p. 60 |
Combating psychosis | p. 61 |
Warning your loved ones | p. 62 |
The Three Little Letters: PPD and You | p. 63 |
Looking Within: Is PPD Your Big Bad Wolf? | p. 65 |
Facing the Beast Head-On: Tuning In to Your Emotions | p. 65 |
Minding Your Mentality: A Look at Self-Talk and Dark Thoughts | p. 68 |
Hearing what you say to yourself | p. 68 |
Recognizing the difference between fantasies and reality: A word about suicide | p. 70 |
Watching for Warning Signs of the Physical Kind | p. 72 |
Evaluating Your Postpartum Slump | p. 73 |
A Professional Assessment: What's Huffing and Puffing at Your Mind's Door? | p. 77 |
The Difficulties of the Diagnosis | p. 78 |
Taking a Pre-Assessment: The Edinburgh Postnatal Depression Scale | p. 78 |
Answering a handful of questions | p. 79 |
Discussing your pre-assessment with a professional | p. 83 |
Receiving a Competent Professional Assessment | p. 83 |
Making sure your doctor has proper PPD training | p. 83 |
Going another round to establish a diagnosis | p. 84 |
Reacting to Your Diagnosis | p. 86 |
Seeking Out a Therapist to Keep Your Proverbial House Standing | p. 89 |
Understanding the Role and Importance of a Therapist | p. 90 |
Finding the Motivation to Go to Therapy: Demolishing Mental Blockades | p. 92 |
In the beginning: Contemplating therapy | p. 92 |
Confronting fear of the "therapy" label | p. 93 |
Knowing that therapy doesn't mean you're weak | p. 93 |
Revisiting previous bad experiences with therapy | p. 94 |
Gracefully accepting your need for help | p. 94 |
Understanding your partner's reaction | p. 95 |
Talking yourself into, not out of, therapy | p. 95 |
Seeking Help When You Suspect You Have PPD | p. 96 |
Finding the Right Therapist for You | p. 97 |
Knowing what to look for in a therapist | p. 97 |
The gender bender: The equal weights of Mars and Venus | p. 99 |
Choosing a Licensed Therapist | p. 99 |
Sorting through the assortment of therapists | p. 99 |
Other potentially helpful professionals | p. 101 |
Paying for Therapy: Don't Shortchange Yourself | p. 102 |
Locating a Therapist or Counselor | p. 103 |
Assessing the Therapist You've Chosen | p. 104 |
Diagnosis Confirmed: Looking at the Treatment Options for PPD | p. 107 |
Venting Your Mind and Heart: Psychological Treatment | p. 109 |
Knowing What to Expect From Therapy | p. 109 |
The first point to remember: Keep your expectations realistic | p. 110 |
Partnering with your therapist | p. 110 |
The mechanics of therapy: Where, when, and how long | p. 112 |
Grasping the length of the therapeutic process | p. 113 |
Deciding when to show or when to go | p. 113 |
Making the Most of Therapy | p. 115 |
Assessing your needs | p. 115 |
Putting out the fire before rewiring the house | p. 116 |
Developing a wellness plan | p. 118 |
Letting the nature of therapy take its course | p. 120 |
Ending Therapy and Staying Healthy | p. 122 |
Attending Groups | p. 122 |
Counteracting a Chemical Cause: Medical Treatments | p. 125 |
Recognizing the Benefits of Medication on Depression | p. 126 |
Who You Gonna Call? A Psychiatrist, That's Who | p. 127 |
Understanding why a psychiatrist is essential | p. 127 |
Knowing where to go if you can't get to a psychiatrist | p. 129 |
Addressing Concerns about Taking Prescribed Meds | p. 129 |
The most common general worries | p. 129 |
"Is taking meds while nursing safe?" | p. 131 |
"How do I know I'm not dealing with a thyroid problem?" | p. 132 |
Specific Types of Medical Treatments for PPD | p. 133 |
Antidepressants | p. 133 |
Antianxiety meds | p. 134 |
Sleep aids | p. 135 |
Mood stabilizers | p. 136 |
Antipsychotic meds | p. 136 |
Electroconvulsive therapy | p. 136 |
Understanding the Fact that Finding the Right Med(s) is a Process | p. 137 |
Identifying the important health-related differences among women | p. 138 |
Staying the course after you receive a prescription | p. 139 |
Side Effects: You Can't Always Get Just What You Want | p. 140 |
Knowing When to Begin Med Therapy | p. 141 |
All Things Natural: Alternative Treatments | p. 143 |
Introducing the World of Alternative Treatments | p. 144 |
Looking back on the rise of alternative treatments | p. 144 |
Sorting out basic treatment-type terminology | p. 145 |
Combating the negative stigma of the alternative route | p. 147 |
Alternative Treatments that Make the Cut for Their Success | p. 148 |
Energy work | p. 149 |
Exercise | p. 150 |
Guided imagery | p. 150 |
Light therapy | p. 151 |
Massage | p. 151 |
Meditation | p. 151 |
Omega-3 fatty acids | p. 152 |
SAMe | p. 152 |
Alternative Treatments that May Add a Bit of Benefit | p. 152 |
Acupuncture | p. 152 |
Applied kinesiology | p. 153 |
Ayurveda | p. 154 |
Chiropractic therapy | p. 154 |
Herbs | p. 154 |
Homeopathy | p. 156 |
Hormones | p. 157 |
Hypnotherapy | p. 157 |
Reflexology | p. 158 |
Yoga | p. 158 |
Administering Alternative Treatments: You and a Pro | p. 158 |
Who's who in the name game | p. 158 |
Searching for Other Alternative Treatments: Be on Guard! | p. 161 |
Creating a Comprehensive Treatment Plan | p. 163 |
The Three Components: Finding the Right Balance for You | p. 164 |
Conventional Therapy or Alternative? A Quick Comparison | p. 165 |
Coordinating the Plan | p. 168 |
Letting a good doc guide the way | p. 168 |
Meeting with a psychiatrist | p. 169 |
Working with two therapists | p. 169 |
Doing a bit of research | p. 170 |
Making sure you're on the same page as your doc | p. 173 |
Reacting to a doctor who stands her ground | p. 174 |
Adding Professionals to Your Treatment Team | p. 174 |
Getting Your Team Members to Huddle | p. 176 |
As You Go through Treatment | p. 177 |
Determining what's working | p. 177 |
Knowing when it's time to try something else | p. 178 |
Ah, the Good Stuff: Dealing with Insurance | p. 179 |
Putting a price on happiness | p. 179 |
Making the grade: Understanding the "in-network" mumbo-jumbo | p. 180 |
Traveling the Road to Recovery | p. 181 |
Getting the Most Out of Your Treatment | p. 183 |
Recognizing the Stages of Recovery | p. 183 |
Accepting PPD as a force to be reckoned with | p. 184 |
Fear: Feeling the weight of self-doubt | p. 186 |
Impatience: Wanting to shove Father (or Mother) Time forward | p. 187 |
Glimmers of light: Experiencing moments of feeling good again | p. 188 |
Recognizing the old you | p. 189 |
Keeping the Faith: Ways to Foster Recovery | p. 190 |
Staying in the present | p. 190 |
Charting your progress to see success | p. 192 |
Being kind to yourself | p. 193 |
Loving your body (and respecting yourself, too) | p. 195 |
Celebrating your successes | p. 196 |
Playing your part in your treatment team | p. 197 |
Setting the Supermom Cape Aside: Caring For Yourself | p. 199 |
Eat and Drink Your Heart Out, Baby! (The Healthy Way, of Course) | p. 200 |
Boosting your mood with food | p. 200 |
Hydrating your brain | p. 202 |
Taking nutritional supplements | p. 202 |
Making Sure You Get Some Winks | p. 204 |
Starting with the ideal plan | p. 205 |
Making do with whatcha' got | p. 205 |
Working through the challenges | p. 207 |
Shakin' It for Your Love | p. 208 |
Taking Regular Breaks | p. 209 |
Avoiding burnout | p. 209 |
Figuring out what to do with yourself | p. 210 |
Staying Social | p. 211 |
Cocooning versus unhealthy isolation | p. 211 |
Confiding in people you're comfortable with | p. 212 |
Creating a Positive Ambience | p. 213 |
Muffling the noise | p. 213 |
Getting away from cabin fever (without leaving the house!) | p. 213 |
Soaking in some vitamin D | p. 214 |
Trading the rags for britches | p. 214 |
Shutting off the boob (tube) | p. 215 |
Reading airy fluff, not serious stuff | p. 215 |
Giving Yourself Permission to Set Limits | p. 215 |
Reaching out and asking for assistance | p. 216 |
Accepting help when it's offered | p. 217 |
Structuring Your Day | p. 218 |
Making lists | p. 218 |
Setting yourself up for success | p. 220 |
Knowing It's Okay to Lighten Your Load | p. 220 |
Deciding whether to take it on | p. 221 |
Slacking for the good of your health | p. 222 |
Coping with Your Feelings | p. 223 |
Learning to Ride the Waves | p. 223 |
Facing Your Feelings Head On | p. 224 |
Throwing a party for yourself! A pity party, that is | p. 224 |
Releasing your perfect pictures | p. 226 |
Letting your worries float away | p. 227 |
Boosting Your Self-Esteem | p. 230 |
Assessing your self-esteem | p. 231 |
Improving your self-esteem | p. 232 |
Knowing What You Can and Can't Control | p. 234 |
Coming to terms with the truth | p. 234 |
Relinquishing the reins to your partner | p. 235 |
Responding to Others Honestly (But Appropriately!) | p. 236 |
Taking a timeout when you feel snippy | p. 237 |
Dealing with comments that put you on the defensive | p. 238 |
Forcing Yourself to Laugh | p. 240 |
Finding Somebod(ies) to Lean On | p. 241 |
Emerging from under the Sheets | p. 242 |
Accepting the fact that you need a support circle | p. 242 |
Deciding whom to tell | p. 243 |
Diversifying Your Support Team | p. 244 |
Your partner | p. 244 |
Home sweet home: The core of your support | p. 245 |
Extending the innermost circle | p. 246 |
Increasing the circumference to outside communities | p. 248 |
Explaining Your Depression to Others | p. 252 |
Adapting your info according to the listener | p. 252 |
Getting personal with other adults | p. 253 |
Giving the gist to older kids | p. 254 |
Finding a Healthy Balance between Support and Self-Sufficiency | p. 256 |
Helping Your Partner Help You | p. 257 |
Understanding Your Partner's Role in the Battle | p. 258 |
Dealing with Your Partner When You Want to Be Left Alone | p. 259 |
Kindly explaining your need for solace | p. 260 |
Keeping your cool | p. 261 |
Minding your partner's need for space | p. 262 |
Communicating Effectively on a Regular Basis | p. 262 |
Listening, not just hearing | p. 263 |
Scheduling regular debriefing sessions | p. 263 |
Telling your partner what you need (without making him guess or making him wrong) | p. 264 |
Maintaining sensitivity in your speech | p. 265 |
Seeing a Therapist Together: Benefiting from an Extra Set of Brains | p. 266 |
Getting Support when Friends and Family Make You Feel Worse | p. 268 |
Sharing Responsibilities | p. 269 |
Having a business meeting | p. 269 |
Splitting household chores for now and always | p. 270 |
Handling money matters | p. 271 |
Watering Your Relationship and Letting It Grow | p. 272 |
Continuing the dating stage | p. 272 |
Enjoying Mars and Venus: Sex (for him) and intimacy (for you) | p. 273 |
Showing love to your partner even when you feel empty | p. 276 |
Helping the One You Love: A Chapter for Family, Friends, and Partners | p. 277 |
Reacting in a Healthy, Helpful Way | p. 278 |
Showing your understanding and unconditional support | p. 278 |
Acknowledging your difficult feelings | p. 279 |
Keeping your lips sealed | p. 279 |
Getting Information if Depression Is Foreign to You | p. 280 |
Thickening Your Skin: Not Taking Things Personally | p. 282 |
The negative actions or reactions aren't about you! | p. 282 |
You aren't the trigger (or the fixer) of your loved one's PPD | p. 282 |
Caring for Yourself | p. 283 |
...To benefit her | p. 284 |
...To benefit you | p. 284 |
Keeping Kindness in Your Countenance | p. 285 |
Continually caring even when you're frustrated | p. 285 |
Holding closely the virtue of patience | p. 286 |
Radiating optimism and hope | p. 287 |
Putting Your Love into Action | p. 288 |
Listening without trying to fix her (or her problems) | p. 288 |
Providing the partner support she needs | p. 289 |
Lending a helping hand | p. 291 |
Encouraging healthy habits | p. 292 |
Referring her to helpful resources | p. 293 |
When PPD Escalates: Recognizing the Warning Signs of Suicide | p. 294 |
Practicing Sensitivity: Knowing What's Okay and Not Okay to Say | p. 295 |
Leaving constructive criticism by the wayside | p. 295 |
Lauding her efforts | p. 296 |
Keeping her stress under wraps | p. 296 |
Steering clear of mentioning her shortfalls | p. 296 |
Making her sure of your loyalty | p. 298 |
Moving Beyond PPD | p. 299 |
Delight at the End of the Tunnel: Emerging with a New Sense of Self | p. 301 |
Looking Back: Build Yourself Up, Buttercup | p. 302 |
Remembering the past: The healing gift that lasts | p. 302 |
Congratulating yourself for pressing on the journey of healing | p. 304 |
Completing and "anchoring in" the healing process | p. 306 |
Taking Back the Reigns | p. 308 |
Setting realistic goals | p. 308 |
Making decisions again | p. 309 |
Taking over tasks | p. 310 |
Feeling Like Yourself...Or Even Better | p. 311 |
Deciding Whether to Have Another Baby | p. 313 |
First Things First: Assessing Your Intentions | p. 314 |
Making an Informed Decision, Sans Fear | p. 315 |
Sizing up your risk of getting PPD again | p. 315 |
Knowing the truth about PPD and postpartum psychosis | p. 317 |
Planning Ahead if You Decide to Pass Go | p. 318 |
Arming yourself early on | p. 319 |
Surveying the elements of a postpartum plan | p. 320 |
Putting your plan on paper | p. 320 |
Undergoing professional consultations | p. 324 |
Considering an antidepressant as a preventive means | p. 325 |
Trusting Your Decisions | p. 327 |
The Part of Tens | p. 329 |
Ten Common Fantasies about Motherhood | p. 331 |
This Should Be the Happiest Time in My Life | p. 331 |
I Should Be Able to Do Everything Myself | p. 332 |
I Shouldn't Need Breaks | p. 332 |
My Life Won't Change That Much | p. 333 |
My Needs Shouldn't Matter | p. 333 |
Bonding Happens Immediately at Birth | p. 334 |
Breastfeeding Is Natural, So It Should Come Easily | p. 335 |
Mothering Is Instinctual | p. 335 |
I Should Feel Satisfied Being a Stay-at-Home Mom | p. 336 |
My Baby Will Be My Companion | p. 336 |
Ten Thoughts to Focus on Throughout the Day | p. 337 |
PPD Is an Illness, Not a Weakness | p. 337 |
Seeking Help is Courageous | p. 337 |
I'm a Good Mom | p. 338 |
PPD is Temporary - I Will Recover | p. 338 |
It's Important That I Take Care of Myself | p. 338 |
I'm Doing the Best I Can | p. 339 |
I'm Practicing Love toward Myself | p. 339 |
I'm Surrounding Myself with Positives | p. 340 |
PPD Isn't My Fault | p. 340 |
I'm Not Alone | p. 340 |
Resources | p. 341 |
Web Sites | p. 341 |
Information | p. 341 |
Support resources | p. 342 |
Support Numbers | p. 343 |
International Organizations | p. 343 |
Postpartum Support International | p. 344 |
Marce Society | p. 344 |
North American Society for Psychosocial Obstetrics and Gynecology (NASPOG) | p. 344 |
Further Reading | p. 345 |
Index | p. 347 |
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