The Fourth Trimester NP Show

By: Judith Wafe NP
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  • Summary

  • We provide health education that promotes healthy pregnancies and beyond... Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.
    © 2024 Copyright
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Episodes
  • Is therapy for me???

    Is therapy for me???
    Jun 25 2023

    Why do we avoid therapy?

    • Stigma against mental illness
    • Fear of being judged
    • Fear of being vulnerable
    • May feel like it is a luxury activity instead of

    a health activity

    • Treatment cost
    • Insurance issues
    • May have to discuss painful past events

     

    How to choose a therapist?

    First, consider the type of therapy that they use…

    For perinatal depression & anxiety, the two most effective therapies are:

    1. Cognitive behavioral therapy (CBT) &
    2. Interpersonal therapy (IPT)

     

    Second, look for a maverick.

    -Look beyond the years of experience and look for someone who is regularly learning.

    -Verify their baseline therapy credential (state and board certified)

    -Also look for someone who is specifically trained in perinatal mood disorders, e.g.

    by Postpartum Support International

     

    Third, look for someone with similar life experience.

    -Look for someone of similar race, ethnicity, gender, lifestyle

    -Will make it easier to enter a safe space for therapeutic work to occur

     

    Fourth, know that you are in control.

    -Meet for 15 minute free consult if possible

    -Schedule only if you were able to connect

    -If you do not agree with the treatment plan, or you don’t connect or you don’t think that you

    are being listened to, keep looking

     

    Fifth, look for social emotional intelligence.

    -adaptable

    -flexible

    -self aware

     

    In Summary,

    - You have to feel safe in your interactions with your therapist.

    - Feel free to shop around until you have the right fit.

    - Self evaluate mood for improvement and keep a journal or mood log.

     

    References

    McNamara, J., Townsend, M. L., & Herbert, J. S. (2019). A

    systemic review of maternal wellbeing and its relationship with

    maternal fetal attachment and early postpartum bonding. PloS

    one, 14(7), e0220032.

     

    Smith, K. (2021). How to choose a therapist? Retrieved from

    How to choose a therapist | Psyche Guides

     

    Symes, E. (2017). The transition to motherhood. Psychological

    factors associated with pregnancy, labour and birth. Retrieved

    from The transition to motherhood: Psychological factors

    associated with pregnancy, labour and birth | APS

    (psychology.org.au)

     

    Resources

    Psychology Today - Psychology Today Belgium: Health, Help, Happiness + Find a Therapist

    ZenCare - Find The Best Therapists & Psychiatrists Near You — Zencare

    Postpartum Support International - https://www.postpartum.net/

     

    Guest

    Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC.

    She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social

    Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and

    Qualified Supervisor. Lydia provides counseling for individuals, couples, families and

    supervision for registered MSW Interns. She also offers comprehensive Diagnostic

    Evaluations

    for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for

    immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims

    involved

    in human trafficking. Lydia has dedicated her years working with individuals, couples and

    families

    facing life changing challenges, including addiction, marital/relationship conflict, mental

    health imbalance and parenting hurdles. She has experience working in residential and partial-

    hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds.

    Lydia is transparent and compassionate while collaborating with her clients to achieve their

    goals. Furthermore, she dedicates time as a Board Member for Phoebe’s Fortress Non-profit

    Organization in Miami, Florida. Her commitment to Phoebe’s Fortress is geared towards

    supporting and equipping young ladies aging out of the foster care system with skills to

    advance into adulthood.
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    16 mins
  • Mother Baby Bonding, Mother Fetus Bonding

    Mother Baby Bonding, Mother Fetus Bonding
    Jun 4 2023
                                                          The Bonding Edition   What is a mother? Some definitions include: The female parentTo mother is to bring up a child with care and affection“a mother understands what a child does not say”“Motherhood has the greatest potential influence in human life”“a beetle is a beauty in the eyes of his mother” J What is bonding? Must be attached first to bring up a child with care and affection.Bonding is the formation of a close human relationshipEmotional and physical attachment between mother and offspring There are two important bonding types to consider: The first is maternal-fetal bonding or when a women is pregnant with the developing babyThe second is mother-baby bonding or bonding with baby after delivery   Maternal fetal bonding spans three semesters: The first trimester includes adjusting to the idea of pregnancyMost report ambivalenceMay experience nausea, vomiting, fatigue and this may amplify anxietyDuring the Second trimester the baby’s movement is feltYou may start thinking about who this person could beYou start thinking about the baby as separate from selfThe Third trimester includes getting ready for baby’s arrivalPrepping for labor or surgeryMost experience fatigue Mother-Baby Bonding -acceptance of baby as a whole and no longer just an idea -may be some attachment concerns with difficult deliveries (PTSD) -or if delivery did not go as planned, like planned water birth and ended up with forceps delivery - or epidural during labor or c/s etc - or if baby ended up in NICU -or if preterm delivery Mother-Baby Bonding - perinatal time is one of identity shift - from own entity or person to mother of 1 - Identity is fluid, could be shift from mother of 1 to now mother of 2 - Bonding impacted by historical family relationships (mother was idolized or not?) Why do we care about bonding? - early attachment relationships between mom and baby improve baby’s psychological, cognitive, and social development - attachment styles impact how the baby interacts with humanity in the future - A mother who is bonded with her baby will try to know, protect, interact with, and meet the needs of her baby What impacts bonding? Social Support: Protective against stress & challengesHelp with planning for baby’s futureAllows for better adjustment to motherhoodCould be partner, family of origin, close friends Self Esteem: Optimistic beliefs improve bondingHappy with appearance or self image improves bondingHigh sense of wellbeingPrepared for baby Mental Health: Depression decreases bonding (inverse relationship) Some studies anxiety decreased bonding Hollywood Bonding Versus Bonding in Reality I had Hollywood bonding with my secondMaybe wisdom from having firstKnew what to expectKnew that systems could be built to organize care Reality: With my first baby I was isolatedIt felt harder to bondIt was comforting to know that Good to know bonding is a lifelong processNot a “one moment” or one time eventAlso, first pregnancy related to increased pregnancy stress   Pro Tips Never walk alone, social support protectiveIf history of depression or anxiety stay on treatment or get treatmentIf you notice difficulty in bonding postpartum TELL PROVIDERThe good news is that there is HELP Thank you so much for your time and wisdom.I believe you are joining us for a show on how to choose a great therapistThank you for listeningYour host Judith Wafe of The Fourth Trimester NP   Lydia’s Book Recommendations :- Parenting with PTSD byA Nation of Wimps by   Anxiety scale. Discuss score with healthcare provider. GAD-7 (General Anxiety Disorder-7) - MDCalc Depression Scale. Discuss score with healthcare provider. PHQ-9 (Patient Health Questionnaire-9) - MDCalc                                                                           Guest Bio Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC. She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and Qualified Supervisor. Lydia provides counseling for individuals, couples, families and supervision for registered MSW Interns. She also offers comprehensive Diagnostic Evaluations for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims involved in human trafficking. Lydia has dedicated her years working with individuals, couples and families facing life changing challenges, including addiction, marital/relationship conflict, mental health imbalance and parenting hurdles. She has experience working in residential and partial-hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds. Lydia is transparent and...
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    33 mins
  • The Motherhood Edition

    The Motherhood Edition
    May 17 2023

    What is a mother? Some definitions include:

    • The female parent
    • To mother is to bring up a child with care and affection
    • “a mother understands what a child does not say”
    • “Motherhood has the greatest potential influence in human life”
    • “a beetle is a beauty in the eyes of his mother” 

    What is bonding?

    • Must be attached first to bring up a child with care and affection.
    • Bonding is the formation of a close human relationship
    • Emotional and physical attachment between mother and offspring

    There are two important bonding types to consider:

    • The first is maternal-fetal bonding or when a women is pregnant with the developing baby
    • The second is mother-baby bonding or bonding with baby after delivery

     

    Next week we will start with how to bond with your baby during pregnancy…


                                                                        Guest Bio

    Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC.

    She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social

    Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and

    Qualified Supervisor. Lydia provides counseling for individuals, couples, families and

    supervision for registered MSW Interns. She also offers comprehensive Diagnostic Evaluations

    for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for

    immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims involved in human trafficking. Lydia has dedicated her years working with individuals, couples and families facing life changing challenges, including addiction, marital/relationship conflict, mental health imbalance and parenting hurdles. She has experience working in residential and partial-hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds.

    Lydia is transparent and compassionate while collaborating with her clients to achieve their

    goals. Furthermore, she dedicates time as a Board Member for Phoebe’s Fortress Non-profit

    Organization in Miami, Florida. Her commitment to Phoebe’s Fortress is geared towards

    supporting and equipping young ladies aging out of the foster care system with skills to advance

    into adulthood.

     

                                                                                References

    McNamara, J., Townsend, M. L., & Herbert, J. S. (2019). A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PloS one, 14(7), e0220032

    Smith, K. (2021). How to choose a therapist? Retrieved from How to choose a therapist | Psyche Guides

    Symes, E. (2017). The transition to motherhood. Psychological factors associated with pregnancy, labour and birth. Retrieved from The transition to motherhood: Psychological factors associated with pregnancy, labour and birth | APS (psychology.org.au)

     

     

                                                                                 Disclaimer

    Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.

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    29 mins
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