This is a ppt presentation that I did for an Abnormal Psychology class. This presentation looks into the life of Brooke Shields--celebrity who suffered from PPD
Postpartum blues includes an array of psychiatric manifestations occurring in the period of post-partum, due to hormonal imbalance. Knowing in detail will help for quicker diagnosis and better outcomes.
Prepared in December, 2017.
Although pregnancy has typically been considered a time of emotional well-being, recent studies suggest that up to 20% of women suffer from mood or anxiety disorders during pregnancy. Particularly vulnerable are those women with histories of psychiatric illness who discontinue psychotropic medications during pregnancy.
Postpartum period is a critical period in the life of a female from the biopsychosocial perspective. There are a number of psychological conditions which have their origin post pregnancy viz postpartum blues, postpartum depression, postpartum psychosis. Given their lack of awareness and relatively common presentation, it is imperative to know more about these conditions.
in Malays, we called it meroyan. PPD can be divided into postpartum depression and postpartum psychosis. Only postpartum psychosis need treatment such as combination of anti-psychotic, anti depression and mood stabilizer
PPD is similar to clinical depression.it is not only prevalent among women but also in men. sufferers are not alone and they can prevent this by talk, talk and talk.
Postpartum blues includes an array of psychiatric manifestations occurring in the period of post-partum, due to hormonal imbalance. Knowing in detail will help for quicker diagnosis and better outcomes.
Prepared in December, 2017.
Although pregnancy has typically been considered a time of emotional well-being, recent studies suggest that up to 20% of women suffer from mood or anxiety disorders during pregnancy. Particularly vulnerable are those women with histories of psychiatric illness who discontinue psychotropic medications during pregnancy.
Postpartum period is a critical period in the life of a female from the biopsychosocial perspective. There are a number of psychological conditions which have their origin post pregnancy viz postpartum blues, postpartum depression, postpartum psychosis. Given their lack of awareness and relatively common presentation, it is imperative to know more about these conditions.
in Malays, we called it meroyan. PPD can be divided into postpartum depression and postpartum psychosis. Only postpartum psychosis need treatment such as combination of anti-psychotic, anti depression and mood stabilizer
PPD is similar to clinical depression.it is not only prevalent among women but also in men. sufferers are not alone and they can prevent this by talk, talk and talk.
Many new moms feel happy one minute and sad the next. If you feel better after a week or so, you probably just had the "baby blues." If it takes you longer to feel better, you may have postpartum depression.
Postpartum depression can make you feel restless, anxious, fatigued and worthless. Some new moms worry they will hurt themselves or their babies. Unlike the "baby blues," postpartum depression does not go away quickly. Very rarely, new moms develop something even more serious. They may stop eating, have trouble sleeping and become frantic or paranoid. Women with this condition usually need to be hospitalized.
Researchers think that changes in your hormone levels during and after pregnancy may lead to postpartum depression. If you think you have it, tell your health care provider. Medicine and talk therapy can help you get well.
Presented at Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Concorde, Shah Alam, 21-24 Ogos 2016, and Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Klagan, Kota Kinabalu, Sabah, 26-29 Ogos 2016.
Many new moms feel happy one minute and sad the next. If you feel better after a week or so, you probably just had the "baby blues." If it takes you longer to feel better, you may have postpartum depression.
Postpartum depression can make you feel restless, anxious, fatigued and worthless. Some new moms worry they will hurt themselves or their babies. Unlike the "baby blues," postpartum depression does not go away quickly. Very rarely, new moms develop something even more serious. They may stop eating, have trouble sleeping and become frantic or paranoid. Women with this condition usually need to be hospitalized.
Researchers think that changes in your hormone levels during and after pregnancy may lead to postpartum depression. If you think you have it, tell your health care provider. Medicine and talk therapy can help you get well.
Presented at Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Concorde, Shah Alam, 21-24 Ogos 2016, and Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Klagan, Kota Kinabalu, Sabah, 26-29 Ogos 2016.
Demystifying Postpartum Depression And Anxiety For Moms And DadsSummit Health
This presentation identifies the symptoms of postpartum depression and anxiety that can occur in both mothers and fathers, how to seek support, as well as know when to seek treatment.
A presentation developed through collaboration between the University of Michigan Taubman Health Sciences Library and Pioneer High School in Ann Arbor, MI. This work is discussed in more detail in "Synergism between a Teacher and Librarians in a High School Setting" by Merle Rosenzweig, Anna Ercoli Schnitzer, and Katy Mahraj.
Working with Traumatized Children and Families across Culture - McGill Univer...Université de Montréal
Institute of Community and Family Psychiatry
Sir Mortimer B. Davis Jewish General Hospital
McGill University
CAFT 601 Diversity in Couple and Family Therapy
16 May 2019
Title: Working with Traumatized Children and Families across Culture
Presenter: Vincenzo Di Nicola, MPhil, MD, FRCPC, DFAPA
Professor of Psychiatry, University of Montreal and The George Washington University
Abstract:
This presentation outlines a model of working with traumatized children and families across culture. When it comes to trauma in children, we need to address three basic questions:
(1) why development matters, (2) why family matters, and (3) why culture matters (Di Nicola,
1992, 1996, 1997, 1998, 2012a, 2012b, 2012c, 2018; Di Nicola & Song, forthcoming). These three aspects of children’s lives are reviewed as key critical contexts to understand the “sequential traumatizing” (Keilson, 1992) of young people as highlighted in two clinical vignettes. In the first vignette, “A Train of Traumas,” the layers of the trauma history of an immigrant child and his family from the Maghreb are teased out as an imbricated series of triggers across developmental, cultural and family predicaments that arise from the “exile situation” (Wenk-Anshohn, 2007). “The Memory Clinic,” the second vignette, revisits the story of an adolescent refugee from a war-torn country in the Middle East whose quest was to forget her trauma. Exposed first to civil war and the loss of her family, then arriving in Montreal as a refugee with her extended family where she was abused, this vignette presents issues about how to create the conditions for listening to the “trauma story” (Mollica, 2009) as enlightened witnesses and the emerging understanding of traumatic memory through identity narratives (Novac, et al, 2017). Together, these vignettes highlight the conditions required for the practice of “trauma-informed care” with children and families across culture.
Keywords: Sequential traumatisation, cultural family therapy, transcultural child psychiatry, trauma-informed care, identity narrative
Running head LIFESPAN TIMELINE ANALYSIS14.docxcowinhelen
Running head: LIFESPAN TIMELINE ANALYSIS 14
Lifespan Timeline Analysis
(STUDENT NAME)
Walden University
Part II: Timeline Analysis
Lifespan development is one of the most important topics mental health clinicians need to be knowledgeable about. Regardless of a counselor’s specialization and area of expertise, he or she will undoubtedly come across a wide variety of clientele of all ages, from children to older adults. Therefore, a counselor must be able to fully conceptualize and understand all stages of human development as well as the behavioral changes that take place from infancy to late adulthood (Broderick & Blewitt, 2015). The science behind lifespan development ultimately strives to explain human behavior, as well as how and why individuals of all ages tend to react to life events and personal experiences (Broderick & Blewitt, 2015). Identity becomes a crucial part of the process of growth from childhood to adolescence, as young people seek to figure out their individuality and uniqueness. It is also in a state of constant flux (Broderick & Blewitt, 2015).
The personal change model, which explains human growth, has to do primarily with the acquisition and progression of specific skills from birth to childhood (Sameroff, 2010). In addition, it also concerns itself with cognitive functioning, early attachments with parents, as well as the rapport children develop with people outside of the home, such as teachers and peers. However, another key component in the change process is the contextual model, in which life experiences serve to further shape an individual’s identity (Sameroff, 2010). Therefore, culture, environment and educational institutions are also significant factors in human growth (Samaroff, 2010). The study of lifespan development has helped me to reflect carefully on my own life with regard to identity and growth, especially the experiences that have had an impact on my growth. Therefore, in this paper I will describe 6 main life events that have influenced my identity development from childhood through to adulthood and explain their significance through the lens of various developmental theories. This is particularly beneficial to understanding client issues as a mental health practitioner.
Life Event I 1980: Start of elementary school education
The beginning of my formal education began in 1980, at the age of 5. This was an age-graded event, as it was an inevitable and expected occurrence at this point in my childhood (Broderick & Blewitt, 2015). This was a significant time in my life, as it represented a developmental challenge for me academically and emotionally. The transition into the school years is complex at this stage of the lifespan. Children have to cope with a more rigid schedule than in pre-school, and develop more intricate skills in core subjects such as Math and English (Broderick & Blewitt, 2015). I personally found it difficult to deal with a ...
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17. What is Postpartum Depression? Postpartum depression: a mood disorder that commences after giving birth. It can occur anytime within the first year after childbirth; it usually occurs within the first couple weeks and adversely affects the mother’s ability to function. Many suffer for up to 6 months and about ¼ of sufferers still experience symptoms after a year if left untreated.
18.
19. OCD symptoms
20. Sometimes these occur with little depression Be aware of suicidal ideations, and also fantasies about injuring the baby.
33. Loss of Occupational identity“In my mind, having the baby had made my life hopeless and meant that nothing would ever be the way it used to be” –Brooke Shields “Down Came the Rain”
34.
35. The women feel that they just can’t pick up and leave whenever they wish (vacation, hanging out with friends)
36. They have to tend to the baby instead of just themselves
38. In a case study done, several women were interviewed on this subject. One woman said that the “new baby’s arrival eliminated time for her and her husband to be on their own together for at least 18 [more] years.
39.
40. Loss of Femininity & Sexuality Because of the anxiety about their appearance and the shape of their body after pregnancy they do not feel that their spouse would be attracted to them as much. Worried about body size/shape Self-image changed Had to think of themselves are more motherly beings than sexual beings “Like on Saturday---I wanted to wear my leather mini-skirt. But I had second thoughts…I’m a mother now” (Natasha, interview 3)
46. “I feel I’m not contributing to the finances” (Sylvia, interview 3)
47. Debate whether or not to go back to work or to stay at home with the child
48.
49. The Perfect Candidate: Parents divorced at very young age Dealt with alcoholism on both sides of her family Father diagnosed with prostate cancer and died 3 weeks before the birth of her child Her dear friend David committed suicide a couple years prior Defined herself by her success in her job Physical problems in terms of being able to get pregnant—short cervix, In vitro fertilization, miscarriage; Had an emergency C-Section Her health was in danger after giving birth—herniated uterus Rowan had to wear a harness for her jaundice Traveling back and forth from NY to LA—new apartment Didn’t have a baby nurse Her and Chris were inexperienced parents
50. Possible Causes: Emotional/Biological Changes: --Hormone fluctuations (drop in estrogen levels) Physical Changes: --sleep deprived, exhausted – Lifestyle Changes: --having the responsibility for this little, fragile baby --added stress of routines changing –financial shifts –difficulty breastfeeding –lack of family/social support
51. Potential Risk Factors: Previous history/predisposition to depression Experienced Premenstrual Distress Disorder (PMDD) Stressful events occurring during pregnancy Difficulty in marriage Feelings of loss (occupational, physical, social) Child was unplanned/unwanted
52. More Risk Factors: Caesarian birth History of infertility/fertility treatments Illness in the infant Isolation from family and friends, a poor match in temperament between mother and child. Thyroid problems
53. Levels of PPD: 1.) Postpartum “Baby Blues—less severe, most common. 2.) Postpartum Depression—moderately severe --affects app. 8%-20% of women 3.) Postpartum Psychosis—most severe
54. Level 1—”Baby Blues” Few days after childbirth Sadness Tearfulness Irritability Hormonal changes (like PMS) If persistent can develop into PPD --Affects app. 80% of women
61. --Cognitive-Behavioral Therapy—trying to get rid of the negative thoughts of self, world and future and adding reinforcement (Craig & Dobson 1995) (Beck, Rush, Shaw, Emery, 1979)
70. Many focus on the negative events rather than the positive
71.
72. Q: True or False-- PPD is just for mothers A: FALSE—fathers can also develop a form of PPD because they also have to adjust to a new lifestyle with the addition of a new baby into the family. They are affected by the emotional state of the mother and also have an added responsibility to care for the child while the mother is suffering.
73. Dads cry too… In Shields’ book, she recounts of a moment that he husband Chris broke down: “Chris went out to the store to buy a changing table…He came back sooner and without the table…He looked up at me, his eyes filled with tears, and broke down…’There were women in the store who were happy, Brooke! They were smiling and happy to have their babies! What’s wrong with you? Why aren’t you happy? You don’t look at Rowan or sing to her or talk to her. Why? What’s happening?”
74. Q: True or False: The child of a parent with PPD is unaffected. A: False—Some studies have shown that the child/children of parents who have or are suffering from PPD are directly affected. An infant of a PPD mother can have irregular sleep, more depressed affect, higher norepinephrine levels, and a lower vagal tone (which indicates that the infant is undergoing stress and the body is reacting by releasing norepinephrine and the heart rate actually is slower in order for the body to deal with stressful activities—heart rate decreases and sympathetic activity increases.
75. When toddlers these children are associated with having delays in verbal skills, having behavior problems, and the school-readiness skills lack. When the children get older they tend to develop some behavioral/emotional problems—this puts them at a higher risk for developing depression themselves. (Clark, Tluczek, Wenzel 2003
76. Public Criticism One of the major players in the criticism of Brooke’s treatment for her PPD has been Actor and recent Scientologist Tom Cruise. http://www.youtube.com/watch?v=cc_wjp262RY However, on August 31, 2006, Tom Cruise went to Brooke Shields’ home and personally apologized to her for his remarks.
77. Public Support Many other celebrities have extended their support for Brooke Shields. For instance, Oprah Winfrey, comedian Tom Arnold, Rosie O’Donnell, and Matt Lauer Rosie says, “After watching Tom on Oprah and then everything else in the free world, I think I may need to up my meds. Shout out to Brooke. You saved a lot of women by telling the truth.” Tom Arnold says, “I just think he’s [Cruise] is ignorant…I thought that Brooke Shields is very brave, because celebrities, we want to look cool, and (admitting) you wanted to kill yourself and maybe your baby is a very vulnerable thing for her to do…I think Tom is a little out of touch.”
78. “Down Came the Rain” “At long last, her dream of being a mommy had come true. But instead of being relieved and happy, all she could do was cry. : “At first I thought what I was feeling was just exhaustion, but with it came an overriding sense of panic that I had never felt before. Rowan kept crying, and I began to dread the moment when Chris would bring her back to me. I started to experience a sick sensation in my stomach; it was as if a vise were tightening around my chest. Instead of the nervous anxiety that often accompanies panic, a feeling of devastation overcame me. I hardly moved. Sitting on my bed, I let out a deep, slow, guttural wail. I wasn't simply emotional or weepy (pg.65)
79. Taking Action Press Conference for Mother’s Act on May 11, 2007 Sen. Robert Mendez & Brooke Shields Above: from left to right) Former First Lady Mary Jo Codey, Senator Menendez, Brooke Shields, Sylvia Lasalandra and Susan Dowd Stone
80. New Legislature Mothers Act: The Moms Opportunity to Access Help, Education, Research and Support for Postpartum Depression Act (S. 1375) Endorsed by Senators Menendez and Durbin (NJ) “M. President, in the United States, ten to twenty percent of women suffer from a disabling and often undiagnosed condition known as postpartum depression. Unfortunately, many women are unaware of this condition and often do not receive the treatment they need. That is why I am introducing the MOTHERS Act, so that women no longer have to suffer in silence and feel alone when faced with this difficult condition” --Senator Robert Mendez--NJ This new act will require hospitals to educate the parents and families before they leave the hospital on the possibility of developing PPD after childbirth & give screenings for symptoms.
81. Further Progress and Recent News October 15, 2007—Melanie Blocker Stokes Act passed in US House by a vote of 382 to 3! Postpartum Research and Care Act. On October 20, 2007, Postpartum Support International (PSI) will be holding a fundraiser in New Jersey—which has also been designated as Postpartum Depression Awareness Day in NJ (Both Sen. Menendez and Brooke Shields will be honored) October 24, 2007 is BlogHers Day to support the MOTHERS Act write a blog or call your local senator to show support.
82. “Out Came the Sun…” “Rowan remembers every motion to every portion of the song. I stare in amazement as her chubby baby hands with their dimpled knuckles intertwine while she pretends to be the spider climbing up the water spout. I can’t help myself and, plopping myself down in front of her, I quickly join in the song…With tears filling my eyes, we both reach up our hands and float them down like raindrops in front of us. As our fingers touch, I whisper, ‘Down came the rain and washed the spider out. Out came the sun and dried up all the rain, and the itsy bitsy spider went up the spout again.’” (Shields, 222)