postpartum anxiety

Woman wearing a black sports bra and black leggings dose a yoga pose on a black yoga mat in a living room

The Power of Distraction

We often think of distractions as negative. We may get distracted by all the to-dos on our list, and it’s hard to stay focused on work or give our full attention to someone. Our kids may get distracted while getting dressed, or for older kids maybe it’s while doing homework.

But let’s reframe distractions. They can be extremely helpful when used in a healthy manner. For instance, if you are a person who worries a lot, or gets fixated on one idea, sometimes a distraction can help. Let’s say you’re worried about an upcoming work presentation or you child’s teacher conference; give yourself a mental break. Think of something you like to do that you can become completely absorbed in. For me, it’s working out or watching a good show. I can shut off my brain and completely focus on something else. This helps your mind relax and hopefully will tell your body to stop producing stress hormones for a while. For you, maybe it’s going for a run, or mindlessly looking at beautiful vacation homes online. Give yourself that break. Get distracted. But….don’t allow yourself to be distracted for too long. If you find yourself binge watching a show for 3 hours while you get behind on other things, this is not helpful. Set a timer if needed, and once it goes off, you get back to your work. Think of this distraction as hitting a reset button. It doesn’t fix whatever problem you were worried about initially, but you gave yourself a mental break. And sometimes, when you come back from that break, the problem doesn’t seem so bad.

This works for kids too. If they are struggling to figure out a problem in their homework, let them take 15 minutes to watch a show or play a game. Let them reset. Let them give their little brains a break and hopefully they are able to focus when they come back to the table. You know your child, so maybe watching a show isn’t the answer for them. Maybe they need to go play some football, listen to music, or dance – whatever your child can becoming fully engrossed in to give their mind a quick break.

Sometimes we can feel overwhelmed by all the things we have to do; the never-ending lists that just seem to get longer. Parents and kids both can have several tabs open at once in our brains. Kids are thinking about school, a test, play practice, sports, friends, etc. As parents, we know all too well how many balls we are constantly juggling. Our kids classroom party, a big work meeting, piles of laundry, picking up groceries, planning dinner, the house is a mess, the guests coming tonight, the dog needs grooming, the dentist appointment tomorrow, that email you still need to respond to, etc. The best way to shut down some of those tabs could be to distract yourself. It seems counter-intuitive. Shouldn’t you stay focused and get working on all this stuff?

If you can step away from all of it for a little while and let your brain be silent, sometimes you might find you come up with answers. Have you heard the saying, ” We come up with our best ideas in the shower.”? That’s because typically we are doing a mundane task that we don’t have to think about, and we don’t have distractions. So leaving technology behind is key here. Go for a walk, drive your car, or take a shower without distraction. Let your mind go. You’ll probably notice you come up with great ideas, solve problems, and figure out how you want to respond to that email while you let your mind work in silence.

For parents who have trouble falling asleep, distraction can be helpful too. If your mind is racing at night when you’re trying to fall asleep, use a distraction that will shut your mind down. For me, I have to write down ideas or problems that are keeping me awake so I can revisit them tomorrow, otherwise I cannot fall asleep. Once they are written down, only then can I turn off my brain and relax. If I wake in the night thinking about the problem again or I have an idea, I have that notebook by my bed to write it down, get it out of my brain, and fall back asleep.

It’s important for parents and kids to try and stay off technology right before bed. Parents, alcohol and caffeine intake can negatively affect sleep too. Sugar is a culprit as well, so watch how much sugar you and your kids eat after dinner. I have other blogs detailing out the ideal sleep environment, but a dark, cool room is important no matter your age.

If you find you’re prone to anxiety or depression, and you also aren’t sleeping well, make sleep your #1 priority. Sleep deprivation has all the same symptoms as anxiety and depression, as well as lowering your immune system, so get your sleep on track, talk to a therapist, and work on ways to find healthy distractions.

Alyssa Veneklase is a Certified Infant & Child Sleep Consultant, Newborn Care Specialist, and Certified Elite Postpartum & Infant Care Doula. She is currently a real estate agent working with her husband, but continues to teach three classes at Gold Coast Doulas – Newborn Survival, Becoming a Mother, and Tired as a Mother.

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Woman's shoulder with three acupuncture needles sticking in it

Acupuncture for Anxiety: Podcast Episode #105

Kristin Revere, Co-Owner of Gold Coast Doulas talks with Vikki Nestico of Grand Wellness about acupuncture to help relieve stress, tension, and anxiety.  You can listen to this complete podcast episode on iTunes or SoundCloud.

 

Kristin:  Welcome to Ask the Doulas with Gold Coast Doulas.  I’m Kristin, and I’m here today with Vikki from Grand Wellness to talk about how acupuncture can help with anxiety, both in pregnancy and after delivery.  Welcome, Vikki!

Vikki:  Thank you for having me!  It’s awesome to be here again.

Kristin:  Yeah, it’s great to have you back!  We spoke about acupuncture and fertility last time.  So I’m excited to delve into anxiety.  A lot of our clients struggle with anxiety, both in pregnancy and after giving birth.  So I’d love to hear a bit about you personally and also your practice before we begin.

Vikki:  Well, I moved here from New York City about six years ago and was so happy, because I do love it here — it’s such a great city — but really exciting to bring — I wouldn’t say I brought this medicine here, but, you know, I’m one of handful of people that do acupuncture in West Michigan.  And in New York, every corner has an acupuncturist.  So it’s wonderful to be a part of the crew that can — that really gets to share this medicine for the first time to so many people.

Kristin:  Right.  Yeah, it is definitely all about education, and we feel the same way about birth support and certainly postpartum doulas.  Everyone has a doula in New York or Chicago or in other markets, and so both of us in our practices have the challenge of educating the community on the benefits of our services.  So it’s great to partner with like-minded professionals like yourself and refer clients and know that you’re a trusted referral source.  You know, we tend to refer a lot of our clients who are either struggling with pain in pregnancy or are trying to induce labor or have a baby who’s breech, for example, and they’re trying to do everything they can to flip baby.  So we appreciate how much you’ve helped our clients.

Vikki:  Oh, thank you.  I love working with women and with women in the process of getting pregnant and working through pregnancy, giving birth.  There is nothing more exciting than to get that note from a client with a beautiful picture of their baby on it.

Kristin:  Yes!  That is the best.  And then if you continue the relationship, that’s also quite lovely, to follow up and see how they’re doing.

Vikki:  Absolutely, and usually when you get in — you know, obviously, with doulas, you then work on next pregnancies and sometimes around that.  For us, it really opens our clients’ eyes to what acupuncture can help with.  So if we’ve helped somebody through fertility and through pregnancy, we’ll often see them down the road for the beginning of other conditions.  You know, they’ll pop in and say, you know, you helped me with this.  Before I have to go in and, you know, take maybe a certain medication, you know, can acupuncture help?  And so it’s really wonderful to, exactly, continue on and help them throughout other struggles they may have in the future.

Kristin:  So, Vikki, tell us how acupuncture can help a birthing person with anxiety during their pregnancy.

Vikki:  Well, first of all, we are all aware when we’re pregnant that the body is making these huge changes.  And with that, we are increasing our blood supply.  We are just making this little human.  And that amount of added blood in our body can really affect how smoothly our circulation flows and how smoothly our energy flows.  So when we look at things like anxiety, in particular, you know, we want to make sure that we are helping somebody have everything circulating through their body with ease.  But why things may struggle: there can be a whole host of different reasons why, and so with Chinese medicine, we — for those that have never had it, there’s not just one answer to a condition.  So there’s not just — you know, say somebody is having struggles sleeping.  There’s not one pill or one herb or one item for the whole idea of insomnia.  And the same way with anxiety.  If we’re having a client who’s struggling with anxiety, we need to ask a lot of questions and go through a lot of our diagnoses to find the pattern and to help unravel that pattern.  So we do — we ask a lot of questions.  We want to know things like, have you had anxiety before?  Or is this something new due to the hormonal changes in pregnancy?  Are you eating differently?  You know, we change our eating habits when we’re pregnant, and sometimes we’re craving things, maybe more items that are hot and spicy, or dairy, or fried foods.  That can affect anxiety.  Being depleted because we’re working at home or at the office a lot can, you know, cause some fatigue in the body.  That can add to anxiety.  But then also we want to know the physical symptoms of what they’re feeling.

Kristin:  Sure.  And if someone’s had back to back pregnancies, there can be a lot of depletion with that.

Vikki:  Absolutely.  Absolutely.  So we just take all this information that we get during our conversations with our clients and through our own diagnoses or tongue and pulse diagnosis that we do.  You’ve had your tongue looked at before, so you know.

Kristin:  Yeah.

Vikki:  It gives us a lot of really objective information.

Kristin:  I felt like your intake session was very thorough and, you know, even getting into the supplements that I take and how that affects my mood and energy level and so on.  Yeah, it was very thorough.

Vikki:  Yeah, and then that gives us, you know, how are we going to release this anxiety; how are we able to cool the body if it’s more of a racing anxiety; how are we going to be able to bring that down and allow our clients to take this big, healing, deep breaths.  And acupuncture’s really helpful for that.

Kristin:  Yes!  And so as far as this session — and you describe sort of the intake process, but for clients who say they have a fear of needles or are uncertain on, you know, what a session would look like, and you mentioned that it’s relaxing, and I would definitely agree with that — can you take — walk our listeners through what a session would be like during pregnancy?

Vikki:  Yeah.  I totally understand that it seems really odd that it could be relaxing, until you’ve had it done.  And I see a lot of clients that come in who are very hesitant because they’re very — they may be fearful of needles.  And so I work within their capacity.  Here, we’re very gentle, and as I always say to my clients, you’re in control when we’re in the room.  The importance for me is to help the patient find comfort so when they are resting with the needles in, then they’re able to really relax.  So treatments usually start by a lot of talking.  You know, our first treatments are about 90 minutes, and that’s because we do a good chunk of talking to unravel where this pattern starts so I know how I’m going to approach the treatment.  It also helps our clients get comfortable with me or Corey, who’s the other acupuncturist here.  And know that this isn’t a rushed treatment.  What we do here, we take our time, and we always make sure that our client is comfortable.  And then after we chat for a while, we do that tongue and pulse, that diagnosis, which is, you know, just how we can objectively see what’s going on in the body.  And then we choose the points that we’re going to use to right the imbalance, and the client gets to lay for about 25 minutes or 30 minutes with the needles, which, again, sounds like it wouldn’t be relaxing, but you don’t even know they’re there.

Kristin:  Right.  I would agree.

Vikki:  And it’s a very deep rest.  A lot of times, people are surprised how deeply they nap when they come in for acupuncture.  Very relaxing.

Kristin:  Now, after baby’s born, walk us through how that can be helpful if a listener is struggling with postpartum depression or anxiety or OCD after giving birth and how you can level hormones and so on.

Vikki:  Acupuncture’s a really wonderful and natural way for women to build their strength and to heal after birth.  First and foremost, it’s a great therapy for restoring energy and boosting that immune system, and that is not just, you know, after — for women after they’ve given birth.  That’s for clients going through cancer treatments.  That’s for people struggling with chronic fatigue syndrome.  Acupuncture is just a really great therapy to bolster our energy of our body and really direct it to helping us heal and be stronger.  But specifically to helping after a baby is born, acupuncture helps to rebuild blood that was lost during childbirth, which can bring on other conditions.  It helps you increase circulation that will speed up wound healing and helps stop pain.  It helps with women with breastfeeding issues, increasing milk production or healing mastitis.

Kristin:  That’s amazing.  I didn’t realize.  I knew that the milk supply would be affected, but mastitis healing — fantastic.

Vikki:  I know I see people that, you know, come in and we have certain points that really help to increase that milk supply but also helping our body just to use our body fluids correctly and to create that breastmilk.  It’s wonderful to see women be able to get some support, not with the aspect of how are you positioned and how is the baby breastfeeding, but internally, how your body is actually dealing with the milk supply.  We also, after the baby’s born, we help a lot with emotional issues.  And, you know, like you said, it’s not just anxiety and depression.  It’s worry.  It’s grief.  I see women that aren’t breastfeeding and maybe they couldn’t for some reason, or they chose not to, and after they made that decision, they’ve been feeling grief about it.  We are here to help; we help them process that.

Kristin:  Right.  Or grieving the birth that they wanted that didn’t happen.  There’s so much.

Vikki:  Absolutely.  You know, I always — I often say that in China, women have a whole month where their job is to rest after giving birth, and, you know, they take — the baby is brought to them.  They feed the baby; they cuddle the baby.  But for the most part, their family is there to take care of that baby and to take care of that mom and feed her great food and get her energy and her blood back to normal so she’s at full capacity when she’s back, when she’s clicked into really taking care of that baby.  And we don’t do that here in America.

Kristin:  We don’t, unfortunately.

Vikki:  Yeah.  And so it can take longer for us to heal physically, for us to heal emotionally, because, you know, we don’t — we haven’t nourished ourselves and been able to rest as much and to have as much self-care time.

Kristin: And you describe what we do as postpartum doulas, like in that role of what a family member would do in other cultures, making sure that they’re nourished and they’re taking care of their house and bringing baby to them and encouraging them to rest or take a shower or have a cup of tea.  And so, yeah, so we love that role.  It is such a depleting time, and I feel like our culture is so rushed.  I do love the first 40-day concept of healing and rest and care.

Vikki:  Absolutely.  As I say to my clients when we talk about working with doulas, during that time — in a lot of these traditional countries, villages, our families were so close that we didn’t need all this, you know, this other — we had somebody that was coming.  There was somebody in the village coming.  But now, we don’t have people in the village coming.  We don’t have our families right there.  We need our doulas.  We need our acupuncturists.  We need our advocates or people that listen to us.  Therapy, I often will say, is a wonderful thing, because we don’t always have the support here.

Kristin:  Right.  Exactly.  And a lot of people move here for work and don’t have any family to help care for them and, you know, it’s so needed to take that time.  And like you said, that 30-minute session is a time away from family and responsibilities as a mother, and you can just rest and relax and have someone take care of you.

Vikki:  And in that 30 minutes, that 30 minutes isn’t even just the whole treatment.  That is just the 30 minutes that you’re laying and resting with the needles in.  You’ve already been able to share your truths, to share what’s going on, and we can begin treatment, but then you get that time in just a safe, healing environment, with gentle music, to just relax and let the body just take full control of healing and making some really great, balancing changes.

Kristin:  I love that.  So, Vikki, tell us how our listeners can get in touch and payment methods.  I know you take health savings and flex spending and some insurances and so on.

Vikki:  Yeah.  So we are happy to work with our clients when it comes to billing, in many ways.  First off, if their health savings or FSA does cover acupuncture, we definitely take it, and we definitely supply people with superbills that needs them for insurance reimbursements if they’re unsure about reimbursement.  We do bill insurance directly for those that do have benefits for acupuncture.  And we also have loyalty programs where we, for our clients, we offer the tenth treatment complimentary, and that is a mix of many of our treatments here from acupuncture to reiki to massage.  We understand that, you know, the Western world hasn’t really gotten on board to the preventative medicine, and so insurance doesn’t cover everything.  And we love to be able to help in ways that we can.  So, you know, that’s how with insurance and that.  But they can get in touch with us from our website, and on there is a whole bunch of information.  You can also book online there.  Otherwise, clients can call the office directly and make appointments with our front desk, and the number there is 616-466-4175.  I often encourage people that are unsure to schedule a complimentary consultation with myself or Corey, the other acupuncturist who works here, who’s awesome.  And, you know, we’re happy to really answer questions and for people to hear our voices and to be able to have some conversation about them directly to help with their comfort level as to whether or not they feel like this is the right therapy for them.

Kristin:  That’s fantastic.  Do you have any parting words for our listeners?

Vikki:  You know, when it comes to dealing with changes in our mood, especially around the times of pregnancy and giving birth, these times are just really a struggle for us.  It’s what makes us as women so powerful is the ability to be able to roll with these changes and to experience what is amazing about our bodies.  But it doesn’t mean that everything goes smoothly, and I often see people get caught up in — you know, women seeing other mothers who just effortlessly fall into being a mother and gave birth and just the ease of raising children.  And I can usually guarantee most women that that is — that we all struggle.  We all struggle.  And there are many options for help, and acupuncture is a great one.  It’s not the only one, but it is a great therapy for supporting women during these times and just unraveling the stressors and emotions that we struggle with during that time.

Kristin:  I love that.  Thanks for sharing!

 

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Woman laying in a hospital bed

Hyperemesis Gravidarum

This post was written by Lauren Utter, a ProDoula trained Birth and Postpartum Doula with Gold Coast Doulas.

Finding out you are pregnant can bring an array of emotions – planned pregnancy or not. Maybe you’re excited because you have been waiting for this day. Maybe you are surprised because a baby wasn’t on your radar. Maybe you’re fearful – of what your pregnancy will be like, how you will look, if the baby is going to be okay, or how you’ll feel.

All of these feelings are normal. Being pregnant causes your body to change. Not just a growing belly, but new hormones, cravings, thoughts, and illnesses. 70-80% of women suffer from morning sickness. At least 60,000 cases of extreme morning sickness, also known as Hyperemesis Gravidarum (HG), are reported (the number of cases is actually higher as many are treated at home). Perhaps you wonder if this is how all pregnant women feel or is it just you? Or maybe you question your ability to handle nausea and pain. Do you feel as though others minimize how you are actually feeling- giving you tips that you have relentlessly tried?

Morning sickness is difficult to deal with; it’s exhausting and frustrating, but there are many differences between HG and morning sickness. Women with HG lose 5% or more of pre-pregnancy weight. Morning sickness doesn’t typically interfere with your ability to eat or drink, whereas HG often causes dehydration from the inability to consume food or drinks. Morning sickness is most common during the first trimester, while HG lasts longer – sometimes through the whole pregnancy. A woman with HG is more likely to need medical care to combat symptoms.

HG is often described as debilitating, making everyday activities like working, walking, cooking, eating, or caring for older children hard to do. Not only are women having difficulties eating and drinking, but taking their prenatal vitamins is often difficult, too, which results in a lack of proper nutrition. Because of severe dehydration and insufficient nutrients, headaches, dizziness, some fainting, and decreased urination can present as greater symptoms of HG.

On top of all the physical signs of HG, secondary depression and anxiety may also be present. There are potential complications that arise when HG is present. We talked about malnutrition and dehydration, but some others include neurological disorders, gastrointestinal damage, hypoglycemia, acute renal failure, and coagulopathy (excessive bleeding and bruising). Fortunately, with effective treatment these complications can be managed or even avoided completely.

While there is no cure for Hyperemesis Gravidarum, there is a variety of treatments including medications and vitamins, therapies (nutritional, physical, infusion), bed rest, alternative medicine, chiropractic care, massages, and more. Not all women and cases respond to treatments in the same way. Caregivers typically believe early intervention, even prevention, is most effective.

Medical providers work with each woman to discuss which treatments work best for them. Common medications offered to women suffering from HG are antihistamines, antireflux, and metoclopramide. Because HG can be traumatic and highly stressful, 20% of mothers experience Post Traumatic Stress Disorder (PTSD) and Perinatal Mood and Anxiety Disorders (PMADs). Early intervention proves to be effective, and your OB/GYN, primary care doctor, or a mental health specialist are fantastic resources for mothers experiencing symptoms of any mood disorder. Along with medical professionals there are many forms of support and resources. There are several Facebook groups of women who are suffering or have suffered from HG. This is a great way to feel supported by knowing you are not alone.

The website Hyperemesis.org is equipped with resources, facts, and blogs from other sufferers and their organization, HelpHer, are leaders in research for HG. The HER Foundation puts on events throughout each year for women and their families to come together.

Another great support system is hiring a doula. Doulas offer support through pregnancy, birth, and postpartum. Through pregnancy we can be there for bed rest support, informational, and emotional support. We provide you with evidence-based resources, and factual information. With this information, women suffering from HG can self-advocate for proper testing and treatment that best suits their pregnancy journey. During the postpartum time, not only do doulas help with infant and family care, but doulas are trained to notice signs of PMADs and will provide you resources that can assist you through recovery.

Doulas want to see you be successful, confident, comfortable, and healthy. I know I can’t be the only one who pushes aside her feelings, physical and emotional, and says “Oh, I’m fine” or “It’s nothing.” Our bodies are designed to “tell” us when something is wrong. Here is a tip: start logging your symptoms, from a single headache to daily nausea and vomiting. This will help your medical provider reach answers. Trust your body and trust your intuition, strive for testing that you believe is necessary, and find your people.

Photo by Andrea Piacquadio from Pexels

 

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Alyssa of Gold Coast Doulas holding a Zoom interview for the Ask The Doulas Podcast

Adult Separation Anxiety: Podcast Episode #99

On this episode, Alyssa and Laine begin by talking about  parenting anxiety and the distance that parents can sometimes feel as their babies and children grow and seem to need them less.  The conversation takes some interesting turns to talk about having clear boundaries for kids, pivoting our expectations of children as they grow, and learning how to figure out who you are as a parent.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  Hello.  Welcome to another episode of Ask the Doulas.  I am Alyssa Veneklase.  Super excited to be talking to Laine Lipsky again.  How are you?

Laine:  I’m good.  How are you doing?

Alyssa:  Good.  So we had a couple great podcasts, and I had an idea last week about another topic to talk about because I have a lot of clients who — so, they come to me and they want something specific, right?  They have a specific sleep goal.  Maybe that’s to stop nursing to sleep.  Maybe it’s to stop bed sharing.  It could be any number of things.  But when those things happen, they struggle with feeling distance from their child because now they’re not cosleeping, and they’re not nursing to sleep anymore.  So I just wonder, you know, from your end as a parenting coach, what kind of, I don’t know, tips or tricks do you have, because it kind of seems like the classic motherhood scenario, right, where our babies are going to grow up and we always have these feelings of — I don’t know.  It’s almost like grief.  You’re, like, grieving the loss of one stage of this child.  But, of course, we want them to grow up and we want them to become strong, independent little humans, but we grieve the loss of that, especially if maybe you’re only having one child.  So, yeah, I just kind of — like, that was an idea I had.  So let’s talk about it.

Laine:  Yeah.  It’s such a good topic, and you’re right, it does sort of permeate all phases of parenting, right?  Like, no matter how old your child is, you’re going to be experiencing — you’re moving through life and life stages, so there’s going to be transitions, and transitions are — they have loss as part of them.  That’s part of the deal of a transition.  You’re starting something new.  You have to let go of something that you had before.  And I’m sure with the clients that you’re talking about, when they’re looking to move out of one sleep phase, it’s because it’s not working for them, right?  And they want to move into this new thing, but once they have the new thing, it’s like this sort of romantic, you know, notion.  But there is this real separation thing, and I think that’s where the pain point is.  It’s interesting talking about it.  I think that what comes up for me when you first mention this topic was that I received a card when my son was born, and I think it’s a — I don’t know; maybe you’ve heard the phrase before, but it was something — I might get it a little wrong.  But it was something along the lines of, “Motherhood is the understanding — or the agreement, maybe — of having your heart walking around outside of you for the rest of your life.”  Have you ever heard that one before?

Alyssa:  Yeah, I’ve heard that, and it’s so true.

Laine:  Yeah!  So hopefully I didn’t butcher that too badly.  But it is really like — it’s such a good quote and concept because it really is, in a nutshell, saying about — this other person that’s really a part of you and really needs you is going to be separate from you.  Right?  In different times of life.  And I think that, you know — I think that when — it’s like a confusing time when you first have a baby because you’re literally enmeshed with your baby, right, when you first take them home or you’re an adoptive parent and they’re first brought home.  They’re so reliant on you and dependent on you for their survival, if you have an infant on your hands.  Right?  And it creates this — I mean, it creates this codependence, really.  It’s like the ultimate enmeshment of a relationship.  And I have always seen motherhood, like early motherhood, as being like this accepted form of enmeshment, and then the process of it kind of tearing and tearing apart.  And that, I think, is the pain of it, is this process of separation.  I hear a lot from people that they get afraid of, like, oh, my child won’t need me anymore.  And I think that — I mean, I think we all go through that.  I think we all have that fear of, like, being so needed and then not being needed.  It’s like this overwhelming capacity of being needed and then flipping over to not needed anymore, and we get so identified with that need, that early need that our kids have for us.  I think we identify with it really strongly.  That’s, like, an interesting place to start talking about it.

Alyssa:  Yeah, and it seems to happen so drastically.  So, you know, this infant needs you 100% of the time.  You’re sustaining its life.  It needs you to live.  And then you have a toddler who still needs you quite a lot, and then all of a sudden, you have this young — you know, maybe at age 8, 9, 10 — they’re just so independent that it just stops.  And I think that’s what’s really hard for, maybe especially us as mothers, is we go from, “Hey, Mom.  Hey, Mom.  Mommy, Mommy, Mommy,” like all the time, to, “I go this.”  So I think, you know, when my clients with their babies are going through this, it feels very severe, like it just happened so suddenly.  And they really struggle with that feeling of disconnection.  So I try to find, you know, what’s a way that we can bring that feeling of connectedness back without getting you back to a place of sleeplessness.

Laine:  Yeah.  What comes up for me when we’re talking about this is really the backing up in that process.  Like, even before somebody is lamenting the loss, right, like, it’s almost like — when you lament losing something, when you grieve something, it’s almost like I didn’t get enough of it, or maybe I didn’t do it — I didn’t get enough out of it when we were going through it, and I’m not ready to let go of it yet.  And one practice that I feel really strongly about in parenting, and I think this applies here, too, is the concept of practicing mindfulness.  And one of my favorite definitions of mindfulness is actually savoring.  When you savor moments with your kids, what you are enjoying about each phase in the moment — I believe there is a natural sense, because I see it with parents and I know with myself, there’s a sense of completion of a phase, and it’s not as hard to let go of because you’re not like, oh, I’m trying to grasp back to that.  So, for example, I remember — I remember actually sitting — it was with a friend and her toddler.  We were at a play date together, and the moms were sitting in one room, and the kids were supposedly playing in the other room.  And the toddler kept coming up to her and asking for her attention.  And she kept shooing him away, saying, go, this is your time to play with your friends.  Go play with your friends.  I mean, all he wanted to do was sit on her lap.  He didn’t even — he wasn’t even that demanding, right?  She kept shooing him away and shooing him away.  And finally she, like, couldn’t fight the fight anymore, and she let him sit on her lap, and she was so much happier about it, and she was obviously so much more at peace.  And, you know, the other moms were sitting there, and I was like, you know, this time is going to pass so quickly.  Embrace this time that he’s seeking your attention because before you know it, he’s going to be off.  Peace out, Mom.  I don’t need you anymore.  And that — I think that when we fight what’s happening in the moment, we kind of lose out on getting our fill of it.  Does that make sense?

Alyssa:  Yeah.  I almost wonder if you hit the nail on the head there with my sleep clients, because let’s say it’s a two-year-old that I’m working with.  Maybe they — because of sleep deprivation, they feel like they’ve lost out on so many moments, because as we’ve talked about before, it inhibits your ability to parent, and then with a sleep-deprived child, they’re not themselves, either.  So maybe they feel like these months or years of sleepless nights and dealing with a crying child and tired and screaming, they feel like they didn’t get all those moments or get enough of those moments; that they’re not ready when it does end.  I’m not sure.

Laine:  That’s interesting.  There’s also very intense bonding that happens.  I had a child who was not a good sleeper, and there’s very intense bonding that happens at 3:00 a.m.  And it’s like you love this being and you’re there for this being and you’re comforting them or you’re trying to comfort them in whatever way, and it’s so primal and it’s so intense that I think there is a loss of that, like, bonding experience.  How are we going to bond?  If that’s been our bonding up until now, as crappy as it was, as hard as it was, if we don’t have that thing, how we do it now?  And I think that gets to more the real, like, heart of how do you interact with your child.  How do you interact with anybody when the problem has been defining the relationship, right?  Anybody, really.  Like, when you have a friend and, like, all you’ve been doing is, like, talking about what hasn’t been working, let’s just say, in your friendship, and then suddenly you resolve that thing.  It’s like, wait.  Do we even know how to interact with each other?  Or like with parents whose kids then leave the house.  This whole — I know you’re far away from this, but it does happen.  Kids do eventually, you know, leave the house.

Alyssa:  And then the parents are like, hmm, what do we talk about?

Laine:  Yeah.  Like, so I still like you?  Who are we without this thing, this elephant in the room?  Or not elephant; we’re actually talking about it.  Maybe it’s not the elephant.  And, like, I think that there’s some fear there, and I also — which I get.  I get it.  How do I actually mother now?  If my child doesn’t need me for this essential need, this basic physical thing of sleep — okay, so what are the other levels I can bond on?  Maybe it’s the physical because it’s about kissing them, you know, their boo-boos when they fall down.  It’s about feeding them.  It’s about making sure their diapers are clean or whatever.  I’ve got the physical thing.  But it starts to kind of move into this more emotional realm where I know for a fact that most people feel very uncomfortable.  How do I actually interact with my child?  Especially — I don’t know if I told you this in one of our other podcasts, but it does bear repeating.  When I Googled how many people were raised in a dysfunctional home, do you know what the percentage was?

Alyssa:  I’m sure a lot higher than I think.

Laine:  It’s staggering.  96%.  Some sort of dysfunction.  Not, like, fully crisis level, but some sort of — and the way that it was encapsulated, at least in the article that I read, was around the ability to talk about emotions.  The emotional functionality of families.  So maybe there’s something going on.  I’m just riffing here, but maybe there’s something going on.  If we’re moving out of the physical realm, I don’t know if I’ve got the chops to handle the emotional stuff that’s coming.  I thought that maybe the physical piece of it is ending.  Maybe there’s something there.  I think a lot of people get really nervous about, like, what else am I — if you’ve been nursing your child, if I’m not the nurser, then what do I have to offer here?

Alyssa:  Yeah.  It’s like learning and relearning who you are and who your child is and then rebuilding that relationship, maybe even from the ground up, if that’s all you’ve known for months.

Laine:  Yeah, or I would say more like pivoting.  Right?  Pivoting from being one thing; okay, now I’m this other thing.  Okay; now I’m going to be this other thing.  And that’s a process that doesn’t stop, right?  Like, my kids are 12 and 14 now, so, you know, you’re the comforter when they’re born, and then you’re the playmate and the early teacher, and then you become the — you continue to be your child’s teacher, but you keep pivoting as they grow, depending on what they need, and developing a sense of what is sort of normal levels of need and what the fair expectations are at each stage.  I think it’s a really useful thing.  Like, I don’t want my 14-year-old coming to me with every single issue that’s going on.  You know, I want him to have some agency in the world, right?  So at this point I will, like, sometimes purposefully put him into an uncomfortable situation.  Like, you order the food for the family over the phone, or you make the appointment for the doctor.  That kind of thing.  And, again, he’s older, but that’s where we’re headed with them, right, to teach them real-life skills.  But that doesn’t mean he doesn’t need me anymore.  It just means that it’s like handing — it’s like you have the reins, and then you slowly start handing the reins over to your child.  It’s a process.

Alyssa:  Yeah.  I like the idea of pivoting.  Because it’s true; at every age and stage from birth on, it’s this constant shift of, now I have to do this for my child.  Now I don’t need to do that, but guess what?  She has a new need.  She doesn’t need this one anymore, but she needs me in this other way, and helping parents to understand that.

Laine:  Totally, and what sucks about it for parents is that just as you’re getting good at one stage, those kids go on and they do something else, and you’re like a rookie all over again.  Even if you’re on your second or your third child, your second or third child isn’t going to be exactly the same as your first or your second child.  It’s like, I’ve never been a mom to — to my 12-year-old, I’ve never been a mom to a 12-year-old you before.  I’ve never been a mom to — even though I was a mom to a 12-year-old before, it wasn’t to you.  Which is a very useful phrase for me to teach people to have in their back pocket.  You know, I’ve never done this part for you before, with you before.  And staying flexible and flexible-minded is the key to it, for me, anyway, and what I try to teach people.  Something else along the lines of mindfulness and savoring each stage is letting yourself grieve a little bit at each stage.  I think it’s a really — like, what a useful practice.  You know, to recognize that this piece is ending and not try to talk yourself out of being sad a little bit.  You know, I think anytime we try to overshadow — did you see the movie Inside Out with your daughter?

Alyssa:  Yeah.  Oh, yeah.

Laine: I mean, really.  Such a good movie.  We just watched it again as a family the other night.  And it’s just brilliant, right?  Anytime you try to overshadow sadness with joy, it just rings false.  And it doesn’t hold the truth to it.  And so you asked me for tips and tricks.  One thing that I will share that I do around grief is I have a really simple candle lighting thing that I do, which is when I’m feeling grief about something — could be anything, but even parent-related — I just have a little candle that I light, and I say, like, I grieve this thing.  You know, I grieve the end of this stage.  I grieve that I didn’t get to do this.  I grieve, you know, we’re in Corona times right now, so I’m grieving that I don’t get to see my friends, and honoring that grief because any time we try to convince ourselves and “joy” our way out of something, we’re not going to get the full experience.  It won’t be satisfying, and it won’t feel authentic.  And as a parenting coach, I will say: our kids pick up on it.  Whenever we are acting from a place of inauthenticity, that’s when they start to smell the blood and the fear in the water.  So they’re going to start acting out more.  They’re going to start — because they’re reacting, not always entirely, but a lot of times, they are reacting to the energy, the emotion, that we are emitting, even if we’re not saying it out loud.  They’re feeling it, especially the young ones.  Like the kids of the parents that you mostly deal with — those kids are all about, you know, the limbic part of the brain, which is all that, like, mammal-kind of stuff, which is, like, I’m just going to feel how I’m feeling.  I’m not going to talk about how I’m feeling.  I’m not going to reason how I’m feeling.  I’m just going to be in the feeling 100%.  Right?  And so they pick up on — no matter what we’re saying, no matter what our tone of voice is, they’re going to pick up on what the feeling is.  And so we’ve got to get right with ourselves around it.  So I say welcome it.  Don’t disrupt your sleep over it, right?  I mean, please.

Alyssa:  Right.  Just own it.  Do whatever you need to do, whether it’s a candle or writing or a meditation.  But own it; leave it, and kind of move on, because it’s true.  Even at a few months of age, these kids — you know, you’ve probably seen those studies where, based on a parent’s face, how a baby will react.  And even just facial expressions can change how a baby feels and reacts.  So if you’re stressed, they feel it.  They notice.

Laine:  They do, and I think as much as it’s a good training ground for the infant to learn how they’re reading our face, it’s great training when our kids are infants for us as parents to be, like, I’ve got to get myself right around this.  Whatever this pain point is — it feels enormous because we’re all emotional and we’re all tired, and it’s all very, very sensitive and raw and new.  But in retrospect, the infant issues are going to seem very small, you know?  And when your kids get older, they will seem very small.  So we want to use these moments when our kids are babies to train ourselves.  How am I going to get right about this feeling?  What are my practices around talking about this?  Who’s my tribe?  Who are my trusted mentors?  What is my trusted source of information?  What are the practices that actually work for me?  You know, we’re so vulnerable as new parents to taking in all the information that’s out there.  It can get really overwhelming, like a tidal wave of information coming at us.  And it’s such a great time to learn how to slow down and just be like, hmm, what feels right for me?  And that takes some work for most of us, you know?  We want to do everything right, but really, there’s no — I’ve said this before.  There’s no one right way to parent, but there’s a right way for each of us, and we’ve got to find that way.  And the only way to do that is to get right with yourself.  So the other thing I was going to add in is that — you know, it’s interesting, because when people talk to me about sleep stuff, they’re often talking about their children — you probably hear this a lot, too — delaying the sleep by one tactic or another.  When they’re a little older, right?  I need another drink of water.  I need another book.  I need another song.  I need another whatever.  And what I find is really helpful for parents to know is that for children, this is a time when most kids and parents are at odds, right?  Children are not wanting to separate.  They’re looking for more connection.  But the parents are looking to separate because they need a break.  They want to connect with their partner if they’ve got one.  They’re tired themselves.  They’ve got dishes; whatever’s going on.  And so they become sort of at-odds, and so evening can become this really tense time, right?  And what I would — what came up for me as you were talking about your clients with this issue is, like, perhaps the parents are also experiencing some inner feelings about that separation.  Maybe they’re experiencing it as a separation as well, you know?  And so with separation comes a little bit of anxiety, not just about what it means, but the actual act of separating.  So I never thought about it as, like, creating anxiety for the parent.  I’ve always thought about it from the child’s perspective and thinking, like, well, this is — it’s an anxious time for them, and the more you can settle in to helping them, the better it will go overall.  But maybe there’s something going on there for them, too.

Alyssa:  I’m glad you mentioned that, the bedtime routine, because that’s the one time I tell them, really focus on that time to bond with your child then.  So that means it’s just you.  There’s no phone.  There’s no TV.  It’s just you two, and you’re not thinking about anything else.  You’re focused.  Because 30 minutes, which is the perfect bedtime routine, so it doesn’t — another drink, another book, another song – can turn into an hour or two easily.  So if you focus on trying to stick within 30 minutes, but 30 minutes of focused, dedicated time on your child is like hours to them.  So they’re going to struggle at bedtime if you give them 30 minutes but it’s half focused on them.  You’re checking the phone; you’re having them brush their teeth; you’re helping another kid, and then you’re telling them to go to the bathroom, and you’re never focused on just them.  If you have older kids, stagger it, so that the youngest, you’re putting to bed first, just them.  Then you do the next, and it’s just them.  If you can dedicate that time to them, it’s huge.  And then you can also feel — you know, even if you’re not nursing to sleep anymore, just those cuddles and sweet kisses and songs, you know, and holding the little stuffed animal, that can be still such an amazing bonding experience before bed.  I think it just takes focus.

Laine:  It does, and mindfulness, too, like that savoring.  You’re talking about exactly what I was mentioning before.  It’s the same thing.  Take it in.  Smell their little clean head.  You know, like enjoy their breath before it get stinky, you know?  Give them a few years.  You’re not going to want to do that.  Touch their skin; hold their hands.  That’s all mindful practices which is, like, just take it in.  Breathe it in.  Which is really hard.  I just want to, like, give a shout-out to the parents out there whose kids, first of all, you know, bedtime is not a pleasant experience.  That’s a very real thing.  And also a shout-out to the parents whose kids are not neurotypical.  So if you have a child who’s really challenging who’s, like, very strong-willed; a child who had a really hard time settling themselves down, and so bedtime routine is longer than that half-hour and it seems like the more attention you give them, the more they want, and the more they seem to crave — that is going to require something different on their part, too.  Because it’s not — I mean, 30 minutes, I would say, is ideal, but, like, I’ve got a child who is not neurotypical, and I would have loved half an hour.  Trust me.  But, like, that was not in the cards.  And so, again, recognizing what your reality is and accepting that and identifying where it doesn’t feel right.  Okay, I can make a tweak here.  Where it does feel right, I can embrace that part of it.  But really taking it all in and recognizing, like, this is your team.  You don’t swap out kids.  If you’re a coach on a team and you show up that year, these are your players.  You make the best of what you have, no matter who you have.  And everybody has their strengths, and everybody has their challenges.  I think that so often, parents whose kids require more, who demand more, start doing the, like, I wish it was this way, or so-and-so’s kids are so much easier.  This would be so much better if.  And rather than that grass-is-always-greener kind of thinking — that’s a real mindset shift that parents — that I do, I work with parents on all the time, of, like, who do we have?  Forget the ideal child.  Forget the ideal whatever; sleep routine or whatever.  We got to figure out what works for you.  You know?  And I think that a lot of — back to your original thought around, like, why — how parents grieve and the separation that they feel and the loss that they feel, you know, there’s a lot of fantasy thinking around, oh, it was supposed to be this way, or I was supposed to be this way.  And it’s like, you know, I have clients who have older kids, and they’re like, you know, I really am sad that now things are this way.  Maybe they would have been different if I would have parented differently when they were younger.  I mean, it doesn’t end, right, unless you end it.  Unless you end that kind of thinking, and you’re like, you know what?  Starting today.  Starting right here, right now, this is how I’m going to do it differently, whatever that different thing is.  The only mistake I really call parents out on is doing the same thing again and again and expecting different results.  That’s the only mistake that’s really going to bite you in the butt.  Other than that, if you’re trying different things, and you’re being mindful about it, and you’re being honest with yourself and getting really aligned with what feels good for you and lines up with your values — I mean, this is all — everyone’s a rookie.  Everyone.

Alyssa:  I love every piece of this.

Laine:  I don’t know that I have anything else to add.  I think that’s a lot.  That’s a lot of, like, essential, basic stuff.  You know, recognizing what you’ve got, leaning in to what’s true for you, tuning out the noise, having trusted people in your huddle.  You know, there’s a great body of information out there for parents right now and a lot of people delivering it and figuring out who’s your person is really essential.  And I love how you talk about creating specific plans for people.  Like, parenting is not one size fits all.  You work with a body of information.  And sleep is not one size fits all, right?  You work with a body of information, and then you have to pick and choose what works for you.  And the more — I just think the more support you can get for getting more and more aligned with yourself — that is an approach.  That’s not even a tactic.  That’s, like, a strategy.  That’s an approach for parenting that lasts a lifetime.  Because then no matter what, you’re, like, I’m good here.  I’m going to try these different things.  You know, one of these things is going to — all of them are going to blow up in my face.  This one thing is going to work, but that doesn’t mean — you know, that three minutes where I tried something new and it totally blew up in my face and my kid lost it — that doesn’t define me as a parent.  Right?  Like, I am defined by what I — I call the shots in what defines me as a parent.  Nobody else gets to do that for me.  And the more we can operate from that place of strength and confidence, which most people lack because they end up saying things, doing things, that they swore up and down that they wouldn’t say or do, but that’s what comes out in moments of stress.  And parenting is stressful.  It’s really stressful.  Our emotional back is put against the wall every day, most of the time.  Especially, again, shout out to parents who have kids who are not neurotypical or who are challenging.  You’re going to get stuff blown back at you every day.  And so if you don’t have your running shoes on, you’re not going to be prepared to run that marathon.  I just want people to — like, if I had one dream for all parents, it would be, like, get right with yourself.  You know?  And then, like, the rest — the rest is going to flow how it’s going to flow.  There are going to be bumps and turns and curves and sharp U-turns all along the way.  It doesn’t end.  But the calmer you can be, the more centered you are as a parent, the better off the whole family is going to be.  And that extends from early infancy.  It’s a great training ground, and all the sleep stuff and the feeding and all of that stuff to forever.  It’s not easy.  This sounds really easy, like I’m saying things that make it sound really easy, like get right with yourself.  Okay, Laine.  What does that mean?  Done.  Check.  Right with myself.  No.  It’s really, really hard.  And, again, that statistic of, like, how many of us grew up in some sort of dysfunction is real.  It’s so real.  And so, you know, I always say about parenting: it’s probably the most important job that any of us will ever have.  It’s certainly the most important job I’ve ever had and ever plan to have.  It makes it really stressful.  It makes it really important.  I really care about it.  And I didn’t get any training for it, except for how I was raised, and that’s true for everybody.

Alyssa:  When you put it that way, it’s pretty scary, when you think about it like that.

Laine:  How else could you think about?  I mean, put it in the context of playing tennis.  If you were taught how to play tennis, and then you were in a position to teach somebody else tennis, you can only teach them what you know.  Right?  I mean, so what would you do if you wanted to do it differently?  You’d get a coach.  You’d get help.  You’d get a consultant like you.  You would, like, start off learning how to do it differently so that you can give it to your children.  You can’t give your kids what you yourself don’t have, and I know for a fact that every person who I talk to about being a parent wants their kids to grow up to be a few things.  They want them to grow up to be successful.  Usually, actually, it’s happy first.  I want them to be happy.  I want them to be successful.  And I want them to be independent.  And sometimes kind is thrown in there.  Usually it is, eventually.  But it’s always happy, successful, and independent.  And what do you need to be those three things?  You need to have a sense of confidence.  And where do you get that from?  You know, well, you get it from your experience, and you get it from your parents.  And if you didn’t get it from those things, then you go to therapy and you work it out, and you figure some stuff out, and you try to bring those things in as an adult.  But wouldn’t it be a wonderful world if, you know, we could raise our kids who did not have to recover in one way or another from their own childhood and just grow up with this confidence.  And the only way we can do it is by giving it to ourselves first, which is awesome.

Alyssa:  Yeah.  It’s great.  I mean, it’s great relationship advice, and no matter what age, right?  I always say you can’t be a good partner if you don’t know what you yourself need and want.  But it’s good training ground for children.  I’ve heard it before in the aspect of a partner, but it relates to being a parent.

Laine:  Yeah.  I always — there are a few things I say a lot, and one of the things that I say a lot is, you know, I teach parenting, but really, what I’m teaching is relationship, like human relationship skills.  It just happens to come out in full bloom with our kids because, you know, they bring it out in us.  They bring out all the stuff that’s unhealed, that’s unsettled, that’s ungrounded.  You know what that feels like, when your child says something or does something that you’re like, oh, no.  Oh, that’s a no.  Right?  And you’re so clear about it.  Like, that interaction with her goes away.  I don’t know how it goes in your house.  It can go all sorts of ways.  It doesn’t mean it goes any better.  You just know, no.  I’m not going to give in on that one.  Whereas when you’re not clear, and you’re like, well, I don’t know.  It’s, like, blood in the water.  You know, they smell it, and it’s like they just feed off of the uncertainty, off the anxiety, and it makes them feel unsafe, too.  It really does.  It’s like if you’ve ever driven over a bridge.  They have those guardrails there for a reason — for many reasons, but imagine driving over a bridge and it didn’t have the guardrails up.  You’d be like, oh, my gosh.  I could totally take one little wrong turn and fall.  Boundaries are the same way with kids.  I know we’re touching onto another topic here, but boundaries operate like that.  They keep kids feeling really safe.  And so when we know what our boundaries are, it makes our kids feel safer, too.  And so often we don’t know, and so, again, this comes back to getting more and more clear about where we stand as people, as humans, as women, as mothers, as parents, whoever, before we start trying to impose boundaries on our kids because some of those are going to fall really flat.  And even with — I’m sure you bump against this with the sleep consulting, right?  Like, parents don’t really know how they feel about it.

Alyssa:  Yeah.  I mean, especially with the older ones.  You know, what are your boundaries?  And you do; you find out these kids are just trying and pulling all the tricks because they don’t — some days it’s yes.  Some days, it’s no.  Some days, they let them cry.  Some days, they let them stay up.  Some days, he sleeps on the sofa.  Some days, he sleeps in their bed.  One night, he’ll sleep in his room.  It’s just that there’s just no — zero boundaries, usually, so you just kind of have to slowly rein them in.  But yeah, in that instance, I am coaching the parents more than the child because they have to decide.  And I ask them: what are your goals, and what do you want your boundaries to be, because you both have to stick with it.  It’s a two-parent home.  You both have to agree, and you have to be consistent 100% of the time.  Because like you said, blood in the water.  They sense that Mom will do one thing, but Dad will do another, and they’re like, okay, I’ve got you.  I know what I can get from both of you.  So, yeah, consistency is key, too.

Laine:  Yeah, I was going to add, it can be that.  It can be that I can get away with this, right?  Certainly, when they’re older, I can get away with this.  They’re more conscious of it.  But I caution parents against thinking that way because then they get resentful of their kids for trying to take advantage of them, and I think, coming from where I sit from a boundary perspective, I actually think that kids are looking to find out where the boundaries are by testing those limits because they want to feel safe.  They want to know what the boundaries are.  So they’re not doing it — I’m just flipping what you’re saying a little bit — not doing it to get away with something.  They’re doing it to find out where the edge is because they’re actually not feeling safe about it.  Do you know what I mean?

Alyssa:  Yeah.  No, I like that.

Laine:  I think that makes parents feel a lot better and more confident to set a boundary when they’re like, no, this is actually going to feel good.  It might not feel great at the beginning, but it will feel better for everybody when they know what the rules are.

Alyssa:  Yeah, and I think you said it better than I did, but I tell parents that if you have different styles, absolutely fine.  Your boundary might be a little bit different than your partner’s.  As long as your child knows that there are boundaries, and there’s got to be a little bit of give, but your boundary can’t be here and your partner’s boundary can’t be here because then there will be fighting.  So a little bit of wiggle room, but I like that: making them understand that their child wants and needs these boundaries, and they’re not just testing them to be, you know, malicious or cunning or conniving.  They just — at all ages, right, they want to know what they can get away with.

Laine:  And they want to know where the edges are.  They want to know where they’re going to be safe.  It’s like the rails on the bridge.  It feels very unsafe to not have those rails up, even if they don’t like it.  If they seem to not like it on the surface, kids do better — research tells us again and again that kids who do better in life are kids who grew up with boundaries.  You know, not enforced in some militant kind of way, but fairly enforced boundaries that are clear; clear rules.  And very few kids, very very few, can operate without clear rules and kind of figure them out on their own.  It’s kind of an unfair ask of kids to figure that out.  It’s really on us.  Part of the deal with parenting.  So to your parents who are feeling a loss over not bed sharing anymore, I would add this, as maybe a good place to wind down: what are the rituals that they can put in place to make, like you suggested, bedtime really meaningful, and also wake-up time; the reunion time.  People put a lot of emphasis on the separation; like, oh, we’re going to have this sweet goodbye.  Even if a parent is traveling, right?  We’re going to do this when they leave; we’re going to do that when they leave.  And there’s so much anxiety around the separation, for kids especially, and like I said, sometimes with parents.  But if we flip it and we start focusing on, what are we going to do around the reunion time, it is actually something to look forward to.  And you don’t even have to talk about it very much with little kids.  You just start doing it.  That’s the beauty when they’re little.  You just start doing stuff and try it out.  How does it feel when you walk into the room after a night of being separate?  Check your own emotional baggage at the door.  Leave it.  Like, that was hard for me, but you walk in and you’re like, maybe there’s a special song you sing in the morning.  Maybe there’s a special dance you do while you’re lifting up the shades.  I mean, it could be anything.  It doesn’t matter what it is.  It matters how it’s done.  So rituals are so powerful for kids, and it’s something that is really soothing in them developing a rhythm in their life and in their heart and helping their brain develop a sense of safety and the sense of connection and that, you know, awareness for a parent can help put their minds at ease, as well.  Like, oh, I’m looking at how happy she is when she’s waking up, you know, and like really focusing on that reunion part.  But, again, not to diminish the sadness.  And then once you — having inner sadness, it’s kind of like having a child who’s really demanding your attention, like that mom I talked about at the playgroup, you know.  Once you let that sadness in, you let that child who’s demanding your attention on your lap, and you kind of welcome it and embrace it, it kind of loses its power.  So perhaps all the sadness around the grief is actually the fighting the grief, and if we welcome it — if they learn how to welcome it, they’ll feel more at peace about it and be able to let it go a little more easily.

Alyssa:  I love all this so much.  I’m going to be referencing this podcast to a lot of clients, I think.

Laine:  Well, excellent.  And, you know, I’m here for them.  I’m happy to help out however I can.

Alyssa:  Tell them how to reach you, and then I’ll tell your people how to reach me.

Laine:  Sounds good!  Probably the best way to find out more about me and to reach me is to just go to my website.  And how can my people reach you when they need a guru for their sleep needs?

Alyssa:  At our website, and then there’s a section for sleep.  And we have a blog listing on there, too, with a lot of stuff about sleep and anything pregnancy, birth, and parenting-related.  And then this podcast is called Ask The Doulas.

Laine:  Perfect.

 

Adult Separation Anxiety: Podcast Episode #99 Read More »

Mother comforting and speaking to her child outside

Parenting and Sleep: Podcast Episode #98

Laine Lipsky, Parenting Coach, talks with Alyssa today about the negative effects of sleep deprivation on children and parents.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  Hello and welcome to the Ask the Doulas Podcast.  I am Alyssa Veneklase.  I’m excited to be back with Laine Lipsky, parenting coach.  How are you?

Laine:  Hi!  I’m good.  How are you doing?

Alyssa:  Great!  So when we talked on the phone last week, we talked a lot about sleep, and we didn’t intend to talk about sleep, but I told you that I was an infant and child sleep consultant, and then you were like, oh, gosh.  The way sleep deprivation affects some of the families that you’re working with — it kind of created some interesting thoughts.  I’d love to hear some examples of how some families you’ve worked with and how sleep deprivation has affected that whole family, because I see that when I work with — I’m hired to help children sleep, but obviously, these parents aren’t sleeping, either.  That’s why they’re calling me.  And then sometimes even when I get the children sleeping, these parents are, like, I still can’t sleep.  It’s like if they’ve been two years without a good night’s sleep, they have to retrain themselves.  So even though I’m not an adult sleep coach, there’s still a lot of rules from children that apply to us as adults that I kind of have to remind them of and tell them to be patient with themselves, just like they had to be patient with their child to get them into this new rhythm.

Laine:  Yeah.  It is such a big issue, and I can speak from personal experience.  I have, hands down, the champion worst sleeper ever.  He is now a teenager, so for anybody out there who thinks that they could take me on, like, my kid on, when he was a baby, I challenge you to a duel, a sleep duel.  A sleep-off.  Whatever you want to call it.  My son — so I’ll just start by saying my son — he would go to sleep.  We did all the “right things” for sleeping, and when we would put him down at night, he would go through the night and wake up every 45 minutes.  And I was a nursing mom and I was not intending to cosleep, but because of his wake cycle, and nobody — nothing could get him back to sleep.  He had something called silent reflux.  It was really hard to diagnose.  It was really concerning.  We ended up cosleeping, and I — we had to out of absolute necessity.  So every 45 minutes — so literally, when I would put him down — and that’s in heavy quotes; “put him down” for the night, I would start weeping because I knew that there was just this huge thing ahead of me called “night” which was going to be really, really painful and difficult.  And you and I said we both know that, you know, sleep deprivation is a form of torture in prisons and there’s — I firsthand have been through it, and I work with people who have been through it.  So I just want to start off by saying, like, I feel anyone’s pain who’s walking around feeling like their body hurts, their eyes burn, they’re short-tempered; they’re not making clear decisions, and especially on top of it, we’re recording this podcast during this COVID lockdown time.  All of that stuff is just on, you know, steroids right now because we’re also stressed out about the uncertainty that surrounds us.  So my heart goes out to anybody who’s struggling with sleep right now, and it’s so widespread.  The impact of a parent being sleep deprived and maybe both parents being sleep deprived is just such a trickle-down effect.  And so, yeah, I can tell you a lot about clients who I’ve  had, but I just wanted to start off by saying that I have total empathy for somebody who is going through that.  It’s a really important issue.

Alyssa:  Yeah.  You almost forget how bad it is, and then you have one night of bad sleep, and you remember.  Oh, my goodness; how did I do this for weeks, if not months?  And some of my clients, for years.  You know, for two years.  It’s devastating to relationships to where I –you know, they’ll say — or even six months.  Six months old; I had a long maternity leave.  I need to go back to work, but I haven’t slept in six months.  Or I went back to work after three months, and I have not been productive at work for the last three months.  It affects everything.

Laine:  Right, or people driving to work totally sleep deprived.  That’s dangerous.

Alyssa:  It’s worse than drunk driving.  I mean, statistically, I think there are more driving deaths related to sleep deprivation than drugs and alcohol combined.  Combined!

Laine:  Wow.

Alyssa:  Yeah.

Laine:  I didn’t know that.  So I say a lot, joking not joking, in my practice, if parents were able to get on top of sleep early on in their families that I’d be out of a job because a lot of what I see are behavioral issues that are stemming from a lack of sleep.  And you just think about how you feel when you are tired, when you’re cranky, when you — you know, when you feel that way as an adult, you’re able to sit down.  You’re really able to say, I’m feeling really — at best, you’re able to say, I’m feeling really cranky.  I’m just really tired.  You’re able to maybe take a nap somehow, magically.  You’re able to have a cup of coffee.  When we think about our kids — or, you know, maybe people have a glass of wine to take the edge off.  There’s no taking the edge off for the kids.  They don’t have that.  Maybe it’s nursing.  I guess that would be the closest thing.  But there’s no edge — they’re just edgy all the time.  And so in a family system, what I see is that when kids are not rested and parents are not rested, we’re not dealing with the actual people.  We’re dealing with the tired versions of those people.  And so one of my very first questions when I speak to people about their parenting is, how is your sleep.

Alyssa:  That’s great.

Laine:  It’s that essential.  And because I shared a few minutes ago about my own son and my own sleep struggles: we defied the parenting books at the time to schedule our day or create a schedule around feeding.  I was, like, forget feeding.  Who’s going to eat when they’re tired and cranky?  Like, does eating feel good when you’re tired?  That’s not a solution.  The solution is sleep.  And so we quickly learned — and I don’t know if this is what you teach, but you’re so flexible.  You teach a lot of different things to people.  But had you been my sleep coach at the time, or sleep consultant, I would tell you that we were scheduling our day around our son’s wake-up time.  Like, that’s what we — we’re scheduling our day around his sleep needs.  His feeding seemed to be fine, but his sleep was just crazy off the charts.  And I think part of that is temperament.  I think a lot of it is.  And to this day, he doesn’t — well, to this day, he is a teenager, so he sleeps crazy amounts, but up until he started that whole sleep routine as a teen, he still needed less sleep than everybody.  He still needs less sleep than me.  And that’s where I see in families the real — when it’s upside down, when a parent has high sleep needs and a child has lower sleep needs, that’s a red zone for me as a parenting coach.

Alyssa:  Yeah, it’s really hard because in the podcast we previously recorded where you said there’s no one parenting style; there’s no practice style — but the same with sleep.  There’s no one — or there are some best practices, but there’s no best parenting style.  Same with there’s a lot of sleep methods, but there’s no one right sleep method for everybody.  So when I give someone a sleep plan which says, you know, based on your child’s age, this is what a child typically — what a nap schedule typically looks like or a feeding schedule typically looks like.  Most parents want to go by the — just down — and I have to remind them, we’re not watching the clock.  We’re watching your baby.  Your baby’s cues tell us, how long is their wake cycle?  Can they stay awake for an hour and a half before they get tired, or can they stay awake for two and a half hours before they get tired?  That will determine feeding and sleep schedules, not this list, not the clock.  So they just want me to hand them this guide that miraculously works, and it’s just not that easy.  We really have to watch Baby’s cues to understand what your baby needs, because if a typical baby needs 15 hours and yours only needs 14 hours, what does that mean?  Let’s try some things.  What is this going to look like?  A later bedtime?  An earlier wakeup?  A shorter nap?  Troubleshooting together is why I think finding a good sleep coach is the only way to be successful because you can’t just read a book because then you are looking at this sleep guide in a book saying, okay, oh, my gosh, it’s 2:03.  I’m three minutes late.  You should have been down for a nap.  But your baby’s not tired.  So then what?  Who answers that for you?

Laine:  Yep, and to have somebody help you watch that, because just like with parenting advice, you know, the old adage is that — the old whatever you want to call common wisdom or whatever that you might get from your own parents often doesn’t apply.  Sometimes they do.  Like, if you’re lucky, you know, like a baby will sleep when they’re tired.  Well, not if you have a baby who’s really high-strung, temperamentally speaking, or who’s overtired.  Their form of being really tired is wired, which is the case in my kids.  Right?  He didn’t get that dreamy, dazed-off look when he was tired.

Alyssa:  He didn’t give you the sleep cues of yawning and rubbing his eyes?  Mommy, I’m tired.

Laine:  There was no book that fit my child, and so to your point, I had to learn to read him and I had to stop reading the books.  And I didn’t do it perfectly.  You know, I still don’t do it perfectly, but just even that shift in my mindset of, like, oh, I need to read my child, not the books.  It’s the same thing that I say to parents about parenting, which is, learn to read your child and take in the information but, you know, information overload is overwhelming and we’re just being inundated with it now, and it’s conflicting information.  It’s like, you know, I’m a sports coach by training.  Then I apply all of that to parenting.  If there are too many voices in your huddle, right, the team gets off track and doesn’t know what they’re doing.  You need to have one clear voice in the huddle and for each parent, it’s going to be them.  Their family is their huddle, and the more clear that the leader can be, right, the captain — you’re the captain of your team — the better everybody is going to respond to that, or at least you’re going to know whether it’s working or not.  So what I find is happening with parents is they get in their, you know, best-meaning selves, they want to be informed.  They’re getting, like, flooded by information and they don’t know how to parse that out and to make it work for their child.  So is that something that you — how do you talk to parents about that?  Like, how would you help — that’s what I hear a lot from parents is, like, I don’t know what to do.  How do you handle that?

Alyssa:  A lot of the times, parents will come to me and say, we’ve tried it all.  We’ve done all of the methods.  All of them, even ones that I don’t agree with, right, like just crying for two hours.  But they’re so desperate.  They’re, like, this is what my pediatrician told me or this is what the book says.  I’m just going to try it.  Well, there’s so many methods, but they can be done incorrectly, and maybe that method’s not the right one for your child.  So if they’ve come to me and said, I’ve tried Method X but then I read through their intake form and I’m like, well, no wonder that didn’t work.  Here’s what we’re going to try.  Or we get into something and they’re like, hmm, but my sister has a baby who sleeps really good, and this is what they did, and you’re not telling me to do that.  I’m like, well, that’s their baby.  So you do.  You have to tell them — like, I love the coach analogy.  I am your coach.  We’re a team.  We’re doing this together.  I’m not coming in and just telling you what to do.  I’m doing this based on your family’s needs.  And then I educate you so that you can go and do it yourself because I’m not with you everyday for the next several months or years.  So I educate them so they have the tools moving forward to do exactly what they need to do.  And I also love the coaching analogy, the sports analogy, because for older children, I explain to them sometimes that it’s even with the emotional aspect.  You know, we talked in the last podcast about how we can’t just make our kids happy all the time.  Experiencing a wide range of emotions is normal, and we need to help them learn how to cope with those.  This comes into play a lot with sleep because you hear your child cry when they’re tired, and it’s this automatic — we just feel this distress.  But sometimes those same cries during the day — you take a toy away or you have an overly tired child who just wants to cry about everything — you can ignore them during the day a lot easier than you can at night.  But we need to help them cope with these emotions.  So it’s — what do I say to them?  You’re not in this to play the game for them.  You have to help teach them how to play the game themselves.  Right?  Like, we can’t hop in and do it for them all the time.  With sleep, we’re coaching them.  That’s my basic — I forget where I was going with that, but…

Laine:  You were talking about how coaching as an analogy was working for — yeah, for helping them learn how to do it and being — I think you said it; like, not doing it for them but coaching them to do it, and that the older they get, I think you were talking about, that maybe that was a piece of it, too.

Alyssa:  Yeah.  I mean, a baby needs a lot more help and it takes a lot longer.  When you have a two-year-old, it’s a lot different than a six- or nine-month old.

Laine:  Right.

Alyssa:  You know, they’re talking, walking, moving.  They’re a little bit more — they’re smart.  They can be tricky.  They know how to get you to stay in that room a little bit longer.  There’s no thirstier child than one you’re trying to get to bed.  Mommy, I’m thirsty.  Mommy, I’m hungry.  Mommy, I need this.

Laine:  Yeah, so does that — does your advice for parents change depending on all the things?  You know, the child and the parent, whatever — because that’s a classic one that comes up for people.  Like, my child has all the excuses and can crawl out of their crib and can crawl out of their bed or whatever.  Do you have some wisdom to share with people who are really —

Alyssa:  Bedtime routines.  Bedtime routines are so important.

Laine: For the kids who don’t — for the parents who are like, we have a bedtime routine, and it involves bath time and books and me putting my child in bed, and then my child’s coming out of bed, like, a zillion times before they stay in bed.  That’s the bedtime routine, and they’re sick of it and they don’t have any recourse.  And I’ll tell you something, Alyssa: some of my clients have gotten some of the worse advice from pediatricians, including people to, like, lock their child in their rooms.  That’s come straight out of the mouth of a pediatrician, and just, like — I want parents to know that if advice that you’re getting from a source doesn’t feel good, then it’s not good.  It has to feel good to be good, and it should be something that is aligned with your values, something that’s aligned with your personality and also that will work for your child’s temperament because it just breaks my heart to hear people on the phone, and I hear it all the time, people crying; well, I did this and it felt terrible, but my pediatrician told me to do it, so I — you know, thinking that they were doing the right thing.

Alyssa:  So when they work with me, I have them fill out an intake form for that reason.  I want to know, what is your parenting style?  What’s your child’s temperament?  What have you tried in the past?  What’s worked; what hasn’t worked?  And what is your end goal?  So I will make a plan based on that.  Not what I think you and your child need to be doing, but what is your goal as parents?  Maybe you have a one-year-old still breastfeeding exclusively, and you just to cut that down.  You don’t want to eliminate all night feeds.  Twelve months probably could sleep all night without a feed, but if you’re okay; you just want to have two feeds instead of five — okay.  Let’s work our way back.  Let’s eliminate a few of them and see how it goes.  And typically, you know, at that age, we would probably end up eliminating all of them, but then it’s also the opposite.  I might have a four-month-old client whose parents are, like, I need my baby to sleep all night.  Well, okay.  At four months, your baby probably still needs to eat at night, so let’s talk about what a realistic overnight looks like for this age.  So sometimes the expectations aren’t quite — you know, they might be a little bit unrealistic.

Laine:  Right.  Same thing with parenting.  We want our five-year-old, three-year-old, to set the table and then go up to bed by themselves.  And I’m like, yeah, no.  That’s not — that’s not a thing.  Or it could be, but it’s very rare.  So maybe you get this question a lot or this issue a lot that comes up; maybe this is a good place to overlap a little bit.  I hear from parents a lot that they have some shame, like, a lot of shame that they don’t know how to parent, that they should know how to parent.  Some people are more forthcoming and say, you know, well, I was raised by parents who I’m not looking to emulate.  I want to be parenting differently than how my own parents parented me, and I don’t know how.  There’s not so much shame there, but when people are, like, trying to do it differently and they can’t; they think that they should know how to do it naturally, and it’s not coming out the way — it’s like when you have a picture in your head and you start drawing, and it’s, like, nope, that’s not what’s in my head.  Not at all.  Right?  I get that a lot.  I hear that a lot from parents who are really struggling with this internal sense of, I should be able to do this.  Do you get that with people who are — especially around sleep and in this culture of, well, just let them cry it out, or they’ll sleep when they’re tired.  Do you find that parents struggle with that?

Alyssa:  Yeah.  It’s kind of like breastfeeding, right?  We think it’s going to be this natural thing, and then when we really struggle with it, we think that there’s something wrong with us when nobody tells us as new moms that breastfeeding is really hard.  Same with sleep.  It’s just something that our bodies want to do naturally, and people tell you that newborns sleep all the time.  Well, they do for a little while, and then they don’t.  So when it hits the fan and you don’t know what to do, they start reading books.  It’s this downward spiral of, well, I read this book and it didn’t work, so I gave up and now, like you, you just end up cosleeping if you don’t want to, and I have clients who have been cosleeping for three years, and the parents haven’t slept in the same bed for three years.  Some families, that works.  They do that by choice and it’s fine, but the ones who are calling me, it’s not because they love this situation.  They’ve gotten there by desperation, and somebody’s not happy.  So every family is so different, and I always warn people: if any sleep consultant comes in and says they have a plan and just one plan, or if it includes cry it out, you just say, thanks but no thanks.  There is no one plan.  If there was one way to do this, I could write a book and tell everyone what to do and be done.  Right?  And same with you.  Every family is so different.

Laine:  Well, what I see is that when people are willing to take a plan, kind of no matter what, it means that they’re actually going to start — they’re going to start walking down a path of, I’m going to do whatever works to get the behavior I want, no matter what.  And that’s a path, from a parenting perspective, that’s a path of very authoritarian, very old-school parenting style.  Right?  Where it’s going to be harder if you’re not really showing flexibility; you’re not going into it with empathy.  It’s going to be harder to develop those skills and that mindset toward your child and toward your parenting style as your child gets older.  Right?  So something that I think gets lost when parents are willing to pick up a solution — and I get why they do.  Right?  Like, I get why they pick up the, “I’m just going to let them cry and figure it out,” because they are at their wit’s end, and it’s overwhelming to think about it being a process.  They want it to just be a simple solution.  I get the temptation there.  However, my cautionary tale to parents is, if that’s the way that you approach sleep, it’s likely going to inform how you’re approaching parenting in general, and that is — I rely on the science for this and I don’t come to this with judgment.  The science absolutely tells us, and the research tells us again and again, that when you’re parenting with an authoritarian style of parenting of, we’re going to do this no matter what, and you’re lacking empathy in that, you’re going to get certain outcomes for your kids in the long term, and they’re never the outcomes that parents want.  You know?  Like, if I were to ask you, what are the outcomes you want for your daughter?  What are your outcomes that you want for your daughter when she’s — push it out 20 years.  She’ll be 27?  What kind of woman do you want her to be?

Alyssa:  I want her to be kind and successful and learning from me, right?  Maybe running her own business.  Yeah.  I want great things for her.  Right.  Right.

Laine: Independent, right?  You want her to be emotionally healthy?

Alyssa:  Right.

Laine:  Attract emotionally healthy partners?

Alyssa:  Right.

Laine:  Right?  All that stuff; resilient, gritty.  Right?  All that stuff; self-assured.  All that stuff are the outcomes that we know — we know that a certain type of parenting, a certain parenting path, gets.  There’s not one right way to walk the path, but there is as path, and that’s what I call best parenting practices.  Right?  We know.  The research is telling us again and again, and if you’re not walking that path, you are walking another path, which is to get insecure kids who are, you know, not as successful as they could be in the three big categories, which is work, school, and relationships.  That’s just research.  So I feel so passionate about having people start as early as possible making parenting choices that feel right to them to get the outcomes that they want.  Never had somebody raise a hand in my course or my class or workshops that I run saying, I want my child to be insecure.  I want my child to attract dysfunctional partners.  Never, right?  I would love to talk to that person.  I think; maybe I wouldn’t want to talk to that person.  But we don’t want that.  That’s not our natural instinct, and it’s so — I like to think of the really early years of being a parent as training for the parents of how you want to be a parent.  And then it sort of morphs into, how are we training our kids?  How are we guiding and shaping them?  But the early decisions, how we respond to them as infants, how we respond to them when they’re really little, when they’re preverbal, especially — that’s training ground for us.  It’s essential training ground for parents for how we’re going to be.  How are we going to listen?  Are we going to ignore?  Are we going to jump every single time?  What is the sweet spot?  What is the sweet spot for each particular parent?  There is a sweet spot.

Alyssa:  We talk a lot about that, and I like the term “sweet spot” because there are some parents who are fine ignoring, and then there are some who are jumping every time.  And when you really talk about listening — they’re like, well, my baby’s just crying.  What do you mean, listen?  I’m, like, crying is communication.  And they are — they can’t verbalize it, but there are different cries.  Especially as a baby develops, those cries actually do sound different, and even before they sound different, take a look at what happened when your baby started crying.  Was there something that you can actually take note of?  A loud noise; maybe a dog barked and it disrupted something, or the sun moved just enough, and it’s shining right in their eyes.  Taking note of what maybe happened to cause the crying instead of saying, oh, my baby must need food, or my baby needs to be held.  Because some babies, as much as we want to hold them all the time, are a little bit — they just don’t need it.  They need their own space a little bit more.  And those are the ones who will cry.  You know, grandma comes over and gets in their face and wants to pick them up right away, and then grandma feels bad, and I’m like, no.  I call them space invaders.  You just invaded the baby’s space.  Move in a little bit slower.  Give them time to adjust.  My daughter was like that.  She needs to assess everything that’s going on in that room before she decides where she wants to go and what she wants to do.  If someone comes at her, game over.  Babies are the same way.  They have little personalities.  I mean, it takes a while to figure them out, but —

Laine:  But in those early stages, they’re little mammals, and they’re responding from that part of their brain and their being that’s the most developed, which is that limbic part of them, which is able to convey — like, my dog right now is conveying a message, right?  She’s not using words, but I know what she wants.  She’s sitting by the door.  She’s having that little howl-cry, plaintive cry.  I know she wants to go out.  I also know that she’s already been out.  She doesn’t need to go out, and when she does go out, she’s been super destructive lately.  And it’s going to get louder, and she’s going to get upset.  And if she were to — to be clear, because I never want to be at all misquoted or confused as saying kids are or should be treated the way that animals are treated — if she were a child, I do not believe in ignoring kids.  I would be going over there.  I would be getting down on her eye level, and I would say, oh, I know that you want to go outside and you’re so upset, and I see you’re so frustrated.  And while leading her away, because if she’s not — while setting a boundary.  We’re still not going outside.  Let’s do something else.  So it’s not just bait and switch, which I know that there’s a lot of parenting programs out there that are all about just redirecting a child’s behavior.  But we’re not looking at just behavioral creatures.  We’re looking at emotional, one day fully formed, human beings.  Right?  So the behavior is one piece of it, and to your point a moment ago about what parents are doing, it’s not just the what; it’s also the how.  Like, how are you walking into your child’s room?  Are you flinging the door open while they’re crying and being, like, oh, my gosh — because your babies are going to pick up on that energy, too.  Right?  So being responsible for our own energy before we engage with our kids, whether they’re crying or frustrated or being pissy or whatever it is, being responsible for our own energy is an essential piece to how they’re going to then react to us.  How we respond to them informs how they react to us.  It is a cycle, for sure.

Alyssa:  Yeah.  We talk about that.  And, you know, they can pick up on our anxiety, especially around sleep.  Like you said, you can go this whole day; you can drink your cup of coffee, have a glass of wine at night, but then all of a sudden you knew: it’s night.  And you just feel this anxiety around sleep that you almost can’t help, but then your child senses that, which makes going to sleep even harder.  But then you’re also sleep deprived, so of course you’re more anxious because you’re sleep deprived, and it’s just this vicious cycle.  Probably 30 percent, maybe up to 50 percent of the parents I work with probably have some form of postpartum depression and/or anxiety, because I’m working with a lot of new moms.  And that just escalates.  That’s another vicious cycle.  If you have it, sleep deprivation makes it worse.  But even if you don’t have it diagnosed, maybe you have sleep deprivation, which is causing depression-like symptoms without being actually depressed.  It’s just really hard.

Laine:  But it doesn’t matter.  If the symptoms are the same, it doesn’t matter what it is.  You have to treat the symptoms, right?  I was talking to a sports psychologist the other day, because I’m always curious about how sports training and sports psychology overlaps with parenting.  It’s just this intersection that I find really fascinating, and it’s where I lean in with parenting.  Let’s treat it like sports training, in the sense that you’ve got to be prepared for it.  You’ve got to do some real training for it.  There’s a pre-game.  There’s a game time situation.  There’s a post-game.  You know, it makes sense to me because I grew up around athletics.  But — oh, what were you just saying about —

Alyssa:  Oh, depression and anxiety.

Laine:  Oh, yeah, yeah, yeah.  Thank you.  So this sports psychologist, who also now works with women who are postpartum and have postpartum depression and/or anxiety, she was, like, oh, sleep deprivation — it’s not only, like, tied to it; it can be the cause of it.  You know, back to this thing about sleep deprivation being a form of torture: it can absolutely trigger anxiety and depression.  And I just was, like — I mean, I knew that, so when she said it, it wasn’t earth-shattering news to me, because I’d seen it — but to hear her say that with such, like, authority — I was just, like, wow, yeah.  That’s a real thing.

Alyssa: The hormone shift that’s happening anyway after you have a baby — like, it’s the largest hormone drop of any mammal, I think, when you have a baby.  And then add sleep deprivation on top of that, which as a human species, we can handle a little bit of it.  Our bodies are made to handle a little bit of that after having a baby, but not months.  We just can’t handle it.

Laine:  And certainly not years.  So what would you say to somebody — like, what would be advice that you would have for somebody who is struggling with sleep during this particular moment in time; the COVID situation; the unique time that we’re all going through around sleep, because, you know, people wonder, you know — they worry.  They worry and they wonder, and I remember that feeling of, like, I know sleep is the most important thing.  My baby’s brain is growing, and I have all this information about it, and I was definitely one of the more anxious people around sleep.  I was like the sleep police.  And I was also facing people who were saying, oh, it’s no big deal.  It’s no big deal.  So I felt like I was fighting the other side of it, which made me more vigilant.  So it was hard to find that balance for myself.  But I’m wondering, like, what would you tell somebody who is feeling like, I know sleep is super important, and I’m in this, like, bizarre situation at home where I’m working from home and there’s, like — there are noises around.  There’s not quiet.  It’s not ideal.  So I’m struggling with sleep, and we’re in this bizarre time.  Like, can you put anybody’s mind at ease?  Like, beyond saying, like, well, your child’s not going to die.  You know, they’ll survive.  For people I work with, that bar is too low.  You know?  They want to be raising thriving, really healthy — like, optimizing their child’s childhood experience.  Right?  So do you have any just blanket wisdom or anything that could help them have their minds put a little bit at ease?

Alyssa:  Yeah.  I mean, you said it.  Sleep is so important, and I think especially right now with a worldwide pandemic with this virus, proper sleep helps build our immune systems, so let’s try to get proper sleep.  And even though we’re working from home — you know, like we said in the last podcast, let’s change your perspective.  Instead of saying, maybe my kid won’t sleep enough because I’m here and I’m working and there’s all these noises.  Let’s shift that and say, well, I’m home.  I have a lot more opportunity.  I don’t have anywhere I have to be at a certain time.  Let’s focus on sleep.  Instead of letting my kid say, oh, you don’t have a schedule and you can stay up until 10:00 now, let’s continue a pretty consistent bedtime routine, especially for kids — you know, you have teenagers; different story.  For babies and toddlers — even my daughter; she’s 7.  We walk back there at 7:30 at night.  We brush teeth, put PJs on, we read a book, and I walk out at 8:00.  So a 30-minute routine is pretty good.  It gives you plenty of time to do kisses and cuddles and, you know, that’s plenty.  But it’s so important because someday school will start again and work will start again, and it’s going be really, really hard on these parents who have to get back into a rhythm.  So if you’ve gotten out of that rhythm, maybe you can slowly work your way back to getting them.  And it’s hard.  Like, here it’s summertime, which means at 8:00 when I leave her room, it’s still light out.  But she’s still tired, so I just make it as dark as possible.  But try to keep a consistent routine, and that’s a wake up time and a bedtime.  And then if you have a younger kid who’s still napping, sound machines; make it dark in that room; crank the sound machine, and do what you can to keep the house as quiet as possible.  And then you had mentioned some of your clients have kids who are crawling out of cribs.  If you can wait until a kid is 3 to take them out of the crib, that’s better, because developmentally, they’re — before 3, they don’t really understand that this is a bed and I shouldn’t crawl out of it, and then you’re kind of having to shut the door and lock them in the room, which nobody wants to do.  You’re essentially making — I tell parents who have to do that, consider the room now a crib.  So you have to look at everything in that room and make sure nothing can fall on them; they can’t — there’s no — nothing that can hurt them, and you’re essentially turning the room into a crib.  But before 3, it’s really hard.  But there are some tricks.  If you have a 2-year-old who’s crawling out of a crib and you’re afraid they’re going to hurt themselves, and if they wear a sleep sack and they can unzip it and crawl out of it, flip it around so that the zipper is in back.  Maybe they can’t reach that zipper.  If they’re really smart and can get at that zipper, put it on backwards and then put a little T-shirt over it.  They would have to really work.  They have to pull the T-shirt off.  Just try to make it as hard, but it’s hard to climb out of a crib with a sleep sack over your feet.  I have had some Houdini babies who even that doesn’t work, but for most, even just having the zipper in back, they — even if they can touch it with their hand, they can’t get it all the way down.  So that’s one trick.

Laine:  Houdini babies.  That’s hilarious.

Alyssa:  But make sleep a priority.  Instead of saying, oh, I can’t — I just can’t — there’s no way I can get on a sleep schedule or get my kids back on a schedule.  If you make sleep a priority and have some sort of routine — we need routines as adults, and kids especially need some sort of normalcy and routine.

Laine:  Does it have to be to the minute?  Bedtime is 7:30?

Alyssa:  No.

Laine:  What’s your take on that?

Alyssa:  No.  Give yourself some flexibility, especially for younger babies.  Thirty minutes on either side.  So let’s say a working parent; they need to be up — they need their baby up at 7:00 in the morning because they have to get baby fed and out the door.  Now, on the weekends, let them sleep in until 7:30.  If you go past that, you’re really messing with the natural rhythm of the baby’s sleep cycle that we’ve worked so hard to put in place, that they can sleep, you know, 7:00 to 7:00.  You don’t want them to some days be able to sleep until 9:00 or stay up until 9:00.  Even as adults, every hour of sleep that we lose, it takes us about a day to recoup.  So time differences; if I fly to Seattle and visit my friend, three hours different, it takes me about three days to adjust.  And I can deal pretty well with that, but for a baby, it’s really hard; really hard to deal with.

Laine:  Yeah, yeah, yeah.  And parents get really nervous about traveling with babies, and how do I do this?  And, again, this comes back to being aligned with what your values are.  It’s okay to not travel with a baby.  Even though you see people on planes with babies all the time, it doesn’t have to be you.  Just getting really clear about where you stand and what’s important to you and why you’re doing what you’re doing.  What’s your why?  Is it because you feel guilty or is it because you feel jealous, or is it because you feel like you really, really need to go visit your mom?  Those are all really different answers to the same question.

Alyssa:  Yeah, I get asked a lot about travel.  People want to travel with their kids a lot, and sometimes it’s just not conducive to have a three-hour time difference with a baby because you’ll probably have to go to bed really early or get them in bed really early, and that means you can’t go anywhere, unless you have the resources to hire a nanny or you’re visiting parents and they’ll stay.  You know, you can put them to bed at home while you leave.  You know, my client right now, they like to go camping.  Before we part ways, how do we camping with this baby?  And we talk through that.  What does that look like?  Go hiking after the nap; come back at lunch; put the baby down again.

Laine:  Again, I think kids are so different.  They come just so different.  You don’t get to — it’s like getting a dog, right?  If you want to, you can thumb through a book and find your ideal breed, and you can pick the type of dog that’s going to have, likely, like, 99 percent sure, you’re going to have the kind of behavior that you want from that dog, right?  If you go to the pound and you’re going to get some sort of mix so you don’t know exactly what you’re getting, then you have to work with what you have.  And that’s what parenting is.  Parenting is, you work with what you have, and you don’t get to pick.  And so I really — one of my favorite things to caution parents against is comparing other people’s outsides to their insides.  Right?  Like, what is your reality versus what you’re seeing somebody else in that moment having?  If you’re somebody who wants to go camping with your baby, if you have the type of baby that can hack that, there’s nothing inherently wrong or bad about taking a baby camping, unless you’re going to artic.  You know, perhaps that is not a good idea, right?  But if you’ve got an “easy” baby and sleep is not an issue, or you’re happy snuggling together, great.  That’s awesome.  But if you don’t have an easy baby or sleep has been a huge issue in your house, then you’re not the family who’s going to — if you want to have the shit show afterward, you know, and you’re willing to go and take that risk and then it’s a calculated risk — it’s just not fair to then be upset with the baby or be upset with your child for being cranky afterward.  You just to be informed, know what you’re doing, know what you’re getting yourself into when you take those risks.  And I think it’s one of the most empowering things that parents can do, to be really clear about what they are and what they’re not willing to tolerate.  Just like in life, right?  What are you willing to tolerate, and what is your happiness equation?  What are the elements of your happiness equation?  It’s really important for people to know that and to get right with themselves so that they can live their best family life.  And it’s not going to be a blueprint from somebody else’s family.

Alyssa:  Yeah.  Realistic expectations, again.  You know, it’s just maybe sometimes telling them, sorry; I have to let you know that your baby’s not going to — based on working together, this activity you want to do won’t suit your baby — but now.  Maybe later.  Don’t give up on this dream to go camping.  It might just have to wait a couple of years until your child is down to one nap a day instead of three.  And again, like you said, you talked about being fluid instead of, like, having this solid — it needs to ebb and flow.  Be flexible.  Realize that your baby is a human who has separate needs from you, and just because you want to do this, your baby might not want to.

Laine:  Part of the deal of becoming a parent.  There’s sacrifices, you know?  And it’s funny; like, I think that we talk about that a lot, right?  Like, there’s a lot of sacrifices in parenting, or there’s a lot of sacrifices in marriage, or there’s a lot of sacrifices in whatever.  But when it really comes down to it, when that happens, when you’re confronted with the sacrifice, it’s a very hard thing.  It’s a tough pill to swallow.  And I just — maybe a good sort of point for us here is to talk about or to ask the question of, like, what is it that is important, you know, and where are you willing to sacrifice?  What is the sacrifice that you face when you’re a parent, and what are you — how do you respond to that?  How do you respond to the fact that you’re being asked to sacrifice stuff?  You know, it’s a tough one.  I don’t think people have a high tolerance for that, especially in this day and age.

Alyssa:  Yeah.  We want things to go our way all the time.

Laine:  All the time.  All the time.  Well, it was definitely a good conversation.

Alyssa:  Yeah!  We covered a lot!  Well, why don’t you tell people again where they can find you if they have questions about the parenting end, before we sign off?

Laine:  Sure.  I have my website.  You can also find me on Facebook, and I have a very slim social presence right now because most of the stuff I’ve been doing in my life and my career has been live and in person, but I’m slowly building a social presence.  So definitely go to my website.  And feel free to check out my online course.  It doesn’t talk directly about sleep, but it does talk about discipline and the issues that follow, you know, if you’re having trouble with getting kids to cooperate and you’re facing a lot of meltdowns.  It will definitely, definitely help you.  And some of that is probably because they’re underslept, but it will help you anyway.

Alyssa:  But the two go hand in hand.  You know, a lot of times, to help them get to sleep better, they need a little bit of discipline, and then once that — you know, with consistency and the right discipline for that family, the child will understand, this is the new routine.  I can sleep better, and then you no longer need to discipline because then it just becomes part of their routine.

Laine:  Absolutely.  Absolutely.  So, yeah, the course will be — the free class will definitely be of help, and then people can also book a free call with me.  And those are the main ways to find me.  And I want my listeners to listen in to what you’re about to say, too, because I want them to be able to find you.

Alyssa:  Yes, you can find us at our website.  We’re on Instagram and Facebook, and this podcast is called Ask the Doulas.

Laine:  So good.  Thank you so much for having this conversation today!

Alyssa:  Thanks for joining me!

Laine:  My pleasure.  We’ll do it again soon.

 

Parenting and Sleep: Podcast Episode #98 Read More »

Dr. Gaynel headshot

Mental Health Awareness Month: Podcast Episode #97

Dr. Nave now works with queens through her virtual practice Hormonal Balance.  Today she talks to us about hormones and how they affect our mental health, including the baby blues and postpartum depression.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  Hi.  Welcome to Ask the Doulas Podcast.  I am Alyssa Veneklase, co-owner of Gold Coast Doulas, and today, I’m excited to talk to Dr. Gaynel Nave, MD, and she works at Hormonal Balance.  Hi, Dr. Nave.

Dr. Nave:  Hi, Alyssa.  Thanks for having me.

Alyssa:  Yeah.  It’s been a while since we’ve talked, but we were emailing a while ago, and we realized that it’s Mental Health Awareness Month in May, and then this week is Women’s Health Week.  So you wanted to talk about baby blues and postpartum depression.  So before we get into that, why don’t you tell us a little bit more about Hormonal Balance because last time you talked with us, you worked for — you were at a different place.  So tell us what you’re doing now.

Dr. Nave:  Okay.  Awesome.  So as of this year, I’m in my own practice, as you said.  The name of it is Hormonal Balance.  And so I am an Arizona licensed naturopathic physician, and here in Grand Rapids, I operate as a naturopathic educator and consultant to women, with all gender identities, to basically reconnect to their — who they are and directing their own health, hormonal health concerns.  And that’s the reason why I went with Hormonal Balance, because our hormones affect almost every single aspect of our health, including when we wake up, our mood, our sexual health, all of it.  And for us who are women or female-identifying, the medical community sometimes doesn’t listen to our concerns or minimizes our experience, and so I want to be a part of changing that and, you know, helping women be advocates for themselves and learn more about their bodies, basically.

Alyssa:  Yes.  Awesome.  I love it.  And then you can do — so even though you’re here in Grand Rapids, Michigan, you can do virtual visits, so technically, you can work with anybody anywhere?

Dr. Nave:  Yep, yep, yep.

Alyssa:  Cool.  Well, we’ll tell people how to find you at the end, but let’s talk a little bit about the mental health aspect of, you know, bringing some awareness to it this month.  And then, obviously, you know, baby blues and postpartum depression is something that we deal with on a regular with our clients.  So how do you help your patients?

Dr. Nave:  I call them clients.

Alyssa:  Clients?  Oh, you do?

Dr. Nave:  Yeah, because here in Michigan, because my — there is no regulation for naturopathic physicians, even though I have my license.  I function more as a consultant, so I call the people that I work with “clients.”  And so the way in which I assist them is basically gathering information about their concerns as in-depth as possible because I’m not just going to look at you from the perspective of, oh, I’m experiencing this particular symptom, because nothing occurs in a vacuum.  And so looking at you as a whole, how does what you’re experiencing affect you mentally, emotionally, and physically.  And so we do the full assessment, and then a part of that is talking about and educating you on labs that are pertinent to you.  So there are different types of hormonal labs that are available.  There’s salivary.  There’s urine.  There’s blood.  And so, like, making sure that the one that’s best and indicated specifically for you is what we talk about.  It’s very individualized because each person has a different experience, even if we have the same diagnosis.  Does that make sense?

Alyssa:  Right.  So you’re saying if somebody comes in, you do a pretty thorough — kind of like with my sleep clients, I do an intake form.  Right?  There’s no, like — you’re saying there’s no one blood lab for — oh, there goes my dog.  I should have mentioned that we’re recording at home on speakerphone, and — okay.  So what I was saying is with my sleep consults, I do an intake form because there’s no right answer for every family, so if somebody comes in and needs blood work done or — well, like you said, labs.  Blood work might not be the right lab for them?

Dr. Nave:  Yeah, because there’s — let’s talk about female hormones, for example.  So the female sex hormones — and when I say female, I’m using the medical terminology for it, not like — so, like birth sex.  You have ovaries — versus the gender identify.  I’m still working through how to talk about these medical things and still be cognizant and respectful of the different gender identifies, so please forgive me if I say anything that’s offensive.  So the female sex hormones — estrogen and progesterone — but these hormones don’t just occur in women.  They also occur in men.  So all gender identifies have these hormones involved, but specifically for those who can give birth, estrogen is involved in the building up of the uterine lining of the uterus so that implantation of a fertilized egg can happen.  Progesterone is important for maintaining that uterine lining as well as maintaining healthy pregnancy so that you don’t lose the baby.  Obviously, there are a lot more factors involved.  These hormones, based on how the body breaks down balance specifically as it pertains to estrogen — we have three different types of estrogen, so it’s not just one form that’s in the body, and depending on what lab is done, you’re able to verify all three at the same time.  The one that I’m thinking of right now is the urine test called DUTCH test.  I really enjoy that one.  I’m not promoting it right now, but I’m just explaining why I like it.  So that particular type of analysis looks at all three of those types of estrogen in the body as well as how the body breaks them down.  Is it able to get rid of it effectively, which gives information on the metabolic pathways.  So there’s a lot more information that can be gleaned from — depending on what type of lab is utilized and depending on your specific concern and the way in which your symptoms are presenting; a more investigative or information-bent lab analysis might be indicated, and so being able to speak with someone like myself who is well-versed on the different approaches and all the different options can be really beneficial because then you don’t end up having to do multiple tests, you know, all that kind of fun stuff, or having to get blood drawn if you don’t have to.

Alyssa:  Right.  So what hormones are you looking for when somebody comes in and says, gosh, I think I have postpartum depression?  Is it just hormonal, or do I really have — I guess, where do you as a naturopathic doctor, say, “I think I can help you with hormones,” versus, “I think you need to see a therapist”?  Or do you do both?

Dr. Nave:  So I will probably tell them to do both because postpartum depression, as with any mental health condition, is on a spectrum.  So you have mild, moderate, and severe.  Before we go into that, I think it would be important for us to define a couple things.  Baby blues is feeling down or feeling a shift in your mood, like feeling more weepy, more exhausted, after giving birth, and this can last anywhere from a couple days up to two weeks.  If it extends beyond that time or it’s interfering with your ability to function, then it would be classified as postpartum depression, and postpartum depression can occur in that same time frame as the baby blues, like soon after childbirth, within three to five days, up to a year after giving birth.  And I’m going to read a couple of stats, so bear with me.

Alyssa:  Go for it.

Dr. Nave:  Just for a frame of reference.  So postpartum depression affects up to 15% of mothers, and shifting to 85% of moms is that they get the postpartum blues, so that — these statistics may provide some form of comfort that you’re not alone.  Please don’t suffer alone.  If you’re feeling more down and you need more assistance from your family and friends, please reach out.  If you’re a single mom, I’m sure that there are different groups, like single moms groups, or talking to your doctor or your friends who can be there to provide some emotional support for you during that time.  Please, reach out to people.  It’s not anything to be ashamed of.  A lot of women go through it because our hormones, as I said previously, affect a lot of things, including our mood.

Alyssa:  Right.  I feel like mothers are getting a little bit more comfortable talking about how hard it can be and how maybe bad they feel or these thoughts that they’re having.  You know, you talk to the older generations, like our mothers and grandmothers, who said, well, we didn’t talk about those things or we didn’t need help.  And we’re slowly getting to the point where we’re seeing more and more families look for and seek out postpartum support, which is one of my favorite services we offer because they can work day and night.  When a mom is suffering from any sort of perinatal mood disorder, having that in-home support that’s judgment-free can just be crucial to healing.

Dr. Nave:  I totally agree with you.  I’ve seen it in practice and the research back it up.  Just being pregnant, much less giving birth, is hugely taxing on our body and increased your risk for feeling down.  Some of it has to do with the hormonal changes.  I’m going to go really science-heavy because I’m a nerd and I think it’s fun and interesting…

Alyssa:  Do it!  Teach us!

Dr. Nave:  As I said, estrogen is responsible for the building up of the uterine lining, but it also affects things like our serotonin production, which you might know as the neurotransmitter involved in depression.  Like, if you have low serotonin, then you might get depression.  So the thing with estrogen is that it increases the production of serotonin by affecting a particular enzyme called tryptophan hydroxylase that is responsible for processing an amino acid that we get from our food called tryptophan into serotonin.

Alyssa:  Isn’t tryptophan the one that makes us sleepy?

Dr. Nave:  No.

Alyssa:  Tryptophan isn’t the thing that we eat that makes us sleepy?  What am I thinking?  It’s in turkey and stuff?

Dr. Nave:  Tryptophan is in turkey.  Serotonin and melatonin have the same precursor in terms of amino acid but the thing about their bodies is they use similar substrates or building blocks to make stuff, and just because we have the same building blocks doesn’t mean that we’ll get that particular product.  Does that make sense?

Alyssa:  Kind of, I guess.  In my sleep work, I talk about serotonin and melatonin a lot just for, you know, sleep cycles and feeling alert and then feeling sleepy, but I didn’t realize that a lack of serotonin can cause depression.  I’m trying to, in my brain, you know, the science of sleep, then — it makes sense, then, that people who are depressed sleep a lot, right?  Am I going down the right path here?  Because if you don’t have enough serotonin to make those hormones makes you feel awake and alert — sorry, I’m getting you totally off track by asking these questions.  Sorry!

Dr. Nave:  No, no, no.  I don’t think you’re going off track because sleep is very much an important part of the postpartum depression process.  If Mom isn’t sleeping, she’s at a greater risk for experiencing postpartum depression, and we know that the hormonal changes affect our sleep.  Also having a baby, a newborn baby — if the baby’s up crying, and they’re getting their sleep regulated; you’re adjusting to waking up and feeding the baby, feeling exhausted during the day, and your sleep is thrown off in terms of it not going or being matched up to when the sun rises and the sun goes down.  You’re more trying to sync to the baby, and that can lead to fatigue, which then exacerbates your mood, which makes you then more susceptible to feeling more down.  And then it’s like — one of the things that they mentioned is that babies who have a hard time sleeping — there seems to be a relationship between moms who have postpartum depression — so the baby isn’t sleeping; Mom tends to have a higher likelihood of having postpartum depression, but then the opposite is also true.  So if Mom has postpartum depression, it seems that the baby also as a result has a hard time regulating their moods and being more colicky and all these other things.  So taking care of yourself also helps the baby; it’s important to support Mom, which is why I’m so grateful that you guys have the postpartum doulas, and you guys do a lot of work with supporting moms post-baby.  Sometimes people focus so much on the baby that they forget the mother.

Alyssa:  Oh, absolutely.  It’s all about the baby.

Dr. Nave:  Yeah.  Yeah, yeah, yeah.  So the hormonal mood connection is very complex, and it’s not just A + B = C, you know, because, yes, estrogen influences serotonin production, but there are other factors that then influence, you know, the mood.  Does that make sense?  Specifically, when it comes to the mood changes or the hormonal changes in early pregnancy and postpartum – early pregnancy, we see the estrogen or progesterone levels are shifting because you’re now pregnant, so the body doesn’t have to produce as much of those hormones.  And when we have lower estrogen, which is what happens when you get pregnant, and since estrogen is responsible — or, rather, plays an important role in serotonin, which helps you feel calm when it’s at the normal level — if it’s particularly high, it can lead to anxiety-type symptoms.  If it’s really low, depression-type symptoms.  During those times when the estrogen is lower, there’s this lower mood that can also be accompanied by it.  Are you tracking?

Alyssa:  Yeah.

Dr. Nave:  Yeah.  So that’s the estrogen portion.  So estrogen affects serotonin production and also directly affects the neural networks in your brain.  Now, we have progesterone.  So progesterone: I like to think of it as our calm, happy hormone.  And so when you’re just about to have your period, usually it helps you sleep.  It helps you remain calm.  But if it’s really low, that can lead to insomnia, feeling really agitated and grumpy, and those kind of symptoms can also happen postpartum and early pregnancy.  And so that’s how the hormonal fluctuations can then manifest with the depression.  For the reason, at least in the postpartum stage, that these hormones might drop is that you give birth.  There’s a huge change because the body doesn’t have to maintain the hormones to keep the baby inside.  The baby is now outside of you.  And it really drops off really quickly, and that huge shift can then lead to the baby blues.  Then if it prolongs, your body having a hard time regulating, then that’s when we shift from the blues to the depression.  In terms of what I would do, I would assess what exactly is going on for you.  Do you have physical and emotional support?  Do you have a history of depression or any mental health condition prior to being pregnant?  Have you had postpartum depression before?  How is your sleep?  You know, sleep is really important.  If we can get you sleeping, I think that goes a long way.  Good quality sleep.

Alyssa:  You’re preaching to the choir here.  I think it’s one of the most important things!

Dr. Nave:  The other thing that they mention, the American College of Obstetricians and Gynecologists, is that if Mom has any feelings of doubt about pregnancy, that can also influence her feeling depressed because it can get, like, amplified during that time.

Alyssa:  So you’re saying, like, maybe doubting if they wanted to become pregnant?

Dr. Nave:  Maybe, or doubt that she’s capable of being a good mom, because there’s a lot of pressures on moms, you know?  Like, oh, someone will mention, like, oh, my baby’s sleeping through the night, or my baby — you know, they started eating at this time.  So there’s a lot of pressure to meet certain milestones that are from society, and that can amplify feelings of inadequacy that Mom might have had prior to becoming pregnant.  And so addressing that piece with a therapist or someone like myself will be a very important part of supporting her with the postpartum depression and getting her out of the state.  For some women, medication might be what they need to do, and their healthcare provider will be able to assess that.  But it’s not the only thing that’s available.  There’s therapists; there’s hormonal intervention, because if it’s a hormonal issue, if you address imbalance, then women get relief pretty quickly.  There’s having a doula, if that’s something that’s accessible to you, or if you have family members who are close by, asking them to help out some more.  Having people provide meals for you so then you don’t have to cook; having your partner be a part of taking care of the baby and asking them to step up some more to give you additional support.  Basically, asking for what you need is — I know it can be really vulnerable and scary if you’re not used to asking for help, but that can really be important in terms of getting what it is that you need because no one is in your exact position and knows exactly how you need to be supported.  Does that make sense?  Because I can talk about, like, a doula and a therapist and a naturopathic doctor, but you know what you need, and I want you to trust yourself in that knowledge.  You know what you need!  And here are all these different options to provide that.

Alyssa:  So you mentioned something a bit ago, and I don’t know what made me think of this, but how — let’s say a mother came to you pregnant and had postpartum depression before and knew that she — you know, her hormones are all over the place.  How much can you actually do in regard to hormones while pregnant?  Is there any risk to Baby?  You know, risk of miscarriage?  What does that look like for a mom who’s pregnant but knows she needs some help from you?

Dr. Nave:  So in terms of working with me specifically, I wouldn’t want to mess with her hormones during that time.  I would employ other tools, one of which is homeopathy, which basically supports the body’s own ability to heal and regulate itself.  As well as putting a plan in place — basically, working alongside her other healthcare providers to create a plan to support her and make sure that the transition is as smooth as possible.  What does she do if she notices that she’s trending from green and happy, healthy, thriving, into, I’m not doing so hot — what are the resources available to me when I’m at that place?  Who do I reach out to?  Who do I talk to?  What supplemental intervention needs to happen?  Do I need to talk to my doctor about starting me on medication?  There are so many different options, and prevention is always better than cure.  We would talk about what her issues — so she’s coming and she’s had it before — we would talk about what was her previous pregnancy like; when did the symptoms start to occur; what did they look like; what sort of things — what sort of red flags occurred during that time; what was the intervention utilized at that time; what were her hormone levels like?  What else; what were any medications that she was on; what medications is she on presently?  And, basically, maybe even talk about how that pregnancy is different than this pregnancy.  Like, does she feel more supported now?  What were the things that weren’t present in the previous one that she does have presently?  You know?  And basically coming up with a plan.

Alyssa:  Yeah, I like that.  So it’s kind of like what we do, you know, throughout birth.  It’s talking about all those what-if scenarios and what plans do you have in place for if any of these happen.  And then, like you said, once Baby comes home, nobody plans for that.  They’re so worried about the pregnancy and the labor and delivery part that they come home and go, oh, shoot.  What do I do now?  So it sounds like that’s a really healthy way to plan during pregnancy, if you do have any sort of mood disorder, to find a professional like yourself to sit down and say, hey, let’s go over all these things and put a plan in place, and then I’ll be here for you postpartum.  And then we’ll talk about what we can do then.  I like that.

Dr. Nave:  Right, because, as I said, there’s so many different options.  For one woman, maybe hormones, just giving her the hormones, is what she needs, and then I would, you know, work with her other — because I can’t prescribe hormones at the level that would be therapeutic, but I would be able to recommend, okay, that’s what you need.  Let’s talk to your doc.  Hey, Doc.  This is the plan.  If this happens, this is what we’re going to do so that she doesn’t have to suffer.  You know?  Or maybe it’s something else.  Just being able to work with someone who — again, like myself — who is savvy on that in terms of knowing — yeah, it definitely needs a collaborative approach, which is what I’m about.  In my head, in my dream, everyone would have a health team, you know?  People, health professionals, who are all in communication with each other who are just there to support you and help you thrive.  But I think to wrap up, it would be sleep, health, get your hormones evaluated.  If you’re thinking of getting pregnant and you have any mood disorders or any mental emotional concerns, as part of your pregnancy plan, you should be working — ideally, you would be working with a mental health professional as well, just to insure that you have the support that you need and you’re processing stuff effectively, because those concerns, those mental health concerns, can be substantially amplified once you become pregnant, as well as after giving birth.  If you have a mental health condition or if you’ve had postpartum depression before, you are at significant risk for developing it again.  And this applies to — postpartum depression can also occur if you have a loss of a baby, so it’s not just if you’ve given birth, but any form of baby loss can also result in postpartum depression.

Alyssa:  Yeah, I can imagine it would probably be even amplified with that because you still have the hormonal shift, that drastic hormonal shift, and then grief on top of it.  So it probably takes it to a whole new level.  Well, thank you for all of your expertise.  I always love talking to you.  I would love for people to know how to find you at Hormonal Balance, if they want to reach out.

Dr. Nave:  Yeah.  I am on Instagram and on Facebook as @drgaynelnave.  I’m in the process of getting my website up, so I’ll update you on that afterwards, or you can call my clinic at 616-275-0049.  If you have any hormonal or mental health concerns and you want to optimize your health team, you want a second opinion, or you just want some additional support — that’s what I do!

Alyssa:  Thank you!  During this Covid pandemic, can you see people in person, or are you choosing to do virtual only right now?

Dr. Nave:  I’m choosing to do only virtual at this point.  I see clients virtually most of the time Wednesdays through Fridays, actually, from 8:00 to 5:00 p.m., and in person at 1324 Lake Drive Southeast, Suite 7, Grand Rapids, Michigan 49506.

Alyssa:  So once the stay at home order lifts and things get a little bit more back to normal, you’ll be seeing people in person again?

Dr. Nave:  In person, yes.  But for now, we will see each other virtually!

Alyssa:  Thanks for your time!  Hopefully we’ll talk to you again soon!

 

Mental Health Awareness Month: Podcast Episode #97 Read More »

Perinatal Mood Disorders: Podcast Episode #91

Today we talk with Elsa, a therapist at Mindful Counseling in Grand Rapids, Michigan who specializes in perinatal mood disorders.  Learn what postpartum anxiety and depression look like, how they are different, and signs to look out for.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Kristin:  Welcome to Ask the Doulas with Gold Coast Doulas.  I’m Kristin, and I’m here today with Elsa Lockman from Mindful Counseling.  She’s here to talk to us a bit about postpartum anxiety.  Elsa specializes in the following areas: perinatal mood disorders, which includes postpartum depression, anxiety, OCD, grief and loss, eating disorders, and body image issues.  She also works with clients dealing with relationship problems, coping with medical illness, trauma and abuse, women’s issues and self-esteem, and mood disorders and anxiety.  So obviously, you’re a natural fit working with clients who struggle with everything from eating disorders to anxiety and depression, transitions in their relationships, and expanding their family or having their first child.  So today, Elsa, let’s focus a bit on the difference between postpartum depression and anxiety and what women can do if they’re interested in seeking treatment and getting help.

Elsa:  Yes, postpartum depression and anxiety can go together.  Sometimes women will struggle with anxiety with depression.  Sometimes it is separate.  Postpartum anxiety and depression can look very different.  People classically think of postpartum depression as mothers who don’t connect with their babies, moms who are checked out and can’t get out of bed all day.  That’s actually not always the case.  Often, women with depression are exhausted and often can’t stop crying.  They can’t look, maybe, on the positive side or think rationally.  As far as the anxiety, it can come out more in not feeling necessarily down but feeling like you can’t relax; feeling that something bad is going to happen at any time.  Having thoughts of something happening to your baby; scary thoughts.  Sometimes even flashes of images of very violent things happening or the baby falling, and moms often feel guilty for those, actually, and don’t tell anybody, but they’re actually really important to talk about.

Kristin:  I had a friend who was afraid of driving in her car or anyone driving her baby.  There can be a lot of, like you said, those intrusive thoughts.

Elsa:  Yes, and it’s obsessive sometimes and you can’t get it out of your head.  So rationally, you can say, I’m not going to drop the baby going down the stairs.  I have the baby in my hands.  But it keeps going; it gets hooked, the idea or the image, and then they’ll struggle with almost a loop where it just can’t get out of your head.  Or anxiety can present sometimes in something around sickness.  No germs.  Thinking that my baby is going to get sick; I can’t take her out to the store, and I can’t take her to this house.  And how far that goes; I mean, some of these are common sense, and you want to take care of your child, but then how far does it goes?  Does it prevent you from doing things that you want to do, or do others notice that maybe this is being a little unreasonable?  It seems to be causing you even more anxiety to be thinking some of these things.  Another part is that sometimes anxiety can come out as anger.  Feeling just angry and irritable; feeling tense.  That can come out, obviously, with partners, and they can notice it.  Being different, a marked change from before for women.  Those are some of the symptoms that come that people can notice with anxiety.  Another one would be sleeping; when moms can’t sleep when the baby is actually sleeping.  That’s another sign of postpartum anxiety for people to watch out for.

Kristin:  Sure.  That makes sense.  I know even with postpartum doulas in the house, some women still struggle with fully sleeping even though their child is being care for by someone else. And sleep is so essential.  There are so many studies on how, if you’re not getting enough sleep, it can lead to mood disorders and anxiety and so on.

Elsa:  Yeah, it just leaves women very vulnerable, and now it’s become so normalized that part of the postpartum world is just not getting sleep.  And I think it’s also expected that women are also just supposed to go on with their lives and do all the normal things that they’re supposed to do even when they’re running on little to no sleep, and this goes on for weeks or months.

Kristin:  Yes!  So what resources would you suggest if they’re looking for help?  Obviously, we can talk about how to reach out to you!

Elsa:  For sure!  You can definitely contact Mindful Counseling GR.  You can contact Pine Rest.  They actually have a mother baby unit, so they actually have therapists that have specialized training, like I do, to work with women postpartum.

Kristin:  And now Pine Rest even has the ER when you can —

Elsa:  Oh, the urgent care center?

Kristin:  Yes, the urgent care center.  They can go in at night and not have to go the hospital.

Elsa:  yeah, they can go to the urgent care center and get assessed and get attention or treatment a lot quicker.  OB offices have a list of therapists who are trained and specialize with postpartum or perinatal mood disorders, which includes anxiety and depression in pregnancy and postpartum.  So there’s a list that you can ask for from your OB, as well.

Kristin:  Great!  How do they directly reach out to you?  Are you accepting new patients, Elsa?

Elsa:  Yes, I am!  You can reach out to me by contacting me through our website.

Kristin:  Perfect!  Thank you for coming on today!

 

Perinatal Mood Disorders: Podcast Episode #91 Read More »

Deb Timmerman Stress Mastery

Stress Mastery: Podcast Episode #85

Deb Timmerman, RN, DAIS, CSME speaks with us today about her new certification in Stress Mastery.  What does that mean, you ask?  It’s all about learning positive ways to handle stress and actually master it, instead of letting stress take over.  Listen to see how this can help parents throughout pregnancy and postpartum.  You can listen to this complete podcast episode on Itunes or SoundCloud.

Alyssa:  Hello, welcome to Ask the Doulas Podcast.  I am Alyssa Veneklase, and I’m so excited to be talking to Deb Timmerman today.  I haven’t seen you in so long!

Deb: Hi, Alyssa, it’s great to see you, too!

Alyssa:  For a little while, we had you teaching a prenatal stress class here, and then life    and business just got kind of in the way, and we haven’t scheduled any more, but I loved that class.  You have so much good information about stress and how stress affects the body, but now you have some new certifications where you’re actually talking about how our bodies need stress to a certain extent; is that correct?

Deb:  I am.  So I think maybe the first place to start is, why the prenatal stress education?  I’m a member of the Michigan ACEs Initiative Education team, and that’s not a formal name, but a couple years ago, Michigan got some grant money to bring the ACEs study — ACEs stands for Adverse Childhood Experiences study — and the consultants who were involved in that study, they actually set up a agreement for them in Michigan to use the ACEs science to see how we could change the way we’re delivering healthcare in Michigan.  So the ACEs study is all about things that happen in childhood, like dysfunctional household, abuse, neglect, and you basically get a score for the ten questions that are on this little survey, and what they found was that the higher your score, so if these things happened to you from 0 to 18, the more likely you are to have emotional, physical, mental health issues as you age, and it even cuts time off your lifespan.  As they began to do further studies after that, they found out that some how we deal with stress actually affects our genes and is passed on when you have a baby.  That’s a long answer to that, but I think it’s really important because it’s where kids get their start, and if you don’t know about that, you can unknowingly pass on certain things to your kids.

Alyssa:  You are in this high-stress environment while pregnant.  It’s affecting your baby?

Deb:  Yes, it is.

Alyssa:  And I remember the movie.  It was called Resilience?

Deb:  It’s called Resilience, the science of stress, biology of hope. Or maybe that’s backwards; biology of stress; science of hope.  Anyway, you can find it, Resilience, and there’s a trailer out.  Yes, really interesting movie.

Alyssa:  It is.  Tell me about your new certifications and this new idea about stress.

Deb:  Okay.  I was an ACEs kid.  Out of ten, my score was six, and when I learned about that particular piece of data in my life, it clarified everything for me.

Alyssa:  And six is high?

Deb:  Six is high, yes.  Anything over four, it really increases your chances and your risk level.  So I had a lot of health issues when I was in my 40s.  I fell down a flight of stairs on my summer vacation, had a bad injury from that.  But also was extremely heavy.  I weighed 321 pounds, and I was on diabetes medication and high blood pressure pills, and I had a really high-stress job.  And my family life was nuts.  So I happened to go to a conference, a nursing conference, and heard about this, and it was like I had discovered something really critical.  It was like the missing puzzle piece for me to figure out why I reacted or had the habits that I had, and as I started to travel down that road, I became really interested in sharing that information with people because I think it’s key.  We spend a lot of money on the back side of health, taking care of chronic illness.  My thought was, wow.  This made a huge difference for me.  What if I could share that information with folks?

Alyssa:  And it’s probably worth noting that you are an RN?

Deb:  I am an RN.

Alyssa:  And that’s what you were doing in your previous life?

Deb:  I did, and I didn’t know about that particular study at that time, and I wasn’t — I mean, they cover the stress response in nursing school, but not to the point with all the brain science and all of that.  So in the last 20 years, they’ve made huge discoveries, and it’s super interesting.

Alyssa:  When did you leave the nurse world?

Deb:  Four years ago, I left the nurse world and started my own practice, but I had trained as a healing touch practitioner.  In 2009, I started that, and I don’t remember when I finished, but I was never able to use that in a private practice, but I did in my buildings.  I was a nurse manager in both of my previous jobs, and I found that when you teach people those self-care skills, it really changes your culture, and it made us care about each other.  When we care about each other, we do better with our patients and the folks that we’re charged with caring for.

Alyssa:  So you taught the other nurses or the patients?

Deb:  Eventually, we did teach nurses healing touch at the hospice, which was my last job, but there are all kinds of other really cool interventions that you can do to build capacity for stress management, and those are the things that we worked on.  You mentioned the stress certification.  I’ve been a diplomate of the American Institute of Stress for a couple years, and you get that designation based on the amount of training that you’ve had regarding stress and how you’ve used that to help other people, and at the end of last year, this little thing came in my email box, that they were doing a beta for this stress mastery educator certification, and I got invited to submit an application.  I was one of 40 people throughout the world that was chosen for beta one, and we worked with Heidi Hannah.  She’s a Ph.D. researcher and stress mastery educator and teaches at Harvard, and she has all these other amazing professors and Ph.Ds. who share this information, so I was super interested and hoped I would get selected just because I thought it would be really neat to learn from these people.  And it has been beyond my wildest expectations.

Alyssa:  What is stress mastery?

Deb:  We talk about stress management like we have to manage stress, but we actually need some stress in our life to help us grow, learn, and adapt.  And when we master something, it means that we learn to dance with it in a positive way, and we use it to fuel positive change versus working on controlling what’s going on in our life.  So I actually now help people build their capacity versus teaching them how to manage it.

Alyssa:  Build my capacity to deal with stress instead of trying to reduce it or eliminate it?

Deb:  Yeah.  The way we do that is through evidence-based practices like the healing touch that I did.  That was one thing I had under my belt, but since then, I’ve become a Tai Chi Easy Practice leader.  That’s all about Qigong breathing and moving meditation.  I’ve also gotten a certification in mindfulness and meditation.  Breathing and some of those other key interventions that we can do on a daily basis throughout our day are really what helps stop that stress reaction and helps us build that capacity.

Alyssa:  What if somebody is like you before with a really stressful job and a stressful home life?  All these stressors: you don’t want people to try to eliminate some of that?  You just want them to learn effective ways to cope?

Deb:  Well, I don’t think that you really — coping means that we have to continue to deal with it, and yes, you do have to decide what you’re going to work on first, and there are certain areas of life that you’re going to have to make some decisions about and maybe pare down, or maybe that job is really horrible for your health and it’s time for you to move on.  So we do validated stress assessments to figure out what areas of your life and out of sync and where your stress issues come from so that you can make good decisions.  Oftentimes, when you’re in the midst of it, you just know that the world is falling down around you, and you don’t have any clarity about where that stress is coming from.

Alyssa:  So how do you differ from a therapist or a counselor?  Or do you also kind of work that in?

Deb:  I would say I work in tandem with a therapist or a counselor.  I’m not going to talk to you about all the things that happened to you in your childhood.  I don’t get into all of that.  We use the ACEs screen as a way to help you recognize how your stress patterns developed and then look at the different areas that are out of balance in your life, and then I’m going to teach you how to do a daily practice to help yourself not be so triggered.  Triggers and tamers, I would look at; what are you stress triggers; how can we work with that; what kind of language are you using with yourself.  That negative stuff breeds more negativity.  How can we switch that around to help you have a more positive outlook?  I do a lot with breathwork.  It is one of the easiest ways to get that stress reaction to moderate and to get you into that rest and digest state so that you can think clearly.  The way the brain is organized, the brain’s number one job, priority one, is safety.  It’s always scanning, looking at the environment, trying to figure out how to keep you safe.  The stress reaction is what keeps you safe.  It gives you that juice, that bolt, of adrenaline to get to safety.  But when you’re stuck in that feedback loop and that’s your whole life, you really can’t think and use the part of your brain for higher executive functioning because that feedback loop kind of gets in this little track.  Do you know those people in your life, where they’re kind of stuck in that?  Things are always falling down around them.  Some of the exercises for building capacity are to be able to get that to shut off so that your brain can actually rewire and build new circuitry for that.  That’s capacity-building.

Alyssa:  Do you think everyone in general could benefit from some sort of practice?

Deb:  Absolutely.

Alyssa:  It’s not just the high anxiety, panic mode — I mean, I think we all feel it at some point, right?  So even if you don’t have it on a daily basis, you’re noticing it — like you said, what are your triggers?  So how do you — we talked a little bit about prenatal.  What about a postpartum mom who has sleep deprivation working against her, as well, and then maybe new triggers that she didn’t even know existed before, who says I don’t have time to do Tai Chi with you.  Are you crazy?  I can’t do Tai Chi and meditate.  How would you help a mom who came to you and said, what can you do for me?

Deb:  I would tell a mom like that, what did you do to take care of yourself before, and what are you doing now?  Typically, when a new baby comes in or there’s a child, they take first priority, and oftentimes, moms are trying to work and take care of this, and the demands are huge.  So first we would walk through, what are you doing now?  What did you love?  What do you have time to do?  How can we structure something so that you give yourself some attention every day?  We’ve all heard that adage, you can’t give from an empty cup.  That’s super important.  Your child, from zero to three, learns from serve and return, and you need to have the energy to show up for your child every day so that that child learns to feel safe with you, cared for, and loved.  If you don’t have that ability for your child, then you’re going to be suffering with problems further on down because your child develops anxiety, sleep issues, all those things.

Alyssa:  And what do you mean, develops from serve and return?

Deb:  Babies mimic what we do to them, the cooing, the eye movement, hugs, kisses.  That’s serve and return.  When you’re munching on your baby and nuzzling, that actually builds their neural circuitry and helps them feel safe.  It’s a normal part of development.  We used to think that babies got all their neurons and they were never going to get another one after they were born, and what you had, if you didn’t use, you would lose.  There’s a little bit of truth to that.  What gets paid attention to develops, and what doesn’t eventually kind of gets pruned away.  There’s a process actually called pruning in the brain.  But we know that neural circuitry actually develops now from our experiences and the things that happen in our world around us, so you want to create that loving, safe environment for your baby, and if you come home stressed out and you have nothing else left to give, are you doing the right thing for that child?

Alyssa:  So zero to three is really, really important?

Deb:  Very important!

Alyssa:  Into my brain is popping this video I saw where a mom gives a sad face or a mad face and the baby mimics that.  There’s an actual study, and I’m forgetting the name of it.

Deb:  I don’t know that particular study, but the Center for Child Development at Harvard does a lot with that serve and return, and they actually have a campaign going right now.  I’ll post that link on my website, and you can look at that if you’re interested.  Lots of wonderful videos about how the brain develops and why that’s so important.  Back to the mom: trying to figure out what she can do within her day to recharge her batteries is super important.  Actually, I just met with a mom this morning.  I think her little guy is four, and then she’s got one that’s maybe two.  And she said that they just went through a period of stress where their family dog was sick, and they had some financial issues, and their older one started acting out.  My question to her was, and what was going on in your household?  She said it was chaos, and then she looked at me and goes, oh, crap, he saw that, didn’t he?  So yes, that is exactly what happens.  And their job is to build a relationship with you, so if you can’t be present, they’re going to act out because they’re trying to get their needs met.

Alyssa:  They notice everything.  My daughter is six, and nothing gets by her.

Deb:  I think I saw a picture with her meditating someplace when you were off, and I thought, wow, Alyssa, that’s awesome.  What a great skill to teach your child!

Alyssa:  Well, it’s amazing even in schools now; I think they know the importance of this.  They’re teaching yoga.  They’re teaching mindfulness.  They’re teaching meditation.  And even if it’s only once a week — I never had that as a kid.

Deb:  Well, and when it becomes part of what we do as our daily practice, it becomes easy.  It becomes habit.  So then it’s not like you have to spend all this time on self-care.  You have it integrated into your day.  That’s really my job; to teach you how to discover all these different practices that might speak to you because what you love isn’t necessarily going to be what someone else loves.  Figuring that out, and then how do you work that into your day, and how do you sustain that for long term?

Alyssa:  That’s the hard part, especially as a mother.  My days are never the same, so I would love to be able to say, from 9:00 to 10:00 AM every day, I’m going to do this.  Doesn’t happen.  I mean, on top of that, I’m a business owner, too, right, so the day just gets more hairy.  But having someone say, okay, well, let’s figure out something that can work for you.  If you can’t do it at 9:00 today, let’s do it at 8:00.

Deb:  The newest research that’s out there is that you should start your day with that practice before you even hop out of bed, and my favorite go-to is a guided meditation.  It’s the thing that always made me feel really good, and it’s the thing that I teach because I love it.  There’s lots of them on YouTube, and the cool thing about YouTube is you can pick the amount of time that you have.  Maybe today you have five minutes, and tomorrow you have ten, but building that and scheduling that into your week.  And then because there’s so many different ones, you could pick the rate of speech, the kind of voice.  Like, I have one that I love at night.  It’s an Aussie guy who does a sleep thing that’s maybe 26 minutes.  I’m never awake by the end of that.  I usually wake up the next day and it’s still frozen on my iPad.  It’s wonderful.

Alyssa:  For someone who has never experienced a guided meditation, you could choose some with or without talking?  Or do they all have talking?

Deb:  A guided meditation typically is something that helps cue you by voice to pay attention to your body in the here and now, and there’s all different kinds of scripts out there, but for someone who’s just beginning, I think a breathing thing, a couple minutes of breathing, is really good, and then after you get comfortable with that, you can explore.  We know that the brain needs 10 to 20 minutes of that prime-timing in the morning, but truly, any time you can do 30 seconds or more with focused attention on that effort, it’s still beneficial to your body.

Alyssa:  My Apple watch actually does that for me.  It will tell me when to breathe.

Deb:  Yeah, it has a breathing app.  Perfect.

Alyssa:  So that alone, if I do it — most of the time, I’m somewhere that I can’t do it and I just dismiss it.

Deb:  If I was working with you to coach, I would talk about what you already have in place, and we would work on building that.  How could you work that into your day, and really, even if you’re in a meeting, you could excuse yourself, go to the restroom or whatever, if you were that committed, or reset your watch or program it so that it works around your meetings.  Those are all things that you can integrate into your day.

Alyssa:  I love it.

Deb:  It’s easy.

Alyssa:  I mean, it is.  We just find excuses of why we can’t or shouldn’t.  I just feel like we’re always full of excuses.

Deb:  Well, I think that’s what I’ve appreciated being part of this stress mastery educator process.  Heidi is wonderful at being able to package things in a way that are easy and doable.  Three steps to getting your stress mastered: assess, appreciate, adjust.  Figure out where you’re out; appreciate what you can learn; and then those tools to adjust.  And then the BFF model, so yeah, being your own best friend, but it really stands for breathe, feel, and focus.  It’s really that simple.  We make it difficult because we think it’s this thing that has to take a lot of time.  What takes time is changing the habit, but once it gets integrated, then it’s easy.

Alyssa:  And then coming full circle here, working that in to your daily practice and having your children see that as part of your practice, right?

Deb:    Yes.

Alyssa:  Because then they are like, oh, this is just something we do.

Deb:  Yes.  Last week, I actually taught teachers how to look at their own stress, a group of 20, to look at what was happening, and they got to choose the track that they wanted to be in, so at the start of the two days that we were together, why are you here?  My mother in law is driving me crazy; I need to figure out how to get hold of my stressor.  At the end of my day, I have nothing left for my family.  Starting with the ACEs piece that we talked about and recognizing how they developed the way they look at stress.  What were the patterns?  What are their triggers?  It was really beneficial for them.  Many of them have ACE training otherwise in their classrooms, but they don’t know how to apply it to their own lives.  I mentioned that puzzle piece for me.  That was it.  Okay, now that I understand how I developed it, now I can shift because I can appreciate how I got where I am and make those adjustments.  It makes it a whole lot easier than someone saying, oh, I have to do these ten things today because I have to manage my stress.  At the end of the two days, it was so fun to go around in the circle and to hear them say what they learned about their own issue and what their one takeaway was going to be and how they were going to integrate it.  You can throw out everything you’ve done and say that you have to start with ten things, but the reality is, we don’t have time for that, and it needs to be graduated.  You start with one thing, two things, three things, and pretty soon, you start to feel the shift, and then you’re motivated to do the rest of the work.  So yes, they’ll go back and model that, hopefully, for their students.

Alyssa:  For their classroom, yeah.

Deb:  I taught some interventions, some Tai Chi interventions, moving meditation, breathwork, short meditations.  You don’t have to come up with all the stuff on your own.  There are tons of resources out there.  My job is to just share those resources with you and have you pick what you want.

Alyssa:  Tell us how people find you.  I know you have a website.

Deb: Yes, and you can follow me on Facebook.  Deb Timmerman is my name.  I’m on LinkedIn.  Same thing, Deb Timmerman, RN.  And then on my website.

Alyssa:  And people can find you there?

Deb:  They can find me there.

Alyssa:  Ask questions?

Deb:  Ask questions!

Alyssa:  And set up a consult?

Deb:  Yep, sure can!

Alyssa:  Is it just kind of like booking an appointment?  And what do appointments look like — 30 minutes, 60 minutes, 20 minutes?

Deb:  I typically offer an assessment or at least a meet and greet first to find out if we’re even compatible in working together.  That’s usually a 30- or 45-minute, either online; we can do a Zoom call, or we can meet in person if you’re local over coffee, and finding out what your goals are.  What is it you hope to learn?  Why did you call me?  What’s your reason?  What’s your motivation?  And then I would recommend, based on that appointment, what I thought was a good strategy for us and how long that might take and what that would cost, and then we would work together.

Alyssa:  Excellent.  Are you covered by insurance or not?

Deb:  We are not at this point covered by insurance, but I think that’s going to change because there is a big shift with all this ACEs movement, and they’re all getting on board.  Yeah, but in terms of investment, I think — my job isn’t to stick around forever.  It’s to give you those tools so that you can go on your own, and if you need a little check-up now and again, that’s easy to do.  We offer all kinds of online resources for people, and a podcast.  There are medications on there that you can do.

Alyssa:  What’s your podcast called?

Deb:  It’s called Mindful Moments.

Alyssa:  How fitting!

Deb:  Those podcasts, there’s always a little nugget of information.  Usually, they’re short, 7 to 8 minutes, but there’s a couple that are 20, like if you need a longer relaxation and have time.

Alyssa:  I will have to look it up myself!  Thanks for sharing!

 

Stress Mastery: Podcast Episode #85 Read More »

Sleep Deprivation

How Sleep Deprivation Impacts New Parents

Becoming a parent is one of the most exciting and scary milestones of a person’s life. It’s likely your emotions will run the gamut from excited anticipation and joy, to fear of the unknown and uncertainty about what’s ahead and how you’re coping with parenthood. Managing night time feeds, tending to your baby throughout the day, and trying to keep up with your other responsibilities as you acclimatize to parenthood can make sleep difficult. While this is somewhat expected, sleep deprivation can have a serious impact on the health of new mothers and their babies, so it is important to get as much rest as possible.

The importance of sleep for new parents
The diminished quality and quantity of sleep that new parents often experience can result in physical and mental fatigue and an increased risk of postpartum depression. Prolonged lack of sleep or poor sleep quality can also increase the risk of diabetes, weaken your immune system, reduce attention and focus, and impair hormone production, causing weight gain, loss of libido, and moodiness.

Because our bodies require sleep to function correctly – and a specific amount of sleep that allows us to cycle through the various sleep stages several times throughout the night – a dip in the standard or quantity of hours we accumulate asleep in bed can have a far-reaching impact on our health and quality of life. One recent study found an association between poor sleep quality and postpartum depression.

There are two main phases of sleep – NREM (non-rapid eye movement) and REM (rapid eye movement, when dreams occur). Throughout these stages, specific changes and functions are carried out in our bodies and brains. NREM phases are when most of the physically restorative processes of sleep are performed. Our muscles and cells are repaired, our immune system is boosted, and the deep sleep of stage three NREM is what’s needed to wake feeling refreshed in the morning.

REM sleep occurs around 90 minutes after we first fall asleep and NREM phases are complete. This is the dreaming phase and the time that our brains process the salient and emotional experiences from waking life. When our body doesn’t get the required amount of sleep, it is unable to consolidate all the emotional and experiential data we have collected while awake, neither is it able to complete the physically restorative processes we need to feel refreshed and energized. That’s why we feel fatigued, forget things easily, and may find it difficult to manage our emotions.

Tips for getting the right amount of sleep
While some disruption to your sleep is to be expected as you adjust to the new normal; the good news is that there are a range of tactics and strategies you can employ to still get the amount of sleep your body needs.

Create the right environment for sleep:
When you do head to bed, it is important that you are able to drift off to sleep as quickly as possible so you can maximize your sleep time. To create the right environment for good sleep, keep your bedroom cool and dark. Light affects our melatonin production and signals to our brain that it’s time to get up. Turn the baby monitor down too so their snuffles and murmurs don’t disturb you, but you’ll still wake if they cry out for comfort. If you do have trouble falling asleep, try a wind-down relaxation or mindfulness meditation that will help calm your mind and body.

Share the responsibility:
Taking care of a baby is a 24/7 job that requires constant activity and emotional resilience. No one should expect that they can do this on their own.

Negotiate a schedule with your partner that lets you share nighttime feeds, diaper changes, and those evenings when baby just doesn’t want to go to bed. It’s necessary to ensure you have the right support so the sleep and health of you, your partner, and baby don’t suffer.

Accept help:
Have you ever heard the African proverb “It takes a village to raise a child”? This isn’t just about the direct interactions; it’s all the support functions that are needed to raise a happy healthy child too. Don’t be afraid to ask for help with the cooking, cleaning, endless laundry, groceries, or just holding your baby for a while so you can have a shower and dress! The everyday, mundane tasks that were so simple pre-baby can take monumental effort to complete once there’s a baby in the house. Most people know this and will be happy to lend a hand.

Embrace the nap:
Babies rarely sleep for more than four hours at a time. While this is a major contributing factor to those interrupted nights, the multiple two to three-hour naps your baby takes through the day provides ample opportunity for you to rest too – if you let yourself. Resist the urge to catch up on chores and instead take a half hour nap that will help manage your fatigue. Avoid sleeping longer than 45 minutes though as this will adversely impact your night’s sleep.

Christine Huegel is on the Editorial Team of Mattress Advisor, covering a variety of topics pertaining to sleep health in order to help people get their best night’s sleep.

Image via www.pexels.com.

 

How Sleep Deprivation Impacts New Parents Read More »

Postpartum Depression

Supporting a Postpartum Mother: Podcast Episode #79

Elsa Lockman, LMSW of Mindful Counseling talks to us today about how partners, family members, and other caregivers can support a mother during those critical postpartum weeks to ensure she seeks help if needed.  How do you approach a new mother and what are her best options for care?  You can listen to this complete podcast episode on iTunes or SoundCloud.

Kristin:  Welcome to Ask the Doulas with Gold Coast Doulas.  I’m Kristin, and I’m here today with Elsa Lockman.  She’s with Mindful Counseling, and we are talking about how partners and other caregivers and family members can support a woman who has potential signs of postpartum depression or mood disorders.

Elsa:  Yes.  So postpartum is going to be an emotional time, so tears, some anger, sadness, are all part of the experience.  After about two to three weeks out, if spouse or a friend or a mother is noticing maybe a mom is crying more than usual, isn’t really looking forward to things, has these unusual fears that they can’t seem to let go of.  Another sign would be not seeming to eat very much or either sleeping a lot or not being able to sleep when the baby is sleeping.  If they’re noticing those signs, it would maybe be a sign that they could go talk to somebody as far as a therapist or go see their doctor.  Approaching Mom would be in a way to not criticize mom as if she’s doing anything wrong.  She’s not doing anything wrong, so start off with validating, actually.  She’s doing a great job with how hard it is; validate how hard she’s working, and try to tell her that it doesn’t have to be this way.  She doesn’t have to do it alone.

Kristin:  How does the caregiver know if it is baby blues or if it’s something that she needs help for?  Because, of course, there can be that hormonal fluctuation.  They may be teary.

Elsa:  Baby blues usually stops after three weeks postpartum.  So after that would be maybe a sign that there’s more going on.  But I would say, is it getting it the way of functioning?  Is it getting in the way of relationships?  Is it getting in the way of their working in the home or outside of the home, getting those things done?  To a degree, that is expected postpartum; not everything running smoothly, but are relationships being affected?  Those would be signs that it’s more than just baby blues.

Kristin:  How can a spouse, partner, or caregiver be supportive in order to empower her to get help?  Is it best for them to directly reach out for help for her if they’re seeing signs, or what do you recommend?

Elsa:  I recommend the mom reaching out, so that would be encouraging Mom to reach out herself.  And maybe she needs to talk to a friend and have more time with friends or more time to herself; maybe that would help.  See how that works.  If that seems to help and is enough to alleviate whatever stress is going on, then that works, but maybe if it’s not working, then take it to another level, which would be contacting a therapist or your doctor.

Kristin:  And since, obviously, women have multiple doctors — they’re seeing their OB or midwife and family doctor and their pediatrician — does it matter who they’re speaking with about getting help?

Elsa:  No, it wouldn’t matter who you see.  Usually the OB would be the person that they’ve seen most recently, but they can even bring it up to the pediatrician, since moms see the pediatrician very often.

Kristin:  And as far as getting help for our local listeners and clients, they can reach out to you directly?  How do they access you at Mindful Counseling, Elsa?

Elsa:  They can go to the website, and they can contact me through there.  Another resource would be Pine Rest, and through your OB’s office, there also is a list of therapists who specialize in perinatal mood disorders, which includes postpartum depression and anxiety.

Kristin:  That’s so helpful.  And in past conversations, you had mentioned that women can bring their babies to therapy; that you allow that with clients you’re working with, and I know Pine Rest encourages that with their mother-baby program?

Elsa:  Yes, for sure.  Bring your baby to the session; you can feed the baby, breastfeed, anything.  Coming with your baby is welcomed and encouraged, for sure.

Kristin:  Do you have any final thoughts or tips to share?

Elsa:  Just that it doesn’t have to be going through this alone.  It’s very normalized for women to feel that anxiety is just part of the postpartum experience or feeling depressed and stressed is part of it, and while it might be a new phase and there’s a lot going on, it doesn’t have to be that women are just suffering through it.

Kristin:  Great point.  Thanks so much, Elsa, for being on!

 

Supporting a Postpartum Mother: Podcast Episode #79 Read More »

postpartum doula

Benefits of A Postpartum Doula and Why Should You Hire One?

Author Bio: Roselin Raj is a journalist and a writer. She has been writing extensively on health and wellness related topics for over a decade. Besides her professional interests, she loves a game of basketball or a good hike in her free time to fuel her spirits. “Health is wealth” is one motto of life which she lives by as well as advocates to every reader who comes across her blogs.

In the months leading up to my first delivery, I had many emotions ranging from excitement to fear. The idea of delivering a baby was daunting and had occupied my headspace completely. Though I had a consulting doctor and limitless information on the internet, getting the personal assistance and care from a doula did the trick. 

According to What To Expect, “Doulas, who offer non-medical emotional support, are growing in popularity in the delivery room (or birthing center), but many also do postpartum work, helping new moms navigate the stressful, bleary-eyed early days of parenthood. Here’s why you may want to consider hiring a postpartum doula to help you through the fourth trimester.” With the rising popularity of doulas, let us understand what a postpartum doula is and how they help expectant mothers through and post pregnancy. 

What is a Postpartum Doula?

As mentioned earlier, a doula is a trained professional who guides mothers with information, emotional and physical assistance before, during, and a short while post birth. The guidance and assistance are given to expectant mothers to make the process a healthy and less stressful experience. However, a postpartum doula extends their assistance until the baby has adjusted with the family. 

A postpartum doula is skilled to assist with a variety of needs and requirements according to each family. For instance, once the baby is born, all the attention is directed towards the new bundle of joy. But the physical and mental health recovery of a mother is very important. A postpartum doula can help the mother ease into motherhood, provide necessary information on caring for the baby or help with breastfeeding issues, and much more. But a postpartum doula is not a nanny and helps the mother emotionally to recover after the birth of the baby, bond, offer newborn care, sibling care, and lighten the load of household tasks.

Benefits of a Postpartum Doula

The work of a postpartum doula extends post birth, unlike a birth doula. The postpartum doula’s main purpose is to make the mother comfortable with the baby and support her in doing so. The tasks may vary from mother to mother, and she is equipped to do the best in any situation. Here are a few of the tasks a postpartum doula can provide:

Postpartum Care for the Mother

Once the baby has been delivered, the mother requires a lot of caring and help. The basics involve eating healthy food, drinking water at regular intervals, and most importantly, rest. A postpartum doula will help in cooking, running errands, etc. to allow the new mother to recover. In the case of c-section delivery, she can assist the mother with the newborn, household tasks, offer support and resources, rest and healing, and aid in hassle-free recovery. 

Women are usually emotionally weak post-birth with chances of depression and anxiety. Postpartum doulas can help create a stress-free environment, take care of the baby, and be emotionally available for the new mothers. 

Breastfeeding and Newborn Support

Postpartum doulas are equipped with complete knowledge of handling newborn babies, and they help mothers to ease the process of parenting. The next big challenge after giving birth to a child is often breastfeeding. And as you are probably aware, it can be a challenging experience for both the mother and the baby. 

In such cases, the doula helps with information on newborn behavior, soothes the process of breastfeeding or transitioning to bottle feeding. If further breastfeeding support is needed, she can offer local resources to an IBCLC (Board Certified Lactation Consultant).

Finding the Perfect Doula for You

Doulas can be found through word-of-mouth or going through service providers to find certified doulas as per your needs. The idea is to get a suitable doula who is certified, experienced, and well-synced to you and your family requirements. Before hiring a doula, talk to the agency regarding their qualifications, certifications, insurance, etc. to get a clear idea of who you are hiring. 

Doulas or the agencies usually charge for services by the hour, location, services required, and the experience of the doula. There may be provisions to use your Health Savings Account (HSA) to hire a doula. Clarify with your insurance provider or the doula agency before going ahead with the plan.

Photo credit: The People Picture Company

 

Benefits of A Postpartum Doula and Why Should You Hire One? Read More »

EMDR Therapy

EMDR Therapy: An Overview

We are so excited to share this guest blog by Joshua Nave LLMSW and Paul Krauss MA LPC of Health for Life GR. We get asked frequently about EMDR Therapy, so read below to find out what it is and how it works!

This blog is a discussion of the basics of what Eye Movement Desensitization and Reprocessing Therapy (EMDR) is, its origins, and how it can help people.  Many people have heard about EMDR in one fashion or another, and with over 2 million people reporting healing from its use (Trauma Center, 2007), it’s no wonder that more and more people are asking “Just what is EMDR?”  So let’s begin with trying to answer just that: what is EMDR therapy?

EMDR therapy is a physiological psychotherapy technique that aims at unlocking the body’s natural ability to process information and heal from past trauma and current distress (EMDRIA, 2019).  EMDR therapy seeks to access the process that the human brain uses during the REM (Rapid Eye Movement) cycle of sleep to reduce the disturbance caused by memories, events, and thoughts that have become stuck or intrusively repeated in a person’s mind and/or behavior and personality.  EMDR therapy is an advanced type of empirically-validated therapy that can be utilized by Masters-Level Counselors with specific advanced training (post-graduate school). Hundreds of studies have confirmed that when human beings are enduring great duress or stress, the brain becomes incapable of processing information as it normally does.  While the brain may change its normal processing abilities to protect the person during a stressful situation–there are often negative side effects.  Information that is not processed in a normal manner, due to a stressful or traumatic event can then become “locked” within the mind, and as the brain attempts to process that event, an individual may experience a repetition of the very stress, pain, thoughts, and other body sensations that they experienced during the original event(s).

EMDR therapy works on multiple levels of the brain, both incorporating talk therapy and elements of the rational brain, along with the deeper memory systems as well as the physical memory to allow an individual to access those “locked” stressful/traumatic events in a therapeutic environment– so that the effect on the brain is essentially “reprocessing” the stressful or traumatic event in an adaptive way that allows resolution of suffering. As the brain processes the event, individuals become able to embody with healthy and adaptive beliefs about themselves both from the past and during the current time, which can build long-term resiliency in an individual. In addition, EMDR therapy works to clear the body of disturbing physical sensations associated with the event, or what is sometimes called “the felt sense.”   To this day, scientists and medical professionals have been unable to ascertain the exact mechanism of action that helps to change brain and body’s response to triggers and associated negative stimuli (all of the elements that make EMDR therapy effective), nevertheless study after study demonstrates its tremendous positive effect on people, and often shows improved outcomes over such therapies as CBT and traditional talk therapy. Counselors who utilize EMDR therapy often theorize that it is the use of rapid eye movement or other forms of bilateral stimulation (BLS) during the treatment, combined with the cognitive elements of counseling, which ultimately causes the stress reduction and adaptive processing to occur.

Francine Shapiro originally theorized the foundations of EMDR therapy in 1987 when she discovered that rapid eye movement could have a beneficial effect on reducing the effects of stress and the effects of traumatic memories (EMDR Institutive, 2019).  Dr. Shapiro later went on to perform clinical trials to test her theories, and today, EMDR Therapy is a certified evidence-based approach to recovering from traumatic experiences.  In addition, EMDR Therapy has been reported to be effective with anxiety, depression, panic disorders, addictions, body dysmorphic conditions, phobias, pain disorders, and more (Legg, 2017).  Many people have sought EMDR Therapy as a method of treatment for these conditions instead of the traditional route of medication first.  

Is EMDR Therapy right for you?  If you suffer from repeating intrusive memories, feelings, body sensations, or thoughts of past disturbing events, or in fact, any of the symptoms previously discussed, then EMDR Therapy could assist you in your healing.  If you are interested in receiving a different method of healing where you are in control of having the healthier life you’ve always wanted, then I encourage you to contact a licensed therapist who’s undergone EMDRIA approved training in providing EMDR Therapy services.  

EMDR Therapy is an effective psychotherapy method when its methodology is followed by a licensed counselor. It is important to have the right fit for you, so when investigating, make sure you feel aligned with your therapist and that they are experienced and knowledgeable and have valid EMDR therapy training.  If you’re interested in a free 15-minute consultation to either learn more about EMDR or to set up an appointment, please visit our website at healthforlifegr.com. At Health for Life Grand Rapids, we are now proud to have a counseling wing called The Trauma Informed Counseling Center of Grand Rapids. You can also give us a call at 616-200-4433.

References:

EMDR Institute. (2019). History of EMDR.

EMDRIA. (2019). How does EMDR work?

Legg, T. (2017). EMDR therapy: What you need to know.

Krauss, P. (2019). The trauma informed counseling center of grand rapids.

Trauma Center. (2007). Eye movement desensitization and reprocessing (EMDR).

About the Authors:

Paul Krauss MA LPC is the Clinical Director of Health for Life Grand Rapids, home of The Trauma-Informed Counseling Center of Grand Rapids. Paul is also a Private Practice Psychotherapist, host of the Intentional Clinician podcast, Behavioral Health Consultant, Clinical Trainer, and Counseling Supervisor. Paul is the creator of the National Violence Prevention Hotline (in progress) as well as the Intentional Clinician Training Program for Counselors.

Joshua Nave MA LLMSW 
“I became a social worker and ultimately a therapist to assist in God’s mission to bring healing to the hurt. Through my years of work in the field of trauma, behavioral health, and the broader social work field, I discovered that many of us are held back from reaching true healing by the traumas and lessons imparted on us in our early childhood. It has thus been my passion over the past several years to provide early childhood intervention to families struggling when their young children, as well as assisting adults in overcoming the barriers to healthy living through trauma-informed therapies. I have used my training in Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Play Therapy, and Eye Movement Desensitization and Reprocessing Therapy (EMDR) to assist my clients in achieving a more complete and healthy life. It is my belief that all individuals have not only intrinsic value, but also the natural capacity for healing and change.

As a therapist, I provide my clients with a truly “client-driven experience.” I am skilled at partnering with you to identify the changes that you wish to make in your family’s life, or even your individual life, and developing a plan to achieve success. I look forward to partnering with you on reaching your potential through natural healing!”

EMDR Therapy

 

EMDR Therapy: An Overview Read More »

Ask the doulas podcast

Podcast Episode #68: Overnight Doula Support

Many of our clients and listeners don’t fully understand what overnight doula support looks like.  Kristin and Alyssa, both Certified Postpartum Doulas, discuss the kinds of support their clients look for and how their team of doulas support families in their homes.  You can listen to this complete podcast on iTunes or SoundCloud. You can also learn more here about overnight postpartum doula support.

Kristin:  Welcome to Ask the Doulas with Gold Coast Doulas.  I’m Kristin.

Alyssa:  And I’m Alyssa.

Kristin:  And we’re here to chat about what an overnight postpartum doula does, as that is a question that we get asked often by our clients and our podcast listeners.  So, Alyssa, my first question to you is, as a postpartum doula and sleep specialist, what do you see as the key benefits to a family in hiring overnight postpartum doula support?

Alyssa:  Whether they hire for sleep or not, it helps the parents get sleep.  So let’s say they’re not even hiring me for a sleep consult.  Parents don’t understand what sleep deprivation means until their in the midst of it, probably at least three weeks in.  Like, our bodies are designed to survive a couple weeks of this, sometimes even three or four, but after that, our systems start to shut down.  So if you think about overnight support being this trusted person who sleeps in your home to take over all those overnight responsibilities so that you can get a good night’s rest.  Even a six-hour stretch or sometimes even a four-hour stretch makes you feel like a whole new person the next day when you’re used to only sleeping maybe one- or two-hour chunks.  A four-hour stretch seems amazing in that moment, whereas right now if you told me I could only have four hours of sleep tonight, I would cry.  I would be miserable the next day.  And you, Kristin, as a birth doula, you know that feeling.  If you’ve had one night of no sleep, you’re just wrecked.  So you’re running on adrenaline.  You’re sleep deprived.  So having a doula come in and take over all that responsibility at night — obviously, she can’t breastfeed your baby, but you have a couple different choices if you’re a breastfeeding mom.  If you’re a bottle-feeding with formula mom, you can literally go to sleep at 10:00 PM and wake up whenever you want because the doula can just feed that baby every three hours.

Kristin:  Exactly, and clean the bottles and change the diapers and burp the baby, all of it.

Alyssa:  Yeah.  So if your partner is feeding in the middle of the night, you’re certainly not going to wake up to clean bottles and parts in the morning.  The doula does do that.  But for a breastfeeding mom, you can choose to pump instead of breastfeeding because it’s usually a lot quicker.  So you pump and you set those bottles out for the doula.  The doula wakes up when the baby wakes up; feeds the baby; burps the baby; changes the baby; gets the baby back to sleep — and Mom’s sleeping this whole time.  Or, if Mom chooses to breastfeed, the doula can bring Baby to Mom so Mom doesn’t even have to get out of bed.  I was just talking to Kelly Emory, our lactation consultant friend, and she was saying that when she was nursing, she would just side lie and her husband would bring the baby to her.  She would lie on her side, so she didn’t have to get up.  She didn’t even have to open her eyes if she didn’t want to.  She was still kind of in this half-sleep state, and then when Baby was done on that side, her husband would take the baby and she’d roll over and she would feed on the other side, and then the husband would take the baby away, change the baby, burp the baby, and do all that stuff.  So she said it was amazing.  She took over one shift of the night, and he took over the next, so she would get a six-hour chunk of sleep and would feel amazing in the morning.  So you’re able to tackle all those everyday tasks during the day because you didn’t have to also worry about those at night.

Kristin:  Yes!  And I’ve also had overnight clients who prefer to come into the nursery and sit in a rocker and feed their baby rather than have me come in and disrupt their husband’s sleep.

Alyssa:  Sometimes they’re sleeping in separate rooms, too, because they’ve become used to that.  So oftentimes, my goal as an overnight doula is to have both parents sleeping in bed together again, or wherever you were before this baby arrived.

Kristin:  Right, no more partner on the couch or in the guest bedroom.

Alyssa:  Right.

Kristin:  So as far as other tasks of an overnight postpartum doula, sleep is one.  So we can get Baby back to sleep and if they’re working with a certified sleep consultant, like you, then they can implement that.

Alyssa:  Yeah, I guess I didn’t answer that initial question.  So if they do work with me as a sleep consultant, you can hire an overnight doula in conjunction with.  So I offer this customized sleep plan for your family, and then our doula knows that plan, understands that plan, and implements that plan overnight.

Kristin:  That’s amazing.

Alyssa:  So you wake up again refreshed because you’ve slept, and then you have the energy to implement the sleep plan during the day.  And then the doula comes in at night and implements that plan overnight.  So it’s consistency because that’s always the key with any sort of sleep consult is that you have to be consistent.  You can’t just do it during the day and then give up at night because you’re tired.  Your plan will fail.

Kristin:  And so who hires a postpartum overnight doula, and how often do they use the doula support?

Alyssa:  Who hires them?  Tired families hire them!  You get to the point of exhaustion.  I don’t think when you’re pregnant you’re thinking about an overnight doula because you truly don’t understand what you’re in for.  But newborn babies sleep all the time, so they could sleep up to 22 out of 24 hours a day, so you’re thinking, well, of course, like, newborn babies sleep all the time.  I’m going to sleep when the baby sleeps.  They’re going to be feeding every two to three hours!

Kristin:  They get up a lot!

Alyssa:  Which means all day and all night, you will be up feeding every two to three hours, at least.  So your sleep becomes these little tiny chunks.  Because if you think if you have a newborn baby that’s eating every two hours, and it takes you an hour to breastfeed, and then after the breastfeeding session, you have to burp; you have to change the diaper; you have to get the baby back to sleep.  You’ve maybe got 30 to 45 minutes, if you’re lucky, to sleep before the baby needs to feed again.

Kristin:  And some clients hire us for one overnight to get a good night of sleep and catch up; other clients hire us every night, and we bring in a team, in and out, or have one doula consistently.  And some of our clientele have a partner who travels a lot, or I’ve even supported a family where the mother was going back to work from maternity leave and was traveling for her job, so as an overnight doula, I supported the husband as he cared for the toddler that was waking; I was caring for the baby.  And so there are a lot of unique situations, but a lot of our moms who have partners who travel a lot want that extra support, whether they have a new baby or other kids in the household that need support, as well.

Alyssa:  I think it depends on resources.   So if someone is sleep deprived and they’re like, I just need one night of reprieve, and that’s all we can afford and that’s what we’re going to do, then that’s what they do.

Kristin:  Exactly.

Alyssa:  Even if they don’t have the resources, oftentimes during pregnancy, if parents have the foresight to ask for postpartum support as a baby shower gift, they can have several overnights gifted to them by friends and family.

Kristin:  Which is better than all the toys and clothes they’ll outgrow.

Alyssa:  I always tell them, you’re going to get mounds of plastic junk that you’ll literally look at and say that’s hundreds of dollars’ worth of stuff I’m never going to use, and you could have had an overnight doula in your home so you could sleep.

Kristin:  Easily!

Alyssa:  So I think it’s just based on resources because, like you said, we’ve had people hire us for, you know, two overnights and we’ve had two months straight.  So I think it just depends.  I mean, I don’t know that it’s a type of client.  I think that’s just kind of based on resources available.

Kristin:  And we certainly support families who are struggling with postpartum mood disorders and anxiety, but that is not all that we serve as far as clientele.  But for moms who are being treated in therapy, then we certainly are able to give them much-needed support and rest as we care for their baby, and we do have a package where we are able to lower our hourly rate for clients who are in the Pine Rest mother-baby program or are seeking therapy.

Alyssa:  Yeah, sleep deprivation is considered to be the number one cause of perinatal mood disorders, so all these moms with anxiety, depression, up to postpartum psychosis — when you’re sleep deprived, you’re literally torturing your brain and your body, and it’s really hard to function.  So sleep is such an imperative thing, and for your baby, too.  If you’re not sleeping and your baby’s not sleeping, physiologically, that baby needs sleep in order to grow, for their brain to develop, for their immune system to function properly.  It’s so critical for both parents and children.

Kristin:  Agreed.  So, really, anyone can benefit from it.  Our shortest shift would be coming in at 10:00 PM and leaving at 6:00 AM, but a lot of clients extend that time.

Alyssa:  I’ve found that a lot of people like you to come a little bit earlier, especially if they have older children.  So if there’s older siblings, let’s say 6:00 comes around and you’re trying to get dinner on the table.  You have a two-year-old, a five-year-old, and a newborn.

Kristin:  That’s a lot!

Alyssa:  That overnight shift tends to, when parents say, yeah, yeah, come at 8:00 or 9:00 when I’m going to go to bed — that very quickly changes to 5:00 or 6:00.  So either that shift moves up, or it just lengthens.  So the doula can come from, a lot of times, 6:00 PM to 6:00 AM, and they do a lot of 12-hour shifts because they’re there for the hustle and bustle of getting dinner, wrangling toddlers, helping with the newborn, and then helping with bedtime routines for two or three children and then taking that infant newborn and helping them get to sleep.  Usually, it’s in that order.  Like, the doula will take the baby and put them to sleep, and then the parents get to spend some quality time with this toddler who is usually lashing out because they are used to being the only child, if there’s only one, and are really, really seeking that one-on-one attention that they’re not getting anymore.

Kristin:  Yeah, that’s the perfect time to bond, and they can read them a bedtime story and sing songs; whatever their nighttime routines were before Baby arrived.

Alyssa:  Yeah, and that’s one thing I stress, too, with my sleep consults is just having a really good bedtime routine, and even if I’m doing a consult for one child and there’s others in the household, I usually ask about them, too, because if you’ve got three kids who all have a different bedtime, and each bedtime routine is taking an hour, certainly whoever’s last on that list is going to bed at 9:00 or something, which is way too late for these little kids.  So trying to consolidate and have a system in place and just get a schedule that works for the family, for everyone in the family, is a really big goal.

Kristin:  Awesome advice.

Alyssa:  So you mentioned earlier that a doula sleeps when the baby sleeps, and sometimes parents wonder, well, what do you mean?  What does that look like?  Depending on the house, we’ve had doulas sleeping on sofas in the living room.

Kristin:  Yes, that’s what I’ve done.

Alyssa:  We’ve had doulas sleeping in a spare room.  We’ve had doulas sleeping in a spare room on the same floor, in a spare room on a different floor, and you can make anything work.

Kristin:  With monitors and technology now, you know the second a baby stirs.

Alyssa:  So parents are always like, oh, shoot, I don’t know how this is going to work.  How am I going to do that?  We’ve had blow-up mattresses in the nursery.  Ideally, you want the doula to be as close to the nursey as possible, so they’re the one, when they hear that baby, they’re up; they’re there.

Kristin:  No one else gets woken up in the household.

Alyssa:  Yeah, you want the parents to be as far away.  So sometimes I even tell them if you have a spare bedroom in the basement, go sleep there, because even with one of my most recent sleep clients, the first night we did the sleep consult, the doula was there overnight, and I contacted them the next day: how did you sleep?  And they were like, oh, I wanted to so bad, but I kept hearing this phantom crying.  Even when the babies weren’t crying, they hear it, anyway.  So it does take, as parents, who are used to not sleeping for week after week after week — it takes time for your body and brain to adjust back to, oh, I’m able to sleep again.  So it’s not instant.  It usually takes at least a couple nights to get your brain to say, I can sleep.  It’s okay to sleep through the night.  I don’t have any responsibilities tonight.  This doula is taking care of it.  And it’s just a matter of them getting sleep in two-hour chunks instead of the parents getting sleep in two-hour chunks.  So a doula can usually do two or three in a row before they’re too exhausted.

Kristin:  Just like a birth doula.  We can do a couple nights with a client in the hospital without sleep, and then we’re done.

Alyssa:  Yeah.  So for those clients of ours who we’ve had for two weeks straight or two months straight, it’s several doulas taking turns.  Otherwise, they’re just too exhausted.

Kristin:  Right, and that’s where we sometimes will bring in a team if it is continuous care.

Alyssa:  But I think ideally, with sleep training, I would love to see every parent have a sleep plan and then a doula for five nights.  That would just be — I don’t know; I think the mental well-being of these parents would increase drastically if they were able to do both.

Kristin:  I would have loved an overnight doula with my kids being 21 months apart; having a toddler and a newborn.  It would have been amazing.

Alyssa:  Well, and some people, too, think it’s weird to have somebody sleeping in your home.  I mean, always, when they meet the doula, they’re totally fine with it, but it is a weird thought to have this stranger come into your home who’s going to care for your babies.  That’s why I think we’re so adamant about talking about our training and our certification process, and we’ve done background checks for people who want us to.

Kristin:  Yeah, and we’ve shown immunization records and CPR certifications and so on and liability insurance.  We have all of that.

Alyssa:  Yeah, because especially with a mom with anxiety who needs to sleep and knows she needs this help, but now she has anxiety because a stranger is going to be sleeping in her home — we need to do whatever you have to, to make that mom feel comfortable to be able to sleep.

Kristin:  Yes, and we’re there to do just that.  So feel free to reach out to us if you have any questions about overnight doulas.  We’d love to work with your family! Remember, these moments are golden.

 

Podcast Episode #68: Overnight Doula Support Read More »

Newborn

Podcast Episode #62: Newborn Traumas

What is birth trauma and do all babies experience it?  How can you remedy it?  Dr. Annie and Dr. Rachel of Rise Wellness Chiropractic give us several examples of common birth traumas, what they mean, and how chiropractic care can help.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Kristin:  Welcome to Ask the Doulas with Gold Coast Doulas.  This is Kristin, and I’m here with my business partner, Alyssa.

Alyssa:  Hello!

Kristin:  And we have Dr. Annie from Rise Wellness, as well as Dr. Rachel.  Today we are talking about birth trauma with babies and how a chiropractor can help them, especially since you have a focus on newborns.  So, Annie, tell us some different ways that you can help parents.

Dr. Annie:  Sure.  Well, first, I want to talk about what birth trauma means.  It’s not necessarily that all births are categorized as traumatic births, but let’s say there is a lot of pressure on the mom and the baby while the natural birth process is happening.  So even with a natural birth, there can still be some things that show up in little kiddos after.  But if there is any sort of birth trauma, if Mom has to get an epidural, that can affect the baby.  If there are risks of C-section, stuff like that, any of those red flags that are happening during labor, that can all lead to birth trauma, too.

Dr. Rachel:  You’re probably wondering why an epidural would even effect the baby and create more of a birth trauma.  What happens is when Mom gets an epidural, you can’t feel from the waist down, so we can’t feel when we’re supposed to push.  So what happens is that the baby’s head puts more pressure on the cervix that you can’t feel, and it can cause some birth injury in the cervical spine.  Minor, but it can still have effects later on.

Dr. Annie:  Yes.  And then they’re also more likely to need intervention at birth, too, so whether that’s help pulling the baby out by the head and neck or if that’s use of forceps or vacuum-assisted.  And all of those put a lot of pressure on the upper cervical spine of the baby, where the neck is, and your spinal cord goes through that area.  So that’s what we find in kiddos, even after a natural birth process, but especially in those instances where there’s been a lot of intervention.  We see a lot of upper cervical misalignment that affects the nervous system.  And so what we want is to take care of is correcting that misalignment so that they can develop the way that they’re supposed so that their bodies work.  A lot of people think of brachial plexus injuries in kids, when the shoulder gets stuck and there’s traction on the brachial plexus, but if there’s enough traction there to injure those nerves in the arm, there’s enough pressure just in a natural birth that can affect the whole nervous system through the neck.

Kristin:  We find with breastfeeding there can be some issues with the latch or a baby preferring one side to the other, and that could be, obviously, remedied by chiropractor care.  Maybe something happened during birth where they’re just having some issues with their neck and alignment and so on.

Dr. Rachel:  Yeah, that’s super common.  We see that.  That’s one of the first signs that there could have been upper cervical misalignment is if a baby prefers one side or one breast when they’re breastfeeding or if they have latching difficulty because that all has to do with how they can turn their head, how the muscles in their face are working, what position their jaw is in.  So we see that a lot, and when we do home visits, that’s often for a baby who’s head is turned to one side, and then we can correct that with a simple gentle adjustment, and then it’s amazing.  They breastfeed like a champ after that.

Dr. Annie:  I would say a big one, too, right now is the torticollis and the flat head.  I would say that’s later; you see that later, but it probably started with favoring nursing or with latching difficulty that didn’t get corrected.  They’re favoring, so they always want to turn to one side.  And then they hyper-develop those muscles on that side, and then just further down the road, it becomes harder and harder to correct.

Dr. Rachel:  That’s why we always say it’s good to get your babies checked.

Alyssa:  Maybe that’s why I’m so lumpy on this side!

Dr. Rachel:  It’s probably your parents’ fault!  I blame everything on my parents!

Alyssa:  I had no idea!

Dr. Rachel:  It all started with the birth!

Kristin:  And then, certainly, babies that are colicky or have other issues at birth can be helped by chiropractor care.  That’s an easy fix?

Dr. Annie:  Yeah.  And we’ll say this, just so people don’t think we’re crazy.  There was a study done by an MD, Gutman, and he found spinal injury present in 80% of infants examined shortly after birth.

Dr. Rachel:  Out of a thousand births.

Dr. Annie:  Yeah.  Causing interference to neurological and immune function.  So like I said, even just the natural birth process.  I mean, think about it.  If they’re pulling — what is it, 60 to 90 pounds of axial pressure, they say?  So even a natural delivery.  And just the whole process of babies going through.  The uterus contracting; that’s going to cause some sort of distress on that spine.

Dr. Rachel:  And we see that.  I mean, we see other things, too, in kiddos who ended up C-section.  Because they don’t go through the vaginal canal, they don’t get that compression, and so when they’re pulled out of the abdomen, they have a lot of those issues, too, but then their lungs aren’t cleared of fluid and stuff, so then they’re more likely to have allergies and asthma and stuff like that, too, because of those things never getting corrected.

Kristin:  So can you explain to our listeners what an adjustment for a newborn is like so they can rest assured that it’s very gentle?

Dr. Rachel:  Yes.  So the ICPA says you’re going to use the same amount of pressure that you would use to check the ripeness of a tomato.  So it is so gentle.  If you push your finger on your eyelid, the amount of pressure that you can just feel — that’s how much pressure we’re using to adjust a newborn, especially.

Dr. Annie:  We’re using our pinkies.  There’s no instrument; there’s no twisting, cracking, popping.

Kristin:  And I think that’s what people imagine is the cracking.  So it’s not like that?  And the fact that you do home visits is amazing, so people can come to your office here in East Town, and for certain cases with newborns, you’ll go to their homes.  That’s so wonderful!

Dr. Annie:  We do that with most of the moms that we’ve seen throughout their pregnancy.  As soon as their baby is born, they call us up and ask us to come over to their house and check the baby, please.

Kristin:  And do you also adjust the mom when you do these home visits?

Dr. Rachel:  We usually do.  I think almost every time.  And sometimes Dad, if Dad’s home.

Dr. Annie:  Yeah, exactly.  I mean, it’s important for the whole family.  Birth is stressful!  It’s stressful on everybody.  It’s stressful on the mom’s spinal mechanics and on her body, but emotionally stressful on both parents, too.

Dr. Rachel:  And on your body.  We see doulas after the birth!

Kristin:  You are so helpful to me after a birth because we have some recovery, as well, especially if it’s a physical birth, or even if it’s not as physical and my client’s sleeping with an epidural and I’m trying to get rest in a waiting room and kind of shoving myself into these strange positions on a chair to sleep.  I definitely recover faster and my immune system is much stronger as a result of chiropractic care, so I appreciate you both!  Thank you for explaining some of the remedies for different newborn traumas they experience.  How can we find you?

Dr. Annie:  You can find us on our website.  Or you can find us on Facebook and Instagram.  Both are @risewellnesschiro.  It’s probably the best way to find us and get in contact with us.

Kristin:  You’re still accepting new patients, correct?

Dr. Annie:  Yep!

Kristin:  Awesome.

Dr. Annie:  Oh, yeah, we’ll take all the babies!

Kristin:  Thank you so much for chatting with us, Dr. Annie and Dr. Rachel, and we will see you next time!

Dr. Annie:  Thanks for having us!

 

Podcast Episode #62: Newborn Traumas Read More »

Pregnancy and Depression

Podcast Episode #60: A Naturopath’s Perspective on Pregnancy and Depression

Doctor Janna Hibler, ND talks to Alyssa and Kristin about how a naturopathic doctor treats pregnant and postpartum women, body and mind.  You can listen to this complete podcast episode on iTunes and SoundCloud.

Alyssa:  Hello, welcome to Ask the Doulas podcast.  I am Alyssa Veneklase, co-owner of Gold Coast Doulas, and I am here with Kristin, my business partner today, and Janna Hibler.  She’s a naturopathic doctor and clinical nutritionist.  Hello, Janna!

Janna:  Hi, how’s it going, guys?

Alyssa:  So Kristin and I met you at a little gathering of the minds at Grand Rapids Natural Health Recently.  We kind of hit it off, and then you and I got coffee, and we hit it off even further.  We got to chatting forever, so we were like, let’s just pause this and record our conversation!  And today, first, I want to know a little bit more about what you do, but when the two of us were talking, we spoke quite a bit about postpartum depression, and I want to talk about what happens leading up to that, even before you get pregnant, but then during pregnancy, too.  What does that look like?  What do depression and anxiety look like?  How do we nip that in the bud?

Janna:  Yeah, definitely!  So it’s really important for all of us mamas and future mamas to know that how we are before we get pregnant and give birth is a good indicator of how our health might look like after we give birth.  Things you mentioned such as anxiety or depression tend to get more severe after we give birth just because of the extreme stress and sleep deprivation that we are under, having a newborn.  I like to emphasize to my patients that this is nothing to feel bad about.  It’s just when you don’t sleep, you don’t release the same neurotransmitters and have the same brain chemistry with certain levels of uppers and feel-good hormones.  So it’s kind of…

Alyssa:  I’m obviously a big proponent of sleep for babies and parents.  So what would you tell a parent who says I’m not even pregnant yet; I’m thinking about getting pregnant.  How does a person even know if they have depression or anxiety?  And what do you do about it?  Let’s say that I’m kind of a depressed person or I get anxious about things at work or with my friends or my family.  What do you recommend?  And then let’s say I came to see you as a naturopathic doctor.

Janna:  So again, I like to really emphasize that you are normal and this is a normal part of being a female.  If we’re talking evolutionarily speaking, we were made to be out in nature, and so when we’re put in the city, even if we’re out half an hour from Grand Rapids downtown, there’s a lot of lights.  There’s a lot of noises.  There’s a lot of things going on that cause an overresponse, and that can lead to anxiety and depression.  So some symptoms might be feeling nervous in certain situations or some OCD tendencies, or a lower mood display and laughing less or getting less excited about certain things in life.  These can be very mild, but if you look at them over the course of the day, if you have a lot of little things, they do add up.  So when you walk into a naturopathic doctor’s office, something I really love and take to heart is that we have our medical concentration, but we also have a lot of education with psychology and knowing how the brain works.  So I would ask you a bunch of questions; the normal medical questions you get, but in addition, we’re going to ask about your sleep cycles, your exercise, your diet regimen.  All these play a part in our mental health, and my end goal is for everybody to feel their best all the time.  In order to find out how people are feeling, I like to run a series of either urinary or blood tests.  This can give us an indication of brain chemistry, hormone levels, cortisol, in addition to the normal things like checking sugar and red blood cells.  I really like to hone in on these specialty tests because by checking our brain chemistry, I can find exactly what neurotransmitters might be high or low, and we can treat appropriately.

Alyssa:  So when you talk about neurotransmitters, what does that mean?  What are you looking at and what does that mean to you?

Janna:  So our neurotransmitters; there’s the common ones we’ve all heard of like dopamine, serotonin, norepinephrine, epinephrine, even histamine.  There is a whole slew of uppers and downers, and basically, we take the brain chemistry analysis tests so we can see if some of them are off.  Some people that have allergies have high histamine levels.  That’s an upper, so when we have allergies, those people actually tend to have anxiety, as well.  And so we can actually nip the anxiety in the bud by treating the allergies and reducing histamine levels.  So it’s really a cool science.

Alyssa:  And the cortisol and serotonin and melatonin, all those things you can actually check with blood and urine?

Janna:  Exactly, yeah.

Kristin:  And a lot of women have issues with their thyroid; is that part of the testing, that you can check thyroid levels?

Janna:  Absolutely.  I like to refer to it as our hormone triangle where we have our thyroid as the king, our sex hormones like estrogen, progesterone, and then we have our cortisol.  All three of those categories play a huge role in our hormone development and picture that we have, so we do a lot of intensive testing to find out where those levels are at.

Alyssa:  And what would you do if I came in and my cortisol levels were sky-high and you noticed something with my thyroid?  What would you tell me to do?

Janna:  So depending on your lab results, the thyroid could be treated in two ways.  One, sometimes we do give conventional medications, and then another way to treat, depending on your levels, is with herbs.  We can give a series of botanical herbs to actually bring your levels back to normal, as well as certain nutrients.  There’s a number of co-factors that actually feed our thyroid hormone to turn from its inactive to active form, and without them, we will not function.  So that’s things like vitamin D and iron and vitamin C; very common nutrients that we take for granted, but they play a vital role in our thyroid health.

Alyssa:  So how long do you test that out before you put them on a drug?

Janna:  Typically, I like to give a patient three to six months to see if we can fix it with nutrients and herbs.  Again, it comes back to what the patient wants.  If a patient wants results this month, then we might take a more aggressive treatment plan.  But if they’re willing to do it completely naturally, then three to six months.

Alyssa:  So let’s say I get it under control; I’m pregnant, and I still notice now that I still have some anxiety or depression.  What do you do during pregnancy?

Janna:  I really like to encourage diet and exercise and sleep.  Those are our biggest best friends to really help out.  Different lifestyle factors can have a huge effect on our mood and behavior.  So let’s start with maybe some foods.  We could eat a diet rich in dopamine, so we could do things like chocolate.  I mean, who doesn’t love chocolate?  We all love it, but do we know it’s high in magnesium and it’s high in zinc?  Those are vital co-factors to run our brain chemistry.  We can also have blueberries or nuts and seeds, which are high in vitamin B6 and 9 and all these B vitamins to help also with our mood.  We could do some grass-fed or fermented foods, which help with our gastrointestinal health, which again, I’m sure you guys have all heard of the gut being the second brain.  And then sulfur; sulfur-rich foods like onions and garlic that actually help with detox, so if we are having some things get backed up, we can help get them out.  So we really try to approach it from a multifactorial view hitting all points.  How’s our diet?  How’s our exercise?  How’s our sleep?  How’s our stress?  And a lot of what I get into with patients, too, is how is your relationship at home?  Do you feel supported?  Do you feel loved?  Do you feel heard by your partner?  By your business partners, your coworkers?  These are all part of our needs that play a role in our mental health when we’re pregnant and when we’re not pregnant.

Alyssa:  I was going to say those are things that should be carried over throughout, right?

Janna:  Yeah, yeah!

Alyssa:  Meanwhile, exercising and getting enough sleep.

Janna:  Totally, and pregnancy just kind of is that opportunity where we find our weaknesses in our body, and it’s actually a great opportunity to increase our health for the rest of our life and find out things we wouldn’t know about it unless we were pregnant.

Alyssa:  Oftentimes, I feel like that is the point in a woman’s brain and body where we finally start to understand and care about what’s happening to our body, and because we’re growing another human, then we’re like, oh, I better start taking care of myself so that I can take care of this baby.

Janna: Yeah, and I think that has a lot to do with what happens after we give birth and why a lot of moms struggle.  I mean, I want to say that loud on this podcast right now that mom life is hard.  It is a struggle, and I know we all try to put on a face that we’re doing well and everything’s perfect at home, but mom life is hard, and that’s maybe another podcast sometime, but that’s a conversation I’d love to get started because it is hard, and to that extent, why we have a hard time after birth is a lot of the time – and I’m sure you guys see this all the time, being in the house with moms – that the moms forget about themselves.  They put all of their energy, all of their love, into their baby, and I was guilty of it, too.  I mean, I have a two-year-old, and I definitely did it.  I’m still guilty of it some days because we love that human so, so much.  But I think it’s really important for our mental health and as mothers to put the energy back into ourselves and remember that we really can’t pour from an empty cup, and we have to be healthy and strong ourselves in order to make strong and healthy babies.

Alyssa:  So what do you recommend to a mom who’s suffering from depression?  You know, maybe they had a beautiful pregnancy, easy labor and delivery, and then they’re like, oh, my God; this is way harder than I thought, and then sink into a depression that they’ve never experienced before.  How do you get them out that?

Janna:  And so many moms do!  There are so, so many out there that come in, and they’re like, not even my husband knows how sad I am; not even my best friend knows how sad I am, and that’s where I really encourage everyone to just start reaching out.  I don’t want you to be ashamed; I don’t want you to feel guilty, because it doesn’t mean you’re a bad mom.  You’re an excellent mom because you care so, so much, and asking for that help and taking that first step, making people aware that this is something I do need help with, and receiving that love.  From a medical standpoint, too, we’ll go in and I’ll help adjust hormones and your brain chemistry with either herbs or conventional treatments or nutrient levels to help your body, but I think so much of it also comes from a mental and emotional spot of feeling supported and loved by your people around you.

Alyssa:  So is naturopathic medicine, in general, more of a functional approach versus the medical approach or kind of a combination?

Janna:  Exactly, yeah, and functional medicine is so great.  That is the bridge between conventional medicine and natural medicine because we all agree on it, you know.  We see a lab level, and it’s important to attend to it when it’s on its lower level.  Traditionally-minded thinking, we only would treat something like vitamin D if it was set low because that’s the level that can cause rickets and true mobility issues, but what about everybody that has low-normal, that they’re in that functional, funky range?  That’s at a stage that can cause depression, that you can get autoimmune diseases.  So as a naturopathic doctor, I really work on treating it then and now so we can prevent getting those diseases because they may not pop up in five or even ten years, but they will happen if they’re not treated.

Kristin:  Even in pregnancy, there’s evidence that preeclampsia with the lack of vitamin D, that can be a factor in developing preeclampsia.

Janna:  Exactly, and that’s how it can be that simple sometimes where moms come in and, hey, they just want to run a nutrient panel just to find out what are their baseline nutrients, and then that way when breastfeeding comes into play, especially for extended breastfeeding – I’ve been breastfeeding for two and a half years, so that’s something I’ve been keeping a constant eye on, what are my nutrient levels, because we don’t want to cause other problems from just being depleted.  So yeah, that’s a great point.

Alyssa:  Depleted is a good word to describe mothers postpartum, I think.  Most of us at some point just feel depleted, whether it’s mentally, physically, whether it’s just breastfeeding.  That alone can make you feel depleted; this baby is literally sucking the life out of me!

Janna:  Because you’re giving everything!

Kristin:  I tandem nursed, so I really felt depleted when I was nursing two!

Alyssa:  It’s like this weird tug of war between “I love doing this” and “I hate doing this so much.”  I remember getting so over it when I was done, and then a month later I missed it.  I was like, oh, my God; I’m not breastfeeding anymore!  But I was so ready to throw those pump accessories in the trash and celebrate, but it’s just a weird…

Janna:  It is!  And every mom is different, so we like to celebrate moms at each level, whether they want to breastfeed for three months or six months or a year.  We all have our breaking point, and we want to prevent us from getting to that point.  Mama matters, too!

Kristin:  For sure!

Alyssa:  Well, thank you so much for joining us, and if people want to find you to come visit you or just ask you questions or follow you on Instagram, where do they find you?

Janna:  Absolutely!  So I’m currently accepting patients at Grand Rapids Natural Health, and I’m also on social media as holisticmommyandmedoc, and you can reach out there anytime.  My name is Janna Hibler on Facebook, and feel free to message me anytime.  I like to get to know my mamas.  Since I just moved from Vermont, I’m looking to build up my network of mamas because we are a tribe and we all need to stick with each other, so whether it’s personally or professionally, I do want to link up with you!

Alyssa:  Thank you so much!

Kristin:  Thanks, Janna!  We appreciate it!

 

Podcast Episode #60: A Naturopath’s Perspective on Pregnancy and Depression Read More »

Prenatal Stress

Media – Friend or Foe?

In light of recent events, we have a special guest blog by Lindsey Zaskiewicz, LMSW. Lindsey is a licensed social worker currently employed as a clinician on a mental health and substance abuse crisis line. Prior to this role, she has several years of experience working in maternal-infant mental health, as well as direct practice with adolescents and young adults. Beyond her role as a social worker, she is also an expectant mother who is navigating this journey for the first time; this provides a unique opportunity to empathize and appreciate what other moms have experienced themselves.  

In an era when everywhere you turn things are being aired, tweeted, and live-streamed, it’s hard to dodge the media and celebrity updates that inundate our daily lives. Most recently, news and media outlets have covered the deaths of both Kate Spade and Anthony Bourdain, each dying by suicide. And while many people will take the opportunity to grieve those beloved public figures, media coverage of high-profile suicides can also negatively influence those at risk already.

It is important to take inventory of our own responses and internal triggers when confronted with the news of a death by suicide, especially for women who are currently struggling with perinatal mood and anxiety disorders.* You are allowed to give yourself permission to turn off TV reports or not scroll through news feeds in order to maintain a healthy separation. It is also critical to develop and/or use support systems when confronted with worsening depression or anxiety symptoms. Whether you yourself have experienced perinatal mood and anxiety disorders, or you know someone who has (or is at this time), please know that there is help and support available.

We tend to see the side of individuals on social media that they want us to see, and that is not typically an accurate representation of reality. While perinatal mood and anxiety disorders continue to feel somewhat stigmatized in society, there have been several brave women who have come forward to share their stories publicly. When high-profile celebrities can bring attention and shed light on what they have gone through, it can assist women to feel that they are not alone. Some of the most well-known women to speak out regarding their struggles are Brooke Shields, Hayden Panettiere, and JK Rowling.  They each had the following to say about their postpartum experience:

Brooke Shields: “I had gone through numerous attempts to have a baby and when I did finally have this perfect, beautiful, healthy baby it all but destroyed me. I couldn’t hold the baby, I couldn’t do anything for the baby, I couldn’t look at the baby.”

Hayden Panettiere received inpatient treatment after the 2014 birth of her child: “There’s a lot of misunderstanding- there’s a lot of people out there that think that it’s not real, that it’s not true, that it’s something that’s made up in their minds, that ‘oh, it’s hormones.’ They brush it off. It’s something that’s completely uncontrollable. It’s really painful and it’s really scary, and women need a lot of support.”

JK Rowling: “I have never been remotely ashamed of having been depressed. Never. What’s to be ashamed of? I went through a really rough time and I am quite proud that I got out of that.” 

When confronted with perinatal mood and anxiety disorders, or thoughts of suicide, it is crucial to reach out and receive support and/or treatment. You can’t tell that someone is struggling or feeling suicidal just by looking at them. If you are the loved one of a pregnant mom or mom with small children, it’s important to check in with them and ask how they are doing, even if things seem to be going well from the outside.  And if you are someone who is currently experiencing depression, anxiety, or thoughts of suicide, there is help available even if you don’t have an immediate social support network. Listed below are several resources that can be used to provide the essential support and encouragement that you need. Also remember, not all treatment is “one size fits all,” so if you don’t feel connected to a specific therapist or type of treatment, please don’t lose hope. Asking for help takes bravery – there is strength in sharing our story and letting ourselves be seen and heard.

Resources for depression, anxiety, and suicide support:

National Suicide Prevention Lifeline (24 hrs/day) 800-273-8255
Pine Rest Mother Baby Program 616-455-9200
Spectrum Health Postpartum Emotional Support Group (FREE) 616-391-5000

* Any type of mood or anxiety disorder from pregnancy through the child’s third year

 

Media – Friend or Foe? Read More »

postpartum depression and anxiety

Postpartum Depression & Anxiety Resource List

After our recent event at the Wealthy Street Theatre where we screened ‘When the Bough Breaks – A Documentary about Postpartum Depression’ we realized that there are many great resources available to our community, but people may not know how to find them.

We at Gold Coast, with the help of Cristina Stauffer, have compiled a comprehensive list of resources for Postpartum Depression, Anxiety, and Psychosis.

These were some of the experts on our panel that you may contact directly:
Kerrie Vanweelden with Pine Rest
Allison Kunde, LMSW with Family Outreach Center
Cristina Stauffer, Private Practice Therapist cstaufferlmsw@gmail.com
Dr. Nicole Cain, ND, MA with Health for Life Grand Rapids
Micah McLaughlin with Continuum Healing
Here are some additional resources:
Local Support Groups:
(Please call for meeting schedule, location and/or registration) – These typically have no cost to attend.

Grand Rapids
Spectrum Health Healthier Communities
Nancy Roberts, Kathy Buchanan, and Sue Bailey
616-391-1771

Caledonia
Thrive Chiropractic Center
Ginger Hollemans
616-554-5070

Zeeland
Pine Rest
Melissa VanOrman
616-741-3790

Grand Haven / Spring Lake
North Ottawa Community Health System
Lauran Bronold
616-874-5154

Pine Rest

Muskegon
Hackley Community Care
Nancy Weller
231-773-6624

Lansing
Kirsten Kimmerly
517-712-7687

Online at www.postpartum.net

Gold Coast Doulas LLC is available for daytime and overnight postpartum support. Some other local friends and resources for postpartum care include MomsBloom, Inc., GR Doulas, LLC and The Village Doula GR, LLC.

 

Postpartum Depression & Anxiety Resource List Read More »