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Prenatal & Postpartum 'Blues'
Depression, Stress & Anxiety

stormy sky

If something is interfering with your ability to care for yourself and your baby, and you are unable to take pleasure in your mothering and your newborn, or you are just not feeling like yourself, you may be suffering from a postpartum illness that may not just go away by itself!

Postpartum difficulties range from mild baby blues (tearfulness etc) to depression (loss of interest in pleasurable activities, change in appetite, energy and sleep), and anxiety (uncontrollable fear and worry) to severe postpartum psychosis (hearing voices etc).

Treatment

"All of the symptoms, from the mild to the most severe, are temporary and treatable with skilled professional help and support.

A woman experiencing any of the symptoms described should contact her health care professional. She should have a complete medical evaluation, including a thyroid screening.

   The "ideal" treatment plan includes:

  • Medical evaluation (to eliminate physiological causes, i.e. thyroid)

  • Psychiatric evaluation

  • Psychotherapy

  • Participation in a support group for emotional support and education" Source: Depressionafterdelivery.com website 2003

Some statistics..

Two out of three mothers undergo the "baby blues," a feeling of let down after the emotional experience of childbirth. Serious postpartum depression affects 10 percent to 20 percent of women after they give birth, and 1 out of 1000 moms will experience postpartum psychosis (postpartum.net/). 

Most mothers have no idea why they feel like this and are frightened about what’s happening to them (postpartum.net/).

Furthermore,  “a study of postnatal depressed women showed that over 90% realized something was wrong, however less than 20% reported their symptoms to a health care provider…Only 20% with the disorder receive mental health treatment. The remaining individuals are either undiagnosed, misdiagnosed, or seek no medical assistance (Kruckman & Smith, 1998).

INDEX OF LINKS
Disclaimer: The author of this website is not responsible for any individual member’s practice and is by no means recommending or endorsing any particular member on the list.  The author is merely providing a list of service providers and resources available in Chicago. 

Click on a link below for more info. To back to the index, use the back button on your browser.

Getting the Emotional Support you need during pregnancy and postpartum months
Holistic pregnancy care - including emotional support
Perinatal support issues - counseling from "seventh moon"
Postpartum assistance for mothers (PAM)

Prevention of Postpartum Reactions
10 ways to prevent postpartum depression
Postpartum depression: proposal for prevention through an integrated care and support network by Dr D. Issokson, PsyD.
The role of local postnatal groups in developing informal support for first time mothers.
Debriefing following childbirth: is it effective?

Thyroid Conditions and Postpartum Reactions
Fertility, pregnancy and thyroid disease information center
Hyperthyroidism/Graves' Disease and Pregnancy -- FAQs Postpartum Thyroid Problems -- FAQs About Thyroid Problems After Pregnancy Breastfeeding and Thyroid Disease, Questions and Answers
Thyroid Disease and Pregnancy

General thyroid websites:
Ithyroid
- the Internet center for the investigation of the nutritional correction of Thyroid Disease
All thyoid - by the thyroid foundation of America
About Thyroid - with Mary Shomon

Antenatal Depression (depression in pregnancy)
Anxiety/Depression during pregnancy

What are postpartum blues, depression, anxiety and psychosis?
Postpartum Emotions
What are the 'baby blues'?
What are postpartum depression and psychosis?

Postpartum Depression

More info on postpartum disorders
Postpartum Depression and Maternal Birth Trauma

How long do postpartum disorders last?

DEPRESSION CENTRAL: POSTPARTUM DEPRESSION
Information on Moodswings
Postpartum Depression
Personal accounts of PPD

Websites dedicated to women who have experienced Postpartum Reactions
Melanie Blocker Stokes

Andrea Yates

Andrea's children

Information sheets and handouts you can print out and distribute
Note: for some of these will need to download acrobat reader to open
Postpartum depression: a guide for patients and families

Brochure at http://www.ppdsupportpage.com/ or send self addressed stamped envelope to: Tonya Rosenberg, P.O. Box 611, Issaquah, WA 98027-0023

Postpartum Depression in Fathers
British Study finds Men get Baby Blues too.

Postpartum Depression in Adopting Parents
Post Adoption Depression - the unacknowledged hazard - Harriet McCarthy
Postpartum depression without being pregnant first
Postadoption depression
Post Adoption Depression Syndrome - June Bond
Post-Adoption Depression Syndrome: A Parenting Transition

Who is at risk for antenatal distress?
Who is vulnerable for antenatal depression?


At risk for depression: a study of young mothers

List of risk factors
 

Who is at risk for a postpartum disorder?
Am I at risk for Postpartum Depression?


Are you at risk for Postpartum Depression?

Are you at risk for PPD?

The good news about postpartum depression

Postpartum risk assessment during pregnancy
(checklist)
 

Do I have a postpartum disorder?
An open letter to moms who have postpartum disorders by Linda King
Would you know if you were suffering from a postpartum depression?
Postpartumstress.com checklist: Could I have postpartum depression?
Edinburgh Postnatal Depression Scale
The Mills Depression and Anxiety Check list


Postpartum Education for Parents: Self Assessment Questionnaire

Self Assessment checklist - postpartum stress center

Checklist of questions to ask - for physicians and other providers
 

Treatment of Postpartum Reactions
PPD Detection and Treatment - C Neill Epperson, MD


Treating resistant postpartum depression with estrogen

Progesterone treatment

Diagnosing and treating PPD

Treatment - 3 important elements
 

What can I do to make myself feel better?
Things you can do to feel better - Karen Kleiman
What helps?


Suggestions for moms

Postpartum depression and caring for your baby

Nurturing Yourself

More suggestions for coping

Light Therapy Useful for Depression During Pregnancy

Depressed? Consider Fish Oil
 

Where can I get help?


Resources in Chicago
Postpartum Depression Resources handout

Where can I get help? - Karen Kleiman

How do I get help?

Postpartum Distress Support Contacts
(PP Education for Parents)

Support groups listing by Postpartum Depression Support and Education
Mothers offering Mothers Support

Postpartum Stress Support Group - California - Shoshana Bennett
 

Professionals who research or treat Postpartum Illness


Valerie Raskin, M.D. - http://www.dr-valerie.com/ "For a speaking engagement or media request: e-mail info@dr-valerie.com. Please understand that we are unable to respond to individual clinical requests. Please contact your personal physician or therapist for individual advice."

Laura Miller, MD; Dept of Psychiatry, University of Illinois at Chicago

Sarah Allen, Psy.D., L.C.P.C. Email: sarah_allen@msn.com

666 Dundee Road, #502, Northbrook, IL 60062
755 Ela, #2A, Lake Zurich, IL 60047 - Tel: 847 791-7722
Psychotherapist specializing in pregnancy & PPD mood disorders, researcher, Chairman of the PPD IL Alliance and Postpartum Support International IL Coordinator.

Pec Indman, Ed.D., MFT and Shoshana S. Bennett, Ph.D. - Beyond the Blues 

Jill Astbury, PhD, University of Melbourne j.astbury@kcwh.unimelb.edu.au   Shoshana Bennet, PhD: Postpartum Assistance for Mothers  

Diana Lynn Barnes, PsyD, MFT : The Center for Postpartum Health  

Ilyene Barsky, MSW: The center for postpartum adjustment  

Teresa McGuinness, MD; University of California at San Francisco
350 Parnassus Avenue, Suite 303, San Francisco, CA 94117
415-681-0164  

Karen Kleiman, MSW; Postpartum Stress Center 

Shaila Misri, MD, FRCP - Well Women Founder of the Postpartum Stress Center Cohen, MD; Massachusetts General Hospital (interviews with Dr. Cohen)  

Vivian Burt, MD; Dept of Psychiatry, University of California, at Los Angeles 

Zachary Stowe, MD; Emory University Pregnancy and Postpartum Mood Disorders Program, Atlanta, Georgia  

Vanna Sutherland, MD; San Francisco, California  

Sherry Reinhardt, RN, MPH, MOM - Support Services for Mothers - 8 week support groups for mothers - Berkely, CA area 

Victoria Hendrick, MD - UCLA Pregnancy and Postpartum Mood Disorders Program

Deborah Issokson, PsyD - Boston area

 

Search Postpartum.net (Postpartum Support International for a list of PSI providers treating postpartum disorders internationally.

Call DAD at 1-800-944-4773 and request list of providers
 
Postpartum Health -  assessment $25
 

University of Illinois Chicago - Women's Division

 

Dianne Zweig, M.S., APRN, Connecticut Coordinator For Postpartum Suppport International (PSI)
Office 1: 970 Farmington Avenue Suite 300, West Hartford, Ct. 06107,
Tel: 860-675-7763
Office 2:
Simsmore Square, 538 Hopmeadow Street, Simsbury, Ct. 06070
Email address ZweigCd@Comcast.net

 

How to start a support network or group in your area


Find a support group

How to build your own social network of support

How to start and organization like postpartum support for parents

Step by Step by Jane Honikman
Jane Honikman. Step by Step: How to Organize a Postpartum Parent Support Network in Your Community. Self-published. For information, please contact jhonikman@earthlink.net. (1976 Community Action Grantee)
 

How dads and partners can help


Information for husbands and family etc by Karen Kleiman

For dads etc

Helping a mother through postpartum depression: for dads, families etc
Support and Information for Dads

Postnatal Depression - site dedicated to information for men

Boot camp for new dads info on postpartum depression

Mothers offering Mothers Support
- info for dads

Strategies that work

When your partner has postnatal depression...
 

Support groups on the web


Yahoogroups - postpartum groups

Postnatal disorders support group

Postpartum Support International Live Chat
PPD Chat Sunday evenings -- 8:00pm Pacific Standard Time --hosted by Jessica  
International PPD Chat--Monday afternoons --12:00 pm PST--hosted by Jessica  
PPD Chat--2nd and 4th Wednesday evenings--6:00pm PST--hosted by Ellen

PSI communication board

Postpartum Depression Bulletin Board
Communica
tion center for new mothers discussing postpartum issues. 11am EST on Mondays. 

Ivillage Parent soup discussion board

Ivillage Parent's Place discussion board

Ruth Rhoden Message board

The Online PPD support group
 

Organizations and their Websites
Postpartum Support International (PSI)
Jane Honikman, PSI Founder Contact: Sherri Majors psioffice@earthlink.net 927 N. Kellogg Avenue,Santa Barbara, CA 93111,voice: (805) 967-7636, fax: (805) 967-0608 
The Postpartum Stress Center (Karen Kleiman, MSW) The Postpartum Stress Center
1062 Lancaster Avenue, Suite 8
Rosemont, PA 19010
phone: 610.525.7527
fax: 610.834.1176
email: kkleiman@aol.com

Depression After Delivery (DAD) Depression After Delivery, Inc.
91 East Somerset Street
Raritan, NJ 08869
Share your concerns with your health care professional and get in touch with us (DAD): 1-800-944-4PPD (Information Request Line). Please leave your name and address and an information packet will be mailed to you.

Postpartum Education for Parents (PEP) P.O. Box 6154, Santa Barbara, CA 93160 Email: pepmail@yahoo.com

Well Mother  Shaila Misri, MD, FRCP Dr. Sheila Misri, Clinical Professor of Psychiatry & Obstetrics/Gynecology University of British Columbia, Vancouver, BC   Postpartum Health Alliance President Kelly Boyd-Bragadeste, Psy.D. 
PO box 503396 
San Diego, CA 92150-3396 
(619) 685-7458 
Drklboydbrag@cs.com  

Pacific Postpartum Support Society THE PACIFIC POST PARTUM SUPPORT SOCIETY
#104 - 1416 Commercial Drive
Vancouver BC V5L 3X9
CANADA
Telephone:  (604) 255-7999
Fax:            (604) 255-7588
Web Site:     http://www.postpartum.org  

Center for Postpartum Adjustment
(Ileyne Barsky, MSW)
1515 N. University DriveSuite 116ACoral Springs, FL 33071
Tel: (954) 752-0460
Fax: (954) 752-4542
Email: PPDSupport@aol.com  

Postpartum Depression Support and Education Email: dt@infotrail.com

The Marce Society PO BOX 30853, London, W12 OXG
email: info@marcesociety.com

Ruth Craven Foundation Inc, For postpartum depression awareness 1339 Outreach Lane · Mt. Pleasant, SC 29464, Tel: 843-881-2047; Helena Bradford, Chairman and SC State Coordinator for Postpartum Support International 843-881-2047 Email:  buzerhel@aol.com; Elaine Earl, Secretary Email:  elaineBab5@hotmail.com; Mary Anna Mullinax, Treasurer Email: maryannamu@comcast.net

The Center for Postpartum Health
Diana Lynn Barnes, PsyD, MFT Founder and Director
The Center for Postpartum Health
20700 Ventura Blvd., Ste. 203
Woodland Hills, CA 91364 dlbarnes@postpartumhealth.com
Work phone: (818) 887-1312
Fax: (818) 887-9606
Pager: (818) 819-1663

Support Services for Mothers Sherry Reinhardt, RN, MPH, MOM, Support Services For Mothers, P.O. Box 7151, Berkeley, CA 94707, 510-524-0821
E-mail: sherryr@there.net

North Carolina Depression after Delivery Shirley Halvorson, State Coordinator: DAD and PSI, President: NCDAD, Phone: 910-791-5731, email: sdhalvor@isaac.net   Postpartum Assistance for Mothers (PAM) (Shoshana Bennet, PhD) Shoshana S. Bennett, Ph.D., P.A.M.
20052 Jessee Ct.
Castro Valley, CA 94552 Tel: (510) 889-6017 Email: drshosh@attbi.com  

POSTNATAL DEPRESSION Support Association of South Africa Liz Mills Founder-President 082 882 0072 liz@pndsa.co.za The Nurture Center
The Resource Place for Parents
3399 Mt. Diablo Boulevard, Lafayette, CA 94549
Tel:925-283-1346 Fax: 925-283-1098
Email: info@nurturecenter.com

The Baby Blues Connection. www.babybluesconnection.org

Wendy N. Davis, PhD
Pregnancy and Postpartum Support
Portland Oregon
503.246.0941
postpartumhope@aol.com

Listings of further PPD resources can be found at: http://www.ppdsupportpage.com/resources.html 

Medication in pregnancy
Perinatology.com 's "Drugs in Pregnancy and Breastfeeding" list

FDA categories of drugs

Treating depression during pregnancy

Providing Pregnancy Risk Information to Promote Healthy Babies 
Prozac in pregnancy Medication, pregnancy and lactation St. John's Wort and Pregnancy 

Breastfeeding and postpartum depression
More articles and links on all other aspects of breastfeeding
Breastfeeding can prevent, alleviate, and sometimes worsen PPD. Every woman is different. Here are some articles worth reading:
Depression following abrupt weaning

Depressed after baby's nursing strike

7 ways breastfeeding benefits mothers - Sears
"Promotes emotional health. Not only is breastfeeding good for mother's body, it's good for her mind. Studies show that breastfeeding mothers show less postpartum anxiety and depression than do formula-feeding mothers."
Breastfeeding may be one protective factor against postpartum illness
"A more recent research focus has been the area of prolactin activity during the puerperium. Prolactin levels form a reverse curve of the estrogen and progesterone levels during the postpartum period, with low levels occurring immediately after delivery and increasing to a high level plateau by the first week after birth. It is reasonable to assume a possible relationship exists between the decline of breast-feeding in the U.S., the rapid decline in prolactin in mothers who do not breast-feed and postpartum depression. This relationship is important and requires more research (Kruckman & Smith, 1998)".
The Impact of Past Sexual Abuse on Breastfeeding
Supporting the sexual abuse survivor through breastfeeding - Linda Gort-Walton

Breastfeeding and the sexual abuse survivor

Breastfeeding and the sexual abuse survivor
 
More articles and links on all other aspects of breastfeeding
 

Medication and breastfeeding

Experts
Dr. Jack Newman's Homepage
Dr. Thomas Hale's Homepage 

Drug Charts FDA categories of drugs Drug Safety in Lactation - percentages and amounts excreted Safety of drugs in nursing mothers - extensive list Drugs and breastmilk interaction chart Drugs in breastmilk - a quick reference guide 

Books
Medications & Mothers’ Milk
by Thomas Hale, Ph.D, 10th edition   
Drug Therapy and Breastfeeding
  by Thomas W. Hale, RPh, PhD and
Kenneth Ilett, BPharm, PhD
Clinical Therapy in Breastfeeding Patients by Thomas Hale, Ph.D. 2nd edition coming soon.
Order these books from: http://www.ibreastfeeding.com/Bookstore/bookstore.html 

Articles and specific drugs

"You should continue breastfeeding"(drugs in breastmilk vs. formula)
Drugs and Breastfeeding

Treatment poses dilemma for pregnant and breastfeeding women

Antidepressant medication, pregnancy  and nursing

The treatment of depression during breastfeeding

Prozac and nursing

More on prozac in breastmilk (scroll down on this page!)
Prozac

Prozac and nursing a toddler

Prozac deemed safe for nursing moms in this report
Medication, pregnancy and lactation
Antidepressants and breastfeeding - a medline search by Dr I Goldberg

Antidepressants during breasfeeding - a discussion by pharmacologists   (If you have more questions about how a drug you are taking may affect your breast milk or your baby, call the UCSD information service at (900) 288-8273, 9 a.m. to 5 p.m. Pacific time, Monday to Friday ($3 for the first minute, $2 for every additional minute).

Herbs and Breastfeeding/
Pregnancy
On taking herbs while breastfeeding
Herb safety chart
- herbs to avoid while pregnant
Is this herb safe for nursing moms? - alphabetical index to many common herbs
St. John's Wort - is it safe during breastfeeding?

The effects of untreated postpartum reactions on infants
Mom's Depression Affects Her Infants' Learning
Newborns’ Growth Slowed by Postpartum Depression
Effects of early maternal depression on patterns of infant-mother attachment: a meta-analytic investigation.
(Journal of Child Psychology and Psychiatry, September 2000)
Effects of Postpartum Depression on Children
Depressed mood during pregnancy and the puerperium: clinical recognition and implications for clinical practice
Postpartum Depression and Child Development
Researchers study effects of mothers depression on infants (May 18, 1999)
Mother's Depression Impedes Baby's Development (Center For The Advancement Of Health, May 25, 1999)
References on Maternal Depression (contains 1999 references)
New-Mom Blues Hit Baby, Too:  May Pass Elevated Level of Stress Hormone (ABC News.com, May, 1999)
Prevalence rates and demographic characteristics associated with depression in pregnancy and the postpartum.  Journal of  Consulting and Clinical Psychology, 1989)
Depressed mood during pregnancy and the puerperium: clinical recognition and implications for clinical practice.  (American Journal of Psychiatry, 1985)

HELPFUL BOOKS FOR PARENTS AND PROFESSIONALS ON POSTPARTUM REACTIONS

Treating Postnatal Depression: A Psychological Approach for Health Care Practitioners  by Jeannette Milgrom, Paul Martin, and Lisa Negri

This Isn't What I Expected: Overcoming Postpartum Depression -- Karen Kleiman, Valerie Davis Raskin; Paperback Bantam Books, 1994.

Postpartum Depression and Anxiety: a self-help guide for mothers (Pacific Postpartum Support Society)

When Words Are Not Enough: The Women's Prescription for Depression and Anxiety Valerie Davis Raskin, M.D.

Pregnancy Blues: What Every Woman Needs to Know about Depression During Pregnancy Shaila Misri, M.D

SHOULDN'T I BE HAPPY?: Emotional Problems of Pregnant and Postpartum Women by Shaila Misri, M.D

Postpartum Survival Guide by Ann Dunnewold, Ph.D. and Diane G. Sanford, Ph.D.

Evaluation and Treatment of Postpartum Emotional Disorders (Practitioner's Resource Series) by Ann Dunnewold, Ph.D

Breaking the Silence - Depression after Childbirth. The learning Curve, 1996. Call (216) 881-5151

Postpartum Depression and Anxiety: A Self Help Guide for Mothers, 1997. Available from Pacific Post Partum Support Society. (604) 225-7999

Postpartum Depression For Dummies (For Dummies (Psychology & Self Help)) By Shoshana S. Bennett, Mary Jo Codey

Beyond the Blues: A Guide to Understanding And Treating Prenatal And Postpartum Depression  or go to website:www. Beyond the Blues.com

Mothering the New Mother: Women's Feelings and Needs After Childbirth a Support and Resource Guide, by Sally Placksin

What Am I Thinking? Having a Baby After Postpartum Depression by Karen Kleiman

The Mother-to-Mother Postpartum Depression Support Book 

Postpartum Depression -- Every Woman's Guide to Diagnosis, Treatment and Prevention, by Sharon L. Roan

Overcoming Postpartum Depression and Anxiety, by Linda Sebastian

The Postpartum Husband: Practical Solutions for living with Postpartum Depression by Karen Kleiman

The Hidden Feelings of Motherhood: coping with stress, depression and burnout (2001) Kathleen A. Kendall-Tackett

Postnatal Depression: facing the paradox of loss, happiness and motherhood (2001) Paula Nicolson

Parenting Well when You're Depressed: a complete resource for maintaining a healthy family (2001) Joanne Nicholson; Alexis Henry; Jonathan Clayfield; Susan Phillips

Behind the Smile : My Journey Out of Postpartum Depression -- Marie Osmond, et al; Hardcover   Surviving Post-Natal Depression: At Home, No One Hears You Scream by Cara Aiken

You Mean I Don't Have to Feel This Way? New Help for Depression, Anxiety, and Addiction by Colette Dowling $11.96

I Wish Someone Had Told Me: A Realistic Guide to Early Motherhood by Nina Barnett

More books you on postpartum illness..

Disclaimer: The author of this website is not responsible for any individual member’s practice and is by no means recommending or endorsing any particular member on the list.  The author is merely providing a list of service providers and resources available in Chicago. 

 

IF YOU ARE HAVING TROUBLE ADJUSTING TO BECOMING A MOTHER AND TAKING CARE OF YOUR NEW BABY, PLEASE REACH OUT FOR HELP.

MAKE SURE YOU GET THE RIGHT HELP.

YOU DO NOT HAVE TO SUFFER ALONE.

WITH TREATMENT YOU WILL GET BETTER.

THIS WILL PASS.

Timely referral and intervention for the mother who is at risk for a postpartum reaction (depression or anxiety) can result in careful monitoring and, in many cases, the prevention of a full blown postpartum disorder.

 

 

HomePostpartum Depression | Depression and Mothering | Loss | Blog
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Web Design | Letters to Radiantmother | Chicago Resources
Is this you?| How I work | About UsContact | Services | Testimonials

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