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Mom and Mind

Katayune Kaeni, Psy.D., PMH-C
Mom and Mind
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  • 426: Healing Journey After Postpartum Psychosis, with Nancy Di Nuzzo
    Today’s guest shares her story of postpartum psychosis, including the contributing factors, navigating the healthcare system, the overall lack of understanding of PMADs, and the preventative actions she took for her second pregnancy. She shares how her experience propelled her to take considerable steps to help and support others. Nancy Di Nuzzo, a mother of two, is an accountant-turned-postpartum doula. She is the founder of Anamav Postnatal Care, an agency providing comprehensive postpartum care in the Greater Toronto area. Their services include doula support, lactation support, psychotherapy, and sleep coaching. Nancy was inspired to create Anamav after her own traumatic postpartum experiences. As a perinatal mental health advocate, she is fiercely determined to support new parents and families to help fill the gaps in our healthcare system.  Show Highlights: Nancy’s first pregnancy experience with her daughter, born in 2020: In summary, sleep deprivation led to the first postpartum psychotic episode and subsequent hospitalization. The labor and delivery and the first five days postpartum, when everything changed for Nancy Feeling the intensity of hyperdrive and an overwhelming need for perfection Hallucinations (not threatening or violent) and a break from reality that prompted a call to 911 A shocking twist: The ER records showed suspected postpartum psychosis, but they still discharged Nancy and prescribed sleeping pills; she ended up back there three days later. Cultural stigma and family interference that did not help Nancy Nancy’s misdiagnosis from the psychiatrist: A bipolar disorder that required lifelong medication The first night in the hospital and the traumatic events that still haunt Nancy’s memories Reconnecting with her daughter after a week-long stay in the hospital Preparing for a second pregnancy with preventative measures–and finding a very different birth and postpartum experience in 2023 Nancy’s perspective on what SHOULD have happened during her first pregnancy and how we can do better in the area of awareness The facts: Every postpartum journey is different; problems can happen with a first, second, or third pregnancy—or with none at all.  Anamav Postnatal and how they work to help others Resources: Connect with Nancy Di Nuzzo and Anamav Postnatal: Website and Instagram Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone or text at 1-800-944-4773. There are many free resources available, including online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to become more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
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  • 425: Behind the Sessions: Declines in Maternal Health and Mental Health
    Today’s episode focuses on a recent article in JAMA Internal Medicine regarding maternal mental health in the United States. I’ll explain and summarize the study and results, and discuss the most appropriate next steps. Since I’m presenting the information in summary form, please read the article for yourself by clicking the link in the Resources section for this episode.  Show Highlights: The findings of this study are sobering and validating. Scope and value of research findings like this to “fill the gap” in maternal mental health The details of the study subjects: 198,000+ US mothers from 2016-2023 who self-reported their physical and mental health The key findings: The percentage of mothers reporting a rating of “excellent” mental health dropped dramatically during the time frame, the percentage reporting “fair” or “poor” mental health increased, and the trend of declining maternal mental health crosses through all socio-economic groups. The key factors contributing to maternal mental health conditions  Results of the study show that we need more investment into the underlying causes of mental health decline, especially for lower socio-economic status moms. Moms are suffering under the weight of silence, stigma, shame, and societal expectations. Studies like this one are vital to break down barriers to care and support. Learning to identify your needs, choose rest when needed, and prioritize self-compassion What we can do to help: offer screenings at multiple points, effect policy change, and find positive ways to support the entire family system. Resources: Read the JAMA article, “Trends and Disparities in Maternal Self-Reported Mental and Physical Health.” Click here. Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources available, including online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to become more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
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  • 424: The Impacts of “Mom Shame” on Mental Health with Allie Barker, LCSW
    In this important episode, we explore mom shame, the difference between guilt and shame, and common triggers for guilt. One of the biggest contributors to mom shame is societal pressure, so we want to shed light on navigating this issue and breaking the cycle of shame. My expert guest for this topic is Allie Barker, LCSW. Allie is excited to bring her insight to today’s conversation about dismantling the overwhelming experience of mom shame. Join us to learn more! Allie Barker is a licensed clinical social worker specializing in perinatal mental health. She has been in private practice since 2020 and has been clinically practicing since 2018. After experiencing a difficult pregnancy during the pandemic and navigating postpartum anxiety, depression, and OCD, she realized how common, yet isolating, these struggles are. This led her to shift her entire clinical focus to supporting individuals through fertility challenges, pregnancy, and postpartum transitions. As a therapist, Allie is passionate about helping parents navigate the mental and emotional challenges that come with new parenthood, from facing unrealistic societal expectations to combating the deep-rooted shame that prevents someone from finding joy in the small moments. She brings professional expertise and personal understanding to these conversations, creating a compassionate and judgment-free space for parents. Outside of work, Allie is a mom with a four-year-old daughter, a wife, and an animal mom to several dogs, ducks, and pigs.  Show Highlights: Understanding mom shame and the myth of mom guilt The effects of societal expectations on moms around everyday occurrences in parenthood Support for parents begins with awareness, identifying your values, and setting realistic goals The best way to dismantle mom shame is to have relevant conversations with your partner during pregnancy. It’s okay when your values don’t match up with those of books, experts, and social media. The impacts on your mental health when you feel like a failure all the time Guard against lofty motherhood goals that set you up for failure! Every mom feels like “the only one,” and shame breeds isolation. Scary thoughts, fears, and OCD (Name it and say it out loud to safe, supportive people!) Allie’s work to support parents with compassion and self-compassion A parent who admits mistakes and apologizes gives their child space to make mistakes and apologize for them. (It’s an opportunity to teach compassion.) Being vulnerable and listening to vulnerability can help break the cycle. Resources: Connect with Allie Barker:⁠ Website⁠ Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit⁠ cdph.ca.gov⁠ Please find resources in English and Spanish at⁠ Postpartum Support International⁠, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media:⁠ Instagram⁠,⁠ Facebook⁠, and most other platforms. Visit⁠ www.postpartum.net/professionals/certificate-trainings/⁠ for information on the grief course.   Visit my website,⁠ www.wellmindperinatal.com⁠, for more information, resources, and courses you can take today! If you are a California resident seeking a therapist in perinatal mental health, please email me about openings for private pay clients. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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  • 423: Couples’ Intimacy After Baby Arrives with Dr. Shoshana Bennett
    As we arrive at Episode 423, we’re celebrating 9 years of the Mom & Mind Podcast! I never imagined this possibility, but I’m so honored to share these profound stories and feature these helpful experts. I’m thankful to the real rockstars, every single listener. We continue to address every aspect of perinatal mental health, raising awareness and spreading a message of hope. Each person’s journey of vulnerability, difficulty, and healing is important, and we hope that the insights and resources we share can help others. I’m excited to bring you another episode with Dr. Shoshana Bennett, the very first expert guest to appear on the podcast way back in 2016.  After two life-threatening bouts of postpartum illness, Dr. Shoshana Bennett helped pioneer the field of maternal mental health in the US. She founded Postpartum Assistance for Mothers in 1987, became president of California’s Postpartum Health Alliance, and served as president of Postpartum Support International. Dr. Shosh is the author of Children of the Depressed, Postpartum Depression for Dummies, and Pregnant on Prozac. She co-authored Beyond the Blues: A Guide to Understanding and Treating Prenatal and Postpartum Depression. She created the first app for postpartum depression and is an executive producer of the documentary, Dark Side of the Full Moon. Dr. Shosh co-founded the Postpartum Action Institute, which is committed to promoting parental health. To date, she has helped over 20,000 new parents around the world through private consultations, teleclasses, conferences, webinars, and support groups.  Show Highlights: Intimacy is SO much more than “just sex.” Examples of intimacy and connection Barriers to intimacy include assumptions, lack of communication, taking each other for granted, and not showing love in various ways. A lack of appreciation leads to a battle over who’s working harder and resentment. Dr. Shosh’s advice to couples to “get more of what you need.” The importance of being respectful instead of snappy, critical, and nasty (“YOU are responsible for what comes out of your mouth, whether you are sleep-deprived or not.”) Dates are important and should not be “back-burnered.” (Hear Dr. Shosh’s rules for dating when there is a new baby at home!) Anticipation of the next date is important! Get creative with physical intimacy! The key to intimacy is to approach a partner without complaining; we have to re-educate ourselves. Be intentional in your relationship. “Humor is golden and can help in difficult times.” (Laughing together adds to intimacy!) Resources: Connect with Dr. Shoshana Bennett:  Website Dr. Shosh’s past Mom & Mind episodes: 2, 3, and 154 Books and the documentary: Children of the Depressed, Postpartum Depression for Dummies, Pregnant on Prozac, Beyond the Blues: A Guide to Understanding and Treating Prenatal and Postpartum Depression, and Dark Side of the Full Moon. Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources available, including online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to become more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
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  • 422: Behind the Sessions: International Fathers’ Mental Health Day
    The focus of perinatal mental health is often on mothers, but we can’t discount the importance of fathers’ mental health on children, families, and relationships. Dads everywhere are struggling, and they often do so in silence. We need to raise awareness of this aspect of mental health! The Monday after Father’s Day is International Fathers’ Mental Health Day, so I’m discussing this topic and sharing helpful information in today’s episode. Show Highlights: The messaging to boys and men from society My approach with clients and their partners is to try to reach more fathers. A compassionate approach promotes healing. M&M episodes focused on fathers and their mental health: 345: A New Father’s Experience Through His Wife’s Postpartum Psychosis with Tony Pacitti 286: Foundations in Paternal Perinatal Mental Health with Dr. Daniel Singley 274: Healing from Paternal Postpartum Depression with Kevin Seldon 273: The Emotional Wellness of Fathers with Adam Angel, LCSW  242: The Value of Fathers and The Black Voice in Parenthood with Reginald Day 195: Paternal Postpartum Depression with David Levine  181: Fathers and Perinatal Mental Health with Dr. Sheehan Fisher  177: The Loss of a Wife and Mother to PPD with Steven D’Achille   23: “He’s Not Talking About It,” A Father’s Journey with Mark Williams Frightening statistics about fathers’ mental health Stigma prevents men from reporting symptoms and seeking help. Risk factors for dads are similar to those of moms. (Dads are up to 50% more likely to experience perinatal mental health issues if their partner experiences them.) Dads can feel excluded from caregiving and disconnected from mom and baby. Dads should be screened just like moms! We can do better to meet the needs of fathers! Partners should check in with each other and check on each other’s mental health. Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, ⁠email me⁠ about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Posptartum Depression is real. And it's only part of the story. We dig in to ALL of the stuff that no one tells you about, but you NEED to know. Dr. Kat, Psychologist and specialist in perinatal mental health, interviews moms, dads, experts and advocates about how to cope, manage and recover from perinatal mood and anxiety disorders. We talk about postpartum depression, postpartum anxiety and SO MUCH MORE! We get real. We get honest. We put on our stigma crushing boots and address the realities of the transition to motherhood and parenthood. Learn about it before you find out about it the hard way! You don't have to suffer! www.momandmind.com
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