Motherhood and Mental Health: Navigating Postpartum Challenges

Motherhood is a beautiful journey and deserves to be celebrated. When I had my daughter, I was surrounded by family and friends who provided the support I needed. However, despite their help, I struggled with anger and unexplained sadness. I felt a persistent sadness without knowing its cause, only to realize later that I was dealing with postpartum depression. In the following article I'll outline the various kinds of postpartum issues one can encounter and how postpartum counselling can help.

Understanding Postpartum

The postpartum period, often referred to as the "fourth trimester," is a critical phase in a mother's journey, encompassing the weeks and months following childbirth. During this time, both physical and emotional transformations occur as the mother adjusts to her new role and responsibilities. Understanding this period is essential for providing the necessary support to new mothers as they navigate the complexities of early motherhood.

Physical Changes

After childbirth, a mother's body undergoes significant changes as it recovers from the pregnancy and delivery. The uterus, which expanded to accommodate the growing baby, begins to shrink back to its pre-pregnancy size, a process known as involution. This can cause cramping, particularly during breastfeeding, as the hormone oxytocin is released to help contract the uterus.

In addition to uterine changes, mothers may experience:

• Lochia: A discharge of blood and uterine tissue that can last for several weeks.
• Breast Engorgement: Swelling and tenderness of the breasts as they fill with milk, which can be uncomfortable and sometimes painful.
• Perineal Pain: Discomfort in the perineum, especially if there were tears or an episiotomy during delivery.
• C-Section Recovery: For mothers who had a cesarean section, recovery includes healing from abdominal surgery, which requires additional care and time.

Hormonal Adjustments

The hormonal shifts that occur after birth are profound. Levels of estrogen and progesterone, which were elevated during pregnancy, drop rapidly after delivery. This sudden change can contribute to mood swings and emotional instability. Additionally, the hormone prolactin increases to promote milk production, while oxytocin aids in milk ejection during breastfeeding. These hormonal changes can influence a mother’s emotional state and energy levels.

Emotional and Psychological Changes

The postpartum period is often characterized by a wide range of emotions. While many mothers feel joy and excitement about their new baby, it's also common to experience feelings of sadness, anxiety, and overwhelm. Some of the psychological changes and challenges include:

• Postpartum Blues: Often referred to as the "baby blues," this condition affects a majority of new mothers. Symptoms include mood swings, crying spells, anxiety, and difficulty sleeping. These symptoms typically peak a few days after delivery and resolve within two weeks.
• Postpartum Depression (PPD): More severe than the baby blues, PPD can develop within the first few weeks to months after childbirth. It is characterized by intense feelings of sadness, hopelessness, and difficulty bonding with the baby.
• Postpartum Anxiety: This includes excessive worry about the baby's health and safety, often accompanied by physical symptoms like palpitations and dizziness.
• Postpartum Psychosis: A rare but serious condition, postpartum psychosis involves hallucinations, delusions, and severe mood disturbances. It requires immediate medical attention.

Social and Environmental Factors

The environment and social context in which a mother finds herself can greatly impact her postpartum experience. Factors such as the availability of social support, financial stability, and the presence of a nurturing partner or family members play crucial roles in a mother’s well-being. For some, the lack of support and understanding from their surroundings can exacerbate feelings of isolation and stress.

• Support Networks: The presence of a supportive network of family, friends, and community resources can provide practical help and emotional comfort. This support is vital for a mother’s adjustment and recovery.
• Cultural Practices: Different cultures have varying traditions and practices regarding postpartum care, which can influence a mother’s experience and expectations. Some cultures emphasize rest and seclusion, while others encourage active participation in community life.

Self-Care and Recovery

Self-care is paramount during the postpartum period. Mothers should be encouraged to prioritize their own health and well-being alongside caring for their newborn. This includes:

• Rest and Nutrition: Adequate rest and a balanced diet are essential for recovery and maintaining energy levels. New mothers should be encouraged to accept help with household chores and baby care to ensure they get enough sleep.
• Mental Health: Seeking support from a mental health professional can be beneficial for mothers experiencing significant emotional or psychological challenges. Therapy, support groups, and even medication can be part of a comprehensive treatment plan.
• Physical Activity: Gentle exercise, when approved by a healthcare provider, can help improve mood and physical health. Activities like walking, postpartum yoga, or light stretching can be beneficial.

The postpartum period is a time of significant change and adjustment. Understanding the physical, hormonal, emotional, and social aspects of this phase can help in providing comprehensive support to new mothers. At Sojourn Counselling and Neurofeedback, we are committed to offering the necessary guidance and support to help mothers navigate this transformative period with confidence and care.

Postpartum issues are multifaceted, involving psychological, emotional, and sociocultural factors. Hormonal changes, lack of sleep, schedule changes, previous mental health history, economic conditions, and support availability can all impact postpartum coping. Studies show that immigrant women have a higher rate of postpartum depression due to lack of social support, economic conditions, and language barriers.

Postpartum disorders come in various forms, from brief experiences of “postpartum blues” to severe postpartum psychosis.

Symptoms Common to All Forms of Postpartum Psychological Issues

Postpartum psychological issues encompass a range of conditions, including postpartum blues, postpartum depression (PPD), postpartum anxiety, and postpartum psychosis. While each condition has its own distinct characteristics, there are several symptoms common to all forms of postpartum psychological issues. These shared symptoms reflect the significant emotional and psychological challenges that can occur during the postpartum period. Understanding these common symptoms can help in early recognition and intervention.

Common Symptoms

1. Mood Changes
   Sadness: A pervasive feeling of sadness that can range from mild to severe.
   Irritability: Increased irritability and frustration over minor issues.
2. Emotional Instability
   Mood Swings: Rapid changes in mood, from happiness and excitement to sadness and despair.
   Crying Spells: Frequent and unexpected bouts of crying without an apparent cause.
3. Anxiety
   Excessive Worry: Persistent worry about the baby's health, safety, and well-being.
   Intrusive Thoughts: Unwanted and distressing thoughts about potential dangers or harm.
4. Sleep Disturbances
   Insomnia: Difficulty falling asleep or staying asleep, despite feeling tired.
   Oversleeping: Alternatively, some may sleep excessively but still feel exhausted.
5. Changes in Appetite
   Loss of Appetite: Decreased interest in food, leading to inadequate nutrition.
   Overeating: Some may turn to food for comfort, leading to overeating.
6. Fatigue
   Extreme Tiredness: Persistent fatigue that does not improve with rest, making daily tasks overwhelming.
7. Cognitive Difficulties
   Forgetfulness: Problems with memory and concentration.
   Difficulty Making Decisions: Struggling to make even simple decisions.
8. Feelings of Inadequacy
   Low Self-Esteem: Doubts about one's ability to be a good mother.
   Guilt and Shame: Feeling guilty for not enjoying motherhood as expected or for struggling with emotions.
9. Physical Symptoms
   Somatic Complaints: Physical symptoms such as headaches, stomachaches, or muscle pain without a clear medical cause.
10. Social Withdrawal
    Isolation: A tendency to withdraw from social interactions, family, and friends.
    Lack of Interest in Activities: Reduced interest in activities that were previously enjoyable.

Importance of Early Recognition

Recognizing these common symptoms early can lead to timely support and intervention, which is crucial for the well-being of both the mother and the baby. Here are a few key steps:

• Self-Monitoring: New mothers should be encouraged to monitor their own emotional and psychological state and seek help if they notice persistent symptoms.
• Education: Educating mothers and their families about postpartum psychological issues can aid in early recognition and reduce stigma.
• Support Systems: Building a robust support system that includes healthcare providers, family, and friends can provide the necessary emotional and practical support.

The postpartum period is a time of significant change and adjustment. Recognizing the common symptoms of postpartum psychological issues is essential for early intervention and support. If you or someone you know is experiencing these symptoms, it is important to seek help from a healthcare provider or mental health professional. At Sojourn Counselling and Neurofeedback, we are dedicated to supporting new mothers through this challenging time, providing compassionate care and effective treatment options to ensure a healthy and fulfilling transition into motherhood.

If you notice any of these symptoms, reaching out for support is crucial. You can also follow this link for a self-assessment of postpartum issues in different languages: EPDS Questionnaire.

Postpartum Blues

“Postpartum blues,” also known as “maternity blues” or the “baby blues,” is a common and transient condition that affects many new mothers shortly after childbirth. This phenomenon typically occurs within a few hours to days after delivery and often peaks around the fourth to fifth day postpartum, lasting up to two weeks. Understanding the nuances of postpartum blues is essential for recognizing it early and providing appropriate support to new mothers.

Symptoms and Manifestations

The symptoms of postpartum blues can vary in intensity and duration, but they generally include:

• Irritability: New mothers may find themselves feeling unusually irritable or easily frustrated. Small issues that would normally be manageable can seem overwhelming.
• Restlessness: There is often a sense of restlessness or an inability to relax. This can manifest as constant fidgeting, difficulty sitting still, or a general feeling of unease.
• Sadness: Feelings of sadness are common, even when there is no clear reason for these emotions. Mothers may find themselves crying more easily or feeling melancholic.
• Mild Confusion: New mothers might experience moments of mild confusion or difficulty concentrating. This can make it challenging to complete everyday tasks or make decisions.
• Hypochondriasis: Concerns about personal health or the baby’s well-being can become exaggerated, leading to frequent worry about minor health issues.

Emotional Rollercoaster

The emotional state of a mother experiencing postpartum blues can be likened to a rollercoaster. One moment, she may feel elated and deeply connected to her baby, and the next, she might feel overwhelmed by a wave of sadness. This fluctuation is a hallmark of postpartum blues and is largely driven by the significant hormonal changes occurring in the body.

Hormonal Influence

After childbirth, the levels of estrogen and progesterone, which were elevated during pregnancy, drop rapidly. This hormonal shift can significantly affect mood and emotional stability. Additionally, the increased production of prolactin to support milk production and oxytocin to aid in bonding with the baby also play a role in this emotional upheaval.

Factors Contributing to Postpartum Blues

Several factors can contribute to the onset and intensity of postpartum blues:

• Sleep Deprivation: The demands of a newborn often result in disrupted sleep patterns, contributing to fatigue and irritability.
• Physical Recovery: The physical recovery from childbirth, whether from a vaginal delivery or a cesarean section, can be taxing and add to feelings of vulnerability.
• Adjustment to New Role: The transition to motherhood is a significant life change that requires adjustment. The responsibilities of caring for a newborn can be daunting.
• Support System: The presence or absence of a supportive network of family and friends can influence the severity of postpartum blues. Supportive partners and family members can provide practical and emotional support.

Coping Strategies

While postpartum blues typically resolve on their own within a couple of weeks, certain strategies can help manage the symptoms and provide relief:

• Rest and Sleep: Prioritizing rest and sleep as much as possible can help mitigate feelings of fatigue and irritability. Accepting help with baby care to get some sleep can be beneficial.
• Healthy Diet: Maintaining a balanced diet can support physical recovery and overall well-being. Nutrient-dense foods can help stabilize energy levels and mood.
• Physical Activity: Gentle physical activity, such as walking, can boost mood and energy levels. Always consult with a healthcare provider before starting any postpartum exercise.
• Open Communication: Talking about feelings with a trusted person, whether a partner, family member, or friend, can provide emotional relief. Joining a postpartum support group can also be helpful.
• Professional Support: If symptoms persist beyond two weeks or worsen, seeking the guidance of a healthcare professional or therapist is important. Early intervention can prevent the progression to more severe postpartum conditions.

Recognizing and addressing postpartum blues is crucial for the well-being of new mothers. By understanding this common condition and its contributing factors, families and healthcare providers can offer the necessary support to help mothers navigate this challenging but temporary phase. At Sojourn Counselling and Neurofeedback, we are dedicated to providing compassionate and effective support to new mothers experiencing postpartum blues, helping them transition smoothly into motherhood.

Postpartum Depression (PPD)

Postpartum Depression (PPD) is a more prolonged and severe condition compared to the common postpartum blues. It typically develops within 4 to 6 weeks after childbirth but can also appear any time within the first year postpartum. Unlike the brief and transient nature of the baby blues, PPD requires more intensive support and, in many cases, professional intervention to manage effectively.

Symptoms of PPD

The symptoms of PPD are varied and can significantly impact a mother's ability to care for herself and her baby. These symptoms can include:

• Low Mood: Persistent feelings of sadness or emptiness that do not seem to lift. Mothers may feel tearful for no apparent reason and find little joy in activities they previously enjoyed.
• Anhedonia: A marked loss of interest or pleasure in most or all activities, including those that were once found enjoyable. This can extend to a disinterest in bonding with the baby.
• Forgetfulness: Difficulty concentrating, making decisions, or remembering things. This cognitive impairment can make daily tasks and responsibilities seem overwhelming.
• Irritability: Heightened irritability and anger that can be directed at partners, other children, or even oneself. This irritability can exacerbate feelings of guilt and inadequacy.
• Anxiety: Excessive worry or fear, often about the baby's health and safety or one's ability to be a good mother. This anxiety can manifest as panic attacks or persistent intrusive thoughts.
• Sleep Disturbances: Difficulty falling asleep, staying asleep, or sleeping too much. Insomnia can occur despite extreme fatigue, and these sleep disturbances can further contribute to mood instability.
• Poor Functioning: A noticeable decline in the ability to function in daily life. Mothers with PPD may struggle with basic self-care, household responsibilities, or caring for their baby.

Impact on Mother and Baby

PPD can have profound effects on both the mother and her baby. For the mother, the symptoms can lead to feelings of isolation, guilt, and shame, especially if she believes she should be feeling happy and fulfilled. The lack of joy and persistent sadness can undermine her self-esteem and sense of identity.

For the baby, PPD can affect the bonding process. A mother with PPD may find it challenging to engage with her baby, respond to their needs, or enjoy the early moments of motherhood. This can impact the baby's emotional and social development, as infants are highly responsive to their caregiver's emotional state.

Risk Factors for PPD

Several factors can increase the likelihood of developing PPD, including:

• Personal or Family History of Depression: Previous episodes of depression or a family history of mood disorders can increase vulnerability.
• Severe Premenstrual Syndrome (PMS): Women who experience severe PMS may be more prone to postpartum depression.
• Birth Experience: Traumatic or difficult labor and delivery can contribute to feelings of distress and helplessness.
  Lack of Support: Insufficient support from a partner, family, or friends can exacerbate feelings of isolation and stress.
• Stressful Life Events: Significant life changes or stressors, such as financial difficulties, relationship problems, or a recent loss, can increase the risk.
• Hormonal Factors: The dramatic drop in hormones such as estrogen and progesterone after childbirth can trigger mood changes.

Treatment and Support

Recognizing PPD and seeking appropriate treatment is crucial for recovery. Treatment options can include:

• Therapy: Psychotherapy, particularly cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT), has been shown to be effective in treating PPD. Therapy provides a safe space to explore feelings, develop coping strategies, and build resilience.
• Medication: Antidepressant medications can be beneficial for some women. A healthcare provider can help determine the best medication and dosage, considering breastfeeding and other factors.
• Support Groups: Joining a support group for new mothers can provide a sense of community and shared understanding. Connecting with others who are experiencing similar challenges can reduce feelings of isolation.
• Lifestyle Adjustments: Simple changes such as regular exercise, a healthy diet, and adequate sleep can support overall well-being and recovery. Self-care practices are essential for managing symptoms and improving mood.
• Professional Help: Seeking help from healthcare professionals, including therapists, counselors, and psychiatrists, can provide comprehensive support and guidance.

The Role of Partners and Family

Partners and family members play a vital role in the recovery process. Their support and understanding can make a significant difference in a mother's ability to cope with PPD. Encouraging open communication, helping with baby care, and providing emotional and practical support are crucial. It's important for partners and family members to educate themselves about PPD to offer informed and compassionate assistance.

PPD is a serious but treatable condition. Recognizing the symptoms and seeking help early can make a significant difference in the well-being of both the mother and her baby. At Sojourn Counselling and Neurofeedback, we are dedicated to supporting mothers through this challenging time, providing the necessary tools and guidance to help them regain their sense of well-being and enjoy the journey of motherhood. Remember, seeking help is a sign of strength, and there is no need to navigate this journey alone.

Postpartum Anxiety

Postpartum anxiety is a common but often overlooked condition that affects many new mothers. Unlike postpartum depression, which is characterized by pervasive sadness and lack of interest in activities, postpartum anxiety is marked by intense and persistent worry, fear, and tension. Recognizing and addressing postpartum anxiety is crucial for the well-being of both the mother and the baby.

Symptoms of Postpartum Anxiety

Postpartum anxiety can manifest in various ways, with symptoms ranging from mild to severe. Common symptoms include:

• Excessive Worry: Persistent and overwhelming worry about the baby's health, safety, and well-being. Mothers may constantly fear that something bad will happen to their baby.
• Intrusive Thoughts: Disturbing and unwanted thoughts that can be distressing. These thoughts often involve scenarios of harm coming to the baby and can be difficult to control.
• Physical Symptoms: Physical manifestations of anxiety such as heart palpitations, sweating, trembling, dizziness, and shortness of breath. These symptoms can mimic other medical conditions, adding to the anxiety.
• Sleep Disturbances: Difficulty falling asleep or staying asleep due to racing thoughts and worry, even when the baby is sleeping.
• Irritability and Restlessness: Feeling on edge, irritable, and unable to relax. There may be an overwhelming sense of urgency and difficulty sitting still.
• Hypervigilance: An extreme sense of alertness, constantly checking on the baby to ensure they are safe, which can lead to exhaustion and further anxiety.
• Avoidance Behaviors: Avoiding certain activities or situations out of fear that something bad will happen, which can limit daily functioning and social interactions.

Risk Factors for Postpartum Anxiety

Several factors can increase the likelihood of developing postpartum anxiety:

• Personal or Family History of Anxiety: A history of anxiety disorders or other mental health issues can predispose a mother to postpartum anxiety.
• Stressful Life Events: Significant life changes or stressors, such as financial difficulties, relationship problems, or a lack of social support, can contribute to the onset of anxiety.
• Complicated Birth: A traumatic or complicated birth experience can increase the risk of developing anxiety.
  Hormonal Changes: The dramatic hormonal shifts after childbirth can play a role in triggering anxiety.

Impact on Mother and Baby

Postpartum anxiety can have significant effects on both the mother and the baby. For the mother, the constant worry and physical symptoms can be exhausting and debilitating, affecting her ability to enjoy motherhood and engage in daily activities. This can lead to feelings of isolation and inadequacy.

For the baby, a mother's anxiety can affect bonding and attachment. Babies are sensitive to their caregiver's emotional state, and a highly anxious mother may have difficulty providing the calm and reassuring presence that is important for the baby's development.

Treatment and Management

Addressing postpartum anxiety involves a combination of approaches to provide comprehensive support and relief. These may include:

• Therapy: Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders. Therapy can help mothers understand their anxiety, develop coping strategies, and reduce the impact of intrusive thoughts.
• Medication: In some cases, medication such as anti-anxiety medications or antidepressants may be prescribed to manage symptoms. It is important to discuss the benefits and risks with a healthcare provider, especially if breastfeeding.
• Support Groups: Joining a support group for new mothers can provide a sense of community and shared understanding. Connecting with others who are experiencing similar challenges can reduce feelings of isolation.
• Self-Care: Encouraging self-care practices such as regular exercise, a balanced diet, adequate sleep, and relaxation techniques can help manage anxiety. Mindfulness and meditation can also be beneficial.
• Professional Support: Seeking help from healthcare professionals, including therapists, counsellors, and psychiatrists, can provide comprehensive support and guidance.

The Role of Family and Healthcare Providers

Family members and healthcare providers play a crucial role in supporting mothers with postpartum anxiety. They should be aware of the signs and symptoms and encourage the mother to seek help. Providing practical support, such as assisting with baby care and household tasks, can also help reduce the mother's anxiety.

• Education: Educating families about postpartum anxiety can help them understand the condition and provide appropriate support.
• Monitoring: Healthcare providers should monitor mothers for signs of anxiety during postpartum check-ups and offer resources and referrals as needed.
• Support Systems: Building a strong support system that includes family, friends, and community resources can provide the necessary emotional and practical support.

Postpartum anxiety is a serious but treatable condition. Early recognition and intervention are key to managing symptoms and ensuring the well-being of both the mother and the baby. At Sojourn Counselling and Neurofeedback, we are dedicated to supporting mothers through this challenging time, providing the necessary tools and guidance to help them navigate the complexities of postpartum anxiety. If you or someone you know is experiencing symptoms of postpartum anxiety, do not hesitate to seek help. You are not alone, and support is available.

Postpartum Psychosis

Postpartum psychosis is the most severe and rarest form of postpartum psychiatric disorder, affecting approximately 1 to 2 per 1000 deliveries. This condition is a psychiatric emergency that requires immediate medical attention due to its rapid onset and the potential for severe consequences. Understanding postpartum psychosis is crucial for early detection and effective intervention, which can significantly impact outcomes for both the mother and her family.

Symptoms and Characteristics

Postpartum psychosis is characterized by acute and severe psychotic symptoms, which can develop suddenly, often within the first two weeks postpartum. The symptoms include:

• Confusion: Mothers may experience profound confusion and disorientation, making it difficult to recognize familiar people or surroundings. They may struggle to understand what is happening around them.
• Delirium: This includes a rapid onset of fluctuating consciousness and cognition. Delirium can cause a mother to appear disorganized, agitated, or lethargic.
• Delusions: False beliefs that are not grounded in reality. These can be paranoid in nature (e.g., believing that others are plotting against them) or related to the baby (e.g., thinking the baby is possessed or needs to be protected from imagined threats).
• Hallucinations: Sensory experiences without a real external stimulus, such as hearing voices or seeing things that are not there. These hallucinations can be auditory, visual, or tactile.
• Insomnia: Severe and persistent insomnia, which can exacerbate other symptoms and further impair functioning. The inability to sleep can lead to extreme fatigue and worsen the psychotic state.
  Impact on the Mother and Baby
  
  

The onset of postpartum psychosis can be terrifying and disorienting for the mother. The severity of the symptoms can impair her ability to care for herself and her baby, posing significant risks. These risks include:

• Self-Harm and Suicide: Mothers with postpartum psychosis are at an increased risk of self-harm and suicide due to the severity of their condition and the presence of psychotic symptoms.
• Harm to the Baby: There is also a risk of harm to the baby, either through neglect due to the mother's impaired state or through direct harm influenced by delusional beliefs or hallucinations.

Risk Factors for Postpartum Psychosis

While the exact cause of postpartum psychosis is not fully understood, several factors are known to increase the risk, including:

• History of Bipolar Disorder: Women with a personal or family history of bipolar disorder are at a significantly higher risk of developing postpartum psychosis.
• Previous Postpartum Psychosis: Mothers who have experienced postpartum psychosis in a previous pregnancy are at a higher risk of recurrence.
• Family History of Psychosis: A family history of psychotic disorders can increase susceptibility.
• Sleep Deprivation: Severe sleep deprivation, which is common in the postpartum period, can trigger or exacerbate psychotic symptoms.
• Hormonal Changes: The dramatic hormonal fluctuations that occur after childbirth may contribute to the onset of psychosis in susceptible individuals.

Treatment and Management

Postpartum psychosis is a medical emergency that requires immediate intervention. Treatment typically involves a combination of the following approaches:

• Hospitalization: In many cases, hospitalization is necessary to ensure the safety of the mother and baby. A secure and supportive environment can provide the intensive care required during the acute phase of the illness.
• Medications: Antipsychotic medications are often prescribed to manage psychotic symptoms. Mood stabilizers and antidepressants may also be used, depending on the individual’s symptoms and history.
• Electroconvulsive Therapy (ECT): In severe cases, ECT may be considered, especially if the mother does not respond to medication or if the condition is life-threatening.
• Psychotherapy: Once the acute symptoms are under control, psychotherapy can help the mother understand her condition, develop coping strategies, and address any underlying issues.
• Supportive Care: Comprehensive support from healthcare providers, family, and friends is crucial. This includes practical help with baby care, emotional support, and assistance in managing daily responsibilities.

The Role of Family and Healthcare Providers

Family members and healthcare providers play a vital role in the early identification and treatment of postpartum psychosis. They should be aware of the signs and symptoms and prepared to act swiftly if they suspect the condition. Early intervention can prevent the escalation of symptoms and reduce the risk of harm.

• Education and Awareness: Educating families about the potential for postpartum psychosis, particularly if the mother has risk factors, can aid in early detection and prompt treatment.
• Monitoring: Close monitoring of mothers with a history of bipolar disorder or previous postpartum psychosis is essential in the postpartum period.
• Support Systems: Building a strong support system around the mother, including mental health professionals, family, and community resources, can provide the necessary support for recovery.
  
  

Postpartum psychosis is a rare but severe condition that demands immediate and comprehensive care. With prompt treatment and support, most women can recover fully and return to their normal lives. At Sojourn Counselling and Neurofeedback, we are committed to providing the highest level of care for mothers experiencing postpartum psychosis, offering the necessary support to ensure a safe and healthy recovery. Recognizing the signs early and seeking immediate help can make a significant difference in the lives of mothers and their families.

Benefits of Psychotherapy for Postpartum Issues

Therapy can be a powerful tool for families dealing with postpartum issues. Benefits include:

• Providing Safety: An opportunity to discuss your frustrations and challenges with a therapist without feeling judged.
• Self-Discovery: Learn about yourself and develop awareness of your reactions.
• Empowerment: Connect to your internal resources to manage day-to-day motherhood challenges and advocate for yourself.
• Referral: Your therapist can connect you with various resources to help you navigate postpartum challenges.
• Break: It can be helpful to get out of the house and talk to someone about your experiences.

Counselling Services for New and Expecting Mothers

At Sojourn Counselling and Neurofeedback, we offer counselling services for new and expecting mothers. Our experienced therapists provide a safe and supportive environment to help you navigate the challenges of motherhood. Whether you are experiencing postpartum depression, anxiety, or simply need someone to talk to, we are here to support you on your journey. Importantly, we provide remote therapy so that you can see one of our counsellors from the comfort of home without having to encounter the complications of commuting with an infant. Visit our website or book an appointment through our online booking platform to find the right therapist for your needs.

Remember, you are a great mother. Therapy is not about being told how to parent; it is about realizing what an awesome human and mother you are.

Reference and Resources

•http://www.perinatalservicesbc.ca/  
•https://postpartum.org/videos/webinar-postpartum-anger-rage/
•https://postpartum.org/videos/webinar-cultivating-self-compassion-and-self-care/
•https://postpartum.org/  
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.)
Anderson, F. M., Hatch, S. L., Comacchio, C., & Howard, L. M. (2017). Prevalence and risk of mental disorders in the perinatal period among migrant women: a systematic review and meta-analysis. Archives of women's mental health, 20, 449-462.
Beck, C. T. (2023). Teetering on the edge: A third grounded theory modification of postpartum depression. Advances in Nursing Science, 46(1), 14-27.
Halbreich, U., & Karkun, S. (2006). Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. Journal of Affective Disorders, 91(2-3), 97-111.