Amy Braun: 5 Things Everyone Should Know About Postpartum Depression

An Interview With Jake Frankel

It Can Manifest in Various Ways: Postpartum depression can present differently in each individual, ranging from persistent sadness and tearfulness to irritability, anger, or numbness. Some mothers may also experience physical symptoms such as changes in appetite, sleep disturbances, or unexplained aches and pains. It’s essential to be aware of the diverse manifestations of postpartum depression and to seek help if you or someone you know is struggling.

Postpartum depression affects millions of women worldwide, yet it remains a topic that is often misunderstood and stigmatized. Through this series, we aim to shed light on the various aspects of postpartum depression, including its symptoms, causes, treatment options, and the impact it has on individuals and families. As part of this series, we had the pleasure of interviewing Amy Braun.

Amy is a licensed counselor with over 15 years of experience in supporting mothers throughout the journey of pregnancy and postpartum. She is not just a trained therapist, but also a mom of four who has faced the darkness of postpartum depression.

With advanced certifications in perinatal mental health and clinical anxiety treatment, Amy brings a unique blend of specialized knowledge and personal experience to her practice. She owns a counseling practice in Chicago, IL offering perinatal mental health therapy and Christian counseling for mothers seeking a faith-based approach to healing.

Beyond her practice, Amy is a passionate advocate for perinatal mental health. Her own healing journey fuels her passion to bring awareness and reduce stigma surrounding perinatal mental health.

Thank you so much for joining us in this interview series. Before we begin, our readers would love to “get to know you” a bit better. Can you tell us a little about yourself?

As a wife and mother of four, I intimately understand the challenges of perinatal anxiety and depression. My personal experiences have fueled my passion for supporting other mothers through similar journeys. Combining my roles as a counselor, practice owner, and advocate, I strive to provide compassionate care and reduce the stigma surrounding mental health.

Ok, thank you for that. Let’s now jump to the primary focus of our interview, about postpartum depression. Let’s start with a basic definition so that all of us are on the same page. Can you please tell us what postpartum depression is?

Postpartum depression is a type of mood disorder that affects some women after childbirth. It’s more than just the “baby blues,” which are common feelings of exhaustion and irritability that 60–80% of women experience after giving birth. Postpartum depression is a more serious condition affecting 1 in 5–7 women that can interfere with a mother’s ability to care for herself and her baby in some cases.

Symptoms of postpartum depression can vary but may include persistent feelings of sadness, hopelessness, or emptiness, loss of interest in activities, changes in appetite, overwhelming fatigue, difficulty bonding with the baby, and thoughts of harming oneself. It’s important to note that postpartum depression can occur anytime within the first year after childbirth and it can affect women regardless of age, ethnicity, or socioeconomic status.

Can you discuss some common misconceptions about postpartum depression and why they are harmful?

1. It’s just the “baby blues” and will go away on its own: While it’s true that many women experience mood swings and emotional changes after giving birth (referred to as the “baby blues”), postpartum depression is a distinct and more severe condition. Ignoring or downplaying symptoms of PPD can prevent women from getting the help they need, leading to prolonged suffering and potential risks to both mother and baby.

2. Only new mothers experience postpartum depression: While postpartum depression is most commonly associated with new mothers, it can affect moms after any pregnancy, fathers, adoptive parents, and even partners who did not give birth. Any significant life change, including the arrival of a new baby, can trigger postpartum depression in susceptible individuals.

3. It’s a sign of weakness or failure as a parent: Postpartum depression is not a character flaw or a reflection of one’s ability to be a good parent. It is a medical condition that results from a combination of biological, psychological, and environmental factors. Blaming oneself for experiencing PPD can exacerbate feelings of guilt and shame, making it harder to seek help.

4. It only affects women who have a history of depression: While having a history of depression or anxiety can increase the risk of developing postpartum depression, it can also occur in women with no previous mental health issues. PPD is influenced by a complex interplay of hormonal changes, genetics, and social factors, and its onset cannot always be predicted based on past experiences.

5. Treatment for postpartum depression will harm the baby: Some women may avoid seeking treatment for PPD out of fear that medication or therapy could harm their baby. However, untreated postpartum depression can have serious consequences for both the mother and the baby, including impaired bonding, developmental delays, and long-term emotional difficulties. Seeking appropriate treatment under the guidance of a healthcare provider is essential for the well-being of both mother and child.

Can you explain the role of hormonal changes in postpartum depression, and how does this influence treatment approaches?

Hormonal changes play a significant role in postpartum depression (PPD). During pregnancy, a woman’s body undergoes dramatic hormonal shifts, including increases in estrogen and progesterone levels. These hormones help support the pregnancy and prepare the body for childbirth. However, shortly after giving birth, hormone levels drop rapidly, often leading to fluctuations in mood and emotional well-being.

While the exact mechanisms underlying PPD are not fully understood, it’s believed that these hormonal changes, along with other biological, psychological, and environmental factors, can contribute to the development of depression in susceptible individuals.

Overall, while hormonal changes contribute to the onset of postpartum depression, treatment approaches for PPD typically involve a combination of medication, therapy, lifestyle modifications, and social support to address the complex interplay of biological, psychological, and social factors involved in the condition.

How does postpartum depression impact the bonding between a mother and her baby, and what interventions are available to address this?

Postpartum depression can significantly impact the bonding between a mother and her baby. Mothers experiencing PPD may have difficulty connecting emotionally with their newborns, which can affect their ability to respond to their baby’s needs. This can lead to feelings of guilt, inadequacy, and further exacerbate the symptoms of depression.

Interventions to address the impact of postpartum depression on bonding may include:

1. Therapy: Cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), or other forms of psychotherapy can help mothers address negative thought patterns, improve coping skills, and strengthen their relationship with their baby.
2. Education: Providing education and guidance on infant care, bonding techniques, and parenting skills can empower mothers to feel more confident and competent in their role as caregivers.
3. Self-care: Encouraging mothers to prioritize self-care, including adequate rest, nutrition, exercise, and time for relaxation, can improve their overall well-being and capacity to bond with their baby.

What are some of the best ways to treat postpartum depression?

1. Therapy: Cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), and other forms of psychotherapy can help mothers address negative thought patterns, learn coping skills, and improve their mood.
2. Medication: Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to alleviate symptoms of postpartum depression. It’s essential to consult with a healthcare provider to determine the most suitable medication and dosage.
3. Support groups: Participating in support groups for mothers with postpartum depression can provide validation, encouragement, and practical advice from others who have experienced similar challenges.
4. Lifestyle changes: Engaging in regular exercise, maintaining a healthy diet, prioritizing sleep, and managing stress can all contribute to improved mood and overall well-being.
5. Social support: Seeking support from partners, family members, friends, and other caregivers can help mothers feel less isolated and overwhelmed. Building a support network can provide emotional validation and practical assistance with childcare tasks.
6. Self-care: Prioritizing self-care activities, such as engaging in hobbies, practicing relaxation techniques, and setting aside time for rest and rejuvenation, can help mothers recharge and manage stress more effectively.
7. Partner involvement: Encouraging partners to actively participate in caregiving tasks, emotional support, and household responsibilities can lighten the mother’s workload and provide essential support during the recovery process.
8. Professional guidance: Consulting with healthcare providers, including obstetricians, primary care physicians, psychiatrists, or therapists specializing in perinatal mental health, can ensure comprehensive evaluation and personalized treatment planning.

Based on your experience and research, can you please share “5 Things Everyone Should Know About Postpartum Depression?” Please share a story or an example with each one.

1. It’s Common and Treatable: Postpartum depression affects approximately 1 in 7 women after childbirth, making it a relatively common experience. Despite its prevalence, many women feel ashamed or reluctant to seek help due to stigma or misconceptions about maternal mental health. However, it’s crucial to recognize that postpartum depression is a treatable condition, and seeking support can lead to significant improvements in symptoms and overall well-being.
2. It Can Manifest in Various Ways: Postpartum depression can present differently in each individual, ranging from persistent sadness and tearfulness to irritability, anger, or numbness. Some mothers may also experience physical symptoms such as changes in appetite, sleep disturbances, or unexplained aches and pains. It’s essential to be aware of the diverse manifestations of postpartum depression and to seek help if you or someone you know is struggling.
3. It Can Impact the Entire Family: Postpartum depression not only affects the mother but can also have significant repercussions on her partner, children, and extended family members. Partners may feel helpless or frustrated by their inability to alleviate the mother’s suffering, while children may pick up on their mother’s emotional distress, impacting their own development and well-being. Family members need to offer empathy, support, and practical assistance during this challenging time.
4. It Can Develop Anytime Within the First Year: While postpartum depression typically emerges within the first few weeks or months after childbirth, it can develop at any point during the first year. Some women may experience a delayed onset of symptoms, while others may notice their depression worsening over time. It’s essential to remain vigilant for signs of postpartum depression throughout the postpartum period and to seek help promptly if symptoms arise. 25% of women with untreated postpartum depression are still experiencing symptoms 3 years later.
5. It Requires Compassion and Understanding: Mothers experiencing postpartum depression need compassion, understanding, and validation from their loved ones and healthcare providers. It’s essential to listen without judgment, offer practical assistance with childcare and household tasks, and reassure the mother that she is not alone in her struggles. By creating a supportive environment and reducing the stigma surrounding maternal mental health, we can empower mothers to seek the help they need.

What are some practical strategies for supporting a partner or loved one experiencing postpartum depression?

1. Listen without Judgment: Take the time to listen attentively to your partner’s feelings and experiences without judgment. Offer validation and reassurance that they are not alone in their struggles.
2. Offer Practical Help: Help with household chores, cooking, and childcare tasks to alleviate some of the burdens your partner may be facing. Even small gestures of support can make a significant difference.
3. Encourage Self-Care: Encourage your partner to prioritize self-care activities, such as getting enough rest, eating well, exercising, and engaging in activities they enjoy. Offer to watch the baby while they take some time for themselves.
4. Provide Emotional Support: Offer words of encouragement and remind your partner that their feelings are valid and temporary. Be a source of comfort and stability during this challenging time.
5. Educate Yourself: Take the time to educate yourself about postpartum depression, its symptoms, and available treatments. Understanding what your partner is going through can help you provide more effective support.
6. Be Patient and Understanding: Recognize that recovery from postpartum depression takes time and that your partner may have good days and bad days. Be patient, supportive, and understanding throughout their recovery journey.
7. Seek Professional Help: Encourage your partner to seek help from a healthcare provider or mental health professional if they haven’t already done so. Offer to accompany them to appointments or help them research treatment options.
8. Take Care of Yourself: Remember to take care of your own physical and emotional well-being as well. Supporting a partner with postpartum depression can be challenging, so be sure to prioritize your own needs and seek support if needed. The number one contributor to postpartum depression in fathers is a mother who is struggling with postpartum depression.

What are some cultural or societal factors that may contribute to the prevalence and experience of postpartum depression, and how can we address these effectively?

1. Stigma Surrounding Mental Health: In many cultures, there is a stigma associated with mental health issues, including postpartum depression. This stigma may prevent women from seeking help or talking openly about their experiences, leading to underreporting and untreated cases.
2. Expectations of Motherhood: Societal expectations of motherhood, such as the pressure to be a “perfect” mother or the belief that motherhood should be a joyous experience, can contribute to feelings of inadequacy and guilt in women experiencing postpartum depression.
3. Lack of Social Support: Women who lack social support from family, friends, or community members may be at higher risk for postpartum depression. Limited support networks can exacerbate feelings of isolation and loneliness during the postpartum period.
4. Cultural Norms Regarding Gender Roles: Cultural norms regarding gender roles may influence how postpartum depression is perceived and addressed within families and communities. In some cultures, there may be expectations for women to prioritize the needs of their families over their own mental health, making it difficult for them to seek help or prioritize self-care.

To address these cultural and societal factors effectively, it’s essential to:

1. Promote Mental Health Awareness: Educate communities about postpartum depression and other mental health issues to reduce stigma and encourage open discussions. Providing information about the prevalence, symptoms, and treatment options for postpartum depression can help normalize seeking help.
2. Empower Women to Seek Help: Empower women to prioritize their mental health and seek help when needed by providing resources and support networks. This may involve offering peer support groups, online forums, or community-based programs that address the unique needs of women experiencing postpartum depression.
3. Challenge Unrealistic Expectations: Challenge societal norms and expectations surrounding motherhood by promoting realistic portrayals of parenthood and advocating for policies that support work-life balance, parental leave, and access to affordable childcare. By normalizing the challenges of parenting and providing support to parents, we can reduce feelings of guilt and inadequacy that contribute to postpartum depression.

You are a person of great influence. If you could start a movement that would bring the most amount of good to the most amount of people, what would that be? You never know what your idea can trigger. 🙂

As an advocate for maternal mental health, I envision a movement where every healthcare and mental health provider is certified in perinatal mental health. This involves advocating for standardized training programs, integration into professional education, ongoing professional development, policy change, community engagement, and interdisciplinary care collaboration.

By ensuring that all providers are equipped to support individuals and families during the perinatal period, we can improve outcomes for maternal and infant health and create a more supportive healthcare system for all.

How can our readers further follow you online?

You can follow me online at:

amybraunlcpc.com

mommyburnoutcoach.com

https://twitter.com/AmyBraunLCPC

https://www.instagram.com/amybraunlcpcpllc

https://www.facebook.com/momtherapychicago/

Thank you for the time you spent sharing these fantastic insights. We wish you only continued success in your great work!

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Amy Braun: 5 Things Everyone Should Know About Postpartum Depression was originally published in Authority Magazine on Medium, where people are continuing the conversation by highlighting and responding to this story.