The Fourth Trimester NP Show

• Is therapy for me???

  Why do we avoid therapy? Stigma against mental illness Fear of being judged Fear of being vulnerable May feel like it is a luxury activity instead of a health activity Treatment cost Insurance issues May have to discuss painful past events How to choose a therapist? First, consider the type of therapy that they use… For perinatal depression & anxiety, the two most effective therapies are: Cognitive behavioral therapy (CBT) & Interpersonal therapy (IPT) Second, look for a maverick. -Look beyond the years of experience and look for someone who is regularly learning. -Verify their baseline therapy credential (state and board certified) -Also look for someone who is specifically trained in perinatal mood disorders, e.g. by Postpartum Support International Third, look for someone with similar life experience. -Look for someone of similar race, ethnicity, gender, lifestyle -Will make it easier to enter a safe space for therapeutic work to occur Fourth, know that you are in control. -Meet for 15 minute free consult if possible -Schedule only if you were able to connect -If you do not agree with the treatment plan, or you don’t connect or you don’t think that you are being listened to, keep looking Fifth, look for social emotional intelligence. -adaptable -flexible -self aware In Summary, - You have to feel safe in your interactions with your therapist. - Feel free to shop around until you have the right fit. - Self evaluate mood for improvement and keep a journal or mood log. References McNamara, J., Townsend, M. L., & Herbert, J. S. (2019). A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PloS one, 14(7), e0220032. Smith, K. (2021). How to choose a therapist? Retrieved from How to choose a therapist | Psyche Guides Symes, E. (2017). The transition to motherhood. Psychological factors associated with pregnancy, labour and birth. Retrieved from The transition to motherhood: Psychological factors associated with pregnancy, labour and birth | APS (psychology.org.au) Resources Psychology Today - Psychology Today Belgium: Health, Help, Happiness + Find a Therapist ZenCare - Find The Best Therapists & Psychiatrists Near You — Zencare Postpartum Support International - https://www.postpartum.net/ Guest Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC. She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and Qualified Supervisor. Lydia provides counseling for individuals, couples, families and supervision for registered MSW Interns. She also offers comprehensive Diagnostic Evaluations for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims involved in human trafficking. Lydia has dedicated her years working with individuals, couples and families facing life changing challenges, including addiction, marital/relationship conflict, mental health imbalance and parenting hurdles. She has experience working in residential and partial- hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds. Lydia is transparent and compassionate while collaborating with her clients to achieve their goals. Furthermore, she dedicates time as a Board Member for Phoebe’s Fortress Non-profit Organization in Miami, Florida. Her commitment to Phoebe’s Fortress is geared towards supporting and equipping young ladies aging out of the foster care system with skills to advance into adulthood.

  --------  

  16:07

  --------

  16:07
• Mother Baby Bonding, Mother Fetus Bonding

  The Bonding Edition What is a mother? Some definitions include: The female parent To mother is to bring up a child with care and affection “a mother understands what a child does not say” “Motherhood has the greatest potential influence in human life” “a beetle is a beauty in the eyes of his mother” J What is bonding? Must be attached first to bring up a child with care and affection. Bonding is the formation of a close human relationship Emotional and physical attachment between mother and offspring There are two important bonding types to consider: The first is maternal-fetal bonding or when a women is pregnant with the developing baby The second is mother-baby bonding or bonding with baby after delivery Maternal fetal bonding spans three semesters: The first trimester includes adjusting to the idea of pregnancy Most report ambivalence May experience nausea, vomiting, fatigue and this may amplify anxiety During the Second trimester the baby’s movement is felt You may start thinking about who this person could be You start thinking about the baby as separate from self The Third trimester includes getting ready for baby’s arrival Prepping for labor or surgery Most experience fatigue Mother-Baby Bonding -acceptance of baby as a whole and no longer just an idea -may be some attachment concerns with difficult deliveries (PTSD) -or if delivery did not go as planned, like planned water birth and ended up with forceps delivery - or epidural during labor or c/s etc - or if baby ended up in NICU -or if preterm delivery Mother-Baby Bonding - perinatal time is one of identity shift - from own entity or person to mother of 1 - Identity is fluid, could be shift from mother of 1 to now mother of 2 - Bonding impacted by historical family relationships (mother was idolized or not?) Why do we care about bonding? - early attachment relationships between mom and baby improve baby’s psychological, cognitive, and social development - attachment styles impact how the baby interacts with humanity in the future - A mother who is bonded with her baby will try to know, protect, interact with, and meet the needs of her baby What impacts bonding? Social Support: Protective against stress & challenges Help with planning for baby’s future Allows for better adjustment to motherhood Could be partner, family of origin, close friends Self Esteem: Optimistic beliefs improve bonding Happy with appearance or self image improves bonding High sense of wellbeing Prepared for baby Mental Health: Depression decreases bonding (inverse relationship) Some studies anxiety decreased bonding Hollywood Bonding Versus Bonding in Reality I had Hollywood bonding with my second Maybe wisdom from having first Knew what to expect Knew that systems could be built to organize care Reality: With my first baby I was isolated It felt harder to bond It was comforting to know that Good to know bonding is a lifelong process Not a “one moment” or one time event Also, first pregnancy related to increased pregnancy stress Pro Tips Never walk alone, social support protective If history of depression or anxiety stay on treatment or get treatment If you notice difficulty in bonding postpartum TELL PROVIDER The good news is that there is HELP Thank you so much for your time and wisdom. I believe you are joining us for a show on how to choose a great therapist Thank you for listening Your host Judith Wafe of The Fourth Trimester NP Lydia’s Book Recommendations :- Parenting with PTSD by A Nation of Wimps by Anxiety scale. Discuss score with healthcare provider. GAD-7 (General Anxiety Disorder-7) - MDCalc Depression Scale. Discuss score with healthcare provider. PHQ-9 (Patient Health Questionnaire-9) - MDCalc Guest Bio Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC. She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and Qualified Supervisor. Lydia provides counseling for individuals, couples, families and supervision for registered MSW Interns. She also offers comprehensive Diagnostic Evaluations for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims involved in human trafficking. Lydia has dedicated her years working with individuals, couples and families facing life changing challenges, including addiction, marital/relationship conflict, mental health imbalance and parenting hurdles. She has experience working in residential and partial-hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds. Lydia is transparent and compassionate while collaborating with her clients to achieve their goals. Furthermore, she dedicates time as a Board Member for Phoebe’s Fortress Non-profit Organization in Miami, Florida. Her commitment to Phoebe’s Fortress is geared towards supporting and equipping young ladies aging out of the foster care system with skills to advance into adulthood. References McNamara, J., Townsend, M. L., & Herbert, J. S. (2019). A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PloS one, 14(7), e0220032 Smith, K. (2021). How to choose a therapist? Retrieved from How to choose a therapist | Psyche Guides Symes, E. (2017). The transition to motherhood. Psychological factors associated with pregnancy, labour and birth. Retrieved from The transition to motherhood: Psychological factors associated with pregnancy, labour and birth | APS (psychology.org.au) Disclaimer Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice. https://linktr.ee/fourth.trimester.np?subscribe

  --------  

  32:55

  --------

  32:55
• The Motherhood Edition

  What is a mother? Some definitions include: The female parent To mother is to bring up a child with care and affection “a mother understands what a child does not say” “Motherhood has the greatest potential influence in human life” “a beetle is a beauty in the eyes of his mother” What is bonding? Must be attached first to bring up a child with care and affection. Bonding is the formation of a close human relationship Emotional and physical attachment between mother and offspring There are two important bonding types to consider: The first is maternal-fetal bonding or when a women is pregnant with the developing baby The second is mother-baby bonding or bonding with baby after delivery Next week we will start with how to bond with your baby during pregnancy… Guest Bio Lydia Moore Allen is the Founder and CEO of Se-ReNew Therapy & Consulting Services LLC. She has been in the mental health field for almost 20 years. Lydia is a Licensed Clinical Social Worker, Certified Master's Level Addiction Professional, Certified Parenting Instructor and Qualified Supervisor. Lydia provides counseling for individuals, couples, families and supervision for registered MSW Interns. She also offers comprehensive Diagnostic Evaluations for Immigration Court for Hardships, Violence against Women (VAWA), U-VISA (for immigrants who were victims or witnesses to a crime in the U.S) and T-VISA (for victims involved in human trafficking. Lydia has dedicated her years working with individuals, couples and families facing life changing challenges, including addiction, marital/relationship conflict, mental health imbalance and parenting hurdles. She has experience working in residential and partial-hospitalization settings with clients of varying cultural, ethnic, and socioeconomic backgrounds. Lydia is transparent and compassionate while collaborating with her clients to achieve their goals. Furthermore, she dedicates time as a Board Member for Phoebe’s Fortress Non-profit Organization in Miami, Florida. Her commitment to Phoebe’s Fortress is geared towards supporting and equipping young ladies aging out of the foster care system with skills to advance into adulthood. References McNamara, J., Townsend, M. L., & Herbert, J. S. (2019). A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PloS one, 14(7), e0220032 Smith, K. (2021). How to choose a therapist? Retrieved from How to choose a therapist | Psyche Guides Symes, E. (2017). The transition to motherhood. Psychological factors associated with pregnancy, labour and birth. Retrieved from The transition to motherhood: Psychological factors associated with pregnancy, labour and birth | APS (psychology.org.au) Disclaimer Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice. https://linktr.ee/fourth.trimester.np?subscribe

  --------  

  29:04

  --------

  29:04
• Makeup choices and natural skin care

  This is the conclusion of the conversation with Ivette. Please enjoy, we start abruptly and dive into acne. If you get acne during pregnancy, take these steps to treat your skin - Wash your face twice a day with a mild cleanser and lukewarm water. If you have oily hair, shampoo/cowash every day and try to keep your hair off your face. Avoid picking or squeezing acne sores to lessen possible scarring. Choose oil-free cosmetics. Additional ACNE Tips Over-the-counter (OTC) products containing the following ingredients can be used during pregnancy: Topical benzoyl peroxide (Clean & Clear, PanOxyl) Azelaic acid (CeraVe, Clinique) Topical salicylic acid (Noxzema, Neutrogena) Glycolic acid (L’Oreal) If you want to use an OTC product that contains an ingredient not on this list, contact your obstetrician–gynecologist (ob-gyn) AVOID!!!!! No to retinoids (synthetic Vit A) No to hydroquinone (skin lightener) No to phthalates (disrupt hormones) Hell No to formaldehyde or formaldehyde releasers During the show facts- On shea butter, I couldn’t find a distinct recommendation that it is safe in pregnancy! On chamomile tea, is not safe to drink in pregnancy, so I say AVOID in pregnancy. Common formaldehyde releasers that you are likely to see in a product and should AVOID are DMDM hydantoin, methylene glycol, quaternium 15, and 3 dioxane EltaMD Skincare was recommended by Ivette for their sunscreen line - Sun Care– EltaMD Safe Cosmetics database - Campaign for Safe Cosmetics - Making Cosmetics Safer for All Tattoo Art for Stretch Marks - Tattoo Artist Hides Stretch Marks With Skin-Colored Ink - Before and After Photos | Allure Guest Information Ivette Guttierez was born in Nicaragua and came to the US at the tender age of 6 months. She is the youngest of 3 children and was raised by a strong single mother. As a child she showed an interest in teaching and loved everything related to makeup. After high school she enrolled in Beauty School. While in school, her artistry skills flourished and she was found to be naturally talented at eyebrow shaping. Ultimately she became a professional esthetician and makeup artist. She then worked with Christian Dior cosmetics and has spent 17 years working with prestigious cosmetic brands, and 12 years as a Senior Executive sales manager for a multi-million dollar company. She was also a state board educator for future licensed estheticians. In 2018 she obtained her permanent make-up certification. During the pandemic she was no longer fulfilled in the corporate realm and started her own business dedicated to all things eyebrows. She then further ventured into the paramedical space and works with women and men that are survivors of trauma, cancer, alopecia, areola reconstruction, SMP, scar camouflage etc. Her slogan is “beauty should be used to illuminate our inner beauty and not mask it!” References ACOG. (2023). Skin Conditions in Pregnancy. Retrieved from https://www.acog.org/womens-health/faqs/skin-conditions-duringpregnancy#:~:text=As%20your%20belly%20grows%20during,Sometimes%20the%20marks%20are%20faint. Cleveland Clinic. (2020). Melasma. Retrieved from Melasma: Treatment, Causes & Prevention (clevelandclinic.org) Food and Drug Administration. (2022). Cosmetics & Pregnancy. Retrieved from Cosmetics & Pregnancy | FDA Medical News Today. (2022). Pregnancy and skin care: What products are safe to use? Retrieved from What is safe to use for pregnancy skin care? (medicalnewstoday.com) Sharma, Jharaik, Sharma, Chauhan, & Wadhwa. (2019). Clinical study of pregnancy associated cutaneous changes. International Journal of Clinical Obstetrics and Gynaecology, 3(4) 71-75. Retrieved from 3-4-1-996.pdf (gynaecologyjournal.com) Disclaimer Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice. https://linktr.ee/fourth.trimester.np?subscribe

  --------  

  23:17

  --------

  23:17
• on Self-Love

  Self-Love while pregnant can be anything that restores you. I think that the basics are essential to consider, nutrition, exercise, keeping your prenatal appointments, paying attention to dental hygiene, following your healthcare provider’s advice and attending childbirth education classes. Other important things are the ones that you choose. If you are not sure what restores you consider journaling and observing what brings you joy during a week. Things that brought me joy during pregnancy were: Lathering my skin with oil Getting my toes done Wearing makeup Immersing myself at the beach Watching a funny movie Exercise Going for walks outside Giggling with my husband Resting when my body told me to while understanding that it was making a human being Staying away from negative people Staying in the present moment Next week - how to choose clean cosmetics #fourthtrimesternp #selflove #selfaware #selfawareness #healthymom #healthymomhealthybaby #momlife #bumplife #selfcare #loveyourself #positivevibes #happiness #inspiration #happy #goals #podcast #healthpodcast #happymom #baby #selfaware #selfcare #duke #dukealumni

  --------  

  19:18

  --------

  19:18

Mais podcasts de Ensino

Podcasts em tendência em Ensino

Sobre The Fourth Trimester NP Show