May is Maternal Mental Health Awareness Month so I thought I would take the opportunity to talk about perinatal mood and anxiety disorders (PMADs).
Perinatal mood and anxiety disorder is the occurrence of distressing emotional symptoms during pregnancy and throughout the first year after pregnancy. Around 15%-20% of mothers experience symptoms related to PMAD (Byrnes, 2018). The term has been broadened from postpartum depression in recent years to include symptoms of anxiety, obsessive and compulsive disorder, psychosis, and posttraumatic stress disorder.
The past year has ushered in loss and as a society, we are collectively grieving. As a culture, we have a script for honoring big losses such as the death of a loved one. We have rituals in place that allow for the mourning process to be carried forward. This helps us honor our grief and work through it. What the pandemic has really highlighted for me, however, is the question of what do we do with small losses? How do we grieve the ambiguous loss? I think of the unattended high school graduation, the canceled concert, the postponed wedding, the break-up, and the social isolation.
How are you doing? No, really. How are you? I know I have been so wrapped up with work, adjusting to the constantly changing landscape of the coronavirus, and the roller coaster of the news and media that I have not really checked in with myself about how I am feeling or coping through this time.
The coronavirus pandemic has been all over the news, dominating my conversations with clients, friends, and family, as well as constantly swirling in my mind. At such an unprecedented time in our global history, anxiety and stress are running high for very good reasons. There is so much uncertainty about how this invisible force can hurt each of us, our loved ones, the economy, and the world. We are in the middle of a medical, psychological, financial, and political crisis.
When we think of trauma, we often think of extreme experiences of life or death. War, combat, sexual assault, physical abuse are the examples that come easily to mind. This definition of trauma is reflected in the Diagnostic and Statistical Manual of Mental Disorders (DSM), which is the book that mental health providers refer to when identifying and diagnosing Posttraumatic Stress Disorder (PTSD). The first criteria for the diagnosis of PTSD is direct or indirect exposure to "death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence."
I remembered the first time I tried meditation. I attended an introduction to meditation where the facilitator provided guided meditation for the first 15 minutes and then we sat in silence for the next 30 minutes. At first, I struggled with keeping my focus on my breath and allowing my thoughts to drift in and out. I started thinking about my to-do list and the conflict that I had with my partner. A few minutes into the meditation, I was fighting my desire to curl up on the floor for a nap. I learned that meditation is not easy. But with regular practice, I can see the power of meditation in my life to reduce stress, improve sleep, manage anxiety, and increase focus.
We created this blog to share information about living a healthy, happy, and fulfilling life. We are constantly learning new things and making mistakes along the way. This blog is our way of chronicling our discoveries, musing, and lessons learned as people and professionals. We invite you to come along on our journey of self reflection, discovery, and thriving with challenges. We also hope to exchange wisdom and enlightenment from you, our readers.
The information provided in this blog is not a substitute for professional mental health treatment.