Pregnancy and Postpartum

Motherhood is “supposed” to be intuitive, easy, and a joyful period in life but the truth is that becoming a mother is an intensely personal and challenging journey; it can be heart-wrenching, painful, and just plain gross. Whether you identify as depressed, anxious, or just having a hard time, Lesli can provide support.

Perinatal Mood and Anxiety Disorders (PMAD) are the number one complication from childbirth. Research has shown that there are critical points in the first year after baby’s birth, particularly at 1 month, 3-4 months, and 8-9 months postpartum. If your symptoms are interfering with how you take care of yourself and your family, or you just don’t feel like you and want to talk to someone, please call to schedule an initial consultation or a first appointment.

Together we focus first on decreasing symptoms before addressing the underlying stressors that may have contributed to the pressures surrounding parenting including role transitions, past traumas or losses, and recognition of expectations vs reality.

 

Special Topics of Interest Include:

  • Evaluation and treatment of PMAD, including but not limited to postpartum depression, anxiety, OCD, panic, and PTSD
  • Reproductive trauma or loss, including infertility, gender disappointment, miscarriage, stillbirth, birth trauma, and NICU/Preemie
  • Transition to Parenthood – first time around or subsequent
  • Alternative pathways to parenting such as single parenting, adoption, donor egg/sperm/embryo, LGBTQ, teen parenting, and later-in-life parenting

 

Risk Factors for PMAD Include:

  • History of depression or anxiety prior to pregnancy or in pregnancy
  • Type A personality traits, focus on perfectionism
  • Family history of postpartum depression or anxiety
  • History of postpartum depression or anxiety following previous pregnancies, including miscarriage and stillbirth
  • Difficulty getting pregnant, including the use of infertility treatments and alternative methods of family building (IUI, IVF, Donor, Surrogacy, and Adoption)
  • Major life changes around the period of pregnancy and birth: moving, new job or leaving your job, loss of friends or family
  • Traumatic birth or difficulty with breastfeeding (challenges with supply, baby’s latch, pain)

If you have multiple risk factors on this list, you may benefit from scheduling Preventative Care Appointments. This includes two appointments prior to your estimated due date, with one appointment approximately three weeks postpartum. While this cannot and will not eliminate your risk for symptoms, we can work together to set up a postpartum care plan tailored to your unique wants and needs.

For further questions and scheduling, contact Lesli at 206-486-6167 or leslitherapy@gmail.com