Dr. Lorena Lopez-Tobia Dr. Lorena Lopez-Tobia

Therapy for New Parents

Postpartum Depression (PPD):

Postpartum depression is a type of depressive disorder that occurs after childbirth. New mothers experiencing postpartum depression might experience sadness, hopelessness, and a lack of interest or pleasure in activities. Postpartum depression can also lead to changes in appetite, sleep disturbances, fatigue, difficulty concentrating, and feelings of guilt or worthlessness. Up to 20% of new mothers report experiencing postpartum depression following the birth of a child. The symptoms may begin weeks after childbirth. It's important to note that postpartum depression can affect both mothers and fathers.

PPD is most likely a result of hormonal changes, genetics, and psychosocial predisposition. The intense hormonal shifts that occur following childbirth, particularly the rapid decrease in estrogen and progesterone levels after childbirth, are thought to play a significant role in PPD.

Though hormonal changes play a large role in the development of PPD, the intense stresses that can come from caring for a newborn also largely contribute.

Postpartum Anxiety (PPA):

Seventeen percent (17%) of new mothers report experiencing postpartum anxiety. Postpartum anxiety involves excessive worry, fear, and nervousness about various aspects of parenthood, the baby's health, and the future. This anxiety is often overwhelming and may interfere with daily functioning. A new mom experiencing postpartum anxiety may experience racing thoughts, restlessness, irritability, muscle tension, difficulty sleeping, and physical symptoms like heart palpitations or dizziness.

Like PPD, postpartum anxiety can be triggered by hormonal changes, sleep disturbances, and the challenges of adjusting to a new role as a parent.

Entering parenthood comes with a world of changes. Responsibilities shift, perspectives evolve, purpose deepens, and you gain a new piece of your identity. With all of these immense changes, parents enter a particularly vulnerable stage.

Postpartum Depression (PPD):

Postpartum depression is a type of depressive disorder that occurs when a newborn is welcomed into a family. New mothers and fathers experiencing postpartum depression might experience sadness, hopelessness, and a lack of interest or pleasure in activities. Postpartum depression can also lead to changes in appetite, sleep disturbances, fatigue, difficulty concentrating, and feelings of guilt or worthlessness. Up to 20% of new mothers report experiencing postpartum depression following the birth of a child, and there is a growing body of research that estimates up to 10% of fathers may experience PPD.

Postpartum Anxiety (PPA):

Seventeen percent (17%) of new mothers report experiencing postpartum anxiety. Postpartum anxiety involves excessive worry, fear, and nervousness about various aspects of parenthood, the baby's health, and the future. This anxiety is often overwhelming and may interfere with daily functioning. A new mom experiencing postpartum anxiety may experience racing thoughts, restlessness, irritability, muscle tension, difficulty sleeping, and physical symptoms like heart palpitations or dizziness.

Like postpartum depression, postpartum anxiety can be triggered by hormonal changes, sleep disturbances, and the challenges of adjusting to a new role as a parent. Postpartum anxiety in men is still an underresearched area.

Therapeutic Approach: 

When working with expecting or new parents, a holistic approach is necessary. Understanding your attachment patterns, the health of your relationships, social networks & instrumental supports can make a significant difference.

Together, we will reflect on questions like:

  1. What would I like my relationship to be like with my new child?

  2. What help will I need to raise this child in the way I envision it?

  3. Does my vision for this child’s life align with my partner’s vision?

  4. Would I benefit from a doula attending the birth?

  5. Do I need to set particular boundaries with family members?

These questions listed give a taste of the themes that we might touch on and explore in treatment. By addressing these questions, we will ensure the proper supports are in place in order to help soothe PPD and PPA symptoms. Together, we will collaborate to guide you through your postpartum experience.

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