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A new way to think about the transition to motherhood by Alexandra Sacks

"When a baby is born, so is a mother -- but the natural (and sometimes unsteady) process of transition to motherhood is often silenced by shame or misdiagnosed as postpartum depression. In this quick, informative talk, reproductive psychiatrist Alexandra Sacks breaks down the emotional tug-of-war of becoming a new mother -- and shares a term that could help describe it: matrescence." 

Select the icon of the mother and baby to learn more about Matrescence. 

"Vulnerability sounds like the 

truth and feels like courage.

Truth and courage aren't always comfortable, 

but they are never weakness."

- Brene Brown

Perinatal Mood & Anxiety Disorders

Perinatal Mood & Anxiety Disorders (PMAD) is not the same as the "baby blues".  

Baby blues occur after delivery and are caused by several things including:

~rapid hormonal changes, 

~physical and emotional stress of birthing, 

~physical postpartum discomforts, 

~emotional letdown after pregnancy and birth, or 

~fatigue and not getting enough sleep.

 You may find yourself happy one minute and crying the next.  You may wonder sometimes if you can really handle the job of caring for your baby.  You may have trouble focusing and feel dependent on others.  Baby blues are normal.  They begin a few days after your baby is born and normally go away within two weeks.  

If you are feeling sad or anxious during your pregnancy or longer than two weeks after your baby is born, you may have a Perinatal Mood and Anxiety Disorder.  

PMAD includes a variety of anxiety and depression symptoms that may include: 

~feeling sad and/or crying a lot without reason 

~feeling irritable or angry, 

~problems with eating, sleep, and/or relationships 

~uncontrollable worrying or panic

~feeling unable to cope or inadequate

~feeling worried that you may harm the baby or yourself. (If you are having these thoughts, please call me directly to address your urgency further, or go to the nearest emergency room hospital if you are having intent or plan to harm yourself or others.) 

Sometimes parents with PMAD are feeling so bad that they cannot recognize their symptoms.  It is very important for partners, friends, and families to support the pregnant or new mother and get her the help that she needs if she is having symptoms of a PMAD.   

For more information on PMAD, please click the icon of the parent with two hearts (depending on your viewing device, this may be below or to your right) to be directed to Postpartum Support International website.  

Please contact me if you're a provider of perinatal services and would like more information, a training for your staff, or resources.  

"When we know better, we do better." - Maya Angelou 

Not sure if you have clinical depression 

during the perinatal period? 

Select the "Learn More" link below to take a quick questionnaire focused on depression during and/or after pregnancy, up to the first year following birth.  


Follow my Facebook page for more information on Perinatal Mood and Anxiety Disorders


The 4th Trimester

Group is currently on hold due to COVID. Stay tuned for when it will return. 

The 4th Trimester is a therapy group in Fresno, CA, for women in the perinatal period who are in need of a little more support during this difficult phase of life. We will cover symptom relief from depression, anxiety, compulsive thoughts and behaviors, fear-based thinking, accessing support at home, trauma during the perinatal period, and so much more. Groups are $45 per 1.5 hour session.  

For more information, please contact me through the contact tab 

in the "About Me" tab. 

"No matter how dark it is, I have you to care for.  I may feel empty, but I make sure you know love.  My arms feel heavy, but I put them around you.  I am exhausted, but I pick you up.  I kiss you despite my pain.  You are my strength, my darling.  I want the best for you.  The best is a mother, no matter how broken she is.  And that mother is me."

- Elizabeth Broadbent, 

Mother, Writer (2015)

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