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PACEs in Maternal Health

Tagged With "Bringing Baby Home Educator Training"

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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research Review: Childhood Trauma and its Effects on Mothers in Home Visiting Programs [Prevent Child Abuse America]

Isabel Ruelas ·
Each month Prevent Child Abuse America's Chief Research and Strategy Officer, Dr. Bart Klika, does a quick run-down of emerging research related to child abuse and neglect prevention. In this inaugural installment, Dr. Klika walks through some of the recent research into the effects of childhood trauma and how the lasting effects of this trauma is impacting mothers who participate in home visiting programs. Watch the video here
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So how do you start to think and talk about ACEs and Maternal Mental Health?

Anna Sutton ·
Give them an info graphic to show the connection between toxic stress and health outcomes for moms and babies? Check out the attached 3 handouts!   Have some talking points ready to get the conversation started with prenatal care staff?  ...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science

Carey Sipp ·
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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Symptoms of Depression During and After Pregnancy

Lori Turk ·
In order to have the best chance of improving outcomes for the mother and infant, routine screening and treatment for depression should begin early in pregnancy, a time when women have increased contact with the health care system.
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The Body Remembers

Joyelle Brandt ·
She had a poster of Where’s Waldo? on the wall, presumably there to distract her patients from what was happening while they lay on the exam table. This was my third appointment, and on the drive over I had fought down rising waves of panic at walking back in to this room, with Waldo and her gloved fingers. When my physiotherapist had first recommended this treatment after months of physio exercises had failed to produce the desired results, I went home and cried. I called Dawn and told her...
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The Developing Brain & Adverse Childhood Experiences (ACEs)

Lisa Frederiksen ·
Thanks to an explosion in scientific research now possible with imaging technologies, such as fMRI and SPECT, experts can actually see how the brain develops. This helps explain why exposure to adverse childhood experiences can so deeply influence and change a child's brain and thus their physical and emotional health and quality of life across their lifetime. The above time-lapse study was conducted over 10 years. The darker colors represent brain maturity (brain development). I have added...
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The pandemic may be intensifying postpartum depression. But there are resources to help. (The Lily)

Karen Clemmer ·
By Juli Fraga, May 8, 2020, The Lily. On March 18 — a day before California became the first state to issue a stay-at-home order — Courtney Pladsen, 34, a nurse practitioner who lives in Portland, Me., gave birth to her first child. Like many of the hundreds of thousands of U.S. women who have given birth during the coronavirus pandemic, Pladsen’s life was turned upside down. In preparation for parenthood, Pladsen and her husband had lined up support: a lactation consultant to help with...
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The prevalence and clinical correlates of adverse childhood experiences in a cross-sectional study of primary care patients with cardiometabolic disease or risk factors (BMC)

Karen Clemmer ·
From the article: To our knowledge, this is the first study to investigate the incidence and clinical correlates of ACEs in primary care patients who already have cardiometabolic disease or are at elevated risk based on conventional risk factors. Open Access LINK to article Background Adverse childhood experiences (ACEs) are associated with risk of poor adult health, including cardiometabolic diseases. Little is known about the correlates of ACEs for adults who have already developed...
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The Relentless School Nurse: The Text Message No Parent Wants to Get - An Active Shooter is at School

Robin M Cogan ·
Many blog readers know that my niece Carly is a survivor of the Parkland shootings at Marjory Stoneman Douglas High School. You may know that my father also survived a mass murder, and like Carly, hid in a closet until the police arrived. Almost 70 years separated the two tragedies. Our guest blogger this week is my sister Merri, Carly's mom. Merri shares her first-hand account of what happened the afternoon of February 14, 2018, when Carly sent this text, “Mom don’t freak out but we are on...
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The Trauma of Having a Newborn in the NICU [theatlantic.com]

Alicia Doktor ·
When Kelli Kelley awoke from her C-section 17 years ago, having delivered her son after just 24 weeks of pregnancy, her husband gave her a Polaroid of their baby. He was tiny, underdeveloped, eyes still fused shut, with translucent skin covered in fine hair, and lying in a sea of medical equipment and lines. To Kelley, he looked like a baby bird. Cut to her first visit to the neonatal intensive-care unit ( nicu ) to meet him: a cacophony of beeping machines, harsh lighting,...
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The Trauma-Sensitive Parenting Summit & Commentary

Christine Cissy White ·
"Having a history of trauma or loss does not by itself predispose you to have a child with disorganization. It is the lack of resolution that is the essential risk factor. It is never too late to move toward making sense of your experiences and healing your past. Not only you but also your child will benefit." That's a quote from the book Parenting from the Inside Out: How A Deeper Self-Understanding Can Help You Raise Children Who Thrive, which was published fifteen freaking years ago. It's...
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'They Took My Kid': Rural Docs Help Moms Fight Addiction [medpagetoday.com]

By Ashley Lyles, MedPage Today, November 19, 2019 Patient: I'd gotten pregnant again and I was using through my whole pregnancy, and I didn't receive prenatal care. He was born and he's fine and everything. The [Department of Social Services] let me bring him home. Then a week after I had him, I relapsed really, really bad. Then, I got really messed up and they took my kid. Reporter: The opioid epidemic has taken a toll in rural areas, especially on pregnant women. Doctors and healthcare...
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‘This is not a child safety crisis. It’s a poverty crisis, a racism crisis.’ – A social worker and former foster youth featured in HBO’s ‘Foster’ shares her vision of societal and system change (www.risemagazine.org)

Christine Cissy White ·
Excerpts from article by Sarah Harris from Rise Magazine . Q: What led you to work in the foster care system? A: I am a former foster youth and I’ve been a social worker at the L.A. Department of Child and Family Services for 5 years. I entered foster care through probation, and I got into probation through survival. I was breaking the law for clothes and food. In foster care, I bounced around a lot. For the most part I was AWOL. I was in group homes but I stayed with family or friends.
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Thrive Washington: 3rd Edition of NEAR@Home Toolkit Released

Marianne Avari ·
Thrive Washington is pleased to announce that the 3 rd edition of the NEAR@Home toolkit is now available and offers home visitors more guidance on how to safely, respectfully and effectively address Adverse Childhood Experiences with the families they serve. This new edition reflects what was learned when the toolkit was incorporated into a Facilitated Learning Process with 225 home visitors and 54 supervisors in the four states of federal Region X: Alaska, Idaho, Oregon and Washington. It's...
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Through a Trauma Lens: The Need for Doulas

Jenna Brown ·
Trigger warning: trauma, doctors, hospital, birth, sex It is very important to me to approach all of the work that I do from a trauma-informed perspective. Whether it is asking for consent before touching a student in yoga class, offering self-regulation skills to those I work with, or preparing clients for potential triggers*, I do my best to incorporate my on-going learning in the field of trauma into my professional practices. Recently, I began taking trauma classes for professionals...
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TIC: News and Notes for November 2019

Scott A Webb ·
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]

Scott A Webb ·
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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Trauma-Informed Care and a Therapist Saved my Life

Cassidy Webb ·
Between 55 and 99 percent of women who attend addiction treatment and between 85 and 95 percent of women with a history of mental illness have a history of trauma. Among this trauma , the vast majority happened during childhood. Whether the trauma involves neglect, sexual assault, or dysfunction within the family, the need for trauma-informed care in both addiction treatment and in the mental health field is of great importance. When I found myself at a detox facility 1,300 miles away from...
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‘We are just destroying these kids’: The foster children growing up inside detention centers [Washington Post]

Photo credit and caption: Heard leaves the courtroom at the Boone County Courthouse in Madison. He hopes to train to be a tattoo artist. (Sarah L. Voisin/The Washington Post) Dec. 30, 2019 Though he's never been convicted of a crime, Geard Mitchell spent part of his childhood in a juvenile detention center, at times sleeping on cement floors under harsh fluorescent lights left on through the night during lockdowns. He attended high school by clicking through online courses and had “no one to...
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What a Pediatrician Can Do for a Child Seeking Asylum-And What She Can't [newyorker.com]

By Rachel Pearson, The New Yorker, October 8, 2019 On a cool spring afternoon, in a clinic that serves refugee and immigrant families, I sit across from a teen-age girl. She is otherwise known as an unaccompanied alien child, or U.A.C. She left her home in Central America, crossed the southern border, and was detained for a week—in Texas, she thinks—in a facility where breakfast was a cold bean burrito, lunch was a cup of microwavable noodle soup, and dinner was a cold bean burrito. She says...
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How Does Trauma Affect a Person’s Interaction with Their Child? (www.nicabm.com) & Commentary

Christine Cissy White ·
Has anyone seen this video posted on the National Institute for the Clinical Application of Behavioral Medicine (NICAMB) blog? "According to Dr. Ruth Lanius, a parent's experience of trauma can impact their ability to form a close, intimate relationship with their child." Ruth Buczynski, PhD Those of us Parenting with ACEs sure know that's the truth. Developmental trauma impacts our ability to form close and intimate relationships with ourselves, other adults and our children. The video was...
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How It Feels & How We Heal: Parenting with ACEs Chat Quotes (You Tube, Database, PDFs, Links)

Christine Cissy White ·
Parenting with ACEs is sharing inspiration, information, and expertise from our chat series in 3 formats. Parenting with ACEs: How It Feels & How We Heal Quote Collection (pdf version below as well) Quotes Database (pdf version below as well) Links to Chat Transcripts and before and after-the-chat blog posts. Thanks to everyone who showed up, who shared, and who is doing the important work that is our mission (prevent ACEs, heal trauma, build resilience). We know that work happens...
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How Postpartum Depression is Different from Baby Blues [PsychCentral.com]

Samantha Sangenito ·
Today, even though we’ve made much progress, postpartum depression (PPD) still gets confused with baby blues. It still gets minimized and dismissed. Oh, don’t worry. Being sad and sobbing are totally normal. So is feeling frustrated. You just gave birth, after all. You just need some sleep. A day off. A change in attitude. Maybe you should stop putting so much pressure on yourself. Maybe you’re not used to being home so much. You need time to adjust. You need to get used to your new normal.
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Hunger Moves to the Suburbs [sfchronicle.com]

By Tara Duggan, San Francisco Chronicle, November 4, 2019 Most people think of people lining up at food pantries and soup kitchens as an urban phenomenon. But in Alameda County, which has one of the highest rates of food insecurity in the Bay Area, an increasing number of people living in the suburbs are also having trouble affording food. That includes Livermore, a city in the Tri-Valley area that’s better known for its wineries. “When people think of homelessness and poverty, they don’t...
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Introducing NEW Becoming Trauma-Informed & Beyond Community

Christine Cissy White ·
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Learning To Care For My Newborn Was A Humbling Experience [npr.org]

Alicia Doktor ·
Wen is an emergency physician and the health commissioner of Baltimore City. Two months ago, my husband and I welcomed our baby son, Eli, into the world. Hearing his first cry and getting to hold him were the happiest moments of our lives. When he was placed on my chest and I could see and touch him, I felt like I knew him already. The doctors told us he was healthy and well. I couldn't wait to start our lives together as a family. The night we arrived home, Eli wouldn't stop crying. Crying...
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Making the Good Stuff Louder: Trauma Dad, Bryon Hamel

Christine Cissy White ·
Byron Hamel, (AKA Trauma Dad ), is a filmmaker , children's rights and men's wellness advocate. He's also a father with "ACEs through the roof," who survived child torture at the hands of a man now on death row for infanticide. Before the Father & ACEs chat started last week (see full chat transcript ), we discussed if and how to give a trigger warning. Hamel's experienced horrific trauma during childhood. He didn't want to traumatize those on the chat but wanted to be honest.
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Mom's Candid Post About Returning to Work from Maternity Leave Will Crush All Your Doubts [Working Mother]

Karen Clemmer ·
Lindsay Mitchell at home with her daughter Sloan during her maternity leave.
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Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains.

Mary Giuliani ·
Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains. All trauma informed practitioners who are suffering with or who work with adults or children suffering with C-PTSD, PTSD, Developmental Trauma, Depression, Anxiety, ADHD & Sleep Disorders are welcome to apply to be considered for this study. We currently have 41 applicants, and applicantions are approved on a first come first...
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New mothers need to know their mental health is not a luxury [TheAge.com]

Samantha Sangenito ·
When I brought my baby daughter home from the hospital, I was completely unprepared for the year ahead. On the surface, it looked like I was sorted. I'd washed all her teeny tiny clothes and had them waiting in the nursery, which I had painted a pretty lemon yellow. I'd bought a stack of nappies, wipes and barrier cream. What I wasn't prepared for was the enormous change this sweet small thing would bring to my life, nor did I have any idea of how to handle that change. Heather Irvine is a...
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NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]

Jessica Porten ·
My second daughter, Kira Elle, was in the NICU for 13 days, which most would consider a "short stay". But I can attest that being separated from her at birth severely impacted my mental health in extremely negative ways. Shortly after bringing her home, I was able to identify within myself that I had Postpartum Depression and Rage. Only now, at 7 months postpartum, am I starting to address my trauma from the NICU through the use of Brain Spotting in my therapy sessions. Linked is an article...
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Nobel Winner’s Research Shows Home Nurse Visits for New Moms Boost Children’s Cognitive Skills [The74Million.org]

Samantha Sangenito ·
When medical professionals make home visits to first-time mothers, their children’s cognitive skills and socio-emotional development improve, reports a new paper authored by acclaimed economist James Heckman. The study is the latest evidence from the Nobel Prize winner that such initiatives, while benefiting children of both genders, make a greater impact on boys. Heckman’s research focuses on one of the first implementations of the Nurse-Family Partnership, a home visitation program that...
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Nothing About Them Would Stand Out in a Crowd

Alice Kenny ·
photo credit: chuttersnap/unsplash.com By Alice M. Kenny (pseudonym) (The article below is an excerpt from my new book, Crazy Was All I Ever Knew: The Impact of Maternal Mental Illness on Kids . I have used a pseudonym to protect the privacy of family members.) The emotions adult children of parents with mental illness experience are a mixed bag. Sometimes a jumble. Guilt, loss, grief, and resentment are among the emotions that persist or bubble to the surface in adulthood. Some feel...
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NPPC shares lessons learned and results from ACEs screening pilot sites

Laurie Udesky ·
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Paid leave for parents during COVID-19 Emergency

Catherine H. Myers ·
Paid leave for parents during COVID-19 emergency
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Parental Depression and Its Impact on Child and Family Well-Being [CANTASD]

Karen Clemmer ·
Parental Depression and Its Impact on Child and Family Well-Being On March 9, 2018, The National Child Abuse and Neglect Technical Assistance and Strategic Dissemination Center ( CANTASD ) hosted a Digital Dialogue with Jessica Dym Bartlett, the Deputy Program Area Director for Early Childhood Development & Child Welfare at Child Trends . The conversation focused on the impact of parental depression on child and family well-being . This [ ARTICLE ] document summarizes the conversation...
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Parenting, PTSD & ACES / Live Chat Event from Parenting with ACEs Series

Christine Cissy White ·
Our next online chat event is fast approaching. All are welcome. Date: Tuesday, June 13th, 2017 (10 AM PST / 1 PM EST) Topic: Parenting, PTSD & ACEs. Guests: Dawn Daum & Joyelle Brandt are parents, writers, advocates and trauma survivors. Together, they edited the forthcoming Parenting with PTSD anthology and created an online community for parents recovering from childhood abuse. They educate mental health, human service and other professionals about the challenges and lived...
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Parents of premature babies face a further trauma - PTSD [BBC News]

Karen Clemmer ·
BBC News July 28, 2018 Suzanne Ruart's son Aiden spent three months in a neonatal unit as a result of being born three months early. A year after her son came home Suzanne realised she'd been suppressing symptoms of post-traumatic stress disorder (PTSD). "After the first time I saw him resuscitated I developed a crippling anxiety that every time I walked into the neonatal unit there would be bad news, and this anxiety has never really left me since. "I manage it now because I talk a lot...
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Petaluma Health Center leads effort to link women to services

Karen Clemmer ·
Sonoma County was one of six sites selected nationally to participate in a CityMatCH practice collaborative to prevent substance exposed pregnancies. In 2012 Rebecca Munger CNM, PHN the Sonoma County Maternal, Child, Adolescent Health Coordinator lead a broad coalition of reproductive health champions who worked across sectors and settings to develop a trio of strategies to reduce substance exposed pregnancies. The first strategy developed with CDC and WHO technical support was a bundled...
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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]

Karen Clemmer ·
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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Preventing ACEs - Press Release from Health Officials and 2019 CDC Report

Tory Henderson ·
Health Officials Seek to Prevent Adverse Childhood Experiences Press Release from the Association of State and Territorial Health Officials (ASTHO) ARLINGTON, VA (Nov. 6, 2019) —At least five of the top 10 leading causes of death are associated with adverse childhood experiences (ACEs), according to a new report released yesterday by the Centers for Disease Control and Prevention (CDC). ACEs, such as abuse, neglect, and witnessing violence or substance misuse in the home, can lead to...
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Prevention: Bringing Baby Home Training of Facilitators

Carolyn Curtis ·
A friend of mine recently referred her grandchild and his pregnant wife to a Bringing Baby Home class, because she noticed that the wife had a horrible background of abuse and at times had difficulty functioning. What the grandmother noticed with this couple was a change in the family dynamics. the couple knows how to get along, the father is engaged in parenting, and the baby thriving. This is really starting at the root of the problem. 20 years ago, Drs. John and Julie Gottman worked with...
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What We Can Learn From Postpartum Confinement Traditions (Romper)

Karen Clemmer ·
By Jamie Kenney, March 31, 2020, Romper The idea of staying home after birth, doing little but caring for your baby and healing while others tend to your wellbeing may sound like an unimaginable dream. But postpartum confinement traditions can be found around the world. While the specific rules about confinement vary from culture to culture, the fundamental premise is largely the same: female family members swoop in to care for a new mother, her home, and, when necessary, her baby. Mom is...
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When Doctors Downplay Women’s Health Concerns [nytimes.com]

Alicia Doktor ·
“Well, you look like you’re doing great,” my primary care physician cheerfully informed me. I stared at her from the examination table in disbelief. I had just told her that I wasn’t enjoying being with my children and was having trouble doing what needed to be done at work and at home. As a health journalist, I had interviewed dozens of physicians and psychologists. I knew that being unable to live one’s life was the big red flag signaling it was time to get help. I was asking for help. But...
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When Parents Fear "It's All My Fault"

Claudia Gold ·
Many of my colleagues in the field of early childhood mental health work with what are termed "high risk" populations. Children of drug addicted parents, victims of child abuse, and families in abject poverty. While the challenges these families face are daunting, I find myself feeling some envy for my colleagues whose clients are in such obvious distress that the need for intensive treatment of parent and infant is not in question. In my rural, small-town population things are not so clear.
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When Your Kid is Too Good for Brené Brown

Christine Cissy White ·
Childhood, like literature, lasts." Lance Woolaver, paraphrased from his book, Maud Lewis: The Heart at the Door. Even in the midst of conflict, I have known moments of maternal bliss. I had one just recently when my daughter and I hit a snag. It wasn't one of the ugly, awful or prolonged kinds. That's not due to me though. That's mostly because my kid has a practical, logical and rational nature which does not clash with my more emotional, reactive and fearful one. We are alike enough to...
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Why We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley

Christine Cissy White ·
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
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Yoga Transformed Me After Trauma and Sexual Assault [yogajournal.com]

Laura Pinhey ·
Laura's note: This story of sheer determination of transformation of self and community in the face of personal trauma AND systemic racism is breathtaking. Be warned: it may blow you away, as it did me. As a child, Ebony Smith survived sexual assault but didn’t have the tools to cope with the trauma until years later, when she found yoga. Now, she’s bringing the practice to her community, and others in crisis. Exactly 247 people came to practice yoga with me today. Why is that such a big...
 
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