Épisodes

  • 446: Behind The Sessions: 2 am Pep Talk Pt. 2 - Anxiety and Intrusive Thoughts
    Oct 2 2025
    Today, I’m bringing you the second part of my 2 am Pep Talk. This time, I’m really focusing on supporting new parents, especially those of you who might be feeling anxious, lonely, or dealing with those tough, intrusive thoughts that can pop up during pregnancy or after having a baby. I know those quiet, late-night hours can make everything feel even more overwhelming, and I want you to know you’re not alone in that. I’m discussing setting aside “worry time” to help manage anxious thoughts, using thought labeling to get some distance from those worries, practicing grounding exercises to stay present, and I even guide you through a relaxing body scan technique to help calm both your mind and body. Your feelings are valid, and there are fundamental, actionable strategies you can use to navigate the ups and downs of perinatal mental health. Tune in to hear more! Show Highlights: Emotional challenges faced by new parents during pregnancy and after childbirth Feelings of loneliness, anxiety, intrusive thoughts, and exhaustion Normalization of negative feelings and experiences in new parenthood Practical coping strategies for managing anxiety and intrusive thoughts Techniques such as "worry time" and labeling anxious thoughts Grounding exercises, including the 5-4-3-2-1 method Importance of seeking support and recognizing when to reach out for help Impact of sleep deprivation and hormonal changes on mental health The significance of mindfulness and relaxation techniques, such as body scans Encouragement and reassurance for new parents navigating perinatal mental health challenges Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services. You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident seeking a therapist in perinatal mental health, please email me about openings for private pay clients. Learn more about your ad choices. Visit podcastchoices.com/adchoices
    Voir plus Voir moins
    27 min
  • 445: Motherhood's Unspoken Struggle: Understanding Maternal Rage
    Sep 29 2025
    Maternal rage is, unfortunately, more common than we want to think. The worst part is that not many people are talking about it, which only adds to the stigma and misunderstanding. New mothers are led to believe that they shouldn’t feel rage and anger, and they are shamed when they do. We are uncovering maternal rage, exploring how and why it manifests, and what can be done about it. Join us to learn more! Nicole McNelis is a licensed mental health therapist and a specialist in perinatal mental health counseling. She is the founder of an award-winning counseling private practice in the suburbs of Philadelphia, where she resides with her family. She has been featured as a mental health expert in print publications, online media, books, and podcasts, and she serves as a subject matter expert and conference presenter for Postpartum Support International. Nicole is passionate about serving the perinatal mental health community through life transitions, big and small. Show Highlights: Understanding maternal rage Nicole’s belief is that EVERY mom experiences maternal rage at some point. The “completely unrealistic, nonsensical, and harmful expectations” that we have of mothers in our society A mother’s experience of injustice, both systemically and in her household Nicole’s experience and journey with mom rage during the pandemic The correlation between mom rage, depression, and anxiety An overloaded system that cannot take any more When rage is a rational response to what you’re experiencing in your environment Ways in which rage commonly shows up: the buildup, the explosion, and the aftermath Individual and system strategies that are sustainable Recognizing the “season” you’re in helps customize the interventions and strategies. The two broad factors contributing to mom rage: compromised needs and violated expectations Changing our language around sharing household and family labor between partners Nicole’s two-pronged approach to acknowledging and easing mom rage through individual interventions and strategies ALL of the responsibility should not be put on the mother! Nicole’s “rupture and repair” strategy of parenting Nicole’s takeaways: “It’s not a meltdown; it’s a message.” Resources: Connect with Nicole McNelis: Website and Instagram Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services. You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident seeking a therapist in perinatal mental health, please email me about openings for private pay clients. Learn more about your ad choices. Visit podcastchoices.com/adchoices
    Voir plus Voir moins
    53 min
  • 444: Empowered Beginnings: The Impact of Doulas on Maternal Wellness
    Sep 22 2025
    This episode explores how doulas integrate themselves into the healthcare system to enhance outcomes for mothers, families, and babies. There are countless benefits to hiring a doula to improve the pregnancy, birth, and postpartum experience. Join us to learn more! HeHe Stewart is a leading childbirth educator, advocate, and maternity care reform expert. With a master’s in human development and over a decade of experience, she empowers families with evidence-based birth prep, informed decision-making, and postpartum readiness. She is a fierce advocate for informed consent, reducing unnecessary interventions, and ensuring patient autonomy in birth. Beyond working with families, HeHe is actively involved in legislative efforts to improve women’s health policies and expand access to midwifery care. She works to reform maternity care by advocating for patient rights, increased birth options, and improved mental health outcomes. As the host of The Birth Lounge Podcast, HeHe interviews leading experts in women’s health, pregnancy, and newborn development, giving parents the knowledge they need to navigate birth and postpartum with confidence. Her work continues to drive meaningful change through education, advocacy, and policy reform. Show Highlights: HeHe’s path to this work–a continual emphasis on advocacy Birth doulas and postpartum doulas: What they do and how they help A doula is beneficial for every pregnancy and birth, offering unique care. The intimate relationship between doula and client (“I have a cheerleader who will advocate for me.”) The benefits of a birth doula result in reduced risks and problems. HeHe’s role in “pausing the room and giving space” for the patient to ask questions of the healthcare providers The big lesson for healthcare providers: The person who’s giving birth will never forget how you make them feel in their experience. When a doula notices problems and needs to intervene Doing better for women in pregnancy and the postpartum What HeHe wants women to know about self-advocacy Resources: Connect with HeHe Stewart: The Birth Lounge, Tranquility by HeHe, The Birth Lounge Instagram, Tranquility by HeHe Instagram, and The Birth Lounge App (available from the Apple App Store and Google Play) Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services. You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
    Voir plus Voir moins
    45 min
  • 443: Behind the Sessions: 2 am Pep Talk, Part 1: The Night Feels Heavy
    Sep 18 2025
    We are starting something different today that will carry through the next few Behind the Sessions episodes. I’m tackling those “middle-of-the-night” feelings during pregnancy and the postpartum. Nighttime can bring feelings of dread and loneliness that mothers experience as a heaviness, and all of this can magnify and intensify any perinatal mood and anxiety disorders to make life very challenging for a sleep-deprived parent. You are not alone, and there is a whole community of people experiencing the same things. Think of these subsequent few sessions as your “2 am pep talk.” Join me now! Show Highlights: The importance of connection Sleep deprivation makes everything darker. You may feel like you’re doing everything wrong. You are doing a LOT while giving love and care to your baby. You aren’t a bad mother if you don’t LOVE middle-of-the-night care. Don’t judge yourself because of how you feel at 2 am. The next few episodes will include coping skills for the middle of the night. Join me for a guided visualization to ease your feelings of isolation. Join me for self-compassion affirmations to try today. Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services. You can also follow PSI on social media: Instagram, Facebook, and most other platforms. Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
    Voir plus Voir moins
    21 min
  • 442: The Sleep and Temperament Connection: Understanding “Little Livewires” with Macall Gordon, MA
    Sep 15 2025
    Today’s episode brings you interesting insights into the connection between sleep and temperament. We dig into the science and psychology behind why it is harder for some babies to settle into sleep—and the connection to their overall temperament. Join us to learn more about this fascinating topic. Macall Gordon is a researcher, speaker, and author specializing in the link between temperament and sleep, especially as it relates to sleep training advice. Her master’s degree in applied psychology is from Antioch University, and her B.S. degree in human biology is from Stanford. She is a certified Gentle Sleep Coach and has worked with thousands of parents of alert, sensitive, intense children. Issues with her own two children and feeling that she hadn’t slept for 18 years have influenced her focus on this work. Her book is Why Won't You Sleep?! A Game-Changing Approach for Exhausted Parents of Nonstop, Super Alert, Big Feeling Kids. Show Highlights: Temperament: When does this form in a baby? Managing expectations without blaming yourself Why some babies don’t sleep well Myths about training newborns Regulation in relationships just makes sense. Self-soothing: Are babies capable of soothing themselves? At what age? Understanding “differential susceptibility”: Mellow babies vs. sensitive babies Parent blame and unnecessary stress because of sleep issues Temperament mismatch between parents and children Macall’s advice to parents who are struggling right now: Start moving/shifting, and realize that kids usually need more sleep than they indicate. Resources: Connect with Macall Gordon: Website, Instagram, TikTok, YouTube, and Why Won't You Sleep?! book Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services. You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
    Voir plus Voir moins
    43 min
  • 441: Understanding the Impacts of Maternal Near-Miss
    Sep 8 2025
    Today’s topic is maternal near-miss. If that term is unfamiliar, please join us to learn more about this perinatal scenario that profoundly impacts many birthing people, their partners, and the future of their mental health, marriages, and families. Our guest shares her professional expertise and her personal experience with navigating pregnancy loss, postpartum hemorrhage, and postpartum anxiety. Since this is an intense topic, please judge for yourself whether you are ready to listen. Tiffany Lowther is a Licensed Mental Health Counselor in Florida. She owns Lowther Counseling Services and is certified in Eye Movement Desensitization and Reprocessing (EMDR) and Perinatal Mental Health. She specializes in supporting adults through pregnancy and postpartum mood and anxiety disorders, along with trauma and PTSD related to pregnancy, birth, and the postpartum. Show Highlights: Tiffany’s journey leading to her specialization in perinatal mental health Explaining maternal near-miss: a life-threatening complication during pregnancy, childbirth, or up to 42 days postpartum, where a birthing person almost dies, but survives Don’t dismiss or ignore feelings that something is “off.” Racial disparity and medical bias need to be changed. Emotional impacts of maternal near-miss (on the birthing person AND the family) The range of complicated feelings with maternal near-miss Conflicting emotions when the partner has to take over for the mother The importance of men taking care of their own mental health, even though they may find it uncomfortable Avoidance, dismissal, and a hesitation to have more children after a maternal near-miss Turning toward each other with honesty and love–how it helps the relationship. Steps to healing after maternal near-miss: Reach out to your support system and the appropriate mental health professionals. Talk to others in support groups to find empowerment. Tell your story! It helps the healing process. Recall the beautiful parts of your story. Tiffany’s perspective: What mothers say about their healing, reconciliation, recovery, and relief after doing the hard work Tiffany’s advice for those who have been through a maternal near-miss and might want to have another child Resources: Connect with Tiffany Lowther: Website and Facebook Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services. You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
    Voir plus Voir moins
    49 min
  • 440: Behind The Sessions: What Moms Google and What They Say
    Sep 4 2025
    In today’s episode, I want to discuss the feeling many people have that “something’s not right,” but they may not have the words to articulate exactly what it is. That feeling can come during pregnancy or postpartum, and it can follow a loss or a grueling infertility journey. For the most part, when people don’t feel like themselves, they don’t have the language to express that they might have a perinatal mood and anxiety disorder. They may even internalize their feelings in extreme isolation and conclude that they are just “a bad parent.” I’m talking today about why people need space for their feelings, and above all, why they deserve to feel seen and heard. Join me! Show Highlights: Signs and symptoms of a mom who is suffering Be curious in your support of a new mom. Giving space for feelings and making someone feel seen and heard can make a HUGE difference. Examples of validating responses and resources that can be very helpful People have been dismissed and had their feelings minimized—even by their healthcare providers. Turning to the internet for validation is a natural step. Dr. Kat’s advice to those who want to help a new mom who is suffering Resources: Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services. You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident seeking a therapist in perinatal mental health, please email me about openings for private pay clients. Learn more about your ad choices. Visit podcastchoices.com/adchoices
    Voir plus Voir moins
    23 min
  • 439: Caring for Two: The Essentials of Psychiatric Medication in Pregnancy with Dr. Stacy Stuart
    Sep 1 2025
    “I have to stop taking my mental health medications during pregnancy, right?” This question is a common one for pregnant moms, and the answer might surprise you. There are many misconceptions about medications during pregnancy, especially those for mental health conditions. Many moms have been misinformed about their available options, and today’s expert guest is here to set the record straight. If you are suffering from mental health conditions and are newly pregnant, it is essential to know your options. Join us to learn the risks and benefits of medications, what to look for in a provider who meets your needs, and much more. Dr. Stacy Stuart is a board-certified Psychiatric Mental Health Nurse Practitioner who obtained her Doctor of Nursing Practice degree from Auburn University and is currently in private practice, contracting with Revival Psychiatry in Athens, AL. She is married to her husband, Will, and is the proud mom of two kids, ages 8 and 6. In her free time, Dr. Stacy enjoys watching football, coordinating neighborhood events, and taking long naps with the family dog. Show Highlights: Dr. Stacy’s path to her specialty practice and her current work Common misconceptions about medications during pregnancy It is important that medications are not abruptly stopped when someone becomes pregnant! The need to expedite patients’ appointments in a more timely manner Barriers that keep healthcare providers from feeling comfortable in supporting pregnant moms Dr. Stacy’s goal: providing education and information that opens up possibilities for people Tips for finding a psychiatric treatment provider Advocating for collaborative healthcare Dr. Stacy’s project: using the EPDS screening tool at 28 weeks of pregnancy Dr. Stacy’s wish for the future of reproductive psychiatry Today’s takeaway: “Mental health affects physical health. It cannot be set aside for 10 months.” Resources: Connect with Dr. Stacy Stuart: Website, Instagram, and Facebook Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services. You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course. Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices
    Voir plus Voir moins
    41 min