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On whether mothers of multiples face a greater PPD risk:
Yes, mothers of multiples are at risk for PPD because, of course, the stress is multiplied, the demands are multiplied, the economic responsiblity is multiplied.
Whether they are at greater risk statistically, I do not know. But common sense would say that those caring for the mother of multiples should be on the lookout for symptoms.
The interesting thing, though, is that the idea of multiples usually brings out the troops in terms of social and practical support so that, in fact, these moms may automatically garner much more support and help than moms of singletons, which might contribute to a decrease in PPD in moms of multiples. This would make for an interesting study.
On her own work with PPD and related conditions:
I work with women struggling with prenatal and postpartum emotional difficulites on a regular basis. That is my specialty area in my practice. I see them for psychotherapy, supportive counseling and psychoeducation. I also meet with their partners as the whole family is affected by postpartum disorders.
I receive referrals from OB/GYNs, nurse-midwives, nurse-practitioners, doulas, pediatricians, childbirth educators and lactation counselors. I also work collaboratively with psychiatrists and clinical nurse-specialists who provide medication evaluations and follow-up with my clients who require anti-depressant and anti-anxiety medications.
On her advice for women who are struggling with infertility and feel they may be at risk for PPD:
For any woman struggling with the stresses of infertility, I would highly suggest finding a knowledgeable, supportive therapist with whom the woman and her partner can discuss and process the infertility maze and the emotional ups and downs that accompany it. It is important for the couple to have good emotional support because infertility treatment and all that it entails puts a great strain on the relationship.
Sometimes, it is too much to ask extended family or even friends to provide the objective, constant and informed support that a woman or couple requires during their quest for a baby.
Deborah Issokson, Psy.D., is a licensed psychologist specializing in reproductive mental health issues. She sees women and their partners from preconception through the postpartum period and beyond in her private pratice, Counseling for Reproductive Health & Healing in the Boston area. In addition to her clinical practice, Dr. Issokson provides training and supervision to mental and medical health professionals working with childbearing families. Her website, www.reproheart.com, provides more information about her practice as well as includes articles she has written and a description of talks and workshops she can provide.}
© Tracy Morris
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