Professionals

Resources for those who treat Perinatal Mood Disorders

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Screening

Screening is an important tool to identify those who need help. This is a collection of screening tools that can be used with new parents to identify symptoms of Perinatal Mood Disorders. 

Professional Development

Professional Development resources contain both information to increase knowledge surrounding Perinatal Mood Disorders and professional development organizations, groups and training opportunities.

Additional Tools

  • PPSC Suicide Assessment - Clinicians administering the Edinburgh Screen need to continue with follow-up questions for all patients who answer #10 with a 1, 2 or 3. (Please check out the Post Partum Stress Center's “PPD Safety Assessment: Identifying Patients at High Risk for Psychosis, Suicide, and Homicide” presented by Margaret G. Spinelli, RN, MD which inspired this assessment) Download the Tool from the PPSS. 
  • Emergency Screening for Psychosis - The Post Partum Stress Center has discovered that postpartum women in crisis are often met with healthcare workers who fail to recognize the urgency of the situation. We hope this fact sheet will offer guidance so postpartum women suffering with psychotic symptoms can receive immediate and appropriate intervention. Download the Guidelines/Tool. 
  • Quick Screen for Every Perinatal Patient - This tool from the Post Partum Stress Center is designed for any medical professional that sees women during the perinatal period. It is a short list of assessment questions that should be asked of every single postpartum woman regardless of her clinical presentation. It has been their experience that postpartum women who feel particularly vulnerable are least likely to express their concerns about how they are feeling. This is why it is imperative to ask the right questions in order to accurately assess the degree to which her symptoms may be interfering with her life.   Download the Tool. 
  • Post Partum Distress Scale (Depression and Anxiety) - This is a tool from Kelly C. Allison, Amy Wenzel, Karen Kleiman, and David B. Sarwer. that is intended to capture both symptoms of depression and symptoms of anxiety. Note: The PDM scale has not yet been validated. Clinicians are free to use it to get a sense of a constellation of symptoms.          Download the Tool. 
  • Intrusive Thoughts Diagnostic Distress Differential - Perinatal specialists wrestle with overlapping clinical presentations and key markers for differentiation. It seems that levels of distress can provide distinct diagnostic characteristics that can shape the course of intervention and treatment. This is particularly true when it comes to postpartum anxiety that manifests as instrusive thoughts. While these are not mutually exclusive and diagnostic lines are often blurred, we have listed some of the common presentations with an associated distress index. Due to the nature of any mental health issue, these categories are not discreet and may manifest with unique inconsistencies in any one individual. (from the Postpartum Stress Center). Download the tool. 
  • Tools for Fathers - 1 in 10 men suffer from perinatal mood disorders.         It is important to screen fathers as well as mothers (especially if the mother has a perinatal mood disorder, as the rate in fathers jumps to as high as 1 in 2). Many of the tools listed here are gender neutral and can be used for fathers. If the tool is not gender-neutral (such as the Edinburgh Post Partum Depression Scale), then use it verbally with the father you are working with and change the pronouns to male when asking the questions. Note that researchers in Sweden have found that the predominant signs of Perinatal Mood Disorders in men were restlessness, irritability, low tolerance for stress, and lack of self-control.
  • There's an app for that! LifeLine4Moms is an app that is made for providers to help assess and treat Perinatal Mood Disorders. 
  • PREVENTION - Research shows that counselling can be used to help prevent many cases of perinatal mood disorders. Read the Study here. 

Perinatal Psychiatic Consultation Line

The PSI perinatal psychiatric consultation line is a service provided at no cost.

The consultation line is available for medical professionals who have questions about the mental health care related to pregnant and postpartum patients and pre-conception planning. This consultation service is available for medical providers only.

The Perinatal Psychiatric Consult Line is staffed by reproductive psychiatrists who are members of PSI and specialists in the treatment of perinatal mental health disorders. The service is free and available by appointment.


Referrals 
This is a list of professionals in Alberta who have been professionally trained and are experienced in working with perinatal mood disorders. 

Edmonton
Kristine Aanderson - Registered Psychologist 
www.I-Listen.ca
KristineAandersonPsychologist@gmail.com 

Dr. Gina Wong - Registered Psychologist 
ginapsychologist@gmail.com

Calgary 
Shannon Kane, MSW, RSW - 403-880-2367
www.birthnarratives.ca

Professional Development

Learn more about Perinatal Mood Disorders


Professional Communities of Support

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CCPA Chapter

The Canadian Counsellors and Psychotherapy Association is recruiting members for a Maternal Mental Health Chapter. To join, contact Andreea Andrei, the Member Services Coordinator. 

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Perinatal Mental Health Professionals Facebook Group

This group was created to connect perinatal mental health professionals around the globe. Whether you're a support group leader, nurse, physician, midwife, doula, therapist, psychologist or psychiatrist.

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Maternal Mental Health Professionals Facebook Group

This group is for both experienced and beginning mental health professionals who currently work with, or would like to learn more about working with maternal mental health and related concerns.


Trainings

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PSI 

Post Partum Support International offers both a free 90 Minute webinar
"Maternal Mental Health 101" at different times during the year. 
They also offer    "2 day certificate" trainings in the US and "MMH Online Certificate Course" at different times during the year.  

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PostPartum Stress Center

The PPSS offers a 12-hr post-graduate training. Significant attention is placed on deepening your understanding of the influences and dynamics that impact perinatal women, understanding and applying your own experiences or perceptions of motherhood and how best you can utilize yourself in the perinatal recovery process.

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Seleni

The Seleni Institute offers trainings to both Mental Health Professionals and Medical Professionals.
They offer a 20 minute Online PMDs Screening Training for Health Care Providers and  
The Maternal Mental Health Intensive is for Mental Health Professionals, focusing on Perinatal Mood & Anxiety Disorders and Perinatal Grief & Loss. It is also offered in an Online format

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Maternal Mental Health NOW 

Maternal Mental Health NOW is offers a self-paced online certification training on perinatal mood and anxiety disorders, including depression and anxiety during pregnancy, postpartum depression and anxiety, OCD, and postpartum psychosis. The online program offers 12 hours of pre-recorded video lectures, personal stories, interactive quizzes, and supplementary reading material. 


Podcasts, etc.

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Mom and Mind 

This podcast focuses on the Maternal Mental Health struggles related to becoming pregnant, being pregnant, birth and early parenthood. So, the podcast provides real life stories of moms, dads and family an we will talk with experts, leaders and advocates in the field of maternal mental health and maternal health.

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Facebook Live

The PSI Georgia Chapter conducts Facebook Live Episodes every other Tuesday at 9pm. Episodes feature a series of maternal mental health experts who will discuss a variety of topics around common issues and concerns during motherhood. They hope you can join and participate in these important conversations.

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2020 mom webinars

These webinars occur quarterly and are designed for providers, administrators and public health employees, although everyone is welcome. There is no cost to participate and webinars are archived on the linked page so you can view them at any time. 

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NICU Heroes

Giving NICU professionals the tools and techniques to help them support families who are in crisis can help foster positive and trusting relationships between staff and the families in their care. The NICU Heroes podcast was created exclusively for NICU professionals, so they can better understand, support, and nurture the entire NICU family.


Articles / Libraries

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Journal Articles/ Resources 

Psychiatric Medications in Lactation - Informing Clinical Practice  Read it now. 
Check for medications during lactation here:
(Lac Med)

National Perinatal Mental Health Guidelines - from COPE Australia  Read it now

Psychotherapy for Pregnancy Loss - From the 2017 issue of the American Psychological Association. Read it Now.

Anger - Study shows that Anger is an often-overlooked sign of Perinatal Mood Disorders 
Read the Study

No evidence for mothers monitoring fetal movements
- Study showing it does not decrease mortality (other studies show it can increase anxiety in mothers) 
Read the study


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Seleni Instute 

The Seleni Instute has a substancial library of articles from infertility and miscarriage to anxiety during pregnancy, we offer expert insight and realistic advice from women who have been there. 

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PATTCh

The Traumatic Birth Prevention & Resource Guide. The goal is to begin a conversation that explains the components of traumatic birth, increases awareness, and promotes prevention. Through multiple professional perspectives, our hope is to begin to shed light on the symptoms, risk factors, treatment and prevention of traumatic birth.

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Provider Toolkit

This toolkit is an easy-to-use resource geared toward any health care provider or caregiver that interacts with new moms and moms-to-be. With over 100 pages are full of tips and advice on the risk factors, symptoms, prevention, screening, intervention and treatment of perinatal depression and related mood disorders, the toolkit also provides handouts that providers can distribute to patients.  

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Posters

An info sheet from the Post Partum Stress Center. Get it here

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Specific Issues in the Perinatal Period

Eating Disorders in pregnancy and the perinatal period - a 5 minute you tube video with tips on how to help 

Infant Sleep Development - Newest research study to help moms and babies get the sleep they need

Exercise - Some studies indicate as little as 2 minutes of exercise can be benificial 

Dysphoric Milk Ejection Reflex - is a condition affecting lactating women that is characterized by an abrupt dysphoria, or negative emotions, that occur just before milk release and continuing not more than a few minutes. 


Books

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Cognitive Behavioral Therapy for Perinatal Distress

Countless studies have established the efficacy of cognitive behavioral therapy (CBT) for many manifestations of depression and anxiety. In Cognitive Behavioral Therapy for Perinatal Distress, Wenzel and Kleiman discuss the benefits of CBT for pregnant and postpartum women who suffer from emotional distress. The myths of CBT as rigid and intrusive are shattered as the authors describe its flexible application for perinatal women. This text teaches practitioners how to successfully integrate CBT structure and strategy into a supportive approach in working with this population. The examples used in the book will be familiar to postpartum specialists, making this an easily comprehensive and useful resource.

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The Art of Holding in Therapy

First conceptualized by D.W. Winnicott, holding in this book refers to a therapist’s capacity to respond to postpartum distress in a way that facilitates an immediate and successful therapeutic alliance. Readers will learn how to contain high levels of agitation, fear, and panic in a way that cultivates trust and the early stages of connectedness. Also addressed through vignettes are personality types that make holding difficult, styles of ineffective holding, and how to modify holding techniques to accommodate the individual woman. A must-read for postpartum professionals, the techniques learned in this book will help clients achieve meaningful and enduring recovery.
Other Kleiman books include - This Isn't What I Expected: Overcoming PostPartum Depression
Dropping the Baby and Other Scary Thoughts
- The PostPartum Husband: Practical Solutions for living with PPD
- Therapy and the Postpartum Woman: Notes on Healing PPD for clinicians and the women who seek their help 
- Tokens of Affection: Reclaiming your marriage after PPD

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The Afterglow: A Perinatal Mood & Anxiety Disorder Support Group Curriculum 

Written by a Licensed Clinical Social Worker after she recovered from her own experience with a Perinatal Mood & Anxiety Disorder, this curriculum equips facilitators to create a support group for mothers on the path to emotional wellness. While all parents need support, this curriculum is designed specifically for mothers experiencing a Perinatal Mood & Anxiety Disorder, such Postpartum Depression or Postpartum Anxiety. Steeped in practical Cognitive Behavioral Therapy and the deep wisdom of Mindfulness, facilitators can feel confident that support group attendees will learn concrete tools each week. Whether you are a licensed mental health clinician, a nurse, a doula, a midwife, a lactation consultant, a grandparent, a clergy member, or a parent who has fully recovered from a Perinatal Mood & Anxiety Disorder, you are qualified to create a support group with an evidence-based curriculum as a guide. Most importantly, you will give mothers hope that they are not alone, and with treatment, they will be well.

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I'm Listening: A Guide to Supporting Post Partum Families 

This book teaches concerned, caring individuals how to help people struggling with pregnancy and/or postpartum depression (PPD) in person, over the phone and by email. In this revised edition, you’ll learn how to respond to all sorts of people: distraught women, upset husbands and partners, anxious relatives, and those just seeking information about PPD. Written by an internationally recognized PPD activist and personal survivor, the book addresses key steps to recovery such as education, communication, and nonjudgmental support--as well as common question and misconceptions about PPD. In 1987 she founded Postpartum Support International (PSI) to represent self-help/support groups worldwide working to prevent the negative emotional reactions to childbearing. Both she and PSI empower and encourage interested individuals to create new support groups, as well as support existing ones. 
Jane has also written the PostPartum Action Manual (a facilitators guide for a 4 hour workshop) and Community Support for New Families (A guide to organizing a PPD support network)

PostPartum Edmonton is Operated by:

Kristine Aanderson, Registered Psychologist

I Listen Counselling Psychology

Edmonton, AB 

Contacts

Email: KristineAanderson Psychologist@gmail.com 

www.I-Listen.ca