The Center for Neuropsychology and counseling Logo

The Center for Neuropsychology and Counseling

Facebook Instagram
215-491-1119
Menu
Select a Category

Supporting Pregnant and Postpartum Women

by Lorna Jansen, PsyD January 16, 2020

 
Dr. Lorna Jansen specializes in treating children, adolescents, and families. She helps clients manage stress, deal with relationship issues, and also offers academic coaching.

In mid-December, I attended a seminar on the topic of Postpartum Depression and Related Disorders. My interest in working with women who are pregnant and new mothers stems from a long-held desire to see each child loved and cared for well. That goal has carried me through 10 years of education post high school to my current profession as a Psychologist. I love nothing more than to help a family system run more smoothly, to further a connection between a parent and child so that they can communicate more freely, to help parents see each other in the best possible light so they can work together as a team.

Having recently navigated through the pregnancy, newborn, infant phase myself, I have a new appreciation for the unique time period this is in the life of a woman. It requires a new wardrobe, new vocabulary, and an entirely new way of thinking about oneself and the world. 

The presenter at my training, Hilary Waller, MS, LPC also knows about the challenges of this phase of life. Ms. Waller spoke about her work with women at the Postpartum Stress Center in Philadelphia. That facility is one of the few of its kind and is led by Karen Kleiman, who has written about every aspect of supporting this population. During the seminar, Ms. Waller shared the knowledge and insights she’s gained from working with pregnant and postpartum moms and their families. Some of what follows was gleaned from her presentation.

The postpartum phase represents a significant shift for everyone around a new baby. First of all, this includes the mother. It is likely she will be experiencing significant hormonal changes, as well as healing from the birth. She will also have a number of emotions related to her pregnancy, labor and delivery. Often, she’ll be attempting to heal, adapt, and cope on very little sleep. She may wonder what happened to her world, or she may be contemplating how to include another little one into her existing nest. Her partner is also likely tired, worn out, and trying to meet his or her own needs with fewer resources. The baby’s extended family and friends of the parents will likely be jockeying for time to spend with him, which may or may not be given in a way that is helpful to the parents. All in all, this is a complicated time of transition.

Given the various stressors and physiological changes in play, it’s not surprising that one in seven women will suffer from a perinatal mood disorder. A perinatal mood disorder is one that occurs during pregnancy or for up to two years after delivery, clinically speaking. It includes diagnoses of depression, anxiety, OCD, panic, PTSD, bipolar, and possibly even psychosis. Due to the sleeplessness and additional stress surrounding this time, it can be difficult to understand what is normal (e.g., feeling very hormonal the first few weeks after the birth) versus what might warrant further investigation (e.g., crying most of the day and feeling hopeless months after birth). In fact, many parents experience scary thoughts, such as wondering what it would be like if they ran away and never came back, or how easy it might be to harm the child, even accidentally. Oftentimes, these thoughts do not indicate the presence of a mental disorder.

Given the vulnerable and extremely dependent nature of a newborn, it is imperative to support a mother who is struggling at this time. A therapist who is trained in this area can come alongside a woman who is pregnant or in the postpartum phase and offer her a safe place to sort through her feelings. This professional will be able to assess the mother’s overall well-being and make a plan to help her cope with the various challenges she is facing. The therapist can help the mother find practical solutions to everyday issues such as when to eat, how to get enough water to support breastfeeding, and what adequate sleep looks like with an infant. The pair can also discuss what is important to the mother as a person who has her own needs, separate from her role as a caregiver, and how she can continue to meet those.

Ideally, the mother can ask for and receive the help she needs from her support network. Her partner and other extended family members may attend therapy sessions as well, as a way of enlisting support for the mother and strengthening the relationships therein. Often, a mother with a young baby has a number of fears and concerns, many of which are normal. However, a professional can help a woman identify where her thoughts or behaviors are indicative of something more serious and ensure she gets the help she needs.

To close, the period of time when a woman is pregnant and raising a young child is unlike any other time in her life. It is sweet and important and perpetually exhausting. Regardless of whether or not the mother is having her first or sixth baby, or adopting, she is forging a new path. Never before has she been a mother to this child. And, like any transition, there is a lot to learn and she can benefit from caring and thoughtful individuals in her life.

If you or someone you love are experiencing some of the following, you may benefit from therapeutic support: feeling overwhelmed or sad most of the day, having trouble sleeping due to anxiety, experiencing panic attacks, or having the urge to self-harm. Please call our office at 215.491.1119 to make an appointment with Dr. Jansen.

Read Post

Beating Student Stress: How to Stay Organized and On Track at the Busiest Time of the Year

by Jason Tanenbaum November 5, 2019

As the weather is turning colder and the days are becoming shorter and shorter, college students are gearing up for that end of semester push. In high school, students are receiving initial feedback from teachers on their progress to date, and aiming to improve and remediate specific areas before the end of the semester. As a result, it is no secret that at this time of year, levels of stress and anxiety begin to increase for many students of all grade levels. Parents may also begin to notice increased tension at home, as they are busy preparing for the holidays ahead and other important tasks as the end of the year approaches, while simultaneously supporting their children during this time.

While mild to moderate levels of anxiety and stress are deemed healthy and can motivate us to power through these periods, it is also important to remember that too much stress can have a negative impact on our ability to function and complete tasks in an efficient manner. Therefore, as the demands placed upon us increase, simultaneously is the greater importance that organization and planning becomes to help us manage all that we have going on in our day-to-day lives. Moreover, being mindful of when we need a break is also crucial. Below are a handful of tips to help alleviate such stress and anxiety during this time:

  • Organization of Materials:Students – notice your backpack has put on some weight since the beginning of the school year, and that papers and worksheets scattered throughout are becoming increasingly wrinkled? Take some time to clean out your bag and properly file old homework assignments, exams, notes, and worksheets. We are moving into an electronic age, which means it is also time to organize your electronic files, PowerPoint presentations that you have downloaded for class, and other documents. Take the time now before final exams and the end of the year creep up on you.
  • Agendas: Are your agendas up to date? I hear from many students I work with that they use their agenda book on a regular basis at the beginning of the school year, but their initiation and consistency in utilizing this resource wanes over time. It is time to revisit; don’t worry about the past, but how you can utilize this resource to plan ahead for when the work begins to pick up. Moreover, plan for downtime, trips to the movies with your friends, and other social activities.
  • Time Management: Ever heard from your parents or teachers that cramming last minute for tests does not work? Ongoing research supports that students are more likely to retain what they have learned when they space their studying over multiple time periods, and that better time management skills in general leads to better outcomes in terms of academic performance. Therefore, space your studying over multiple days, especially when you have material from multiple classes to study for at once. This will also aid in helping to reduce the risk of interference effects, i.e., when information from one source interferences with your ability to learn new material, and vice-versa. 
  • Organized Learning: Rote memorization (learning based on repetition), is not always the most efficient way to learn and retain information. Instead, it is more beneficial for students of all grade levels to attempt to cognitively organize information to aid in learning and retention. When studying, utilize outlines, graphic organizers, and highlighting key information. Always try to think about the material on a deeper level and focus on studying information in the context provided and not solely memorizing facts in isolation.
  • Stress Management:All individuals need time to re-boot after a long day and engage in social and preferred activities that are enjoyable. As stress and anxiety increase, students have greater difficulty adapting and their awareness of when they need a break is not always satisfactory. Moreover, adequate sleep, hydration, and exercise at times can take a back seat. Take care of yourself and remember the great importance these activities have on your mood, attention, and ability to manage all that you have going on.

 

Dr. Jason Tanenbaum is a neuropsychologist at The Center for Neuropsychology and Counseling, providing testing and intervention services to children, adolescents, and adults. He is particularly interested in supporting students’ cognitive and academic needs and providing tools and strategies to help individuals overcome daily challenges in school and in their personal lives.

Read Post

Tips for Divorcing Parents

by Christina Carson-Sacco, PsyD October 23, 2018

So you find yourself going through the divorce process. If you are like most parents, you’re concerned about how to minimize the stress on your children and are aware that how you handle the divorce could greatly affect them.  Though many of these tips are not easy to follow, hopefully they will give you guidance during this challenging time.

Telling your child about the divorce is difficult and needs to be handled sensitively. Both parents should set aside their own feelings and deliver the message together, in an age appropriate manner, simply, and without any blaming or anger. Focus on your child’s needs at this time.
Stress that even if you are divorced, that you will never stop loving your child and will always be her parents. Sometimes children worry that if parent’s can stop loving each other, then maybe they can stop loving them.
Stress that they did not cause the divorce. Often, children assume things are about them. They may have overheard you arguing about them. Be clear that there is nothing they could have done to prevent the divorce.
Realize that all children have different reactions. Some will be very upset, while others may seem to have little reaction. Children may have specific questions about how the divorce will affect them. You may not have the answers, but you can assure them that you will do your best and that the family will get through this.
Set aside your feelings toward your former spouse, so that you both can focus on what’s best for your children. Let go of control and the need to ‘win.’ Think of it as a business relationship, which may make it easier to be polite, communicate effectively, compromise, and remember that the other parent loves the children and is doing their best.
Never criticize the other parent to or around your children.  Know that children are always listening and even at a young age, understand that they are made up of half of each parent.  Putting down your former spouse can damage your child’s self-esteem, as they can feel you don’t like of a part of them.
Refrain from using your child as a messenger. It is tempting to ask a child to relay a message or to report what is happening at the other house. However, this puts strain on your child and they can feel trapped in the middle.
Do not fight or argue in front of your children (or within earshot.)  Your fighting can be frightening. Role model appropriate expressions of feelings in front of them.
Do not discuss money matters with your child, no matter the age.  If the child is concerned, assure her that the adults will make sure she is taken care of. If you are ordered to pay child support, do so in a timely manner.
Stability in home and school is not always possible, but it is the ideal. If you have to move, maintain rituals, relationships with friends and extended family, or activities to create continuity.
Foster a healthy relationship between the child and their other parent, as well as that side of the family. Remind the child that even if their parent does things differently than you or disappoints them, they love them.
Transfers can be difficult for everyone. Understand that on transition days, your child is likely to be a little “off.” Strive to be courteous, be on time, and bring all the things your child needs for his stay. Do not linger or use this time to work out conflicts.
Out of guilt or fear of the child liking the other parent more, some parents will forgo rules and limits, or will buy their children lots of gifts.  This strategy will backfire, as it undermines your authority and is not in the best interest of your child.
Try to create as much consistency as possible. No two households will run exactly the same, and kids will adjust. Try to avoid power struggles with the other parent and do not disparage their parenting around your child. Unless agreed upon ahead of time, do not expect the other parent to carry out a punishment you’ve given the child. If you are having difficulty co-parenting effectively, consider working with a psychologist on ways to better co-parent.
Find a support system and take care of yourself.  It is normal to grieve the end of your marriage. If you are having trouble sleeping, eating, are relying on drugs or alcohol, having significant mood issues or need unbiased support, call a psychologist. Surround yourself with people who will support you and encourage a healthy divorce. Never use your children as confidants, caretakers, or companions. Remember, caring for your children means making sure you are a healthy, as well.

Read Post

Stop Tearing Down and Start Building: 5 Ways to Enrich your Relationships Today

by Lorna Jansen, PsyD September 10, 2018

Frustrated by the way your relationships are going? Feeling like you’re always at odds with someone at home or at work? Here are a handful of tips you can use to revitalize your relationships and improve your interactions with others.

  1. Look for the positives and focus on the other person’s strengths. For example, you might start by noticing how well your spouse manages his or her job, commitments at home, balance between free time and family time, or anything else. As you observe him or her, begin commenting about what you’ve seen like this: “You do a really good job with __________” or “I’m impressed that you were able to accomplish _________ today.” John Gottman says the magic ratio is 5 positive interactions for every 1 that is negative. In order to compensate for the inevitable bumps along the way, make a concerted effort to recognize the positive qualities of those around you each and every day.
  1. Employ active listening skills. Active listening initially includes paying attention, withholding judgment and reflecting the other person’s words by repeating them back to him or her. This is especially important—and challenging—when there is conflict. As you take the time to slow down and focus on your co-worker’s point of view, you may find yourself less focused on making your case and more willing to reach a mutually beneficial solution. If you want additional information on this topic, look here: https://www.ccl.org/multimedia/podcast/the-big-6-an-active-listening-skill-set/
  1. Take care of yourself. As you are able, focus on eating well, getting enough sleep, drinking water throughout the day, exercising, and managing your stress. This will have a positive impact on yourself and everyone around you. If you need help remembering to do these things, enlist some support partners. You might also use an app like Wunderlist to organize your goals and set reminders.
  1. Look for common interests and seek to engage in those whenever possible. When you think of your relationships, consider whether there are any favorite activities, interests, or even favorite foods that could bring you and the people you love together. For example, you might consider setting up weekly, bi-weekly or monthly dates to spend time with each of your children. Enlist their help to come up with ideas of things they’d like to do or explore with you, and work your way through the list you compose.
  1. Before you speak, consider the things you often say. If you are frequently at odds with someone in your life, think about the phrases you find yourself repeating to that person. Perhaps you need to change what you are saying so your family member can really hear the message. For example, if you find that you are constantly telling your dad that he’s embarrassing you in some way, maybe you could tell him some things you appreciate about him (see #1) and then give him a few tips about what he could say or do when he’s around your friends.

These five tips may seem simple, but will require a concerted effort on your part. If it seems overwhelming to implement all five at once, start with the one that seems the most likely to create positive change and work your way through the rest as you are able. Though you may encounter resistance at first, you will soon notice small differences in the relational atmosphere. If you or someone in your life would benefit from the help of a trained therapist as you work to improve your relationships, please call our office at 215.491.1119.

Read Post

March is Brain Injury Awareness Month

by Dr. J. Stone March 15, 2017

March is Brain Injury awareness month, so it seems appropriate to discuss some memory strategies. Memory is defined as “the ability to recall events on command.” We all would love to have better memories, however, sometimes life events occur that alter this ability, but there are strategies that can help.

 

Adapt your environment: Hang a dry erase board in your kitchen or office to write down reminders or needed grocery items. You can also keep a dry erase calendar in a central area of your house or office to keep track of your daily/weekly activities. Some of you may be saying that you already do this on your Smart Phone, which is great, but for some folks after a brain injury, they need to “see” reminders to help improve memory skills – a visual reminder. If you want to use your Smart Phone for reminders, make sure to alarm your reminders. You could even set a daily alarm to remind yourself to look at your schedule! If Smart Phones are confusing, you can carry a datebook and get in the habit of reviewing the datebook every morning to review your day’s activities. Make sure you put things back in the same spot (e.g. keys on the hook by the door, coat in the closet, briefcase on the desk in the home office, bills in a basket, etc.) this will help build a routine of where items are to be found and it will significantly decrease your frustration when searching for the items (especially if you are in a hurry!). Routines are very important for memory because they help build long term memories, which is where information we want to retrieve exists.

 

Improve your wellbeing: Anxiety, stress and depression can significantly decrease memory skills. You need to have a balance between work and relaxation, so seek out/plan enjoyable activities outside of your work day. Maintain friendships and talk about your difficulties and frustrations, you never know who will give you some good strategy suggestions! Stay physically active, even simple exercises like taking the stairs instead of the elevator can help. Be assertive; learn to say “no” to excessive demands. This one is really important, manage you time and take breaks. Sometimes after sustaining a brain injury people want to “push” themselves to get better, but this is actually counterproductive. Your body and brain need time to heal and taking breaks is the best way to make progress. Do one thing at a time; establish a goal and break the steps down into smaller, more manageable parts.

 

Other helpful cognitive strategies: Attention is the key to a better memory, so try to focus on information you want to remember and reduce the background distractions. When trying to remember new information, make associations with existing information in your memory. Mentally retrace your steps to trigger your memory for where you may have left an item. Hang reminder signs or use sticky notes to trigger memories of activities you want/need to do. When trying to recall a list of items, chunk the like items together to be able to recall them more easily.

 

As a neurorehabilitation specialist I have taught many of these strategies to my clients over the years and the majority had a lot of success. Recovering from a brain injury can take time, but using strategies consistently can definitely help.

Screen Shot 2017-03-15 at 12.58.06 PM

 

 

 

 

 

 

 

Carol Bardsley, M.A., CPCRT, CBIS – At The Center I facilitate the Therapeutic Activities Group, which is an educational group for people who have sustained a traumatic brain injury.  I also provide one-on-one Cognitive Rehabilitation Therapy to clients either in their homes or in our office. In addition, I assist Dr. J. Stone with the neuropsychological evaluations.

Read Post

4 Ways to Beat the New Year’s Blues

by Lorna Jansen, PsyD January 22, 2017

Well, it’s January. The sparkle and cheer of the holidays have faded and ahead of us lies another, dare I say it? long year. Whatever your feelings about 2017 and what it holds, you probably have some moments where you wish the new year’s blues would fade away. Here are a couple of ideas to get you through the long winter nights and start 2017 off well.

  1. Rinse and Repeat. Remember where you were the last time you laughed really hard or had a really pleasant time? Grab your phone and call up the people you enjoy the most. Book the tickets. Plan a family fun night. Decide to make 2017 a year of joy.
  2. Be well. Each day, try to do one thing you don’t normally do to care for yourself. Could be as small as drinking enough water to keep yourself hydrated, or skipping fast food and making a meal for yourself at home. Maybe cut the late night tv and grab some extra zzz’s. Go for a walk with a friend. In time, these positive choices will become habits.
  3. Enter into your environment. Take 5 minutes each day and listen – what do you hear? Maybe you were only half paying attention to a loved one who was telling you something important. What can you see? Perhaps there is something different about the road you travel every day to work or school and you just noticed it! What do you smell or taste? If nothing, perhaps it’s time to make a favorite meal or baked good. Reach out and give a hug to someone who needs it.
  4. Give the gift of your presence. There is only one you and you only get to live today once. Put down your phone and choose to be there for yourself and those around you. If you or someone else are struggling, take the time to relax, journal, or listen. If it is a time of happiness, celebrate! Embrace the moment for whatever it holds.

Sometimes New Year’s resolutions are too lofty – work out every day, or too specific – travel to 5 new states this year. They can leave us feeling inadequate if we miss a day at the gym or only see four new places. Instead, resolve to make 2017 a year to laugh, care for yourself, notice your surroundings, and be present.

Read Post

Blog Categories

Tags