
Adored Mothers Perinatal Therapy Center, PLLC
Where women and children are empowered to AMPlify their life.
Angela Pidala, MSW, LCSW-S, PMH-C, RPT™

"You are not alone. You are not to blame. With help you will be well." - Postpartum Support International
Photo by Angela Pidala
SPECIALTIES
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Perinatal Mood and Anxiety Disorders
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Birth Trauma
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Infertility
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Perinatal Loss
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Adoption
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Perinatal Therapy Packages (Coming Soon!)
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Pregnancy Moms Group (Coming Soon!)
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Postpartum Moms Group (Coming Soon!)

What is Perinatal Mental Health?
Perinatal Mental Health is just a fancy phrase to describe any type of emotional, behavioral, or mental distress during your fertility journey, whether throughout pregnancy, up to one year postpartum, or even before, as you work to grow your family, possibly after a pregnancy loss or miscarriage, working through fertility treatment, or during the adoption process.
Here are some common perinatal mental health concerns that you may be experiencing that perinatal therapy can help with:
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Pregnancy or Postpartum Anxiety
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Pregnancy or Postpartum Depression
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Experiencing a Traumatic Birth or Traumatic Delivery
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Pregnancy Loss or Miscarriages
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Fear of getting pregnant, and also desiring to grow your family
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Unsure the next steps for growing your family
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Going through Fertility Treatments
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Going through the Adoption Process
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Experiencing distress after finalizing adoption "Postpartum Adoption"
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Childhood Trauma showing up or resurfacing during pregnancy or postpartum
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Intrusive Thoughts or Scary Thoughts about yourself, your baby, and/or the world around you
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Loving your baby postpartum, and also Grieving your "Pre-Baby" Life and identity
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Having excessive Panic, Worry, or Anxiety about your baby's safety or other external factors
Why does Postpartum Depression happen?
Majority of people have at least heard of postpartum depression, but don't necessarily know what it means, or what it looks like, or why it even happens. Many moms think, "Oh yeah, I know about that, but THAT won't happen to ME." Just liked I explained above, the symptoms of "postpartum depression" can actually start BEFORE the postpartum period and actually start showing up during your pregnancy. This is the same for "postpartum anxiety" as well. Those worry thoughts and anxious feelings, or even panic attacks can also begin during pregnancy. But what does it look like? And why does it happen? While there are risk factors that put you at higher chance of developing, what we now call, a PMAD (perinatal mood and anxiety distress), there is no single cause or reason. Actually, it is more of a combination of biological, environmental, hormonal, and psychological factors; anyone can develop a PMAD, and it's NOT your fault if it does happen.
Here are some common risk factors:
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History of a mood or anxiety disorder (depression, anxiety, OCD)
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Thyroid imbalance, diabetes, or other endocrine disorders
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Lack of support from family or friends
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Financial stress or poverty
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Severe Premenstrual Syndrome (PMS)
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Pregnancy or birth complications, past miscarriages or pregnancy loss
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History of abuse/childhood trauma
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An unwanted or even unplanned pregnancy
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Abrupt discontinuation of breastfeeding
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Here are a few signs/symptoms:
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Change in mood occurring daily, intensely, and getting in the way of your basic needs
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Disturbance to sleep and appetite
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Feelings of guilt, shame, or hopelessness
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Crying and sadness, constant worry, or racing thoughts
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Loss of interest or finding pleasure in things that you used to enjoy
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Feelings of anger, rage, irritability, or scary and unwanted thoughts
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Intrusive thoughts of harming yourself or your baby
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Physical symptoms like dizziness, tightness in your chest, nausea, or hot flashes

Can Postpartum Anxiety start later?
This is SUCH an important questions. Often times, people think that postpartum anxiety or postpartum depression MUST show up, well postpartum. And that is just not true! They can actually start earlier, from the moment you find out you are pregnant! Another important piece to identify and define, is the word postpartum. Most people think postpartum means, a few weeks after baby is born, maybe a few months?
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Postpartum actually is the period from delivery all the way up to ONE YEAR after baby is born. That means anxiety, depression, irritability, excessive crying and sadness, rage, intrusive thoughts, scary and unwanted thoughts, and other symptoms can START at any time during the first year of your baby's life. That could be postpartum anxiety starting at 3 months; 4 months; 8 months; even 11 months postpartum!
Why is Perinatal Mental Health important?
Okay, so now you may be thinking, sure, I understand what perinatal mental health symptoms are, what they can look like, when they can start, and even a better understanding of why they happen. But...why does it matter? What is the importance of knowing all this.
Well, FIRST, it's important to have all this knowledge so that you can then recognize whether you or a loved one is experiencing this type of distress. SECOND, once you can identify it, you can get help, or help a loved one through this challenging time through perinatal therapy. Postpartum International's main slogan is, "You are not alone. You are not to blame. And with help, you can be well." Why suffer alone, if there are people out there who are trained and WANT to help you?! Lastly, THIRD, undiagnosed and untreated perinatal mood and anxiety distress can have long term lasting impacts on the mother, the child, and the entire family system.
