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Katherine Mick, PhD, APRN Newton, KS and KCSL/Wichita Child Guidance Center 316.259.9175 cell

The Next Step: ”Stopping the Thief that Steals Parenthood” OR It Really IS All About the Relationship. Katherine Mick, PhD, APRN Newton, KS and KCSL/Wichita Child Guidance Center 316.259.9175 cell katherinemick@ymail.com. Postpartum Depression: You’re Not Alone.

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Katherine Mick, PhD, APRN Newton, KS and KCSL/Wichita Child Guidance Center 316.259.9175 cell

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  1. The Next Step:”Stopping the Thief that Steals Parenthood”ORIt Really IS All About the Relationship Katherine Mick, PhD, APRN Newton, KS and KCSL/Wichita Child Guidance Center 316.259.9175 cell katherinemick@ymail.com

  2. Postpartum Depression: You’re Not Alone • http://www.youtube.com/watch?v=SMMIGIjaLoI

  3. Prenatal depression • Prenatal anxiety • History of previous depression • Maternity blues – Especially when severe • Recent stressful life events • Inadequate social supports • Poor marital relationship • Low self-esteem • Childcare stress • Difficult infant temperament ? Single marital status ? Unplanned or unwanted pregnancy ? Lower socioeconomic status • ** Cheryl Tatano Beck, DNSc, CNM, FAAN Researcher and Author, University of Conn, School of Nursing

  4. Edinburgh Postnatal Depression ScaleEPDS • http://www.fresno.ucsf.edu/pediatrics/downloads/edinburghscale.pdf • Taken from the British Journal of Psychiatry June, 1987, Vol. 150 by J.L. Cox, J.M. Holden, R. Sagovsky • Developed to assist primary care health professionals to detect mothers suffering from postnatal depression • The validation study showed that mothers who scored above threshold 92.3%were likely to be suffering from a depressive illness of varying severity. • The EPDS score should not override clinical judgment. A careful clinical assessment should be carried out to confirm.

  5. Risk Factors VS. Protective Factors = PREVENTION!! ** Focus changes from Negative to Positive * What/Whoever receives Attention is more likely to recur…..

  6. The Adult Resiliency Checklistwww.devereuxearlychildhood.org • Devereux Foundation • Focus on Protective Factors • Emily Werner, Hawaii, • long-term research, since 1955 • Devereux Early Childhood Initiative (DECI) • Began w/ 2-5 year olds • * Well Researched (factor analysis) • Four Factors: • Relationships • Internal Beliefs • Initiative • Self-Control

  7. Most Effective Treatment For… Mom, Dad, & Baby, too.

  8. Best Laughing Babies • http://www.youtube.com/watch?v=L49VXZwfup8

  9. Support Group • YES !!! ** = most effective long-term -- PSI: Postpartum Support International * Melanie Hoffman

  10. Medications • Yes ?? OR NO???

  11. CBT– Cognitive Behavioral Therapy • http://www.webmd.com/depression/guide/cognitive-behavioral-therapy-for-depression • Thoughts Mood Behavior • GOAL: learn to recognize negative patterns of thought, evaluate their validity, and replace them with healthier ways of thinking.

  12. Others……… • Relaxation • Exercise • Light Therapy • Diet • Vitamins/Supplements (*Vitamin L)  • Spirituality • others??.......

  13. The Result…..

  14. It IS all About the Relationship… = ATTACHMENT … “Bonding” http://www.simplypsychology.org/attachment.html • = Parents responding sensitively & appropriately to the child’s needs

  15. The Impact of Attachmenthttp://www.youtube.com/watch?v=apzXGEbZht0Edward Tronick’s “Still Face”

  16. Building Relationship Skills

  17. PCIT– Child Directed Interaction DO: P raise DON’T: Give Commands ReflectAsk Questions ImitateCriticize or use DescribesarcasmEnthusiasm • www.pcit.org

  18. “Who’s your favorite?”http://www.youtube.com/watch?v=KWFfDyupGpQ

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