Tag Archives: mental health

Ask Mabel: I feel bad about the thoughts I have regarding my children because of my postpartum psychosis

Dear Mabel,

I have decided that I need to see a therapist about my postpartum psychosis. I have been having bad thoughts about my babies. I would never hurt them but it makes me feel like a horrible mom for having these thoughts. I know therapy is a step in the right direction but is there also a medication that could help? I don’t know what to do but I know something needs to change. 

Sincerely, Erica from Missouri

The Courage To Speak Out

Mabel: Hi Erica, I commend you for your courage to speak out. I know that many moms who suffer from postpartum psychosis feel so horrible about their thoughts that they are embarrassed to address them. But, starting the conversation with a licensed therapist can help you heal and move forward in a positive direction. 

Postpartum psychosis is caused by the hormone fluctuations that occur during and after the birth of a child. These hormone changes can be major and they mess with the chemical makeup of our brains. In addition to negative thoughts, these changes can cause depression, severe confusion, loss of inhibition, paranoia, hallucinations, mania, and delusions. They usually start to occur in the first two weeks after childbirth. These things you are experiencing have a lot more to do with biology than your morale as a person. 

You are NOT a bad mom. The fact that you feel like a horrible mom means that you are exactly the opposite. You are a good person and a good mom for wanting to get help and make changes so that you don’t have these thoughts. 

I am proud of you for seeking help. There are medications that you are welcome to discuss with a health professional. Therapy will also benefit you and help you to heal.  

Ask Mabel: My husband is always complaining about me and says I have mental health issues

Dear Mabel: My husband is always complaining about me. He often gets frustrated and says that I have mental health issues (I actually have been diagnosed with ADD). He is constantly telling me he thinks I have Borderline Personality Disorder or other issues and wants me to go see someone. I don’t know what to believe. He is the only one who ever seems to have complaints about me. I am not hearing these things from anyone else. Which makes me think is it really me or is it him? What do I do?

Sincerely, Margaret from New York

Mabel: Hi Margaret, I am sorry to hear you are struggling with your husband’s comments. Based on your email, I don’t have a clear picture of how your husband treats you, how you treat him, or the dynamics of your relationship. Unless your husband is a licensed mental health professional, he shouldn’t be diagnosing anybody. Nonetheless, it sounds like he is trying to communicate something important to him. I think both of you may benefit from couples counseling to gain an understanding of the ins and outs of your relationship, the frustration points for each of you, and what can be done to enhance your relationship.

There are quite a few similarities between ADD and BPD, would you be open to exploring those? I am not saying your husband is correct but often times it is those who are closest to us that notice our blind spots. If you have a mental health professional help you to explore, rule out, and/or potentially treat any problems then you would know for sure. 

Maybe he is right and you are just unhappy about what you are hearing from him. Maybe you are right and he is being inconsiderate to you. Or, maybe both of you are right and wrong at the same time and could benefit from some couples counseling. 

What I propose and what would be a positive solution to solving this issue would be to explore the scientific evidence. Look at the reality of things and gain more understanding of yourself and the dynamics of your relationship.

Ask Mabel: My partner hurt me when he insisted I needed my ADD meds to be in a relationship

Dear Mabel: My partner recently said something that really hurt me. He said, “you will never be able to have a relationship if you don’t take your ADD medication.” To me, it sounded like he was saying people are only able to love an edited/altered version of myself. It sounded like he was telling me I was un-loveable as is. What am I supposed to do with this comment? How do I move forward?

Sincerely, Mary from Virginia

Mabel: Hi Mary, I am sorry you are struggling with this comment. It sounds like your partner is trying to communicate something important, but I agree he could say it in a different way. You see, love and having a relationship are two different things. Love is a feeling. It is something that comes from deep within a person. Relating, on the other hand, is a behavior. You can love someone and not have a relationship with them, for whatever reason that is. Someone can love you for all of you. They can care deeply for you but they may be unable to maintain a relationship with you because of your ADD/ADHD symptoms. Symptoms, as I am sure you know, of ADD/ADHD can be severe enough to drive behaviors that might sabotage a relationship. For example, you may not be able to complete basic tasks or find it difficult to focus on things that need to get done thus frustrating and angering your partner to the point where they decide they need to move on. Rather than thinking of your partner’s comments as a blow to who you are as a person, think of them as an honest request from him to keep up on your meds so you can function to the best of your ability. 

Medication may help some folks focus better, but that’s only one aspect of the treatment. Changing habits and coping strategies can help tremendously. You may find it beneficial to seek help from a licensed counselor who can help you to develop some coping strategies, new habits, and work through emotions to make sure you are doing the best you can for yourself. 

Summertime is the best time…for teens to get therapy

Summer is approaching us and that means kids are out of school. It means more fun in the sun, sports, vacations, and a break from the chaos that is the school year. And, while it might not be at the top of your radar—it is the best time for your teen to get therapy. 

Many parents think of therapy as a school year thing. They see their kids struggle with stress over school work and friend drama and they think about getting their kids help. And, while that is great, often times schedules get in the way and it seems impossible to add another thing your child’s roster. This is just one reason why summer is a great time to begin therapy. Your child will have the time to focus on making healthy choices and gaining the skills they need to get through stressful situations. 

Children and teens can use therapy to reflect on the past school year—what worked, what didn’t, where where the problems, the successes, etc. A licensed counselor can help to teach your child healthy coping mechanisms, skills, and routines that they can use in the upcoming school year. It is almost like getting new clothes and notebooks before that first day—your child can also stock up on healthy brain tools. 

Frequently, parents see many of the problems their teen struggles with dissipating during the summer months. But, that doesn’t mean the problem has been solved. The child is momentarily separated from the situation, but those same problems will likely reemerge at the start of the school year. By getting ahead of problem situations before they arise, your child will be prepared to handle them before they become a real issue. Not to mention, you will be setting him/her/they up for a successful adulthood. 

If you have concerns or questions about getting your child started in therapy, please don’t hesitate to reach out to a licensed professional. He/she/they can answer your questions, ease your worries, and help you determine the best path for your child. 

How is ‘hustle’ culture impacting your mental health?

The phone is always with us. It is not uncommon for people to work into the wee hours of the night or long into the weekend. We never “turn off.” We are always on the move, always looking for the next big thing, always hustling along. It is the way many of us live. We think it is helping us to be successful, but what is it doing to our mental health?

This go, go, go mentality is leading to burnout. We are exhausted. We are overworked. We are losing sight of what really matters. Life is short and we are missing it. We are so immersed in our to-do lists that we are blind to all the beauty around us. 

It has become a social badge of honor to never stop working. It is seen as a good thing. People are proud that they haven’t gone on vacation in years and work 60-plus hours a week—way more than necessary—because it is seen as a pathway to success. But how successful can we be if we never sleep? Or reset? 

We all need a change of scenery every once in a while. We need to give our brains a mental vacation in order to function at top levels. It is ok to say “no” to the extra things on our plates and instead take a nap. It is ok to go home early and surprise your kids with an ice cream date. It is ok to turn the phone off and lock it away for a few hours. 

We need to remember that we are human beings that need self-care. The constant hustle is not sustainable. We weren’t built to never stop. 

The more overworked and exhausted we are the harder it is for us to process emotions and to think clearly, leading to increases in depression and anxiety. University of California San Francisco Clinical Professor Dr. Michael Freeman conducted a study of 242 entrepreneurs. What he found was concerning. He discovered that 72 % of those studied had mental health concerns, including depression, Attention-Deficit Hyperactivity Disorder, anxiety, and bipolar diagnoses.

The struggle is real. Success should be part of a three-dimensional life full of rest, family, friends, and love, it shouldn’t be all about the grind all the time. 

Motherhood and Alcoholism: When is it a problem?

Alcohol has widely become “part” of motherhood as odd as that may seem. Our culture is normalizing this practice and minimizing its potential impact on moms and their families. There are social media groups and websites like “mommy needs vodka,” and “moms who need wine.”

As a mom myself it has become commonplace to hear “when is it too early to start drinking?” or “wine time.” There are many moms that turn to alcohol at the end of the day, or even the middle if it’s a “special occasion” (like Tommy using the potty for the first time). We use alcohol to celebrate the small victories, to numb our stressors, and to dispel boredom. Moms feel like they deserve that glass of wine at the end of the day, they should be allowed to do something for themselves, and while all of that is true — when does the drinking become a problem? 

This past weekend was Mother’s Day and while it is a time to honor moms and all that they do, it is also a time to recognize the need to care for our moms. Moms need to be well. They need to be healthy and happy to take care of their families and themselves. 

While there are many factors that can impact whether a person is a problem drinker — everything from past traumas to genetics to things become habitual, despite their health repercussions. As a society that is putting alcohol in the face of moms everywhere, maybe we should start to reassess. Do moms really “need” alcohol? No, they don’t. Do they deserve to treat themselves? Yes, of course, they do. But, everything needs to be done in moderation. 

Drinking becomes a problem when it is a core thought. If you are constantly watching the clock waiting for that magical time when it is socially accessible to pour that first glass of wine and then next thing you know the whole bottle is gone. We tend to laugh about it. “Oops, I finished the whole bottle.. oh well.” But, we need to be careful. We need to look for other ways to care for ourselves. 

Rather than making alcohol your nightly ritual, try meditation, yoga, a special TV show, talk with your spouse, a weekly night out with friends, something other than the bottle. Drinking feels like a special dessert, a treat. It feels harmless and normal. But it can easily get out of control. That glass can turn into a bottle, which can turn into a bottle a night and next thing you know you are feeling crappy all the time, you are having trouble caring for your kids, you are overrun with guilt, you are hiding it from your spouse, it can easily escalate. 

Being a mom is hard work, don’t get me wrong, and while alcohol can make it feel a little better for a moment it can easily lead to more problems. My advice to you is to reign it in, seek help from a licensed professional, and work to develop healthier coping mechanisms. You don’t need to feel guilty, or alone, in this battle. We are here. We can go forward together for a healthier you. 

How do you cope with motherhood?

Social media may be affecting your self-esteem

It is commonplace these days to pick up your phone at any moment of downtime and peruse social media platforms. Research shows as many as 77 percent of us, according to Statista, have at least one social media account. 

Maybe you frequently post pictures of your kids or your dog or read about the happenings of old friends or colleagues. Whatever your reason for turning to social media, its use could be impacting your overall mental health. 

It might seem harmless, a way to combat brief moments of boredom in our constantly moving world. How could seeing what your friends or even strangers (if you are part of a group) are up to impact your mental health? It’s because whether you are consciously aware of it or not, you are comparing yourself to others. You are thinking “wow she looks great,” “they have such a beautiful family,” “I wish I was that successful,” the list goes on and on and on. 

The Best of the Best

Let’s get real here — the majority of pictures and posts we are seeing on social media are the best of the best. They are painting these perfect pictures of our families, our careers, our travels, and our friendship circles. 

A variety of studies, according to Healthline, show a link between social media use and decreased overall self-esteem and increased anxiety and depression (especially in our children). People have reported feeling more lonely after visiting a social media platform. It is kind of odd when you think about it — the very thing that is supposed to bring us closer together may actually be making us feel more alone. 

Now, don’t get me wrong. There are benefits to social media— increased awareness of certain issues, sharing of news, communities of support, and an ease to connect with those far away from us. But, it is also important that we recognize the negative impacts these types of behaviors are having on our health. 

Take care to recognize the amount of time you are spending on these websites and how you feel when you get off of them. Then, work on limiting yourself so that you don’t continue to harm yourself mentally and emotionally. Choosing certain times of the day or week to unplug is important. 

How many times a day do you turn to social media? How does it make it you feel?

How to tell if divorce is the right decision: Part One

This is part one of a three-part series on how to determine if divorce is the right decision for you as a couple. This series will dive deeper into the options couples who are thinking of divorce have and the factors they should consider. 

Making the decision to get divorced can be one of the most difficult decisions a couple can make. There are a lot of factors that play a role and there are many details to consider. Nobody wants their marriage to end in divorce but it is, unfortunately, a common reality these days. If you and your spouse are considering divorce — how do you know if it’s the right path for you? 

Discernment Counseling

When seeing a couple who is considering divorce it is important for us, as counselors, to help not just one partner but both to explore three options. The process is called discernment counseling. Developed by Dr. Bill Doherty, discernment counseling focuses solely on helping couples to decide what they want to do with their relationship. It is unlike traditional marriage counseling, which is designed to save a marriage (but doesn’t work unless both partners are fully on board). Generally, discernment counseling is brief with the goal of getting couples unstuck so they can move forward in whichever direction they have determined to be best for them. 

Making the decision

The first option for a couple to consider is to do nothing. Doing nothing is exactly how it sounds. It means everything stays put. Couples that choose to do nothing will not seek any additional counseling. They simply will keep things as is in hopes that whatever bumps their marriage is facing is just a “phase” that may eventually pass. A couple who chooses to do nothing may not be ready to make the decision of whether or not to get divorced. Maybe they have kids and they are just not ready to put them through that process, or maybe they are holding out hope that things will get better. Whatever their reasoning chances are they may return to discernment counseling at a later date, or decide down the road to seek marriage counseling. 

Quit calling them ‘negative’ emotions

Certain emotions frequently show up in science and the media as “negative” emotions. We all know them as sadness, anger, disgust, frustration, etc. Then there are the “positive” emotions—happy, excited, etc. Instead of classifying an emotion as “negative” or “positive” how about we just start calling it by what it actually is? 

We are sending the message that emotions are bad.

When we classify an emotion as negative, we are sending the message that it is bad. That we aren’t supposed to feel this way. It makes us feel guilty about having these so-called “negative” emotions. No one wants to feel “negatively” or do the “wrong” thing. But an emotion isn’t bad. It isn’t wrong to feel a certain way. We need to stop grouping them together as a set and refer them to as an individual feeling. Yes, I am sad that my grandfather is in the hospital. Yes, I am disappointed I didn’t get the job. Yes, I am frustrated that the dog had an accident in the living room this morning. This is life, folks. 

These emotions are ok, they are healthy, they are necessary. We don’t need to pretend that we don’t feel this way. We don’t need to feel guilty or that we are doing something bad by feeling upset or disappointed. Rather we need to let the emotions come. We need to feel them, accept them, allow ourselves to work through them. What we don’t need to do is ignore them. That only compounds the situation and makes things eventually erupt. So instead of thinking about emotions as “negative” or “positive,” think of them simply as an emotion. Leave it at that. There is no need for classification.

My daughter thinks another girl is pretty: Part 3

This week’s series of posts (read Part 1 and Part 2) has been all about my five-year-old daughter and how she thinks another girl is pretty, and the many opportunities to help her (and myself) learn more about life that have come out of these feelings. 

Handling Rejection

As I mentioned in Part 2, my daughter decorated a card for this girl and attached a pretty plastic ring to it. When she was done with the card she told me she was “scared” to give the card to the girl. I saw this as an opportunity for me to teach her about rejection. 

I asked her what she was “scared” of. She said, “what if the girl doesn’t like it or is mean about it.” I gave her some things to think about, and put the situation into perspective: 

1.) If it is kind words, you have no need to be scared. The best you can do is be kind to others, and saying nice things — being uplifting— is a good thing.

2.) If someone says “no” to you but remains respectful, we need to respect their choice. Consent is not just for boys. It works across all relationships—whether it be romantically or just a friendship. Everyone has the right to say “no”.

3.) If someone says “no” to you and are disrespectful/mean, you don’t need to worry about what those people think. They aren’t worth your time if they aren’t going to consider your feelings. If they are not going to be nice to you, then you don’t want to be their friend anyway. You deserve to be respected and treated fairly and kindly. Walk away from those situations where you are not treated with respect. 

Rejection is hard. No one likes to feel rejected, but it is part of life. Children, just as adults, need to learn how to handle rejection in a healthy manner. They need to understand what is ok and what is not when it comes to how other people treat them, and how they treat others. As adults, it is our job to help them process these situations so they know (1) its ok to be sad, disappointed (2) it is not ok to be treated unkindly, or to treat others unkindly (3) it is ok to say “no”. 

Do you remember the first time you felt rejection, how old were you? How did it make you feel? How have you helped your child through a moment of rejection?