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PostPartum PTSD Treatment

Childbirth is often heralded as a beautiful, life-changing event. While it undoubtedly can be, it’s essential to acknowledge that it can also be an intense, challenging, and sometimes traumatic experience for many women. The physical, emotional, and psychological toll of childbirth can leave some mothers with distressing memories that are more profound than the commonly discussed “baby blues.”

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Understanding the Depth of Childbirth Trauma

Medical Interventions:

Some births require medical interventions like forceps, vacuum extraction, or cesarean sections. These can be sudden, unexpected, and potentially traumatic, especially if the mother feels out of control or uninformed about the process.

Fear for the Baby’s Health:

Any complications that suggest the baby is in distress can be deeply traumatic. The mere thought of losing a child or them being in danger is one of the most intense fears a mother can experience.

Feeling Unsupported:

Not feeling supported by medical staff, a partner, or family can be devastating. If a mother feels her concerns are brushed off, or she’s treated with disrespect or even abuse, it can lead to traumatic memories.

Painful Labor and Delivery:

Even with the advancements in pain management, many women experience intense pain during labor, especially if they choose or need to forgo pain relief.

Complications:

Hemorrhages, infections, or other emergencies can turn a regular labor into a life-threatening situation, leading to traumatic memories.

Loss of Control:

Many women have birth plans, but childbirth is unpredictable. When things don’t go as planned, feelings of disappointment, fear, and a loss of control can emerge.

BabyBlues

Not just Baby Blues’

“Baby blues” is a term used to describe the feelings of sadness, irritability, or exhaustion a mother might feel in the days after giving birth. It’s believed to result from the dramatic hormonal changes that occur postpartum. Typically, these feelings subside within a couple of weeks.

However, when these feelings intensify or persist, it may be indicative of a deeper issue, like Postpartum Depression (PPD) or Post-Traumatic Stress Disorder (PTSD) resulting from a traumatic birth experience.

PPD: Postpartum Depression is believed to be linked to the profound hormonal changes after childbirth, combined with the stresses of adjusting to motherhood. While any new mother can develop PPD, certain risk factors, such as a history of depression or anxiety, can increase susceptibility.

P-PTSD: This condition develops after a traumatic childbirth experience. Factors that may contribute to P-PTSD include a very painful labor, a perceived loss of control during delivery, emergency delivery situations (e.g., emergency cesarean section), feelings of powerlessness, or a perceived or real threat to the mother or baby’s life during childbirth.

Do I have Postpartum Depression or Postpartum PTSD?

Postpartum PTSD vs Baby Blues

Symptoms

Postpartum Depression

The symptoms are primarily depressive and can include persistent sadness, hopelessness, fatigue, difficulty bonding with the baby, withdrawal from family and friends, appetite changes, sleep disturbances, intense irritability, and anxiety. Severe cases might even involve thoughts of harming oneself or the baby.

Postpartum PTSD

The symptoms align more with typical PTSD symptoms but are related to the birth experience. These might include reliving the traumatic childbirth (e.g., through flashbacks or nightmares), avoidance behaviors (e.g., avoiding reminders of the birth or even avoiding the baby), hyperarousal symptoms (e.g., being easily startled or constantly on edge), negative changes in mood or cognition (e.g., feeling detached, persistent negative emotions), and anxiety about future pregnancies or childbirth
It’s Very Common

It’s estimated that up to one-third of women describe their childbirth as traumatic. Recently up to 9 percentage will go on to develop PTSD. The numbers may vary based on regions and cultures, but the fact remains: it’s more common than many realize.

There is a societal expectation for mothers to feel joyous and fulfilled after giving birth. When the reality contrasts this expectation, mothers may feel isolated, invalidated, or misunderstood.

It’s crucial for society, healthcare providers, families, and partners to recognize and validate the experiences of these mothers. Providing a safe space for them to share their stories, accessing therapy or support groups, and ensuring they are informed and supported during childbirth can make a world of difference. Healing is possible, and every mother deserves to find peace and joy in her journey.

Postpartum 9 percent
Implications for Childbirth Trauma
Postpartum treatment

For birth mothers experiencing PTSD or intense emotional reactions from their childbirth experience, this therapy offers a targeted approach to dull the emotional sting of those memories. Mothers would be able to recall the event without the overwhelming emotional distress, allowing for a more neutral or positive association with the birth experience.

 

Postpartum PTSD (P-PTSD) – Myths Busted!
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Only traumatic births result in Postpartum PTSD


Myth #1 Busted -

While a traumatic birth experience can increase the risk of P-PTSD, it is not the only trigger. P-PTSD can also arise from feelings of powerlessness, a perceived lack of support, or unexpected medical interventions during childbirth, even if the birth experience seemed “routine” to others.

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P-PTSD is just a form of postpartum depression


Myth #2 Busted -

While there are overlaps between the symptoms of postpartum depression and P-PTSD, they are distinct conditions. P-PTSD specifically relates to traumatic experiences around childbirth and can include symptoms such as reliving the traumatic event, avoiding reminders of the trauma, and increased arousal (like being jumpy or easily irritated)..

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If you bond with your baby, you can't have P-PTSD


Myth #3 Busted -

Bonding with one's baby and experiencing P-PTSD are not mutually exclusive. A mother can have a strong bond with her child and still suffer from traumatic flashbacks, intrusive thoughts, or other symptoms of P-PTSD.

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P-PTSD only affects first-time mothers.


Myth #4 Busted -

P-PTSD can affect any mother, regardless of whether it's her first child or a subsequent one. Each birth experience is unique, and a mother may not experience P-PTSD with one birth but develop it with another.

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Talking about the traumatic birth will only make things worse.


Myth #5 Busted -

While it's essential to approach the topic sensitively, discussing the traumatic experience can be therapeutic for many women. Professional therapy, especially trauma-focused therapy, can help mothers process their experiences and develop coping strategies.

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Succesful Clients

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Sessions

The Treatment Protocol

Reconsolidation Therapy with Propranolol for Postpartum PTSD

We are pleased to offer Reconsolidation Therapy with Propranolol, a cutting-edge treatment for individuals struggling with Postpartum Post-Traumatic Stress Disorder (P-PTSD). At The PTSD Solution, we understand the profound impact that P-PTSD can have on one’s life, and we are committed to providing effective and evidence-based therapies to help you or your loved one on the path to healing and recovery.

Intake Session:

We get acquainted, understand your history, and discuss your expectations. This is where we lay the foundation for our journey ahead. (60-90 minutes)

Propranolol Sessions (x6):

Propranolol is administered 1 hour before each session.

These sessions involve recalling traumatic memories in a safe environment. With Propranolol, the emotional impact of these memories is reduced over time.

Follow-up Session

Reflect on your progress, discuss any further concerns, and create a plan for continued well-being.
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The Postpartum PTSD Treatment Process

1. Administration of Propranolol:

One hour prior to the session, the individual is given a dose of Propranolol. It’s crucial to time this correctly, ensuring the drug is active in the system during the reconsolidation window.

2. Activation of Memory

Under the guidance of a trained therapist, an individual will be asked to recall the traumatic childbirth experience in detail. This recall ‘unlocks’ the memory, making it temporarily malleable.

4. Consolidation Music:

Listening to our brainwave soundtrack  enhances memory reconsolidation by inducing a pseudo-consolidation phase, potentially optimizing neural connections and strengthens the emotionally reduced memory.

3. Guided Recollection:

While the Propranolol is active, the individual will be asked to discuss, think, and provide a written narrrative about the traumatic event again. The idea is to enable the reconsolidation process under the influence of the drug.

5. Repeat Sessions:

Depending on the individual’s needs and the depth of the trauma, this process will be repeated several times. Each session aims to further reduce the emotional intensity of the traumatic memory.

The Benefits of the PTSD Treatment

science

Safe and clinically approved

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Targeted approach to traumatic memories

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Supportive, non-judgmental environment

5

A journey tailored to your unique experience

The Significance of Therapy for Postnatal PTSD

Childbirth is a monumental life event that, while beautiful, can sometimes be overshadowed by traumatic experiences. For mothers who endure such experiences, the emotional and psychological aftermath can be profound. Postnatal PTSD, or post-traumatic stress disorder following childbirth, is a real and significant concern. The memories and emotions related to the traumatic event can hinder a mother’s ability to bond with her baby, affect her relationships, and diminish her overall well-being.

1. Why Choose Memory Reconsolidation?
  • Recoding Memories: Instead of simply teaching individuals to cope with traumatic memories, memory reconsolidation aims to modify the memory itself, particularly its emotional component. This means that, over time, a mother could recall her birthing experience without the overwhelming emotional distress.
  • Potential for Long-Term Relief: By targeting the root – the traumatic memory itself – there’s potential for more enduring relief compared to some other therapeutic methods.
2. Safe and Clinically Approved:
  • Grounded in Research: Memory reconsolidation with Propranolol is based on extensive neuroscience research. Its mechanisms and effects are becoming increasingly understood.
  • Approved for Use: Propranolol, as a beta-blocker, has been used for years for various medical conditions, making its side effects and safety profile well-known.
3. Targeted Approach to Traumatic Memories:
  • Directly Addresses the Trauma: Instead of a broad approach, this method specifically targets the traumatic memories, aiming to modify the emotional response associated with them.
  • Fewer Sessions Required: Due to its targeted nature, memory reconsolidation might require fewer sessions compared to some traditional therapies.
4. Supportive, Non-Judgmental Environment:
  • Holistic Care: Doulas and midwives often champion a holistic approach to childbirth and postnatal care. Engaging in therapy offers an environment where a mother’s emotional well-being is given as much importance as her physical health.
  • Emotional Validation: Having a safe space to share and process feelings can be invaluable. Mothers can be reassured that their experiences and emotions are valid and that they’re not alone in their journey.
5. A Journey Tailored to Your Unique Experience:
  • Personalized Care: Every birth experience is unique, as is the trauma that may arise from it. Therapists can tailor the approach based on the individual’s experiences, emotions, and needs.
  • Empowerment: The therapy process often involves equipping mothers with knowledge and tools, empowering them to take control of their healing journey.
MeghanLaycockRPT

Professional Doula and PTSD Therapist

We are pleased to offer in-person sessions in White Rock, B.C. and therapy services online. We have launched our new online portal to support you in finding us quickly, and our online services include: individual therapy, couples/relationship therapy and consultative support for helping children/young people. If you have any specific needs or requests, please ask. We will do our best to help. Call or email now.
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