Meghan’s Perinatal Mental Health Story

Thrive • October 25, 2021

Going into my postpartum period, I never thought I would suffer from postpartum anxiety (PPA) or postpartum depression (PPD). Overall, I had a wonderful pregnancy and a supportive partner, and I was prepared in every way I could think of. I saw my primary care physician for a preconception check-up and went to every prenatal appointment being fully transparent of my medical history (which included anxiety, post-traumatic stress disorder (PTSD), and hypothyroidism). I built a strong support system and even had a prenatal therapy session.

My son was born healthy right on his due date. Despite developing an infection and having trouble sleeping in the hospital, I was feeling happy and healthy too. My son was doing well and slept a lot. I continued to have trouble sleeping once we were home. I had heard people describe having a ‘birth buzz’ after delivery, so I assumed that was what was going on. 

At my son’s two-week appointment, he had gained back his birth weight plus some. This fueled my perfectionist desires and I told myself that I was rocking this whole “mom thing.” I informed our pediatrician that I was having trouble sleeping. We assumed the cause was anxiety and I promised her I would see my previous therapist. Unfortunately, she was booked out for three months. I thought I’d be fine to wait as I was comfortable dealing with anxiety.

Over the next weeks, things continued much in the same way. Still no sleep, but it didn’t seem to be affecting me. Then came my son’s two-month check-up where he came in underweight. This news amped up my PPA because I worried I would have to give up exclusively breastfeeding and I wanted my son to have the benefits of breastmilk. Also, I had found breastfeeding to be empowering in the same way pregnancy had been for me. I scheduled a lactation consultation and was advised to triple feed at each session. We did this for two weeks. I started dreading feeding because I was nervous about whether he was taking in enough. At our follow-up appointment, I got the news that shattered me — the triple feeding didn’t work. I was devastated. I felt like my body had failed me. 

We saw our pediatrician and made a plan to switch to bottle feeding so we could track his intake. I started pumping and supplementing with formula or donor milk. I hated pumping. It was a constant reminder of what I had lost. Moreover, my baby had a hard time transitioning to a bottle. 

During this time, I met with my doctor to rule out any medical issues as the cause of my low supply. I explained how I was having trouble sleeping and was waking up drenched in sweat, and that I was feeling anxious, irritable, and sensitive to light and sound, plus having heart palpitations. She assured me most of these were normal postpartum symptoms and hesitantly ordered labs. My results showed my thyroid was hyperactive. This explained why I had been energetic and was not sleeping. She adjusted my medication, but said it would take six to eight weeks to normalize. I requested a referral to endocrinology so I could see if this had affected my breastfeeding. 

I couldn’t get into the endocrinologist for four months. During that time my PPA got worse. My baby had started his four-month sleep regression. He woke 10 – 20 times a night. I became obsessed with improving his sleep. I bought courses and watched videos. Nothing helped. A voice inside my head began to tell me I was failing. I knew it was a lie, but I started believing it. I told myself there must be something I’m doing wrong and obsessively started using Google to answer all my parenting questions. I became rigid about our baby’s feeding schedule and nap routine, afraid that swaying from it would derail any progress we were making.

I finally got to see my therapist, but I continued to get worse. I followed up with my doctor about my anxiety, but she only offered a prescription. I wasn’t ready to take medication due to my own stigmas about it. During this time, my PPD came forward. I had never experienced depression before and it terrified me. I became withdrawn despite feeling lonely, had trouble finding joy, felt overwhelmed, and numbed myself by listening to podcasts all day. I started having suicidal ideation. I would search “I regret having a baby” and “I miss my old life” over and over, only to have the SAMHSA hotline pop up. 

At last, I got to meet with the endocrinologist. She confirmed my thyroid had played a part in my breastfeeding issues. Additionally, she informed me that what happened could have been prevented. Patients with known hypothyroidism should take extra thyroid medication during pregnancy. I drove home in tears. I was so angry that some of what was taking place could have been prevented. 

I came to a turning point when I reached out to my OBGYN. She helped me put a plan together. She prescribed sertraline, developed a sleep plan that included diphenhydramine before bed, and referred me to Thrive Reno. They did an assessment with me to determine what level of care would be most appropriate, while also taking into account my family and work obligations as well as my insurance and financial restraints. For me, they recommended their ‘It Takes a Village’ Day Program for perinatal mental health. 

Thrive Reno’s ‘It Takes a Village’ Day Program saved me. I gained a thorough understanding of my PPA and PPD diagnosis in their psychoeducation class. This allowed me to explain to my family what was going on as this was all new to us. I was able to get closure on what took place during my delivery and take comfort from others’ stories during our birth processing group. I gained a ton of new coping skills and was reminded of the importance of physical movement as well as fueling my body in a gentle, non-judgmental way. The empowerment group allowed me to start reclaiming my days and in my private therapy sessions, I was able to start defining a new version of myself. After two and a half months, I graduated from the program.

Now, I feel like I’m in the best mental health shape and I like the person I am more than ever. I learned many lessons on this journey and while I am glad it’s over, I’m happy for where it has brought me. I’m even wanting to have a second child in the future. I found healing with Thrive, art, and reading PPA and PPD recovery stories. 

If I could tell my past self a few things they would be: 

  • Trust the process. 
  • Never stop advocating for yourself.
  • Ask for help.
  • Prioritize sleep.
  • Manage your expectations.
  • Create a backup plan for breastfeeding (not just birth).
  • Don’t be scared to try medication. Sometimes our brains need a “recalibration” as one therapist put it. 
  • You can do hard things. 

I’m so thankful for what our community has to offer and hope every new parent can get the support they need. Parenting is tough and it does take a village. 

A note from Thrive

Thrive Reno’s “It Takes a Village” Perinatal Day Program and additional perinatal outpatient services cater to new parents struggling with their mental health. Through integrated care from our perinatal specialists, new parents will be empowered to confidently and joyfully embrace their roles. Reach out to us anytime to learn more.

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January 16, 2025
Support groups serve as a critical resource for those seeking a sense of community while navigating life's challenges. The benefits of support groups extend beyond the mere sharing of experiences; these groups provide valuable emotional support, foster a sense of community, and enhance mental wellbeing. In this blog post, we will explore what support groups are, how to find the right one for you, the various benefits they offer, and specific options available here at Thrive Wellness. What is a Support Group and How Can It Help Me? A support group is an organized gathering of people who share similar experiences or challenges, providing a space to find mutual support and understanding. These groups are safe and confidential spaces where participants can express their feelings, share personal stories, and receive emotional support from others who understand their unique struggles. Support groups are also powerful tools for reducing the feelings of isolation that can come with a challenging or traumatizing experience or being diagnosed with a mental health disorder. When you come together in the clinical setting, you can share experiences and gain unique insights from others. This sense of belonging often leads to improved mental wellbeing, as participants feel less alone in their struggles. Through the shared wisdom of the group and a therapist, members can learn important skills like coping strategies, gain encouragement, and develop a stronger sense of community and support. The collective strength that can come from these shared experiences contributes to personal growth, allowing attendees to thrive in their everyday lives. How Do I Find a Support Group That is Right for Me? Finding the right support group for you is essential to getting the most out of your experience. You can begin by researching local groups that align with your specific support needs and interests. Consider the focus of a group and whether it fits with the challenges you face. Healthcare professionals, therapists, or counselors can provide tailored recommendations and guide you to potential options. It's also important to consider logistical factors such as location, meeting frequency, and whether the group meets in-person or virtually. At Thrive, our admissions process for groups involves a 30 minute meeting with a group leader prior to joining to ensure that you are a suitable fit. What Are the Benefits of Support Groups? Support groups provide a multitude of benefits to help improve your emotional, mental, and social wellness. 1. Safe space for expressing emotions Support groups offer a safe environment where you can express your feelings and share experiences with others facing similar challenges with the assurance of confidentiality. This sense of emotional support is crucial if you are working though complex emotions, hardships, or trauma. 2. Sense of belonging and community Support groups help you to build a stronger sense of community. Through joining, participants can experience reduced feelings of isolation, knowing they are not alone in their struggles. 3. Exchange of advice and strategies Groups are great avenues for sharing knowledge, allowing members to exchange practical advice and coping strategies specific to their shared situations. In addition, therapists guide growth and provide practical strategies to help deal with challenges as they lead support groups. 4. Enhanced coping mechanisms Regular participation in groups can significantly improve your coping skills, enhancing your ability to manage anxieties and challenges associated with your experience or condition. Therapists are trained in teaching their groups effective coping skills specific to their needs. 5. Motivation for personal goals Groups provide a network of support, encouragement and motivation where attendees can cheer each other on in achieving their shared goals. Other group members can hold you accountable in pursuing your personal goals and staying on track with your treatment plan. What Support Groups Does Thrive Wellness Offer? Thrive Wellness offers a variety of support groups tailored to people's unique needs, ensuring comprehensive emotional and mental health support. Each support group is facilitated by experienced professionals offering guidance over the course of a group session. Groups being offered now at Thrive include a Perinatal Mental Health Support Group , a Social Anxiety Skills Group , a Body Image Skills Group , and a Teen Body Image Skills Group . Our admission process for groups is as follows: An individual therapist will submit a referral, then our client experience team will reach out to you to schedule a 30 minute group intake meeting with the group leader to ensure that you are an appropriate fit for the group. From there, you are admitted and scheduled to the group. All groups cost $50 for cash pay, however copays are collected when insurance is billed. Finding Strength Through Connection Support groups offer powerful benefits, making them a vital resource for those seeking emotional and mental support. Whether you are exploring what a support group is, searching for the right one for your needs, or looking into our specific offerings here at Thrive Wellness, the impact of these groups is real. By connecting with those who share similar experiences as you, you can find comfort, strength, and a renewed sense of hope, empowering you to face life's challenges with a team of people on your side.
January 9, 2025
Even if you look forward to the ski season all year, can't wait to read a good book by a crackling fireplace, and count down the days until you can frolic through fresh snow, you can also experience seasonal affective disorder or the winter blues. Dreary winter days stuck indoors can make it difficult for many to summon their natural cheerfulness, gratitude, and enthusiasm for life. This shift in mood may be confusing, especially if you're typically captivated by wintertime wonders. As the nights lengthen, days shorten, temperatures drop, and storm clouds block the sun, your mood can darken too. Essentially, the changing patterns of sunlight can disrupt your circadian rhythm (a kind of biological clock that influences your sleepiness and wakefulness patterns) and hormonal balance. Two conditions commonly develop during the winter: the winter blues and seasonal affective disorder (SAD), recently designated Major Depressive Disorder (MDD) with a Seasonal Pattern . Below, you can explore the differences between the winter blues and SAD, and find strategies to boost your mood and reclaim your motivation during the winter season. What Are the Winter Blues? Individuals struggling with the winter blues generally experience feelings of sadness, fatigue, and loneliness attributed to bleak winter weather. Although not considered a mental disorder, the winter blues may cause you to feel like a gloomy, less motivated version of yourself, while still being able to participate in and enjoy daily activities. Symptoms of the Winter Blues Feeling sad or down during the winter months Decreased motivation or energy Changes or difficulty with sleeping Causes of the Winter Blues Cold weather Shorter days, longer nights Decrease or change in exposure to sunlight and vitamin D production Risk Factors for the Winter Blues Lack of connection to community and social interactions History of depression or anxiety Environmental considerations (such as living in a climate that experiences particularly long or harsh winters) What is Seasonal Affective Disorder (SAD)? Also known as seasonal depression, SAD or MDD with a Seasonal Pattern is a subtype of major depressive disorder that interferes with a persons ability to engage in everyday life and find pleasure in activities that typically spark joy. In most cases, a person struggling with SAD will experience depression that begins in the fall or winter and ends in the spring. Less commonly, individuals may experience SAD in the summer, possibly brought on by exposure to too much sunlight that can cause sleeplessness, agitation, and anxiety. Symptoms of Seasonal Affective Disorder Depressed mood or sadness Decreased motivation or energy Hypersomnia (or excessive sleepiness and oversleeping) Eating beyond fullness Weight gain Loss of interest in hobbies or activities that usually evoke happiness Social isolation and withdrawal Increased feelings of agitation or irritability Difficulty concentrating Sense of hopelessness Suicidal thoughts Causes of Seasonal Affective Disorder Decrease or change in exposure to sunlight and vitamin D production, resulting in: Changes in circadian rhythm (disruption to your body's internal clock) Hormonal fluctuation, including imbalances of serotonin and melatonin Risk Factors for Seasonal Affective Disorder History of depression or anxiety Genetic factors Environmental considerations (such as living in a climate that experiences particularly long or harsh winters, resulting in decreased social interactions and activity) Ways to Boost Your Mood During Wintertime You can fight the winter blues and wrap yourself in warmth by incorporating some of the self-care strategies below into your wintertime routine. Eat intuitively. The way you nourish your body is directly connected to your mental health , but shorter days may disrupt breakfast, lunch, dinner, and snack time routines. By listening to your fullness and hunger cues, while also eating an array of foods consistently and adequately, you can promote your well-being including your emotional health. Move mindfully. Allowing yourself the time and space to move intentionally can do wonders for your mind-body-spirit connection. Research shows that mindful movement can help lower stress and anxiety in addition to relieving depression and improving overall mood. Commit to a consistent sleep and wake routine. By going to bed and waking up at the same times every day, you can practice good sleep hygiene , which can help you regulate your emotions effectively and promote overall well-being. Spend time outdoors in the sun. Sunlight promotes the body's vitamin D production and vitamin D is believed to affect the regulation of the feel-good hormone serotonin. By doing your best to soak up the sunshine when it graces the sky, you can help foster feelings of happiness. Maintain connections with family and friends. Loved ones can infuse dismal winter days and long winter nights with laughter, companionship, and a sense of belonging. Participate in service projects and other community activities . Offering your time to individuals in need and enveloping yourself in your community can bring you a sense of purpose, meaning, and connection. Your presence can light up the lives of others, making you feel good in turn. For more habits that create a well-balanced lifestyle and improve your mental and physical health, download our free guide "How to Thrive." Clinical Treatment for the Winter Blues and SAD If your sadness, lethargy, or other depressive symptoms begin to impair your daily functioning or extend beyond the season, we encourage you to speak with a healthcare provider. Licensed professionals can guide you in developing coping skills, reducing your depressive symptoms, and increasing your resiliency and motivation. In some cases, you may be prescribed light therapy or antidepressants to ease symptoms. You deserve to feel wonderful any time of year, and through outpatient therapy , Thrive can help you embrace the winter season with joy. Reach out to us to learn more. This blog post was originally posted December 22, 2021
January 2, 2025
Ah, New Year’s resolutions. The moment January 1 rolls around, it feels like everyone is armed with a laundry list of goals: lose weight, save money, drink more water, learn to play a new instrument. While these aspirations might look great on paper, the truth is they often come with a side of unnecessary pressure—and let’s be real, most of us abandon them by February anyway. This year, let’s flip the script. Instead of piling on more goals, how about taking a breath and reflecting on everything you’ve already accomplished? Trust me, there’s a better way to approach the new year without the stress of rigid resolutions. Why Resolutions Often Fall Flat The tradition of setting resolutions can feel exciting, but it’s easy to fall into the trap of overdoing it. We create lists of lofty goals, expecting ourselves to magically transform overnight. But what happens when life gets messy, work gets busy, or we simply don’t have the energy to crush it every day? The result is usually guilt, frustration, and a sense of failure—not exactly the motivational vibe we were aiming for. The problem with traditional resolutions is that they often overlook the importance of realistic planning and self-reflection. Instead of motivating us, they can pile onto the stress we’re already carrying. Give Yourself Permission to Pause Let’s start 2025 differently. Instead of asking yourself what you need to do, take a moment to consider what you’ve already done. Acknowledge the challenges you’ve navigated and the wins—big or small—that brought you here. This shift isn’t about giving up on growth or change; it’s about embracing a more compassionate, flexible approach to your well-being. Reflect on Your Wins From 2024 Before you set any intentions for 2025, pause and reflect on the year that’s just passed. Here are some questions to guide your thoughts: • What were my biggest wins from 2024? Celebrate the moments that made you proud. Maybe it was a professional milestone or simply surviving a tough season. Wins don’t have to be monumental to be meaningful. • What relationships were most meaningful to me? Think about the people who supported you, made you laugh, or helped you grow. How can you nurture those connections in the year ahead? • What surprised me most about 2024? Life has a way of throwing curveballs. Reflecting on how you adapted can help you appreciate your resilience and prepare for the unexpected. • What should I say “no” to? What would I like to say “yes” to? Sometimes, the key to growth is learning what no longer serves you. Saying “no” to draining commitments makes space for the things that truly light you up. • What am I most proud of and grateful for? Gratitude is a powerful tool for shifting perspective. Take time to appreciate the moments, people, and experiences that enriched your life. Start 2025 With Intention The beauty of reflection is that it allows us to set intentions that feel authentic and achievable. Instead of chasing resolutions rooted in perfection, focus on growth, gratitude, and balance. This year, let’s give ourselves permission to start small and prioritize what truly matters. Take a Self-Care Step With Our “Breathe Easy” Guide If you’re looking for a gentle way to begin 2025, our free Breathe Easy guide is the perfect place to start. It’s packed with simple breathing exercises designed to help you reduce stress, refocus your mind, and find a sense of calm—no matter how chaotic life feels. Download it today and give yourself the gift of a fresh start, one deep breath at a time. Let’s make 2025 the year we breathe easier, live more intentionally, and celebrate the progress we’ve already made. You’ve got this!
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