“I Had PPA Already. Should I Have Another Baby?”


You’re allowed to change your vision of what your family will look like. There’s no right or wrong. 

You had a bad experience with postpartum depression or anxiety and now you’re wondering what’s next. Do you have another baby? Do you risk dealing with a mood disorder again? Is it valid to wonder about not continuing to build your family? Are you “allowed” to feel nervous or not that excited about this next pregnancy? 

This is actually one of the most commonly asked questions that I get from the community. Postpartum depression (PPD) and postpartum anxiety (PPA) are serious issues that women deal with and they can have a severe impact on how one experiences the earliest chapters of motherhood. 

For some, the effects are relatively minor and they don’t question the idea of getting pregnant again. For others, the symptoms are enough to make them question (or even deter them entirely from) having another child. 

There’s no right or wrong response or way to feel. Let’s make sure that’s clear right from the get-go. Because there’s so much shame, secrecy, questioning, or even women wondering if their reactions are valid, I want to explore this topic to answer everything you might hesitate to ask. 

What does severe PPD or PPA feel like?

Mood disorders that hit in the postpartum period include anxiety, depression, OCD, bipolar, or psychosis. The more severe cases of any of these mean that the person who is suffering experiences significant disruptions in their day to day life. They may self-harm, think about suicide, wonder if their baby and family would be better off without them, and they might also regret their decision to become a mom. It’s also possible to become physically sick or just generally not well enough to function. For those with anxiety, the fears about safety, uncertainty, and constantly feeling on edge can be debilitating. 

Even though perinatal mood disorders are somewhat common (about 20% for anxiety and depression), it can feel startling for the person who is experiencing this. (Remember that there’s a difference between common and normal. It’s not normal to be wanting to self-harm or be contemplating suicide and if that’s what your experience is like, there’s always help.) 

Feeling surprised or blind-sided by your experience may make you question if you want to risk going through it again. That makes sense, and is totally understandable! 

How likely is it that I’ll develop a mood disorder again?

If only it were possible to know whether or not you would have a repeat experience with postpartum depression or anxiety, I wish we could know this. But there’s no way to guarantee that your experience with your next child will be easier. There’s also no way to guarantee that you’ll 100% develop PPD or PPA again. 

It’s always helpful to get as much information as possible though (knowledge is power). And predicting whether or not you might experience mental health issues again isn’t a total toss up. A lot of therapists, counsellors, pregnant people, and people in the perinatal world do pay attention to factors that put a woman at risk of PPA and PPD

Having a personal history with perinatal mood disorders already does increase your risk. Other factors to pay attention to include: relationship trauma, abuse, or instability; having dealt with stressful life events recently; inadequate support; family history of mental health issues; birth trauma, and others. 

But this shouldn’t be all doom and gloom. Having depression or anxiety during the postpartum phase may just be one small difficult chapter in an otherwise incredible journey and relationship with your child. 

And it’s not wrong, irresponsible, or in any way a bad idea to expand your family just because you’ve experienced postpartum depression or anxiety. You can take control, learn coping tactics and build a support plan so that you and your family are taken care of. Read more about how to set yourself up for success here

Deciding whether or not to have another child: Costs versus benefits

Postpartum depression and anxiety look different for everyone and so the way these disorders impact your life moving forward will also be unique to your own experience. 

Having experienced severe PPD or PPA won’t necessarily mean that a person will decide against having a subsequent child, for example. In the same vein, maybe a parent’s experience wasn’t “severe” but it was enough for her to not want to go through it again. Which is totally valid.

There’s absolutely no right or wrong here. You’re the expert of your own story and you get to call the shots. You’re allowed to change your mind and you’re allowed to pick a route different from the one you originally planned. 

Sometimes though, coming to a decision can be incredibly difficult. What I encourage people to think about is the cost versus the benefit. What is the cost of having another baby knowing that there’s a higher chance you could experience a mood disorder again? How would that weigh on you and your family? 

On the flip side, what if you didn’t have another child… what might be the cost of that choice? And how does that version of your story sit with you? 

These questions are not easy to answer so it’s entirely understandable if you can’t clearly define the cost versus the benefit right away. 

For some, maybe a big family was a major dream forever and so the cost of not having more kids would be bigger than the cost of dealing with postpartum mental health challenges again. Another parent might acknowledge that they wanted another child (or assumed they would have one) but they’re just not up for a repeat experience. It’s okay to change or question a vision. You hold the deciding power here! 

Reflection questions:

Deciding whether or not to get pregnant again after having an experience with a postpartum mood disorder is one of the bigger decisions you’ll ever make. Sure, even that thought alone can feel like a lot of pressure and in turn, bring on a wave of anxiety. Understandable. 

That’s why I created a list of questions that can help you get closer to your values. I hope these can help you get clear on what you want your family and your future to look likewhether you need to revisit these questions once, twice, or several times.

  • Looking at your past experience, what feels tolerable, meaning, what do you think you could handle again? What doesn’t feel tolerable? (And what first came to mind when you asked yourself that?) 
  • What was the hardest part of your postpartum depression/anxiety experience?
  • What was the impact for you, your relationship with your partner, and your family?
  • Were there factors that played a role in you developing a mood disorder (or made it worse)? 
  • If you were to feel this way again, what would you do differently?
  • What would you tell a best friend if she were in this exact same situation? Would you encourage her or dissuade her?
  • If you could go back in time, what would you tell your past self? Is there anything you’d want her to know?
  • What supports do you think could make a difference the next time around and are those available? (I.e. Could things realistically look different next time?)
  • Are you prepared to ask for help? (From friends, family, support groups, a therapist, nanny, etc.)
  • Get outside of the current situation for a second and imagine your life 5, 10, and 20 years from now. When you picture your entire life—and the version of you at those stages—does that shift anything either way for you?

Having a hard time envisioning what you want the future for your family to look like? Deciding whether or not to have another baby is hard. So is dealing with the postpartum depression, anxiety or other mood disorders that arise during the postpartum period. If you want support with family planning decisions, or you need to arrange a solid support system before the birth of your next baby, I have a team of therapists in Canada who do exactly that. The Perinatal Collective supports moms and moms to be on all the difficult things that arise during parenthood. Learn more here. Outside of Canada? Checkout Postpartum Support International for Their Therapist Directory. 



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Returning to Work After Having A Baby: How To Cope


If even *thinking* about returning to work sparks anxiety and a feeling of dread, then you’re probably in need of some reassurance, and practical coping methods.

Returning to work after having a baby is a thought that can bring on a lot of stress for new moms and parents, on top of what you’re already feeling raising a little human. Quite likely, everything in your life has changed since becoming a parent! Your priorities, lifestyle, responsibilities, schedule, body, and family dynamics have all undergone a major transformation. So thinking about work can feel overwhelming, scary, unappealing, or just like another thing to take on during what is already an intense time. 

Alternatively, thinking about going back to work can feel exciting and exactly what you need, but then you might have feelings about that, like “why am I not more upset about going back to work?” Which in itself can cause a lot of worry and doubt. 

So if you’re feeling anxiety, that makes a whole lot of sense. If even thinking about returning to work sparks anxiety and a feeling of dread, then you’re probably in need of some reassurance, and practical anxiety coping methods. (Hey, if the “Sunday Blues” are a valid cause for anxiety after just two days off of work, your stress is certainly valid!) 

Moms’ emotions might run high during this period because they don’t want to leave their baby. Sometimes feelings are complicated because they do want to get back to work… and that can bring on some guilt. 

Regardless of where you’re at with your thoughts, my aim is to walk through this complicated topic so that you can feel more at ease as you prepare to head back.

Why returning to work after having a baby feels complicated

There’s so many reasons why returning to work after having your baby feels tough. A lot of suffering can be alleviated just from the acknowledgment that these feelings are normal, real, and totally valid. “I’m returning to my job after having a baby. How can I cope?” is one of the most frequently asked questions that I get from moms in my community. 

Here is a quick breakdown of why this feels so hard. You might feel some, all or just one of these sentiments. What’s most important is giving yourself permission to allow that feeling. 

  • You’re worried about leaving your baby with someone else
  • You want more time to bond
  • You have questions as to whether your baby is ready to be apart from you
  • The thought of leaving him/her makes you miss them
  • You have fears that this will cause an attachment wound
  • You’re struggling with grief as this chapter comes to a close
  • Finding and paying for childcare has become a major source of stress
  • You may not have had the maternity leave that you had hoped for (and perhaps spent a lot of it worrying about or dealing with COVID/RSV)
  • There’s a financial concern: Does your salary justify the cost of childcare?
  • You feel nervous about job performance and fitting work responsibilities into an already packed schedule
  • You’re excited to get back to your job and feel guilty (“Why am I not worried about missing them? What’s wrong with me?)
  • You’ve lost interest in your work and would rather not return
  • You’re already wondering about how you’ll fare with a baby who wakes during the night and needing to be at the office first thing in the morning 

How to feel better about the situation

Words of affirmation: 

We may tend to think of words of affirmation as one of the ways someone else (our partner or a best friend, for example) expresses love to us. But couldn’t we also start to practice reassurance and validation in the way we speak to ourselves? 

If you’re struggling with the emotions of returning to work after having a baby, remind yourself that that’s okay! Can you sit with these emotions without judging or trying to stop them? Aim to be kind and gentle with yourself in the way you run your internal dialogue. For example, instead of, “I knew this was coming, why can’t I just get over it?” try, “This is feeling really hard. My baby and my career are both extremely high priorities for me so it’s no wonder I’m feeling conflicted!’ 

Remember: judging your feelings or trying to avoid or change them is only going to make matters worse. That’s exactly what causes guilt, self-comparison or frustration. Accepting and validating them however allows for you to work through them in a self-compassionate way. 

Remind yourself that your baby is safe: 

Most mothers will struggle with intrusive thoughts at one point or another. These are thoughts that pop into your head and focus on harm coming to you or your child in some way. You might find yourself wondering about your baby getting sick, injured or not properly cared for. 

If your baby’s well being is what’s causing the most stress about your return to the office, remind yourself that she is safe, she’s in proper care, and that you did the work to ensure that the daycare, family member or babysitter she’s with is up to your standards. Sometimes those standards aren’t exactly the same as the kind of love and care you would give your child, but this is where that “good enough” caregiver concept comes into play. The caregiver doesn’t have to be perfect in order for your child to have their needs met. I know, this is a tough one to accept. But I just want to acknowledge that there might be a situation where you don’t feel like you have a choice other than leaving your child in care, even when that care doesn’t seem perfect. Could it be “good enough?”

It might also be helpful to choose a mantra to repeat to yourself when you catch yourself worrying. “My baby is safe, happy, and cared for,” or “I have already taken the necessary measures to ensure the safety of my child. I’m showing up as best I can for my family.” Also know that daycare can be a great opportunity for your child to learn, socialize and get used to new environments. It can be so good for kids in a lot of ways and many of them love it! 

Do a values assessment: 

The person who knows what’s best for you, your baby, your children, and your career is definitely… you! 

If going back to work after having your baby is causing anxiety, carve out some time to sit down and get really clear on why that is. Check in with yourself to see if your plan is in alignment with your values. If you’re not totally sure how to do that, some reflection questions could include: 

  • Is going back to work or outsourcing childcare something you have to do?
  • What does a balanced life look like to you? (I.e. Does it consist of family, career, personal goals, financial ease, creativity? Define your non-negotiables.)
  • In what ways do you personally want to provide for your family and what steps do you need to take to make that happen?
  • What feels better: going back to work full time or easing in? What arrangements can you make to fit your vision? (I.e. Does your employer offer remote or part-time options?)  
  • Does returning to work feel right in the grand scheme? If not, what’s plan B? 

Reach out! Things don’t always go smoothly 100% of the time. Hey, so much of motherhood is about leaps of faith, embracing the unknowns, or making a parenting decision based on a gut feeling. There’s so many moving parts during this era that it can be easy to question things like career focuses, childcare arrangements, sitting with extremely uncomfortable anxiety… and pretty much everything else! I’ve made an entire career around supporting mothers and women in the perinatal period. Because… well… there’s just so many factors that can cause unforeseen anxiety and grief. 

My courses are designed with new moms in mind. These tackle everything from anxiety in all its fun forms (intrusive thoughts, self-criticism, low self-worth, identity adjustment) as well as other common issues like insomnia, stress about baby’s sleep, and splitting parenting duties with your partner. Check them out here



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How to Make Daycare And School Drop-Off Easier


Why is daycare and school drop-off so hard!?

Picture this: it’s Wednesday morning, you’re on your way to drop your two small children off at daycare, and you’re almost running late. It’s not even 8:30 a.m. yet and already you’ve been putting out small fires. 

Your kids’ lunches aren’t perfect, but they’re packed. Your youngest had a meltdown over breakfast. Now your baby is crying in the car and you’re crossing your fingers for no red lights so you can get them out the door on time. 

But then when you get there, drop-off time often comes accompanied with tears, separation anxiety, and your child refusing to leave your side. Needless to say, this is not the best way to start a day. You feel anxious and stressed. Your child feels anxious and stressed. How can you make this easier? 

This probably feels a bit familiar, right? Many parents suffer with some level of anxiety during daycare or school drop-offs in the morning (at least some of the time anyway). 

Either you’re struggling to leave your child with a teacher or childcare worker who you barely know, or your kiddo doesn’t want to say goodbye. This can be so heart-wrenching or it can cause you to worry. You may leave wondering if she’ll settle into her day, if she’s okay, and if there’s anything you should have done differently. 

This doesn’t exactly set a feel-good tone for the day, does it? This is one of the most common worries voiced by mothers. Because it’s such a hot topic, I want to outline what you can actually do to make this experience better. Here, I’m including real recommendations by real mothers too! 

How To Make Drop-Offs Easier For Everyone

Making drop-offs (school or daycare) easier means decreasing anxiety for everyone. Sometimes parents wonder when daycare drop-off gets easier—as in at what age—but really, kids of all ages can struggle. 

For example, some very young children might adjust really easily and not struggle at all. On the other hand, an older child could have a very hard time with general anxiety or separation anxiety and not like heading into her classroom without you. This isn’t a problem that exists only in the baby and toddler years so if this is an issue for your family, know that there’s absolutely nothing wrong with that. 

That said, how can you make this experience easier for them? 

Creating a calm and stable environment for an anxious child is key. They are learning how to navigate situations that feel difficult for them so it’s important to do what you can to put them at ease. 

As a parent, you could try to help them place their mind elsewhere. What’s something he/she is looking forward to at school today? What’s his/her favourite part of the day? Getting them excited for that is more helpful than focusing on something challenging like drop-off time. How can you reassure them? Kids who deal with things like separation anxiety might be worried that something will happen to you during the day. Reassure them that you’re safe and you’ll be seeing them in just a few short hours. 

You also want to be reducing stimulation or uncertainty as much as possible so that you’re not adding to the stress. That could mean turning down the music volume in the car, taking the route with less traffic and being ready versus rushing out the door. 

What moms on this community suggested:

I asked real mothers in the community how they deal with this. Here are some of the best suggestions: 

  • Talk about something fun you’ll do together when you pick them up
  • Stick to a routine so that every day is predictable and the same
  • Prepare everything the night before so there’s no rushing
  • Communicate with teachers/daycare staff so that they can help if need be
  • Stay confident so that they know there’s nothing to worry about 

How to handle *your* anxiety during daycare drop-off: 

It can be really hard to walk away during daycare or school drop-off when your child is upset. There may also be a lot of fears that you have that have nothing to do with your child’s emotions. Maybe they don’t struggle at all at this point of the day but you catch yourself fearing for their health, safety, emotional wellbeing, or you struggle with intrusive thoughts on the way to school. It can also be really hard leaving your baby or child with someone who you barely know. That’s all valid and this is why this is such a popular topic amongst mothers in the community. 

One of the most effective things that you can do in this situation—for both you and your child—is to regulate yourself. When you’re calm, grounded, and focused, your child is more likely to feel the same. When you’re anxious, your child will sense that energy and start to worry themself. (No pressure, right?) The good thing about this is that it means that you have a lot of power over the situation. 

So how do you start to self regulate? Take deep breaths. Even though it sounds almost too simple, this is a way to show your nervous system that you are actually safe. You cannot be anxious and calm at the same time. By taking slow, deep breaths, you’re signalling to your brain that you’re safe and there’s nothing to worry about. 

You can also rely on the same things that work for your child: meditations, reducing stimulation, refocusing attention to something positive, playing calm music, being prepared early, etc. Oftentimes a simple mantra can help. (“She is happy, safe, and taken care of,” or “She’ll settle down in a few minutes. I’ll be back to pick her up before I even know it.)

Your self talk and really making an effort to be your most compassionate self will also go a long way. Start by mindfully noticing that you’re overwhelmed and just allow that feeling to come up without fighting it. From there, what can you say to yourself to reduce the pressure of that moment? (“It’s okay that this is hard for me.” “My 16-month old baby is crying, it’s only human for me to feel upset about that.”

Finally, shift your focus to ground yourself. Soothe yourself as best as possible and ask: What’s next on my day? Where is a simple place for me to start? What am I looking forward to? That will help you stay focused and not let an emotional morning derail the rest of the day. 

What other moms suggested:

I asked moms what helps them during this stressful situation. Some of my favourite recommendations are: 

  • Reassure yourself that yes, the drop-off is difficult but by the time you make it to the parking lot, she’s already calm and happy
  • Allow yourself a few minutes to decompress in the car afterwards
  • Drink coffee after drop-off to reduce anxiety beforehand
  • Plan and prepare before to reduce anxiety and stress in the morning: lunches packed, bags by the door, outfits laid out
  • Mantra: “We can both do hard things.”
  • Act confident to signal to your child that everything is ok 



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How To Manage Anxiety When It’s About Real Problems


How do I cope with anxiety when the threat is real? What’s the difference between anxiety that’s based on realistic and possible outcomes versus anxiety that is not.

Managing anxiety can be difficult under the best of circumstances. If you struggle with anxiety, you’ve probably had days where you’ve felt totally knocked off your feet or your thoughts have spiralled out of control. When you’re dealing with this mental health challenge (especially during the perinatal period or early motherhood), you’re likely experiencing more than just a case of butterflies in your tummy. Anxiety can lead to rage, insomnia, the inability to focus, intrusive thoughts, or just feeling physically unwell. Even high-functioning anxiety can cause self-doubt or low self worth. 

If this is something that you’ve been struggling with a lot lately, then you’re probably at least aware of some of the tools you can use to bring your nervous system down and control anxiety. Oftentimes, you’ll hear about giving your anxiety a bit of a reality check. This can sound like, “Most of the things you’re worried about will never happen,” or “Is that fear actually realistic or are you just anxious?”  

But what happens when your anxiety is based in reality and these arguments therefore aren’t valid? 

In this post, I talk about the differences between anxiety that’s based on realistic and possible outcomes versus anxiety that is not, and how to cope when the threat is real. 

When anxious thoughts aren’t based in reality

When you’re dealing with scary thoughts in motherhood (known as intrusive thoughts), OCD, you’re sleep deprived, or your nervous system is overwhelmed, your thoughts might focus on things that really aren’t all that likely.

For example, you may have a fear that someone will break in in the middle of the night… despite the fact that nobody ever has and your home is extra secure.

Or, you may have a compulsive need to clean the kitchen to avoid illness even though it’s always spotless and nobody in your family has experienced food poisoning from something they’ve eaten at home. Maybe, you have an intrusive thought about accidentally driving off a bridge with your kids in the car (as scary as it is, you know you’re not actually going to do that!). 

Because these thoughts aren’t based on something that is likely to happen, it’s possible to de-escalate the anxiety with logic. For some people, it can be easier to let go of these worries in these situations because reason has a better argument than your worried, what if thinking. 

Other times though, even if you can reason with anxiety, it’s not helpful. Anxiety will always find the loophole, and pull you into the debate over and over again. 

Anxiety about very real threats

But what happens when your anxiety is triggered by something that isn’t so far-fetched? How can you control anxiety when it’s based on very real concerns? Sometimes anxiety is based on unlikely far-fetched worries, but other times, it’s a reaction to probable or realistically possible outcomes that we don’t want to be faced with. 

Maybe you don’t even normally struggle with mood issues or anxiety but now, a situation that your family is dealing with has you awake at night, fretting throughout the day, quick to anger, or unable to focus on anything else. This is completely valid. This is also one of the most frequently asked questions that mothers in my community ask about. 

Some of the most common anxieties rooted in realistic threats include: 

  • Anxiety about a recently diagnosed medical issue or condition
  • Anxiety about real health threats like COVID, or RSV
  • Fearing your abilities to deal with something like a disability or learning issue
  • The stress of being pregnant again after a miscarriage
  • Unease about finances and supporting your family after a job loss
  • Wondering how you’ll cope during a time of extreme inflation
  • Worrying about your child who is being bullied in school
  • Worrying about children’s emotional wellbeing after the loss of a loved one
  • Anxiety around the unknowns of divorce or separation 
  • Having to juggle turbulent co-parenting situations after a divorce/breakup
  • Fearing threats to safety while they’re in school  
  • Worrying about threats that you face because of where you live (i.e. high crime rate, natural disasters, etc.)

How to cope:

First of all, if you’re relating to anything in the above list, your feelings are valid. Anxiety is always hard to sit with and that’s even more so the case when your thoughts are centred on something real, probable, or currently upon you. That’s not to invalid other forms of anxiety—like less-realistic intrusive thoughts —but it is to acknowledge that this is hard and you may need to rely on slightly different coping methods. 

If this post has so far been describing your experience, consider the following coping tactics: 

1. Practice tolerating uncomfortable things.

This is not the strategy that people typically want to hear about, I get that. We usually want to get rid of problems, and not feel pain. Of course that’s what we all want! But as yu know, like throws some curveballs, and sometimes these curveballs don’t go away, or at least not anytime soon. So what an you do then? A major part of anxiety management is learning to sit with the discomfort of the “threat” and more specifically, accepting that you don’t know what the future hold. Yeesh, so tough. 

So let’s say your child has a medical condition that’s scary: how can you practise saying something like “yes this is so scary, and it’s so hard not knowing, and I can still be okay even with those fears.” Sometimes reminding ourselves of the human experience that almost always contains suffering can be helpful. “This is so hard, but I know I am not alone. I can handle this.”

Anxiety is really a doubt disorder, where we struggle to accept uncertainty and not knowing. The way through this is practising sitting in that uncomfortable feeling of not knowing what will happen, rather than trying to control or predict or avoid.  All we can do is our best in any given moment. And the more we can accept uncertainty, the better our experience in this life will feel. 

2. Control the controllable.

You’ve probably heard this piece of advice before, right? Anxiety lives in the future. It exists because of the unknowns or the uncertainty in your life and the fact that in many situations, you have no say about the outcome. Controlling the controllable, on the other hand, enables you to assess the situation to see what you do have power over. When you become determined to take charge where you can, you might be surprised by all the ways where you can influence how you deal with a stressful event. For example, no matter the source of the anxiety, you can always control: 

  • How you treat your body
  • Whether or not you carve out adequate time for sleep and downtime
  • Who you choose to socialize with (and whether or not you spend time with those who energize you instead of drain you)
  • Whether or not your days include simple self-care
  • If entertainment like books, the new, movies, and TV create a sense of calm rather than adding to the nervous energy 

3. Set up a plan and avoid rumination.

When dealing with something complicated like a separation from your partner, a stressful financial situation or a scary diagnosis, it can be helpful to sit down and really think through a solid plan of action and stick to it. Think of it from all angles. Why is this the best way to manage this challenge? How will you communicate that with your family? What’s the biggest obstacle that could get in the way of executing this plan and how will you overcome it? How can you still focus on what’s important to you in life, even though this hard thing is happening? 

Once you’ve thought through these questions, try to avoid ruminating. Ruminating is the action of overthinking, analyzing, and problem-solving on a loop. Even though it can *feel* productive, it isn’t. Ruminating just serves to take up more mental space, pull your focus back to the problem instead of to other things in your life, and it contributes to increased stress and burn-out. 

You will need to learn how to notice when you’re ruminating, so that you can catch yourself in the act, and choose to focus on something different. Easier said than done, I know. 

4. Sharpen your anxiety management tools.

Not all anxiety management tools work equally for everyone so you get to take the lead here and choose which one(s) you want to use to improve your experience. Some of the best methods to manage anxiety (many that you can learn in therapy or self-help courses) include: mindfulness, meditation, time in nature, exercise, creative practices, mantras, nervous system regulation skills, compassionate self-talk, and even daily journalling. 

Managing anxiety and learning new mental habits isn’t something you master overnight though—it takes practice, patience, routine, and repetition. That’s why one way to protect your mental health while faced with difficult scenarios in life is to sharpen these anxiety tools by including them in your daily routine as much as possible. That light feeling you might get after a run may not happen the second day out but if you stick to it, a month from now that could become your lifeline. Similarly, setting an intention at the beginning of a morning yoga flow might not come naturally at first. By week two though, this could be the morning routine that sets the tone for your day. 

5. Outsource support where possible.

Despite the stereotypes, we’re not meant to be the “mom who does it all.” (And honestly, can we just ban that term already?! It’s such an unrealistic standard and it just makes moms feel bad!) You’re not meant to do this all alone. You need help and it’s a sign of strength to ask for it.

That could mean reaching out to family and friends of course. It could also mean booking time to talk with your child’s teacher, finding the right specialists or doctors in the event of a medical issue, or finding a community of others who are going through the same thing you are. The value of feeling seen, validated, and supported by the right people isn’t to be underestimated.  

If you’re dealing with a trauma, processing a difficult event, or generally anxious about real threats that are a risk to your family, there’s always support for that. My course, The Calm Mom, is my bestselling program for those who struggle with all kinds of anxiety. This is where you learn to recognize your anxiety and how (and when!) it shows up for you. As for those anxiety management tools mentioned in this article, this is where you learn them all so that you can choose which one(s) work best for you. Learn more here.



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What Postpartum Anxiety Feels Like: 8 Early Signs Of PPA


Suspect you may have PPA? Here are 8 of the most common signs.

The weeks and months after giving birth is a significant time in your life. In fact, it’s probably one of *the* most memorable times ever. But there’s also a lot of confusion, a steep learning curve, and emotions usually run pretty high. That makes sense. 

Between recovering from birth (especially in cases where it was traumatic), learning to breastfeed, dealing with sleeplessness, and sitting with new mom anxiety, this period isn’t an easy one. (As if that’s not an understatement, right?!)

Of course, there’s a lot of joy during this stage of the perinatal period. But there’s also a lot of mood challenges, mental health difficulties, and anxiety. 

Having a new baby is confusing enough as it is. Hey, you have the needs of a whole human being to look out for! But your wellbeing matters just as much and shouldn’t be overlooked. And when you’re not even clear about your own mood changes, that can just make everything feel so much more confusing. 

If you’re reading this in the postpartum period and you know *something* feels off, there’s a chance you’re dealing with postpartum anxiety (PPA). 

PPA is an anxiety disorder that feels mostly the same as general anxiety. The difference is that it occurs during the perinatal period whereas regular anxiety can happen at any point in your life. It’s different from what we know as the “baby blues” which is a temporary emotional dip that many women experience right after birth as their hormones adjust. 

If you already have an anxiety disorder or you’ve experienced mood difficulties in the past, you are at a greater risk of suffering from PPA as well. (Though, there’s no way to be 100% certain.) A lot of women ask what postpartum anxiety feels like, when it happens, or how to get clear on whether or not PPA is at play. 

Below, I’ve rounded up some of the most common indicators that you could have PPA. How many do you relate to?

8 signs you may be experiencing postpartum anxiety: 

1. You feel nervous for most of the day.

Do you spend a significant portion of your waking hours worrying about something? A lot of women who experience postpartum anxiety say that their thoughts jump from one fear to the next, to the next. This could be about anything related to your baby’s sleeping or feeding habits, to you missing an important cue, or maybe you’re anxious about returning to work and how you’ll balance both areas of your life. The question to ask yourself here is if the anxiety is infrequent, or if it’s taking up most of your days. 

2. Your mind is preoccupied with intrusive thoughts or “what if” thinking.

Intrusive thoughts are the scary thoughts or images that pop into your mind for no reason. Usually they relate to harm coming to you or your baby and they can be quite disturbing. You might, for example, be dining on a balcony and suddenly have a sudden mental image of your baby slipping off the side. Even though these thoughts are hard to sit with, they’re just a sign of anxiety and don’t mean anything beyond that. 

3. You struggle to sleep at night.

Alright, we all know that moms with newborn babies spend a lot of the night hours awake, feeding, or settling cries. These are exhausting, but normal, sleep disturbances. If, however, you regularly experience insomnia and are unable to sleep beyond that (i.e. when your infant is fast asleep, you’ve already fed her, and you have the opportunity to rest), that’s one of the early signs of PPA. 

4. You’re more irritable or angry than usual.

This isn’t one of the most obvious signs of anxiety that we first think of but anger and being quick to snap is a sign of PPA. Think about it: anger or irritability come up more easily when our needs aren’t being met. Since anxiety drains your batteries and is a constant burden on your mental energy, you’re more likely to be at capacity and therefore quicker to anger. 

5. You experience physical symptoms like nausea or headaches.

When we think of anxiety, we may think about that uncomfortable, queasy feeling in the stomach. That’s a physical sign that something is off and postpartum anxiety could be taking a toll. Other physical signs to look out for could include difficulty breathing, a tightness in the throat or chest, fatigue, nausea, headaches, or brain fog. Ask yourself when these feelings set in and if they’re accompanied by anything else on this list. 

6. You can’t stop overthinking.

Overthinking is also known as ruminating. Many anxiety sufferers deal with this mental habit. Do you regularly find yourself getting stuck on one thought that you just can’t let go of? For example, maybe a conversation really bothered you and you can’t stop replaying it in your head.

You could also be dealing with a baby-related issue (her stomach is upset, she isn’t sleeping through the night, or you’re having trouble with breastfeeding). Ruminating is when you go over the problem again and again in your mind. If your thoughts are repetitive, on loop, and never actually reach a solution, postpartum anxiety could be the real issue.

7. You suspect that the anxiety is going overboard.

What’s the difference between normal worry and postpartum anxiety? When you’re the main caregiver of a delicate and tiny baby, it’s only natural that some things are going to make you nervous. When your baby cries and you don’t know why, that’s upsetting. If he has an infection, it’s normal to worry.

The issue is when your level of worry is disproportionate to the trigger. Or, if the cause of your anxiety isn’t logical or likely but is having a negative effect on your wellbeing anyway, that could be a sign of a bigger issue. 

8. You’ve changed certain behaviours in an effort to avoid or control uncomfortable feelings.

Certain symptoms of anxiety (like intrusive thoughts, phobias, or worry) can actually become so serious that we start to change how we act in order to avoid the discomfort. This is not what we want to do, as it gives power to the anxiety.

This is also a sign that you’ve attributed too much meaning to your thoughts and may need help managing them. Say you often catch yourself worrying about an accident occurring by the river near your home, for example. If you start avoiding walking past the river even though it’s on the way to several areas where you need to go, that would be a sign of anxiety becoming problematic. 

How many of eight signs of postpartum anxiety do you relate to? I hope this content always helps educate and give insight into personal patterns. 

If you’re here, I want you to know that even extreme cases of PPA are treatable. If you know that you’re dealing with postpartum anxiety (or you’re just feeling anxious in general), I want you to know about my anxiety course for moms, called The Calm Mom. 

This is the program I wish I had when my kids were babies, the one that I’ve filled with tools I use in my therapy practices, and all the nervous system regulation skills that will help at any stage of motherhood. Learn more about The Calm Mom here



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No Bullsh*t Advice For Motherhood I Wish I Heard Sooner


If you’re a mother, by now you’ve heard piles upon piles of bullsh*t advice for motherhood. It’s an imperfect journey. It’s ok if you’re just surviving.

I’m talking about those unsolicited tips that usually make next to no sense and only serve to confuse or anger you. And more often than not, they just contribute to anxiety and worsen your mental health during a time that’s already hard enough

You know the advice I’m talking about. Usually it comes from some well-intentioned (but annoying) source. You never asked but they feel the need to chime in with their two cents anyways. What comes to mind right now? 

Here some bullshi*t advice for motherhood I hear all the time:

“Sleep when the baby sleeps!”

“Enjoy these moments while they last!” (Eye roll!)

“Motherhood is natural, you’ll just know what to do.” 

“Breast is best!” 

“You’re not sleep training!?” 

“Be grateful!” (Thanks for making me feel worse, right?) 

“Don’t feed your baby x,y,z.” 

“You should put your kid in daycare.”

“You should stay home with your kids until they’re older.” 

“You really shouldn’t be on those medications if you’re breastfeeding!” 

“I lost my baby weight by… You should try x.” (A hard no to weight loss advice and bounce back culture am I right!?)

“I don’t agree with your birth plan. X would be a better idea.” (As if anyone should tell you how to give birth…)

“Oh you want a baby? The best way/time to get pregnant is…” 

“Don’t take your kids to adult restaurants. Just leave them at home or go somewhere family friendly.” 

“You can’t travel with a baby or young kids.” (You totally can!) 

How many of these have you heard? Maybe you even heard several of these this week. 

When you’re a new mother, becoming a mother, or trying to conceive, you seem to get unsolicited bullsh*t advice for motherhood from everyyyyyyone! Your mom, your mother in law, your friends, your friends’ friends, you well-intentioned aunt… 

It’s exhausting. And it doesn’t help. 

Advice like this is often out of date, conflicting, doesn’t align with your values, or it’s just straight up confusing. It makes you doubt yourself, question your decisions, or it can bring on decision fatigue. And we wonder why anxiety and low self-worth in motherhood is common!? 

You know what does help?

Actual, solid no bullsh*t advice. I asked my Instagram community for some input here, and received literally hundreds of entries about what advice would have truly been helpful. Here’s what moms wish they could have heard much sooner:

No bullsh*it advice for motherhood that *actually* makes sense:

1. Unfollow social media accounts that aren’t serving you

You get to curate your experience online. So many accounts can make you feel like sh*it about your style of parenting, your body, your lifestyle, or your relationship. If it does, hit that unfollow button! 

2. Google less

Stop consulting Google for every little thing. Just trust in yourself and your ability to learn hands on. Excessive googling just feeds into anxiety and enables you to ruminate or get stuck in a OCD loop. Sure, research a little as needed, but try not to get caught into the endless loop. 

3. Get comfortable asking for help 

For some reason, our culture idolizes the “Mom who does it all.” Think about why that is and who benefits from that. Who benefits from mothers hustling at all costs without a peep? (Your boss? Your company? Your partner?)  When that becomes the standard, that puts the bulk of responsibility on women rather than addressing elements of a system that is inherently flawed. You need help. Just ask. 

4. Just do what’s right for your family

Motherhood isn’t one-size-fits-all. We’re all different and we’re all raising different human beings. Our differences are part of what makes us awesome! Consider that next time you compare yourself to whatever the next family is doing. What works for them might not work for you. Maybe the summer programs don’t matter so much to you because you spend your days hiking or hanging out at the beach together. Maybe you keep your kids’ bedtimes strict because you *know* how grumpy they’ll get otherwise. 

5. Take the medication if/when you need it

There’s a whole list of approved medications for pregnancy and for breastfeeding. Did you know that? Did you also know that if you need medication for mental health purposes, that’s ok? Sometimes the risk of not taking medication (untreated mental health issues) is greater than any risk of taking the meds. 

6. You don’t have to sleep train 

Unlike what social media and marketing will lead you to believe, it’s not the norm to sleep train, and you certainly don’t have to. Check in with your values (and get clear on what those are). If it doesn’t feel right, let it go. There are many ways to manage sleep, including your own anxiety about baby’s sleep, that don’t put pressure on your child. 

7. Go to therapy even before you really need it

Sometimes we don’t even know when we need support and it can always be a good idea to be proactive and get professional, unbiased opinion before things get to an unmanageable level. Your future self may thank you. In Canada, check out my counselling organization, The Perinatal Collective. Outside of Canada, check out Postpartum Support International for their therapist directory.

8. The internet doesn’t know your baby better than you do 

Instagram, parenting websites, blogs and Pinterest aren’t in your home and they’ve never met you or your child. You get to call the shots! You are the expert in your own family. 

9. Becoming a mom is a freaking hard transition. It’s ok if you’re just surviving 

Seriously read this one again if you must! When you become a mom, literally everything changes: your lifestyle, your routine, your identity, your body, your relationship, your sleep schedule and circadian rhythm, your nutrition (if breastfeeding), your house… everything. Why would would that be easy? Society makes a bigger deal out of physically moving house or changing careers. THIS right here, you becoming a parent, is a HUGE deal. 

10. If it feels wrong, trust your gut 

If it feels wrong to you, that’s a sign that it doesn’t align with your values. You always have the authority to do what’s best for your family and your needs. 

11. Don’t bother reading all the baby sleep books

A lot of them would be better off in the recycling. Or burnt in a campfire. 

12. Find lactation support ASAP

Gosh! How many of us read the books, prep the nursery, take the birth classes and do ALL THE THINGS only to actually have the baby and find out that breastfeeding is really hard? I recommend checking in with a lactation consultant early on because you’ll probably need her. 

13. It’s ok to cuddle, rock or nurse your baby to sleep

The “experts” or baby books may tell you otherwise but you do you. If your baby is communicating with you and needs your attention and care, do it! This piece of advice that tells you otherwise can seem so counterintuitive. 

14. Nobody knows what they’re doing even if they look like the do

Every mom has her moments of winging it, flying by the seat of her pants, or trial-and-error. (Sometimes that looks like mostly error.) The good news is that you’re trying your best. The better news is that a lot of this will make for some funny stories when they grow up. 

15. Don’t take anyone’s sh*it! You know what’s best

You don’t have to spend time in the mom group that makes you feel like shit. You can distance yourself from people who are unkind. And if someone puts you down, offers unsolicited advice, or disrespects the way you parent, you can respectfully set a boundary there.

16. Breastfeeding isn’t for everyone and that’s fine

Some people breastfeed, some don’t. It’s all ok! Maybe you’re unable to breastfeed and choose to feed your infant formula. Maybe you can breastfeed but don’t want to. Maybe you only breastfeed. Maybe a combination of the two works best. You get to make that decision and there’s no right or wrong. 

17. Stop stressing about night wakings. It’ll end eventually 

Nothing is permanent. Not even these hell nights. This too will end. Remember that. 

18. Start being more “selfish” 

You’re working so hard and you’ve made enough sacrifices already. By now, you’ve gone through birth, carried a child through your pregnancy, adjusted, learned, been physically depended on, and made plenty of tough decisions. Seriously, go out with your girlfriends, book the family vacation you want, order the takeout you’ve been craving, or skip that family event you know is going to leave you feeling drained. You’re worthy of your own consideration. 

19. Stop disappointing yourself in order to please others 

Ughhh the self-sacrificing mom narrative needs to just die already. If you’re always coming last, often disappointed or not really doing what you want to do, then something has to change. 

20. Your life isn’t supposed to look like hers 

So simple and so true. We all compare—that’s human nature. Next time you catch yourself comparing yourself to her (whoever she is), remind yourself that your life isn’t supposed to look like hers. Your life is supposed to look like yours.  

21. When your baby gets older, nobody is going to care what, how, or when they ate

Breast milk, formula, both, baby food, homemade food you blend yourself… This is honestly such a minor detail in the context of their overall life and therefore not worth the major stress you may be feeling. 

22. Refuse to enter “best baby” contests 

You know how people talk about who’s a “good baby”, “great eater” “terrible toddler”?  What’s even the point of these comments? These are so harmful and quite honestly, unnecessary. See if you can just opt out and avoid labeling yourself or your baby as good or bad. You’re all learning.

23. Your baby will sleep eventually. Try to remember that 

In the moment it can totally feel like holding a crying baby is just your life now. Don’t worry… she has to fall asleep eventually. And I know that doesn’t help get rid of the pain in that exact moment but sometimes reminding yourself of this can bring some perspective that helps you feel less hopeless. There are no 12 year olds that are still waking up needing to be bounced back to sleep. It will end.

24. Motherhood is an imperfect journey. Mistakes happen

You’re going to miss a cue every once in a while, you’re going to buy the wrong size diapers, you’re going to drop the ball on the school project. You’re going to lose your temper here and there. You’re going to completely drop the ball from time to time. Because you’re a human being, and that’s what we do. Is there anybody in your life who you love because they’re perfect? Probably not. Cut yourself the same slack.  

25. Your relationship might take a hit for a while. It’s normal even if others haven’t let on 

There’s a lot about motherhood that just puts a huge strain on your relationship. (See point #9) Feeling disconnected from your partneror like you hate their guts altogether—is such a painful experience. And it’s one that most of us keep quiet about because maybe we don’t want to admit it. But just remember: other people’s seemingly perfect relationships might not feel that way at all. You have no way of knowing what’s actually going on there and likely they also are worrying about the same things you are. 

26. People forget very quickly what it’s like to have a new baby

Your good friend may have had a baby just a few short years ago but now it seems like she doesn’t remember this sleepless, chaotic time where you’re in pain from breastfeeding and you have no idea what day it is. For some reason people just… forget. Can you let them off the hook, and focus on giving yourself the validation and compassion you need instead? 

27. You don’t have to cherish every single moment 

You’re going to hate some moments and that’s ok. It’s also ok to admit that you’re not enjoying a particular day or even an entire chapter of motherhood. You don’t have to be super into the baby years. You don’t have to pretend that sleepless nights and constant diaper changes are awesome. You don’t have to feel guilty about admitting that your two-year-old absolutely annoys the heck out of you when she throws her sixth temper tantrum of the day. Some moments just suck. Don’t take on guilt on top of that. 

Alright, that brings us to the end of my no-BS list of advice.

I am so grateful to have heard from so many moms in my Instagram community who shared their ideas of advice that truly was helpful. If you want to join the conversation and see some more ideas, scroll this Instagram post – you’ll leave with such a fresh perspective and feeling very much not alone. 





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25 Mom-Truths That No One Wants To Admin


None of you will say it, but you’re all *thinking* it…read these common feelings about motherhood that many people have a hard time admitting. 

I always strive to support women through motherhood as best as I can. I have based my entire career on educating mothers on the realities of pregnancy, postpartum and early parenthood and how those affect mental health. I create educational resources, provide mental health support, suggest wellness tools, and spread information about these chapters. 

And sometimes the best way I can support you is by just telling it as it is. Words can have a lot of power. Articulating common experiences during the perinatal phase can be so validating because it means that a) you’re seen and reassured that what you’re going through is quite common and b) someone else has put language to your reality so you don’t have to. 

One of the most bullsh*it things about motherhood is that we’re expected to accept it in all of its craziness, adjust without problems, never complain, and even enjoy it all the time. I’m sorry but those are some wildly unrealistic expectations! 

There are some (many) parts of motherhood that are just really hard and inherently difficult. I’m talking about the physical pain you endure before and after birth, the anxiety you feel during pregnancy, the stress that comes up when your baby won’t stop crying, and all the minor losses that you must grieve as you make one of the biggest transitions you will make in your entire life. 

What makes matters worse is the guilt we as mothers often feel. There’s so many things that are just freaking hard… but we’re often too scared to admit it out loud. Why? Because what if it means something about us as mothers? What if we appear not to love our kids or we seem ungrateful? What if we say how we *really* feel and others don’t get it and just make us feel worse? These are all valid concerns. But if you’re having a hard time, I still want you to know that that’s a valid way to feel. 

Below are 25 truths about motherhood that are common but fairly uncomfortable to admit out loud to friends. How many have you related to recently? 

1. I’m not excited about my pregnancy

This is so common. I mean I hear this all the time. Whether it’s your first pregnancy or a subsequent one, you may just not feel that ecstatic joy that society expects you to have. That’s ok. Maybe you’re worried about giving birth, getting a postpartum mood disorder, or you’re nervous because you don’t entirely feel ready. A lot of women find out they’re pregnant and feel shock, disappointment, frustration, fear, or anxiety. Some also experience negative emotions towards their baby. It’s so common. Not just you I promise. 

2. I’m not doing well

You’re not doing well but for some reason, when your friends ask, you’re unable to say so. Instead, you keep conversations surface level or only report the good stuff. What would happen though if you were to confide in your friends and say something along the lines of, “Hey, things are feeling overwhelming and not great at the moment. I need a bit of emotional support.” In all likelihood your mom friends would understand and even feel the same. Your friends without kids may also have the capacity to take you out for lunch and listen with non-judgmental ears. 

3. I secretly hate my partner 

This happens. Most relationships take a hit after having a baby. When you really think about it, that makes sense. So many things literally change overnight and suddenly you just don’t have the same time, capacity, and energy to connect like you used to. For moms, the balance of things can also feel so unfair. You had to be pregnant for nine months. You gave birth. You have to breastfeed. And now you are doing the bulk of the household chores, night waking, meal prep, etc. Sometimes all your partner has to do is chew too loudly and you want to kill him. I have a course that addresses this resentment and relationship imbalance. Check it out here.  

4. I’m scared of the thoughts that pop into my head sometimes

Intrusive thoughts in motherhood are so common and can be so scary. They usually focus on harm coming to you or your children. And guess what? They thrive on shame and silence. If you want to take their power away, try opening up with a friend you trust. “Ugh my brain is so weird sometimes. I always visualize these crazy pool accidents.” Since intrusive thoughts are so common, it’s more than likely that your friend has a few of her own to share. 

5. I regret having kids 

This is such a tough feeling to sit with and it can be hard to have a thought like this without feeling guilt, shame, self-criticism, fear, and then further regret. Some moms immediately love motherhood. Some don’t. If you have doubts as to whether or not you’d go back and do it all differently, you’re part of a really big group of women. Sometimes finding *your* people can make all the difference in this experience. Maybe you’re not into a traditional approach to parenthood (but society has you feeling like you should). In a case like that, finding the right friends who share your values can be a great way to make the experience more positive.

6. I’m lonely 

We need to feel heard, seen, witnessed and held. When we don’t have that, loneliness and isolation kicks in. It’s so tempting to only show the positive side of motherhood when secretly, you wish you had a close mom friend to confide in. 

7. I’m not sure if I’m any good at this

Every mom feels this way sometimes. What if you could kick off a conversation with the *right* group of mom friends and all have a good laugh together about the things that have gone wrong lately? You accidentally sent your kids to school with frozen lunches. Your friend forgot to bring her child’s bag to the camping weekend and had to improvise. These things can feel like failures in the moment but they’re relatively harmless and it can relieve a lot of stress if you laugh about yourselves together. 

8. I miss my old self

You miss spending your money and time on you. You miss your old routine and having less responsibilities to constantly take care of. You miss girls nights, your old wardrobe, solo travels and your yoga group. Sure, you wanted this life and you like your current life as well. But sometimes you just miss those days! 

9. I feel disconnected from my body 

Pregnancy, birth, breastfeeding and mom life took a toll. Things don’t look or feel the same physically. You don’t feel at home in your own body anymore and maybe body image issues are also coming up. You don’t say anything to your friends because it seems like a silly thing to complain about. Really though, it’s totally justified. 

10. I’m going through a hard time with my relationship

You may not be at the level where you hate or actively dislike your partner, but things might feel strained and just out of sync. Sex postpartum can feel weird or even scary. And with so many new things to tackle, it may have been weeks since you really had a deep conversation. This is so common for couples after a baby comes into the picture that I’m positively sure that someone in your life will understand. My course that addresses certain relationship challenges postpartum is also here so if you want to do some research on your own first, that’s up to you! 

 

11. I don’t actually know if I’m connecting with my baby

It doesn’t have to be love at first sight. Maybe nobody told you but the connection between you and your baby will grow over time. Sure, some mothers feel that love and connection instantly, but plenty don’t! If you were to get honest with your circle of friends, surely more than one person would relate. 

 

12. I haven’t felt like myself since having kids

These mom confessions aren’t just for mothers of babies or really young kids. Motherhood can quickly turn into a self-sacrificing endeavor if you don’t catch it. You used to have the cute apartment, go out dancing with friends, or host dinner parties. And you can totally get back to that! Having this conversation is the kind of thing that can prompt a girl’s night, friend trip or commitment to a new hobby. (I tried roller skating this year!) Rather than suffering in silence, bringing this feeling to light can inspire change for more than just you.  

13. I’m really worried I’m going to cause harm to my kids 

This is related to intrusive thoughts again. Most of us have an intrusive thought or two that comes up again and again. Yours might be something like fearing you’ll leave the stove on and your kid will burn herself or worrying that you’ll drown your baby in the bath. These thoughts just… happen. The good news is that they hold less power the more you admit how silly they are.

14. I just want alone time 

To go out with friends, to watch lighthearted shows on Netflix, to cook up a storm, to sleep in, to read, to do a long workout, to travel, or to do absolutely nothing. Sometimes you just want time and space for you. Sometimes you actually don’t want to be with your family. Nothing wrong with that! 

15. If I were to go back in time, I’m not sure I’d become a mom 

As a therapist, I’ve seriously heard it all. And I’ve heard this mom confession dozens and dozens of times. The funny thing about saying something—even the “worst” thing—out loud, is that that very act can minimize its impact. Say this to your friend who really gets you and you might be met with a huge sigh of relief and a “OMG me too!” Motherhood is just HARD. Maybe you both need an afternoon to vent about what’s causing the regret and a good chat about what you’d be doing instead in another life. It’s good to daydream because by looking at it rather than avoiding it, you may come up with some creative ways to invite more joy and excitement into your current life. Yeah, a chat like this could also bring up some FOMO or jealousy but isn’t that still more productive than hiding in shame and letting a thought like this eat at you? 

16. I’m jealous of women who don’t have kids 

You might see what other childless women are doing and feel that pang of envy because you wish you could do that too. Maybe they seem lighter or freer but you don’t actually know what they’re dealing with. Even though it’s normal to compare sometimes, that can intensify things like postpartum depression, anxiety and low self-worth. A lot of weight can also be lifted by just confiding in a friend. “You know, sometimes I envy women without kids.” Boom weight lifted! If you’re thinking this a lot, maybe it’s time to give back to yourself. My self-care challenge is a way to do that. Plus, it’s free. 

17. My partner doesn’t get it 

A lot of women end up feeling that their partners take them for granted or don’t recognize all that they do in order to keep the family going. Resentment stems from unmet needs. Do you know which of your needs aren’t being tended to? Full disclosure: most of your friends’ partners don’t get it either. The longer you all keep quiet about it, the longer it’ll take for them to become aware. 

18. I’m running on fumes

What if you were to just say it like it is next time your friends ask? “I’m running on fumes. Motherhood is burning me out. I’m tired and I need more support.” Sometimes it’s wise to get professional support before you really feel like you need it so that you don’t reach a breaking point. 

 

19. Sometimes I don’t know if I like my kid and that makes me feel guilty

One really weird thing about motherhood that most people absolutely don’t talk about is that you don’t get to pick your kids. You can raise them as best as you can, you can lead by example, and you can illustrate your values. But you don’t get to choose their personalities and for some moms, there can be clashes that are hard to sit with. There’s only so much you can control or influence and if you’re having a hard time letting go of that, you’re definitely not alone. 

20. I miss the social life I had before kids 

We know you love your kids. We know you love many elements of your life right now. You can also miss spontaneous evenings out, restaurants or summer travel on *your* itinerary. Both can be true at the same time. 

21. Motherhood is the hardest thing I’ve ever done

From growing a literal child and carrying it around for nine months to figuring out how to actually *raise* her all while keeping a career going, and tending to yourself and your relationship… those are all hard things to do on their own. Now to do them all at once while being expected to go with the flow when days get turned on their head for no reason? Seriously. So. Hard. If you don’t want to admit this to anyone in your life, I’m here to validate that. 

22. My expectation of motherhood was different than the reality 

Society focuses on things like “pregnancy glow” and “the mom who does it all.” There’s the annoying pressure to “bounce back” right after giving birth or be the pinterest-perfect mom. There are also people who only show/talk about the things in their life that are going well. So yeah, all of this creates an unrealistic expectation which you don’t have to keep comparing yourself to.

23. I feel like “just a mom” now 

We all need to feel seen and witnessed, for all parts of ourselves, not just our role as a mom. You’re a multi-faceted human being with distinct traits, strengths and interests. We need to be witnessed so that those who are close to us can celebrate who we are and what we’ve become. You might not say it to your friends but when you feel like “just a mom,” it’s as if certain parts of youyour spontaneity, your intelligence, your creativity, your sexuality—aren’t important anymore. Which just isn’t true.  

24. I cut corners when I feel like I’m just over it

We all do this. What’s with the pressure to do everything perfect all the time? Sometimes all you have time or bandwidth for is boxed mac and cheese, letting your kids watch tv all morning, or not enforcing bedtime because you don’t feel like dealing with the complaints. So what? Can you let some of the perfectionism go? 

 

25. I hate being pregnant 

Not everyone enjoys pregnancy. If your friends and family did, good for them. But really there can be so much physical discomfort, pain, uncertainty, and anxiety that can come up during this time. If you’re not loving it, there’s no reason to feel ashamed or guilty. Just because you’re grateful to be pregnant doesn’t mean you have to enjoy physically carrying a child. Those are separate things. 

Motherhood can just bring on such a mixed bag of emotions. Some conflict with one another but pop up anyway. Certain ones can be easy to move past whereas others can just feel horrible enough to sit with let alone admit out loud. Even though you might feel ashamed of your confessions that you’d fess up to if you could, there’s nothing wrong with identifying with any of these. No phase is perfect and it’s okay to admit to what you don’t love about this one. 



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Why Pregnancy Is The Perfect Storm For Anxiety


Pregnancy can take a toll on your mental health. You feel unbelievably anxious about what lies ahead. Birth? Might seem terrifying. You have no idea how you’ll do when that moment comes. Becoming a mom? You *know* you can do it, but being in charge of a vulnerable new baby makes you nervous. Plus there’s all the unknowns: the health of the baby, the ways your life will change, if your birth plan will go as desired, how your relationship will change, and how the remaining stages of your pregnancy will go. 

For a time that’s often portrayed as “exciting,” this has been feeling intensely stressful, right? You thought pregnancy was shrieking in excitement once receiving a positive test, a healthy glow, cute maternity clothes and decorating the baby’s room. Instead it’s anxiety, “what if” thinking, intrusive thoughts, and physical discomfort. Those are all really hard to deal with. 

Whether you’re not excited about being pregnant, you’re dreading some of what lies ahead, or you’re dealing with strong waves of anxiety that you never saw coming, your mental health might need a bit more care during this time. In this post, my goal is to help you understand why anxious thoughts are so common during these months. 

What causes anxiety during pregnancy?

If you’re someone who struggles with (or is prone to) anxiety, pregnancy can be the perfect storm to trigger that. You’re not the only one! Here are some of the main reasons why things might be feeling less than calm right now. 

Anxiety lives in the future. Pregnancy is a temporary state that largely focuses on what’s ahead.

If you’re reading the resources, following the mental health accounts online, and/or going to therapy, this might sound familiar. Anxiety lives in the future. So what does that mean exactly? 

Speaking specifically about anxiety, it means that the things that are taking away from your mental wellbeing are thoughts focused on what’s to come. This can look like what if scenarios (“What if the baby isn’t healthy?” “What if I have a traumatic birth?”), worrying about things that haven’t happened yet (“Am I going to be a good enough mom?”) or feeling anxious about the future in general (“I can’t rest until I’m sure this child will have a happy, healthy life!). 

Pregnancy can really trigger this because it’s a very temporary, short-term state that largely focuses on the future. Think about it. You’re not going to be pregnant forever, it’s literally a transition time. When you find out that you’re pregnant, you have nine months to prepare. Suddenly, the focus shifts from the present moment to what lies in the near future: giving birth, learning how to become a parent, raising a child. In many ways, that nine months is a kind of limbo or waiting period. That’s anxiety inducing! Your mindset becomes largely focused on before or after the due date. That’s a very different feeling from just living your days as they come where the shifts and life changes occur more gradually.   

Perinatal anxiety starts during this phase.

When we talk about “perinatal” anything (i.e. perinatal mental health, the perinatal period, perinatal anxiety), we are talking about the time from pregnancy up until one year postpartum. This is such a critical time for women—particularly for mental health—as so much changes. The perinatal stage is just difficult for so many women. If you find that you’re anxious, unsettled, on-edge and just not feeling like yourself these days, but you’re unable to really articulate what’s bothering you, this is something to keep in mind. 

Perinatal anxiety is the uptick of anxiety symptoms (like panic attacks, an uneasy stomach, feeling like you can’t calm down or self-regulate, feeling reactive, or obsessing over minor things) that happens during this time period in someone’s life. It’s exactly like general anxiety with the only difference being its onset and that it’s triggered by this specific stage. 

Past experiences of loss or miscarriage can come up. 

If you’re pregnant after having experienced miscarriage or infant loss, your emotions might be running high right now. And they may include many feelings that are not positive. For a lot of women, excitement or happiness get majorly overshadowed by anxiety, fear, anger, resentment, sadness as you relive or continue processing what happened, or sometimes jealousy of those who haven’t experienced what you have. 

A lot of women who have loss or miscarriage in their history just feel like they can’t be happy or excited yet because they’re scared about what could go wrong. Things like check-ups, medical care appointments, planning for the baby, sharing the pregnancy news, creating a birth plan, or choosing a baby name can bring on a lot of anxiety for this group. 

So much about the baby remains unknown. 

When you’re pregnant, suddenly so many unknowns are introduced to your life. The unknowns about your baby can be particularly upsetting. That makes so much sense when you think about it. There are the immediate concerns like how your pregnancy will go and how your baby is doing as she develops. Then there are the fears around birth and the early days for both of you. It can also feel pretty strange to not yet know anything about this person who you’re about to be tied to for the rest of your life. Their personality, needs, strengths, interests, and difficulties are all going to take a significant amount of your thoughts and energy and yet all of these things remain question marks as you just wait for them to arrive. That can feel… unsettling and pretty weird. You’re not alone there!  

Physical changes and thinking about birth can impact your mental state. 

Mind and body are connected. We hear that all the time, right? But usually, we hear that in the context of why working out and eating a balanced diet improves mood. Being pregnant and experiencing physical changes (rapidly!) is another physical element that can have an impact on your mental health. Our bodies are our homes so if you’re feeling tired, lethargic, uncomfortable in your usual sleeping positions, or disconnected from your appetite which is now raging allll the time, that has an effect on you! Plus, let’s just acknowledge that body image issues are not just for teenagers or young adults. Past body image issues may be triggered as you continue to change… or new ones might emerge. So much is changing so fast and it can be hard to not recognize your own body.

As your baby continues to develop (and you both grow), birth might start to be on your mind a lot more too. Thinking about labour and how giving birth is going to go can feel… really scary. This is one of those things where the anticipation and thinking about it can make everything feel so much harder. No wonder anxiety seems to be at a high!  

Various appointments can trigger medical anxiety.

If you’re someone who suffers from medical or health anxiety, being pregnant can bring on so many triggers. There are way more appointments, check-ins with healthcare providers, tests, and changes to your body to pay attention to. Plus, you may find yourself being hyper aware of things like food safety, not being around those who are sick, and protecting yourself. Many women find this all to be so stressful. And when you go in for your scheduled checks, if certain appointments don’t go as planned, you might find yourself constantly searching for more information or waiting until the next appointment to get reassurance and peace of mind. 

There are also so many medical checks that you won’t be familiar with if this is your first pregnancy (like ultrasounds, and blood tests). It can be a steep learning curve and if physical checks and trusting others with your body makes you queasy, that can be so hard to adjust to. 

Starting a whole new life can feel really scary. 

Hey, it’s human nature to worry a little bit when things feel new and unfamiliar. Remember all of those first days of school? Remember starting a new job and wondering how you’d perform? What about moving to a new place? Starting a new chapter is HARD! I mean, that’s why most of us have established comfort zones that we like to stay in, right?

This chapter is now different. It’s perfectly acceptable for pregnancy to bring on crazy anxiety as you brace yourself for what’s right around the corner. This can sound like, “Omg! I didn’t think I’d get pregnant right away. This is happening too fast!” Or, “How am I actually going to raise a child?! I have no idea what I’m doing!” Or even, “There’s no way I’m going to be a mom in a mere three months. I need more time to prepare!” 

So much is out of your control as you wait in limbo. 

There’s that saying, “You think you have control, but all you really have is anxiety.” That might make you laugh because really, it’s true. So much anxiety stems from wanting to gain control over the uncontrollable. Perfectionists, type A people, over workers, those who plan everything to a tee, and people with high standards might relate to this. If you’re always trying to gain control over every single situation and make things go just your way and exactly as planned, pregnancy can be a huge challenge. 

In other scenarios, you might gain “control” over your anxiety by overworking yourself to get ahead or being overly organized to prevent a mishap. During pregnancy though, you’re kind of stuck in limbo. You can’t start practicing breastfeeding now, you can’t do a trial run of your first weeks postpartum, and your five-year plan (if you’re that person) is probably in danger because life’s about to get really unpredictable. This together can all feel like a serious trial. 

If you’re pregnant and your anxiety is getting the best of you, it’s helpful to know that that’s a surprisingly common experience. Hopefully this post has helped you understand why anxiety can really pick up during this phase of your life. If there’s one thing I want you to take with you though is that just because anxiety is present right now doesn’t mean that you automatically have to tolerate it as it’s showing up. You don’t have to spend nine months worrying or feeling uneasy. This is temporary and it will pass. 

Are you currently pregnant and feeling overwhelmed with anxiety? I’ve created a free workshop and workbook for moms about anxiety, what it looks like, how it feels, and how to best manage it so it stops robbing you of your joy during this phase of your life. It’s totally free! Check it out here



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Can Breastfeeding Cause Anxiety? | Kate Borsato


Breastfeeding can be such a loaded topic, right? For something that’s supposed to be natural and just part of daily life as a mother of a baby, it can definitely cause a lot of stress! 

Not only are there some really damaging and annoying societal conversations (people who say “breast is best” or shame parents for using formula…), but breastfeeding can also cause anxiety. 

*And* to add more difficulty to the mix, it’s not actually physically straightforward for a lot of women. A lot of new moms have a hard time learning how to nurse their baby, have latch problems, issues with pain, etc. So if you’re experiencing anxiety while breastfeeding or the logistics around feeding your baby are stressing you out, you’re in the right place. 

This isn’t easy. In my practice, I see a lot of women who are anxious about breastfeeding their baby or are experiencing high levels of shame because it’s not going well. Seriously, this problem is way more common than you think. There’s nothing—I repeat nothing—wrong with you. Promise. 

The below list is intended to explain why breastfeeding can cause anxiety so that you can feel informed, validated… and normal. 

Supply. 

You would think that milk supply wouldn’t be an issue. We usually think that breastfeeding is supposed to be this natural thing where your body instinctively knows what your little baby needs, right? But even though it’s a natural function, it doesn’t always go smoothly. A lot of women have an undersupply or an oversupply of breastmilk. That first one can be especially stressful. You might notice yourself worrying about whether you’re going to produce enough milk and stressing about what to do if you don’t. And that brings me to my next point… 

Societal pressure. 

The societal pressures never stop. Especially for women. Before you have kids, you’re expected to check a bunch of—quite frankly—stupid boxes. Be thin, be pretty, be “successful” (but not too successful), find an ideal partner, etc. It shouldn’t be a surprise then that there are tons of ridiculous expectations put on women during early motherhood. Many revolve around breastfeeding which can certainly bring out anxiety. Here are some of the most common pieces of bullsh*it advice that you’re totally allowed to just block out and ignore: 

  • “Breast is best! You should only feed your baby breastmilk and never formula.” 
  • “You should breastfeed your baby until they are X age. Not a second earlier and not after that either!” 
  • “You shouldn’t breastfeed in public.”
  • “Don’t ever drink alcohol while breastfeeding.”
  • “Formula is bad and you shouldn’t give it to your baby.” 

Yeah. No to all of this. You know what’s best for you and your baby. You get to decide how you’ll feed him/her. 

Pain. 

Ugh. Yet another way that women experience physical pain right? Periods, pregnancy, birth, birth recovery… and now this too?! Breastfeeding doesn’t always hurt but it often does. Some women experience latch difficulties, cracked nipples, or their baby is too rough. That can bring on anxiety because feeding time physically hurts! If this is describing your experience, know that there are many lactation consultants that can help—either with education online, a class or an in-person consultation. 

Perfectionism.

Perfectionism has a way of ruining everything! This is a sneaky one because most perfectionists are already dealing with high-functioning anxiety. If this is one of your tendencies, you might think you’re doing yourself all kinds of favours, but you’re not. All you’re doing is creating unrealistic expectations for yourself… which leads you to feeling angry when you fall short. (And cue the depression that follows!) 

If you have these types of tendencies, this is how your perfectionism might show up when it comes to breastfeeding: 

  • “I have an undersupply. I’m a failure.”
  • “I’m just not getting the hang of this! Isn’t this supposed to come naturally?”
  • “I’m probably doing this wrong.”
  • “Am I eating all the right things to ensure that my milk is perfect?” 
  • “My breasts have changed and I’m not sure if I like how they look.” 

Body image anxiety. 

Why do body image issues have the reputation of being exclusively a teenage issue? As women at any age, it’s so hard to ignore beauty standards or not compare ourselves to others. Anxiety is what drives these kinds of issues because you’re worrying about being perceived as good enough and you’re using mental energy to think about potential steps you plan to take to change yourself. With pregnancy, birth, and breastfeeding, a lot changes! That can be really triggering for a lot of women. This might sound like:

  • “How am I going to get my body back?” 
  • “Every time I breastfeed, I’m faced to look at a part of my body that has changed so much.”
  • “Worrying about what I can and can’t eat to ensure safe/healthy milk is reminding me of restrictive diets/disordered eating issues from my past.”

Feeling touched out. 

Anxiety can be triggered when both emotional and physical needs aren’t met. That includes physical, personal space and control over your own body. The very nature of breastfeeding can feel like it violates both of those things. If you’re feeling anxious because your baby always needs your body, that’s a fairly common reaction. (Even if others aren’t always talking about it.) Sometimes you just feel touched out! 

Baby health anxiety. 

A lot of women struggle with health anxiety as their child’s health is practically in their hands. As kids grow up, health anxiety manifests as worrying about them getting a bad diagnosis, contracting a bug, or getting really sick. This can start as early as the first days after they’re born. If breastfeeding is causing anxiety or you have anxiety while you’re breastfeeding, it could be because you’re worried about passing something to your baby, triggering an allergy because of something in your milk, or feeling overly cautious about the glass of wine you had with dinner and worrying if it’s out of your system. So yeah, if you’re feeling anxious during feeding times, there’s a good reason for that! 

Breastfeeding is one of the many, many things during motherhood that can trigger anxiety. If this topic hits close to home, don’t feel ashamed or as though something is “wrong” with you. While underrated—and under discussed—breastfeeding can be challenging in many ways.

If breastfeeding has been a struggle for you, reach out and get support! I lead a team of perinatal therapists in Canada at The Perinatal Collective. Even just a few sessions with a therapist can dramatically improve your experience in motherhood. And for some DIY mental health care, check out my anxiety guide for moms. This tool is a great starting point to get clear on where anxiety comes from and the impact it can have. 



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Insomnia In Motherhood: Why It Happens And What To Do


These days, it’s like you dread night time because you lie there awake and feel exhausted, alone and drained.

If you’re here researching insomnia in motherhood it’s probably because sleep has been a struggle. Let me guess: you can’t sleep no matter how tired you are and you lie awake night after night unable to just shut off your brain. You’re exhausted throughout the day and when you do get to sleep, you wake up with your family and you don’t feel fully rested. You look forward to getting some sleep but when the time comes, it feels impossible. If this has been going on for a while, you may have noticed that your insomnia is having an impact on you both physically and mentally. 

Before, you used to be able to just close your eyes and before you’d know it, the next day would arrive. Now, it’s like you dread night time. You lie there awake and feel exhausted, alone and drained. 

It’s strange how in early motherhood, there’s so much focus given to your baby’s sleep… but there isn’t much attention given to yours. Insomnia in motherhood is really common though! Many women start having this experience during pregnancy and for some, it can even continue two years postpartum. And, it can have a serious impact on mental health. 

If sleep has completely gone out the window since becoming a parent, you’re in the right place. Here, I’m outlining what’s going on and how you can start to fix it. 

Why insomnia and anxiety are linked

When it comes to anxiety, people can sometimes overlook insomnia as a symptom. We might first think of things like a jittery sensation, butterflies in the tummy, feeling nervous without really knowing why or feeling sick to the stomach. But insomnia and anxiety are strongly connected. If you experience anxiety, you might have issues with ruminating, stressing over minor things, obsessing over intrusive thoughts, or needing to feel in control of certain areas of your life. These are the types of thought patterns that keep you up well into the wee hours of the morning. This connection makes sense, right? You cannot be in a relaxed state and an anxious state at the same time. Hence why you just cannot seem to doze off. You’re stressed!

Insomnia in motherhood: Why now 

Insomnia is linked to anxiety regardless of what phase of life you’re in. But some of you may be wondering why it’s really picking up since you’ve become a mom. Why is it that since having children, sleep has become such an issue? Here’s a quick breakdown of six possible explanations: 

1. Physical health changes.

Think about the things happening right now that make it physically hard to fall asleep. Pain after birth, breastfeeding, handling hormonal changes, a dysregulated circadian rhythm and increased nighttime urination are all factors that are common in new motherhood and can impact how you sleep at night. 

2. Increased stress. 

Um hello, motherhood is super stressful! A stressed mom is going to be one who can’t seem to rest easily and get a proper night’s sleep. Think about all that’s on your plate now and how you’ve historically coped with stress. You’re literally keeping an infant alive and that baby has so many needs that you have to meet! That’s no small feat. You may also be experiencing relationship distress. In a two-parent family, there are factors that naturally bring one parent into the primary caregiver role. This can feel overwhelming and create disconnection or resentment. 

3. Mental health distress.

Past mental health issues have a tendency to resurface during this time. Do you have a history of depression or anxiety? Chances are that that can be triggered. It’s also important to understand that insomnia is a state of hyper-arousal. Pregnant and postpartum mothers experience more cognitive hyperarousal than women in the general population. This looks like repetitive thought patterns or ruminating which prevents you from sleeping.

4. Behavioural changes. 

Take a look at how your life has changed lately. (I mean allllll the ways!) One logistical thing that’s different now is that you have to care for a baby during the night. She cries, wakes up, needs feeding, etc. That means that you’re regularly getting up during the night and not sleeping as you normally would. This itself isn’t insomnia but it could trigger circadian dysregulation which in turn can cause insomnia. 

5. Lifestyle factors. 

Sugar, alcohol, coffee and lack of movement all contribute to poor sleep quality of insomnia. During early motherhood all of these things can come together to play a role in a sleepless and exhausted period. Think about how the stress of parenting might make you reach for a glass of wine or sugary snack a little more frequently than you may have done before. And I’m willing to guess that nursing a baby or caring for multiple young kids has you totally out of sync with your yoga or running routine. This all plays a role in your sleep. 

6. Individual factors.

There are a bunch of things about you as a unique individual that can lead to sleep problems. For example, perfectionism, being highly sensitive, or being reactive to stress are all elements that could make it more likely for a person to have issues with insomnia. Insomnia, anxiety, stress, and adjusting to motherhood isn’t one-size-fits-all. Your personality, needs and way of dealing with stressors all weigh in. 

Falling asleep: How to actually make that happen

Ok so you now might have a better idea of what’s causing your insomnia and why it’s happening right now in this stage of your life. But I get you: you’re exhausted and you need solutions. What are some tangible things that you can actually do about the insomnia you’re experiencing lately? How do you solve it and get the rest you need in order to be the parent you want to be? 

1. Assess potential lifestyle changes. 

To the point about lifestyle and how it can affect sleep, assessing habits or your routine is a good starting point. Does anything need to change? And if so, what and how are you realistically going to do that? Keep in mind that a lot of general sleep advice won’t necessarily work for a new mother. It’s probably not feasible to get to a gym every day but could you put your baby in the stroller and commit to morning walks together? 

2. Share the load with your partner.

A lot of what keeps us awake is knowing that our baby will probably wake up pretty soon and anticipating that keeps us from drifting off. If this is the case, it could be time to take a look at what you’re doing during the night versus what your partner is doing. If you’re doing the bulk as they sleep easily, maybe it’s time to have a conversation about divvying up the tasks more evenly. (And to learn how to do that, check out my mini course here!) For example, maybe you pump and on certain nights, they take care of feeding. Or, they could take on morning tasks like making breakfast and lunches for the other kids while you get an hour or two of sleep. 

3. Address unhelpful thoughts. 

Sometimes we are unable to sleep because the thoughts swirling around in our minds are causing stress which further prevents us from relaxing. Thoughts (whether they be positive or negative) create a reaction and emotion. So negative thoughts or beliefs about sleep can cause you to feel anxious, upset, frustrated, or irritated. That’s not exactly conducive to feeling rested is it? If you notice that this is what’s going on as you see 1:00 a.m., 2:00 a.m., and 3:00 a.m., try managing this by switching out negative thinking with something neutral or positive. Here are some examples: 

Instead of…

“I’m going to be exhausted tomorrow.” 

“I’ll never fall asleep. It’s not going to happen!” 

“I hate how sleep has been going lately.” 

“Even if I fall asleep now, I’ll only get a few hours of sleep. I should cancel tomorrow’s plans.” 

Try these…

“At least I’m resting. That’s still helpful.”

“I may not be at my best tomorrow but it won’t be the end of the world.”

“This is temporary. Many people go through this too.”

“I’ll be a little tired but I’ll get through my day.” 

Sleep problems and insomnia can be tough to deal with especially in the first weeks after welcoming a new baby into the family. Yes, continuing to struggle with insomnia can have a negative impact on your mental health and lead to things like depression or postpartum anxiety. But insomnia is curable just like anything related to mental health.

You might feel tired now or notice yourself dreading another sleepless night, but just know that this isn’t permanent. With proper research, support and changes, you can definitely try the wide range of tactics out there to get back to a place where you feel more calm and rested. 



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