Monthly Archives: May 2009

11th Annual Welcome Back Awards honor PMD Expert Diana Lynn Barnes

Lilly established the Welcome Back Awards in 1998 to fight the stigma associated with depression and to promote the understanding that depression is treatable. Each year, an independent panel of national mental health leaders recognizes five individuals for their outstanding achievements, and Lilly awards donations ranging between $10,000 and $15,000 to the not-for-profit organization of each winner’s choice.You can read more by clicking here.

Lifetime Achievement: Diana Lynn Barnes, Psy.D., Tarzana, Calif.

Diana Lynn Barnes, Psy.D., is an internationally recognized expert on the assessment and treatment of perinatal mood disorders who has used her own three-year struggle with postpartum depression to help educate others through media interviews, speaking engagements and as an author. In addition to her private practice, she is a nationally known forensic expert in women’s reproductive mental health and works with defense counsels in cases of infanticide, pregnancy denial and neonaticide. She is a past president of Postpartum Support International and continues to work with the group to raise awareness of postpartum depression. In 2007, she wrote her first book “The Journey to Parenthood: Myths, Reality and What Really Matters.” Additionally, Dr. Barnes has been involved with the Henry Mayo Newhall Memorial Hospital in Valencia, Calif. for the past two years to implement a comprehensive pregnancy and postpartum screening program.

Assistant Scientist at Kinsey Institute receives NIMH grant to study PPD

Heather Rupp, an Assistant Scientist with The Kinsey Institute for Research in Sex, Gender and Reproduction, has received a grant from NIMH (National Institute of Mental Health) for a study focusing on the mechanisms of Postpartum Depression.

Great, you say. But what exactly will she be studying?

“My colleagues and I will be investigating whether oxytocin, a hormone that reduces the physiological stress response and promotes social bonding, buffers new mothers against depression through its influences on their neural responsiveness to stress, and whether this process is disrupted in some way in women suffering from postpartum depression.”

Well that answers that. How will they be examining if this process is disrupted?

Using fMRI technology, Rupp and her colleagues will compare brain activity in the three groups in response to a series of images. Some of the women will also receive an oxytocin nasal spray.

Now for the who.

The study will involve three groups of women — new mothers who are not depressed, new mothers with PPD, and women who have never given birth.

Why bother examining all of this? What’s the hypothesis?

The prefrontal-limbic system is a part of the brain that may be involved in maternal behavior. New mothers generally show changes in the responsiveness of the prefrontal-limbic system to infants in ways that differ from women who have not just given birth. New mothers may also show less sensitivity to stress. Additionally, women who suffer depression outside of the postpartum period show heightened responsiveness of the prefrontal-limbic system in response to stress, suggesting an overlap in circuits critical to maternal behavior and those altered by depression. It is unknown whether changes in this prefrontal limbic system are related to postpartum depression (PPD).

The mechanism for altered neural responsiveness in the postpartum period may involve oxytocin, which also occurs at higher levels in new mothers. It is hypothesized that this makes the new mother less affected, generally, by negative stressors from the outside world, but more responsive to her infant.

But wouldn’t the oxytocin levels be different when comparing breastfeeding vs. bottle feeding moms? Will that relationship dynamic be examined during this study?

I had this very question when I first read the study and immediately emailed Heather to ask if this would be included. Her response?

It is a great question- you would expect differences in oxytocin, neural responsiveness to stress, and prevalence of depression in breast versus bottle feeding women.

Initially this comparison was part of the study design. This turned out to be just too complicated for one study, however.

Comparing so many groups of women would be beyond the scope of the funding we received. So we cut out the bottle-feeding women in this initial study. Based on what we learn from the upcoming study, we hope to then follow-up with questions such as bottle versus breast feeding moms.

Any of the above information in quotes (with exception of the breastfeeding comment which was via email with Heather Rupp) was taken directly from a press release from Indiana University which can be accessed by clicking here.

Sharing the Journey with Diane Ashton

Diane Ashton is the PSI Co-Coordinator for the state of Hawaii. Sasha Williams serves as the other Coordinator for the state of Hawaii. Diane is awesome. I’ve really gotten to know her via email and facebook (we’re both on Facebook WAY more than we should be). Diane is funny, honest, and a wonderful woman. I am thrilled she agreed to a very last minute interview (sorry diane! but thanks!) To learn more about the support Diane offers in Hawaii, visit her website, PPD Support Hawaii. Now here’s Diane’s story in her own words.

Tell us about Diane. Who is she when she’s not providing support to women with PPD?

Hi Lauren!  It’s kind of funny how self-identified with postpartum issues a person can become!  I know I’m singing to the choir here to say that PPD advocates are a passionate bunch!  Along with my obsession, avocation, I am the mom to two older children–they’re 15 & 20 now, although I have no idea how they grew up so fast.  You know how that is.  And all my cherished skills I learned from and with the two of them. We grew up together, in many ways. We’re all a bunch of computer nuts, and are sitting in a 10 x 10 room on our own computers right this minute.  It’s more fun than housework.


You’ve experienced PPD and describe it at the PSI website as a mystery/horror movie. Share with us your journey through this strange place.

It’s been over 14 years, so I tend to be a bit removed from the experience now.  Maybe that’s encouraging to moms going through it now–knowing that eventually PPD won’t feel like something you live and breathe every. single. day.  Why I described it as a mystery/horror movie was that, even though I’d probably been depressed in the past, I’d never been to the depths like I was with PPD.  I’d also never been so sleep deprived.  It was a sleep deprivation due to depression, not because my kids weren’t sleeping through the night.  They were.  I was too anxious to sleep; it was that kind of anxious/depression.  And that was part of why it made it so hard to figure out what was going on with me.  I didn’t feel “depressed”.  I felt, like so many other moms have described, like I was “going crazy”.  It was a mystery to me what was wrong.  With all that came intrusive thoughts that were very gory.  And they weren’t thoughts so much as very vivid images.  They scared me and made me think someone would take my kids away from me, and me away from society forever–pretty much a horror.

What made you realize your moods after giving birth were not quite right? How were you treated when you sought help?

I…actually, …I waited until my daughter was around eight months old before I started sliding into that PPD pit.  It was partly due to her big brother going off to kindergarten with all his little friends we’d seen every week for …4+ years.  But kindergarten is somehow a big shift anyway, and can put moms off-balance for a bit.  Or maybe it’s just us moms who’ve been on the PPD ride are more sensitive to changes.  Anyway, by mid-October (6, 7 weeks into kindergarten) I was losing it.  But no way was I admitting to it.  Although I tried to look stuff up (1994–not much of an internet to surf then) I couldn’t find anything that described what I was experiencing.

Finally my husband took me for “a Sunday drive” to the ER, where they kept and observed me for a while.  I stayed at the hospital for a bit and, well, my peers there were very interesting.  The main thing was though that I finally got on a medication (Zoloft) and it started working.  I began to feel a lot like myself again within a couple of weeks.


How did your family help you during this difficult time?

They were great.  My in-laws had dd while I was in the hospital.  Dh had ds at home, and took him to school each day.  Afterwards, I stayed with my in-laws for more support and to get up to some kind of speed again.  There were other times they stepped in in BIG ways over the next year too–I don’t know what we would have done without them.


Name three things that made you laugh today.

  • A video the kids pointed me to, on youtube had us all cracking up.  A bit on the potty humor side, but we laughed.
  • Talking with a couple of my girlfriends about calling, texting, to American Idol–like we’re a bunch of tweenagers–how many phones each person uses to vote.
  • Swapping stories with my fellow former classmates tonight at dinner.
What do you find the most challenging about parenting? The least?

Still occasionally wondering if we bonded well, if I messed the kids up for life, etc.  But I imagine other moms who didn’t go through PPD wonder this as well.  Also challenging… the age of 13.  EEYuh…challenging.  The least challenging–the easiest–is loving my beautiful, vibrant kids every day!


As fellow PSI Coordinators, we’ve had the concept of self-care proven to us time and again. What do YOU do for yourself that is not a need and soothes your soul?

The beach soothes me.  Body boarding especially, but just getting in the ocean water balances me in emotional and visceral ways.

You work with women struggling with PPD all the time. Tell us a bit about what made you decide to turn your experience into advocacy and support. How empowering is it to do what you do?

It is partly because I didn’t get the name for the exciting journey I had until five or so years later–Oprah had Marie Osmond on, talking about her book about some illness called “postpartum depression”.  I sat there pointing at the TV again and again. “That was ME! That was ME!!”  I finally had a name for it.  I Googled and found online information and bulletin boards where I then made myself at home.  It was because I could find nothing here to help with PPD, and with my experience on the boards that I decided to become an Area Coordinator with Postpartum Support International.  Might as well make some lemonade from the PPD lemons.

How empowering is doing what I do?  What I’ve done for 5 years now is telephone support, email support, a weekly support group, and some speaking.  –the support calls, email and the group empower the parents and are validating for both of us.  Speaking to groups still feels empowering; our recovered moms/volunteers get a chance to speak at various events. I remember my first time too–it was empowering.  People, providers, wanted to know what it is like, what could be done, how would you know.  And they listened.  There’s a threshold you cross when you speak publicly about your experience.  What a great question Lauren.  I have to tell my therapist how much it meant to me that she asked me to speak a number of times. It allowed me to step out of my shame and into myself.


Now that your children are older, have you spoken with them about your experience? If so, how did they handle the information? How do they feel about your current work with women?

They are around when I’ve been on phone calls with moms or providers, so they do hear my end of conversations occasionally.  It’s just a part of our lives.  I weave information in to our conversations when opportunities arrive, much like I have with sex education.  Dd just had one of those “pretend baby” exercises where she had to care for a hard-boiled egg for 2 weeks as if it were her baby.  Of course I wove in some PPD talk!


Last but not least, let’s say you have an opportunity to speak with an expectant mother (new or experienced) about Postpartum Mood Disorders. What would your advice be?

It would really depend on the situation.  I used to be tempted to pass out information to every new parent I saw, just so they could avoid the journey I endured.  Barring accosting new parents in the grocery aisles, what I would say though is that you’re not alone if you have a PMD, they are very treatable, they are not your fault and that honestly, I found a gift in my experience, eventually.  Maybe it was my biggest experience of “whatever doesn’t kill you outright makes you stronger.”  And in the case of PPD, as many mothers say, it loosens your judgments, revealing compassion.

Aloha!

Sen. Menendez holds Press Conference at Valley Hospital

This past Monday, Senator Menendez held a press conference at Valley Hospital to speak about the MOTHER’S Act. Susan Stone, Sylvia Lasalandra, and Mary Jo Codey were all in attendance.

Emphasized was the fact that the MOTHER’S Act does NOT mandate screening. According to the Susan Stone’s blog post announcing the press conference, Dr. Fred Rezvani, Chair of the Department of Obstetrics and Gynecology at Valley Hospital in Ridgewood NJ, emphasized the need to include all forms of treatment for new mothers suffering from these disorders including nutrition, massage and acupuncture and other complementary therapies, to home services, social support and psychological counseling.

Senator Menendez was presented with a petition of national organizations and individual constituents representing millions of Americans who understand the need for this legislation can no longer be ignored. With the bipartisan support that currently exists for the legislation, its likelihood of passage among the priority of healthcare reform seems likely, but the advocacy efforts must continue! The entire audience expressed their thanks to Senator Menendez for his determined advocacy on behalf of America’s mothers.

~Susan Stone~

You can read more about the press conference by clicking here.

Adrienne Einarson responds to Vogue’s “Pregnant Pause”

On April 29, I posted a piece entitled Thoughts on exploring a “Pregnant PauseFocused on an article appearing in this month’s Vogue magazine, I methodically refuted and balanced the article’s bias against medicating with anti-depressants during pregnancy.

Yesterday morning I woke up to find an email notification regarding a new comment on the piece. The author? None other than Adrienne Einarson, one of the most dedicated researchers in the field of SSRI usage during the prenatal period. Adrienne currently serves as Coordinator for the International Reproductive Psychiatry group at Motherisk in Toronto. She has published several studies in her areas of interest which include psychiatry, nausea and vomiting of pregnancy, and alternative medicine. Her RN specialities include psychiatry and midwifery.

Adrienne’s comment deserves its own post. Her voice deserves to be heard. She states up front that she does not often comment or blog but that the bias of the Vogue article upset her so greatly she felt the need to speak out. This letter has been sent to Vogue but has not received any response as of yet. (I have also submitted my piece directly to Vogue but also have not received a response.) She has granted permission for me to share her letter directly with you.

“I do this because I care about women who have to go through this and if my research can help, I will continue doing it.” ~Adrienne Einarson~

Without further ado, I give you Adrienne Einarson’s response to Vogue’s “Pregnant Pause”:

I am writing to you on behalf of an international group of individuals who are involved with reproductive mental health, as either clinicians, researchers and in some cases both. We would like to voice our concerns regarding your recent piece entitled “Pregnant Pause,” which we felt, did not achieve a balanced perspective on this issue, which was surprising to us, coming as it did from such a highly esteemed publication as Vogue.

We appreciate that you decided to do a piece on this often controversial issue, which can make deciding whether or not to take an antidepressant when pregnant, an extremely complicated decision for both the patient and her health care provider. However, we were very disappointed by the extremely biased approach that you took when writing this article. First of all, the data that you quoted is not as recent as you stated, these studies were published in 2005/2006, they were preliminary and the results have not been confirmed in more recent published papers, which you brushed off as not being important.

It is unfortunate that the women you quoted in your piece, thought that they had a baby with a heart defect because they took Paxil® and are suffering unnecessary guilt because of it, as if women don’t have enough to feel guilty about already in these complicated times. You acknowledged that there are probably 250,000 pregnant women taking antidepressants in the US, and you must understand before you can make any conclusions, that 1-3% of all pregnancies involve a baby with a birth defect of some kind, whether a woman takes any medications or not and 1/100 babies are born with a heart defect. That is why, researchers who conduct the best quality studies, use a group of exposed women (taking an antidepressant) with a group of unexposed woman (not taking an antidepressant) and compare the rates of adverse events in both groups. The studies that were conducted in this fashion, did not find a difference in the rates of malformations between the groups, including heart defects with Paxil®. Bottom line, if you do the simple math, it is evident that a large number of women would have had a baby with a defect whether they took an antidepressant or not, including the women in your article.

Another disturbing theme that came up several times in the article, is that physicians hand out antidepressants like candy, and physicians in our group were most offended by this statement as they are very careful about prescribing antidepressants and would not give them to someone who not does not require treatment. Every decision is made with great care, all the while weighing the risks/benefits of antidepressant treatment, and especially with pregnant women, ultimately to ensure the best possible outcome for both the baby and the mother.

Finally, and I am sure this was not your intention, several of our group members who are psychiatrists have reported that their pregnant patients have decided to stop taking their antidepressant since they read your article and I will leave you with one example of the damage you may have caused by this highly biased and often inaccurate article.

After reading this article, a woman called her psychiatrist and informed her that she was not going to take her Prozac anymore. She had had no less than seven consultations with psychologists and psychiatrists and all had agreed that she needed to be on medication because of her severe depression and possibility of suicide and concern in the post-partum period. She had finally agreed to go on the medication and at 34 weeks she was doing very well and looking forward to the birth of her baby and then read your article…………

Adrienne Einarson, Coordinator, The International Reproductive Psychiatry group