1. Katherine Mick, PhD, APRN Newton, KS and KCSL/Wichita Child Guidance Center 316.259.9175 cell katherinemick@ymail.com

2. You’re Not Alone Postpartum Depression: You’re Not Alone http://www.youtube.com/watch?v=SMMIGIjaLoI

3. Prenatal depression Prenatal anxiety History of previous depression Maternity blues – Especially when severe Recent stressful life events Inadequate social supports Poor marital relationship Low self-esteem Childcare stress Difficult infant temperament ? Single marital status ? Unplanned or unwanted pregnancy ? Lower socioeconomic status ** Cheryl Tatano Beck, DNSc, CNM, FAAN Researcher and Author, University of Conn, School of Nursing

4. Edinburgh Postnatal Depression Scale Edinburgh Postnatal Depression Scale EPDS http://www.fresno.ucsf.edu/pediatrics/downloads/edinburghsca le.pdf http://www.fresno.ucsf.edu/pediatrics/downloads/edinburghsca le.pdf Taken from the British Journal of Psychiatry June, 1987, Vol. 150 by J.L. Cox, J.M. Holden, R. Sagovsky Developed to assist primary care health professionals to detect mothers suffering from postnatal depression The validation study showed that mothers who scored above threshold 92.3% were likely to be suffering from a depressive illness of varying severity. The EPDS score should not override clinical judgment. A careful clinical assessment should be carried out to confirm.

5. Protective Factors Risk Factors VS. Protective Factors = PREVENTION!! ** Focus changes from Negative to Positive * What/Whoever receives Attention is more likely to recur…..

6. The Adult Resiliency Checklist www.devereuxearlychildhood.org www.devereuxearlychildhood.org Devereux Foundation Focus on Protective Factors Emily Werner, Hawaii, long-term research, since 1955 Devereux Early Childhood Initiative (DECI) Began w/ 2-5 year olds * Well Researched (factor analysis) Four Factors: Relationships Internal Beliefs Initiative Self-Control

7. For… Mom, Dad, & Baby, too.

8. Best Laughing Babies http://www.youtube.com/watch?v=L49VXZwfup8

9. Support Group YES !!! ** = most effective long-term -- PSI: Postpartum Support International * Melanie Hoffman

10. Medications Yes ?? OR NO?? ?

11. CBT CBT – Cognitive Behavioral Therapy http://www.webmd.com/depression/guide/cognitive- behavioral-therapy-for-depression http://www.webmd.com/depression/guide/cognitive- behavioral-therapy-for-depression Thoughts Mood Behavior GOAL: GOAL: learn to recognize negative patterns of thought, evaluate their validity, and replace them with healthier ways of thinking.

12. Others……… Relaxation Exercise Light Therapy Diet Vitamins/Supplements(*Vitamin L) Spirituality others??.......

14. It IS all About the Relationship… = ATTACHMENT … “Bonding” http://www.simplypsychology.org/attachment.html = Parents responding sensitively & appropriately to the child’s needs

15. The Impact of Attachment http://www.youtube.com/watch?v=apzXGEbZht0 Edward Tronick’s “Still Face” http://www.youtube.com/watch?v=apzXGEbZht0

16. Building Relationship Skills

17. PCIT – Child Directed Interaction DO: P raise DON’T : Give Commands R eflect Ask Questions I mitate Criticize or use D escribe sarcasm E nthusiasm www.pcit.org

18. “Who’s your favorite?” http://www.youtube.com/watch?v=KWFfDyupGpQ http://www.youtube.com/watch?v=KWFfDyupGpQ