The Postpartum Partner: Practical Solutions for Living with Postpartum Depression
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The Postpartum Partner - Karen Kleiman MSW
Copyright © 2023 by Karen Kleiman, MSW.
All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner.
Any people depicted in stock imagery provided by Getty Images are models, and such images are being used for illustrative purposes only.
Certain stock imagery © Getty Images.
Rev. date: 01/25/2023
Xlibris
844-714-8691
www.Xlibris.com
848304
CONTENTS
Introduction
Why You Should Read This Book
IDENTIFYING THE PROBLEM
One
Understanding PPD
Two
Differentiating Between Blues And Depression
Three
Making Sense Out Of This
Four
It’s No One’s Fault
Five
Going With The Flow
Six
The Power Of Pretense
Seven
Misconceptions About Depression
Eight
Symptoms Of PPD
Nine
Ruminating
Ten
Dealing With Negative, Intrusive Thoughts
Eleven
Coping With Anxiety
Twelve
The Nature Of Depressive Thinking
Thirteen
Coping With Sleep Deprivation
Fourteen
Coming To Terms
COPING
Fifteen
What Your Partner Might Be Feeling And What You Can Do About It
Sixteen
What Works For You . . . May Not Work For Your Partner
Seventeen
You Cannot Fix This
Eighteen
Why What You Think Will Help– May Not Help
Nineteen
What To Say . . .
Twenty
What To Do . . .
Twenty-One
What Not To Say
Twenty-Two
Make Important Decisions Together
Twenty-Three
Emotional Paralysis
Twenty-Four
When To Push The Boundaries
Twenty-Five
Set Limits
Twenty-Six
Encourage, Don’t Pressure
COPING WITH SPECIFIC SITUATIONS
Twenty-Seven
Hold Steady
Twenty-Eight
Compromise
Twenty-Nine
Moving Forward
Thirty
Listen
Thirty-One
Don’t Overreact
Thirty-Two
Understanding Loss Of Confidence
WHAT YOU MIGHT BE FEELING
Thirty-Three
You Are Tired
Thirty-Four
You Are Worried
Thirty-Five
You Are Frustrated
Thirty-Six
You Are Angry
Thirty-Seven
You Are Confused
Thirty-Eight
You Are Resentful
Thirty-Nine
You Are Scared
Forty
You Are Embarrassed/Ashamed
Forty-One
You Are Feeling Misunderstood
TREATMENT OPTIONS
Forty-Two
Guidelines For Seeking Help
Forty-Three
Things You Should Know About Treatment
Forty-Four
Join The Session
Forty-Five
Impact On You As A Couple
Forty-Six
Suicidal Thoughts
Forty-Seven
Emergency Situations
MEDICATION
Forty-Eight
Understanding Medication
Forty-Nine
Options
Fifty
Nursing And Medication
Fifty-One
Living With Side-Effects
Fifty-Two
The Impact On Sexual Functioning
Fifty-Three
Course Of Treatment
SUPPORT
Fifty-Four
Why You Need Support, Too
Fifty-Five
Find The Time To Take Care Of Yourself
Fifty-Six
Give Yourself Credit
Fifty-Seven
A Word Of Caution About Comfort Measures
SPECIAL CONSIDERATIONS
Fifty-Eight
Helping Your Partner Get The Help They Need
Fifty-Nine
Strategies For Intervention
Sixty
Resistance And Treatment Sabotage
Sixty-One
Decide Together What To Share With Others
Sixty-Two
Talking With Your Older Children
RECOVERY
Sixty-Three
The Long, Slow Healing Process . . .
Sixty-Four
Hanging In Through Recovery
Sixty-Five
Role-Reversal
Sixty-Six
Taking Care Of Each Other And Your Relationship
Sixty-Seven
Planning For The Future
Sixty-Eight
How Things Have Changed
To Bruce, my hero
INTRODUCTION
WHY YOU SHOULD READ THIS BOOK
You might be reading this because your partner asked you to read it. Or, you might be reading this because you’re really worried about what’s going on at home.
Or, perhaps you’re reading it. . . .
• . . . Because you haven’t had sex in three months and your partner doesn’t seem to be bothered at all by this.
• . . . Because your partner is tired most of the time and hasn’t been as avail- able to you as much as you’d like and your marriage feels like it’s too much work right now.
• . . . Because you think your partner has indulged in this bad mood thing for long enough and your patience is wearing thin.
• . . . Because you feel frustrated by your partner’s constant irritability and pessimistic outlook.
• . . . Because your partner is terrified about the way they feel and is looking for a way out.
• . . . Because you’re quite exhausted yourself, and confused about what to do to make things better for both of you.
You know things are not right at home. You’ve just had a baby. You, and everyone else, expected that life would be wonderful and full of joy. But it’s not. Whatever your reason for picking up this book, let me reassure you with one point: You may not want to read this, but it will help you confront these issues. The problems at home need to be addressed. You know it. She knows it. So, here are some facts:
• Research has shown us that perinatal depression will improve markedly with the consistent support of a significant other.
• The longer you pretend that the depression will go away by itself and deny