Certified Perinatal Mental Health Therapist in Middlesex, NJ 08846 - PMH-C

Neurodiversity Affirming Prenatal and Postpartum Therapy in Middlesex, New Jersey

Prenatal and Postpartum Therapy in-person and online for New Jersey residents!

*You are welcome to bring your baby to your therapy sessions*

Image of a smiling mother holding a baby while looking at her smiling partner. If you struggle with depression or anxiety after having a baby, discover how postpartum therapy in Middlesex, NJ can help you cope.
Image of a smiling lesbian couple holding and looking at a baby. Find support with your postpartum depression with the help of a skilled postpartum therapist in Middlesex, NJ.

During pregnancy, everyone is interested in how mom is doing. “Does mom have morning sickness? Is the baby kicking yet? Do you know if it’s a boy or girl?”—the constant questions about doctor’s appointments, ultrasounds, etc. But no one is really asking how YOU are doing. And once the baby is here, forget it… It’s all about them. It’s like you don’t exist anymore. Like you’re not important. What matters is how the baby is. “Is the baby eating enough? Is the baby sleeping?” But what about you???

The Reality of Exhaustion

You thought you knew what being tired was, but you had no clue until you had a baby. Your days consist of multi-tasking. You multi-task like you’ve never multi-tasked before. Nap when the baby naps, they say? Well, how can you? The only time you have to get things done is when the baby is asleep. I mean, when else are you going to clean up, do laundry, dishes, etc.?

You. Don’t. Sleep. How can you? Baby is up all night crying, and when baby is actually asleep, you are up worrying about if the baby is okay or thinking, “I wonder how much sleep I can get before the baby starts crying again?” You. Don’t. Sleep.

The family comes to visit the baby. You don’t even want them there. You don’t have the energy to “entertain”.

You don’t have the brain for it.

You don’t get a break.

You don’t have any time for yourself.

The Lack of Breaks and Self-Care

Self-care? What’s that? You go days without showering because, well you don’t have time. If you do have time to shower, it’s a quick 5-minute shower. You better scrub well since you won’t have time to shower again for a few more days. Hobbies? What are those? You don’t even have time to watch a 30-minute television show. Every time you try, there is always an interruption. “Have someone care for the baby so you can take a break?” How can you when you don’t really trust anyone? No one knows how to care for the baby like you do; if you go out, you will just be worrying about the baby anyway. There is no time for you.

You don’t know how you are even functioning. You are barely functioning. You are starting to lose your patience when you are with your baby. Sometimes you feel like shaking them and saying, “Just tell me what you want?!” You feel like you are going crazy and are about to break! But wait? You can’t allow yourself to get this point? Who is going to take care of the baby if you can’t? I mean, you are their parent. They rely on you for everything.

These are the thoughts that may be going on through your head. Thoughts that are starting to get louder. Maybe you are having other thoughts. Scary thoughts…Thoughts you are too embarrassed and ashamed to have. You feel so alone…

The Expectation vs. Reality

You thought this was a phase. You thought you were just struggling temporarily to adjust to it all and that things would go back to how they were pre-baby. Even better than they were since now you have a baby and the family you wished and dreamed for. You NEED to be happy. But you’re not.

Imagine…

Being able to manage your emotions

Feeling like you have control over them.

No longer experiencing so many feelings of guilt and inadequacy.

Letting all your negative thoughts go and bringing in positive, hopeful thoughts, healthy thoughts

Imagine….

Finding peace and calm in your day

Having time for yourself

Having time to do absolutely nothing, if that’s what you want

Imagine…

Being present with your child

Having a strong bond and connection with them

Feeling love in your heart when you hold them or when they smile at you

Imagine…

Feeling a closer connection to others

Enjoying spending time with them

Laughing

Having fun

Can you imagine?

The journey into parenthood is often depicted as a time of joy, love, and connection with a new baby. However, for many women and men, this transition can also bring forth unexpected emotions and challenges, such as postpartum depression and postpartum anxiety. The darkness of these conditions can be overwhelming, but with the right support, including the guidance of a perinatal and postpartum therapist at True Reflections, postpartum life can take a positive and transformative turn.

Image of a teen mom sitting in the grass kissing her baby. If you have autism and are struggling to cope as a new mom, find support with postpartum therapy in Middlesex, NJ.
Image of a father holding a newborn baby and kissing it's cheek. If you need support with perinatal and postpartum struggles work with a postpartum therapist in Middlesex, NJ to help you cope.

Some of the Challenges Autistic Parents May Experience

  • Sensory Overload: Parents with Autism may experience heightened sensitivity to the sounds, smells, and physical sensations associated with newborn care.

  • Routine Disruption: The unpredictable nature of a newborn's schedule can be particularly challenging for Autistic parents who rely on structure and routine.

  • Need for Predictability: The constant changes and new demands can cause significant stress due to a strong need for predictability and routine.

  • Communication Difficulties: Struggling with social communication can make it hard for Autistic parents to seek help or express their needs and concerns to family, friends, or healthcare providers.

  • Social Isolation: Difficulties with social interactions may lead to increased isolation, as parents might find it hard to join parenting groups or seek social support.

  • Overwhelming and Meltdowns: The combination of physical exhaustion and sensory overload can lead to increased frequency and intensity of meltdowns.

Some of the Challenges Parents with ADHD may Experience

  • Attention and Focus Issues: Managing the constant demands of a newborn can be difficult due to challenges in maintaining attention and focus.

  • Organization and Planning Difficulties: ADHD can make it hard to stay organized, keep track of baby supplies, and plan daily activities.

  • Emotional Regulation: Parents with ADHD may struggle with emotional regulation, leading to heightened stress and frustration.

  • Impulsivity: Impulsive behaviors may interfere with the consistency required for newborn care.

  • Sleep Deprivation: ADHD symptoms can be exacerbated by sleep deprivation, which is common in the postpartum period.

  • Time Management: Juggling multiple tasks and responsibilities can be particularly challenging due to difficulties with time management.

Combined Struggles Autistic and ADHD Parents May Experience in Postpartum

  • Increased Stress: The combination of sensory sensitivities and attention difficulties can lead to higher levels of stress and overwhelm.

  • Compounding Challenges: The unique challenges of each condition can compound, making it harder to find effective coping strategies.

  • Enhanced Need for Support: Parents with both Autism and ADHD may require more tailored support to manage the demands of the postpartum period.

  • Potential for Misunderstanding: Misunderstandings about their needs and behaviors may lead to inadequate support from healthcare providers and family members.

Image of a gay couple smiling and holding their baby. Find support navigating your postpartum anxiety with the help of postpartum therapy in Middlesex, NJ.
Image of a smiling couple looking at their baby. Overcome your postpartum struggles and begin navigating the emotional challenges of a postpartum with postpartum therapy in Middlesex, NJ.

TYPES OF PERINATAL & POSTPARTUM MOOD DISORDERS

Prenatal and Postpartum Depression

Some symptoms of perinatal and postpartum depression can include:

  • Depressed mood most of the day and nearly every day

  • Lost interest in once-enjoyed activities

  • Significant weight change or appetite disturbance

  • Sleep disturbance

  • Agitation/Irritability

  • Fatigue/loss of energy

  • Difficulty maintaining focus

  • Overwhelmed

  • Feeling of worthlessness

  • Excessive feelings of guilt

  • Recurrent thoughts of death, suicidal thoughts

  • Not feeling connected to the baby

  • Inability to take care of yourself or your family

  • Social withdrawal/isolation

  • Increased somatic symptoms (i.e. headaches, GI distress, etc.)

If symptoms persist after two weeks postpartum, it is not the “baby blues”.

Prenatal and Postpartum Anxiety

Some symptoms of perinatal and postpartum anxiety can include:

  • Excessive anxiety or worry, about your health or the baby

  • Ruminating, persistent thoughts

  • Agitation/Irritability

  • The feeling of guilt/shame

  • Difficulty maintaining focus

  • Restlessness

  • Sleep disturbance

  • Somatic symptoms (muscle tension, shaky, racing heartbeat, dizziness, shortness of breath, etc.)

Panic Disorder

  • Fear of dying

  • Feeling like you are going crazy

  • Feeling like you are losing control

Image of a mother and baby laying on their stomachs looking at each other. Overcome the symptoms of postpartum OCD with the help of postpartum therapy in Middlesex, NJ.
Image of a smiling pregnant teen. With the help of a postpartum therapist in Middlesex, NJ you can begin coping with the symptoms and challenges you face.

Prenatal and Postpartum OCD

  • Intrusive, repetitive thoughts (usually of harm coming to the baby)

  • “What if” thinking (i.e. What if I drop the baby? What if the baby dies? What if I drown the baby in the tub? What if I fall down the stairs with the baby?)

  • Fears of deliberate or accidental harm

  • Engage in certain behaviors in order to avoid harm or decrease triggers

  • Feelings of guilt/shame

  • Hypervigilance

Prenatal and Postpartum PTSD (Post-traumatic Stress Disorder)

Possible Perinatal and Postpartum Traumatic Events:

  • Emergency C-section

  • Prematurity or stillbirth

  • Immediate medical intervention at birth

  • NICU Parent

  • Postpartum Hemorrhage

  • Severe pre-eclampsia

  • 3rd or 4th degree laceration

  • Traumatic vaginal birth

  • Witnessing partner’s birth

  • Long labor process

  • Fetal anomaly diagnosis in pregnancy

PTSD Symptoms/behaviors:

  • Nightmares

  • Emotional flooding

  • Distancing from partner

  • Avoiding contact with childbirth providers or certain locations

Image of a mom pressing her nose to her baby's cheek. If you are struggling with your emotions learn how postpartum therapy in Middlesex, NJ can help.
Image of a smiling little girl pressing her face to her pregnant mother's belly. If you struggle with postpartum depression and are unable to cope find support in navigating your journey with postpartum therapy in Middlesex, NJ.

Bipolar Disorders (I & II)

Highs” of Bipolar Disorder:

  • Increased physical and mental activity

  • Increased self-confident

  • Feelings of grandiose

  • Racing speech, thoughts, flight of ideas

  • Impulsiveness

  • Poor Judgement

  • Difficulty maintaining focus

  • Decreased need for sleep

“Lows” of Bipolar Disorder:

  • Irritability/Agitation/Anger

  • Aggressive behavior

  • Anxiety

  • Pessimism

  • Loss of energy

  • Significant change in appetite or patterns of sleep

  • Social withdrawal

  • Former interests are no longer pleasurable

  • Inability to maintain focus

  • Feelings of guilt, worthlessness

  • Recurrent thoughts of death or suicide

Postpartum Psychosis

  • Delusions (i.e. baby is possessed)

  • Hallucinations (i.e. seeing someone else’s face instead of the baby’s)

  • Rapid mood swings

  • Insomnia

Find Support Navigating The Perinatal and Postpartum Period With Perinatal and Postpartum Therapy in Middlesex, NJ

If you’re struggling to navigate the emotional challenges of parenthood, perinatal and postpartum therapy can provide the support and guidance you need. Don’t face these overwhelming feelings alone—find support at True Reflections for a healthier, happier you. Take the first step towards reclaiming your well-being by following these three simple steps:

  1. Request an appointment to get scheduled

  2. Begin meeting with a caring perinatal and postpartum therapist

  3. Find support navigating the challenges of parenthood.

Other Services Offered at True Reflections

At True Reflections Mental Health Services, I’m here to help you find your true self and help you overcome anything with therapy. So in addition to providing Perinatal and Postpartum Therapy, I also offer Neurofeedback Therapy, Autism and Anxiety Therapy, ADHD and Anxiety Therapy, Trauma Therapy for ADHD and Austim, Affirming Therapy for those with ADHD, and Affirming Therapy for those with Autism. I also offer different treatment modalities such as Play Therapy, Sandtray Therapy, EMDR Therapy, DBT Therapy, and more. My services are offered in both Middlesex, NJ as well as online in the state of New Jersey. Check out my blog for more topics!

Certified Perinatal Mental Health Therapy in New Jersey (PMH-C)