Pregnancy and motherhood is most often depicted as a time of joy and intense emotional connection.  However, for some, this transition can be extremely difficult and evoke disheartening emotions coinciding with the challenges of parenting.

Perinatal Mood and Anxiety Disorders (PMADs) can impact people of any demographic or cultural background. PMADs can include conditions such as prenatal depression as well as postpartum depression, anxiety, and psychosis.  These challenges can dispel many popular myths about childbearing and parenting, and instead inflict symptoms of excessive guilt, sadness, and fear (UNC School of Medicine, 2024).

A large body of research from Postpartum Support International (PSI) in 2015 reveals that approximately 15-20% of expectant women report moderate-severe symptoms of anxiety or depression.  Among them, 21% of postpartum mothers continue to experience clinical depression. Sadly, a subset of these women also struggle with mood dysregulation along the bipolar spectrum. Others may exhibit obsessive or intrusive thoughts, although they may never act upon them. Finally, another 9% of women who experience a traumatic birth may then develop symptoms of post traumatic stress disorder.

Further research from PSI substantiates that men can also be significantly challenged by postpartum depression where symptoms can reduce adaptive parenting and potentially place children at-risk for behavioral and mental health concerns.

Experiencing a high-risk pregnancy due to infertility challenges as well as perinatal loss can intensify PMADs.  Exposure to a high risk pregnancy can heighten the challenges and emotions faced during this time(UNC School of Medicine, 2024).

Despite statistics, help is available and impactful, especially with early intervention.  Treatment can  facilitate a supportive family structure where everyone can partake in more mindful parenting.  Dialectical Behavior Therapy (DBT) - informed treatment can provide the tools needed to learn how to manage emotional dysregulation.  With offices in Weston and Miami Beach, the Kalsner Psychology Center offers accessible treatment across South Florida. Individual and group DBT treatment options offer a variety of skills to increase mindfulness and emotional regulation during the struggles of PMADs.

Support yourself and future or present family today by reaching out to Dr. Alyssa K. Rothenberg, a Certified Perinatal Mental Health Professional (PMH-C).  Call the Kalsner Psychology Center directly to plan for a better tomorrow (305-866-3579) .

Exciting and compelling research by Dr. Francheska Pereplechikova demonstrates that learning DBT skills in childhood can have promising results and significantly reduce a child’s risk of developing more severe psychological problems later in life.

Research demonstrates that Dialectical Behavior Therapy (DBT) is effective in treating emotional dysregulation in both adolescents and adults. DBT programs are now offered in most major cities around the country and the typical DBT program includes an Adolescent or Adult DBT group, multifamily or parent group, and individual therapy. In recent years, innovative breakthroughs have emerged in DBT to help children between the ages of 7 and 12 learn DBT skills. The skills education includes a specialized model that involves first training the parents and then working collaboratively with the child to learn DBT skills.

The DBT-Child model is intended for children who are Supersensors. Supersensors are children who have a higher level of emotional sensitivity, sensory sensitivity and have extreme thinking styles (Black and White). Supersensors may be more impulsive, hyper-reactive, and dislike change or transitions. They experience their emotions at a higher level than the average child. At the same time, they may be wired with other emotional advantages such as increased empathy, creativity and may pick up on things in their environment that other people miss.

However, parents of Supersensor children can feel confused and unsure of how to meet the needs of their child. They can feel discouraged and blame themselves for not knowing how to parent these children and consequently, feel a sense of shame or doubt. Importantly, parents of Supersensor children need to understand that Supersensor children have both advantages and disadvantages. Instinctual parenting may not be good enough and these parents often need extra training in parenting skills. Fortunately, parents can learn how to become Superparents and become the tool of change while creating a validating home environment.

The DBT-Child model teaches parents how to be Superparents by first focusing on teaching the parents behavioral modification techniques, validation skills and contingency management to help manage behavior problems and incentivizes children to use coping skills and strategies. Together with the parent, the child learns new skills for managing intense emotions and the parent-child relationship is significantly improved. Most critically, the developmental trajectory is altered so that the child’s pathway through adolescence and adulthood is more adaptive and risk factors for future emotional difficulties are significantly reduced.

If you would like to learn more about our DBT-Child program, please contact Dr. Lydia Kalsner-Silver at 305-866-3579.