Want to work one on one with me? Click here to make me your prenatal coach!
Sept. 18, 2023

Intrusive Thoughts with Megan MacCutcheon, LPC (Rerun)

Intrusive Thoughts with Megan MacCutcheon, LPC (Rerun)

Send us a text

Welcome to an insightful conversation I had with Megan McCutchen, a therapist who dedicates her career to perinatal mental health. We navigate the murky waters of intrusive thoughts, a common yet unsettling phenomenon among women during pregnancy and after birth. These fleeting thoughts, ranging from harmless fears to catastrophic scenarios, often serve as indicators of postpartum OCD or perinatal anxiety. Megan and I explore how to perceive these thoughts as they are - just thoughts, not reality. We also share practical exercises to steer your mind away from these intrusive thoughts and manage them effectively.

Moving forward, we shed light on postpartum anxiety, a condition that can sometimes present with intrusive thoughts. For new mothers, this can be an overwhelming and bewildering experience. To help you navigate this, Megan offers strategies on how to confront these feelings of anxiety, instead of resisting or running away from them. In cases where these thoughts become too overpowering, we provide various coping mechanisms. We also delve into the role that medication can play when dealing with postpartum anxiety that feels all-consuming.

In the final segment of our conversation, we explore societal pressures and how they can contribute to heightened levels of anxiety. We dissect the societal push for 'toxic independence' and the influence of social media, and how they contribute to escalating stress levels. We also discuss the importance of letting go of the pursuit of perfection when it comes to parenthood. It's crucial to understand that everyone is working hard and deserves compassion and understanding. Remember, there's no such thing as a perfect parent - we're all just doing our best. So join us for this enlightening episode and equip yourself with strategies to better manage intrusive thoughts and anxiety during the perinatal period.

Coaching offer

Kelly Hof: Labor Nurse + Birth Coach
Basically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!

Support the Show.


Connect with Kelly Hof at kellyhof.com

Medical Disclaimer:
This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman’s medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

Chapters

00:00 - Managing Intrusive Thoughts in Mental Health

06:47 - Managing Postpartum Anxiety and Intrusive Thoughts

15:30 - Managing Anxiety and Depression in Motherhood

22:15 - Perfect Parenting and Comparison Pressure

27:32 - Managing Anxiety and Intrusive Thoughts

38:08 - Managing Thoughts During Pregnancy and Postpartum

Transcript
WEBVTT

00:00:00.922 --> 00:00:05.131
Hello, today I have with me Megan McCutchen, lpc.

00:00:05.131 --> 00:00:09.510
Megan is a therapist specializing in perinatal mental health.

00:00:09.510 --> 00:00:15.833
You can connect with Megan at perinatalplacecom or MeganMcCutchencom.

00:00:15.833 --> 00:00:21.893
She also offers a birth bundle for pregnant moms and coaching for new moms.

00:00:21.893 --> 00:00:26.792
Megan is the mother of three and she is here today to talk about intrusive thoughts.

00:00:26.792 --> 00:00:29.368
Megan, thank you so much for joining me.

00:00:29.960 --> 00:00:30.862
Thanks for having me.

00:00:30.862 --> 00:00:36.987
I always love talking to you and so many things we have to talk about, oh so many, so little time.

00:00:37.823 --> 00:00:44.012
Yes, well, can you start off by explaining what intrusive thoughts are and what they mean?

00:00:44.719 --> 00:00:45.923
Yes, absolutely.

00:00:45.923 --> 00:00:52.154
Intrusive thoughts is something that I see really common in the perinatal period.

00:00:52.154 --> 00:00:56.350
It can happen during pregnancy and it can also happen postpartum.

00:00:56.350 --> 00:01:04.507
It's honestly one of the most frequent things that I see in the moms that come into my therapy or coaching practices for support.

00:01:04.507 --> 00:01:06.867
A lot of us know about postpartum depression.

00:01:06.867 --> 00:01:10.891
I don't think everyone is as familiar with postpartum anxiety.

00:01:10.891 --> 00:01:17.233
But the intrusive thoughts we actually technically call it postpartum OCD or perinatal OCD.

00:01:17.233 --> 00:01:21.870
I like to describe it as a flavor of perinatal anxiety.

00:01:22.801 --> 00:01:24.043
What intrusive thoughts are?

00:01:24.043 --> 00:01:30.688
They are just these pesky little thoughts, often scary, that pop into your brain throughout the day.

00:01:30.688 --> 00:01:36.031
For pregnant moms it often shows up as things like what if my baby's not safe?

00:01:36.031 --> 00:01:37.403
What if I miscarry?

00:01:37.403 --> 00:01:39.469
What if I eat something that harms the baby?

00:01:39.469 --> 00:01:43.391
What if I move in a way or exercise and do something that harms the baby?

00:01:43.391 --> 00:01:50.185
Then postpartum often shows up as, again, fear of harm to baby, like what if this isn't safe for baby?

00:01:50.185 --> 00:01:52.811
What if I accidentally drop baby?

00:01:52.811 --> 00:01:56.370
What if we're in the car and we get in a car accident?

00:01:56.370 --> 00:01:57.341
Things like that.

00:01:57.361 --> 00:02:05.850
The thing that's tough about it is that these are these intrusive, unwanted thoughts that just come into your brain when your brain tends to run a little more anxious.

00:02:05.850 --> 00:02:11.431
It's tough because it's things that can actually happen in some instances.

00:02:11.431 --> 00:02:14.669
It's not completely true that it's irrational.

00:02:14.669 --> 00:02:17.848
A lot of times with anxiety we talk about irrational fears.

00:02:17.848 --> 00:02:24.643
These are things that could happen, but the chances are very, very low For a lot of moms.

00:02:24.643 --> 00:02:43.550
The reason we call it OCD is because it has this obsessive quality to it where these thoughts just obsessively come into your mind, in your all day long obsessively thinking about them, or they pile on at a certain time of the day I think you and I were talking about sometimes for people that can come on in the evening.

00:02:43.550 --> 00:02:50.128
Sometimes there's certain times a day where your mind is more anxious and these thoughts just rapid fire start coming in.

00:02:50.960 --> 00:02:59.775
The compulsion part to the OCD is there's often a tendency to either seek reassurance or to avoid.

00:02:59.775 --> 00:03:01.246
I'll give a couple examples.

00:03:01.246 --> 00:03:09.087
I was working with a mom this week who had an obsessive fear around what if I didn't sterilize the bottles enough?

00:03:09.087 --> 00:03:20.212
What if these bottles that I'm using for my baby aren't safe, aren't clean, maybe somehow get salmonella or some sort of thing that upsets her system or is catastrophic?

00:03:20.212 --> 00:03:25.632
She was obsessing over this thought that the bottles weren't sterilized, the bottles weren't clean enough.

00:03:25.632 --> 00:03:34.024
The compulsion she was engaging in was just frantically searching the internet for any article that dismissed that fear.

00:03:34.024 --> 00:03:38.532
That said, it's a very low risk that anything will happen with unsterilized bottles.

00:03:39.641 --> 00:03:45.614
Then for some other moms it might look like what if I accidentally hurt my baby while I'm giving them a bath?

00:03:45.614 --> 00:03:47.788
These are these catastrophic thoughts.

00:03:47.788 --> 00:03:51.110
What if I accidentally drown my baby while I'm giving him a bath?

00:03:51.110 --> 00:03:55.872
They will sometimes avoid that situation to avoid the anxiety.

00:03:55.872 --> 00:03:58.848
They'll say, okay, let's get partnered to give the bath.

00:03:58.848 --> 00:03:59.751
I'm not going to do this.

00:03:59.751 --> 00:04:01.306
They'll want somebody else to be present.

00:04:01.306 --> 00:04:04.429
They'll really avoid doing things with the baby alone.

00:04:05.640 --> 00:04:13.445
What happens in those situations is it actually just serves to increase the anxiety, like that OCD cycle.

00:04:13.445 --> 00:04:15.872
There's this obsession over this fearful thought.

00:04:15.872 --> 00:04:19.730
There's the compulsion to either avoid it or seek reassurance from it.

00:04:19.730 --> 00:04:23.951
Then it just strengthens the thought and the thoughts just come more and more.

00:04:23.951 --> 00:04:31.521
What we actually want to be doing when we have these intrusive thoughts is just really sitting with them, sitting through them.

00:04:32.064 --> 00:04:36.093
I always tell moms it's really important to just acknowledge it for what it is.

00:04:36.093 --> 00:04:44.242
So just be able to say to yourself okay, this is an intrusive thought, this is a piece of postpartum anxiety, I know what.

00:04:44.242 --> 00:04:49.911
It is Really important for moms to know that thoughts do not equal reality.

00:04:49.911 --> 00:04:59.050
Just because you're having this thought doesn't mean it's going to be true, doesn't mean you're wishing anything to come true, doesn't mean you want to hurt your baby, nothing like that.

00:04:59.050 --> 00:05:11.610
So One of the exercises that I'll sometimes do with moms and listeners can do it here is okay, raise your right hand and then, as you have your hand in the hair, say I cannot possibly raise my right hand.

00:05:11.610 --> 00:05:14.071
There's no way I can raise my right hand.

00:05:14.071 --> 00:05:16.507
There's absolutely no way I can raise my right hand.

00:05:16.507 --> 00:05:20.584
Well, you're raising your right hand If you put your right hand up, as you said that.

00:05:20.584 --> 00:05:25.086
So that's just a little kind of example of thoughts do not equal reality.

00:05:25.086 --> 00:05:36.963
If you're literally raising your right hand and saying I cannot raise my right hand, those don't jive, and so that's just a good reminder that just because your brain thinks something doesn't make it true.

00:05:36.963 --> 00:05:49.492
So if you're thinking something like we might get in a car accident if I bring my baby in the car, that's just a thought, the actual chances of you actually getting in a car accident are very low.

00:05:49.492 --> 00:05:57.108
If you're driving safely, if you're following stop sign red lights driving the speed limit, it's actually a very low chance that that will happen.

00:05:57.108 --> 00:06:06.148
So really important to just remind yourself OK, this is an intrusive thought, this is just my anxiety and it doesn't mean that this thought is true.

00:06:06.148 --> 00:06:18.007
And so when you just sort of sit with it rather than avoid it or run away from it, it helps you to learn to tolerate the thought more, and then those thoughts gradually start to decrease.

00:06:19.100 --> 00:06:25.446
One of the analogies that I like to use with anxiety and, in particular, intrusive thoughts is kind of think of an ocean wave.

00:06:25.446 --> 00:06:37.363
And if you've ever been in the ocean and kind of like by the surf when the waves start getting bigger, you know that often the tendency is to run from the wave, to run to the shore and to run away from it.

00:06:37.363 --> 00:06:42.170
But there's a really big risk that it's going to actually catch you and you're going to get sort of tumbled over.

00:06:42.170 --> 00:06:45.428
So to really stay safe in those waves, you want to dive through it.

00:06:45.428 --> 00:06:52.651
When you dive through the wave it really can't knock you down, and so that's the same sort of concept with anxiety and with these intrusive thoughts.

00:06:52.651 --> 00:06:59.545
Think about just riding the wave of the anxiety, just acknowledging that it's there and just sort of like letting it be.

00:06:59.545 --> 00:07:07.209
When we try and run from it, when we try and resist it, it just grows stronger and has more of the potential to knock us off our feet.

00:07:07.209 --> 00:07:11.571
So, yeah, so these thoughts can be really scary for moms, but they are things that are treatable.

00:07:11.571 --> 00:07:15.771
They often do get better with time, just with some distance.

00:07:16.060 --> 00:07:20.391
We don't know exactly why postpartum anxiety or perinatal anxiety happens.

00:07:20.391 --> 00:07:34.788
We just know that it does, and what I like to say is that for anyone that runs a little on the anxious side, if they've had any form of anxiety before getting pregnant and having a baby, there's a really good chance that that anxiety is going to really skyrocket.

00:07:34.788 --> 00:07:36.345
That was sort of the case for me.

00:07:36.345 --> 00:07:42.305
Looking back, I'm like, oh yeah, I probably always was a little anxious, but not in a debilitating way and more just.

00:07:42.305 --> 00:08:01.146
You know, I was able to get stuff done, I was able to function with it, and then, after having a baby, that's when my anxiety really flared up, and for me it at first showed up as brain fog, confusion, just difficulty making decisions like this sort of need to constantly be busy, and at the time I really sort of dismissed it.

00:08:01.146 --> 00:08:02.365
It was with my second child.

00:08:02.365 --> 00:08:06.670
So I kind of told myself, oh, it's just, you know, adjusting to life with two babies.

00:08:07.240 --> 00:08:15.930
And it wasn't until it escalated and became more of this OCD type of thinking, these intrusive thoughts, that I realized like, oh, something's going on here.

00:08:15.930 --> 00:08:21.271
I started having the thought of I wonder if it would feel good to throw my baby down the staircase.

00:08:21.271 --> 00:08:28.130
I remember going into my doctor's office and she was really validating Because when I told her that she's like yep, I had an intrusive thought too.

00:08:28.130 --> 00:08:31.249
Mine was what if I throw my baby in this pot of chili I'm cooking?

00:08:31.249 --> 00:08:34.712
So sometimes it can be these like really sort of ridiculous things.

00:08:35.254 --> 00:08:41.029
But it makes moms feel so terrible because they look at themselves and they think, oh, my God, am I a terrible mom?

00:08:41.029 --> 00:08:42.192
Do I want to hurt my baby?

00:08:42.192 --> 00:08:43.443
Do I not love my baby?

00:08:43.443 --> 00:08:46.769
What is wrong with me that I'm thinking these terrible things?

00:08:46.769 --> 00:08:52.808
So there's nothing wrong with moms that are having these intrusive thoughts, no matter how awful they are.

00:08:52.808 --> 00:08:56.009
For some moms, unfortunately, it shows up in sexual ways.

00:08:56.009 --> 00:09:04.068
So there's sometimes moms that start obsessively thinking these intrusive thoughts of like what if I accidentally molest my baby while I'm changing the diaper?

00:09:04.068 --> 00:09:14.419
What if I can't save my baby from this world and a child predator harms them, so these can be really disturbing and disruptive thoughts for moms, kind of wondering why am I thinking this way?

00:09:14.419 --> 00:09:21.147
We don't know exactly why it happens again, but it is a part of postpartum anxiety and it's nothing to feel guilty about.

00:09:21.147 --> 00:09:24.129
It's just something to really recognize as okay.

00:09:24.129 --> 00:09:29.408
I'm having some symptoms of an anxiety disorder occurring and I can get help for it.

00:09:30.201 --> 00:09:30.923
Yeah, that's so.

00:09:30.923 --> 00:09:42.331
All of that is so interesting and validating, because I feel like I experienced the same thing postpartum and with my first pregnancy I didn't get treated because I didn't recognize it for what it was.

00:09:42.331 --> 00:10:02.326
I think that sometimes it can be a little sneaky because, like you said, it can seem like something that could happen and that maybe you could control, and so I found myself trying to just fix the situation instead of realizing that this was just something that was eating away at my time and making me super anxious.

00:10:02.326 --> 00:10:15.096
Yeah, no-transcript, I can't remember what all of mine were, but they were, I mean, and I guess I think that people when you say people that run on the side of anxious I just remember as a kid having intrusive thoughts like what if?

00:10:15.135 --> 00:10:19.083
I jump in front of this car, you know, and I would just be like that's weird.

00:10:19.083 --> 00:10:20.190
Why would I think that?

00:10:20.190 --> 00:10:20.610
You know?

00:10:20.610 --> 00:10:24.460
They just jump into your head and then they go away, but they just get more.

00:10:24.460 --> 00:10:30.960
I feel like intense and terrifying in postpartum, at least from my experience.

00:10:31.581 --> 00:10:32.121
Absolutely.

00:10:32.121 --> 00:10:32.822
That's so true.

00:10:32.822 --> 00:10:39.559
They get more intense, they can happen more frequently, and it's different when it's your own self and you have this intrusive thought.

00:10:39.559 --> 00:10:40.793
You know what if I jump in front of a car?

00:10:40.793 --> 00:10:43.979
What if I jump off of a balcony and you know you're not going to do it?

00:10:43.979 --> 00:10:48.679
But then, when it comes down to your child, it can be even more disturbing.

00:10:48.679 --> 00:10:55.602
And I think part of it is like sort of our biological wiring as mothers, as nurturers.

00:10:55.602 --> 00:10:59.379
It's sort of our instinct, our natural instinct to protect our child.

00:10:59.379 --> 00:11:01.975
That I always say just kind of goes a little haywire.

00:11:01.975 --> 00:11:09.554
It goes a little bit off the deep end, to the point where we're like over stressing about baby safety and if they're okay.

00:11:10.236 --> 00:11:29.753
Yeah, so for intrusive thoughts, I love your analogy of sitting and diving through the wave and really just sitting with it, and your exercise of raising your hand and showing that they're just thoughts and they can't do anything If those things don't work, or if they work, but they're not enough and the thoughts are just debilitating.

00:11:29.753 --> 00:11:31.317
What are some other options?

00:11:31.577 --> 00:11:31.739
Yeah.

00:11:31.739 --> 00:11:36.020
So for some people that's really enough just to have awareness.

00:11:36.020 --> 00:11:51.000
I have a lot of moms that come into my therapy practice and we really only meet once or a couple of times, because what they really need is just this reassurance that, hey, I know what you're dealing with, it's not the end of the world, you're going to be okay, you're not crazy, and here's how to cope with that.

00:11:51.000 --> 00:11:54.679
And so for some of them, just managing it mentally is enough.

00:11:54.679 --> 00:12:10.341
And then for others, if it doesn't seem to get better, or if those thoughts have already become so frequent and distressing that they really feel like they can't control it just through their own thinking, then medication is often something that I refer them to look into.

00:12:10.341 --> 00:12:14.340
Medication can really really help in these situations.

00:12:14.340 --> 00:12:24.376
And something that's really important for moms to know is that often in the perinatal period, especially when intrusive thoughts are present, you often need a higher dose than you normally would need.

00:12:24.376 --> 00:12:32.917
So I have so many moms coming in who are already on Zoloft or one of the other medications for their anxiety.

00:12:32.917 --> 00:12:43.221
Maybe they've been on it all along throughout their pregnancy or maybe they got on it after because of anxiety, but if the dose isn't high enough for them, then it's not treating these thoughts.

00:12:43.221 --> 00:12:44.778
So so many people kind of panic about.

00:12:44.778 --> 00:12:56.674
But I'm already on medication and so we'll always look at the dosage and often I'm referring them back to their prescribing doctor to just you know, I have like a little cheat sheet in my office on what the right dosage are and they tend to be a little higher.

00:12:56.674 --> 00:13:04.399
So I'm often referring them back to just say, see if you could go up a little bit, and for a lot of moms that ends up really helping.

00:13:04.399 --> 00:13:13.419
Sometimes it doesn't completely take away the intrusive thoughts, but often you'll start to see a decrease in them and a decrease in their frequency.

00:13:13.419 --> 00:13:14.754
So I really recommend.

00:13:14.793 --> 00:13:24.363
I'm not a big medication pusher generally, but I really do think it can be helpful during this period and in particular with with this form of postpartum anxiety.

00:13:24.363 --> 00:13:25.934
So it's something to consider.

00:13:25.934 --> 00:13:34.162
It's not harmful to the baby, even if you're breastfeeding, and then the other thing too is really just managing your anxiety kind of on the whole.

00:13:34.162 --> 00:13:40.336
So the way that I like to describe it is imagine you're holding this platter and on top of it are all these bricks.

00:13:40.336 --> 00:13:47.320
Each stressor is another brick, and if you're just holding a couple stressors, a couple bricks, it's okay to balance.

00:13:47.320 --> 00:13:48.041
You can manage it.

00:13:48.041 --> 00:13:55.798
But the more you start piling that weight up, the harder it becomes to really manage, and that's when we see anxiety really peaking.

00:13:55.929 --> 00:14:05.576
So a lot of times people will start to track the pattern that the more stressed they are, the more anxious they are around just the circumstances in their life, the worse their intrusive thoughts get.

00:14:06.029 --> 00:14:10.442
So I really like to work with moms to teach them anxiety managing tools.

00:14:10.442 --> 00:14:23.399
I have a course called empowered motherhood where I teach a lot of this stuff around managing your thinking, and I have lots and lots of mindfulness tools and techniques that you can use to manage your anxiety.

00:14:23.399 --> 00:14:32.741
And what's so important is that people start learning these tools and start practicing them regularly during moments when they're not already panicked, when they're not already feeling anxious.

00:14:32.741 --> 00:14:40.471
A lot of times people kind of push it to the back burner and they're like, okay, well, maybe I'll try this like deep breathing or this mindfulness tool or whatever when I'm really anxious.

00:14:40.471 --> 00:14:43.841
If you're already to the point of anxiety, it's going to be harder.

00:14:43.841 --> 00:15:00.562
I really like to teach moms to start implementing these things just kind of like as part of their routine into their everyday life, and that helps to keep the anxiety from escalating, and the less the anxiety escalates, the fewer and farther between these intrusive thoughts will start to become.

00:15:00.831 --> 00:15:01.875
Yeah, I totally agree.

00:15:01.875 --> 00:15:16.716
I feel like also and I know we've talked about this before I didn't figure out until my first child was about three that I was having anxiety, and then it wasn't until after my second was born that I got treated.

00:15:16.716 --> 00:15:23.539
But it just feels like it was kind of prolonged, and sometimes I think that having a baby is just kind of the tipping point.

00:15:23.539 --> 00:15:38.240
It's the added stressor that can kind of just make everything kind of topple over into overwhelming anxiety or just barely, like you, maybe you're treading water but you're just getting really tired and not really able to manage it, but you're not drowning, so you can kind of deny it.

00:15:38.990 --> 00:15:47.857
Yes a little bit and I feel like just like that little bit of medication is what kind of helped me get to the point where I felt like I was myself again.

00:15:47.857 --> 00:16:06.578
I was a little bit more control and, while I still will have thoughts that come in, I feel like they just kind of float away now instead of lingering and feeling like something that I have to solve, a problem, that an impossible problem that I have to solve to protect my family.

00:16:06.578 --> 00:16:36.192
And I really think that it's important, like you said, that moms find the tools to be able to move through that, because it's maddening to have all of that piling up on your shoulders and to feel like you actually are someone that can control that, when the solution is either to manage your anxiety through the mental work or the medication, or both ideally, yeah, you know if you need that, if you need the medication, but also definitely learn how to manage your mind.

00:16:36.192 --> 00:16:40.451
So I think that's so important and not many moms know about it.

00:16:40.650 --> 00:16:40.912
Right.

00:16:40.912 --> 00:17:00.846
One of the analogies I like for medication and sort of what you were describing is that sometimes it's like we're kind of in this hole with depression or with anxiety and it's really hard to climb out on your own, and the medication can sometimes be like that ladder that gives you a little boost you need, and often we need it.

00:17:00.846 --> 00:17:01.761
You know people.

00:17:01.761 --> 00:17:19.574
Yes, there's a lot of things that we can do to manage you know our thoughts and to fight depression or anxiety mentally and on our own without medication, but sometimes we need that extra boost, and that extra boost is going to be what we need in order to be able to start implementing some of those other things.

00:17:19.574 --> 00:17:23.770
And so you know it doesn't have to be a forever thing.

00:17:23.770 --> 00:17:28.832
That's one of the questions that I get asked a lot, too is how long am I going to have to be on this medication?

00:17:29.200 --> 00:17:34.732
And one of the mistakes people make is they do get on the medication and then they feel better and so then they go off of it.

00:17:34.732 --> 00:17:44.431
But what we know is that it really takes six months to eight months to a year and that's what it takes, to say, for the neurotransmitters and the chemicals in your brain to really balance out.

00:17:44.431 --> 00:17:49.105
So I always tell people if they're going to try the medication and it starts to work, great.

00:17:49.105 --> 00:18:00.242
Stay on that medication for at least six months to a full year, from when you feel better, to really kind of let things even out, and then you can you know.

00:18:00.242 --> 00:18:07.630
If you feel like you don't want to be on it longer term, that's totally fine, you can work with your doctor, you can wean off of it and you may not need it anymore.

00:18:07.630 --> 00:18:15.907
But that's a really important thing too when you're considering medication is to stay on it long enough that you let it do its job, otherwise you risk relapsing.

00:18:16.180 --> 00:18:27.971
Right and also not have the expectation that you have to go off of it yeah, that you will automatically be fine in a year because you just had a baby.

00:18:27.971 --> 00:18:36.688
You just had a baby and you have this tiny little person that you have to take care of, and that is hard, right, and sometimes you just need a little help.

00:18:36.688 --> 00:18:38.884
That's right and that's how you balance those emotions.

00:18:40.099 --> 00:18:51.269
Yeah, and that analogy I was using earlier about Imagine you have this platter and you're putting all these different bricks on it, like you permanently put this giant brick on the top of your load that you're carrying which?

00:18:51.450 --> 00:18:57.630
is this human to take care of, and so a lot of people think you know like, oh, I should be able to do this without medication.

00:18:57.630 --> 00:18:58.161
I should.

00:18:58.161 --> 00:18:59.686
You know, I shouldn't be feeling this way.

00:18:59.686 --> 00:19:02.628
Those thoughts just really increase the anxiety.

00:19:02.628 --> 00:19:12.960
Give yourself some grace and just be able to recognize this is a huge transition and it's okay that I am not, you know, just flying through this easily.

00:19:12.960 --> 00:19:18.348
Like, it's okay that I need a little bit of support and a little bit of help and I'm really adjusting to this transition.

00:19:18.759 --> 00:19:25.373
So it's not just that you have this one huge brick, because that one huge brick comes with so many other little tiny bricks that get tied.

00:19:25.373 --> 00:19:29.980
You know there's just so much and it just it doesn't go away.

00:19:29.980 --> 00:19:34.460
It's a every problem that you ever had as a as your own human being.

00:19:34.460 --> 00:19:40.292
Maybe you got to a point, as as your own person, as an adult, that decided to have a baby.

00:19:40.660 --> 00:20:07.592
Maybe you got to the point where you could manage all of your own load right, but then every child you have, you're taking on the load of a whole other human and all of the things that go with that, and all of their anxieties and feelings and emotions and just everything that goes with that, and so you have to do the work to learn how to manage that and, additionally, when someone has the thought which I think we all do I should be able to do this.

00:20:08.000 --> 00:20:13.031
First of all let's just throw it out there that many, many, many of us are getting help to do this.

00:20:13.031 --> 00:20:20.851
Many of us have realized that we do need the help, we do need the medication and we do need to learn the tools to get through this.

00:20:20.851 --> 00:20:43.428
Additionally, in the past there was a village that existed that, in our culture, has kind of fallen by the wayside, and there's more of this focus on independence that I believe is stressing women out and all of this competition to be the best at everything, and so we as a society have moved toward this toxic independence.

00:20:43.428 --> 00:20:47.734
I think that puts so much pressure on women.

00:20:48.099 --> 00:20:54.980
Yes, well, the other thing that came up for me, as you were saying that too, was like what's one of the differences in today's society?

00:20:55.241 --> 00:20:57.980
And I was thinking about social media and all the pressure.

00:20:57.980 --> 00:21:07.859
I think that is such a catalyst for anxiety for women, because there's so much comparison to what they see on social media and what are people posting.

00:21:07.859 --> 00:21:18.727
Often it's like they're beautiful newborn photos or you know them nursing the baby and everything looks beautiful and happy, and so moms get in their head with that comparison.

00:21:18.727 --> 00:21:20.811
I should be doing this with ease too.

00:21:20.811 --> 00:21:35.410
What they don't realize is that behind that one image you see on Instagram or the video on TikTok, there's probably all these outtakes and there's probably all these moments where you know Stuff is not going as smoothly as you might think from that one snapshot.

00:21:35.410 --> 00:21:56.309
And so we have to be really careful to not compare ourselves to what we're seeing on social media and instead just just realize that this is hard and there is no such thing as a perfect mom or a perfect parent, and when we fall into this perfectionism trap and this comparison trap, that is a catalyst for when anxiety really starts to increase.

00:21:56.510 --> 00:21:58.849
Yeah, I think it was a few weeks ago.

00:21:58.849 --> 00:22:03.821
I saw Marie Kondo has said that she no longer does the spark joy.

00:22:06.851 --> 00:22:11.060
I saw something about like Marie Kondo, like she, she takes it all back.

00:22:11.060 --> 00:22:11.782
So I've been meaning to.

00:22:13.130 --> 00:22:14.894
She was like my house is messy.

00:22:14.894 --> 00:22:20.174
Yes, she says, I have kids and so, therefore, my house is messy, and I was like yes.

00:22:20.174 --> 00:22:30.355
Thank you because I remember Trying to organize my drawers when my daughter was before she was a year old and do like the Marie Kondo thing, and just stressing myself out about it.

00:22:30.355 --> 00:22:33.663
Yeah, I know that even Marie Kondo can't do it.

00:22:34.049 --> 00:22:35.453
Yes, that is so much better.

00:22:35.453 --> 00:22:36.497
That is so good to know.

00:22:36.497 --> 00:22:40.650
I love a lot of her stuff and I love, I love her folding method and things like that.

00:22:40.650 --> 00:22:51.434
But I think we need to remember like it's not sustainable All of the time, with all the demands we have and the children messing things up, and Just living with children is.

00:22:51.434 --> 00:22:53.039
There's no such thing as perfection.

00:22:53.671 --> 00:22:56.809
There is none, yes, and they're also trying to figure it out themselves.

00:22:56.809 --> 00:23:05.142
So letting go and letting that perfection Slide and letting them do it in their own imperfect way as they make their way in the world.

00:23:05.142 --> 00:23:07.289
I had a friend that she was my next door neighbor.

00:23:07.289 --> 00:23:38.405
She had four girls and I just could not imagine how she did it and she was like I just let go of all the perfection, I have them fold their own clothes and it's ugly and I just have to walk away and let them do their thing and they're gonna figure it out someday, and it's so true, it's really important, because anxiety often is about this desire to try and control your environment, to try and control things, and parenting is all about letting go of control and, you know, letting go of perfectionism and relaxing your standards.

00:23:38.530 --> 00:23:41.647
At least you know, to some degree at some point.

00:23:41.930 --> 00:23:55.282
Yeah, yeah yeah, because once you have that anxiety and you put that on yourself, your kids see that, and then your kids have that anxiety and that stress and have to meet that level of perfection as well, and I don't think that anybody wants to pass that on exactly so true.

00:23:55.282 --> 00:24:02.423
The other thing that I thought was so great and so relatable was Michelle Obama saying that when the kids were little she couldn't stand baroque.

00:24:02.589 --> 00:24:03.373
Yes, yeah.

00:24:05.411 --> 00:24:06.173
I feel you there.

00:24:06.173 --> 00:24:13.289
Why do you get to go out and do something like, why do you get to go golf and those little mini resetments?

00:24:13.289 --> 00:24:14.933
I know because I work.

00:24:14.933 --> 00:24:26.394
I'm a nurse and I work until I get home at 8 pm and my husband's always like, god, I've been here with the kids and I'm like, but I've been at work and we're just like comparing and fighting and like, yeah, well, I've been working harder than you know.

00:24:26.394 --> 00:24:31.553
You know you, it's like guys, everybody's working hard, that's right, that's right.

00:24:31.993 --> 00:24:35.582
Yeah, it's tough, it's tough and that's like another way that the anxiety shows up.

00:24:35.582 --> 00:24:48.201
Often, you know a little bit separate from the intrusive thoughts, but there's some overlap in terms of like the should statements, like I should be getting equal alone time, or I Should be liking my husband more than I am right now, or whatever the case may be.

00:24:48.201 --> 00:24:54.703
So watching out for not only intrusive thoughts but just like that rigid language that sets you up to feel anxious.

00:24:55.509 --> 00:24:55.872
Yes.

00:24:55.872 --> 00:25:05.272
And then I remember back when my kids were a lot littler and they didn't monopolize the television, and they do now.

00:25:05.272 --> 00:25:07.518
I watched the news a lot and.

00:25:07.938 --> 00:25:24.780
I know that that's where a lot of my intrusive thoughts came from, and I noticed because I didn't necessarily make the choice to stop watching the news it just became something that we didn't really do because when the kids were there I didn't want them to see it and then at night I was just too exhausted.

00:25:24.780 --> 00:25:36.063
So I've noticed an increase in my mood, like my mood is so much better Now that I'm not hearing about every single sensationalized violent report that comes.

00:25:36.063 --> 00:25:45.674
Yeah, and I think that, in the like you were talking about, the social media and in the constant barrage of news that is such a trigger for anxiety.

00:25:45.955 --> 00:25:49.202
It is and I think that's a lot of what's happening to people.

00:25:49.529 --> 00:25:51.881
Yeah, yeah, I think that is another difference.

00:25:51.881 --> 00:25:58.839
Yeah, like the social media, like we have way More access to news, you know 24, 7 around the clock and all these different.

00:25:58.839 --> 00:26:03.435
We get like alerts popping up on our phone and that really triggers anxiety.

00:26:03.435 --> 00:26:08.410
Like I do not watch the news, I am very uninformed about what's going on in the world.

00:26:08.410 --> 00:26:12.634
It's probably kind of bad, but like it's what I need to do, you know, and so I'll.

00:26:12.634 --> 00:26:14.170
I'll catch up on the important things.

00:26:14.351 --> 00:26:23.218
But I have a handful of clients who know that if they come in and they start talking about something Going on in the world, they have to give me the overview, because I don't regularly watch the news.

00:26:23.218 --> 00:26:24.259
Because it does.

00:26:24.259 --> 00:26:27.638
It really increases my anxiety and it's just.

00:26:27.638 --> 00:26:28.630
I mean so much of it.

00:26:28.630 --> 00:26:45.317
It's important to be informed and to know what's going on, but so much of it doesn't impact my day-to-day life and so I have to be really careful about how much I let in and being okay and being stable in my day-to-day life without letting all of the things Spark the anxiety, spark the intrusive thoughts.

00:26:45.317 --> 00:26:52.604
When you're constantly seeing all these awful things in the news and you're a new mom, it really can start bleeding into your thinking.

00:26:53.125 --> 00:26:54.470
Yeah, oh yeah, totally.

00:26:54.470 --> 00:27:21.468
I just I know that when I drove to work when my daughter was little, there was someone that jumped off of an overpass and onto an Uncoming car and killed the person inside as well as the person that and I'm not kidding you it like for a year I was terrified every time I went under an overpass, to the point where I was looking up instead of looking at the road, and that was a thought that kept coming and to me, because I hadn't really dealt with it, I didn't realize.

00:27:21.468 --> 00:27:23.834
For me, it felt like something I could control.

00:27:23.834 --> 00:27:25.919
Right, I look up while I'm driving.

00:27:25.919 --> 00:27:27.923
Yes, and this is irrational.

00:27:27.923 --> 00:27:33.479
Right, when I look up while I'm driving, I will see the person that's trying to jump and I will be able to avoid them.

00:27:33.479 --> 00:27:35.002
Right, what's the bigger danger?

00:27:35.002 --> 00:27:36.453
Taking your eyes off the road?

00:27:36.453 --> 00:27:38.180
And yeah, exactly yeah.

00:27:38.240 --> 00:27:41.369
And it wasn't until I actually shared it with a friend of mine.

00:27:41.369 --> 00:27:43.775
She was like you know what that is?

00:27:43.775 --> 00:27:48.654
That is your anxiety and that is something that is tradable and Is that rational?

00:27:48.654 --> 00:27:51.450
And like we kind of worked through it and I was like, oh my gosh, I never thought of it that way.

00:27:51.450 --> 00:28:08.125
It was just this compulsion that I had to, and I totally see where this ties in with OCD, because it is a compulsion to control that, yeah, to feel like you can actually do something with those thoughts, that they're protecting you, when in reality they're probably just making things harder.

00:28:08.286 --> 00:28:14.321
Yeah, I was going to say I think you bring up a really good point, because sometimes these interests of thoughts are just so random.

00:28:14.321 --> 00:28:16.321
It's like where the heck are these thoughts coming from?

00:28:16.321 --> 00:28:30.008
Other times they do stem from something in particular and I've worked with a lot of people who we've had to like, okay, let's take a pause while you're pregnant and postpartum and not watch, like, the murder mysteries or listen to the murder podcast.

00:28:30.008 --> 00:28:33.760
Let's stop watching Law and Order SBU, let's just take a break from that.

00:28:33.760 --> 00:28:39.921
And then sometimes there are interests of thoughts that come that are triggered by a specific thing that happened.

00:28:39.921 --> 00:28:44.746
Like for you, it was that story of somebody actually jumping over the overpass.

00:28:45.515 --> 00:28:55.459
Sometimes people, if they have been in a car accident, for example, or anything really that they witnessed or that they heard about, an anxious brain and an OCD brain is what I call really sticky.

00:28:55.459 --> 00:29:02.961
If it hears an anxious thought or if it hears a news story, it kind of sticks in the brain and then you obsessively think about it.

00:29:02.961 --> 00:29:06.703
So one of the things that I do in therapy is something called EMDR.

00:29:06.703 --> 00:29:12.686
So it's a trauma treatment where, like for you, if you did, you know, a couple of sessions.

00:29:12.686 --> 00:29:17.344
Sometimes it's quick, sometimes it's like one session If it's a specific single incident.

00:29:17.344 --> 00:29:28.865
It can help to like, unstick that thought from your brain and to reprocess it so that it's not constantly getting re-triggered and so that you're not always pairing driving under an overpass with oh my God, something bad is going to happen.

00:29:28.865 --> 00:29:29.045
Yeah.

00:29:29.726 --> 00:29:38.383
Yeah, that's so amazing because I've actually, since we talked about it, I've had several moms that I've interviewed that have had really really good success with EMDR.

00:29:38.723 --> 00:29:39.164
It's great.

00:29:39.164 --> 00:29:39.987
It's a great tool.

00:29:41.155 --> 00:29:58.957
It's an amazing tool, I think, especially for birth trauma, because it really focuses on that one incident and then you can unpair that one moment that we want to celebrate the birth of your baby with all the trauma that may have happened, but also if you have the traumatic moments anytime in your life that are just sticking in there.

00:29:58.957 --> 00:29:59.980
I think it's so.

00:30:00.000 --> 00:30:19.730
Yeah, I think this was important and one of the things that I like to tell moms is you know, as you're pregnant and getting ready to have a baby, if you have anything in your history that feels traumatic, that does kind of create the sticky anxiety, it's a great time to work through it, to kind of get ahead of it stirring up anxiety postpartum.

00:30:19.730 --> 00:30:26.258
Or if you're already on that other side and you're feeling that anxiety, get help, because these things are totally treatable.

00:30:26.258 --> 00:30:28.865
And why suffer?

00:30:28.865 --> 00:30:45.682
You know, like I was telling you my story and I had had some symptoms and I was like I don't think it's anything, and it wasn't until the interest of thoughts came that I realized and at that point I got treatment, I got on medication and I was kind of like, oh my gosh, why did I like struggle with this for so many weeks before I realized it before?

00:30:45.682 --> 00:30:47.406
Because it was like a night and day difference.

00:30:47.755 --> 00:30:49.560
It is so wonderful to feel like yourself again.

00:30:49.560 --> 00:30:52.795
Yes, and it's like you don't even realize it until you do.

00:30:52.795 --> 00:30:53.236
And that's the thing.

00:30:53.236 --> 00:30:58.041
When you're in the anxiety, there's a lot of like am I crazy, Am I ever going to feel normal again?

00:30:58.041 --> 00:30:59.720
And yes, you absolutely can.

00:31:00.281 --> 00:31:01.355
Yeah, and one time.

00:31:01.355 --> 00:31:11.137
I remember having an intrusive thought one time and being able to kind of divide the thought from my being, if that makes sense, like I could use almost like an out of body experience.

00:31:11.137 --> 00:31:20.420
I realized that that thought wasn't coming from me, it wasn't coming from my rational person and it was just kind of there in my brain and I was like, oh, okay.

00:31:20.780 --> 00:31:34.621
I can just kind of separate this from my personhood or myself and realize that it's just something that's there and if that helps anyone you know like realize that this is just something that the chemistry of our brain just kind of does.

00:31:34.621 --> 00:31:35.463
It means nothing.

00:31:35.463 --> 00:31:44.526
It means nothing regarding who you are and whether you're crazy and all this stuff it just means that maybe you got some work to do and there's people out there that can help.

00:31:45.355 --> 00:31:46.786
There's a book that I love to recommend.

00:31:46.786 --> 00:31:49.443
It's a kids book, but I love to recommend it to adults too.

00:31:49.443 --> 00:31:51.241
I think it's called when Kids Worry Too Much.

00:31:51.241 --> 00:32:07.223
It has like a tomato plant on the front and one of the ways that they describe these anxiety thoughts, these intrusive thoughts, are like worry monsters, and I love that because, yes, like exactly like you're saying, separating them from it, being a part of you and being like this other little intrusive monster.

00:32:07.223 --> 00:32:21.519
Having that visual has helped a lot of clients I've worked with to really separate it from themselves and then realize, yeah, that thought is not actually me, it's just an intrusive thought and it's not reality and it's not something I really need to pay any attention to.

00:32:21.519 --> 00:32:23.260
Yeah, that is a game changer.

00:32:23.260 --> 00:32:42.167
One more thing that I want to make sure to say whenever I'm talking about these intrusive thoughts they can be kind of scary I also want to just kind of separate it from perinatal psychosis, especially now if anyone's been following what happened in Boston where a mom of three tragically killed her children.

00:32:42.515 --> 00:32:43.861
This is not what we're talking about.

00:32:43.861 --> 00:32:45.500
This is not the perinatal OCD.

00:32:45.500 --> 00:32:51.263
We're talking about these thoughts of what if I hurt my child, what if I accidentally do something dangerous.

00:32:51.263 --> 00:32:54.163
This is not the same as what that mom was dealing with.

00:32:54.163 --> 00:33:01.067
When we hear these stories of suicide or homicide in the perinatal period, it's a very different thing.

00:33:01.067 --> 00:33:06.023
Perinatal OCD is not actually something you're going to act on when you have these scary thoughts.

00:33:06.023 --> 00:33:06.705
They're just thoughts.

00:33:08.457 --> 00:33:13.126
Unfortunately, I don't think a lot of people know this and I have unfortunately had some situations.

00:33:13.126 --> 00:33:15.957
I may have talked about this in our last episode, I don't remember.

00:33:15.957 --> 00:33:31.566
I have had some moms that have come to me and been traumatized because they told a medical professional I'm having scary thoughts of throwing my baby down the stairs and they've been sent to the ER thinking, oh my gosh, something you're going to hurt your baby.

00:33:31.566 --> 00:33:33.381
That is just not the case with this.

00:33:33.381 --> 00:33:42.846
This is a very different situation and it's really important for people to know that, for providers to know that when moms are experiencing these OCD thoughts, they're very bothered by it.

00:33:42.846 --> 00:33:44.259
They know that they're not healthy.

00:33:44.259 --> 00:33:47.824
They have extreme anxiety because of the thoughts.

00:33:47.994 --> 00:33:50.781
It's very different when a mom is in a psychotic state.

00:33:50.781 --> 00:33:55.584
When she's having these intrusive thoughts, they're more like my baby's, possessed by the devil.

00:33:55.584 --> 00:33:57.902
They're more centered of this demonic nature.

00:33:57.902 --> 00:34:02.048
When she's in that paranoid state or that psychotic state.

00:34:02.048 --> 00:34:06.684
She's not aware that she's thinking irrationally and that she's thinking in these scary ways.

00:34:06.684 --> 00:34:07.961
I think that's really important.

00:34:07.961 --> 00:34:12.326
I think a lot of moms right now are really rattled because of this recent tragedy in the news.

00:34:12.326 --> 00:34:26.701
For anyone who has these OCD anxiety types of thoughts, I just want to let you know it's a different situation and make sure that if you are getting help, you're reaching out to somebody who's really well trained in these disorders so they know what they're dealing with and you get the right kind of support.

00:34:26.880 --> 00:34:27.463
Absolutely.

00:34:27.463 --> 00:34:33.525
I think that that pops up every few years because it's so shocking and gets so sensationalized in the media.

00:34:33.525 --> 00:34:36.340
Yeah, it is so important to know the difference.

00:34:36.340 --> 00:34:46.726
I would love to do another episode on more on postpartum psychosis, because I hear that term thrown around a lot without it really being completely understood.

00:34:46.726 --> 00:34:50.704
I am guilty of thinking that some of those thoughts that I had were postpartum psychosis.

00:34:50.724 --> 00:34:51.847
Yes, absolutely.

00:34:51.847 --> 00:34:55.625
You wonder, oh my gosh, am I like the mom I heard about in those news?

00:34:55.625 --> 00:34:59.043
Those stories are sensationalized, but it is on a spectrum.

00:34:59.043 --> 00:35:04.065
We should definitely talk about it more and explain more about that.

00:35:04.516 --> 00:35:09.498
Thank you for differentiating, because that's important and I had it in my mind and then it just kind of came out.

00:35:09.498 --> 00:35:10.762
Thank, you.

00:35:11.335 --> 00:35:16.697
I guess the main takeaway is remember that these intrusive thoughts are just intrusive thoughts.

00:35:16.697 --> 00:35:20.824
It's a piece of postpartum anxiety or anxiety during pregnancy.

00:35:20.824 --> 00:35:25.559
Just because you think it doesn't mean it's going to happen, doesn't mean you're going to act upon it.

00:35:25.559 --> 00:35:33.443
The treatment is really just being able to talk yourself down from it, acknowledge it, but recognize that it's not reality.

00:35:33.443 --> 00:35:44.702
If just that alone isn't helping, reach out to your provider and see if you can get started on some medication, that should really help decrease the frequency and duration of these thoughts.

00:35:44.702 --> 00:35:45.043
Yeah.

00:35:45.824 --> 00:35:47.067
Thank you so much, Megan.

00:35:47.327 --> 00:35:48.449
You're welcome Very informative.

00:35:48.914 --> 00:35:52.661
Every time I talk to you, I feel like I am validated and I learn more.

00:35:52.802 --> 00:35:55.447
Yes, I know I love I could talk about this stuff.

00:35:55.447 --> 00:35:56.648
I just I love talking about it.

00:35:56.648 --> 00:35:57.780
I think it's so important.

00:35:57.780 --> 00:36:04.902
I was sort of horrified that I as a therapist a mental health therapist wasn't aware of some of these things until I experienced it myself.

00:36:04.902 --> 00:36:09.423
So I just am very passionate about ending the lack of awareness.

00:36:10.045 --> 00:36:10.545
Exactly.

00:36:10.545 --> 00:36:14.150
Yeah, we're going to shout it from the rooftops until everybody knows about it.

00:36:14.150 --> 00:36:15.938
Yes, all right, megan.

00:36:15.938 --> 00:36:17.903
Well, it's always a pleasure, thank you so much.

00:36:17.923 --> 00:36:22.344
You too Thanks so much for having me on.

00:36:22.423 --> 00:36:24.157
Let's face it, moms are busy.

00:36:24.157 --> 00:36:29.106
We're so busy taking care of others that we rarely have time to take care of ourselves.

00:36:29.106 --> 00:36:30.900
I'd love to simplify that for you.

00:36:30.900 --> 00:36:45.362
I'm offering a free 15 minute hair care or skincare consult to help you find an uncomplicated routine using clean, vegan, anti-aging hair care and skincare products that follow the strict HEU standards for safety.

00:36:45.362 --> 00:36:52.137
For your free consult, just send me an email at birthjourneysrn at gmailcom and we'll schedule a call.

00:36:52.137 --> 00:36:55.184
I'm excited to be a part of your self-care journey.