Changing Postpartum Depression (PPD)

I just read a GREAT explanation of what our brains are doing as we move through life.  I want to highlight what the author explains about how we develop pathways that can lead to depression and anxiety. I love to help people create new neural pathways by providing tools, accountability, and follow through.  It matters!

“Finally, once a mom is feeling well enough to engage in more triggering discussions around her past that may be contributing to her current distress, therapeutic treatment for PPD [Postpartum Depression] often looks at beliefs and behaviors that are developed through earlier experiences.

Ahh, this last one … this is where the resistance, hesitation, uncertainty, and often anxiety come in.  Is this talking part really helpful?  How much good can talking about what is over and past and done with have in feeling better today?

So, for this question, let me explain in as basic a way I can how the brain works.

Our brains are made up of a number of different regions that control logical thinking and rational thought (the pre-frontal cortex), emotional processing (the mid brain or limbic system), and the autonomic nervous system or our fight/flight response (the brain stem).  Our brains are also divided into two parts- the Right hemisphere (responsible for emotion, relational response and creativity) and the Left Hemisphere (responsible for abstract and practical thinking).

Experiences that we have, beginning in childhood, help to develop neural pathways, or well tread instincts, between parts of the brain.  Sometimes these neural pathways serve us.  For example, if we have been raised by consistent, present, and emotionally available parents we may learn that others are to be trusted and enter into adult relationships with this assumption.  In other words, we develop the instinct to trust.  Sometimes, however, our brains form neural pathways that get in the way of our emotional health.  This is the case when, for example, a child is raised in an environment in which she is constantly ridiculed, laughed at, and invalidated.  This child’s brain will, most likely, form neural pathways that lead her to believe as an adult that she should not express herself, that she does not have anything important to say, and that she is not good enough just as she is.  For this mom, there may be the instinct to self doubt.  We develop ways of thinking and doing that are the result of a sort of knee-jerk reaction in our brains.

So, to frame this very visually, imagine that you are exploring the deep jungle.  The grasses are high and the vegetation thick.  There is a path, however, that is well trodden; the grass has been walked on and a clear trail lies ahead.  What will you do?  You will take this path.  It is “easiest” and most traveled and you know it well.  Why on earth would you try to get to where you were going by bushwhacking though thick and intimidating vegetation?

The answer to THAT question is because, although the path is visible and well trodden, it no longer takes you to some place safe.  It seems easier to take this path, but really where it takes you is to a place that doesn’t feel so great.

Yet the rest of the terrain looks impossible to pass though.  What you learn in therapy is to form new neural pathways, or new trails, so that instincts and belief systems change for the better.  What therapy does is help you to trod a new path in the vegetation, often step by step, little by little, until a new trail is formed; one that takes you to someplace that feels good.  And what happens over time to that old path?  As it is walked on less and less, the grasses return to where they once were and, over time, that trail no longer exists.

A well-trained psychotherapist helps with this process by working with you to explore these old patterns.  Talking about this stuff allows for the information that is needed to understand why you think and behave the way that you do today.  And once you understand the implications of early experiences, you are armed with the awareness — and hopefully the tools — to trail blaze some place new.  This is not always easy, of course.  But physical strength (obtained through basic needs), unconditional support and encouragement (from your therapist, your spouse, or others close to you), and the prospect of a happier way of being make this all very very possible.

Through therapy, you literally change the landscape and structure of your brain.  So, yes, according to brain science, therapy does work.

~ Kate Kripke, LCSW

(first published March 2016)