Using ERP to Navigate Perinatal OCD and Anxiety Perinatal Mood and Anxiety Disorders (PMADs) can be overwhelming, especially when OCD becomes part of the experience. Intrusive thoughts and compulsions during infertility, pregnancy after a loss, pregnancy or postpartum can feel isolating and all-consuming. But there’s hope: Exposure and Response Prevention (ERP) can be a powerful tool for breaking free from this cycle. What is ERP?
ERP is a specialized therapy designed to help you confront anxiety-provoking thoughts or situations (the exposure) without resorting to compulsive behaviors (the response). Over time, this process allows your brain to recognize that these thoughts and feelings aren’t dangerous. During the perinatal period, intrusive thoughts often center on fears of harm, responsibility, or uncertainty. ERP helps by: * Building confidence in discomfort: By sitting with distress without performing compulsions, you teach your brain that the anxiety will pass on its own. * Reducing fear’s hold: Over time, the thoughts lose their intensity and control, leaving you more present. * With repeated, gradual exposure, your brain becomes less reactive to the triggers. That’s habituation — when what once felt intolerable becomes neutral or manageable. * Disconfirmation happens when you don’t engage in compulsions and realize your feared outcome doesn’t occur. Empowerment Through ERP 💚💚
ERP doesn’t just treat OCD; it gives you back your life. It allows you to reconnect with your values as a parent and move through this transformative season with greater confidence and peace. YOU ARE NOT DEFINED BY YOUR THOUGHTS. YOU ARE NOT ALONE IN THIS STRUGGLE. YOU ARE CAPABLE OF HEALING. 💚 Betty #PerinatalMentalHealth #PerinatalOCD #ERPtherapy #HabituationAndHealing #Disconfirmation #PMADSupport #PostpartumHealing

Life is full of shifts and changes, and the journey to is no exception. Whether you’re stepping into the experience of infertility for the first time, facing unexpected obstacles, grieving the loss of infertility, or somewhere in between — your emotions are valid. Processing Grief and Loss Infertility, setbacks, or loss can feel isolating and overwhelming. You might be wrestling with feelings of sadness, anger, or longing. These emotions don’t define you, but they are a part of the process — a part of your story. Acknowledging Resilience Every step forward, even when it feels small, shows your strength. The perseverance you show each day, no matter where you’re at, is a testament to your resilience and capacity for love. You Will Get There Your journey may not look like anyone else’s, but it is yours. Whether the path includes fertility treatments, surrogacy, adoption, or even finding peace in a life without parenthood — you are capable of finding fulfillment. You Will Make It Through The road may be bumpy, but it is not endless. You don’t have to rush the process or carry this weight alone. You are not alone in this. Lean on your support network. Seek professional help if needed. And most importantly — be kind to yourself. You’re doing your best, and that’s more than enough. 💚 Betty #ParenthoodJourney #InfertilitySupport #PerinatalTherapy #ResilienceAndHealing #YouWillGetThere #HealingThroughGrief #perinatalmentalhealth #unexplainedinfertility

I’m so excited for this announcement!!!! 🤩🤩 After 32 weeks of dedicated weekly consultation, since May 2024, I am now CERTIFIED in ERP (Exposure Response Prevention). Each consultation included constructive, direct feedback to hone my skills in delivering effective ERP. I’m especially excited to use these tools to support perinatal clients managing OCD and anxiety, guiding them to face fears and build resilience during this important stage of life. Thank you @cbicenterforeducation for providing the initial 4-day intensive training, combined with a 32-week certification program. This experience has been invaluable in building my competence and confidence in ERP practice. ERP is the GOLD STANDARD modality used to treat OCD! It is a complex and nuanced treatment—one training alone doesn’t do this modality justice! That’s why finding a dedicated specialist who’s trained to handle the intricacies of ERP is so important for effective OCD treatment. 💚 Betty #ERPcertified #PerinatalMentalHealth #OCDsupport #TherapistLife”

Thanks for the tag @jessica.the.therapist! Tagging more of my favorites to do this! It was a fun way to help others get to know me and to get to know others. Now let’s see what you think is a myth about me in the comments! 💚

In the mirror’s gaze, a familiar frame, A body once driven by pressure and fame. An athlete’s reflection, lean lines and strong, Yet whispers of doubt echo all day long. The chase for perfection, the hunger to win, A cycle of pressures that pulls from within. The joy of the sport, tangled with fear, As ideals of thinness linger too near. A struggle, a battle unseen, What of the moments that lie in between? The thrill of a run, the rush of the game, Yet bound by the standards that feel hard to tame. So I take a deep breath, and learn to embrace, This body that carries both strength and grace. To challenge the whispers, to rewrite the script, To honor my journey, let go of the grip. For all bodies are worthy, in every disguise, Each curve and each contour, a story that flies. In the dance of acceptance, I’ll find my own way, Embracing the fullness of life, day by day. 💚 Betty

Love having these ladies in my corner! We celebrated yet another amazing perinatal provider before she goes on maternity leave. We love you @the.sad.moms.club and can’t wait to join the fun/wild ride of motherhood! 💚💚💚

Setting boundaries can be tough, but understanding why can help us prioritize our mental and emotional health. Why It’s Difficult: 😣 Fear of Conflict: We often avoid setting boundaries because we fear it might lead to arguments or tension. 😣 Guilt & People-Pleasing: The urge to keep others happy can make us put their needs first, making it hard to say no without feeling guilty. 😣 Lack of Skills: Effective communication is key, but many struggle to express their needs confidently. 😣 Fear of Rejection: Boundaries can be seen as rejection, leading to the fear of losing relationships. 😣 Cultural Pressures: Some cultures value self-sacrifice, making it harder to prioritize personal needs. 😣 Personal History: Past trauma or dysfunctional relationships can hinder the ability to set healthy boundaries. Why They’re Essential, Especially During the Perinatal Period: ✨Health: Boundaries help manage stress and ensure rest, crucial for both parent and baby. ✨Safe Spaces: They create supportive environments for self-care. ✨Balance: Boundaries help manage relationships, ensuring the parent’s needs are met. ✨Prevent Overwhelm: They help control the influx of advice and responsibilities. ✨Self-Advocacy: Setting boundaries empowers parents to prioritize their well-being and choices. 💚 Betty #MentalHealth #Boundaries #SelfCare #PerinatalWellness #EmotionalWellbeing #ParentingSupport #MomLife #StressManagement #HealthyRelationships #SelfAdvocacy

Supporting new parents is crucial! While it’s easy to focus on the adorable baby, remember that the transition to parenthood can be incredibly challenging. New parents often face physical exhaustion, emotional stress, and the pressure of adjusting to their new roles. Reach out with practical help—offer to bring meals, lend a hand with household chores, or simply provide a listening ear. Your support can make a world of difference and help them navigate this transformative period with a little more ease. 💚 Betty #perinatalmentalhealth #SupportNewParents #ParentingSupport #NewParentHelp #BeThereForParents #ParentingJourney #NewMomSupport #NewDadSupport #PostpartumSupport #ParentingCommunity #HelpingHands #SelfCareForParents #ParenthoodTogether

What People Often Think Therapy Is: Just Talking: Some people think therapy is simply about having a casual chat with a therapist, like talking with a friend. A Weakness: There’s a belief that seeking therapy means you’re not strong or capable enough to handle things on your own. What Therapy Actually Is: A Structured Journey: Therapy is more than just chatting. It’s a guided process where a therapist uses specific techniques to help you understand yourself and work through your issues. A Collaborative Process: It’s a partnership where you and your therapist work together. You bring your experiences and willingness to explore, and your therapist brings professional expertise and support. A Safe Space: Therapy offers a confidential, non-judgmental environment to dig deeper into your thoughts and feelings, something that’s hard to find elsewhere. The Benefits of Therapy: Self-Discovery: It helps you understand yourself better, uncovering patterns and insights that can lead to personal growth. Coping Skills: You learn practical strategies to handle stress, anxiety, and other challenges more effectively. Better Relationships: Therapy can improve how you interact with others by enhancing communication and understanding. Real Solutions: It’s a way to work through specific issues and make lasting changes, rather than just talking about them. Why It Matters!! When people simplify therapy to “just talking,” it can feel dismissive. It overlooks the skill, dedication, and professional training involved. Therapy isn’t just a conversation; it’s a structured, supportive process designed to help you make meaningful changes in your life. Recognizing this helps honor the hard work and growth that therapy fosters. Betty 💚 #MentalHealthMatters #TherapyIsHealing #SelfDiscovery #MentalHealthAwareness #TherapyWorks #PersonalGrowth #MentalHealthSupport #TherapistTalk #CopingSkills #BetterRelationships #ProfessionalHelp #MentalHealthEducation

Telling new parents to “enjoy every moment” can be harmful because it places unrealistic pressure on them to constantly feel positive and grateful. Parenthood, especially in the early stages, can be overwhelming and challenging. New parents might struggle with sleep deprivation, hormonal changes, and the adjustment to a new routine, making it difficult for them to fully appreciate every moment. This expectation can lead to feelings of guilt or inadequacy when they don’t meet these ideals. Instead of feeling supported, they may feel judged for their genuine struggles or emotions. A more compassionate approach would be to acknowledge the complexities of parenting and offer support that addresses both the joys and the challenges they are experiencing. Offering support to new parents can make a significant difference in their experience. Instead of pressuring them to “enjoy every moment,” practical and emotional support can help them navigate the challenges they face: 1. Acknowledgment of Challenges: Recognize that parenting can be difficult and validate their feelings of stress, fatigue, or frustration. 2. Practical Assistance: Provide help with tasks like meal preparation, household chores, or caring for the baby, which can alleviate some of the immediate pressures. 3. Emotional Support: Be a listening ear and offer encouragement, reassuring them that their feelings are normal and they are not alone. 4. Resources and Guidance: Share information about support groups, parenting classes, or professional help if needed, such as POSTPARTUM SUPPORT INTERNATIONAL to provide them with tools and knowledge. 5. Encouragement of Self-Care: Remind them of the importance of taking care of themselves and offer to help them find time for rest and relaxation. By focusing on these supportive actions, you can help new parents feel more equipped and less isolated as they adjust to their new role. 💚 Betty #perinatalmentalhealth #newparents #newparentsupport #postpartumjourney #postpartumsupportinternational

That’s all! I want to support all the parents/those eager to be parents and house all the doggies. 🥹😊💚

As a therapist and a mother, I know firsthand how challenging it can be to navigate the waves of uncertainty that come with OCD, especially when it involves leaving my children overnight with caregivers. The worry and fear can feel overwhelming, but I’ve learned that leaning into that uncertainty can lead to profound growth and connection. Recently, I decided to step out of my comfort zone and have a much-needed date night/overnighter with my partner. The thought of leaving my children triggered my OCD, bringing up fears and “what ifs.” But instead of giving in to those intrusive thoughts, I engaged in an exercise that helped me confront my OCD head-on. The Swearing Exercise: I started by standing up to my OCD with some powerful, intentional swearing. I expressed my frustration, reminding myself that my OCD doesn’t control my life. This exercise may sound unconventional, but it was incredibly freeing! It allowed me to feel the weight of my fears without letting them dictate my actions. Engaging in Non-Responsive Statements: I practiced non-responsive statements like, “Maybe something will happen, maybe it won’t,”. Instead of seeking reassurance, I chose to sit with the uncertainty. The result? I enjoyed a beautiful evening reconnecting with my partner, laughing, and simply being present. Fostering that relationship is so important, especially as parents. It’s easy to lose sight of each other amidst the chaos of parenting, but nurturing our bond strengthens our family unit. 💖 If you’re struggling with similar feelings, remember: leaning into uncertainty doesn’t mean you’re weak; it’s a brave step toward healing. Your relationship deserves to thrive, and so do you! 💚 Betty #OCD #MentalHealth #LeaningIntoUncertainty #DateNight #Parenting #TherapistThoughts #SelfCare #Connection #perinatalmentalhealth #postpartumanxiety

As a perinatal therapist and mom of two, my postpartum journey over the past three years has taught me that true recovery takes time—far beyond the unrealistic “bounce back” culture we often see. Pregnancy and childbirth profoundly change our bodies, and the idea that we should quickly revert to our pre-pregnancy selves is not only unrealistic but also harmful. Instead of striving for societal expectations of perfection, I’ve embraced body neutrality. This means appreciating my body for what it has done—growing, birthing, and nurturing my children—without placing value on its appearance. Body neutrality allows us to focus on health, strength, and self-compassion, rather than succumbing to external pressures. Remember, your journey is unique, and it’s okay to take the time you need to heal and appreciate the amazing things your body has accomplished. 💚Betty #PostpartumJourney #BodyNeutrality #PerinatalMentalHealth #SelfCompassion #BreakTheStigma