DOCSLIB.ORG

Caring for Yourself After Your Early Loss

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Caring for Yourself After Your Early Loss Caring for Yourself After Your Early Loss CEAC 1314 February 2020 Regina Area Table of Contents Caring For Yourself After Your Early Loss ...................................................................................................................... 3 Early Pregnancy Loss...................................................................................................................................................... 3 Information to Help You Cope ................................................................................................................................... 3 Feelings About Pregnancy and Loss ........................................................................................................................... 3 Diagnosing a Loss ....................................................................................................................................................... 3 After Your Loss ........................................................................................................................................................... 4 Emotions and Grieving .................................................................................................................................................. 4 Stages of Grief ........................................................................................................................................................... 4 Shock.......................................................................................................................................................................... 5 Denial ......................................................................................................................................................................... 5 Anger ......................................................................................................................................................................... 5 Guilt and Bargaining .................................................................................................................................................. 5 Depression ................................................................................................................................................................. 5 Acceptance ................................................................................................................................................................ 5 Maternal Mental Health ................................................................................................................................................ 6 The ‘Blues’ ................................................................................................................................................................. 6 Depression ................................................................................................................................................................. 7 Anxiety ....................................................................................................................................................................... 7 Reaction of Friends and Family...................................................................................................................................... 8 Another Pregnancy ........................................................................................................................................................ 8 Health Care Follow Up ................................................................................................................................................... 9 Maternity Visiting Program (MVP) (306) 766-3700 and Primary Health Care Networks (306) 766-7500 ------------ 9 Warning Signs .......................................................................................................................................................... 10 After Care and Healing ................................................................................................................................................ 10 CEAC 1314 February 2020 Page 1 of 17 Regina Area Health and Wellness .................................................................................................................................................... 12 Where to Find Help...................................................................................................................................................... 13 Bereavement / Loss Supports .................................................................................................................................. 13 Community Resources and Websites ...................................................................................................................... 14 Crisis Services/ Emergency Numbers ....................................................................................................................... 15 Mental Health Services/ Postpartum ...................................................................................................................... 16 Other Resources ...................................................................................................................................................... 17 CEAC 1314 February 2020 Page 2 of 17 Regina Area Caring For Yourself After Your Early Loss Early Pregnancy Loss Information to Help You Cope Please read this information when you feel ready. We hope that it will help you. No one can predict how you will feel after a pregnancy loss. Feelings About Pregnancy and Loss When a person finds out they is pregnant, the emotional response can be very different from each individual. Sometimes pregnancies are highly desired and have taken a long time to achieve and sometimes they are unexpected. Sometimes there is a partner involved and sometimes there is not. Your partner’s response, as with a loss, may be the same as yours, or it may be very different. Pregnancy loss (miscarriage and ectopic pregnancy) is most common in the first three months of pregnancy. Some people and families have chosen not to tell friends and family, while others have told many. Some, but not all, feel a sense of isolation and grief following a pregnancy loss. This is a time to heal physically while acknowledging the emotional impact on a person and their relationships. For some people and families, pregnancy loss is not difficult to recover from emotionally. A person may respond to an early pregnancy loss the same way as another short-term life event that affects health, such as a surgery. Some individuals will feel relief after an early loss if a pregnancy is unplanned, sometimes causing feelings of guilt. There is no right or wrong response after a pregnancy loss. Your response is not necessarily within your control and may be different from those around you. Diagnosing a Loss When the health of the pregnancy is brought into question it can be frustrating waiting for a complete diagnosis. Often times it can be unclear if the pregnancy is growing normally between the time of having a positive pregnancy test and when the pregnancy can be seen on ultrasound. It is important for health care providers to be clear in the diagnosis, so that the best plan of care can be made. Ask your health care provider whenever any information you have received is unclear. CEAC 1314 February 2020 Page 3 of 17 Regina Area After Your Loss After a pregnancy loss you need to recover physically and emotionally. The physical recovery may be faster than the emotional recovery. Sometimes there are feelings of emptiness after the miscarriage, even if the pregnancy was not expected, and you may wish to get pregnant again, as soon as possible. The physical ability to get pregnant again can return within a few weeks, however most healthcare providers suggest waiting to try for pregnancy again until after your next period. If you are not choosing to get pregnant again, birth control plans should be made. Choose the right time for you to try to get pregnant again. Many people may feel some anxiety about future pregnancies and potential losses. If anxiety interferes with your daily functioning and sleep, then you may wish to consider seeing a counsellor or using other techniques to reduce anxiety such as exercise, relaxation, and meditation. This is a time for you to take care of yourself. Most of the time there is no reason for the pregnancy loss and we encourage you to let go of guilt and blame. Let others know what you need or do not need to best help you through this time. It is ok to avoid events that trigger strong emotions such as family gatherings or baby showers while you are healing emotionally. Most people who are grieving will go through distinct stages of grief at some point such as bargaining, self-blame, sadness, and anger. Be compassionate towards yourself, your partner and others. Connecting with support people in your life, whether those are friends, family, or caring professionals can be very helpful. We hope that having some information about this common life event helps you cope with the loss of your pregnancy. Please ask your health care provider if you would like more information, more resources or to speak to a medical social worker. Emotions and Grieving As a person who is experiencing a loss, you have hormonal changes and strong emotional feelings. You may find yourself experiencing anger, sadness, guilt, concern, anxiety, loneliness, disbelief, loss, and
Load more

Recommended publications
  • The Effect of Anxiety and Emotional Intelligence on Students’ Learning Process
    Journal of Education & Social Policy ISSN 2375-0782 (Print) 2375-0790 (Online) Vol. 1, No. 2; December 2014 The Effect of Anxiety and Emotional Intelligence on Students’ Learning Process Sara Hashempour Faculty of Human Ecology Universiti Putra Malaysia Serdang, Selangor Darul Ehsan, 43400 Aida Mehrad Faculty of Human Ecology Universiti Putra Malaysia Serdang, Selangor Darul Ehsan, 43400 Abstract A lot of teachers don’t know what exactly anxiety and emotional intelligenceare and how they can impact on student’s learning. Academic Anxiety will be happened amongst students when they feel intense worry about upcoming and previous incidence, too much self-concern and high focus on acting proficiently or they motivate by various items. Students with high level of anxiety most of the time misinterpreted or overstated the importance of the situation. If the situation is not managed correctly negative consequences may happen. In addition, students that show emotional intelligence toward different items can growth their skills in educational situation. Various expressions have been used to describe experience of emotional intelligence and academic anxiety. This study, talk over the relation of those terms associated with characterizing and conceptualizing of working memory, emotional intelligence and learning process. Keywords:Anxiety, Emotional intelligence, Working Memory, Student’s learning 1.1. Introduction Anxiety is a natural human reaction, and it works as an important psychological function that is felt by many people regardless of age. All children experience anxiety as an alarm system that is activated whenever they perceive situation as dangerous, embarrassing or stressful, in these situations anxiety can help them to better manage the events, while low and controllable level of anxiety can be beneficial, high level of anxiety may negatively impact one’s social and personal relationships, and cause physical and emotional problems.
    [Show full text]
  • Effects of Worry on Physiological and Subjective Reactivity to Emotional Stimuli in Generalized Anxiety Disorder and Nonanxious Control Participants
    Emotion © 2010 American Psychological Association 2010, Vol. 10, No. 5, 640–650 1528-3542/10/$12.00 DOI: 10.1037/a0019351 Effects of Worry on Physiological and Subjective Reactivity to Emotional Stimuli in Generalized Anxiety Disorder and Nonanxious Control Participants Sandra J. Llera and Michelle G. Newman Pennsylvania State University The present study examined the effect of worry versus relaxation and neutral thought activity on both physiological and subjective responding to positive and negative emotional stimuli. Thirty-eight partic- ipants with generalized anxiety disorder (GAD) and 35 nonanxious control participants were randomly assigned to engage in worry, relaxation, or neutral inductions prior to sequential exposure to each of four emotion-inducing film clips. The clips were designed to elicit fear, sadness, happiness, and calm emotions. Self reported negative and positive affect was assessed following each induction and exposure, and vagal activity was measured throughout. Results indicate that worry (vs. relaxation) led to reduced vagal tone for the GAD group, as well as higher negative affect levels for both groups. Additionally, prior worry resulted in less physiological and subjective responding to the fearful film clip, and reduced negative affect in response to the sad clip. This suggests that worry may facilitate avoidance of processing negative emotions by way of preventing a negative emotional contrast. Implications for the role of worry in emotion avoidance are discussed. Keywords: generalized anxiety disorder,
    [Show full text]
  • Worry Is Rarely Helpful, and Is Often Counter- Productive
    BEHAVIOUR orry has become a ourselves to act responsibly. ‘People think modern-day epidemic, worry is helpful,’ he says. ‘They think “I need infecting our lives with to worry to be protected” – they look at it as a THERE’S NO different strains – from way of avoiding a problem.’ Yet worry is rar- SUCH THING AS A sweating the small stuff ely helpful, and is often counter-productive. BORN WORRIER W(did I lock the car?) to imagining the worst Leahy distinguishes between productive 1 ‘I worry about everything. I always (is this headache a brain tumour?). worry – the concerns that prompt us to act have,’ says Eileen, 42, a healthcare And it’s a habit we are teaching our children: – and unproductive ‘what-if’ worry, when we manager from Nottingham. But research shows that today, levels of anxiety imagine worst-case scenarios. ‘What-if’ wor- is there such a thing as a ‘born in high school students in the US are as high rying often occurs because we overthink worrier’? According to personal as those of psychiatric patients in the 1950s, situations and feel a need to control the uncon- construct psychology, worry is a while the UK’s Mental Health Foundation esti- trollable. The key is to isolate what we can behaviour, not a personality trait. mates that 10 per cent of us are likely to have a control and to rigorously question just how ‘What determines our behaviour disabling anxiety disorder at some point. Mean- plausible are our other concerns. Challenging is not what happens to us but while, research shows that women are more irrational worries in this way exposes just how we interpret it,’ explains likely than men to brood on their worries.
    [Show full text]
  • Acute Stress Disorder
    Trauma and Stress-Related Disorders: Developments for ICD-11 Andreas Maercker, MD PhD Professor of Psychopathology, University of Zurich and materials prepared and provided by Geoffrey Reed, PhD, WHO Department of Mental Health and Substance Abuse Connuing Medical Educaon Commercial Disclosure Requirement • I, Andreas Maercker, have the following commercial relaonships to disclose: – Aardorf Private Psychiatric Hospital, Switzerland, advisory board – Springer, book royales Members of the Working Group • Christopher Brewin (UK) Organizational representatives • Richard Bryant (AU) • Mark van Ommeren (WHO) • Marylene Cloitre (US) • Augusto E. Llosa (Médecins Sans Frontières) • Asma Humayun (PA) • Renato Olivero Souza (ICRC) • Lynne Myfanwy Jones (UK/KE) • Inka Weissbecker (Intern. Medical Corps) • Ashraf Kagee (ZA) • Andreas Maercker (chair) (CH) • Cecile Rousseau (CA) WHO scientists and consultant • Dayanandan Somasundaram (LK) • Geoffrey Reed • Yuriko Suzuki (JP) • Mark van Ommeren • Simon Wessely (UK) • Michael B. First WHO Constuencies 1. Member Countries – Required to report health stascs to WHO according to ICD – ICD categories used as basis for eligibility and payment of health care, social, and disability benefits and services 2. Health Workers – Mulple mental health professions – ICD must be useful for front-line providers of care in idenfying and treang mental disorders 3. Service Users – ‘Nothing about us without us!’ – Must provide opportunies for substanve, early, and connuing input ICD Revision Orienting Principles 1. Highest goal is to help WHO member countries reduce disease burden of mental and behavioural disorders: relevance of ICD to public health 2. Focus on clinical utility: facilitate identification and treatment by global front-line health workers 3. Must be undertaken in collaboration with stakeholders: countries, health professionals, service users/consumers and families 4.
    [Show full text]
  • Alive with Pride of Interest: March 2017 Volume 3 Issue 6  the Emotional Effects of Diabetes the Emotional Effects of Diabetes
    Forrest City Water Utility 303 N. Rosser P.O. Box 816 Forrest City, Arkansas 72336 Phone: 870.633.2921 Fax: 870.633.5921 E-mail: [email protected] www.forrestcitywater.com Special points Alive With Pride of interest: March 2017 Volume 3 Issue 6 The Emotional Effects of Diabetes The Emotional Effects of Diabetes Need Stress Relief? or anxiety? important that doctors ask Manager’s Corner By Dr. Sanjay Gupta There are different situations. questions and probe beyond It might be someone who is how their medical care is For people with type 2 diabetes, not compliant with their self- going. A lot of patients are managing their emotional health care and isn’t checking their reluctant to talk about their can be as important as keeping blood sugar regularly or feelings unless asked. When If you have a water their blood sugar under control. taking their medications as a doctor is willing to ask The condition requires constant prescribed. Their doctor questions above and beyond attention, and that can trigger notices this and sees their whether or not they’re check- emergency after- feelings of stress and anxiety. A1C [hemoglobin test] levels ing their blood sugar, the Studies have shown that diabet- are up and there are prob- patient is more willing to ics are much more likely to have lems. In that case we might talk. hours, weekends or an anxiety disorder get communication from or depression. They may neglect their physician, and we’ll What are some of the ma- on holidays, please their diet, stop monitoring glu- help them work through their jor mental health issues cose levels, or revert to un- issues and come up with a that affect diabetics? healthy habits.
    [Show full text]
  • The Experience of Men After Miscarriage Stephanie Dianne Rose Purdue University
    Purdue University Purdue e-Pubs Open Access Dissertations Theses and Dissertations January 2015 The Experience of Men After Miscarriage Stephanie Dianne Rose Purdue University Follow this and additional works at: https://docs.lib.purdue.edu/open_access_dissertations Recommended Citation Rose, Stephanie Dianne, "The Experience of Men After Miscarriage" (2015). Open Access Dissertations. 1426. https://docs.lib.purdue.edu/open_access_dissertations/1426 This document has been made available through Purdue e-Pubs, a service of the Purdue University Libraries. Please contact [email protected] for additional information. THE EXPERIENCE OF MEN AFTER MISCARRIAGE A Dissertation Submitted to the Faculty of Purdue University by Stephanie Dianne Rose In Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy December 2015 Purdue University West Lafayette, Indiana ii To my curious, sweet, spunky, intelligent, and fun-loving daughter Amira, and to my unborn baby (lost to miscarriage February 2010), whom I never had the privilege of meeting. I am extremely happy and fulfilled being your mother. Thank you for your motivation and inspiration. iii ACKNOWLEDGEMENTS I am grateful to everyone who contributed to my study. Specifically, I am indebted to my sisters Sara Okello and Stacia Firebaugh for their helpful revisions, and to my parents Scott and Susan Firebaugh for their emotional and financial support along the way. I am thankful to those who provided childcare during this project, including my family and friends. My wonderful family and friends have blessed me with much support and encouragement throughout this project. I am also very grateful to my advisor Dr. Heather Servaty-Seib for her tireless support and investment in this project.
    [Show full text]
  • Guilt, Distress and Ways of Coping with Guilty Thoughts in a Clinical Sample
    Guilt, Distress and Ways of Coping with Guilty Thoughts in a Clinical Sample A thesis submitted to the University of Manchester for the degree of Doctor of Clinical Psychology (ClinPsyD) in the Faculty of Medical and Human Sciences 2013 Lauren Pugh School of Psychological Sciences Division of Clinical Psychology Table of Contents List of Tables…………………………………………………………………………6 List of Figures………………………………………………………………………..7 Word Count…………………………………………………………………………..8 Abstract of Thesis…………………………………….………………………………9 Declaration………………………………………………………………………….10 Copyright Statement………………………………………………………………...11 Acknowledgements…………………………………………………………………13 Paper 1: Literature Review……………………………………………………….14 Preface………………………………………………………………………………15 Abstract……………………………………………………………………………..16 Introduction…………………………………………………………………………18 Method………………………………………………………………………………25 Search strategy……………………………………………………………....25 Inclusion and exclusion criteria……………………………………………..26 Results………………………………………………………………………………33 Overview of reviewed studies………………………………………………36 Is guilt related to PTSD symptomology?…………………………………...36 Model 1: Is guilt a causal process driving PTSD symptomology?…………41 Model 2: Is PTSD a causal process driving guilt?………………………….42 Model 3: Are guilt and PTSD symptomology causally unrelated despite their co-occurrence?………………………………………………………………43 Model 4: Do confounding variables explain the relationship between guilt and PTSD symptomology?………………………………………………….44 Summary of methodological considerations………………………………..47 Discussion…………………………………………………………………………..51
    [Show full text]
  • Help for Anxiety and Panic Disorders
    Information O from Your Family Doctor Help for Anxiety and Panic Disorders What are generalized anxiety disorder • Numbness or tingling and panic disorder? • Feeling that your body or things around Generalized anxiety disorder (GAD for short) and you are not real panic disorder (PD for short) are different types • Fear of going crazy or losing control of anxiety, or worry. It is normal to sometimes • Fear of dying worry or feel panicked, but you might have GAD or PD if these feelings frequently affect your life. How are GAD and PD treated? People with GAD worry much more than It is important to tell your doctor if you are having normal about everyday things. People with symptoms of GAD or PD. Some symptoms can GAD also have at least three of these symptoms: also be signs of other serious problems. • Feeling keyed up or on edge Medicines and psychological or behavioral • Tire easily talk therapy are the two main treatments of • Trouble focusing GAD and PD. Many people do best when treated • Irritability with both medicine and therapy. Your doctor • Feeling tense might also talk to you about how to avoid • Trouble sleeping situations that trigger your panic or anxiety. People with PD have panic attacks, which Making lifestyle changes is often helpful. These are sudden feelings of fear or anxiety. Sometimes changes include getting more exercise, drinking panic attacks happen for a reason, like being in less coffee, or getting better sleep. Tell your a busy public place, but people with PD can also doctor what medicines you are taking because have a panic attack out of the blue.
    [Show full text]
  • Anxiety Disorders: Diagnosis & Treatment
    Anxiety Disorders: Diagnosis & Treatment David Liu MD, MS Health Sciences Assistant Clinical Professor UC Davis Department of Psychiatry and Behavior Sciences Disclosures • I have no financial relationships to disclose relating to the subject matter of this presentation Learning Objectives 1. Review the DSM-5 diagnostic criteria for Generalized Anxiety Disorder and Panic Disorder 2. Recognize differential diagnosis of GAD and Panic Disorder 3. Appreciate common co-morbidities to Anxiety disorders 4. Understand approach towards management and treatment options for Anxiety disorders in the primary care setting Primary Care is the ‘De Facto’ Mental Health System What is Anxiety? Begins as ordinary, day-to-day Begins to effect situation. daily life Excessive DSM-5 Diagnostic Criteria for Generalized Anxiety Disorder A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance) B. The individual finds it difficult to control the worry. C. The anxiety and worry are associated with three (or more) of the following six symptoms (With at least some symptoms having been presents for more days than not for the past 6 months). Note: Only one item is required in children – 1. Restlessness or feeling keyed up or on edge. – 2. Being easily fatigued. – 3. Difficulty concentrating or mind going blank. – 4. Irritability. – 5. Muscle tension. – 6. Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep) DSM-5 DSM-5 Diagnostic Criteria for Generalized Anxiety Disorder (cont.) D. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social occupational, or other important areas of functioning.
    [Show full text]
  • Advances in Anxiety Manageldent William R
    J Am Board Fam Pract: first published as 10.3122/jabfm.2.1.37 on 1 January 1989. Downloaded from Advances In Anxiety ManagelDent William R. Yates, M.D., and Robert B. Wesner, M.D. Abstract: Recent developments in neurobiology, di­ lation, have reemphasized the importance of anxi­ agnostic classification, and drug/psychotherapy tri­ ety disorders in family practice. This review als have increased our ability to manage patients presents treatment recommendations, including with anxiety disorders. These recent develop­ dosage, products, guidelines for monitoring, and ments, along with epidemiologic surveys showing discontinuation. Advances in the neurobiology of the high frequency of anxiety disorders in the gen­ anxiety are also included. (J Am Bd Fam Pract eral population as well as in the primary care popu- 1989; 2:37-42.) Advances in treatment, including medication and Adjustment Disorders psychotherapy, demand accurate classification of Adjustment disorders describe a stress syndrome anxiety disorders. An accurate diagnosis is impor­ of maladaptive anxiety to a specific psychosocial tant in predicting the natural course and prognosis stressor. Maladaptive anxiety is medically signifi­ for individual patients. Table 1 presents the classi­ cant when there is impairment in occupational or fication scheme for anxiety disorders as outlined social function or the symptoms exceed appropri­ in the revised version of the Diagnostic and Statisti­ ate reaction to the stressor. Adjustment disorders cal Manual of Mental Disorders (DSM III_R).1 Al­ are short-term reactions lasting no longer than 6 though epidemiologic surveys of anxiety SUbtypes months. Patients with acute medical illness, inter­ in family practice populations are sparse, general­ personal problems, or work difficulties commonly ized anxiety disorder, adjustment disorder with have adjustment disorders with prominent anxi­ anxious features, and simple phobias appear to be ety.
    [Show full text]
  • Anxiety Disorders
    Anxiety Disorders Everyone experiences anxiety. However, when feelings of intense fear and distress are overwhelming and prevent us from doing everyday things, an anxiety disorder may be the cause. Anxiety disorders are the most common mental health concern in the United States. An estimated 40 million adults in the U.S., or 18%, have an anxiety disorder. Approximately 8% of children and teenagers experience the negative impact of an anxiety disorder at school and at home. Symptoms Just like with any mental illness, people with anxiety disorders experience symptoms differently. But for most people, anxiety changes how they function day-to-day. People can experience one or more of the following symptoms: Emotional symptoms: • Feelings of apprehension or dread • Feeling tense and jumpy • Restlessness or irritability • Anticipating the worst and being watchful for signs of danger Physical symptoms: • Pounding or racing heart and shortness of breath • Upset stomach • Sweating, tremors and twitches • Headaches, fatigue and insomnia • Upset stomach, frequent urination or diarrhea Types of Anxiety Disorders Different anxiety disorders have various symptoms. This also means that each type of anxiety disorder has its own treatment plan. The most common anxiety disorders include: • Panic Disorder. Characterized by panic attacks—sudden feelings of terror— sometimes striking repeatedly and without warning. Often mistaken for a heart attack, a panic attack causes powerful, physical symptoms including chest pain, heart palpitations, dizziness, shortness of breath and stomach upset. • Phobias. Most people with specific phobias have several triggers. To avoid panicking, someone with specific phobias will work hard to avoid their triggers. Depending on the type and number of triggers, this fear and the attempt to control it can seem to take over a person’s life.
    [Show full text]
  • Associations Between Worry and Positive Emotion Regulation
    International Journal of Cognitive Therapy https://doi.org/10.1007/s41811-020-00081-8 Don’t Worry, Be Happy: Associations Between Worry and Positive Emotion Regulation Cara A. Palmer1 & Benjamin Oosterhoff1 & Amy L. Gentzler2 # Springer Nature Switzerland AG 2020 Abstract Positive emotional experiences are disrupted across a range of anxiety disorders, but little is known regarding specific symptoms that may inhibit positive emotions. Across two studies (N = 260 and N = 119), associations between worry and positive emotion regulation using questionnaires and a lab-based task were examined. Results from study 1 suggested that over 75% of participants reported worrying about a recent positive event, and this was more common for those with greater trait worry. Across both studies, worry was associated with dysregulation in response to positive experi- ences. In study 2, participants completed an emotion regulation task involving directed cognitive reflection on a past positive event, which resulted in increased positive affect regardless of trait worry. Overall, results suggest that individuals commonly worry about positive events and that worry is associated with the dysregulation of positive emotions. However, the ability to up-regulate positive emotions when directed may be maintained. Keywords Worry . Anxiety . Positive affect . Savoring . Emotion regulation Electronic supplementary material The online version of this article (https://doi.org/10.1007/s41811-020- 00081-8) contains supplementary material, which is available to authorized
    [Show full text]