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6 Hours 20 Minutes
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Dec 10, 2019
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The Postpartum Stress Center
Hilary Waller, MS, LPC, is a psychotherapist who specializes in the treatment of perinatal mood and anxiety disorders. She is the director of education and programming at The Postpartum Stress Center outside of Philadelphia, which was founded by renowned perinatal expert Karen Kleiman and was listed in Philly Magazine as a "Center of Excellence" for Maternal/Fetal Care in 2008. In addition to providing direct care services to individuals, couples and groups at the center, Hilary serves as an instructor with Karen Kleiman, providing a quarterly 12 CE hour postgraduate advanced training for clinicians across the US and abroad who want to specialize in treating the perinatal population. She conducts workshops and trainings for maternal mental healthcare providers as well as non-clinical staff working with the perinatal population. Hilary completed her master's degree in counseling psychology from Holy Family University in 2013. She is deeply honored to support new patients.
Hilary's forthcoming clinical workbook on the treatment of Perinatal Mood and Anxiety Disorders (PMAD), co-authored by perinatal experts Karen Kleiman and Dr. Tonya Cotler, will be published in the fall of 2022 (PESI Publishing).
Financial: Hilary Waller has an employment relationship with The Postpartum Stress Center. She receives a speaking honorarium from PESI, Inc.
Non-financial: Hilary Waller is a member of the American Counseling Association; National Certified Counselor; and the Postpartum Support International.
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- Develop communication style that meets the unique needs of perinatal clients in order to improve client engagement and retention.
- Differentiate between “normal” perinatal experiences and clinically relevant symptoms to inform clinician’s choice of treatment interventions.
- Modify clinical interventions and screening tools to incorporate the “holding” approach with perinatal clients.
- Integrate understanding of common difficulties occurring within perinatal family system for purpose of psychoeducation, collaboration with family members or partners, and improved specificity of case conceptualization.
- Determine self-regulation skills and interventions the clinician can use to manage vulnerability that may interfere with treatment of perinatal clients.
- Respond effectively to special circumstances (breastfeeding, NICU, perinatal loss, adoption, depression in the partner) that impact therapeutic process and treatment planning.
The Clinical Profile of PMADs: (Perinatal Mood and Anxiety Disorders):
PMAD Screening and Assessment
- What causes postpartum mental health disorders?
- The “perinatal masquerade” and illusion of perfection in motherhood
- Why “perinatal” is a multi-decade stage in life
- What makes mood disorders during this period unique
- Breaking through guilt, shame and silence
- Limitations of the research and potential risks
Clinical Interventions for Mothers Who are Symptomatic, Exhausted, and Preoccupied
- Are you asking the right questions?
- Red flags: What to look/listen for each time you see her
- Evidence-based assessment tools
- Differential diagnosis: The PMAD spectrum
- Depression, Anxiety, OCD, PTSD, psychosis
- The Postpartum Stress Center PMAD Response Model
- How to respond if she discloses thoughts of harm to herself or the baby
- Where and how to refer to a specialist/higher level of care
The Nuanced Experience of the Perinatal Clinician
- How treatment differs for this population
- Create a safe “holding environment”
- Help her break through guilt, shame and silence
- Navigating scary intrusive thoughts
- Practical interventions for busy new moms
- The perinatal family: Identify and engage necessary supports in treatment
- Tools for healing the perinatal intimate partnership
- Psychotropic medications: Safe for pregnant or nursing mothers?
- Collaborative care with other providers
- Videos: Beyond the Fear & Voices of Recovery
- Exercises: Token assessment and case examples
- Managing countertransference
- Ethical decision making: Breaking the rules and self-disclosure
- Collaboration and collegial support
- Feeding issues: Breastfeeding and/or bottle
- Infertility/Assisted reproductive technologies
- Perinatal grief and loss
- When PMADs are left untreated or present later in motherhood
- Multicultural factors
- Social Workers
- Marriage and Family Therapists
- Pediatricians Gynecologists
- Nurse Practitioners
- Midwives and Doulas
- Lactation Consultants
- Other professionals who work with perinatal women
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