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Our Postpartum Pact

By: Karen Kleiman, M.S.W. (View Profile)

An Excerpt from What Am I Thinking? Having a Baby After Postpartum Depression by Karen Kleiman, M.S.W. Director of Postpartum Stress Center.

We are reading this together because I need your help. It’s possible that after the birth of our baby, I might not feel well. Since I’m at risk for depression again, we need to be on alert for some of the signs so we can take care of things right away.

I need to trust that you will be observant and candid about what you see and what concerns you.

You need to trust that I am a good judge of how I am feeling.

In the event that my symptoms interfere with my ability to determine how I am feeling or what is best for me, it is crucial that you solicit help from our family, our friends, my doctor, and my therapist. We both know that it is better to be overly cautious than to assume things will get better on their own.

I need you to tell me now that you understand how important all of this is and that you are prepared to act accordingly. Knowing this will give me great comfort.

These are questions that may help you determine how things are going after our baby is born. They may not all apply to us, but they will provide a general outline for us to follow. As we review each point together, we will highlight those that feel particularly relevant to our situation so we don’t miss a thing. If any feeling or experience that we went through has been overlooked, we will discuss that together and add it to the pact.

After our baby comes, I will depend on you to go over these items a number of times at various stages since things can potentially change.

Here’s what I need you to look for:

  • Am I acting like myself?
  • Is there anything I am saying or doing that seems out of character to you or not like my usual self?
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