Psychology Case Study Riley

Postpartum depression is one of the most common complications of childbearing with an estimated prevalence of 19.2% in the first three months after delivery (1). Depressive episodes (major and mild) may be experienced by approximately half of women during the first postpartum year (1). Characterized by depressed mood, loss of pleasure or interest in daily activities, feelings of worthlessness and guilt, irritability, sleep and eating disturbances (2), its etiology is multi-faceted and complex (3;4).

“Parent-child relationships. Among these are quality parenting practices including committing to one-on-one time with each child, affirming their strengths, reinforcing positive behaviors, listening without judgment, accepting ambivalent feelings, reflecting understanding, connecting words to feelings, allowing silence and giving children space to not talk.” 1

The following is a case study of a two-year-old male client, Charles Finster, Jr, also known as Chuckie, who suffers from anxiety disorder. According to the Diagnostic and Statistical Manual-Fifth Edition, general anxiety disorder is characterized by persistent, excessive, and unrealistic worry about everyday things. Chuckie is the son of Charles “Chas” Finster and the late Melinda Finster, who passed away a few months after Chuckie was born. Chuckie has red hair, buckteeth, freckles, and big, purple glasses. He is often seen hanging around his group of friends who range from ages 1 to 3, which makes him the second oldest in the group. He is the only baby in his group of friends without a mother, until he gets a stepmother, Kira, later on. Chuckie is a target of bullying, along with his friends, of the 3 year old.

Postpartum depression is one of the most commons disorders in the early few weeks of child birth. According to the American Psychology Association almost 1 in 7 women are Likely to inherit the disorder. Postpartum depression is caused by the rapid drop of estrogen and progestrone hormone following the birth of a child. The effects include excessive crying without reasoning, irritability, anxiety, loss of memory, and the inability to focus. Within the early weeks of child birth it is expected for a mother embrace her baby however;  The symptoms of postpartum depression can cause intrusive thoughts that can harm both mother and child. Many women suffer from the postpartum due to the lack of a support system. It is likely that if a mother doesn't

The impact of postpartum depression causes a mother to frequently feel exhausted, emotionally empty, and guilty because she cannot show love to her baby. The mother feels overwhelmed by feelings of harming her baby and may lack the emotional energy to relate to her newborn, which prevents her from perceiving the baby’s attempts to communicate. Depressed mothers are less likely to play with, read to, or even breastfeed their baby and tend to be inconsistent in their care causing a disruption in the bonding process. Many mothers are embarrassed to get help out of shame. Postpartum depression also has an extremely high impact on the newborn. Katja Gaschler (2008) states, “three-month-old infants of depressed mothers look at their mothers less often and show fewer signs of positive emotion than do babies of mentally healthy mothers” (p. 65). Postpartum depression during the first few months of life may also cause negative effects on a child’s development including: social problems (difficulty establishing relationships, social withdrawal, and acting out destructively); behavioral problems (temper tantrums, sleep problems, hyperactivity, and aggression); cognitive problems (walking and talking late and learning difficulties); and emotional problems (low self-esteem and anxiety). The family as a whole is also greatly impacted by

Child abuse is still a significant problem in United States. There are 2.9 million child abuse reports to Child Protective Services in 2005 and 825,000 indicated cases. Child abuse has profound impact on the child’s current and future development. The consequences include health and physical effects, intellectual and cognitive impact, and emotional, psychological and behavioral consequences. To improve parenting practice of first time parents is an important way to address this problem. The rate of child abuse is highest for children between birth and 3 years of age. A new Cognitive Behavioral Parent Training Program for Child Abuse Prevention targeted at first time mothers is formed by absorbing elements from existed parent

Postpartum psychiatric disorders, particularly depression, has become the most underdiagnosed complication in the United States. It can lead to increased costs of medical care, inappropriate medical care, child abuse and neglect, discontinuation of breastfeeding, and family dysfunction and adversely affects early brain development (Earls, 2010). Over 400,000 infants are born to mothers that are depressed. One of 7 new mothers (14.5%) experience depressive episodes that impair maternal role function. An episode of major or minor depression that occurs during pregnancy or the first 12 months after birth is called perinatal or postpartum depression (Wisner, Chambers & Sit, 2006). Mothers with postpartum depression experience feelings of extreme sadness, anxiety, and exhaustion that may make it difficult for them to complete daily care activities for themselves or for others (Postpartum Depression). The six stages of postpartum are denial, anger, bargaining, depression, acceptance and PTSD. These stages may affect any women regardless of age, race, ethnicity, or economic status. However only a physician can diagnose a woman with postpartum depression. It does not occur because of something a mother does or does not do, it’s a combination of physical and emotional factors. After childbirth, the levels of hormones in a woman’s body quickly drop; which may lead to chemical changes in her brain (Postpartum Depression). Unbalanced hormones may trigger mood swings.

Anemia, Low birth weight, Preeclampsia, and Premature delivery are effects of postpartum depression during pregnancy (Mena 2016). Mothers’ who were going through postpartum depression during the first three months of the child’s life were seen to be irritable and less engaged (Field 2011). Inadequate caregiving is also a major effect of postpartum depression (Field 2011). Mothers who have postpartum depression are less likely to continue breastfeeding if it becomes difficult (Field 2011). Infant’s with sleep problems are often put into unsafe sleep practices because of a mother’s postpartum depression (Field 2011). Infants of mothers with postpartum depression are less likely to attend well doctor’s appointments (Field 2011). Safety practices are often violated when a mother has postpartum depression (Field 2011). Some mothers have thoughts of harming their infants during postpartum depression (Field 2011). They also can have a fear of being alone with their child (Field 2011). Mothers with postpartum depression are also known to use harsher punishments (Field 2011).

One of the most devastating impact that postpartum depression can have on a mother is to interfere with the ability to care for her child. That is an instant blow to the bonding process. Mothers who suffer from postpartum depression start to feel inadequate as a parent. They have very little interaction with their infant. Quite often they will make less eye contract with their infant as well as, they display less examples of mother-child contact and positive interaction as compared to mothers who don’t have depression. A mom who has postpartum depression shows less affection toward their infant and they also are less sensitive and nurturing. At this stage the infant will sense the tension and anxiety the parent is feeling and in return they will withdraw from their parent. The interaction between mother and child at the early phase of a child’s life is very critical to the evolution of a child.

There may also be a lack of support and concern by the parental support system because of cultural stigma’s or lack of mental health education. This aligns with the pre-cursor to the attachment phase, synchrony. When a parent is experiencing even one of these factors, an infant’s ability to properly form a secure attachment is reduced because of negative synchrony. “Other evidence suggests that a defining characteristic of personality disorder is in an inconsistent and unstable sense of self that is reflected in difficulties maintaining functional and socially appropriate interpersonal relationships” (Hardy, 2007, p.

While Tracy’s little brother was in the hospital, she was not able to spend much time with her mother. Even after her brother came home from the hospital, both parents tended to focus their energy on Tracy’s little brother. This impacted Tracy because they had less time, energy and patience with Tracy so their parenting styles changed and became more inconsistent. Additionally, Tracy’s father has recently been informed he will be laid off from work in a few months, so this leads to even more financial stress for her parents who are already dealing with significant medical bills. Tracy’s parents are arguing more frequently and she undoubtedly witnesses some of these

Feeling moody or blue after child birth is a common issue that many new mothers work to overcome but it is widely acknowledged that postpartum depression can be dangerous to a new mother and her baby. Mothers can experience symptoms such as losing interest in the baby or self, lack of motivation, insomnia, worrying about hurting their baby, irritability, and even have thoughts of death or suicide (Smith & Segal, 2014). These sings tend to set in after childbirth and continue to develop over several months. (Tharner, 2012). While this makes it difficult for the mother to take care of herself, it makes it increasingly difficult, if not impossible, to take care of all her baby’s needs.

The concept of infant-mother attachment is as important to the child as the birth itself. The effect this relationship has on a child shall affect that child for its entire life. A secure attachment to the mother or a primary caregiver is imperative for a child’s development. Ainsworth’s study shows that a mother is responsive to her infant’s behavioral cues which will develop into a strong infant-mother attachment. This will result in a child who can easily, without stress, be separated from his mother and without any anxiety. Of course the study shows a child with a weak infant-mother relationship will lead to mistrust, anxiety, and will never really be that close with the mother. Without the

In the first few months of life, the sole purpose of any child’s behaviour is to survive. This, more often than not, results in actions that reduce the risk of harm and increase the chances of longevity. Of these behaviours, some argue that the most influential is attachment behaviour. “Attachment behaviour is any form of behaviour that results in a person attaining or maintaining proximity to some other clearly identified individual who is conceived as better able to cope with the world”(Bowlby, 1982). Therefore, children will make an effort to stay close to and under the protection of their primary caregiver. According to Webster, “through interactions with their primary caregiver, the child develops expectations and understandings about the workings of relationships. These mental representations of relationships become internalized to the degree that they influence feelings, thought and behaviour automatically and unconsciously” (1999, p.6). Moreover, the response of the identified individual plays a huge role in the child’s perception of the outside world. If the caregiver responds to the child’s needs in a caring and protective manner, the child will feel safe and comfortable in his or her surroundings. If, on the other hand, the caregiver is often emotionally and/or physically unavailable, the child is likely to

A mother who struggles with depression post-partum is likely to expose her baby to more harmful effects. Gerhardt (2015) states that the baby of a depressed mother can find it difficult to cope with or get over stress, or they may be more fearful (p. 21). These babies also may respond to others with depression themselves, as their mother may be neglectful in their care (Gerhardt, 2015, p. 36). One of the reasons for this is because of their cortisol levels, which can fluctuate situationally. However, in infants this can affect their development (Gerhardt, 2015, p. 83) as well as their immune system (Gerhardt, 2015, p. 118), and is evidence that a mother with depression can have a significant impact on her child well beyond when the depression occurs. Additionally, Gerhardt (2015) notes that, “When they grow up, these babies of depressed mothers are highly at risk of succumbing to depression themselves.” (p.