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Family

Having a baby can be painful. Life after shouldn't have to be.

A new recommendation urges medical providers to screen new mothers for depression.

"I was like, 'Hey, I'm having postpartum depression.' I went to my OB, and he kind of brushed me off."

Almost immediately, Heidi Koss knew something wasn't right. The psychology major was experiencing some of the symptoms of postpartum depression and sought help. Sadly, it was hard to come by.

She went to her obstetrician/gynecologist only to be told she needed to "get out more" and maybe "buy a nice dress." She wasn't being heard. She wasn't being taken seriously.


"I kind felt like help was unavailable to me," she says.

She loved her baby, but she didn't love motherhood. Heidi recognized the symptoms of postpartum depression right away. Photo by Heidi Koss, used with permission.

Her postpartum depression continued on, untreated, for 17 months.

For those who've never experienced depression, it may be hard to understand what it's like to feel the symptoms compound over time. Heidi had nightmares, she felt scared, and she was irritable. The more time passed, the worse it got.

"And while I bonded to my baby and I loved my baby, I wasn't enjoying motherhood," she said. "It was a nightmare becoming a mother even though I loved my child."

It wasn't an issue of not bonding with her baby. She did. It was the depression, anxiety, hyper-vigilance, and fear that kept her from keeping calm. Photo by Heidi Koss, used with permission.

Her story isn't at all out of the ordinary. Pregnancy-related depression is very common.

According to Postpartum Support International, between 15% and 21% of women experience moderate to severe symptoms of depression or anxiety during pregnancy. Roughly 21% experience depression after birth. In fact, at that rate, mood and anxiety disorders are one of the most common pregnancy-related complications.

"It was a nightmare becoming a mother even though I loved my child."

Various studies have found that untreated depression and anxiety leave potentially lasting negative effects on parents and children.

That nightmare Heidi went through with her first doctor? It should never happen, but now it should happen much, much less.

The U.S. Preventative Services Task Force, an independent review board, in early 2016 issued some new, potentially lifesaving guidelines for depression screening. Here's what that means:

  • All adults should be screened for depression (including pregnant women and new moms).
  • Treatment should be made available for people who test positive.

This may not seem like a big deal, but it is. As Heidi's story illustrates, even when mothers actively sought help, it was sometimes denied. Now, hopefully, screening for depression will become a routine part of pregnancy, and new mothers won't face that same struggle.

"I think it's imperative to do early screening with every single mother every single time," Heidi tells me. Photo by Heidi Koss, used with permission.

Having a treatment plan in place ahead of her second pregnancy made all the difference in the world for Heidi.

Knowing she was at risk — mothers affected by mood and anxiety disorders are more likely to develop them during future pregnancies — she took preemptive measures before and during her second pregnancy, such as receiving therapy and medication to help ease the transition. Shortly after giving birth, symptoms of depression returned. Luckily for her, she had the right people and care providers in place.

"With my first, it took 17 months before I found an appropriate care provider who actually listened and got me into appropriate treatment. ... 17 months is a world of difference."

Not only will new guidelines help prepare doctors, but they'll also reduce stigma that surrounds depression.

In 1996, a National Mental Health Association survey found that the majority of Americans "think of depression as a sign of personal or emotional weakness." Other studies have shown a belief that seeking therapy or medication to treat depression or anxiety is a sign of poor character. Medically, these beliefs are flat-out wrong. Even so, they may deter people from seeking treatment.

If doctors roll depression screening into the battery of tests that accompany pregnancy, they will help normalize and reduce the stigma associated with it.(And, you know, it ensures that they're equipped to help out in these types of situations, as well.) Other tests can be self-administered, such as the Edinburgh Postnatal Depression Scale.

This was a huge step forward in identifying and treating an all-too-common complication.

Nature

Pennsylvania home is the entrance to a cave that’s been closed for 70 years

You can only access the cave from the basement of the home and it’s open for business.

This Pennsylvania home is the entrance to a cave.

Have you ever seen something in a movie or online and thought, "That's totally fake," only to find out it's absolutely a real thing? That's sort of how this house in Pennsylvania comes across. It just seems too fantastical to be real, and yet somehow it actually exists.

The home sits between Greencastle and Mercersburg, Pennsylvania, and houses a pretty unique public secret. There's a cave in the basement. Not a man cave or a basement that makes you feel like you're in a cave, but an actual cave that you can't get to unless you go through the house.

Turns out the cave was discovered in the 1830s on the land of John Coffey, according to Uncovering PA, but the story of how it was found is unclear. People would climb down into the cave to explore occasionally until the land was leased about 100 years later and a small structure was built over the cave opening.

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Architectural Digest/Youtube

This house was made with love.

Celebrity home tours are usually a divisive topic. Some find them fun and inspirational. Others find them tacky or out of touch. But this home tour has seemingly brought unanimous joy to all.

“Stranger Things” actor David Harbour and British singer-songwriter Lily Allen, whose Vegas wedding in 2020 came with an Elvis impersonator, gave a tour of their delightfully quirky Brooklyn townhouse for Architectural Digest, and people were absolutely loving it.

For one thing, the house just looks cool. There’s nothing monotone or minimalist about it. No beige to be seen.

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Finally, someone explains why we all need subtitles

It seems everyone needs subtitles nowadays in order to "hear" the television. This is something that has become more common over the past decade and it's caused people to question if their hearing is going bad or if perhaps actors have gotten lazy with enunciation.

So if you've been wondering if it's just you who needs subtitles in order to watch the latest marathon-worthy show, worry no more. Vox video producer Edward Vega interviewed dialogue editor Austin Olivia Kendrick to get to the bottom of why we can't seem to make out what the actors are saying anymore. It turns out it's technology's fault, and to get to how we got here, Vega and Kendrick took us back in time.

They first explained that way back when movies were first moving from silent film to spoken dialogue, actors had to enunciate and project loudly while speaking directly into a large microphone. If they spoke and moved like actors do today, it would sound almost as if someone were giving a drive-by soliloquy while circling the block. You'd only hear every other sentence or two.

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Health

Oregon utilizes teen volunteers to run their YouthLine teen crisis hotline

“Each volunteer gets more than 60 hours of training, and master’s level supervisors are constantly on standby in the room.”

Oregon utilizes teen volunteers to man YouthLine teen crisis hotline

Editor's Note: If you are having thoughts about taking your own life, or know of anyone who is in need of help, the 988 Suicide & Crisis Lifeline is a United States-based suicide prevention network of over 200+ crisis centers that provides 24/7 service via a toll-free hotline with the number 9-8-8. It is available to anyone in suicidal crisis or emotional distress.

Mental health is a top-of-mind issue for a lot of people. Thanks to social media and people being more open about their struggles, the stigma surrounding seeking mental health treatment appears to be diminishing. But after the social and emotional interruption of teens due the pandemic, the mental health crises among adolescents seem to have jumped to record numbers.

PBS reports that Oregon is "ranked as the worst state for youth mental illness and access to care." But they're attempting to do something about it with a program that trains teenagers to answer crisis calls from other teens. They aren't alone though, as there's a master's level supervisor at the ready to jump in if the call requires a mental health professional.

The calls coming into the Oregon YouthLine can vary drastically, anywhere from relationship problems to family struggles, all the way to thoughts of self-harm and suicide. Teens manning the phones are provided with 60 hours of training and are taught to recognize when the call needs to be taken over by the adult supervisor.

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Family

Mom shares her brutal experience with 'hyperemesis gravidarum' and other moms can relate

Hyperemesis gravidarum is a severe case of morning sickness that can last up until the baby is born and might require medical attention.

@emilyboazman/TikTok

Hyperemesis gravidarum isn't as common as regular morning sickness, but it's much more severe.

Morning sickness is one of the most commonly known and most joked about pregnancy symptoms, second only to peculiar food cravings. While unpleasant, it can often be alleviated to a certain extent with plain foods, plenty of fluids, maybe some ginger—your typical nausea remedies. And usually, it clears up on its own by the 20-week mark. Usually.

But sometimes, it doesn’t. Sometimes moms experience stomach sickness and vomiting, right up until the baby is born, on a much more severe level.

Hyperemesis gravidarum (HG), isn’t as widely talked about as regular morning sickness, but those who go through it are likely to never forget it. Persistent, extreme nausea and vomiting lead to other symptoms like dehydration, fainting, low blood pressure and even jaundice, to name a few.

Emily Boazman, a mom who had HG while pregnant with her third child, showed just how big of an impact it can make in a viral TikTok.

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The cast of TLC's "Sister Wives."

Dating is hard for just about anyone. But it gets harder as people age because the dating pool shrinks and older people are more selective. Plus, changes in dating trends, online etiquette and fashion can complicate things as well.

“Sister Wives” star Christine Brown is back in the dating pool after ending her “spiritual union” with polygamist Kody Brown and she needs a little help to get back in the swing of things. Christine and Kody were together for more than 25 years and she shared him with three other women, Janelle, Meri and Robyn.

Janelle and Meri have recently announced they’ve separated from Kody. Christine publicly admitted that things were over with Kody in November 2021.

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