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Understanding Your Moods When You're Expecting: Emotions, Mental Health, and Happiness -- Before, During, and AfterPregnancy Paperback – June 9, 2008
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Editorial Reviews
From Publishers Weekly
Puryear, a psychiatrist specializing in women's reproductive mental health and director of the Baylor Psychiatry Clinic at Baylor College of Medicine, notes that pregnancy and motherhood are hard work both physically and psychologically. Yet, the author points out, most obstetricians and gynecologists have no training in psychological disorders, and women are often left to attend to their emotional issues without support. Puryear offers an informative resource that takes women from before conception to postpartum, drawing on her own practice and personal wisdom as the mother of four as well as current research. With pregnancy comes a surge in hormones that can make women feel both physically ill and cognitively foggy, and when the first movements of the fetus are sensed, the impending reality can be overwhelming. The third trimester and postpartum period can also bring problems: worries about being a good mother, ambivalence about the baby, concerns about sex or anxiety about returning to work. Puryear reveals that medication and psychotherapy are both options for mothers in distress, pointing out that there are many medical choices moms can make that won't harm the baby. All women, she argues, need more information and support concerning emotional issues during pregnancy: this is a worthy place to start. (June)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.
About the Author
LUCY J. PURYEAR, M.D., is a practicing psychiatrist specializing in women's reproductive mental health. She has been director of the Baylor Psychiatry Clinic at the Baylor College of Medicine, and was expert witness for the defense in the trial of Andrea Yates. She lives in Houston, Texas.
More About the Author
I was born in Houston, Texas, but grew up in Baltimore, Maryland. I graduated from Towson Hight School and then went to college in Allentown, Pa. I graduated from Muhlenberg College with a degree in theatre and psychology. After spending a year in N.Y.C. sleeping on a friend's sofa and auditioning for plays I decided enough was enough. I moved to Texas to be nearer my family where I studied nursing. I worked in the neonatal intensive care for four years before I went to medical school at Baylor College of Medicine. Because my father is a psychiatrist I thought I'd do anything but that. In fact I had planned on being an Ob-Gyn. But at the last minute I found that I enjoyed treating psychiatric illness and couldn't wait to get to the hospital in mornings. I could imagine myself doing that for a very long time and not getting bored.
I have had an extremely rewarding career and feel blessed to do what I do. Taking care of pregnant women with psychiatric illness and women with postpartum depression is a perfect blend of obsetrics and psychiatry. I have four children that keep me busy in my "free" time, and a wonderful husband who is always by my side. Writing this book is an effort to share more of my knowledge with many more women than I can see in my office. I hope that it is helpful to many women and their families.
I have had an extremely rewarding career and feel blessed to do what I do. Taking care of pregnant women with psychiatric illness and women with postpartum depression is a perfect blend of obsetrics and psychiatry. I have four children that keep me busy in my "free" time, and a wonderful husband who is always by my side. Writing this book is an effort to share more of my knowledge with many more women than I can see in my office. I hope that it is helpful to many women and their families.
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Most Helpful Customer Reviews
12 of 12 people found the following review helpful
By
ES
on September 6, 2007
Format: Hardcover
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Well-written, easy to read and very human. This is a vital read for anyone who suffered from depression before pregnancy (even if you were "cured"); as well as women who are looking for a post-partum resource that deals with how she actually *feels*, as opposed to an extended tome on diaper changing, breast pads and burping, which are ten-a-penny.
Also, a great read for dads-to-be and new dads, who are wondering who took their wife and replaced her with this sad lady?
Instead of buying another book on the merits of "wearing" your baby or the horrors of disposable diapers, which you flip through in your "mommy" pajamas (with flaps) whilst hiding in the closet, crying, at 3am, (been there); get this book and start getting well.
Also, a great read for dads-to-be and new dads, who are wondering who took their wife and replaced her with this sad lady?
Instead of buying another book on the merits of "wearing" your baby or the horrors of disposable diapers, which you flip through in your "mommy" pajamas (with flaps) whilst hiding in the closet, crying, at 3am, (been there); get this book and start getting well.
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9 of 9 people found the following review helpful
By
James M. Spence
on June 14, 2007
Format: Hardcover
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This book is eloquently written and so honest - thank you, Dr. Puryear! Also, thank you for encouraging us moms to realize that being a "good enough" mother is an achievable, reasonable, rational, and realistic goal. This notion offers women the freedom to be themselves and the fulfillment that comes from loving others from a place of authenticity.
Dr. Puryear is well-known in Houston as a psychiatrist in private practice and a faculty member at Baylor College of Medicine. Dr. Puryear served as an expert witness in both of Andrea Yates' trials here in Houston and is a powerful advocate for women and the need to recognize and appropriately treat and manage women's mental health issues.
This book is for every woman who will, who is and who has experienced pregnancy and/or motherhood. It's focus is on the "normal" fluctuations in emotion and mood that many women experience during and after pregnancy and differentiating such changes from mood disorders (depression, anxiety, psychosis) that need professional treatment.
Dr. Puryear weaves in some her personal experiences of motherhood and acknowledges the fact that for too long we women and society at large have put unnecessary and undue pressure upon women to be "perfect" in so many ways - including motherhood. The author encourages us women to shift our focus to a new goal - to striving to do the best we can with what we know and what we have daily to best serve ourselves, our families, and society at large. She gives us permission to be "good enough" mothers and to be honest, vulnerable, strong and forgiving of ourselves.
Thank you, Dr. Puryear, for sharing yourself, your stories, your expertise, and stories of others that are easy to understand and relate to as women and mothers.
Dr. Puryear is well-known in Houston as a psychiatrist in private practice and a faculty member at Baylor College of Medicine. Dr. Puryear served as an expert witness in both of Andrea Yates' trials here in Houston and is a powerful advocate for women and the need to recognize and appropriately treat and manage women's mental health issues.
This book is for every woman who will, who is and who has experienced pregnancy and/or motherhood. It's focus is on the "normal" fluctuations in emotion and mood that many women experience during and after pregnancy and differentiating such changes from mood disorders (depression, anxiety, psychosis) that need professional treatment.
Dr. Puryear weaves in some her personal experiences of motherhood and acknowledges the fact that for too long we women and society at large have put unnecessary and undue pressure upon women to be "perfect" in so many ways - including motherhood. The author encourages us women to shift our focus to a new goal - to striving to do the best we can with what we know and what we have daily to best serve ourselves, our families, and society at large. She gives us permission to be "good enough" mothers and to be honest, vulnerable, strong and forgiving of ourselves.
Thank you, Dr. Puryear, for sharing yourself, your stories, your expertise, and stories of others that are easy to understand and relate to as women and mothers.
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3 of 3 people found the following review helpful
By
Stacey Glaesmann
on July 2, 2007
Format: Hardcover
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There are so many books out there about what you may feel physically during pregnancy and postpartum. I believe this is the first that helps pregnant women gauge what's common emotionally. As a therapist who works with pregnant and postpartum women, I am thrilled to see this book! I have already recommended it to several clients who are having a rough time emotionally.
Dr. Puryear has written a concise guide to the spectrum of mood changes that are common for pregnant women to have, starting with the very beginning of pregnancy. I know this book will be very reassuring for many families, and I am grateful to be able to offer it as a resources to my clients.
Dr. Puryear has written a concise guide to the spectrum of mood changes that are common for pregnant women to have, starting with the very beginning of pregnancy. I know this book will be very reassuring for many families, and I am grateful to be able to offer it as a resources to my clients.
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3 of 3 people found the following review helpful
By
Laura
on January 3, 2013
Format: Paperback
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This is a good book that seems like it needed to be written. For me, there was too much narrative and introduction relative to the meat of information or research. Some might like that about the book, though. I also would have liked to see more information about the third trimester-- that chapter seemed almost entirely focused on the last couple weeks to the delivery. There is this vast, gaping, and emotional space of time between the start of the first trimester and that final week or so. Finally, if possible, it would have been good to see what women can do if they do not have a supportive OB who will call up a psychiatrist who specializes in the area of prenatal care-- virtually all the stories of women in this book were there because those women's OBs called up the author and said something like "I think my patient needs psychiatric help." A lot of us don't have that. What do we do?
This book is far from useless, but it did not serve me all that much.
This book is far from useless, but it did not serve me all that much.
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3 of 3 people found the following review helpful
By
Shirley
on February 14, 2010
Format: Paperback
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As a mental health practitioner, I find this book valuable to recommend to my clients.
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2 of 2 people found the following review helpful
By
Guadalupe Leyva
on July 25, 2007
Format: Hardcover
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This book should be required reading for all expectant mothers! I so wish that I had been able to read it before the birth of my first baby, but now that my 2nd is eight months old, I find that it is EXACTLY what I needed to know. I've struggled with PPD issues after both of my babies, and this book has been the GREATEST help!
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