AdultsDr. Ashley Carroll-Brown, PhD, Psychologist
Owner
Compassionate care for trauma, pregnancy, postpartum, and meaningful change.
Anxiety · Pregnancy & Postpartum · Trauma · Depression
Perinatal Mental Health
You wake up exhausted before the day even begins.
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Guiding Growth.
Restoring Hope.
01
You wake up exhausted before the day even begins.
Your baby needs you, the laundry is piling up, messages are going unanswered, and even taking a shower can feel like another item on an endless to-do list.
People ask how the baby is doing. But hardly anyone asks how you're doing.
Maybe you smile and say, "We're doing great," even though you're struggling inside.
You might find yourself thinking:
"Why am I not happier?"
"I wanted this baby. Why is this so hard?"
"Everyone else seems to be handling motherhood better than I am."
"I don't feel like myself anymore."
You may notice:
Persistent sadness or frequent crying
Feeling emotionally numb or disconnected
Losing interest in things you once enjoyed
Feeling overwhelmed by everyday responsibilities
Irritability or anger that seems unlike you
Difficulty connecting with your baby
Feeling guilty or inadequate as a mother
Withdrawing from friends or family
Changes in appetite
Difficulty sleeping even when you have the opportunity
Feeling hopeless about whether things will get better
Sometimes postpartum depression doesn't even feel like sadness.
It can look like anger, resentment, emotional exhaustion, or wanting everyone to leave you alone.
However it shows up, you don't have to struggle silently.
02
Having a baby brings enormous changes in a very short period of time.
Your hormones are changing. Your body is recovering. Your sleep may be fragmented. Your relationships are adjusting. Your routines have changed, and suddenly another person depends on you around the clock.
Even your sense of who you are may feel different.
Some emotional ups and downs are common during the first days after childbirth. Many women experience what is often called the "baby blues," which can include tearfulness, irritability, mood changes, and feeling overwhelmed.
Postpartum depression is different.
Symptoms tend to be more persistent, more intense, and can interfere with your ability to function, care for yourself, connect with others, or experience pleasure.
Research shows that postpartum depression is one of the most common complications associated with childbirth. It can affect women regardless of age, income, relationship status, or how much they wanted or planned their pregnancy.
And most importantly: effective treatment is available.
03
There isn't one single cause of postpartum depression.
Instead, several factors can come together during the postpartum period.
Hormonal changes, sleep deprivation, previous anxiety or depression, a difficult pregnancy or delivery, limited support, relationship stress, financial pressures, breastfeeding challenges, pregnancy loss history, or having expectations of motherhood that don't match reality can all contribute.
For some women, there's also a painful loss of identity.
Before having a baby, you may have been a professional, partner, friend, athlete, traveler, or simply someone who had control over her own schedule.
Now your days may revolve around feeding, diapers, sleep schedules, and someone else's needs.
You can be incredibly grateful for your baby while also grieving parts of your previous life.
Both can be true.
04
Postpartum depression can quietly change how you experience motherhood.
You may go through the motions of caring for your baby while feeling emotionally disconnected.
You may stop responding to friends because explaining how you're feeling takes too much energy.
Your relationship with your partner may feel strained because you're exhausted, touched out, frustrated, or resentful that their life seems to have changed less than yours.
You might compare yourself to other mothers online and conclude that everyone else is doing motherhood better.
And then comes the guilt...
Guilt for needing a break.
Guilt for wanting time alone.
Guilt for not enjoying every moment.
Guilt for struggling when you believe you should be grateful.
That guilt can deepen depression and make it even harder to ask for help.
Therapy can help interrupt that cycle.
05
Cognitive Behavioral Therapy (CBT) is one of the evidence-based approaches we use to help women experiencing postpartum depression.
CBT focuses on the relationship between your thoughts, emotions, and behaviors.
Postpartum depression can create harsh internal messages such as:
"A good mother should be able to handle this."
"Everyone else is doing better than me."
"If I need help, I'm failing."
"My baby deserves a better mother."
These thoughts can feel completely true when you're depressed, but feelings aren't always facts.
Through CBT, we'll work together to recognize these patterns and develop more realistic, compassionate ways of thinking.
We'll also focus on practical behavioral changes that support recovery: reconnecting with meaningful activities, strengthening routines, asking for support, setting realistic expectations, and gradually creating space for your needs again.
06
We may also incorporate Interpersonal Therapy (IPT), an evidence-based treatment with particularly strong research support for perinatal depression.
IPT recognizes something incredibly important about postpartum mental health:
Motherhood changes your relationships and your role in the world.
You may be navigating a completely new identity as a mother while simultaneously adjusting to changes in your marriage or partnership, friendships, career, family relationships, and independence.
Therapy can help you process those changes.
We may work on improving communication with your partner, strengthening your support system, navigating relationship conflict, grieving aspects of your previous identity, and developing confidence in your new role.
You don't have to choose between being a good mother and being yourself.
Part of healing can be learning how to make room for both.
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AdultsOwner
Compassionate care for trauma, pregnancy, postpartum, and meaningful change.
Anxiety · Pregnancy & Postpartum · Trauma · Depression
AdultsSupport for the pressure beneath achievement and the transitions of motherhood.
Pregnancy & Postpartum · High Functioning Anxiety · High-Achieving African American Women · Grief & Loss · Trauma · Depression
Practicing under the supervision of Dr. Desiree L. Stephens, LPC-S.
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