Previa Alliance Podcast
There are few experiences as universal to human existence as pregnancy and childbirth, and yet its most difficult parts — perinatal mood and anxiety disorders (PMADs) — are still dealt with in the shadows, shrouded in stigma. The fact is 1 in 5 new and expecting birthing people will experience a PMAD, yet among those who do many are afraid to talk about it, some are not even aware they’re experiencing one, and others don’t know where to turn for help. The fact is, when someone suffers from a maternal mental health disorder it affects not only them, their babies, partners, and families - it impacts our communities.
In the Previa Alliance Podcast series, Sarah Parkhurst and Whitney Gay are giving air to a vastly untapped topic by creating a space for their guests — including survivors of PMADs and healthcare professionals in maternal mental health — to share their experiences and expertise openly. And in doing so, Sarah and Whitney make it easy to dig deep and get real about the facts of perinatal mental health, fostering discussions about the raw realities of motherhood. Not only will Previa Alliance Podcast listeners walk away from each episode with a sense of belonging, they’ll also be armed with evidence-based tools for healing, coping mechanisms, and the language to identify the signs and symptoms of PMADs — the necessary first steps in a path to treatment. The Previa Alliance Podcast series is intended for anyone considering pregnancy, currently pregnant, and postpartum as well as the families and communities who support them.
Sarah Parkhurst
Previa Alliance Podcast Co-host; Founder & CEO of Previa Alliance
A postpartum depression survivor and mom to two boys, Sarah is on a mission to destigmatize the experiences of perinatal mood and anxiety disorders (PMADs), and to educate the world on the complex reality of being a mom. Sarah has been working tirelessly to bring to light the experiences of women who have not only suffered a maternal mental health crisis but who have survived it and rebuilt their lives. By empowering women to share their own experiences, by sharing expert advice and trusted resources, and by advocating for health care providers and employers to provide support for these women and their families, Sarah believes as a society we can minimize the impact of the current maternal mental health crisis, while staving off future ones.
Whitney Gay
Previa Alliance Podcast Co-host; licensed clinician and therapist
For the past ten years, Whitney has been committed to helping women heal from the trauma of a postpartum mental health crisis as well as process the grief of a miscarriage or the loss of a baby. She believes that the power of compassion paired with developing critical coping skills helps moms to heal, rebuild, and eventually thrive. In the Previa Alliance Podcast series, Whitney not only shares her professional expertise, but also her own personal experiences of motherhood and recovery from grief.
Follow us on Instagram @Previa.Alliance
Previa Alliance Podcast
Previa Playback: What is Postpartum Rage?
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
The fourth episode we cover during Maternal Mental health month is a topic that is often felt but not talked about, postpartum rage. Postpartum rage is a mood disruption that causes intense anger, aggression, and agitation in the weeks and months after giving birth. At Previa Alliance, one of the most frequent questions we get is, “Why do I feel so angry?” Today, the ladies break down what postpartum rage is, why new moms experience it, and what you can do to manage it. We hope this conversation leads to more education and less shame and judgment.
Follow Previa Alliance!
Previa Alliance (@previa.alliance) • Instagram photos and videos
Previa Alliance Podcast (@previapodcast) • Instagram photos and videos
Keep the questions coming by sending them to info@previaalliance.com or DM us on Instagram!
Replay Month Welcome
SPEAKER_02Hey guys, this is Sarah with the Preview Alliance podcast. This month we are replaying our most downloaded episodes. These episodes are the ones that have resonated the most with you guys. So if you're a longtime listener, this is a great refresher and share this with a friend who may be new. If you're new, welcome, and we hope that these episodes are impactful to you like it has been for others. Thank you for being with us and stay tuned.
Naming Postpartum Rage
SPEAKER_02Hey guys, welcome back to the Preview Alliance Podcast. It is Sarah and Whitney. We're in Silmay, maternal mental health month, and today we're gonna talk about postpartum rage. Oh, that's so much fun. So much fun to talk about. Not that moms don't need any more judgment, shame, but I think being what you feel like is an angry mom, an out-of-control mom, um, a snapping mom, that really can hit hard.
SPEAKER_00It can. Because then guilt usually follows.
SPEAKER_02Right? Because you are like, I am having this extreme anger, this irritability, this frustration that's coming out that I'm feeling. Yeah.
SPEAKER_00And it usually you tend to have that rage or anger before you feel it coming. Like it just kind of
When Anger Hits Without Warning
SPEAKER_00is out.
SPEAKER_02And I felt like, so I've said this before, with um second delivery, I was feeling this rage. And I could not control it.
SPEAKER_01Yeah.
SPEAKER_02And it was like you said, it hit me like wham. And I had gone from zero to a thousand, and I was irrational over why my level of anger did not meet what caused it. And that was, I was like, what is wrong with me? And I didn't know, honestly, because people were like saying like postpartum rage is a thing.
SPEAKER_00It's not very talked about. Um, and I will say it's interesting that you mentioned that it was after your second delivery because again, another traumatic delivery. Yep. But you're also keeping up with a toddler at that time. We had just moved. Oh, good. So you had just moved a lot of stuff going on. Yeah. Um, so there you are dealing with a move, dealing with having a traumatic delivery and healing from that.
SPEAKER_01Yeah.
SPEAKER_00And then probably grief, because that's also when you had the hysterectomy unplanned.
SPEAKER_01Yep.
SPEAKER_00And so you've got all of those things going on, and you're keeping up with a toddler, and I would assume that there's probably a sensory overload component.
SPEAKER_02And I think too, it was like I felt super powerless and agitated. Yeah. But it's just like I I remember telling this to Bill, and I was like, Because we had had, he got the brunt of it. Let's just be honest, he got the brunt of it. And he was like, I can't I don't I can't take you treating me this way. And I was like, I am trying not to. Yeah. And it's like I am not controlling it. Yeah.
SPEAKER_00And it's just happening.
SPEAKER_02It's happening. And I don't think he got it. And I didn't, and I was like trying to explain it to him, but like I didn't even know it was a thing.
SPEAKER_01Yeah.
SPEAKER_02Until I did some research and I learned about it, and I was like, oh my gosh. Which correct me if I'm wrong, but it forms it like come falls over a
Why Rage Happens After Birth
SPEAKER_02depressive disorder, right? Like it's a it's like the characterized, but like it can be part of postpartum depression.
SPEAKER_00Oh yeah. Uh honestly, I think rage can be kind of a branch out of depression or anxiety. Right. And I would think with anxiety, it's more, again, we can't control things. Things aren't going the way that we need them to go. Yeah. And then we lose it.
SPEAKER_01Yeah.
SPEAKER_00Um, and again, sensory overload, if it is your second, third, fourth, tenth child, you've got other kids to keep up with. You've got school most likely going on for them, transporting them. You've got the toys, you've got the music, you've got the the the all the things. And so it's only so much our brains can handle on top of healing, recovering, being up, you know, feeding, whether it's breast or formula. We're up every two and a half to three hours if we don't have a colicky baby. Yeah. So we've got all of this going on and we feel very powerless. We feel very defeated. And so with that, this is gonna sound a little weird, but just sit tight with me. Um, it's almost an element of grief. Yeah. Because we're not the mom we wanted to be, and we're angry about that.
SPEAKER_02Ooh, triggered by unmet expectations. Yeah. I set expectations, and let's let's be honest, going from one to two. Whoo.
SPEAKER_00Um that was harder. No, zero to one was harder for me, but one to two, I didn't expect.
SPEAKER_02I felt like I was failing everybody. And I thought I should be handling it better. I thought all these things. Um I feel that way with a six and a two-year-old. Oh yeah, yeah. Um I think it is like those negative feelings about the situation or yourself, they're not ever resolved, or you don't know how to move past them. So then that resentfulness, the anger, the irritability, and then it just explodes. Because like you're never getting, you're just never you're putting a band-aid and you're never getting to an infection. Yeah. So it goes back to that, and it seems like probably, you know, we do know what can cause this. And postpartum, right? Okay, we're not sleeping. Yeah. We have new limitations on our lives. We have an adjustment, we our birth, um, yeah, the partnerships we're in. Hello, that changes.
SPEAKER_00Absolutely.
SPEAKER_02So you have a lot of reasons that can be why you're not functioning.
SPEAKER_00And it can also feel like maybe responsibilities aren't divvied out evenly or equally.
SPEAKER_02Because they're not.
SPEAKER_00They're not. And then you feel unappreciated, and that makes you feel angry.
unknownYeah.
SPEAKER_02Yeah. And it's like I remember resentfulness. I would be like resentful of Bill for like going to work. Yeah. And I was like, you get to leave the house, you get to drive in peace. I'm here.
SPEAKER_00I you get to go to the bathroom by yourself at work. Yeah.
SPEAKER_02I was like, you can listen to whatever you want on. Like, it was just this resentment for him. And he was like, Whoa, this is my day-to-day life. Yeah. And so that was weird. And then, like, I would now, and this I'm even like, I knew was a problem because sometimes if I'd just fallen asleep and James would cry, I'd be like, why? And I would get angry. Yeah. Like super angry all of a sudden, that like he's crying. And I'm like, and I would sh and I'd be like, You are like Sarah, he's a baby. Like, yeah, and that then I felt extreme guilt and shame. And I was like, This is not, and I know, you know, doing just research for this topic too is, you know, a lot of women are have reported, they would maybe just like slam doors when they've never slammed doors, uh-huh. Or they've noticed that they would just like yell when they're not yellers or physically punch something. Yeah. And it's like they're like, who who am I?
SPEAKER_00Yeah. This is not who I usually am. So
Physical Outlets That Help
SPEAKER_00what do we do? So one thing that can be super helpful when we are struggling with postpartum rage and anxiety, to the best of your ability, given that your doctor has cleared you for it, have a physical outlet. Walk. Walking for it. If you feel like you actually need to hit something, if you go on Amazon, they have kids punching bags for like 25, 30 bucks. They are very lightweight, they're probably flimsy, but truly, to get out your postpartum rage, it's totally fine. Do that and hit it. Because that's an appropriate thing to do. That is right. That is. That's an appropriate place for us to get out our physical anger. Yeah. And it is not wrong that we have physical anger. We need to get out. We're human. Yeah. So let's get it out before our body stores it and perceives it as a trauma. Right. So do that. If you again, if you're cleared to run or something like that, that's another good way to get that kind of stuff out. Yeah. Um, you know, if you aren't cleared for things of that nature, walking is a really good option. Honestly, sometimes driving with the windows open or sunroof open, get that sunlight in. Yeah. I would encourage voice journaling very strongly with this.
SPEAKER_02To let out. I think I did never felt like I could say, I'm angry because I feel like I'm not doing it right. I feel like I'm failing, or this is harder than I thought. And like I never said it. So, like you said, I scored it. I kept it.
SPEAKER_00Yeah. So, and here's a little bit of a twist on that. You could do voice journaling yelling, because but does it matter if you yell at your phone?
SPEAKER_02No.
SPEAKER_00It doesn't.
SPEAKER_02It's better you yell at your phone than you yell at your partner, your child, whoever, which inevitably I snapped more at will during this time. Yeah. And I would again be met with extreme guilt, and
Voice Journaling And Empty Chair
SPEAKER_02I was like, I need to change it. And that's where I wish I was more active in therapy in those times.
SPEAKER_00Yeah. So here's another therapeutic tool that is usually used mainly for grief, but I think that it can be helpful in this scenario. And it's actually called an empty chair.
SPEAKER_01Okay.
SPEAKER_00And what people do, you have your chair, couch, whatever, and you just visualize someone that you're upset with and you just say whatever whatever it is that you want to say to them. You can kind of do the same thing with voice journaling. Like if you're really upset that you and your husband or partner or whomever don't share the responsibilities, or you're mad that you had a traumatic delivery, you might feel like your medical team failed you. You kind of visualize them and yell and get that stuff out.
SPEAKER_02Right.
SPEAKER_00Because then you feel like you're actually saying it to them, but you're not doing that in real life. And you can kind of it can take the edge off so that productive conversations can take place.
SPEAKER_02Because you can't have those, and that's what that what I was deveing. It's like I could never even approach him in a way that wasn't angry or mean or resentful for him to even like get past that initial just like attack. Because I was coming at him in an attack way. Yeah. It wasn't like, let me tell you what's going on with me. Um, so that would have been super helpful to me. I think predictability to me is huge. So when I lost that, that fell out of control. Um, you know, I don't again, it's like hard to say this. So it's like to find a support group, you know, for mom rage. If you don't even know why you're feeling this way, that's hard. But now we know what it is, and there is support groups out there.
SPEAKER_00And I will tell you, not every place has this. And again, you need to be cleared by your medical professional. Rage rooms. Okay, we went.
SPEAKER_02Did you? I'm not even kidding.
SPEAKER_00We that was one of Michael's Christmas gifts. He got to go um New Year's weekend. I paid for him to go to the rage room, and he was like, that was so cool.
SPEAKER_02No, it was I mean, and this was this was literally what I was Googling, and then I was like, what can we do? And I saw Rage Room come up. Um good job to them. They have good SEO search engine things that this pops up with mom rage searches, but I was like, we called two of our um super close um friends that we adore and could be honest with and say, we're struggling right now. Can
Support Groups And Rage Rooms
SPEAKER_02you we trust them wholeheartedly? And they came over and they watched the voice, and we had a date where we had lunch, and then we went to the rage room and got that out. Heck yeah. That felt it was a safe place, it was fun. It was designated for that. Uh-huh. And it was super helpful, and it led to better productive conversations. Good. And you know, but then it's like people again, don't judge a book by cover and just be like, oh, I would never think Sarah would need a rage room. Yeah. Oh, I hundred percent needed a rage room.
SPEAKER_00Well, I mean, people that are grieving, I actually recommend that they go to a rage room too.
SPEAKER_02And I think I was grieving a lot from the hysterectomy.
SPEAKER_00Oh, heck yeah. Well, that was taken from you, literally taken from me. Uh-huh. But also, you know, it took away your opportunity to have the choice of not having more children. Yes.
SPEAKER_02Yeah, there is a lot. And and again, this goes back to why we talk about this. So if this is feeling like, oh my gosh, I'm feeling seeing this is resonating with me, you now have a name to it. And you know that this is not who you are. This is not like you're not characterized. This is not like Sarah Eagle's angry mom. Um, that it got better. I now know coping techniques. I have to ground myself still. Where, you know, I like to walk outside, take a breather, my deep breaths. That's right. I like my handy dandy v8, my cool spots. That's right. I have open and honest conversations now. But again, I think this is not just isolated. I think there's always, like you said, a hint of anxiety or depression in it. So if this is sounding like you, please know that there is help, there's treatment, and do stuff for you daily, like if it's the workout, if it's the voice journaling, if it's the empty chair, if it's the grounding, and go back to some of our previous episodes called the toolbox ones, where this is where we have soul episodes of whiting giving us these tools that we know. And the sooner that we have these conversations, we too like our pregnant moms, and you know, if you start going down this route, then we know that we can address it early. Absolutely. So you guys are not angry moms. No, and this is something that hormones, unmet expectations, life changes, your birth experience, history of mental illness, all the risk factors that we've talked about can add to it. Absolutely. And you know what?
You Are Not An Angry Mom
SPEAKER_02We're here just to keep supporting you and educating you. That's right. Till next time. Bye. Maternal mental health is as important as physical health. The Preview Alliance podcast was created for and by moms dealing with postpartum depression and all its variables, like anxiety, anger, and even apathy. Hosted by CEO, founder Sarah Parkhurst, and licensed clinical social worker Whitney Gay, each episode focuses on specific issues relevant to pregnancy and postpartum. Join us and hear how other moms have overcome mental health challenges as well as access tips and suggestions on dealing with your own challenges as moms. You can also browse our podcast library and listen to previous episodes at any time. Please know you're not alone on this journey. We're here to help.