2011年5月28日 星期六

Postpartum Depression Treatment - Different Treatment Options


A mother who is experiencing any of the signs or symptoms of postpartum depression should definitely obtain professional treatment. If left untreated, postpartum depression can go on for a very long time, even up to a year or more. Most of the time, postpartum depression or anxiety will respond to the same types of treatments that are used for regular depression.

Therapy, support groups and medication can be a great help.

Psychotherapy. Known to be extremely effective in treating postpartum depression, psychotherapy can consist of either group or individual therapy. Many mothers do not want to take medication because they are breastfeeding, and psychotherapy is a popular option.

Interpersonal therapy, or IPT, is a type of psychotherapy that focuses on interpersonal relationships and issues. It is thought to be very effective in treating postpartum depression.

Hormone Replacement Therapy. In some cases, hormone replacement therapy using estrogen can be an effective way to treat postpartum depression. Estrogen is used in combination with an antidepressant drug. It is recommended that you discuss hormone replacement therapy with your physician to determine the type of treatment that would be safest and most effective for you.

Antidepressant Medications. Antidepressant medication should be an option whenever a mother has a severe case of postpartum depression and is not able to care for herself or her baby. This type of treatment should be used in combination with therapy and should always be closely monitored by a physician.

Medications can easily be passed onto a nursing infant through breast milk, but research shows that levels of tricyclic antidepressants reaching a baby through breast milk are undetectable or extremely low. Even so, some nursing babies have been reported to have adverse reactions.

Treatment Through Self Help. Relaxation, a healthy diet and sufficient sleep are always excellent. The best way a woman can help herself is by finding people to talk with about her feelings and emotions. Finding people to assist with child care, running errands and doing housework will help a mother get the rest she needs. It has also been shown that keeping a diary or record of your thoughts, emotions and feelings can make you feel better and help track any progress you make.

Postpartum depression can be dealt with in several ways, including changing ones' lifestyle and alternative treatment options. It is important that you learn as much as you can about your depression and determine whether your symptoms might be due to some other medical condition. If that is the case, that condition should be treated first.

You should realize that the more acute and severe your depression is, the more intensive the treatment will be. At first, it might take some time to find the type of treatment that will be best for you. You might need to go through some trial and error to find the best therapist. The key is to be patient and open to change and experimentation. A woman should never solely rely on medication.

Although medication is effective in the treatment of postpartum depression, side effects are possible and in the end, using therapy along with medication offers advantages.

Research has also shown that lifestyle changes such as proper nutrition, regular exercise, social support and plenty of sleep are some of the most effective ways a woman can reduce her stress.








Read about other very practical suggestions written by Emma on postpartum depression at http://www.PostpartumDepressionTreatment.org. Also, discover other postpartum depression treatment options that has helped many mothers.


Postpartum Depression: The Baby Blues Can Happen to Anyone


Pregnancy and the months following the birth of a baby can be emotionally turbulent times. For most women it is a time of joy and excitement, but it is not uncommon to feel some anxiety and fear. This comes from the basic fact that having a baby is a major life change, and change is always frightening. But for some new mothers, normal feelings of fear and anxiety can grow into something akin to clinical depression. This affliction, which is believed to affect between 5% and 25% of all new mothers, is known as postpartum depression.

What is normal?

Many mothers are surprised by the powerful feelings they experience after giving birth. In many cases, a new mother feels lonely and upset, and these feelings do not seem to match up with the beautiful thing that has happened. In this case, the mother may wonder why these feelings are happening at all, and she may experience guilt for not feeling happy to have been blessed with a baby.

In addition to having feelings of anxiety and sadness, new mothers commonly feel angry at their babies, partners, or other family members. They may cry for seemingly no reason, have difficulty sleeping, and experience doubts as to whether they can actually handle caring for the new baby. These feelings are surprisingly common, but they usually go away within a week.

When is it postpartum depression?

In more serious cases-when the feelings do not fade after a week or so-these post-birth blues turn into postpartum depression. While postpartum depression may seem like an extension of the normal post-birth baby blues, in many cases the real symptoms do not begin until weeks or even months after the birth. You may have postpartum depression if you have noticed any of these signs or symptoms:


Depression, anxiety, or anger continues for two weeks or more.
Early baby blues go away but return with intensity weeks or months later.
Your feelings of sadness, anger, or self-doubt interfere with your everyday functioning.
Your feelings prevent you from caring for your baby as well as you can.
Your appetite changes.
You have trouble sleeping.
You no longer get pleasure from the things you used to enjoy.
You experience panic attacks.
You have difficulty bonding with the new baby.
You fear that your intense feelings may lead you to harm the baby.
You have had thoughts of suicide or self-harm. If you have experienced any of these symptoms, talk to a doctor right away. The earlier you begin to treat your condition, the faster your recovery will be.

Why does it happen?

There are a few aspects of the post-birth time that can combine to worsen the typical baby blues. For one thing, sharp hormonal changes after birth can lead to a roller coaster of feelings and can even make you feel extra tired and depressed. Meanwhile, many new mothers are simply worn out from the process of giving birth. And since new parents often lose sleep in the early weeks of the baby's life, it is common for poor sleep patterns to exacerbate any negative feelings.

Postpartum depression can also flare up when the mother is particularly stressed out. For example, if you have to go back to work sooner than you are ready, or if you are having financial troubles, this can turn normal feelings of doubt into all-out depression.

Postpartum depression tends to be worse in mothers who exhibit any of these risk factors:


A history of depression or other mental disorders.
Stressful events during the past year, such as the loss of a job, a death in the family, or financial hardship.
A weak or nonexistent support system.
Problems with a spouse.
The pregnancy is unplanned or unwanted.Although there are these risk factors, no one is immune. Postpartum depression affects women of all ages and from all social and economic backgrounds, and it should be taken seriously even if you do not have a history of depression. If you suspect you have postpartum depression, talk to your doctor as soon as possible.








Lisa Pecos, a wife, mother and well accomplished writer whom firmly believes in all natural remedies for toddler reflux. Lisa has authored numerous articles for the popular online journal site www.BabyCareJournals.com.


2011年5月27日 星期五

New Moms Beware of Dangerous Postpartum Depression


Postpartum depression is a very real illness that affects millions of women every year. It is often referred to as the "baby blues" and not taken seriously. Some women may experience severe depression that includes thoughts of suicide, harming their newborn, or extreme depression. Postpartum depression is heightened by the lack of sleep and the stress of caring for a newborn.

It is estimated that 80 percent of all women experience some form of postpartum depression after giving birth. It does not usually kick in until at least three days after giving birth and can last for a few short weeks or up to six months. It is normal to experience some weepiness, tiredness, restlessness and a general feeling of grouchiness during the weeks following birth. Mild female depression does not interfere with the mother's ability to care for the newborn child.

The feelings may kind of sneak up on the postpartum woman. At the hospital, the nurses and doctors are there to help out and the high of just giving birth keeps a woman going strong. When the woman and her new baby go home it can be overwhelming and the first signs of depression may start up. The new mother may not recognize the signs for what they are and write them off as hormones or attribute the feelings to exhaustion.

It is important every new mother knows that feeling a little overwhelmed is normal. Depression after pregnancy is also normal to an extent. Hormones are fluctuating all over the place trying to get back in line after giving birth. There is a lot of responsibility and if the woman does not have the support of her loved ones or the child's father it can be very tough to cope with.

If a woman experiences pregnancy depression a doctor will monitor her closely for several months after giving birth. The depression may dissipate after giving birth or may continue to fester and become dangerous to mother and baby. Pregnancy depression is common for those who are carrying an unwanted pregnancy or have experienced some traumatic event during the pregnancy.

Female depression problems are more prevalent in those who have a substance abuse problem. Addictions are commonly related to unresolved depression issues. It is important for a woman to seek treatment for the depression in order to successfully kick any addictions she may have.

Women who have experienced depression before will most likely need to remain under the care of their physician for several months to monitor the depression. Postpartum depression does go away eventually, and it can be treated with prescription drugs. The medicines are safe to use while the new mother is breast feeding. A history of female depression in the family increases the risk of postpartum depression as well.

It is important for women to ask for help when they need it. Postpartum depression is nothing to be ashamed of. Hospitals and doctors are talking to the partner's more about what signs they should be watching for in their loved one who has just given birth. This is very helpful to the new mom because she really may not be able to comprehend the feelings are not normal. A partner should be as supportive as possible and keep in mind that this will pass with a little patience.








Robert covers to vast world of Depression. Running the site DepressionLearning.com, he has had the opportunity to look at the depression disease right in the eyes. With knowledge from postpartum depression to depression treatments, Robert continues his research in the never ending attempts to find the ultimate cure.


2011年5月26日 星期四

Are You in Need of Postpartum Depression Treatment?


The research that Texas low cost health insurance has done regarding the need for postpartum depression treatment yielded surprising results. Postpartum depression treatment starts with asking yourself a couple of questions. Have you recently become a new mother? Does "motherhood" seem quite different than what you have read in books and magazines? Do you feel extreme sadness since the child was born? How about a lack of interest in your own life or your baby? You could be suffering from postpartum depression and in need of postpartum depression treatment. In the event that you are suffering from postpartum depression, there are generally two forms of treatment. The first being counselling (a combination of interpersonal and/or cognitive behavioral counselling) which has proven to help individuals take control of the way a person thinks and feels. Counselling also helps an individual to focus on the changes associated with having a newborn. The second form of treatment is antidepressant medicine. Antidepressant medicine relieves the symptoms that are associated with the depression.

Women (and men) typically prepare for the birth of their new child by squirreling away diapers, decorating rooms and possibly even starting college funds. However, many do not prepare themselves for the changes that they are about to experience within their bodies nor do they prepare for the way they can be affected by loss of sleep and hormonal changes. Life's normal balancing act is magnified by infinity when a new mother must not only handle household chores, lifestyle adjustments, lack of sleep, crying day and night but she must also deal with the possibilities of being viewed as an unfit mother.

Postpartum depression typically sets in within 4 weeks of childbirth. Although, depression is typically only in 10 percent of women, it is important to prepare for potential depression. In preparing, family members can be on the lookout for mood swings and a big indicator is a general disinterest in the child. If these issues exist, the mother should seek professional help and discuss postpartum depression treatment.

It is widely viewed that postpartum depression and the need for postpartum depression treatment exist only in women. However, the Texas low cost health insurance research has shown that it exists in males as well. The more popular term when a male experiences postpartum depression is paternal postnatal depression. Typically when fathers experience paternal postnatal depression it happens within one month to one year of the child being born. Generally, a distinction must be made between "daddy blues" and paternal postnatal depression. The rule of thumb would be based on the length of time the father experienced "blues". If the father is experiencing heavy (unusual) depression within a year of becoming a new father he is potentially experiencing paternal postnatal depression. Keep in mind, depression of two or more weeks due to any circumstance is reason to seek the advice of a physician or mental health specialist. Causes linked to paternal postnatal depression include loss of or lack of sleep. This is gut wrenching due to the fact that loss of or lack of sleep is almost synonymous with newborns. Additionally, the Texas low cost health insurance research noted that hormonal changes occur in men after they become new fathers. There is potential for testosterone levels to decrease and estrogen levels to increase. With these internal changes happening and a new father having no clue of what is going on inside him, there is added potential for paternal postnatal depression (postpartum depression). To further compound issues, Texas low cost health insurance has found that there is a stigma associated with men who seek mental health assistance. They are many times considered to be weak or frowned upon. That being the case, the depression can go undetected and unfortunately lead to other issues.

Postpartum depression treatment should not be viewed as "treatment for the weak." In fact, in preparation for that new baby, couples should add to their list "watch out for depression signs". It is virtually impossible to stop hormonal changes without proper medication. This absolutely does not mean that a person who is experiencing postpartum depression or paternal postnatal depression must medicate in order to handle the depression. However, persons(s) are more likely to "bounce back" with the assistance of a professional (who may prescribe medication). Postpartum depression treatment could also include cognitive behavioral therapy for both parents. In fact, once an individual has identified a professional, he or she should discuss behavioral therapy or interpersonal therapy prior to medicating.

Finally, stay in tune with your body! When your body and mind are reacting in ways that are not normal you should seek the attention of a professional. Better safe than sorry. Who knows, you may be experiencing postpartum depression. Know that you are not alone.

Stay tuned and stay informed!








http://www.texaslowcosthealthinsurance.com


Postpartum Depression Overview


Many women may experience a form of depression identified as postpartum depression after giving birth to a child. While this is a common type of depression, it is also considered to be a serious type among medical professionals. Many individuals do not realize it, but postpartum depression may occur in other instances apart from a live birth.

There are noted cases of those giving birth to stillborn infants and those that have had a miscarriage suffering from postpartum depression. Women that experience this type of depression suffer from many uncomfortable symptoms. In this medical guide, you will be introduced to several facts pertaining to postpartum depression.

Risks

While each female that has experienced a live birth, a stillbirth, or a miscarriage has the potential of developing postpartum depression, there are several factors that may increase the risk of this situation occurring. Each female that experiences a fluctuation in their hormones after being pregnant typically experiences a mild form of depression.

This is usually identified as the "Baby Blues". In most cases, this mild form of depression resolves itself within a few weeks. Those that experience postpartum depression, however, will experience symptoms for an extended amount of time. The following factors may increase a female's risk for developing this condition:

? Many females that have not had a good support system in place while they were pregnant and immediately following a miscarriage, a live birth, or a stillbirth may stand a higher chance of suffering from this severe form of depression.

? Stress seems to be a major culprit when it comes to the development of postpartum depression. Situations such as having a child with medical issues or a disability, financial issues, and even complications within a relationship may trigger depression.

? Women who have suffered from issues associated with their menstrual cycle prior to the pregnancy such as a condition identified as "Premenstrual Dysphoric Disorder" may suffer from postpartum depression.

? A history of depression and conditions such as bipolar disorder may put a female at a higher risk for developing this severe type of depression.

Symptoms

There are many symptoms that a female may experience when suffering from postpartum depression. These symptoms include, but are not limited to, the following:

? The female is likely to feel depressed on a consistent level. This feeling may include feelings of hopelessness and despair. Most individuals feel as if they are completely empty to a degree and have nothing to look forward to.

? Many females may experience mild to severe anxiety. This anxiety may include panic attacks.

? Many women will start to lose interest in the activities and hobbies that they once found pleasurable. As a matter of fact, most women will express the fact that they feel absolutely no pleasure in any activities whatsoever.

? It may become difficult for the sufferer to make decisions. If they are able to make decisions, they often question whether or not the decisions are the right ones.

? Many women that suffer from postpartum depression will fail to care for themselves appropriately. They may not shower, groom themselves, or even change clothes for several days at a time.

? Many women that experience postpartum depression may consider hurting themselves and others.

If you, or someone that you know, is suffering from depression after experiencing a miscarriage, stillbirth, or a live birth, medical attention should be sought immediately.








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2011年5月25日 星期三

Overcoming Postpartum Depression


According to scientific studies, a huge percentage of women experience postpartum depression after giving birth. Research has also proved that this psychological condition is more than just baby blues, instead it is a real illness that could affect a mother's physiological and psychological functioning.

This illness could range from minor down days to severe, debilitating depression. If you are feeling some of its signs and symptoms, you need to pay attention to your symptoms and research what some of the best treatments that are available so you can overcome it as soon as possible.

What causes postpartum depression?

Even though all the possible causes of postpartum depression have not been outlined yet, some clinical studies were able to pinpoint some of its probable causes. These events could make some women more susceptible to this illness than other women.

Hormonal changes are probably the number one reason why mothers experience this psychological illness. Due to rapid hormonal changes while giving birth, women could become more sensitive to those changes and get depressed.

Research also shows that mothers with postpartum depression experience tremendous drops in their thyroid hormone levels. This leads to postnatal hyperthyroidism, which could contribute to a mother's susceptibility to postpartum depression.

Lastly, women who do fail to meet their expectations after giving birth also experience this illness. Depression occurs when they start feeling frustrated about the added stress of taking care of a baby, lack of sleep, and changes in the family.

What are its symptoms?

The baby blues are easy to detect as long as mothers and their partners are familiar with its signs and symptoms. Some of its common symptoms include drastic changes in the mother's appetite and sleeping patterns, feeling irritable and angry for no logical reason, decreased libido, and even fatigue. Its most obvious symptom is when a mother starts feeling guilty and sad after giving birth for no apparent reason.

How is it treated?

Postpartum depression is treated in a wide variety of ways. However, most physicians usually consider counselling as the most effective treatment for baby blues. By regularly speaking to a therapist and sharing their struggles as new mothers, women could find it easier to cope with postpartum depression.

Some medications are also used for this type of depression. Antidepressants can help bring the brain's chemicals back to normal levels and help mothers overcome postpartum depression for good.

Not every woman will experience the baby blues after giving birth. In addition, a woman who has had postpartum depression with one baby won't necessarily have the same experience with the next pregnancy. The good thing about this type of depression is it is treatable and you will get better, but you need to get help if it gets out of control. Don't let the baby blues ruin your happiness of your new baby.








Jamie is a freelance writer who enjoys fitness and the outdoors. She uses her versatile milkshake maker to make delicious treats for her family. She also enjoys using one of the great Cuisinart ice cream makers when making treats for her family. In addition to writing, Jamie loves to spend time with her three kids and their two dogs.


Postpartum Depression Relief Effort - Women of the World Unite


The Bamboo symbolizes the Haitian People to a T, eh? We are a little people. The Bamboo is not a great big tree with a magnificent appearance. But when the strong winds come, well, even a great tree can be uprooted. The bamboo is really weak, but when the winds come, it bends but it doesn't break. Bamboo takes whatever adversity comes along, but afterwards, it straightens itself back up. That's what resistance is for us Haitians: we might get bent...but we're able to straighten up and stand.
-Yolette Etienne

As I watch the news coverage of the earthquake in Haiti I find it impossible to wrap my mind around a humanitarian crisis of such magnitude. Images of an already impoverished nation torn apart by the sheer forces of nature flash across my television screen and I am overcome with the injustice of it all. The utter contrast bemuses me as I sip my morning coffee in the soft glow of the morning sun, dressed in worn flannel pajamas and fuzzy slippers tattered by the oversized mouth of a restless puppy. A good morning text message illuminates the screen of my cell phone- a daily ritual between me and my husband -while my dog romps happily across the living room floor with a slobbery squeeze toy hanging out of his mouth. Meanwhile, in an alternate universe there are dazed and confused people stumbling around in oceans of debris and the crumbled ruins of makeshift buildings, covered from head to toe in blood, dust and grime as they frantically call out for missing loved ones. Their dark eyes stare back at me from my television screen, and I feel so insignificant, so futile and trite.

I am thinking about the women there. They are mothers and daughters just like me. Because I am a woman, I relate most to them. I wonder how many Haitian women were pregnant when the first wave of tremors ripped through the ground beneath their feet. I visualize a mother huddled alone in a corner, praying for salvation with tears stinging her eyes and a helpless infant swaddled against her breast. There is a young woman being interviewed. She shares her story of how she left her daughter with a relative in Haiti and traveled to New York, only to return and find her precious baby had vanished in the rubble. We are worlds apart and yet, we are one and the same. Regardless of the color of our skin or the god we worship, whether we are rich or poor, young or old, we are all women. This is the universal tie that binds us.

I have been thinking quite a bit lately about what it means to be a woman. For over seven years now, I have acted as facilitator of a postpartum depression support group. This position has afforded me the opportunity to meet and observe hundreds of women from varying ethnic backgrounds, socioeconomic levels, age ranges, professional interests and family structures. Despite the surface differences, some very important patterns have emerged. They are common patterns I cannot ignore, for they define the true essence of a woman. Whether oceans apart or right next door certain qualities persist as a kind of collective unconscious; a shared bond with a universal pulse that beats deep inside every woman's soul.

When I first started leading the support groups I was concerned that I might not understand or connect with the suffering of these women. And yet, what I failed to grasp at the time was the truth about what these women really needed the most. As the years progressed I started to listen more deeply. Only then was I able to hear the universal pulse that beats inside every woman's soul. Being a woman means so many things. It means loving so much it hurts sometimes. It means worrying and analyzing and longing and hoping. It means forgetting and then remembering and feeling guilty for having forgotten. It means wanting to please and feeling pleased when we are wanted. It means craving validation and asking ourselves, am I good enough, pretty enough, smart enough, thin enough? It means being a child and a grownup, a mother and a daughter, a wife and a sister, a warrior and a cheerleader. Being a woman means nurturing and nourishing, protecting and honoring, cherishing and adoring. It means giving everything we have to give and then asking ourselves, did I give enough? It means longing for lost youth and celebrating the wisdom that comes with age. It means vulnerability and strength, humble gratitude and glowing pride, holding on and letting go. Being a woman means grieving the end and celebrating the beginning, closing chapters and writing new ones.

As women we have an inherent need for balance, rhythm and harmony in our lives. The number one complaint I hear from women, both in the support groups and my private practice, is a sense of lost equilibrium. Women's internal systems are highly sensitive to change, and therefore, quite easily knocked off balance by such things as hormonal fluctuations, relationship difficulties, emotional stress, health issues and even the most subtle dietary, sleep and climate changes. Balance is a relative term and each woman defines it in a vastly different way.

Consider a Haitian woman who rises at 4AM to prepare a pot of rice for her children, then fights through waves of hunger and fatigue to earn a few pennies selling bruised fruit in a crowded marketplace. How does she maintain her equilibrium? Where does she find her balance? Perhaps she finds it in the sheer will to live- a survival instinct stronger than any force of nature. She knows exactly what she needs to do and where she needs to be; her body and mind, heart and soul are committed. Haitians have a saying, Nou pliye, nou pa kase - "like the bamboo tree, we bend but we don't break; like the flexible bamboo tree we-Haitians use even the momentum of our falls to stand back up..."

Regardless of the circumstances, whether rich or poor, young or old, shanty town or luxury tower, we women of the world thrive on balance, rhythm and synchronicity. In the postpartum depression support groups where women share the common experience of recent pregnancy and childbirth, imbalance is a common theme. There seems to be a collective grief in this subgroup of women, stemming from a perception of lost time, missed experience, and disconnection from the present moment. Regardless of the individual symptoms, which range from debilitating anxiety/panic to intrusive thoughts of harm to the self or the baby to severe depression and hopelessness, there is a common thread running through the fabric of this illness.

All new mothers must learn a brand new dance- the dance of the mother and infant- and in some cases, a woman falls out of step with her partner. When this happens, the grief descends like a tsunami- sudden, fierce and all encompassing.Women with postpartum depression tend to grieve what they sense they have lost- a smooth and harmonious transition into the turbulent waters of motherhood. They imagine most other women are doing a better job. They feel all alone with their suffering. They grieve lost time in the first few days, weeks and months following the birth of their child. They fear being exposed as unfit and incompetent. For all of these reasons, I have come to think of postpartum depression as an illusionary disorder. The illusion stems from the unrealistic expectation that young motherhood should be effortless, natural and entirely joyful.

A humanitarian crisis like the one in Haiti requires a worldwide relief effort. Postpartum depression requires the same. Women suffering from this illness must be reminded of the universal pulse that beats deep inside every woman's soul. The sense of relief is palpable when these women first learn they are not alone with their suffering. They are thirsty for a sense of kinship and the common experiences of other women can be as precious and life affirming as fresh water following a prolonged drought. The media and society in general have painted a dismal picture of postpartum depression as a dark and morbid illness than only a small percentage of women are afflicted with. We hear about the absolute worst cases, and for this reason women are terrified and ashamed to be labeled with this diagnosis. They suffer in silence and avoid seeking the help they need so badly. However in most cases the symptoms are far more common than we realize, highly treatable and easy to manage with the proper support systems in place.

The Ruth Rhoden Craven Foundation will host its 7th annual 5K "Moms Run/Walk" for Postpartum Depression Awareness on Saturday May 8th 2010 (Mother's Day weekend) at 8:30AM at the Charleston Battery Stadium on Daniel Island. The Ruth Rhoden Craven Foundation is dedicated to the proper screening, diagnosis and treatment of postpartum depression. Post-race activities will include good food, live music and family friendly vendors. Whether you have been personally touched by this illness or simply believe in the cause, the race is a wonderful opportunity for the entire family to get outside and enjoy the beauty of a spring morning in the low country.

Postpartum depression is similar to breast cancer in that a woman does not have to suffer personally with the illness to connect with its cause. At all stages of the parenting process from family planning and fertility challenges to pregnancy and childbirth and the years that follow, there are halcyon days and dark lonely hours. Remember, a woman must learn to be like the bamboo tree, bending and swaying when the fierce winds come. The Moms Run is devoted to the women of the world and the people who love them. Together, we can fight to make a difference. So close your eyes and listen deeply for the collective pulse that beats deep inside every woman's soul, from here to Haiti and beyond.








Risa Mason-Cohen is a licensed clinical psychologist in private practice in Charleston, S.C., a regular columnist with the Charleston Mercury and an aspiring author. She can be reached at risa@livedreamthrive.com or http://www.risamason.com. You can also follow Risa's columns at http://www.Charlestonmercury.com