Finding Peace: Your Guide to Therapy in Madison

Therapy can be a lot of things- challenging, interesting, and enlightening. You might even say life changing. The benefits of therapy can go well beyond you, the individual or couple that are the clients. It tends to have a ripple effect often impacting your relationship with kids, family members, friends and coworkers. It can impact how you see yourself, how you approach relationships and how to care for yourself. Therapy can help to break old patterns, even ones that didn’t start with you. It can help you have a better understanding of your though patterns, behaviors and how you respond in situations.

I specialize in working with women in reproductive and maternal mental health as a perinatal therapist in Madison. Many times a good chunk of our time is focused around the parent reparenting themselves. Many of you may want to do better for your children, but do not think to do better for yourself. One of your best teaching tools is the example that you set for your kids. If they see you regulating when you’re having big emotions, modeling how to talk about your emotions and handle conflict, how to take care of yourself, set boundaries, and speak up for yourself. If you model how to make mistakes, and how to make a repair in a relationship when you do make mistakes.

Initiating the therapy process can be hard, but it doesn’t have to be impossible.

Interested in learning more about therapy in Madison and finding your inner peace? Contact julie@kullcounselingmadison.com. If I am not the right fit for you, I will try to help you find a therapist that is.

Postpartum Care Physical Therapy in Madison, WI

I had the honor of interviewing local physical therapist, Jessica Dufault from Mindful Motion Physical Therapy to learn more about how she helps postpartum care in Madison. She specializes in pelvic floor and women’s wellness. She is an excellent resource for women in the pre/postnatal stage and also works with women that have experienced a pregnancy loss.

Julie: Hello Jessica,

Thank you so much for agreeing to speak with me. Would you start by introducing yourself?

Jessica: Hello,

I'm excited to be talking with you about pelvic health today and thanks for inviting me!

I'm a mom, partner, business owner and Pelvic PT in a small private practice. I support people throughout their lifespan (18+ years old, my wisest client was 94!)

Julie: Who can benefit from PT for the pelvic floor?

Jessica: Anyone with a pelvis! But specifically if you've gone through life transitions such as pregnancy, postpartum and perimenopause. During these times, your health and pelvis can undergo transitions that can be challenging to navigate alone and may sometimes require additional TLC.

Julie: I work with a lot of pre/postpartum moms. What are some symptoms that they may notice if they need physical therapy?

Jessica: Great question! If you are pre/postpartum, here are some things to look out for

Peeing when you don't want to

Prolapse which is a shift in position of pelvic organs (feeling of pressure, heaviness or a "falling out" feeling)

Difficulty with internal menstrual product use

Pain with penetration, including sex, exams, menstrual products

Scar tissue restrictions or pain (perineal or cesarean)

Diastasis Recti (separation of abdominal tissue) which can lead to feeling weak or even LBP

Pain in areas like the low back, sacroiliac joint, hip. As well as sciatica and pubic symphysis dysfunction

You may also be looking for guidance on exercise or fitness

You may want support for prepping your body for demands of pregnancy and birth

Julie: If someone has a cesarean birth is PT still helpful?

Jessica: Yes! I had an unplanned cesarean and I had NO idea how difficult the recovery would be and didn't have the support I needed (which is one factor that pushed me from an orthopedic PT to a pelvic PT!).

Taking care of the scar tissue, assessing the position and movement of pelvic organs and regaining abdominal strength are all very important to ensure good long term pelvic health.

Julie: I also work a lot with bereaved moms. I think a lot of times they don't always think about being postpartum because they are not given the same attention as a mom that is lucky enough to bring a baby home. Do you have experience working with bereaved moms? How might your work look different? What might be important for them to know?

Jessica: I don't have a lot of experience here but over the years I have supported a few people who've experienced loss in pregnancy, during birth or a few weeks after birth. And maybe my experience is limited because of what you've already mentioned, that they aren't given the same attention, resources and discussion on all aspects of physical postpartum support. And yet they have the right and deserve the same access to physical pregnancy/post-pregnancy care.

Because if you have experienced a miscarriage in early or mid pregnancy prior to 20 weeks, or a stillbirth (whether vaginal or cesarean) at anytime past 20 weeks, your body has been impacted by hormones and all the accompanying physical changes to the body that pregnancy and birth can bring on. Which deserves attention and support!

We can start early education and support depending on each person's readiness however we wouldn't do a full pelvic assessment until 6 weeks post birth.

All of my clients are screened for mental and emotional health and this helps me to understand where they are in the (potential) grieving process as well as what support they've been able to access and then I can fill in referral gaps as necessary.

And with all clients, I follow their lead in how we approach the plan of care and meet them where they are and with what they (and their bodies) seem ready for. This is especially important for clients with a history of trauma or loss.

Julie: This is so helpful. Thank you! It is a great to know that you are aware and sensitive to the trauma and grief that all these moms are going through and ways to support them.

Julie: What are the benefits that PT can offer?

Jessica: Navigating changes in our bodies can be a lot and accessing a pelvic PT can help people feel well supported physically, emotionally & mentally. Knowing you don't have to "go at it alone" or "suffer in silence" can have a profound impact.

Also it's not just about the pelvic floor! My training and education allow me to support people with all aspects of their health and wellness as it relates to menstruation, fertility, pregnancy, postpartum, perimenopause & menopause.

Julie: If someone is interested in working with you, how do they initiate that?

Jessica: Our website is a great place to start. Lots of info there on who we support and all the options- like using insurance, choosing our ​self-pay programs or even our online programs. We also offer online scheduling through our website.

We do have a free and private Facebook group that everyone is welcome to join if they are looking for more community, support and general pelvic health education.

Julie: Thank you so much Jessica for taking the time to meet with me today. Is there any other information that would be important to know?

Jessica: I often get feedback that our space feels very warm and inviting and that talking with me is way easier than they anticipated (and they say "I wish I had come sooner!") We work hard to make the experience feel supportive and easy. If anyone has reservations, I'm also open to chatting via email or phone call as necessary to make sure it's the right fit overall.

Julie: Jessica you are a valuable resource to the community. Thank you so much for talking with me today and all that you do for the postpartum moms. One of the reasons I asked Jessica to speak today is because of all the great content I see her putting on instagram for free. If you haven’t found her on there yet she is

that_ pelvic _lady.

For more resources on pregnancy or postpartum mental health contact julie@kullcounselingmadison.com.

How to reconnect with your partner after pregnancy loss

Pregnancy loss can have a profound effect on your relationship. For some, it can be a life altering event bringing you closer, and for others, it can lead to the end of your relationship.

When you lose a baby it can be difficult to cope. There is no handbook that gives you instructions on how to grieve. You may feel like you and your partner created this baby together, so grieving should be a joint process.  However, for many couples this is not the case. People grieve differently; how you process grief, when you process grief, and when you get to the acceptance stage of grief. You most likely felt different the minute you realized you were pregnant, connecting with your baby early on in your pregnancy. Research shows that for many first time fathers, a man does not consider a pregnancy a baby and himself a father until he holds that baby in his arms. www.webmd.com

You may feel emotionally disconnected from your partner when you are processing pregnancy loss, and you may also feel physically disconnected from your partner. It is common that you may also feel physically disconnected from your own body. You may find it difficult to be physically comforted by your partner or may have difficulty being intimate. This is common after you experience pregnancy loss. 

Reconnecting with your partner can be difficult, but it is not impossible. Here are a few things that can help you reconnect with your partner after pregnancy loss.

1. Reconnect with yourself - Before you will be able to reconnect physically with your partner, you need to reconnect with yourself. This can be done using mind-body techniques to reconnect you to your body. Two mind-body techniques that I use in my work include progressive muscle relaxation and the body scan. These exercises are both helpful to identify where in the body we hold pain, grief and stress from the trauma of a pregnancy loss and where we are disconnected. 

2. Communicate - This may not sound difficult in theory, but in practice can be difficult. Discuss your feelings about the loss with your partner and accept that they might not understand and that they may feel different about the loss of your baby. Tell your partner if it is difficult to connect physically. Explore feelings about being intimate and what that means for each of you. You may feel like being intimate again will lead to a subsequent pregnancy that you are not ready for. Your partner may just be trying to comfort  you and connect physically. Identify triggers that lead to feeling disconnected. Continue to check in about how you are both feeling.

3. Honor your loss - Find a way that feels comfortable to grieve your loss. Create a ritual that you can do with your partner to honor your loss together. It is important to find at least one way that you can honor your baby and sharing this with your partner is a great way to reconnect.

 4. Seek help - If the above ideas do not work and you are still finding it hard to reconnect there is help. Psychotherapy can help you reconnect to your partner after a loss. Remember to be kind to yourself. Pregnancy loss is a complicated loss and there is no one way to navigate it. 

For more resources on reconnecting with your partner please contact Kull Counseling, LLC at 608.239.4807 or julie@kullcounselingmadison.com.

Honoring your due date

Your "due date". 

If you have experienced an early pregnancy loss, you might be overwhelmed with emotions when thinking about these two words.  It might feel like a deadline for you or a last hurdle you are waiting for to move from depression to acceptance. You might even feel that your due date will be the time that you start letting yourself grieve. If you have experienced an early pregnancy loss an upcoming due date might be weighing heavily on your mind. According to clinical psychologist Kirstin Bouse, via www.essentialbaby.com, "Commemorating your baby's due date isn't just a way to reflect on how important your baby was to you, it's also a vital step in the grieving process."

While everyone must find the best way to grieve and honor their baby on their due date, here are some ideas that have helped others:

1. Find something that memorializes your baby.  You may find that it is healing to have something that memorializes your baby. You may find that a piece of jewelry that you can wear is meaningful- an initial, name, date or symbol can be printed on necklaces, rings or bracelets to help you remember your baby. You might find that getting a tattoo would help you to honor your baby. Other ideas include a statue, stuffed animal, plaque, or plant are ways that you might honor your baby. You might find it to be healing to create a memory box adding any pictures, poems, toys, outfits, or other momentos that help you to remember your baby.

2. Donate. Whether this is your time or money, you may find comfort in making a donation to a charity in honor of your baby on his/her due date. Donating can be a wonderful way to not only memorialize your baby but to also help others.

3. Surround yourself with family and loved ones. You may fine it helpful to surround yourself with loved ones on this day. Those who know and will help you to honor your baby. It may be helpful for you to talk about it with others, to have a celebration in your baby's honor or simply to just be surrounded by love.

4. Spend time alone. You may find it comforting to be alone.  You may want time to process what this day means to you by yourself. You may not want to talk about the day. You may find it comforting to write about your baby or use art to process your feelings about the day.

5. Take a vacation or a staycation.  You and your partner may enjoy taking time off from work to go out of town or to have a mini vacation in town. It might help you to celebrate the day by making some happy memories or it just might be a good distraction to get through the day.

These are a few suggestions that have helped others. Everyone grieves differently and you have to find what is right for you. If you are having a hard time processing your grief or are feeling stuck there is help.

For more information about grieving after a pregnancy loss please contact Kull Counseling, LLC at 608.239.4807 or julie@kullcounselingmadison.com