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A rise in postpartum mental health challenges sparks new supports – CBC.ca

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When Robyn Currie pictured having a baby, she imagined mom-and-baby yoga classes, hanging out with other new parents and relaxing in coffee shops while her new child took a nap.

Instead, she got social isolation, physical distancing and a bunch of cancelled programming. Realizing her expectations wouldn’t come to fruition left her grappling with grief, loneliness and depression.

“These ideas you have in your head are just gone and are not going to happen,” said Currie, who lives in Hamilton. She had a baby girl in May after suffering a miscarriage closer to the start of the pandemic. “It was terrible, but made worse because everything shut down… I felt incredibly isolated [and] incredibly overwhelmed.”

Currie says the added stress and limitations of the pandemic contributed to the thoughts about suicide and cycles of deep depression that she experienced — and she is far from alone. 

‘Very tough for a lot of mothers’

An international study of nearly 7,000 pregnant and postpartum women conducted during the pandemic found “substantial proportions… scored at or above the cut-offs for elevated posttraumatic stress, anxiety [or] depression, and loneliness.”

The paper, entitled A cross-national study of factors associated with women’s perinatal mental health and wellbeing during the COVID-19 pandemic, was published by the interdisciplinary academic journal PLOS One in April.

Before the pandemic, about one in seven women would experience postpartum depression or anxiety, according to organizations including the American Psychological Association. The new paper’s researchers say that number has increased to one in three.

“Public health campaigns and medical care systems need to explicitly address the impact of COVID-19 related stressors on mental health in perinatal women,” the paper states.

The effects are apparent at St. Joseph’s Healthcare Hamilton’s Women’s Health Concerns Clinic, which addresses postpartum mental health. Clinic medical director Dr. Benicio Frey, a psychiatrist, says he’s seen increasing severity of mental health challenges since the start of the pandemic.

“We identified… much higher rates of anxiety,” Dr. Frey told CBC Hamilton.

“We’re seeing extreme worrying, panic attacks, and physical symptoms [caused by mental health challenges]…  Because the pandemic has been so long, people end up developing a lot of depressive symptoms as a result; feeling hopeless, feeling down, feeling socially isolated… It’s very tough for a lot of mothers.”

Robyn Currie plays with her baby daughter at home in east Hamilton on Wednesday, Dec. 1, 2021. (Daniel Taekema/CBC)

The clinic is hosting an online forum on Dec. 6 in the hopes of helping inform and support members of the public who are experiencing something similar — or who are expecting a child and would like to start planning for mental health support. 

Dr. Frey says he encounters many new parents who had not previously struggled with anxiety or depression and feel caught off guard by their struggles after having a child. He says the clinic’s research has shown that peer support can help drive the success of psychotherapy. 

“It’s a lot more powerful for moms to hear from other moms,” he said, noting new parents often feel guilty about having negative feelings at a time society expects them to be overjoyed. “They’ll think, ‘I am not a good mom.’ But when they see other loving, caring moms who are struggling as well, it’s healing and part of the recovery.”

Away from family support

Safeya Wahbi, a Hamilton mom of five, had her youngest daughter just months before the pandemic. As a newcomer to Canada, her local network was already limited, but then the pandemic arrived. Suddenly all the kids were home all the time and Wahbi was afraid to go out, lest she or the baby get sick.

“She was a small baby and could easily catch any infection, any illness,” she told CBC News, in an interview translated from Arabic. “For sure, I was worried about her and I was worried about myself because I had issues after delivery: iron deficiency, vitamin deficiency. I was afraid that if I went out I’d catch any virus… I hated the situation, I hated Canada, I hated myself, I hated these matters, life.”

With limited options for support, she asked for help from God. “I used to pray. Honestly, I used to cry.”

Wahbi says being away from her family made things so much worse; she says they would have helped her if they had been nearby. 

“In Syria, I had family. My mom, my siblings, my in-laws… they helped with the baby. Here, in less than 24 hours after delivery, I came back home and I bathed the baby all by myself.”

She says she is still feeling the effects of the isolation. “Whenever I feel pressured, annoyed, or face any trouble, honestly, I feel so bad.”

“In Syria, I had family. My mom, my siblings, my in-laws…– Safeya Wahbi

Postpartum doula Naomi Mendes-Pouget, who uses both “she” and “they” pronouns, has seen the ravages of isolation among her clients.

“Having no reason to leave the house for a new parent can be really hard, especially if you’re someone who does need that kind of engagement with the outside world,” she says.

Mendes-Pouget works with many LGBTQ+ parents and says they already face challenges during pregnancy and childbirth that can be isolating, as so many resources are focused specifically on “moms” that it can leave parents of other genders feeling unwelcome. COVID has just added another layer to that isolation, she says.

New support groups and an online platform 

Last summer, she launched the online community Queer Nest Club to help address those challenges. She says it’s a curated, supportive experience, unlike a Facebook group, where members can participate in live sessions and other facilitated experiences meant to build community and spark reflection.

Having a supportive social group, whether online or in a COVID-safe way in-person, is so important that Mendes-Pouget recommends spending time during pregnancy to start getting it lined up. 

“I tell people prenatally to start to look for people who are at a similar place in their journey,” she says. “Don’t wait. When the moods start to come in, and the overwhelm, it’s a lot harder to feel like going to look for friends.”

Another new option for parents who are struggling is Blues and Beyond, a locally made platform that combines online resources for new parents, a 24-hour phone line staffed by perinatal support workers and a phone service that reaches out to parents at regular intervals to make sure they are OK.

It was created by Emily Fazio, a recent McMaster University psychology graduate, and launched in September. 

Fazio says growing up with a mom in the perinatal support field meant constantly hearing stories of families who were overwhelmed, distressed, and didn’t have access to the resources they needed.

“I was hearing all these stories of people who don’t have help, and I wasn’t sure why because [parents are] such a large portion of the population,” said Fazio, who put $1,000 of her own money into the website and staffs the phone line with volunteers.

She’s also currently running a GoFundMe campaign to try to raise more money, and is also applying for grants.

“I saw time and time again, parents struggling and facing mental health issues. I wanted to make sure every parent has a place to go to find these resources.”

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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