Understanding Pregnancy Emotions

It is very normal to experience a range of emotions when you find out you are pregnant, since it is a major life event that brings about a lot of change. It’s important to remember that every experience is valid and part of the parenthood journey.

Common Reasons for Pregnancy Emotions

Hormones: There are significant hormonal shifts, which can have an intense impact on your emotions. Your estrogen and progesterone hormones fluctuate, which then influences the hormones that regulate your mood (serotonin and dopamine), leading to mood swings and heightened emotions.

Body and body image changes: Your body goes through a lot of physical changes (weight gain, changes in posture, changes in skin, etc.) which can sometimes provoke emotions about body image and self-esteem. Some expectant parents may feel proud that their body’s changing to nurture life, but others may experience feelings of discomfort or insecurity.

Stress: This is a very stressful time for parents, and you may feel stressed about finances, relationship adjustments, childbirth itself, and parenting. Your body heightens its stress response system (your cortisol levels) which can lead to feelings of anxiety, mood swings, and irritability.

Fatigue: Changing hormones, difficulty sleeping, and stress can cause fatigue and exhaustion, which is very common during pregnancy. This can further heighten feelings and make you emotional.

Emotional Changes Throughout Pregnancy

First trimester: Can bring on a lot of early pregnancy emotions and first-trimester mood swings. You may experience a whirlwind of feelings as you come to terms with the reality of being pregnancy, and may feel excited, anxious, and/or overwhelmed.

Second trimester: Experience a welcome break from intense emotions of early pregnancy. You may feel more stable and have more balanced emotions, but you may continue to feel anxious or stressed.

Third trimester: As you’re preparing for childbirth, it can evoke even stronger emotions. You may be fearful of the unknown, but also excited about the arrival of a child. Common feelings include anticipation and excitement, occasional impatience, and anxiety.

Managing Emotional Changes During Pregnancy

It’s important to be able to identify and label what you’re feeling, so that it can be addressed in healthy and effective ways. Be mindful of what you’re experiencing in the present moment. You also should practice self-compassion by acknowledging the work that your body is doing by being pregnant, and accepting these changes.

NewYork-Presbyterian provided some strategies to manage your emotional changes during pregnancy:

Title: Managing Emotional Changes During Pregnancy. On the top-right page, black and white clip art of an ultrasound and a sock. Two boxes on top, two below. Upper-left box: Connect with Others: Reach out to friends and family members! Let them know how you're doing and how they can help. Upper-right box: Take Time for Yourself: Spend some time doing activities that bring you enjoyment; You could read a book, watch a movie, or listen to music. Bottom-left box: Find Ways to Manage Stress: Make time for a stress-relieving activity every day, such as yoga or meditation. Bottom-right box: Write About Your Feelings: It may help to write down your feelings about having a baby or becoming a parent. At the bottom of the page, a clip art image of a person holding an ultrasound of a fetus.

When to Seek Help for Pregnancy Mood Swings

There is no shame in reaching out to a mental health professional when you’re struggling. Symptoms of depression can sometimes resemble pregnancy mood swings, but the American College of Obstetricians and Gynecologists (ACOG) recommends to speak to your provider if you have any of these signs for at least two weeks:

  • Depressed mood most of the day, almost every day
  • Loss of interest in work or other activities
  • Persistent feelings of guilt, hopelessness, or worthlessness
  • Difficulty sleeping or sleeping more than usual
  • Loss of appetite or other concerns around weight
  • Trouble paying attention, concentrating, or making decisions
  • Thoughts about death or suicide


Gender Dysphoria in Adolescents

Gender dysphoria is a sense of unease that a person may have because of a mismatch between their sex assigned at birth and gender identity. In adolescence, especially around puberty when young teenagers’ bodies are changing, and they begin exploring their sexual and romantic identities, gender dysphoria typically increases around this time. Included below are some helpful definitions to include in discussions around gender dysphoria, a visual aid tool to discuss how someone may feel if they experience gender dysphoria, and helpful resources from transgender people talking about their gender identity.

Definitions to incorporate while discussing gender dysphoria:

  • Biological sex – label assigned at birth based on physical characteristics (e.g., chromosomes, hormones, and reproductive organs)
  • Primary sex characteristics – changes in the reproductive organs (males: growth of testes, penis, scrotum, and spermarche; females: growth of the uterus and menarche)
  • Secondary sex characteristics – visible physical changes that occur during puberty (males: broader shoulders, a lower voice; females: breast development, hips broaden)
  • Gender Expression – learned roles, behaviors, and actions of women/girls and men/boys (i.e., how society expects certain genders to act and look like)
  • Gender identity – our sense of who we are and how we see and describe ourselves
  • Transgender – people whose gender identity does not match their sex assigned at birth

*For clarification: based on your biological sex (what physical characteristics you are born with), society assigns you a gender (how you should act, what you should be interested, and your role in the world)*

Title: Gender Dysphoria. A single text box titled "What is it?" with the definition below: gender dysphoria is a sense of unease a person may feel when their gender identity does not match their biological sex. A single-column table titled "How you may feel:" In descending order: your gender identity conflicts with your biological sex, you are comfortable only when in the gender role of your preferred gender identity, a strong desire to hide or be rid of physical signs of your biological sex (e.g., breasts or facial hair), discomfort with your body or anatomy, and/or a preference for gendered clothing.

Helpful Resources:

Teen Vogue has an article discussing what it’s like to be transgender and living with gender dysphoria.

The Guardian also has an article where people who identify as transgender discuss their experience with exploring their gender identity. Although gender dysphoria is not the main focus, it is thoroughly discussed in the experiences of the transgender people featured.

This article from BuzzFeed includes people with disabilities exploring their gender identity and how it intersects with their disability. Gender dysphoria is mentioned, but the article mainly focuses on how society has created barriers for transgender people with disabilities. It would still be beneficial to use, as it brings attention to an often overlooked area of the disability and transgender community.

Accessible Mental Health Services

Accessible mental health services can be a challenge for people with disabilities, as there can be a lack of specialized provider training and difficulties with financial costs. We are defining accessibility in terms of disability and financial costs. This post provides a few mental health services for people with disabilities, with some services offering in-person services and others offering both in-person and online services.

Envision Unlimited

Mission Statement: “Envision Unlimited is a certified Community Mental Health Provider offering a full complement of behavioral health services to people with a variety of mental health concerns. We are committed to assisting clients in their best and meaningful lives.”

  • Offers outpatient therapy services to adults and adolescents, both in person and via telehealth
  • Based in Chicago, Illinois

Envision Unlimited emphasizes that no one will be denied access to services due to an inability to pay, and a discount is available.

There is also a program called ENVISION MORE for people with disabilities.

Title: ENVISION MORE. Year-long campaign to promote greater choice, independence, and inclusion for individuals with disabilities and mental health challenges. Provides comprehensive, high-quality services to help members "Envision More" of what they want in life. Box 1: More Ways to Thrive; Specialized programs like art-making, exploring nature, recovery-focused services, and cooking classes. Box 2: More Choice; Increased autonomy over daily life, such as personal living arrangements, community engagement, and hobbies. Box 3: More Independence and Inclusion; Assists members in becoming active participants in their communities. Box 4: More Support Services; Full spectrum of care on the community level, and includes day programs, employment services, mental health services, and specialized foster care. The logo for Envision Unlimited is in the upper right-hand corner.

NYSTART (New York Systemic, Therapeutic, Assessment Resources and Treatment)/CSIDD (Crisis Services for Individuals with Intellectual and/or Developmental Disabilities)

Goal: “…to build relationships and support across service systems to help people remain in their homes and communities and enhance the ability of the community to support them.”

  • Offers crisis prevention and response services to people who have both developmental disabilities and complex behavioral needs, as well as to their families and those who provide supports
  • Services are available 24 hours a day, 7 days a week to OPWDD (The New York State Office for People with Developmental Disabilities) eligible individuals age 6 and over who meet NYSTART/CSIDD eligibility
  • Based in New York, must be a New York resident 

The Arc

The Arc company logo.

Mission Statement: “Promoting and protecting the human rights of people with intellectual and developmental disabilities and actively supporting their full inclusion and participation in the community throughout their lifetimes.”

Delaware Disability Resources and Advocacy Organizations

  • All of the following services are based in Delaware

NAMI (National Alliance on Mental Illness)

Mission Statement: “NAMI Delaware supports, educates, and advocates for an improved quality of life for individuals and families affected by mental health conditions.”

  • Offers a variety of signature programs, an annual education conference, and special events (for individuals, families, and professionals to receive support and information)
  • Shapes public policy, has a toll-free NAMI Delaware Helpline, and works with media, educators, healthcare professionals, and elected and appointed officials (to raise awareness, fight stigma, and encourage understanding)
  • This link is for Delaware’s NAMI program, however, there are more than 650 NAMI State Organizations and Affiliates across the country

Division of Substance Abuse and Mental Health

Mission Statement: “To improve the quality of life for Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations.”

  • Offers help for mental health issues (in which all services are free, and any referrals are available regardless of insurance), support groups and one-on-one counseling, suicide prevention resources, and other additional resources. 

Mental Health Association in Delaware

Mission Statement: “The Mental Health Association in Delaware strives to strengthen knowledge, resources and support around mental health and recovery.”

  • Offers education, support, and advocacy
  • Support: Offers wellness groups (one is a disability & chronic illness haven wellness group), mental health screening, and a peer support program with the mental health court (mental health court is available for people who have been charged with crimes because of a behavioral health disorder)

How to Guide on Flirting Online

Social media can be difficult to navigate as there are unknown “rules” and behaviors that are widely followed when first interacting with others, especially those you are interested in romantically. This aid demonstrates several unspoken guidelines, intimidating behaviors, and tips on staying within the guidelines on social media when trying to flirt. It is worth mentioning that this is not a comprehensive list of all guidelines and intimidating behaviors, but rather a guide to help you talk to your crush online in a fun, respectful way that keeps everyone comfortable. As a 21-year-old who has been online from a young age, some of these guidelines are based on my own experiences and knowledge.

Table of unspoken guidelines, intimidating behaviors, and tips on staying in the guidelines. From top going down, unspoken guidelines: following/friending someone after them meeting in person, following/friending someone on one social media platform, liking a post/story, commenting on recent post/story, leaving relevant comments on posts/stories, sending 1-2 direct messages and waiting for a response before sending another message, the first direct messages are short and include a question, use emojis that match message tone, only commenting/messaging things you can say face-to-face, and ask for consent when posting someone. From top going down, intimidating behaviors: following/friending someone on multiple social media platforms at once, liking past posts and multiple posts in succession, leaving multiple comments and commenting on past posts, sending multiple messages at once and not waiting for a response before sending another message, screenshotting posts and stories, and consistently checking a person's social media for any changes. From top going down, staying in the guidelines: can browse through a person's friends/following, can look at past posts and stories without liking them, can look at a person's tagged photos without liking the post or following the friend, and can tell people who you trust, like friends and family, that you are getting to know someone, but keeping the details of your budding romance off of social media.

Example of a relevant comment: Someone posts a photo of them graduating school and you comment, “Congratulations!”

Example of a direct message: You talked to someone last week about a book series and sent this message: “Hi! It’s [your name], we talked last week about [book series]. I started reading it and really liked it. Do you have any other recommendations?”

Examples of using emojis: (1) You are messaging your crush about a movie that you both recently watched and talking about a scene that left you in disbelief: “I can’t believe that happened 😭 I was not expecting it at all!” (2) You made plans to hang out with your crush in person and sent this message: “I’m excited to hang out on Saturday 😊 See you then!”

Teen Vogue has a list of questions to keep the conversation going with your crush, whether you’re looking for something low-pressure, flirty, deep, random, interesting, or just plain fun.

The Napoleon Cat Blog gives some tips for commenting on someone’s post, showing different examples for different post scenarios. Some of them are intended for friends, but can still be used for your crush’s posts. Their 35 Short Comments for Instagram section is best used when you first start commenting, as they are simple, not intimidating, and friendly.

Dating Decision Tree

Making decisions about dating can be tough, especially if you don’t really know what types of decisions to make. This graphic can be used to help steer the conversation about dating and how to make healthy decisions. It is available for download here.

Parent Tip Sheets

Navigating developmental stages, education, and sex education can be extremely difficult. The Birds & The Bees team put together a parent tip sheet that offers basic information and resources for parents of autistic children. View the tip sheets in the slide show and download below.

  • In Script, a title reads "The Birds and The Bees Tips for families Series" The first picture shows two babies happily sitting on the floor, looking up towards the sky. The second pictures shows two laughing children playing with fidget spinners. The next picture shows an young African American girl smiling. The following picture shows a young couple, each holding a dog.

Open Future Learning

Open Future Learning is a company that offers a wide variety of online training for staff, or anyone else working with individuals with disabilities. They offer modules in abuse prevention, communication, advocacy, and many more topics. They have staff training modules, 30 minute programs, and an audio learning module. Membership can range from $112-$2263 per month, depending on the amount of active users. Linked below is Open Future’s Homepage.

https://www.openfuturelearning.org/index.cfm?fuseaction=login.home

Sex Ed Rescue

Properly educating children on sex, puberty, and many other related topics can be challenging for parents. Many parents struggle with how they should speak to their child about these topics, and when the time is right. Sex Ed Rescue is a YouTube channel designed to educate parents on how to talk to their kids about these topics. This channel includes instructional videos, Q&A’s, children’s book reviews, and many other educational resources. It is a great resource to help parents educate their children on sex. It also helps to create a more age-appropriate environment for the child, and encourages comfortable communication between the child and the parent.

Linked below is the channel’s introduction video and the channel’s homepage.

Sex Ed Rescue: Homepage

Elevatus Training: Online and In-Person Training to be a Sexuality Educator

Elevatus offers a variety trainings staff, direct support professionals, educators, self-advocates and parents to teach sexuality education to children and adults with developmental disabilities. In addition to their trainings, Elevatus has a sex education curriculum that can be purchased.

Here are examples of some of their trainings and the costs:

  • For Staff and Professionals – Developmental Disabilities and Sexuality 101 ($397)
  • For Parents/Guardians – Talking With Your Kids: Developmental Disability and Sexuality ($47)
  • In-service/live workshops and a 3-Day Certificate Training ($725) for anyone who wants to lead sexuality education classes with people with developmental disabilities.

To get more information about Elevatus Training:-https://www.elevatustraining.com/

More Info. Less Weird. AMAZE Takes the Awkward Out of Sex Ed

These days, it is hard to find an age appropriate content about sex, dating and abuse. Children have questions about their bodies, gender and reproduction. Teenagers worry if their bodies are developing normally or not while older adolescents struggle with peer pressure, changing relationships and emerging sexual feelings. AMAZE is an amazing website for parents and educators which helps them to expose their child to age appropriate content about sex through short videos. The website provides an insight to young people to successfully understand puberty, healthy body image, distinguish between healthy and unhealthy relationships, concepts of consent and mutual respect. Video topics are designed to meet the learning objectives outlined in the National Sexuality Education Standards.

Parents are the primary sexual educators of their children. By answering children’s questions, a parent let them know that you are “askable” and establishes an open line of communication that will serve you and your children well as they mature into sexually healthy young adults.

AMAZE also has resources for younger children like the parents’ playlist from amaze jr. It is designed to help parents become comfortable and confident talking to their children openly and honestly at any age.

https://amaze.org/

There are some videos for parents reference.

This video will help parents to know when to talk about sexuality with their kids.

Do you think so playing “doctor – doctor” is safe or not? Check this video out which helps you to communicate your thinking and others about this game.

This video will model to the adolescents with disabilities to learn about manage their relationships with person they like or have attractions. This video guide them to deal with peer pressure and make healthy relationship.

This video helps your child to understand their body parts, difference between a male and female, and similarities between boy and girl.

https://youtu.be/wW627gpkWbw

Sexuality Resources for Parents

Raising an individual with a disability presents a different set of obstacles then an abled individual may, but one topic that all parents must address is sexuality. Individuals with disabilities are sexual beings and therefore deserve an education on sexuality. While parents may acknowledge this need, finding resources and strategies to present the information may be more difficult if you are raising an individual who requires a different method of learning.

The Sexuality Resource Center for Parents provides a well rounded variety of information pertaining to sexuality. The website includes a section of information labeled “for all parents” that contains subjects they believe are useful for all children. In addition, they provide sections titles “For parents of children of typical development”, “For parents of children with developmental disabilities”, and “For parents of children with physical disabilities”. In each section, you can find a variety of information such as basics, specifics, activities, and additional resources. They also include tip guides!

The Sexuality Resource Center for Parents works to provide a better, comprehensive information base for parents to use when addressing sexuality to their child. The variety of knowledge is extremely useful when trying to find information to meet your child’s specific needs. In their own words, their mission statement claims “It’s time to acknowledge that children with developmental disabilities will become adults with sexual feelings, and as such, we must provide them with the information and skills they’ll need to become sexually healthy adults.

http://www.srcp.org/index.html

Puberty and Adolescence Resource: A Guide for Parents

puberty_coverThis tool kit from ATN/AIR-P provides information on body changes; self-care and hygiene; public vs. private rules; staying safe: strangers, secrets and touch; elopement; safety planning for increased aggression; and Internet safety.

Some of my favorite features:

  • Link to underwear designed to keep menstrual pads in place (I had no idea this existed!)
  • They have parent stories throughout.
  • They have suggestions for how occupational therapy can provide support.

YouTube Educational Resources: Healthchannel, Sexplanations, and CSPH

YouTube has a lost of great sexuality education resources but it can be hard to find among all of the “not safe for work” content.  Here’s a few channels and videos that might be useful.  One of the most difficult tasks sex educators report is explaining intimate acts.  This can be uncomfortable and difficult so I’ve tried to focus on these difficult to teach topics.  The videos may not be the best fit for the person/people you’re working with, but they can give you an idea where to start.  The channels also have great resources for expanding your own education on sexuality topics.


 

The Center for Sexual Pleasure and Health (CSPH) has a lot of great videos.  Is one of my favorite cites.  In addition to having direct information they also have videos for parents (“Use Your Words” videos).

Healthchannel is a YouTube channel with short videos on a variety of health care issues including sexual health resources including a few I’ve listed below.  The videos aren’t prefect.  They don’t feature animations with people with disabilities and focus on heterosexual couples, but they give very precise, clear information.

Sexplanations is another YouTube channel.  They have mini episodes on human sexuality topics from shared sexual behavior to STDs to anatomy.  Again the videos aren’t perfect.  They move a little too quickly than I would like, but I’ve selected a few I think could be helpful.  They could also be good to expand your own understanding of various topics.

 

Social Narrative: Having a Boyfriend in Middle School

Boyfriend in Middle SchoolParents are often afraid of the day that their daughter comes home and says she has a boyfriend!  This social story having a boyfriend addresses this event to help a young girl understand what your expectations might be when it comes to having a boyfriend. We went with the strategy of instructing on how she can interact with her “boyfriend” in many age appropriate ways, for example, she can look at him, giggle, and then look away.

Human Sexuality 101 Week 3- Puberty

I have to say, the puberty session went great!  It was just at the right level.  Here are the activities we did…

Defining Puberty: This was the language we used to define puberty: puberty is your body changing from a child’s body to an adult’s body.  It causes changes to your body inside and outside. Everyone goes through puberty but it might happen at different times and people’s bodies change to look different.  Puberty is a time when you start to get sexual feelings.  You don’t have control over going through puberty, but you do have control over how you react to it.  It’s normal to have mixed feelings, some good feelings and some negative feelings.  This definition highlights several key features of puberty (it’s in some ways different and some ways the same for everyone, it’s a natural biological process, it can be an adjustment). 

They Tell Me I’m Going Through Puberty: This is a story told from the point of view of a teenager about the changes that are happening during puberty.  This exercise helps students to understand that many of the changes that are happening in puberty happen to both boys and girls.  The narrative format may help students relate to the changes that are occurring.         

Boys/Girls/Both: In this activity, participants were given a series of cards each with a change that happens during puberty.  They decide if these changes happen to boys, girls, or both.  Again, this exercise helps students to understand that many of the changes that are happening in puberty happen to both boys and girls.  Many of these changes are repeated from the first exercise although more are introduced.  Each card separates out each change as concrete steps.

Puberty Worksheet: This worksheet is a check in on the changes participants have experienced, how they feel about these changes, and changes they anticipate.  The worksheet was designed to help students anticipate some of the changes that will happen during puberty and help them to be aware of the changes that are happening in their own body. We use both open ended and multiple choice questions to stimulate different levels of thinking.

Diversity:We showed power point slides with pictures of several people showing a diversity of bodies and ages.  Students were asked, “Which ones are going through puberty?”.  This activity reinforces the concept that puberty is in some ways different and some ways the same for everyone.  One thing that became evident was that the students had difficulty understanding that children hadn’t gone through puberty but the were quick to grasp onto the idea that adults are finished going through puberty.  We used a few favorite characters to help the kids get a little excited about the topic.

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