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I was very pleased to watch television this week and see a mental health focus for an entire episode of the ABC sitcom “Black-ish.” This is incredible progress. As a licensed mental health therapist, I understand well the stigma facing mental health and how much awareness and education is needed.


In the “Black-ish” Season 4 Episode 2 – Mother Nature, Bow is feeling overwhelmed after the birth of her son and learns she is suffering from postpartum depression. Dre urges her to get help and stands by her side while she works through it. Meanwhile, the kids baby-proof the house in an effort to help their parents out.

Here are 14 ways this episode of “Black-ish” normalizes mental health for new mothers experiencing postpartum depression.

1 | Honoring mothers is not dishonoring fathers

In the first two minutes of the episode, we see Andre Johnson Sr., or Dre (played by Anthony Anderson), recognizing the pride a man feels when having a newborn baby. He also honors women for the feat of carrying a human being inside their body, and now holding and nurturing that child for the rest of their lives.

“Mother nature has given women everything they need to sustain life with comfort and ease.” A man honoring and praising a woman for her motherhood does not take away from his honor or manhood, it enhances it.

2 | Your family may notice you acting differently but may not understand you are dealing with a mental health issue

Dr. Rainbow Johnson (Bow), played by Tracee Ellis Ross, is visibly showing signs of depression – easily distracted, lack of motivation, frequent crying, low energy, insomnia, etc. As narrated by Dre, the family is aware that something is “wrong” and take steps to help Bow, but are initially unaware she is struggling with a mood disorder.

3 | Having a mental health diagnosis is not a sign of weakness

Dre’s mother, Ruby Johnson (played by Jennifer Lewis) makes the following statement when referring to Bow’s change in behaviors, “This is what new motherhood looks like…she’s just weak.”

There’s often a perception that acknowledging the presence of a mental health diagnosis or even getting help or treatment is a sign of weakness. It is not!

In the last scenes of the episode Ruby ends up apologizing to Bow and tells Bow she’s not weak. Ruby admits being weak for not being there to help Bow through this experience.

4 | Having experienced postpartum depression during a previous pregnancy is a risk factor, but is not the only indication

Dre makes the statement that Bow didn’t experience the symptoms she’s displaying presently after the birth of her other children, and he doesn’t understand why this pregnancy is different.

While previous experiences with postpartum depression are a strong indication of present or future indications, they’re not the only factor that must be considered. Factors such as previous experience with depression, a family member who’s been diagnosed with depression or other mental illness, medical complications during childbirth, mixed feelings about the pregnancy, whether it was planned or unplanned, and others. In Bow’s case, the fact that the baby came early, Bow’s age (meaning it was a high-risk pregnancy), and other factors make experiencing postpartum depression very likely.

5 | Postpartum depression is not the same as having “baby blues”

One of Dre’s co-workers attempts to diagnose Bow as having the “baby blues,” which is used to describe the feelings of unrest, tiredness, worry, and fatigue many women experience after having a baby. It’s normal for a mother to experience worry or concern over being able to provide care for the newborn baby, and this is present in approximately 80 percent of mothers.

However, postpartum depression is extreme feelings of sadness and anxiety that affect the mother’s self-care or that of her family. This affects approximately 15 percent of births. A new mother should not try to diagnose herself but consider speaking to a mental health professional to get an evaluation if she or another family member is concerned.

6 | New mothers can experience postpartum depression and not know it

Dre takes the advice of his co-workers and reads through a magazine targeted to women where he discovers his wife may be experiencing postpartum depression. The suggestion from the magazine encourages Dre to be gentle with his approach in discussing this with his wife.

While magazine or online questionnaires are no substitute for mental health treatment or assessment, the advice given in this occasion was helpful. Having a discussion with a new mother about the possibility of her having postpartum depression should be done very delicately and in a supportive manner.

7 | Mothers should not try to self-diagnose themselves

Bow makes this statement, “I do not have postpartum depression. I am a doctor and I would know.”

While the character of Rainbow Johnson is a medical doctor, she does not specialize in mental health or psychiatry. Postpartum depression doesn’t discriminate in race, profession, socioeconomic status, or anything else. A diagnosis of postpartum depression is not an indication of weakness or failure in the new mother; rather, it’s an indication of something that affects many women. Luckily, there’s help for it.

8 | A woman experiencing postpartum depression is not someone who needs to be fixed

In one scene, Dre asks Bow over and over if she’s okay and tries to engage her in activities. Bow responds, “Please stop trying to fix me.”

It’s important to recognize the new mother not as something that has been broken and needs fixing, but as a human being who is experiencing a mood disorder and needs lots of support. This mindset of the mother being “broken” may cause her symptoms to worsen. She may feel like her body is failing if she can’t breastfeed, or her skills as a mother are failing if she is unable to console her child, or any other self-defeating thought.

9 | Just because someone else did not seek treatment after giving birth does not mean this is healthy for everyone

Dre’s mother, Ruby, discusses Bow’s ability to parent with Dre, comparing Bow’s present actions with her own experience after giving birth to Dre. She says, “I didn’t go to some quack doctor because I was mentally ill with some made-up disease.”

Dre quickly corrects her and explains that postpartum depression is not made up, stating that many women experience it. The Center for Disease Control estimates 11 to 20 percent of new mothers experience postpartum depression. Just because your mother, sister, grandmother, aunt, best friend, or whomever didn’t receive treatment for postpartum depression doesn’t mean that is the best course of action for you.

10 | Recovery from postpartum depression is not instantaneous, it takes time

One of Bow’s children asks, “Why isn’t she getting better?”

Sometimes the expectation for the new mother, or her family and friends, is that she will get better quickly. This process takes time and can be incredibly frustrating for the new mother. Support, encouragement, and space will be vital to her during this time. The best thing family and friends can do is to keep communication open and provide the new mother with what she asks for.

11 | Experiencing postpartum depression is not a reason to allow people to walk over you; establish and reinforce boundaries

One of the scenes shows Ruby and Bow discussing why Ruby made the decision to give Bow’s child baby formula instead of the breastmilk Bow had pumped. Bow assertively tells Ruby she has crossed a line.

It’s important to seek the counsel of a mental health professional regarding healthy behaviors and practices, but at the end of the day you are a mother and it is your child. No one should ever make you feel bad for wanting to raise a healthy baby and no one should violate your wishes as the child’s mother. This may mean setting boundaries with your family, in-laws, friends, significant other, or other people.

12 | The new mother needs support and unconditional love from her significant other

If the new mother is fortunate to have the support of a significant other, that person should be prepared to fully support and love the new mother unconditionally.

In the scene when Bow tells Ruby to get out of her house, Dre supports his wife, even to the point of asking his own mother to leave their house. Bow needs this support during this time. Ruby also calls Bow crazy and says she is overreacting.

Name-calling and unrealistic expectations will only backfire and make things harder for the new mother. The feelings the new mother is experiencing are real, and they should be honored and given space to be worked through.

13 | Everyone around the new mother will feel powerless to help and that’s okay, because it’s not about them

Dre is speaking to his father, played by Lawrence Fishburne, about Bow’s seemingly lack of progress. He states, “I feel powerless.”

It’s not uncommon for men to feel like the woman needs fixing and it’s their job to fix her, but the new mother just needs time, support, and unconditional love to help her during this time. Let’s us not forget this woman just carried a human being inside her body and now that human being is a newborn baby who is crying and solely dependent on the new mother for everything. No pressure at all, right?

14 | Counseling or therapy and medication management are proven treatments for postpartum depression

There still continues to be a stigma around mental health. It is everyone’s responsibility to become informed and to inform others so we can break the stigma.

In the last few scenes of the episode, Bow talks about the therapeutic homework her therapist assigned to help her through this experience. Bow also expresses initial frustration at her therapist, which is normal for anyone entering therapy. Bow’s continuation with therapy and her medication helps her eventually work through and improve her mood.

If you or a loved one may be experiencing postpartum depression, please contact a mental health professional for an evaluation.

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We spend a lot of time prepping for the arrival of a baby. But when it comes to the arrival of our breast milk (and all the massive adjustments that come with it), it's easy to be caught off guard. Stocking up on a few breastfeeding essentials can make the transition to breastfeeding a lot less stressful, which means more time and energy focusing on what's most important: Your recovery and your brand new baby.

Here are the essential breastfeeding tools you'll need, mama:

1. For covering up: A cute nursing cover

First and foremost, please know that all 50 states in the United States have laws that allow women to breastfeed in public. You do not have to cover yourself if you don't want to—and many mamas choose not to—and we are all for it.

That said, if you do anticipate wanting to take a more modest approach to breastfeeding, a nursing cover is a must. You will find an array of styles to choose from, but we love an infinity scarf, like the LK Baby Infinity Nursing Scarf Nursing Cover. You'll be able to wear the nursing cover instead of stuffing it in your already brimming diaper bag—and it's nice to have it right there when the baby is ready to eat.

Also, in the inevitable event that your baby spits-up on you or you leak some milk through your shirt, having a quick and stylish way to cover up is a total #momwin.

2. For getting comfortable: A cozy glider

Having a comfy spot to nurse can make a huge difference. Bonus points if that comfy place totally brings a room together, like the Delta Children Paris Upholstered Glider!

Get your cozy space ready to go, and when your baby is here, you can retreat from the world and just nurse, bond, and love.

3. For unmatched support: A wire-free nursing bra

It may take trying on several brands to find the perfect match, but finding a nursing bra that you love is 100% worth the effort. Your breasts will be changing and working in ways that are hard to imagine. An excellent supportive bra will make this so much more comfortable.

It is crucial to choose a wireless bra for the first weeks of nursing since underwire can increase the risk of clogged ducts (ouch).The Playtex Maternity Shaping Foam Wirefree Nursing Bra is an awesome pick for this reason, and because it is designed to flex and fit your breasts as they go through all those changes.

4. For maximum hydration: A large reusable water bottle

Nothing can prepare you for the intense thirst that hits when breastfeeding. Quench that thirst (and help keep your milk supply up in the process) by always having a water bottle with a straw nearby, like this Exquis Large Outdoor Water Bottle.

5. For feeding convenience: A supportive nursing tank

Experts recommend that during the first weeks of your baby's life, you breastfeed on-demand, meaning that any time your tiny boss demands milk, you feed them. This will help establish your milk supply and get everything off to a good start.

What does this mean for your life? You will be breastfeeding A LOT. Nursing tanks, like the Loving Moments by Leading Lady, make this so much easier. They have built-in support to keep you comfy, and you can totally wear them around the house, or even out and about. When your baby wants to eat, you'll be able to quickly "pop out" a breast and feed them.

6. For pain prevention: A quality nipple ointment

Breastfeeding shouldn't hurt, but the truth is those first days can be uncomfortable. Your nipples will likely feel raw as they adjust to their new job. This will get better! But until it does, nipple ointment is amazing.

My favorite is the Earth Mama Organic Nipple Butter. We love that it's organic, and it is oh-so-soothing on your hard-at-work nipples.

Psst: If it actually hurts when your baby latches on, something may be up, so call your provider or a lactation consultant for help.

7. For uncomfortable moments: A dual breast therapy pack

As your breasts adjust to their new role, you may experience a few discomforts—applying warmth or cold can help make them feel so much better. The Lansinoh TheraPearl 3-in-1 Breast Therapy Pack is awesome because you can microwave the pads or put them in the freezer, giving you a lot of options when your breasts need some TLC.

Again, if you have any concerns about something being wrong (pain, a bump that may be red or hot, fever, or anything else), call a professional right away.

8. For inevitable leaks: An absorbing breast pad

In today's episode of, "Oh come on, really?" you are going to leak breastmilk. Now, this is entirely natural and you are certainly not required to do anything about this. Still, many moms choose to wear breast pads in their bras to avoid leaking through to their shirts.

You can go the convenient and disposable route with Lansinoh Disposable Stay Dry Nursing Pads, or for a more environmentally friendly option, you can choose washable pads, like these Organic Bamboo Nursing Breast Pads.

9. For flexibility: A breast pump

Many women find that a breast pump becomes one of their most essential mom-tools. The ability to provide breast milk when you are away from your baby (and relieve uncomfortable engorged breasts) will add so much flexibility into your new-mom life.

For quick trips out and super-easy in-your-bag transport, opt for a manual pump like the Lansinoh Manual Breast Pump .

If you will be away from your baby for longer periods of time (traveling or working outside the home, for example) an electric pump is your most efficient bet. The Medela Pump In Style Advanced Double Electric Breast Pump is a classic go-to that will absolutely get the job done, and then some.

10. For quality storage: Breast milk bags

Once you pump your liquid gold, aka breast milk, you'll need a place to store it. The Kiinde Twist Pouches allow you to pump directly into the bags which means one less step (and way less to clean).

11. For keeping cool: A freezer bag

Transport your pumped milk back home to your baby safely in a cooler like the Mommy Knows Best Breast Milk Baby Bottle Cooler Bag. Remember to put the milk in a fridge or freezer as soon as you can to optimize how long it stays usable for.

12. For continued nourishment: Bottles

Nothing beats the peace of mind you get when you know that your baby is being well-taken of care—and well fed—until you can be together again. The Philips Avent Natural Baby Bottle Newborn Starter Gift Set is a fan favorite (mama and baby fans alike).

This article is sponsored by Walmart. Thank you for supporting the brands that support Motherly and mamas.

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Motherly is committed to covering all relevant presidential candidate plans as we approach the 2020 election. We are making efforts to get information from all candidates. Motherly does not endorse any political party or candidate. We stand with and for mothers and advocate for solutions that will reduce maternal stress and benefit women, families and the country.

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A viral video about car seat safety has parents everywhere cracking up and humming Sir-Mix-A-Lot.

"I like safe kids and I cannot lie," raps Norman Regional Health System pediatric hospitalist Dr. Kate Cook (after prefacing her music video with an apology to her children."I'm a doctor tryin' warn you that recs have changed," she continues.

Dr. Cook's rap video is all about the importance of keeping babies facing backward. It's aptly called "Babies Face Back," and uses humor and parody to drive home car seat recommendations from the American Academy of Pediatrics (AAP).

"Switching from rear-facing to forward-facing is a milestone many parents can't wait to reach," Dr. Cook said in a news release about her hilarious video. "But this is one area where you want to delay the transition as long as possible because each one actually reduces the protection to the child."

Last summer the AAP updated its official stance on car seat safety to be more in line with what so many parents were already doing and recommended that kids stay rear-facing for as long as possible. But with so many things to keep track of in life, it is understandable that some parents still don't know about the change. Dr. Cook wants to change that with some cringe-worthy rapping.

The AAP recommends:

  • Babies and toddlers should ride in a rear-facing car safety seat as long as possible, until they reach the highest weight or height allowed by their seat.
  • Once they are facing forward, children should use a forward-facing car safety seat with a harness for as long as possible. Many seats are good up to 65 pounds.
  • When children outgrow their car seat they should use a belt-positioning booster seat until the vehicle's lap and shoulder seat belt fits properly, between 8 and 12 years old.

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[Editor's note: Motherly is committed to covering all relevant presidential candidate plans as we approach the 2020 election. We are making efforts to get information from all candidates. Motherly does not endorse any political party or candidate. We stand with and for mothers and advocate for solutions that will reduce maternal stress and benefit women, families and the country.]

Suicide rates for girls and women in the United States have increased 50% since 2000, according to the CDC and new research indicates a growing number of pregnant and postpartum women are dying by suicide and overdose. Suicide rates for boys and men are up, too.

It's clear there is a mental health crisis in America and it is robbing children of their mothers and mothers of their children.

Medical professionals urge people to get help early, but sometimes getting help is not so simple. For many Americans, the life preserver that is mental health care is out of reach when they are drowning.

Democratic presidential candidate Pete Buttigieg just released a plan he hopes could change that and says the neglect of mental health in the United States must end. "Our plan breaks down the barriers around mental health and builds up a sense of belonging that will help millions of suffering Americans heal," says Buttigieg.

He thinks he can "prevent 1 million deaths of despair by 2028" by giving Americans more access to mental health and addictions services.

In a country where giving birth can put a mother in debt, it's not surprising that while as many as 1 in 5 new moms suffers from perinatal mood and anxiety disorders, more than half of new moms who need mental health treatment don't get it. Stigma, childcare and of course costs are factors in why women aren't seeking help when they are struggling.

Buttigieg's plan is interesting because it could remove some of these barriers. He wants to make mental health care more affordable by ensuring everyone has comprehensive coverage for mental health care and by ensuring that everyone can access a free yearly mental health check-up.

That could make getting help more affordable for some moms, and by increasing reimbursement rates for mental health care delivered through telehealth, this plan could help moms get face time with a medical professional without having to deal with finding childcare first.

Estimates from new research suggest that in some parts of America as many as 14% or 30% of maternal deaths are caused by addiction or suicide. Buttigieg's plan aims to reduce those estimates by fighting the addiction and opioid crisis and increasing access to mental health services in underserved communities and for people of color. He also wants to reduce the stigma and increase support for the next generation by requiring "every school across the country to teach Mental Health First Aid courses."

These are lofty goals with a lofty price tag. It would cost about $300 billion to do what Buttigieg sets out in his plan and the specifics of how the plan would be funded aren't yet known. Neither is how voters will react to this 18-page plan and whether it will help Buttigieg stand out in a crowded field of Democratic candidates.

What we do know is that right now, America is talking about mental health and whether or not that benefits Buttigieg's campaign it will certainly benefit America.

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[Editor's Note: Welcome to It's Science, a Motherly column focusing on evidence-based explanations for the important moments, milestones, and phenomena of motherhood. Because it's not just you—#itsscience.]

If you breastfeed, you know just how magical (and trying) it is, but it has numerous benefits for mama and baby. It is known to reduce the likelihood of developing cardiovascular disease, type 2 diabetes, and rheumatoid arthritis, and cuts the risk of sudden infant death syndrome (SIDS) by half.

If this wasn't powerful enough, scientists have discovered that babies who are fed breast milk have a stomach pH that promotes the formation of HAMLET (Human Alpha-lactalbumin Made Lethal to Tumor cells). HAMLET was discovered by chance when researchers were studying the antibacterial properties of breast milk. This is a combination of proteins and lipids found in breast milk that can work together to kill cancer cells, causing them to pull away from healthy cells, shrink and die, leaving the healthy cells unaffected.

According to researchers at Lund University in Sweden, this mechanism may contribute to the protective effect breast milk has against pediatric tumors and leukemia, which accounts for about 30% of all childhood cancer. Other researchers analyzed 18 different studies, finding that "14% to 19% of all childhood leukemia cases may be prevented by breastfeeding for six months or more."

And recently, doctors in Sweden collaborated with scientists in Prague to find yet another amazing benefit to breast milk. Their research demonstrated that a certain milk sugar called Alpha1H, found only in breast milk, helps in the production of lactose and can transform into a different form that helps break up tumors into microscopic fragments in the body.

Patients who were given a drug based on this milk sugar, rather than a placebo, passed whole tumor fragments in their urine. And there is more laboratory evidence to support that the drug can kill more than 40 different types of cancer cells in animal trials, including brain tumors and colon cancer. These results are inspiring scientists to continue to explore HAMLET as a novel approach to tumor therapy and make Alpha1H available to cancer patients.

Bottom line: If you choose to breastfeed, the breast milk your baby gets from your hard work can be worth every drop of effort.

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