It’s two days later and I think I’m almost caught up on sleep again.  I think we moms have settled out again, feet firmly on the ground.

Going to any kind of training and hearing about “PPD” from experts–hearing about it from people other than your peer “PPD moms” or your therapist, I’ll say this for all of us, does have an impact.  Even 15 years out, there’s always some little nugget that gets underneath and has you questioning your parenting skills or brings you back to the “did I do right for my baby?” thinking.

We had our usual Tuesday support group the next morning and processed the events from Monday.  This was after a phone call or two to check in about possibly raw emotions.  If there are moms outside the support group that had some emotional upheaval from the training, please follow the links and call PPD Support Hawaii or talk it out with a trustworthy friend.

Our wonderful volunteer Elaine is compiling the reviews, so I’ll get back to you on that.

Verbally though, people had many, many positive things to say.  The energy felt that way as well.  Thank you for being open to learning more and for your positive energy throughout the event.


Perinatal Mood Disorders

(aka Postpartum Depression)

 —Awareness & Treatment


By Professionals, and Parents w/ Personal Experience


Monday, July 27, 2009



Tricia Wright, MD

Board Certified Obstetrician, Honolulu

Assistant Professor of Obstetrics, Gynecology, and Women’s Health, John A Burns School of Medicine;

Founder and Medical Director of the successful Perinatal Addiction Treatment of Hawaii

Rosemary Adam-Terem, PhD

Clinical Psychologist, Independent Practice, Honolulu

President, Hawaii Psychological Association

Adjunct clinical faculty member, University of Hawaii at Manoa, Department of Psychology

Leina Kanana, LBSW

Supervisor of the Perinatal Support Services at Waianae Coast Comprehensive Health Center

Diane Ashton, MSW

Founder of PPD Support Hawaii

Mothers’ Panel & case studies

Postpartum depression, or PPD, is a type of depression that affects women after they give birth. About 13% of women experience PPD in pregnancy, in the first year after childbirth, and it can develop any time up to a year after the baby is born. Postpartum depression has deleterious effects on a woman’s relationships, her functional status, and her ability to care for her infant. The reduction of PPD is a US priority healthcare need and a major public health concern. (
Although the term “PPD” is used frequently as a term relating to the mood changes a mother may have after having a baby, a more accurate term may be Perinatal Mood Disorders. This term allows for the great variability of symptoms which often include more than depression alone and acknowledges that mood disorders (i.e., depression, anxiety, OCD, PTSD) can occur during pregnancy as well as after having a baby. The #1 complication of childbirth is depression ~ one in every eight pregnant and new mothers has a perinatal mood disorder. Unfortunately, many go needlessly undiagnosed and untreated. 
Learn more about this very treatable condition and help spare families unnecessary pain.
Presented by PPD Support Hawaii
Register soon!—
Less than 25 seats left     FULL


Where:      the PATCH classroom at Dole Cannery
                             650 Iwilei Road, Suite 205
                             Honolulu, Hawaii96817  
When:         Monday, July 27, 8:45am1:30pm
Who Should Attend: parents & family members, mental health therapists, social workers, psychologists, psychiatrists, home visitors, perinatal providers, pediatricians & OBGYNs.
Please see the About link for email,  and provide the following information: 
Name:  _____________________________________

Phone: ______________ Email:  _____________________
$10 donation requested, will be collected at the door.  Snacks & drinks will be provided.
See you at the training on July 27th!

Check out our sister site, PPD Support HI for  a telephone support warm line, a weekly mom & baby support group, referrals to PPD-informed providers, and information about PPD.

Yes, Hawaii, now you can “attend” a Postpartum Support International 2-day training–Perinatal Mood Disorders: Components of Care.  This is a full 8 hours each day and the best training on the topic available.*

You can do this for the remarkable cost of only $75/person.  There is one little hitch, and the reason for the quotation marks.  The training is in Oklahoma… but  available by webcast.

Postpartum Support International’s (PSI) 2-day training

Perinatal Mood & Anxiety Disorders: Components of Care

Live in Oklahoma and via live interactive webcast, viewable from home or office computer, for only $75.  PSI offers this same training as a two-day pre-conference session with its annual conference.  This is that same training without the expenses of air travel, meals, car rental or accommodations.

Wednesday May 20th, Thursday May 21st

The course is evidence-based and includes information concerning screening, assessment, and treatment of Perinatal Mood Disorders.

Featured Speakers include: Dr. Pec Indman and Meeka Centimano, LCSW.

The  conference runs from 8:15 a.m.–4:30 p.m.  CDT both days–that means…3:15 a.m11:15 a.m. HST.

*I am a PSI volunteer.

The focus of this blog rally is to increase signatures to a growing list of supporters at Perinatal Pro and encourage phone calls to the Senate H.E.L.P. Committee in support of the MBSMA.

We are asking you to email Susan Dowd Stone at Perinatal Pro ( as well as call every member of the Senate H.E.L.P. Committee to voice your support for the Melanie Blocker Stokes MOTHER’S Act. (When you email Susan, be sure to include your name, state, and any affiliations!)

The time is NOW. American mothers deserve to be heard. They deserve to not fear coming forward. Won’t you speak up for them?

For more information, check out Katherine Stone’s post on Postpartum Progress, HERE.  She includes the Capitol operator’s phone number, at 202-224-3121.  After you read her blog, call.

PLEASE add your name as a supporter!

The Melanie Blocker Stokes MOTHERS Act, sponsored by Senators Menendez and Representative Rush will:
* help provide support services to women with postpartum depression to postpartum psychosis
*help educate mothers and their families about these conditions
*support research into the causes, diagnoses and treatments for the whole range of prenatal and postpartum mental health conditions.

eta:7/17/09–this does not ask to mandate anything.  Not even screening.

It PASSED THE HOUSE and now goes to the US Senate.

Read more about S. 324/H.R. 20 HERE

Add your name to the growing list, with mine:
Email Susan Stone, LCSW susanstonelcsw at with name, state, any credentials, and permission to be listed (Susan is the past president of Postpartum Support International).

The list of supporters from all 50 states will be delivered to Congress on Mother’s Day.

Please help reach the goal of 1000 signatures per state in support of the Melanie Blocker Stokes MOTHERS Act.

4/15/09 30 names from Hawaii now…

5/1/09 33 supporters from Hawaii now…

and has since 1/26/09. H.R. 20, NOW is the time to pass Postpartum Depression legislation also known as the Melanie Blocker Stokes MOTHERS Act

Thank you, Ms. Hirono!

It had to happen eventually, right?  Yes, moms, you’ll be able to connect to a support group from the comfort of your own home.  You won’t have to have a webcam, necessarily, to start.  Your facilitator will have one and you’ll be able to sign in via Instant Messenger or voice alone, on Yahoo.

PPD Support HI will be starting this, once a month to begin with, on the 3rd Wednesday evening of each month… 9 pm. HST.  Contact them via the previous link, and then their “Contact Us” tab.  They also have a weekly daytime group, face to face–check it out on their website.

MedEd PPD reports on a new research article in Maternal Child Health Journal on “Using the internet to screen for postpartum depression“.  The results are interesting as those answering via internet had higher scores (more likely depressed), and more Asian and Hispanic mothers participated via internet than in person.  The conclusion was that the Internet is a “viable and feasible tool to screen for PPD.”

PPD Support Hawaii has an online Edinburgh Postnatal Depression Scale linked on their About PPD page.

Near San Jose (Cupertino), California. (included because this is close to Hawaii)

Prenatal and Postpartum Mood Disorders: Assessment & Treatment, by Pec Indman EdD, MFT, and Carolyn Cribari, MD, PhD.

They are offering the 2-day Postpartum Support International Certificate of Completion.  Evidence-based information on assessment and treatment.

Look for the link called “Brochure for Training April 25 & 26, 2009.”   I’ve taken this training a number of times and highly recommend Dr. Indman as a trainer.  I haven’t met Dr. Cribari.