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When to Seek Professional Counseling

It’s normal to experience a range of emotions and changes in behavior while your baby is in the NICU. But you may find it difficult to deal with some of these feelings. You can benefit from seeing a professional counselor if:
  • You think it may help you feel better.
  • Your ability to cope with the situation is not improving and you feel stuck.
  • You continue to find no joy in other parts of your life.
  • You have trouble with your relationship with your partner or others close to you.
  • You feel a parent support group isn’t “quite enough.”
  • You think about engaging in unhealthy activities or habits (smoking, drinking, drugs, etc.)

It is essential to speak with a professional counselor if:

  • You feel prolonged numbness or detachment.
  • You continue to feel detached from your baby.
  • You have trouble getting out of bed or starting your day.
  • You feel unable to cope or manage your other responsibilities.
  • You think about harming yourself or others.

Your doctor or the hospital social worker can refer you to a counselor who understands the trauma of having a baby in the NICU. Even just a couple of visits might give you the reassurance and boost you need.

Postpartum Reactions
If you’re a mother, you may be experiencing some degree of postpartum adjustment or depression. As your body recovers from pregnancy, physical and hormonal changes may intensify your emotions for many months after delivery.

If you can’t seem to shake uncomfortable feelings such as anxiety, sadness, fatigue, irritability, hopelessness or disinterest, tell someone close to you—your partner, a friend, a family member—that you are having a difficult postpartum adjustment and you need them to help you. Let them help you get what you need, including an appointment with a health care provider who takes your symptoms seriously.

Medical Emergencies
If a new mother also experiences confusion, hallucinations or delusions, and/or thoughts of hurting herself or others, this is a medical emergency. Seek immediate medical attention.

If you are feeling so badly that you are considering suicide, this is a medical emergency. Have your partner, friend or family member bring you to the emergency room of a local hospital or call 911. You deserve to get the help you need.


Excerpted from the March of Dimes booklet, "Parent: You & Your Baby in the NICU", written in collaboration with Deborah L. Davis, Ph.D., and Mara Tesler Stein, Psy.D., authors of "Parenting Your Premature Baby and Child: The Emotional Journey".

 
     
Coping With the NICU Experience
  The NICU Roller Coaster
 
  You and Your Partner
 
  A Father's Role
 
  When to Seek Professional Counseling
 
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