{"id":192291,"date":"2017-08-02T18:50:26","date_gmt":"2017-08-02T18:50:26","guid":{"rendered":"http:\/\/healthmedicinet.com\/i\/maternal-instinct-or-o-c-d\/"},"modified":"2017-08-02T18:50:26","modified_gmt":"2017-08-02T18:50:26","slug":"maternal-instinct-or-o-c-d","status":"publish","type":"post","link":"http:\/\/healthmedicinet.com\/i\/maternal-instinct-or-o-c-d\/","title":{"rendered":"Maternal Instinct, or O.C.D.?"},"content":{"rendered":"<p class=\"story-body-text story-content\" id=\"story-continues-2\">No one knows exactly what causes these communication errors \u2014 studies suggest that brain chemistry and genetics<\/a> play a role \u2014 but psychiatrists do know how to treat them. Many people with O.C.D. do not get treated for it, but for those who do, medication and cognitive behavioral therapy can benefit about 70 percent. My psychiatrist prescribed both.<\/p>\n<p class=\"story-body-text story-content\">In therapy, I learned how to separate myself from my obsessions, ignore my compulsions and refocus my attention elsewhere. I did exposure therapy, sitting amid the soap scum in a bathtub and trying not to hyperventilate. Slowly my anxiety subsided. I still preferred a tidy bathroom, but I no longer panicked at the sight of a few hairs on the floor tile. I began to think of O.C.D. as a problem I\u2019d solved.<\/p>\n<p class=\"story-body-text story-content\">Fifteen years later, I had a baby.<\/p>\n<p class=\"story-body-text story-content\">I spent the first few weeks after my son\u2019s birth washing my hands over and over. (What new parent doesn\u2019t?) I developed elaborate rituals for wiping the sink. (Who knew what germs were left over from last night\u2019s chicken?) My mind hummed with a tinnitus of dread. (What parent isn\u2019t nervous?)<\/p>\n<p class=\"story-body-text story-content\">\u201cThings are fine,\u201d my husband told me. \u201cTry to relax.\u201d<\/p>\n<p class=\"story-body-text story-content\">\u201cI can\u2019t relax. Every second I\u2019m thinking: \u2018Where is the baby? What\u2019s the baby doing? Is he breathing? Is he O.K.?\u2019\u201d<\/p>\n<p class=\"story-body-text story-content\">\u201cWell, that\u2019s good. That\u2019s what all new moms think.\u201d<\/p>\n<p class=\"story-body-text story-content\">Research backs him up. Studies show that most new parents \u2014 mothers especially \u2014 can\u2019t go more than a minute or two without thinking about their newborns.<\/p>\n<p>Advertisement<\/p>\n<p>Continue reading the main story<\/a><\/p>\n<p class=\"story-body-text story-content\" id=\"story-continues-3\">In research by Nichole Fairbrother<\/a>, a clinical psychologist and assistant professor in the University of British Columbia department of psychiatry, all new mothers had intrusive thoughts<\/a> of accidental harm befalling their infant \u2014 a symptom commonly associated with O.C.D.<\/p>\n<p class=\"story-body-text story-content\">\u201cI think there has to be an evolutionary component,\u201d Dr. Fairbrother said. \u201cWe can see how the accidental thoughts are protective: <em>What if I trip down the stairs? What if I get too close to the balcony?<\/em> They impel us to behave in a very cautious way.\u201d<\/p>\n<p class=\"story-body-text story-content\">Dr. James Leckman, a professor of child psychiatry, psychology and pediatrics at Yale who studies postpartum O.C.D., said he has experienced these thoughts firsthand.<\/p>\n<h2 class=\"visually-hidden\" id=\"newsletter-promo-heading\">Newsletter Sign Up<\/h2>\n<p>    Continue reading the main story<\/a><\/p>\n<h3 class=\"headline\" \/>\n<p class=\"summary\" \/>\n<h3 class=\"success-message hidden\">Thank you for subscribing.<\/h3>\n<h3 class=\"error submit-error hidden\">An error has occurred. Please try again later.<\/h3>\n<h3 class=\"subscriber hidden\">You are already subscribed to this email.<\/h3>\n<p class=\"view-all-link hidden\">View all New York Times newsletters.<\/a><\/p>\n<p>    <!-- close messages --><\/p>\n<ul class=\"footer\">\n<li id=\"sample-newsletter-link\" class=\"sample\">See Sample<\/a><\/li>\n<li class=\"manage-email\">Manage Email Preferences<\/a><\/li>\n<li class=\"logout hidden\">Not you?<\/a><\/li>\n<li class=\"privacy\">Privacy Policy<\/a><\/li>\n<li class=\"contact\">Opt out or contact us<\/a> anytime<\/li>\n<\/ul>\n<p><!-- close footer --><\/p>\n<p class=\"story-body-text story-content\">\u201cWhen we were expecting our first child, my wife and I changed,\u201d he recalled. \u201cWe became much more focused on making sure everything was perfect and just right. I needed to wash under the refrigerator in our apartment. I needed to check and repaint the room.\u201d<\/p>\n<p class=\"story-body-text story-content\">He added: \u201cI often tell my friends and colleagues when they\u2019re expecting a child, they may not be prepared for the transformative experience and the level of preoccupation that is typically associated with parenting.\u201d<\/p>\n<p class=\"story-body-text story-content\">This preoccupation can feel a lot like mental illness to even the healthiest parents: a maddening blend of near-constant anxiety, sleep deprivation and stress. So where is the line between normal parental instinct \u2014 that natural drive to keep our children safe \u2014 and true mental disorder?<\/p>\n<p class=\"story-body-text story-content\">\u201cWe can administer diagnostic interviews and determine if the symptom causes significant distress or impairment in functioning,\u201d Dr. Fairbrother said.<\/p>\n<p class=\"story-body-text story-content\">But what newborn doesn\u2019t impair functioning? How do I make sense of my compulsions, now that they come dressed as maternal instinct?<\/p>\n<p class=\"story-body-text story-content\">\u201cIf you look for reassurance and you get it, that feeds into the symptoms,\u201d Dr. Leckman said. \u201cOn the other hand, it makes sense to ensure your baby\u2019s O.K.\u201d<\/p>\n<p>Advertisement<\/p>\n<p>Continue reading the main story<\/a><\/p>\n<p class=\"story-body-text story-content\" id=\"story-continues-4\">Dr. Leckman said that parents who are overwhelmed by preoccupations generally don\u2019t talk to their babies as much as other parents do. They don\u2019t respond to their child\u2019s subtle cues. They may even avoid contact with their children to save themselves the discomfort of anxiety and intrusive thoughts.<\/p>\n<p class=\"story-body-text story-content\">It seems contradictory that such concerned parents might be worse parents, but it\u2019s true. I think of all the times I\u2019ve taken my eyes off the road to check on my child in the back seat. All the times I greeted my son with stony silence because I was lost in a fog of my own anxiety. My obsession with safety isn\u2019t helping me keep him safe \u2014 it\u2019s becoming a dangerous distraction.<\/p>\n<p class=\"story-body-text story-content\">For me, it turns out that motherhood is just a continuing education course in my mental illness. What I thought I\u2019d conquered has come back in an altered form. If I want to be a good parent, I must find a better balance. I must be attentive to the risks, but also present for my son. I must face my fears and resume exposure therapy. This time, though, I\u2019m not exposing myself to a grimy bathroom. I\u2019m exposing myself to the world.<\/p>\n<p><button class=\"button comments-button  theme-speech-bubble-large\"><br \/>\n<\/button><\/p>\n<p class=\"story-body-text story-content\">Now when I\u2019m reminded of all the horrible things that could happen to my son \u2014 the accidents, the illnesses, the hot cars \u2014 I no longer push my feelings away. I sit with the dread, feel my adrenaline rise, try to welcome this newfound appreciation that I am not in control.<\/p>\n<p class=\"story-body-text story-content\">It\u2019s excruciating, but it helps me keep my eyes on the road. It\u2019s getting easier over time. And when I\u2019ve reached my destination and am gathering my things to leave, I allow myself one quick glance in the rearview mirror to check the back seat. Just once. Just to be sure.<\/p>\n<footer class=\"story-footer story-content\">\n<p>Kelly Kautz<\/a>, a writer based in Lancaster, Pa., is working on a memoir.<\/p>\n<p>    <!-- close story-meta --><br \/>\n    <\/footer>\n<p>Continue reading the main story<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>No one knows exactly what causes these communication errors \u2014 studies suggest that brain chemistry and genetics play a role \u2014 but psychiatrists do know how to treat them. Many people with O.C.D. do not get treated for it, but for those who do, medication and cognitive behavioral therapy can benefit about 70 percent. My <a class=\"read-more-link\" href=\"http:\/\/healthmedicinet.com\/i\/maternal-instinct-or-o-c-d\/\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-192291","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/192291","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/comments?post=192291"}],"version-history":[{"count":0,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/192291\/revisions"}],"wp:attachment":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/media?parent=192291"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/categories?post=192291"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/tags?post=192291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}