Reviews

Mother Nurture Reviewed by Karin Evans Consumer Health Interactive

Some days, I feel like the walking wounded, which I know is not a good way to view motherhood. But there I am, moving numbly through the day, sleep-deprived, hair askew, clothes daubed with peanut butter, clutching my never-ending to-do list. Every once in a while, I admit to secret little thoughts of just closing the front door and walking away. If I had the energy, that is. The more realistic fantasy is to send everybody else away and just lie down. But I can’t, of course, because there is that kitchen filled with spilled milk and the mess where the dog threw up, and the phone calls to be made to the pediatrician, the daycare center, and — “Hello? Is this the mothers-in-crisis hotline?” When I talk about this feeling of exhaustion with other mothers, they nod knowingly. If we could finish a sentence, which we often can’t, we’d all agree that yes, we love our children more than we can say, but more sleep would be great. And yoga and some other stress reduction and perhaps a massage. But when? How?

Comforting words

When I heard about a book called Mother Nurture — aimed not at mothers who want to learn more about taking care of their families, but rather at mothers who want to avoid falling apart — I didn’t think I’d have time to read it, of course. But then, as a remark by one of the authors sank in, I heard a kind of sweet music in the distance — similar to stepping on the electronic singalong Barney book, but more comforting.

“It’s high time the medical community and society in general recognize the problems that come with motherhood,” writes Ricki Pollycove, MD. “I see the woman who just thinks she’s not trying hard enough — ‘If I were a little more organized, this wouldn’t be happening.’ ” This mother, writes Pollycove, could suffer from what the author calls Depleted Mother Syndrome.

I breathed a sigh of relief and sank onto the sofa. Someone had put words to what I was feeling, applied a diagnosis to my collection of symptoms. I was no longer alone, but part of a category. In my grateful mind, the Barney music rose to a crescendo.

Over the next week or so, I made time to read the book, subtitled A Mother’s Guide to Health in Body, Mind, and Intimate Relationships. I started asking my friends what they thought about the concept of Depleted Mother Syndrome. “That’s me,” said my friend Jane, a mother of twins. “Me, too,” said my friend Josie, in her 50s with two elementary school children. Safe to say, in Berkeley, California alone, I know several dozen women with self-diagnosed cases of depleted mother syndrome. Now, at last, someone was paying attention to what many of us had seen as our own isolated failings. The refrain throughout the book: “You’re not to blame and you’re not alone.”

Self-care for the discouraged
There’s something consoling about just having company. But Pollycove, a member of the clinical faculty of the University of California, San Francisco, and her co-authors, psychologist Rick Hanson, and nutritionist and acupuncturist Jan Hanson, whose practice focuses on women’s health, go much further. This is a comforting book for frayed mothers, no question, but it’s also practical, sophisticated, and ambitious in its advice about nutrition, stress reduction, and other components of self-care for the discouraged and the drained.

All the authors have children, and all found, as Jan Hanson notes in the introduction, that they had plenty of care through and after pregnancy, but by the time their babies had turned a year old, the mothers seemed to have “dropped off the radar of the health care system — as if raising a family had no real effect on a woman’s well-being.”

All too many of us, bent on the care of our children, have lost sight of caring for ourselves. And even if we resolve to sleep more, eat better, and get some exercise, the finer points of maintaining intimacy with our partners, or of balancing work and the rest our of our lives, tend to get lost in the shuffle.

Coming to the rescue, the authors begin with a core question: “What does a mother need in order to keep giving her children the very best they deserve, year after year after year?” They offer a three-pronged attack to lower the demands on moms, increase their resources, and build up their resilience.

The quick answer is getting enough sleep, exercising regularly, and eating well — all major pitfalls for too-busy mothers. Mothers must also work to restore balance and sanity by consciously nurturing their minds, their bodies, and their intimate relationships.

The arrival of children can wreak havoc on a mother’s sense of intimacy and support from her partner, the authors report. Children can put a strain on everything from parents’ ability to hold a simple conversation to partners’ time and energy to indulge their own desires for intimacy. Once the kids arrive, there are eight times as many arguments and less time to resolve them. Energy flags. Tempers flare. It all sounds numbingly familiar.

For starters, the authors suggest that couples make time to ask each other three personal questions each day. Not, “Did you remember to put the garbage out?” but “”How did you feel about what happened?” or “Is there anything you’d like to talk about?”

When a mother needs to take care of the household, an uneven distribution of work can drain her further, the authors maintain. In fact, the average mother works about 20 hours more per week than does her male partner, if she has one, regardless of whether she’s drawing a paycheck — and a mother’s stress jumps and her mood drops when teamwork with her partner breaks down. It is moms, moreover, who typically handle more of the high-stress tasks, such as dealing with daycare or school problems.
<h4>Relieving isolation</h4>
Although the authors don’t specifically concentrate on single moms, much of what they say — digging into sources of loneliness and frustration among contemporary mothers — applies to those who don’t have a partner to share the load.

Isolation, for instance, is a major factor in maternal depression, and the book encourages women to seek support, whether through relatives, friends, or groups. A single parent’s personal life also needs a great deal of attention if he or she is to maintain mental, emotional, and physical health. Within a partnership, the partners often need to retune the ways they relate to each other after children come along.

The authors say, for instance, “If the demands on a person grow, her resources should grow as well.” A recently divorced mother, for instance, should acknowledge the loss of a task-sharing partner and seek other sources of support. Nurturing friendships with other women can help immensely, as can some practical help — such as an occasional babysitter.

Much of this support is needed to relieve physical as well as psychological strain. “If there’s one lesson that we’ve learned from working with several thousand mothers,” say the authors, “it’s the degree to which motherhood affects women physically.” The solutions are laid out — how to get the best from your physicians, suggested medical tests for common deficiencies, advice on better nutrition (including information on supplements), exercise, and other kinds of physical self care — and alternative and Eastern approaches are explored along with Western medicine.

The book spoke to me, from the very first chapter, “How Your Cupboard Can Become Bare” — about the ways mothers can become emotionally drained — to the last section, on juggling motherhood and work.

I won’t say every kind of help can come from a book, of course, but in the 363 pages of this one — ending with the sentence “Please don’t give up and decide to accept depletion as normal” — the authors have packed in about as much as possible.

This is a book I’d like to give to all my friends, all those other mothers with circles under their eyes who’ve been toughing it out alone. “Here,” I will say, “If you feel as tired as I’ve been feeling, here’s some help.”

— Karin Evans is the author of The Lost Daughters of China: Abandoned Girls, Their Journey to America, and the Search for a Missing Past. She is the mother of two daughters.

Review by Sharman Bonus: “Your Library Isn’t Complete Without Mother Nurture

I started to read Mother Nurture: A Mother’s Guide to Health in Body, Mind, and Intimate Relationships a few days after my second child was born. Needless to say, I was a little ambi-tious in estimating how long I could actually stay awake to read, and the book sat on my nightstand for weeks. Once things around the house settled down, I picked it up again – and I’m sure glad I did! I found the book invaluable. Mother Nurture is a must-have resource for every mother and mother-to-be, and it wouldn’t hurt for a few fathers out there to read it, either. We as mothers juggle more tasks, work longer hours, and sleep less than our own mothers did. Family and friends, who once provided support and an occasional break from the kids, are scattered across the country. Yes, raising a child is harder than ever. So if you’re feeling tired, cranky, overly anxious or downright depressed, trust that you’re not alone. You, like thousands of other women, may be suffering from Depleted Mother’s Syndrome.

In this ground-breaking book, psychologist Rick Hanson, acupuncturist and nutritionist Jan Hanson, and obstetrician/gynecologist Ricki Pollycove explore in depth the psychological, emotional and physical stresses of motherhood. They identify key risk factors for Depleted Mother’s Syndrome and provide a balanced approach to getting your mind and body back on track. This book includes everything you need to know to help you feel your best, from meditation techniques to guidelines for suggested daily vitamin intake and ways to improve your post-children rela-tionship with your significant other.

It’s an essential reference book for every mother’s library!

Review by Rhea Gray-Eggert Newsletter Editor MOMS Club of Ahwatukee West

I was elated to receive your book and eager to read it. Having a three year old daughter and one year old twin boys, I was definitely neglecting my needs. Your book helped change my perspective. I believed I had to sacrifice and give everything I had to my children. I read your book and learned this is not true. I now give to my children, and find time to give to myself as well.The greatest peace your book gave to me was telling me my thoughts and feelings were normal and needed to acknowledged. It reminded me of a lesson I learned in the counseling program I studied in school; you have to take care of yourself, mentally, emotionally, and physically before you can be there for your clients. I found this true in my work as a mental health counselor, yet neglected to apply it to my role as a mother. Now, I use your book as a tool. When I begin neglecting myself, I turn to the book and the lessons it contains.I have a number of friends pregnant for the second time. As their babies are brought into this world, my present will be a copy of your book. Mother Nurture is a book every mother needs.Thank you for writing this book and thank you for providing your column to the different support clubs for mothers. You are having a positive influence in many lives.

Review by Karen Benson

As a bibliophile, I believe that when I walk into a bookstore or library, the exact book that I most need at that time will make itself known to me. So I was not surprised when this book arrived in the mail for me to read and review, a mothering day like so many others, punctuated with fatigue, toddler chasing, and a terse exchange with my husband. I sighed as I sank into the couch and hopefully read the book cover: “you can lower your stress, lift your mood, regain your energy, prevent depleted mother syndrome, build teamwork and intimacy with your spouse, solve health problems, balance home and work… and so much more!” More? It was hard for me to believe that this book could accomplish even one of these goals…and yet it has done that and more.The book begins with focusing on the mother’s physical and emotional well-being, including concrete suggestions for reducing stress, processing negative emotions, and staying well. The first part includes specific medical suggestions for determining the basis of Depleted Mother Syndrome, including an appendix in the back that outlines the vitamin and mineral guidelines for mothers. As a daily supplement disciple, I was surprised to see how different these dosages are from the RDA. I took this list into my doctor, and she agreed that I should increase everything I had been taking. My corresponding increase in energy alone is worth the price of the book.The next three chapters are devoted to the partner relationship, including communication, partners in parenting, and partners in intimacy. My husband and I read the communication chapter together, chuckling and grimacing to see ourselves so aptly described. Their suggestions really work. My husband was more willing to read and follow the suggestions because one of the authors is a man, and his sensibility really shines through. I, too, felt especially nourished by the words of a man who clearly advocates for the daily support of mothers by their partners, and vice versa.

The final section discusses specific problems associated with mothers who work inside the home and mothers who work outside the home. It is a refreshing acknowledgement of the rigors of both, without pitting one against the other.

I wish that every mom and dad I know would read this book. I honestly believe it will make the world a safer, more caring place to be for children and their parents. I applaud the authors for their sentiments, their efforts and their results. Treat yourself to this book. You deserve it.

Karen Benson is a SRMC member and the mother of Luc, age 20 months. She is busy balancing first time motherhood with a long distance marriage (her husband lives in Seattle, Washington.)

Amazon.com Reader Reviews

This book is a rare find! After years of desperately searching for answers to why I was feeling so exhausted, depressed, physically sick, and stressed in motherhood and marital relationship, this book has pulled all of these aspects together and given it a name. I had visited many different doctors who focused on single complaint areas (physical and psychological) but never thought that all of the symptoms could be causal and interrelated. The authors beautifully discuss everything from hormone balance, nutritional deficiencies, external stressors, and relationship/gender differences. They then offer a myriad of recovery/replentishment suggestions encompassing both western and alternative methods, along with a comprehensive appendix of how to find the support you need to overcome Depleted Mother Syndrome. I bought 2 other copies for my sister and a friend.
– A reader from Buffalo, NY

The authors have provided not only new and new-to-be mothers with a trusted guide in the difficult challenge of self-care but have managed to offer a great support for all women in how to nurture and care for themselves. The book is a great read for fathers as well who want to be active participants in the support of caring for the women in their lives. Rick, Jan and Ricki offer practical, caring, and well-researched advice about everything from nutrition to the risk of depletion that especially new mothers face. I reccommend this as am important read for therapists and mental health professionals as well.
– Michael Simon, MFT from Oakland, CA United States

This book deserves a place of honor on your bookshelf along with the other books that every new or expectant mother should own: Taking Charge of Your Fertility by Toni Weschler, The Mother of All Pregnancy Books by Ann Douglas, The Mother of All Baby Books by Ann Douglas, The Baby Book by Dr. Sears, Caring for Your Baby and Young Child by the American Academy of Pediatrics, The Nursing Mother’s Companion by Kathleen Huggins, Baby Bargains by Denise and Alan Fields, and Operating Instructions by Anne Lamott. The book is every bit as groundbreaking and life-changing as these other titles. Highly recommended.
– Lynette O’Meara from USA

I’ve read scores of baby-related advice books, but until now have never come across a book that is so directed at helping the mother. It’s such a relief to read in Mother Nurture that much of a mother’s exhaustion and depression has very real, physiological problems that can be corrected. The authors help direct women towards solving whatever mom-related problem they’re experiencing. It’s a wise, sympathetic, and intelligent book.
– A reader from San Francisco, CA, USA

This is a fantastic resource for all Moms and Dads. As a mother of a 21 month old I found this book to be an invaluable resource on taking care of myself. Mother Nurture really teaches you in a very sensible way with easy to incorporate solutions how to take care of yourself so that you can be a healthier Mom, friend and partner. Every parent needs this book! You couldn’t ask for a better Mother’s Day Gift!!
– Jennifer Parks, San Francisco, CA, United States

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Dr. Ramani Durvasula is a licensed clinical psychologist, author, and expert on the impact of toxic narcissism. She is a Professor of Psychology at California State University, Los Angeles, and also a Visiting Professor at the University of Johannesburg.

The focus of Dr. Ramani’s clinical, academic, and consultative work is the etiology and impact of narcissism and high-conflict, entitled, antagonistic personality styles on human relationships, mental health, and societal expectations. She has spoken on these issues to clinicians, educators, and researchers around the world.

She is the author of Should I Stay or Should I Go: Surviving a Relationship With a Narcissist, and Don't You Know Who I Am? How to Stay Sane in an Era of Narcissism, Entitlement, and Incivility. Her work has been featured at SxSW, TEDx, and on a wide range of media platforms including Red Table Talk, the Today Show, Oxygen, Investigation Discovery, and Bravo, and she is a featured expert on the digital media mental health platform MedCircle. Dr. Durvasula’s research on personality disorders has been funded by the National Institutes of Health and she is a Consulting Editor of the scientific journal Behavioral Medicine.

Dr. Stephen Porges is a Distinguished University Scientist at Indiana University, Professor of Psychiatry at the University of North Carolina, and Professor Emeritus at both the University of Illinois at Chicago and the University of Maryland. He is a former president of the Society for Psychophysiological Research and has been president of the Federation of Behavioral, Psychological, and Cognitive Sciences, which represents approximately twenty-thousand biobehavioral scientists. He’s led a number of other organizations and received a wide variety of professional awards.

In 1994 he proposed the Polyvagal Theory, a theory that links the evolution of the mammalian autonomic nervous system to social behavior and emphasizes the importance of physiological states in the expression of behavioral problems and psychiatric disorders. The theory is leading to innovative treatments based on insights into the mechanisms mediating symptoms observed in several behavioral, psychiatric, and physical disorders, and has had a major impact on the field of psychology.

Dr. Porges has published more than 300 peer-reviewed papers across a wide array of disciplines. He’s also the author of several books including The Polyvagal Theory: Neurophysiological foundations of Emotions, Attachment, Communication, and Self-regulation.

Dr. Bruce Perry is the Principal of the Neurosequential Network, Senior Fellow of The ChildTrauma Academy, and a Professor (Adjunct) in the Departments of Psychiatry and Behavioral Sciences at the Feinberg School of Medicine at Northwestern University in Chicago and the School of Allied Health at La Trobe University in Melbourne, Australia. From 1993 to 2001 he was the Thomas S. Trammell Research Professor of Psychiatry at Baylor College of Medicine and chief of psychiatry at Texas Children's Hospital.

He’s one of the world’s leading experts on the impact of trauma in childhood, and his work on the impact of abuse, neglect, and trauma on the developing brain has impacted clinical practice, programs, and policy across the world. His work has been instrumental in describing how traumatic events in childhood change the biology of the brain.

Dr. Perry's most recent book, What Happened to You? Conversations on Trauma, Resilience, and Healing, co-authored with Oprah Winfrey, was released earlier this year. Dr. Perry is also the author, with Maia Szalavitz, of The Boy Who Was Raised As A Dog, a bestselling book based on his work with maltreated children, and Born For Love: Why Empathy is Essential and Endangered. Additionally, he’s authored more than 300 journal articles and book chapters and has been the recipient of a variety of professional awards.

Dr. Allison Briscoe-Smith is a child clinical psychologist who specializes in trauma and issues of race. She earned her undergraduate degree from Harvard and then received her Ph.D. in clinical psychology from the University of California, Berkeley. She performed postdoctoral work at the University of California San Francisco/San Francisco General Hospital. She has combined her love of teaching and advocacy by serving as a professor and by directing mental health programs for children experiencing trauma, homelessness, or foster care.

Dr. Briscoe-Smith is also a senior fellow of Berkeley’s Greater Good Science Center and is both a professor and the Director of Diversity, Equity, and Inclusion at the Wright Institute. She provides consultation and training to nonprofits and schools on how to support trauma-informed practices and cultural accountability.

Sharon Salzberg is a world-renowned teacher and New York Times bestselling author. She is widely considered one of the most influential individuals in bringing mindfulness practices to the West, and co-founded the Insight Meditation Society in Barre, Massachusetts alongside Jack Kornfield and Joseph Goldstein. Sharon has been a student of Dipa Ma, Anagarika Munindra, and Sayadaw U Pandita alongside other masters.

Sharon has authored 10 books, and is the host of the fantastic Metta Hour podcast. She was a contributing editor of Oprah’s O Magazine, had her work featured in Time and on NPR, and contributed to panels alongside the Dalai Lama.

Rick Hanson, PhD is a psychologist, Senior Fellow of UC Berkeley’s Greater Good Science Center, and New York Times best-selling author. His books have been published in 29 languages and include NeurodharmaResilient, Hardwiring HappinessBuddha’s BrainJust One Thing, and Mother Nurture – with 900,000 copies in English alone. His free newsletters have 215,000 subscribers and his online programs have scholarships available for those with financial need. He’s lectured at NASA, Google, Oxford, and Harvard, and taught in meditation centers worldwide. An expert on positive neuroplasticity, his work has been featured on the BBC, CBS, NPR, and other major media. He began meditating in 1974 and is the founder of the Wellspring Institute for Neuroscience and Contemplative Wisdom. He and his wife live in northern California and have two adult children. He loves wilderness and taking a break from emails.

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