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What I Wish I Knew Before Having Kids

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What I Wish I Knew Before Having Kids

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0:00

All right, chat. Today we're going to

0:01

talk about postpartum depression and

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postpartum parenting. So, if you have a

0:05

partner who's just had a kid, what

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should you do to support them in the

0:09

best way? Now, if you're a dad out

0:11

there, I think this is tricky because

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we're often times blamed as dads and men

0:15

and all men are trash and all that good

0:17

stuff which we see on social media for

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not being supportive enough. But I think

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there are a couple of important things

0:22

to remember. The first is that most of

0:24

what we learn how to do, we learn from

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our parents. And let's say 40, 50 years

0:29

ago, dads were not nearly as active as

0:32

they need to be today and as

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expectations are high today. So

0:36

oftentimes men are blamed for not

0:39

providing something that no one ever

0:41

taught them how to do. And that's what

0:42

we're going to try to correct here

0:44

today. So in the United States, there's

0:45

a pretty controversial trial that's

0:47

going on right now. A woman named

0:48

Lindsay Clansancy is on trial for murder

0:50

after killing her three children. And

0:52

her defense, which there's ample

0:54

evidence for, is that she had severe

0:56

postpartum depression that turned into

0:58

postpartum psychosis. And psychosis is

1:01

when you have like a break from reality.

1:03

And during her psychotic period, she

1:05

actually killed her three children and

1:06

then jumped out of a window on some high

1:09

story and is now paralyzed from the

1:11

sternum down. And so I think like, you

1:12

know, we have this legal defense of

1:14

like, yeah, I'm not responsible because

1:15

I'm insane. And I think postpartum

1:17

psychosis is like one of those diagnosis

1:20

that that defense is kind of for because

1:22

we know then in psychosis you literally

1:24

have a break from reality. You think

1:26

that you know you've been possessed by

1:28

the devil and you really believe that

1:29

and you act accordingly. And this has

1:31

created a lot of problems on the

1:32

internet. People are breaking up over

1:34

it. Like women are supporting Lindsey

1:35

Clansancy. A lot of men are like really

1:37

confused by this. I think a lot of

1:38

people don't understand what psychosis

1:40

really is and they sort of think about

1:42

it as like depression or anxiety where

1:44

you're still tethered to reality. The

1:46

really scary thing about this is also

1:47

that she was in psychiatric treatment.

1:49

So she was declining and getting worse.

1:51

She saw I think seven health care

1:53

providers, was hospitalized at some

1:55

point, was prescribed 13 medications. So

1:57

she was trying to get help. People were

1:59

trying to help her and this still

2:01

happened. And that's kind of why I'm

2:02

making this video today because I think

2:04

the postpartum period is like really

2:06

hard to manage. And part of the reason

2:08

it's hard to manage is because if you're

2:10

a dude, you were never taught how to

2:13

take care of your wife in the postpartum

2:15

period because there's a really good

2:16

chance that your dad was not super

2:18

active in the postpartum period or maybe

2:20

you were a little baby so you didn't

2:22

really observe it. And so it's like

2:23

really hard to know what to do as a dad.

2:26

It's a really scary situation. And what

2:27

I see most dads do is they try their

2:30

best and they actually do try but they

2:32

actually don't know what the goal is. So

2:34

parents, you need to do two basic

2:36

things. One is support self-efficacy,

2:39

which is kind of like interesting. So,

2:41

it's not just that you need to do work,

2:43

but the primary mental health goal is to

2:46

help your partner feel like a good

2:48

mother. So, it's not to like assuage her

2:50

her concerns about appearance and things

2:52

like that. Like, if she asks you like,

2:54

"Hey, is the baby weight gone?" That's

2:55

like a jabbait, right? There's no right

2:57

answer to that. And so, there's all this

2:58

stuff that we're kind of like scared as

3:00

dudes, like, "Oh my god, like what do I

3:02

say? Like, the baby weight isn't gone.

3:03

Like, how do I proceed with So, this is

3:05

where the the main goal is to support

3:07

her self-efficacy. The best protective

3:09

factor for her to not get depressed,

3:12

which we'll talk about in a second, is

3:13

for her to feel like she's doing a good

3:15

job, and that's our goal. The second

3:17

thing is that we want to actually do

3:19

some of the work, which we will get to,

3:21

which will then help our partner feel

3:23

self-efficacious. But often times, what

3:25

I find is that most dads do like one or

3:28

the other, right? So, a dad shows up,

3:29

says, "I'm going to be an active parent.

3:31

I'm going to change diapers. I'm going

3:32

to do all this stuff." and that's where

3:34

all of their focus and energy goes and

3:36

they don't provide the right kind of

3:37

support or what they try to do is

3:39

provide moral support and be supportive

3:40

and and things like that and say nice

3:42

things to their partner but they're not

3:43

supporting self-efficacy so it doesn't

3:45

work as as effectively as it could. So

3:47

these are the two things that we're

3:48

going to really focus on today. Now

3:49

let's start with some statistics cuz

3:51

this is scary AF. Okay. So on a given

3:53

day 10,000 live births about 1,000 to

3:56

2,000 women are going to end up with

3:59

postpartum depression. This is a

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staggeringly high number. What's even

4:02

scarier is about two per thousand women

4:05

will end up with postpartum psychosis.

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So this is the situation that Lindsay

4:09

Clancy is presumably in. I think there's

4:11

ample like medical evidence for that.

4:13

Like I mean she was in care. There's

4:14

lots of notes. This is not like I showed

4:16

up in court and by the way I'm insane.

4:18

There's just piles of evidence that she

4:20

was really moving towards postpartum

4:21

psychosis. And so it's two per thousand.

4:23

So that means that every day in the

4:26

United States about 20 women will enter

4:29

into postpartum psychosis. And then this

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is also kind of scary, arguably

4:34

reassuring. About 6% of people who wind

4:37

up in postpartum psychosis will have a

4:39

serious suicide attempt or commit

4:40

suicide. About 5% will be violent or

4:44

homicidal to other people. So on the one

4:46

hand, these numbers are really low,

4:48

right? 10,000 live births, 20 people are

4:50

psychotic, 5%, so one of those women

4:54

will try to kill themselves or kill

4:56

somebody else. So that's like pretty

4:58

small, like one per 10,000. But it's

5:00

also like scarily large because that

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means it's kind of happening every day

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and it could be happening in your

5:06

situation. So, how do you detect

5:08

postpartum depression and postpartum

5:10

psychosis? This is not really your job

5:12

as a partner. This is the job of a

5:14

medical professional. Here's an example

5:15

of the standard that people use. It's

5:17

called the Edinburg depression scale.

5:19

There are some criticisms that this

5:21

depression scale doesn't really pick up

5:22

psychosis, but basically like the

5:24

features of postpartum depression are

5:26

the same features as regular depression

5:29

or unipolar depression. So we'll see

5:31

changes in appetite, changes in

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interest, feeling guilty, having a lower

5:35

energy level, difficulty concentrating,

5:38

feeling sluggish, slow or even

5:39

activated, and potentially suicidal

5:41

ideations. Now the tricky thing about

5:43

this is that many of these things are a

5:46

normal part of postpartum, right? So,

5:49

difficulty sleeping cuz you've got a

5:50

newborn. Low energy levels because your

5:53

body just pushed out and grew a whole

5:56

new child. You lost a lot of blood from

5:58

the uterus. There's necrosis going on in

6:01

the uterus. Like, there's all kinds of

6:02

weird stuff going on. So, that's what

6:04

makes things like really tricky is that

6:06

if we look at the features of depression

6:08

and we look at the normal course of

6:10

delivering a baby, there's a lot of

6:11

overlap. There are a couple of things

6:13

that I want you all to be specifically

6:15

on the lookout for, but generally

6:16

speaking, this should be the

6:17

responsibility of your partner's

6:20

pediatrician or obstitrician to to

6:22

screen for this. Like everyone kind of

6:24

looks out for it. Key things for you to

6:25

keep an eye out for. First of all,

6:27

sleep. So, if there is a sense of lack

6:30

of fatigue despite not sleeping, that's

6:33

a huge warning sign. So, this is what's

6:35

kind of interesting. For a lot of women,

6:37

the first time they get diagnosed as

6:40

bipolar instead of unipolar depression

6:43

is in the postpartum period. So women

6:45

can have a history of depressive

6:46

episodes and then after they have a kid,

6:48

they like convert to bipolar. It's not

6:50

that they convert to bipolar, they've

6:51

always been bipolar. One of the key risk

6:53

factors for a manic episode is disturbed

6:55

sleep. So this is where like once their

6:58

sleep gets messed up, their underlying

7:00

vulnerability for bipolarity like kind

7:03

of comes out. Okay? So you really want

7:05

to be paying attention to sleep. You

7:07

want to be paying attention to the an

7:09

inability to sleep, disturbances in

7:11

sleep. If their sleep is really messed

7:12

up, that's a very concerning sign.

7:14

Second thing to look out for, this is

7:16

highly specific, is something called

7:17

anhidonia. So this is the inability to

7:20

experience pleasure from activities that

7:23

you normally find pleasurable. So energy

7:26

levels will be low. You may have

7:27

difficulty concentrating. You may not be

7:29

sleeping great. But one of the key

7:30

things about the postpartum period is

7:32

that fun stuff should still be somewhat

7:35

fun. People should be able to derive,

7:37

sure, you're exhausted, but you should

7:38

be able to derive some joy, you know, a

7:40

month. And remember, we're talking this

7:42

is like up to 12 months after delivery,

7:44

right? So like a month in, your partner

7:46

should be able to enjoy certain things,

7:48

whether it's watching a movie, whether

7:50

it's spending time with the baby,

7:51

whether it's spending time with you, fun

7:52

stuff should still on some level be fun.

7:54

So anhidonia is highly concerning. A

7:56

couple of other things to look out for

7:58

are extreme versions of persistent

8:01

emotions. Okay? So, it's normal for

8:04

women to be irritable, for women to be

8:06

sad, tearful. There's like this thing

8:08

that we call postpartum blues, which

8:10

lasts about 2 weeks. So, like that kind

8:12

of stuff is normal. But if the emotion

8:14

feels really really large or is

8:16

persistent, so they're like they're

8:18

super irritable 1 month in, 6 months, 6

8:21

weeks in, 6 months in, then that's kind

8:23

of a red flag. if they're extremely sad,

8:26

tearful, crying for weeks, you know,

8:28

some of that stuff is like normal in the

8:30

postpartum period is your hormones

8:31

reccalibrate and things like that. But

8:33

if that really persists, that's a

8:35

concern. And then the other two things

8:36

that are really scary, this is kind of

8:38

touching on the road to postpartum

8:40

psychosis, is disorganization. So this

8:42

is number one. So when we when people

8:44

become psychotic, this is something we

8:45

don't quite realize, is that they become

8:47

highly disorganized. So they're not able

8:49

to like function because their mind is

8:51

not like operating correctly. So they

8:53

may try to do a bunch of things, but

8:55

like the stuff just doesn't click. Like

8:57

you'll go to the grocery store, but

8:59

you'll forget your wallet. And then you

9:00

kind of you buy some groceries, but the

9:02

groceries that you bought don't actually

9:04

like make a meal. So we start to see

9:06

like if you're feeling like your partner

9:07

is getting disorganized, that is

9:09

absolutely something to look out for.

9:11

And the last thing to really look out

9:12

for is what we call mood cycling. So

9:14

this is where like there are rapid

9:16

fluctuations in mood. So persistent

9:19

extreme sadness, irritability is a is a

9:22

concern, but also like extreme sadness

9:24

being okay for a couple of days, extreme

9:26

sadness, being okay for a couple of

9:28

days, being extreme sad, being extremely

9:30

irritable. The intensity of mood

9:32

fluctuations is also something to look

9:34

out for. If you detect any kind of

9:36

suicidality, homicidality, those are

9:38

like huge red flags definitely

9:40

warranting emergency services. Once

9:42

again, this is something that really

9:43

should be handled by clinicians, but as

9:45

a partner, you should be on the lookout

9:46

for this stuff. Now, let's take a look

9:48

at what's the best way to support your

9:49

partner. So, here's what's really

9:51

shocking. So, if we look at the risk

9:52

factors for postpartum depression, what

9:54

we find is that intimate partner

9:56

violence increases the odds of

9:58

postpartum depression by like 2.5,

10:00

right? So, it's like a 250% increase.

10:02

Like, that's pretty big. What's really

10:03

interesting is poor social support

10:06

increases the risk by like 350%. So

10:08

what's really insane about this is that

10:10

a good partner proper social support is

10:14

actually more impactful than like

10:17

violence in the relationship. Like this

10:19

is insane, right? So this is how

10:21

important your role in the postpartum

10:23

period is. If you navigate this right,

10:26

you are like more impactful. The weight

10:28

of your intervention is worth more than

10:31

intimate partner violence. And here's a

10:33

list of other risk factors with their

10:35

relative sizes just for y'all to take

10:37

take a look at. Let's talk about how to

10:39

provide that good social support. So,

10:41

two tasks. The first task, how do you

10:44

support your partner in preventing

10:45

depression is build their sense of

10:47

self-efficacy? So, number one thing that

10:50

and this is we're going to kind of talk

10:51

about this for just a second. Like what

10:53

do women experience, right? So, they're

10:55

socialized in a way where like

10:57

motherhood is everything. This is

10:59

changing a little bit now with like the

11:01

current generation, but still they've

11:02

like grown up, right? if they're having

11:04

kids today, they still grew up in a

11:06

period where motherhood is sort of

11:08

everything. Even on social media, we

11:10

have all these like trad wives and

11:11

things like that. And like motherhood is

11:12

a huge part of being a woman. And some

11:15

women may not want to be mothers, like

11:16

that's fine. But if if you know, if

11:18

you're having a child with one, there's

11:20

a decent chance that she wants to be a

11:21

mother and she wants to be a good

11:22

mother. What most people don't realize

11:24

is being a good mother is like a skill.

11:25

We talk about it like it's like just

11:27

this natural thing, right? like you just

11:29

have this baby and you feel all these

11:30

feelings and then you're just like, "Oh

11:32

my god, I'm a mother and everything is

11:33

great and everything's wonderful and

11:35

we're taking pictures and we're

11:36

uploading them to Instagram and like, oh

11:38

my god, oh my god, oh my god." But what

11:39

we know is that something like

11:41

breastfeeding requires like potentially

11:44

intervention. So breastfeeding support

11:46

is a highly protective factor against

11:49

depression. And why is that? That's

11:50

because if you can breastfeed properly,

11:52

you feel like a good mom. You feel like

11:54

an efficacious mom. You've got a child

11:56

who knows how to latch. There's like

11:57

positioning going on, there's like

11:59

latching going on, there's training your

12:01

body, training the child, and like the

12:02

child is also like a day old, so they

12:04

don't really know how to do much, right?

12:06

So, there's all kinds of weird stuff

12:08

that goes into this that people don't

12:10

really understand, don't appreciate. And

12:11

so, then if you don't learn properly or

12:15

your biology is just such that like you

12:17

don't produce enough milk and so the

12:19

child really doesn't like, you know,

12:20

doesn't get enough because this is the

12:22

first time that your body is doing this.

12:23

then you switch to bottle feeding and

12:25

then you feel like a failure as a mother

12:26

and like basically all this stuff is a

12:28

confluence towards being a failure as a

12:30

mother. That's the primary thing that

12:32

we're going to try to prevent. That's

12:34

where we really come in, right? We're

12:35

going to help our partner be a good mom.

12:37

So that involves a couple of different

12:38

things. The first is support her

12:41

self-efficacy and think about yourself

12:43

like a coach. Like so think about you've

12:44

got like an Olympic athlete. What are

12:46

the things that you can do to help your

12:49

Olympic athlete win the Olympics? Right?

12:51

That involves things like making sure

12:53

they get good sleep. It involves things

12:55

like cooking meals for them. Like let

12:57

them focus on the task of learning how

12:59

to be a mom and you are going to be the

13:01

coach for your partner. And that also

13:03

involves some concrete skills. So here

13:06

are a couple of studies that look at

13:07

programs. So here's a program that is

13:09

psychoeducational randomized control

13:11

trial that basically were like okay

13:13

we're going to teach people we're going

13:15

to educate them about problems in

13:16

motherhood, problems in postpartum

13:18

period. We're going to teach people what

13:20

they should do. Okay, that's what we do

13:23

over here. And what we find from this

13:24

trial, it's small, is that this

13:26

basically has no impact. And this is

13:28

also what I think like a lot of dudes

13:29

get blamed for. Everyone is like, here's

13:30

what you should do. Look, I'm going to

13:32

give you a list of all the things that

13:33

you should do, right? So, if you want to

13:35

dance, put your right leg in, put your

13:36

right leg out, put your left leg in,

13:38

shake it all about, do the hoke poke,

13:39

turn yourself around, and that's what

13:40

it's all about, right? Like that. That's

13:41

what we tell people. This is how you

13:42

dance. I'm going to give you a list of

13:44

instructions. Now, go do it. That's very

13:46

different from skills building. So,

13:47

here's another trial that did find

13:49

efficacy, but this trial is looking at

13:52

or this intervention is actually a

13:54

10-week skills building program that

13:57

involves things like gratitude and

13:59

mindfulness and all this kind of stuff.

14:01

So, those are skills that need to be

14:03

built over time. That's why we have

14:05

stuff over here on our our on the

14:07

membership side where we like dig into

14:09

these things and we have these things

14:11

like meditation tracks and stuff like

14:12

that where it's it's about skills

14:14

building. Information is not necessarily

14:16

sufficient for change. If it was all you

14:18

need is one motivation video on YouTube

14:20

and everyone would be motivated. So

14:22

skills building is different from

14:24

education. So education is important but

14:27

it is not sufficient. So you should

14:28

support your partner. That's actually

14:30

going to go a long way. And then another

14:31

part of self-efficacy is kind of

14:33

emotional support, right? So when she is

14:36

feeling down or sad or whatever,

14:38

validating that, offering her some

14:40

emotional support of like, hey, your

14:42

Olympic athlete just she didn't win the

14:44

gold in this Olympics or didn't even get

14:45

a medal. How would you talk to that

14:47

Olympic athlete? So your your partner is

14:48

frustrated because the baby isn't

14:50

latching. She feels ugly and and you can

14:52

validate that. So one of the key skills

14:54

is validation. And so like yeah, I I

14:55

know that there's a lot of changes that

14:57

go on in your body and I'm I'm amazed

15:00

at, you know, how [ __ ] man I don't even

15:02

[laughter] know. That's one that I

15:03

haven't figured out, man. The body

15:05

changes and body image issues. Dude, I'm

15:06

a [ __ ] Harvard trained psychiatrist.

15:08

I still don't know what to say. So what

15:10

I do is just kiss my wife when she's

15:12

feeling that way. And this is like

15:14

really like I don't know if this really

15:16

works. She feels flustered. Like that's

15:18

her response to it is like she gets like

15:20

really flustered, but like I'm

15:21

indicating love. So I'm indicating

15:23

support. Sometimes I'll say things like,

15:25

"Yeah, you like obviously I won't say

15:28

that. I never say that. I still haven't

15:29

figured that. That's a bad example. That

15:30

one is arguably unsolvable." And if you

15:32

guys have figured it out, let me know.

15:34

What you can do though is like physical

15:35

touch is really important, right? So my

15:37

solution is when she believes she is

15:39

grotesque. There are no words. It's

15:42

debated. Like I haven't figured that

15:43

out. But what I can do is demonstrate to

15:46

her that she's not grotesque by coming

15:48

in, giving her a kiss, giving her a hug.

15:50

You know, like my thought is like,

15:52

"Yeah, you'll get there one day." Like,

15:53

but that it you can't do that. You can't

15:56

say that. Like, yeah, like your baby

15:58

weight's there, but like you'll get

15:59

there one day. I think telling her that

16:01

she's beautiful goes a long way. Like, I

16:02

I still believe that and I've always

16:04

thought she's beautiful, you know? So,

16:06

like there's like some of that stuff

16:07

going on, but I and I think the other

16:08

big thing that really works well in

16:10

terms of self-efficacy is praise when

16:13

things go well. So, my favorite example

16:15

of this is like my wife struggled with

16:17

breastfeeding and then there were times

16:18

that like, you know, it worked well and

16:20

when it worked well, you have a milk

16:22

drunk baby. And I don't know if you guys

16:23

have ever seen a milk drunk baby, but

16:24

milk drunk babies are like cute, right?

16:26

So like this is the kind of thing where

16:27

there's a lot of small positive

16:29

reinforcement stuff that is not falling

16:31

into the jab. It's like snapping a

16:32

picture of your milk drunk baby or

16:34

telling your wife, you know, partner,

16:35

man, that milk drunk baby like she slept

16:37

like a rock, right? So like positive

16:39

encouragement on the things that your

16:41

partner does do well, right? So like

16:43

being like, "Wow, this is awesome." Like

16:45

look at this look at this fat little

16:46

baby. Like look at this look at this

16:47

chub. Look at this chicken wang. Like

16:49

this this look at this thigh, dude. Look

16:51

at this well-fed baby. like look at this

16:52

fat little chunky little monkey. And so

16:54

that kind of stuff, the positive

16:57

reinforcement really supports

16:58

self-efficacy. Like I've said, one of

17:00

the most frustrating things about OCD is

17:02

how often it gets misdiagnosed. People

17:05

can spend years trying to manage

17:07

anxiety, depression, or even something

17:09

else entirely without realizing that

17:11

underneath it all, it might actually be

17:14

OCD. And because it's so misunderstood,

17:16

it gets missed. Another study showed

17:19

something like 50% of people with OCD

17:21

get misdiagnosed at first, which means

17:24

they don't get the right kind of support

17:25

early on. And even when it is diagnosed,

17:28

not every therapist is trained in the

17:30

specific treatment that is effective for

17:32

OCD, like exposure and response

17:34

prevention or ERP. But here's the real

17:37

challenge. There's a shortage of OCD

17:39

specialists out there. That's where our

17:41

sponsor, NOCD, comes in. It's a telealth

17:44

platform that connects you with licensed

17:46

therapists who are trained specifically

17:48

in ERP. Our scientific advisory board

17:50

spent some time digging into NOCD's

17:52

clinical approach and how they handle

17:55

things like safety and escalation, and

17:57

they were genuinely impressed by the

17:59

level of rigor and understanding there.

18:01

So, if you're dealing with intrusive

18:02

thoughts, or you find yourself stuck in

18:04

loops of obsessive thinking or

18:06

repetitive behaviors, it might be worth

18:08

talking to someone who really knows what

18:10

to look for. 155 million Americans have

18:13

insurance that covers the cost of their

18:15

sessions, making it an affordable option

18:17

for therapy. They even offer in-app

18:19

support when you need help between

18:21

sessions, so you're never alone. You can

18:23

schedule a free 15-minute call with no

18:26

CD using the link in the description

18:28

below. And so, we also want to support

18:29

things like sleep, which is where we get

18:31

to the second part, which is moral

18:33

support is not nearly as effective as

18:36

actual support. So, I know that we're

18:38

managing some emotions over there. And

18:40

this is why it's so hard for dads, and

18:42

this is like like no one teaches us this

18:43

stuff. I don't even think most women

18:45

know this, but they sort of like some

18:47

dads are like, "I'm going to change

18:48

diapers." And some dads are, "I'm going

18:50

to tell her she's pretty." And neither

18:51

of those is really sufficient. And

18:53

what's really frustrating about this is

18:54

that if you're a dude, you can see that

18:57

you're like partner is struggling, that

18:59

she's emotional. And so, you're like, "I

19:01

love you. You're beautiful to me.

19:03

That'll never change." And it's somehow

19:05

not enough. And then what's really scary

19:06

about this is like other side, right, is

19:09

like I'm changing diapers. I'm doing all

19:10

of the things, but it's like not enough.

19:12

And so you really need to do both. And

19:14

the super scary thing about this, and

19:16

this is what's really terrifying, is you

19:18

can do everything right as a dad and

19:21

your partner can still have a bad

19:22

experience for one of two reasons. One

19:25

is that this is the way that mental

19:27

illness and postpartum depression work.

19:29

They're not necessarily preventable,

19:31

right? And going back to the Lindsey

19:32

Clansancy trial, I think if we look at

19:34

the statistics, one person is homicidal

19:37

or suicidal every day in the US

19:39

postpartum. Like this happens to people.

19:42

And Lindsay Clancy is super scary

19:44

because she was in treatment. People

19:46

arguably did the majority of the things

19:48

right. I don't think her husband was

19:50

particularly absent. I mean, it seems

19:51

like people on social media think that

19:53

he killed her or whatever, but like

19:54

that's I think that's internet brain

19:56

rotally. No offense. Um there just

19:58

doesn't seem to be any evidence to

19:59

support that. And this is what's really

20:01

scary about this is like you can do

20:02

everything right and things can go

20:04

wrong. The other reason that things can

20:06

go wrong is that your partner who is a

20:08

new mother may not do things right.

20:11

Shocking. Is it possible for new mothers

20:14

to not be perfect? Absolutely. Is it

20:16

possible for some of them to be good?

20:18

Absolutely. Is it possible for some of

20:20

them to be bad? Ooh, because we don't

20:23

blame new mothers, right? Like we never

20:25

like accountability for new mothers is

20:27

like a big no no in our society. But

20:29

some of the men that I've worked with,

20:30

I've seen this. I've worked with some of

20:31

these female patients as well. Like

20:33

sometimes there's mental illness

20:34

involved, but sometimes there's also

20:36

like mistakes. So a really good example

20:39

of this is social media use postpartum.

20:41

So this is a study that found that

20:43

basically the more likely you are to

20:46

compare. The more you use social media,

20:49

the more damaging it will be for your

20:50

mental. So this is where there is

20:52

absolutely responsibility on the part of

20:54

the mother. And that is not something

20:56

that you can necessarily control as a

20:58

dad. Okay? So we want to try to help you

21:01

do everything right. But the really

21:02

scary thing about life and medicine is

21:05

you can still do everything right and

21:07

still have a bad outcome. So going back

21:09

to what kind of practical support should

21:11

you provide? So this is where the most

21:13

important thing in my opinion is sleep.

21:15

So sleep is medicine especially in the

21:18

postpartum period in depression in

21:20

things like bipolar disorder. Sleep is

21:22

literally medicine in bipolar disorder.

21:23

And postpartum psychosis is often times

21:25

linked to bipolar disorder. So this is

21:27

where like letting your partner sleep as

21:30

much as you can is going to be really

21:32

good. Now you need rest too, but that

21:34

means watching the kid overnight. That

21:36

means doing things like pumping and

21:37

doing a bottle feed with breast milk or

21:39

formula or whatever. Or it's waking up

21:41

with the kid. I mean it's amazing how

21:43

much you can do. Like even if your

21:44

partner is breastfeeding overnight,

21:46

waking up, pulling the kid out of the

21:48

crib, bringing them to your partner,

21:50

having your partner feed them. They're

21:51

just basically sleeping while there's

21:53

some amount of latch. They're awake for

21:54

maybe 15 20 minutes picking up the

21:56

child, changing the diaper, settling

21:58

them down, burping them, all this kind

21:59

of stuff. So like what would be like an

22:01

hour and a half endeavor of feeding them

22:04

twice overnight now becomes a 15 to 20

22:06

minute load twice overnight for your

22:08

partner while you're doing the majority

22:10

of it. Okay? So this kind of practical

22:12

support is really important. Changing

22:14

diapers, things like that. Other big

22:16

things to do are household related stuff

22:19

and cognitive load stuff, right? So this

22:21

is like what is really exhausting is in

22:23

addition to you know having grown a

22:26

human and birthed it things like

22:27

groceries, things like meals, the more

22:29

of that stuff that you can take care of

22:32

so that your partner can focus on the

22:34

job of becoming a new mother and

22:36

becoming an efficacious mother, the

22:38

better the outcomes will be. So then we

22:41

get to a really tricky thing which is

22:43

like masculinity. So a lot of the things

22:45

that I'm advocating for people will call

22:47

like being a beta cuck, right? like this

22:49

is not a man's job, things like that.

22:50

And we got to talk about this for a

22:52

second. So I think it's fine personally.

22:54

So like these are the values that I hold

22:57

was my my experience is I want to be

22:59

independent. I want to be able to do

23:01

stuff. I don't want to rely on anyone

23:02

for anything. It's not that I don't

23:03

enjoy people doing things for me and I

23:06

have to rely on people doing things for

23:07

me. But when it comes to my kid, I want

23:09

to be a good dad. And for me, being a

23:10

good dad is providing everything that my

23:12

child may need. So I think if we look at

23:14

masculinity like independence and

23:16

self-reliance are really good values.

23:18

Like I think those are healthy forms of

23:20

masculinity. And so I think it's totally

23:22

fine to learn this stuff. Like I was

23:23

like okay like I'm going to learn how to

23:25

you know I'm going to learn how to

23:26

change a diaper. And even now like

23:27

people are blown away when like if my

23:30

wife wants to leave town for a couple

23:31

days and I have a 2-year-old and

23:32

four-year-old at home. They're like,

23:33

"How are you going to survive on your

23:35

own?" It's like what do you mean how am

23:36

I going to survive? Like I can feed my

23:38

children and I can change a diaper. I

23:40

can put them to sleep. Like I can do

23:41

these things. I derive a lot of pride in

23:44

this. I also derive a lot of pleasure

23:46

and I derive a lot of frustration and

23:48

angst and resentment at my wife on day

23:51

two for abandoning me with our children.

23:53

Not really. But there's a lot of

23:54

resentment for all kinds of other

23:55

things. Okay. So, I think it's like okay

23:57

like you have to decide for yourself

23:58

like what feels right to you in terms of

24:00

like is this turning you into a beta

24:02

cuck? Is this doing women's work? Which

24:04

I think there's some interesting

24:05

research around. So, one really

24:07

fascinating thing that we talk about in

24:08

in the guide to love, sex, and

24:10

relationships, which if you guys are,

24:11

you know, trying to figure out how to

24:13

have a healthy relationship, if you're

24:14

trying to build some of these

24:15

communication skills and stuff like

24:16

that, there's a lot of good stuff in

24:17

there, but one really interesting thing,

24:18

I was doing research for the guide, and

24:20

what I found is that rate of infidelity

24:22

climbs for both parties with well

24:25

segregated gender roles. So, when the

24:27

man goes out and works and the woman

24:29

stays home and and takes care of the

24:30

stuff or vice versa, the woman is more

24:32

likely to cheat and the man is more

24:34

likely to cheat. So, what we know about

24:36

healthy long-term relationships is that

24:38

they are partnerships. And there can

24:40

absolutely be a division of labor and

24:42

specialization. But I'd be really

24:43

careful about assuming that these things

24:47

are like not male behaviors, which

24:49

you're welcome to do. And this is where

24:51

we get to something else that kind of

24:52

pisses me off. Like I'm going to piss

24:54

everybody off today. Here's my favorite

24:55

thing to do nowadays. Is I think a lot

24:56

of people don't understand that toxic

24:58

masculinity, like we blame people for

25:00

toxic masculinity. I don't think that's

25:02

really fair. Toxic masculinity is the

25:05

response is the coping mechanism to not

25:08

knowing how to do something right. I'm a

25:10

Harvard trained psychiatrist and I had

25:12

an intact family with a largely present

25:15

father somewhat and it was still really

25:18

hard for me to learn how to be a good

25:19

dad. Like this is insane. What I had to

25:22

learn, the gap that I had to fill was

25:24

like night and day. And I think when a

25:25

dude is faced with something that they

25:28

can't solve, they don't they have no

25:30

idea how to solve. they resort to the

25:32

tools that they have, right? And one of

25:34

the tools that we have is like, I don't

25:36

know how to do this, therefore it's not

25:39

my problem. And like we should be really

25:41

careful about blaming specifically men

25:42

for this because this happens all the

25:44

time, right? This is why we have

25:45

division of labor. I don't know how to

25:46

change a transistor plug in my car so I

25:50

take it to a mechanic, right? This isn't

25:52

my job. CEOs have lots of things that

25:54

are not their job. I don't know how to

25:55

do this. You know, lots of people who

25:57

don't know how to use technology.

25:58

They're like all these examples of this

25:59

stuff. So, I think a lot of that toxic

26:01

masculinity response actually melts away

26:04

once you give the men self-efficacy. So,

26:07

this is where like if you're like, "This

26:09

doesn't feel right. This is not, you

26:10

know, men's work and things like that."

26:12

I want you to think about, ask yourself

26:14

like this question. Do you even know how

26:15

to do this? Are you capable of doing

26:17

this? Are you terrified on some

26:19

subconscious level that you don't know

26:21

how to do this? And that you feel

26:22

powerless. And your response to

26:24

powerless is the tools that you were

26:27

taught about being a man, which is

26:29

overly isolating and all this other

26:31

weird kinds of emotional stuff,

26:33

displacement and things like that. This

26:34

isn't my problem. Often times what men

26:36

will do is they'll throw themselves into

26:38

what they know how to do, right? So, I'm

26:39

going to let my wife change the diapers

26:41

and I'm going to double down at work.

26:43

I'm going to do more at work. I'm going

26:44

to be a provider for my family, right?

26:46

So, so it's kind of interesting because

26:47

like this is the direction that you

26:49

move, but it's because you don't know

26:50

how to do the other thing. And I think

26:51

just blaming it on toxic masculinity is

26:53

like not helpful. And I I I think it's

26:55

actually harmful in many ways. Last

26:57

thing that I'm going to say, and this is

26:58

like as a dude speaking to you other

27:00

dudes. What y'all got to understand is

27:02

that fatherhood is a new childhood. This

27:04

is the way I understand it. Like you're

27:05

learning this whole new set of things

27:07

society has woefully unprepared you for.

27:09

Your parents have woefully unprepared

27:11

you for. The internet has woefully

27:12

unprepared you for. Being a dad, I

27:14

think, is one of the least resourced

27:18

developmental changes on the planet

27:20

because at least we know there's all

27:21

kinds of like moms groups and things

27:23

like that. We've known like that it

27:24

takes a village, women will fly in,

27:26

right? Like when your partner is having

27:28

a kid, her mom will come, your mom will

27:30

come, that causes problems, whatever.

27:31

But there's this sort of this idea like

27:33

paternity leave is a recent thing. And

27:35

whose dad is flying in to support you in

27:38

the postpartum period? Nobody. So this

27:40

is one of the scary things. People blame

27:41

people for being deadbeat dads or not

27:43

supportive fathers or things like that

27:45

which they're not being but like there's

27:47

also if this is a systemic problem like

27:49

it's a systemic problem. So understand

27:51

that fatherhood is a second childhood

27:53

for you. Second thing that I I got to be

27:55

like straight with y'all right so this

27:56

is like my masculine energy is like your

27:58

life is [ __ ] jo done. So the moment

28:01

that you have a kid the life that you

28:02

have and your partner I think needs to

28:04

understand this as well. Y'all's life is

28:06

over. That life is gone man. No more

28:08

rating on on nights and things like

28:10

that. So, and it's not like you're beta

28:12

[ __ ] It's like literally, I want you

28:13

guys to think about this. In your

28:15

previous life, let's say you work for 40

28:17

hours and then you have 40 hours of

28:19

recreation, right? Like that's how your

28:21

distribution is. Once a child enters the

28:24

picture, that 40 hours is gone. Like

28:26

there's whatever amount of child there's

28:27

like there's just this whole other pile

28:29

of work that is like constant in every

28:31

day for the next part remainder of your

28:34

life arguably, right? So all of the

28:36

things that you used to rely on need to

28:39

go back to the drawing board. And a

28:40

really good example of this is I need to

28:42

do something to relax. Like I I need my

28:45

time. And this is this is going to maybe

28:47

piss a bunch of people off, but like

28:48

yeah, like I get that you need your

28:50

time. I do need my time. It's caused

28:52

endless fights between me and my wife

28:53

that she needs her time. I need my time.

28:55

The whole point is that like the total

28:57

amount of time is no longer sufficient.

28:59

We're used to a certain amount of

29:00

relaxation. We're used to a certain

29:01

amount of sleep. We no longer have that

29:03

amount of time. there's just there are

29:04

not resources to provide you with the

29:07

way that you used to live life. So, how

29:08

do you navigate that? This is also what

29:10

we don't teach people, right? So, when a

29:12

man has no emotional regulation skills

29:15

outside of playing video games because

29:16

that he was never taught, now you're in

29:18

the postpartum period and like you're

29:20

feeling stressed out, your wife is sad,

29:22

you're carrying a lot of emotional load,

29:24

which by the way, men do a lot of

29:25

uncredited emotional labor, which is the

29:27

labor of emotional contentment. I mean,

29:29

containment. So, men hold the emotions

29:31

of the people around them. we're we

29:33

become punching bags and we become

29:35

absorbing blocks and then the way that

29:37

we cope is by going off and doing things

29:39

by ourselves. That's no longer possible.

29:41

So this is where there's a huge thing

29:43

that you need to learn how to do which

29:46

is to derive emotional regulation,

29:48

emotional relief, joy, fun in ways that

29:52

you've never done before. And this is

29:53

the hardest thing about becoming a new

29:55

dad because no one teaches you this

29:56

stuff. So if we look at the trial that

29:58

is successful, this is a lot of those

29:59

mindfulness skills to be able to derive

30:02

satisfaction and peace in life from

30:04

serotonin instead of dopamine from a

30:06

sense of peace and contentment instead

30:09

of pleasure and using video games,

30:11

pornography or whatever for emotional

30:13

regulation. And not to even touch the

30:15

mess that is the sexual relationship in

30:17

the postpartum period, which just is

30:19

just a whole conversation for a

30:21

different day. Okay? So your life is

30:22

over and this is like a skill issue,

30:24

bro, but we're here to help you. Right?

30:26

So, this is where like you don't need to

30:28

continue to do the things that you used

30:30

to do in order to meet your needs in the

30:33

way that need to be met. And I'm not

30:34

saying that you shouldn't meet those

30:35

needs, right? We want you to be

30:37

peaceful. We want you to be happy. We

30:39

want you to be healthy. But you will

30:40

have to change your approach to getting

30:42

those things. You're going to have to

30:43

learn how to derive peace and enjoyment

30:45

from spending time with your child. And

30:47

if you guys want some of these practical

30:49

skills, we have a 2 and a half hour deep

30:51

dive over on the membership side all

30:53

about sleep and how to get a good

30:54

night's sleep and what forms a good

30:56

night's sleep. So, thanks for watching

30:57

the video today and hopefully we will

31:00

help you be a better

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