April 24, 2025 • 27 mins
The silent struggles of maternal mental health take center stage as Dr. Beatrice Hyppolite and Nurse Becca tackle the complex web of barriers preventing women from receiving proper care during pregnancy and postpartum periods.
Mental health stigma creates dangerous misconceptions that individuals with psychological conditions are unpredictable or violent. This harmful stereotype particularly affects new mothers, who often suffer in silence rather than seeking help for postpartum depression or anxiety. Our discussion reveals how current healthcare systems frequently prioritize the baby's wellbeing while maternal mental health becomes an afterthought, highlighting the urgent need for comprehensive screening tools integrated into routine prenatal care.
Cultural factors create profound obstacles to mental healthcare access. We explore how Chinese communities often discourage emotional expression while Spanish-speaking patients encounter linguistic barriers that compromise their ability to communicate needs effectively. The conversation takes an eye-opening turn when examining how male partners sometimes answer questions on behalf of women patients, creating scenarios where women's voices are literally absent from their own healthcare decisions. This power dynamic becomes particularly troubling when addressing sensitive mental health concerns.
The economic reality of mental healthcare presents another formidable challenge. With therapy sessions often costing hundreds per session and insurance coverage frequently limited, financial barriers disproportionately affect those already vulnerable. We discuss potential solutions including community resources, church support networks, and the critical importance of taking that first step toward seeking help – whether through healthcare providers, helplines, or trusted connections.
Ready to continue this important conversation? Subscribe to The Nurse Aspect podcast available on Spotify, Apple, YouTube and all major platforms. Connect on Instagram or email thenurseaspect@gmail.com with your questions and experiences.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Hello everyone.
I'm Dr Beatrice Ippolit andthis is your World People with
mental health issues.
They're so unpredictable.
Anything can trigger them andwhen whatever that may trigger
(00:22):
them at this moment, they'regoing to act on it right away,
and it doesn't matter if it islike to kill you, right?
So it's like they willunderstand later when they kill
somebody, but the moment thatthey were doing it, they didn't
see it that way.
They didn't see that they weredoing something wrong until
after it's actually happened.
Speaker 2 (00:40):
Yeah, so so incredibly true, incredibly true
.
But if I could say, maybe, whatI would suggest in terms of how
to get things maybe on a bettertrack or even to even just try
to prevent.
I think that mental healthshould be, it should be a better
screening process and it shouldreally start as part of your
care.
(01:01):
It should be something that isaddressed in terms of whether
you're in a clinic, because Ifeel like a lot of times when
you go to a clinic you might notreceive the best care you know,
versus someone as a privatedoctor that you see.
But I think there should be abetter screening tool and I
think that programs should bemade available or communities
(01:23):
should be made available, justeven just in case we hand out so
many things.
And when you um in postpartum,after you deliver baby you had,
you get so many things a packetof a billion papers.
You have your birth certificate, you have your pediatric forms,
you have all of these things.
But if I think that it'ssomething that is started
earlier, that you know you dohave this community available,
(01:46):
because maybe by the time you'rein after you deliver maybe
could be too late, you know, ormaybe I don't even have time to
deal with this now, because nowI have a newborn and or maybe I
have a two-year-old and anewborn.
Now, you know, I don't havetime to to deal with this um.
So I think that maybe thatshould be something that could
help in terms of decreasing theincidence or the disparity,
(02:07):
closing that gap of postpartumdepression.
Speaker 1 (02:10):
During pregnancy, often women go to do their
checkup.
Speaker 2 (02:15):
So in the first trimester it's a little far
apart.
As you get closer to deliveryyou can be there every week.
Unless if you're high risk youmight be there every week.
Unless if you're high risk, youmight be there every couple of
days.
Speaker 1 (02:26):
It depends um, but the first trimester, second
trimester is not as often okaytowards the end that so the
point that I wanted to make sowhen you go to see your gyn, you
know for the for that routinecheckup.
So I know they check babywhether the baby is healthy or
(02:46):
what have you.
But at the same way they dothat for the baby, they should
have check on the mother too.
I understand that you want themother to be healthy for the
baby, but there must be somecheckup going on to know whether
the mother is healthy bothphysically and emotionally.
Yes, yes so they should be.
Speaker 2 (03:08):
There should definitely be um some sort of
maybe screening tool.
You know I was I was actuallytalking to a uh provider, of a
mental health provider, um, thatdoes have an uh, that works in
um ob like has an ob background,and she was saying that she
wanted to.
I believe that she is trying towork on a tool to have like a
(03:31):
screening tool to better assistwith that.
Her name is Val.
She works at Mind Psychiatry.
I was talking to her the otherday and she was saying that she
is actually working on a tool tohelp in terms of better
screening for anxiety and maybeundiagnosed anxiety.
Postpartum depression.
Speaker 1 (03:49):
During pregnancy or after?
Okay.
Speaker 2 (03:52):
I believe she's working.
Maybe it could be somethingthat's intrapartum and
postpartum.
Speaker 1 (03:57):
I'm not too sure, but I was talking to her about.
Speaker 2 (04:00):
She was saying that that was something that she was
looking to do.
Speaker 1 (04:03):
Okay, Earlier you mentioned the cultural impact
that the Chinese peoplesometimes you know are facing or
dealing with, you know, for notbeing able to express their
feelings or their pain.
But Spanish people or Spanishwomen, you know they are facing
with serious issue culturally aswell, due to language barrier.
(04:28):
Yes, Because many of them, youknow, cannot really express
themselves in English and theymay be of assistance or have a
great need to receive help, butbecause they are incapable of
expressing themselves, it willbe hard for them to get that
service.
Speaker 2 (04:47):
I mean, yeah, I think in the hospital.
I mean I can't speak for everyhospital, but I will say most
hospitals do have like alanguage line, phone where you
can communicate, Even though youcan't say certain things, not
everything.
You know everybody wants to sayto someone that they don't know
.
It's hard to almost build arapport with your nurse A lot of
times.
You know everybody wants to sayto someone that they don't know
.
It's hard to almost build arapport with your nurse A lot of
(05:07):
times.
You know I'm there for 12 hoursso it's easy for me to maybe
like joke around with you.
You get a sense of mypersonality.
I get a sense of yourpersonality because I'm speaking
in English to you.
You're speaking English back tome, Whereas now, if I have a
language line and I'mcommunicating with a third party
, even though it's right there,it kind of almost takes that
personal aspect away from it andthat might not be as easy for
(05:30):
someone to express.
Some people are completely openand some people are not and
again, even with that,culturally likely is not
accepted.
You're still a stranger to me.
Why do I need to divulgeinformation?
Or it could be your partnerthat's there.
That's maybe answering thequestions for you.
I'm asking you how's your pain,How's this, How's that?
And your partner's answering,or your husband's answering and
(05:52):
telling me she's fine, shedoesn't need anything, you know.
So in that it's a little harderfor you know, even if I have a
phone to communicate with you,for me to even understand it,
because culturally it might beaccepted for the man to speak
for you and you're not able toreally express how you're
feeling yeah.
Speaker 1 (06:11):
Let's say, for example, if my husband isn't
serving for me when you ask thequestion, will he ask me?
No, I've had so many.
So you ask the question and itjust gives you the answer,
without asking me in our ownlanguage.
Speaker 2 (06:27):
Yes, for example, I have so many times I've had
patients that come in and I seethat they're in pain and I say,
okay, you know, whenever you'reready, it's totally up to you.
You can have an epidural thatat least will help to take care
of the pain from the contraction, and the husband will say she's
not in pain, not even forgetthe translation part she's not
(06:50):
in pain.
I could physically see you'rein pain.
I can clinically see you're inpain because your blood
pressure's up, your heart rate'sup.
I can see all these signs andsymptoms that you're in pain,
but one he's not A communicatingwith you and even if I, let's
say I take a language on and Ihave someone communicating, but
(07:10):
they may be afraid, and notmaybe necessarily afraid,
because maybe not that thehusband is physically hurting
them, but just afraid to evensay, yes, I'm in pain and I want
them, I want pain reliefbecause the husband has already
answered and spoken for you.
That's a serious issue.
Why is it?
And so I can imagine if I'masking you, do you have any
(07:30):
history of anxiety?
First of all, who's answering,and then, even if the husband
does translate, are you reallytelling me the truth, and then
it's so hard to even try to getthe family member out, then in
that way, god, we need morepeople you know like who speak
the same language.
Speaker 1 (07:44):
We need more people you know like who speak the same
language.
We need more of your, of yourkind, you know, because, it's
like you said, the person willfeel more comfortable.
It's like many times when Ihave asian clients.
So the minute that they come,they're like, oh, you, asian,
and I always say, yes, born andraised, so you can see, the
demeanor will change right awayBecause they feel that, hey, I'm
(08:06):
home, it's my people, that'sthe way they know.
They will refer to you, oh,you're my people, and so they'll
feel comfortable.
All the nuances and what haveyou so you can address, you can
tackle them.
But when you have somebody comewith her husband or you know a
partner, while that persondoesn't speak the language, and
(08:27):
you have to have that partneranswering all your questions and
whatnot, knowing that, whetherthat you know you, you really
being of assistance to thatpatient, or the person who the
patient is, the person whoreally has the need, yes, you
know to be assisted and youdon't know whether, whatever
that you do, you are doing theright thing or not.
(08:47):
The husband said, no, she's notin pain.
Well, she could have benefitfrom some pain medication All
right.
Speaker 2 (08:55):
So, like I said, just to tie it back in, it's just.
You can imagine how, if I'masking you about anxiety, if I'm
trying to speak to you aboutpostpartum depression, how
things might feel, how you knowthe importance of recognizing
there's something wrong andbeing able to seek help.
It's even harder to communicateEven if I have, you know, a
(09:16):
language barrier phone, even ifI have all of those things,
because there's still somethingculturally that's blocking that
I'm not even able to reallycommunicate, or even you're not
really even allowed to expressyourself and say I need help.
Speaker 1 (09:30):
Wow, it's a very serious problem.
But what about the economicfactors?
If you were to address that,what would be your point of view
Economically?
Speaker 2 (09:41):
I mean, the thing is, you know, unfortunately, that
comes down to a lot of times,insurance, right, if I have, do
I have health care?
A lot of times, if you'recoming in on Medicaid, medicare,
something like that, you knowyou may not even have access to
even being able to speak to atherapist, okay.
And then the other thing is,too, is therapy is not cheap.
(10:02):
You know, we need more programswhere you know it's more,
either affordable or even free,to be able to receive that type
of care.
Right, there's SNAP, wic, allof these things that you qualify
for because maybe you're notmaking as much money, you have
(10:23):
no job and everything like that.
But then where's the mentalpart of it that can be addressed
for free or, you know, a deepdiscount?
Speaker 1 (10:32):
for most parts.
You know, like you know manypeople who have Medicaid, if
they have a mental health issuesgoing on, medicaid will pay for
it.
Speaker 2 (10:41):
Medicaid will pay for it, but I think that in terms
of postpartum, it's not.
Not that it's Medicaid is alittle, a little funny's not?
Speaker 1 (10:51):
Even if you are being diagnosed Even if you're
diagnosed it's not.
Speaker 2 (10:56):
I don't want to say it's not as easy to get, but are
you devoting the time for it?
I think that people who pay fortherapy will have an easier
time to maybe deal with itversus someone that you say pay
out of pocket, Out of pocketright, but therapy is so
expensive.
It's so expensive If you'resitting down one, you have to
find the right therapist.
(11:16):
Um, cause, not every therapistis going to work with you too.
When you do find the righttherapist, I'm sure it's not
it's not covered by insurancemost of the times.
And then you're paying, youknow.
And now you're paying out of,out of pocket.
And now imagine if you're on alower socioeconomical level, um,
you may not be able to evenafford it.
So now, which care am Ireceiving?
Tiktok community, and I might.
(11:37):
What if I need medication?
I can't get that from tiktok,you know.
Maybe now I have to resort toother things, and maybe that
could lead to other problemsalcoholism, drugs, or harming
yourself, harming your child,you know, like sleep deprivation
, all these things come intoplay.
But I think that there shouldbe more programs available, not
(12:02):
only just for people who maybe,let's say it's not Medicaid.
But what if I am working?
Okay, I'm a nurse, and let'ssay, you know, god forbid I fall
into this pattern where I needmental health addressed, whether
it's in pregnancy or what haveyou.
Most nurses don't have the bestinsurance, right?
Let's say, I'm supporting myfamily, or maybe it's just me
(12:25):
and my husband, or somethinglike that, and we don't have the
money.
Mortgages are expensive.
So let's say I, I own a home, Ihave a mortgage to take care of
, maybe I have a car note, andnow the money that I have to
spend freely on stuff is not azillion of all the bills exactly
.
(12:45):
I have student loans, you know.
So all of these things comeinto play and again therapies
needed, but it's so expensive.
It's so expensive and Iwouldn't say to a therapist you
need to decrease your ratesbecause it's important, but
where's the give?
Speaker 1 (13:01):
Because I may be in need, so I may want that place
where I go to therapy to kind ofdecrease their weight.
But at the same talking, theyalso have responsibilities to
taking care of you know whetheryou know the place you know have
a mortgage on or they arepaying rent electricity bill
guys you all have bills all thebills plus employees so they
(13:25):
have to pay.
So it's like it's a struggleeverywhere that you go, so it's
not going to be easy.
Speaker 2 (13:32):
I will say a lot of jobs do have some sort of mental
health program where you cantake part of it, maybe get a
couple of sessions free here andthere, but it's usually not the
greatest either, you know.
So again, coming down to pay, Iguess in that sense Because
I've had people that have takenpart like that I know have taken
(13:52):
part in their jobs mentalhealth program, but the
therapist maybe it helped outfor a moment, but it doesn't
address a long-term issue.
And then I'm back to can Iafford to seek therapy?
It's serious?
Speaker 1 (14:07):
Yes, it's serious.
But you know one thing there isalways gonna be help around.
Yes, so I may, you know, go tothis place and I may not be able
to get the assistant over there, but I cannot just say you know
what, so it's like I'm notgoing to get it.
So there are help lines that wecan call to get the information
(14:32):
.
There are 311 that we can callthat can lead us to the direct
direction, because, at the endof the day so I understand, you
know like, medicaid may notcover this fully, but they may
cover it partially, you know.
So this insurance may not coverthis.
So, and hey, you may find aplace that can you know, in
(14:56):
order to really assist you, thatcan decide to bring the fee
down, just to assist you.
Yeah, let's say, if you were topay 100 per week, so they're
like you know what, can youafford fifty dollars per week
and before even know it, you mayget the assistance.
Yeah, that's what at the end ofthe day, so what?
(15:18):
I will recommend people not todo it, not to sit on it, right?
Speaker 2 (15:22):
the first, the, the best thing you can do for
yourself is to take the firststep.
The first step is what you haveto take in order to make any
change and make any progress inaddressing anything in your life
, whether it's losing weight,your mental health, your job.
It's not gonna come to you likethat.
You have to take a step.
That's very true, yeah.
Speaker 1 (15:43):
You know, and oftentimes you may have family
members and friends who wouldlike to support you too.
So don't feel ashamed, becauseif Ihmm, because if I have a
need, I have a need.
Yeah, so if you're my friend,I'll come to you, mm-hmm, so you
may not have the financialmeans to help me, but at the end
of the day, you can refer me tosomebody else.
(16:03):
Don't sit on it.
Ask, mm-hmm, you know, becauseyou know you will always find
help somewhere.
Yeah, you know, if you go thatway, you know you don't find
help.
So keep on, keep on asking,keep on looking, keep on
searching, right, you know, andplug yourself to people.
Go to those churches, you know,and it doesn't matter if it is
(16:25):
protestant or catholic, becausethey are very.
Churches tend to be greatresources, believe it or not.
Yes, you know.
So it's like, whatever that youneed you may not be able to
find it, you know.
You go to that churchpresbytery and you ask for the
information.
They may not have it, but theywill know where to send you.
Do something about it, yes, soanything else that you want to
(16:50):
add to that about it?
Speaker 2 (16:52):
yes.
So anything else that you wantto add to that?
Um, no, I think that, as youknow, time passes by and that
things become more openlyaccepted.
I I hope that the disparity andthe gap in terms of addressing
and dealing with anxiety, postpostpartum depression, that that
does close.
But just like we you know wejust talked about it all
(17:14):
requires you to take a step, andthen we listen and we don't
judge right.
Speaker 1 (17:18):
Exactly.
But one thing, nurse Baker,with that situation according to
research, women who havepre-existing condition mental
health condition they are moreprone to be affected by this
situation that you justmentioned.
So in that situation, if I goto the doctor, you know, knowing
(17:42):
that I am carrying a child nowI'm pregnant, right, so that
will be very important toaddress or to bring to my
doctor's attention, to say youknow what I was diagnosed with,
this and that, so my doctor willknow that because I have a past
(18:03):
history, then you know,carrying a baby can put me more
at risk while I'm pregnant andeven after I give birth.
Speaker 2 (18:14):
Yeah, so I think that a lot of times in medically, in
terms of addressing that thereare medications that are safe
for pregnant moms to take, thatthat are teratogenic, so that
they don't affect the baby orcross the blood-brain barrier,
which is a concern, there arecertain ones that do, and so
maybe a lot of therapists orproviders will not prescribe
(18:39):
certain medications if you areof childbearing age, or if you
maybe were on those medicationsbefore, they will start to taper
them down so that it decreasesthe chance of affecting the baby
, but they are medications thatare safe to take.
So, in terms of if you had apre-existing condition, yes, you
are at higher risk and maybeyou do need to be looked at more
(19:01):
, maybe you need to follow upmore.
A lot of times therapists areinvolved in that type of care,
but again, did you have accessto it before you know?
Is the issue I think the biggerissue, I would say in that
situation.
Speaker 1 (19:16):
But in that environment, the doctor that I'm
seeing, the hospital that I'mgoing to, knowing that I have a
past history, should kind of,like you know, set things for me
in a way to be well equippedupon giving birth, not to fall
into deeper problems.
Speaker 2 (19:35):
So a lot of hospitals , part of your like admission,
when you come into the hospital,we do as nurses, we have to
assess you, and so one of thethings that we ask is do you
have a history of anxiety, ahistory of postpartum depression
, even the history ofinfertility?
There's a lot of things interms of also, um,
socio-economical issues, interms of where do you live?
(19:55):
Is it stable?
Do you need legal help?
And one of the questions thatit ends up asking is does the
patient need a social workconsult?
And you can click off yes, andthat's not something I'm going
to ask you.
I'm going to ask you all thoseother questions, but it's the
computers asking me.
The system's asking me doesthis person need a social work
consult?
And I can choose to say yes orno.
I put an hour and you may notcheck off everything, but I will
(20:19):
say yes for something and thena social worker will come and
see you during your admissionand to address those issues.
So I think hospitals dorecognize that they're an say
yes for something and then asocial worker will come and see
you during your admission and toaddress those issues.
So I think hospitals dorecognize that they're an issue.
There is an issue and you know,does things to address that to,
you know, to kind of curb that.
But also then it comes down tothe nurse too.
If I have five admissions, am Igoing to be asking everybody
(20:44):
those questions Because I'm justgoing to keep on clicking no,
no, no, no, no, no, because Idon't want to input further
information.
Speaker 1 (20:51):
So there's a lot of issues that can happen, but that
should not be something to takeupon you.
It shouldn't Not to do.
It shouldn't Because you have alarge case load it shouldn't
but these are things that happenBecause every patient should.
It's wrong, though, becauseevery patient should have been
seen according to their needs.
It is, but I will say like interms of like, because now you
(21:14):
answer no, no, no, no for me,while all three quarter of those
questions could have been yes,yes, yes, yes yeah, but I think
that that's something that canhappen at hospitals where you
may have a lot of patients,especially like someone that is
working in an emergency room,for example.
Speaker 2 (21:30):
They're asking all of these questions as well, and
maybe if you had, like a traumathat's coming in, I may not have
time to ask all of thesequestions.
If there's short staff, ifthere's all these other things,
and so these are things that canbe missed, then that's another
way that hospital need to, andI'm not saying, and I'm not even
saying this as an you know,this is factually happening.
(21:52):
I'm just saying, and just as anexample, that it can.
But this is why, to me, it's soimportant for you know things
like this to be addressed duringpregnancy, because if I'm at
the doctor's office not to saythat those things can happen,
but it's, on a less severe case,you know, a less severe
situation in terms of maybe Ihave a lot of things going on in
the emergency room, not thatsay you don't have things going
(22:13):
on in the doctor's office, butit's just less severe, so you
should be able to ask thosequestions.
So if it's addressed earlier,even if I miss it, we already
have a history and we alreadyknow that I may need to pay
attention a little more to whatthis person is saying or not
saying, in that sense.
Speaker 1 (22:30):
Or myself as a pregnant woman.
I may not know the type ofquestions that you should be
asking me, but if I know myconditions and I have certain
needs that I need to bring toyour attention, certain needs
that I need to bring to yourattention even though you didn't
ask me, but I still can bringthat to your attention for you
to kind of like you know what?
(22:50):
Hey, let me take note on that.
Yes, you know, as somethingthat need to be considered.
Yes, very important.
Yes, you know, very important.
It's a lot of information.
Thank you so much.
You're welcome.
Now, before we finish, we'renot going to finish without you
telling us about your podcast.
Speaker 2 (23:09):
Oh sure, Okay, so, um , my podcast is called the nurse
aspect.
It is available everywhere.
You listen to podcasts onSpotify, apple, youtube.
Um, I'm on Tik TOK.
Tik TOK is a little differentjust because it's me talking
about my real experiences,things that I have like a little
series called Relatable orDebatable on my TikTok.
(23:32):
So it's just me saying thingsthat you know.
Can you relate to this or not?
And I find that a lot of times,often, nurses can relate to
certain things that we gothrough as nurses.
Um, I'm on Instagram.
Um, I take all kinds ofquestions all day, all night.
Um, I'm available at the nurseaspect at gmailcom.
(23:52):
Um, and yeah, so it's just metalking to different nurses, um,
different backgrounds.
So there's traditional bedsidenurses, there's nurses who maybe
started out at the bedside butour real estate investors, and
there was nurses I've spoken tothat you're a nurse and a
firefighter.
(24:12):
So it's just me talking todifferent, different backgrounds
in the hopes that one.
You know, as nurses, we all gothrough things, I'm sure, as
everyone goes through things intheir own.
You know specific fields, but Ijust think that it's just a way
for people to have a release.
You know, um, a lot of times,we all going through the same
things and maybe, maybe we'renot.
(24:33):
Maybe you want to go into acertain field of nursing and
I've spoken to someone thatmaybe after listening to the
show, you're like I don't thinkI want to go into that, or maybe
it's driving you to go intothat.
So that's pretty much, in anutshell, what my show is about.
And yeah, so, like you said, Istarted a few months before you
and yeah, it's going so it'severy week.
(24:59):
So initially it was supposed tobe every week, but at this point
right now, I'm releasingepisodes about every two to
three weeks.
Right now, two to three weeks,but there's definitely a lot to
listen to, so there's noshortage of content, I would say
.
Speaker 1 (25:10):
OK, OK, OK.
So, and hey, you just heardNurse Baker, so go out there,
you know, listen to her podcast.
Speaker 2 (25:18):
subscribe like, subscribe, ask questions.
You don't have to be a nurse.
I take questions from anyone.
I love talking so and I'm notshy.
Speaker 1 (25:27):
Can people ask you health-related questions?
You can ask health-relatedquestions, but I am a nurse.
Speaker 2 (25:34):
I'm not a doctor, so I'm not diagnosing anybody with
anything.
If you want my opinion onsomething, if I know the answer
to it, then I will tell you.
But I'm not diagnosing anybodywith any type of medical concern
.
I can tell you what I see atthe hospital in that sense.
But if I can help you, I'llhelp you.
If I can't, I will.
(25:54):
I will say that I can't helpyou okay?
Speaker 1 (25:56):
so if I suffer with high blood pressure so and I
need some advice on medicationand things like that, I cannot
ask you.
So you will refer me back to myhealthcare provider.
I will definitely refer youback to healthcare.
Speaker 2 (26:08):
I could.
I could even refer you to ahealthcare provider if you don't
have one, um, but in terms of,like, what medication I think
you should take?
No, because at the end of theday, I don't have lab work on
you, I don't know.
And and again, my job is not toto diagnose.
But if you want a nurse aspecton hypertension, sure, no
problem.
Speaker 1 (26:27):
Okay, yeah.
Speaker 2 (26:28):
Okay.
Speaker 1 (26:28):
It's fair enough.
So, darling, it was a pleasureto have you.
Thank you so much for having meso when I, you know, I remember
when I shot you that text and Iasked you, you know, if you
will be available to make it.
You know, to the show andwithout even taking twice, you
say yes, of course, yeah, youknow so, to finally make it
(26:50):
happen.
So it's a well appreciatedmoment for me.
Thank you for having me.
I believe it's the same foreveryone who's watching or
listening.
Thank you so much for your time.
Speaker 2 (26:59):
I enjoyed being on on your world, okay, so together,
we're gonna keep on yes, growing, yes, thank you.
Speaker 1 (27:06):
It was with you all, Dr Beatrice Ippolite, with your
world.
Hello everyone.
I'm Dr Beatrice Ippolit andthis is your World People with
mental health issues.
They're so unpredictable.
Anything can trigger them andwhen whatever that may trigger
(00:22):
them at this moment, they'regoing to act on it right away,
and it doesn't matter if it islike to kill you, right?
So it's like they willunderstand later when they kill
somebody, but the moment thatthey were doing it, they didn't
see it that way.
They didn't see that they weredoing something wrong until
after it's actually happened.
Speaker 2 (00:40):
Yeah, so so incredibly true, incredibly true
.
But if I could say, maybe, whatI would suggest in terms of how
to get things maybe on a bettertrack or even to even just try
to prevent.
I think that mental healthshould be, it should be a better
screening process and it shouldreally start as part of your
care.
(01:01):
It should be something that isaddressed in terms of whether
you're in a clinic, because Ifeel like a lot of times when
you go to a clinic you might notreceive the best care you know,
versus someone as a privatedoctor that you see.
But I think there should be abetter screening tool and I
think that programs should bemade available or communities
(01:23):
should be made available, justeven just in case we hand out so
many things.
And when you um in postpartum,after you deliver baby you had,
you get so many things a packetof a billion papers.
You have your birth certificate, you have your pediatric forms,
you have all of these things.
But if I think that it'ssomething that is started
earlier, that you know you dohave this community available,
(01:46):
because maybe by the time you'rein after you deliver maybe
could be too late, you know, ormaybe I don't even have time to
deal with this now, because nowI have a newborn and or maybe I
have a two-year-old and anewborn.
Now, you know, I don't havetime to to deal with this um.
So I think that maybe thatshould be something that could
help in terms of decreasing theincidence or the disparity,
(02:07):
closing that gap of postpartumdepression.
Speaker 1 (02:10):
During pregnancy, often women go to do their
checkup.
Speaker 2 (02:15):
So in the first trimester it's a little far
apart.
As you get closer to deliveryyou can be there every week.
Unless if you're high risk youmight be there every week.
Unless if you're high risk, youmight be there every couple of
days.
Speaker 1 (02:26):
It depends um, but the first trimester, second
trimester is not as often okaytowards the end that so the
point that I wanted to make sowhen you go to see your gyn, you
know for the for that routinecheckup.
So I know they check babywhether the baby is healthy or
(02:46):
what have you.
But at the same way they dothat for the baby, they should
have check on the mother too.
I understand that you want themother to be healthy for the
baby, but there must be somecheckup going on to know whether
the mother is healthy bothphysically and emotionally.
Yes, yes so they should be.
Speaker 2 (03:08):
There should definitely be um some sort of
maybe screening tool.
You know I was I was actuallytalking to a uh provider, of a
mental health provider, um, thatdoes have an uh, that works in
um ob like has an ob background,and she was saying that she
wanted to.
I believe that she is trying towork on a tool to have like a
(03:31):
screening tool to better assistwith that.
Her name is Val.
She works at Mind Psychiatry.
I was talking to her the otherday and she was saying that she
is actually working on a tool tohelp in terms of better
screening for anxiety and maybeundiagnosed anxiety.
Postpartum depression.
Speaker 1 (03:49):
During pregnancy or after?
Okay.
Speaker 2 (03:52):
I believe she's working.
Maybe it could be somethingthat's intrapartum and
postpartum.
Speaker 1 (03:57):
I'm not too sure, but I was talking to her about.
Speaker 2 (04:00):
She was saying that that was something that she was
looking to do.
Speaker 1 (04:03):
Okay, Earlier you mentioned the cultural impact
that the Chinese peoplesometimes you know are facing or
dealing with, you know, for notbeing able to express their
feelings or their pain.
But Spanish people or Spanishwomen, you know they are facing
with serious issue culturally aswell, due to language barrier.
(04:28):
Yes, Because many of them, youknow, cannot really express
themselves in English and theymay be of assistance or have a
great need to receive help, butbecause they are incapable of
expressing themselves, it willbe hard for them to get that
service.
Speaker 2 (04:47):
I mean, yeah, I think in the hospital.
I mean I can't speak for everyhospital, but I will say most
hospitals do have like alanguage line, phone where you
can communicate, Even though youcan't say certain things, not
everything.
You know everybody wants to sayto someone that they don't know
.
It's hard to almost build arapport with your nurse A lot of
times.
You know everybody wants to sayto someone that they don't know
.
It's hard to almost build arapport with your nurse A lot of
(05:07):
times.
You know I'm there for 12 hoursso it's easy for me to maybe
like joke around with you.
You get a sense of mypersonality.
I get a sense of yourpersonality because I'm speaking
in English to you.
You're speaking English back tome, Whereas now, if I have a
language line and I'mcommunicating with a third party
, even though it's right there,it kind of almost takes that
personal aspect away from it andthat might not be as easy for
(05:30):
someone to express.
Some people are completely openand some people are not and
again, even with that,culturally likely is not
accepted.
You're still a stranger to me.
Why do I need to divulgeinformation?
Or it could be your partnerthat's there.
That's maybe answering thequestions for you.
I'm asking you how's your pain,How's this, How's that?
And your partner's answering,or your husband's answering and
(05:52):
telling me she's fine, shedoesn't need anything, you know.
So in that it's a little harderfor you know, even if I have a
phone to communicate with you,for me to even understand it,
because culturally it might beaccepted for the man to speak
for you and you're not able toreally express how you're
feeling yeah.
Speaker 1 (06:11):
Let's say, for example, if my husband isn't
serving for me when you ask thequestion, will he ask me?
No, I've had so many.
So you ask the question and itjust gives you the answer,
without asking me in our ownlanguage.
Speaker 2 (06:27):
Yes, for example, I have so many times I've had
patients that come in and I seethat they're in pain and I say,
okay, you know, whenever you'reready, it's totally up to you.
You can have an epidural thatat least will help to take care
of the pain from the contraction, and the husband will say she's
not in pain, not even forgetthe translation part she's not
(06:50):
in pain.
I could physically see you'rein pain.
I can clinically see you're inpain because your blood
pressure's up, your heart rate'sup.
I can see all these signs andsymptoms that you're in pain,
but one he's not A communicatingwith you and even if I, let's
say I take a language on and Ihave someone communicating, but
(07:10):
they may be afraid, and notmaybe necessarily afraid,
because maybe not that thehusband is physically hurting
them, but just afraid to evensay, yes, I'm in pain and I want
them, I want pain reliefbecause the husband has already
answered and spoken for you.
That's a serious issue.
Why is it?
And so I can imagine if I'masking you, do you have any
(07:30):
history of anxiety?
First of all, who's answering,and then, even if the husband
does translate, are you reallytelling me the truth, and then
it's so hard to even try to getthe family member out, then in
that way, god, we need morepeople you know like who speak
the same language.
Speaker 1 (07:44):
We need more people you know like who speak the same
language.
We need more of your, of yourkind, you know, because, it's
like you said, the person willfeel more comfortable.
It's like many times when Ihave asian clients.
So the minute that they come,they're like, oh, you, asian,
and I always say, yes, born andraised, so you can see, the
demeanor will change right awayBecause they feel that, hey, I'm
(08:06):
home, it's my people, that'sthe way they know.
They will refer to you, oh,you're my people, and so they'll
feel comfortable.
All the nuances and what haveyou so you can address, you can
tackle them.
But when you have somebody comewith her husband or you know a
partner, while that persondoesn't speak the language, and
(08:27):
you have to have that partneranswering all your questions and
whatnot, knowing that, whetherthat you know you, you really
being of assistance to thatpatient, or the person who the
patient is, the person whoreally has the need, yes, you
know to be assisted and youdon't know whether, whatever
that you do, you are doing theright thing or not.
(08:47):
The husband said, no, she's notin pain.
Well, she could have benefitfrom some pain medication All
right.
Speaker 2 (08:55):
So, like I said, just to tie it back in, it's just.
You can imagine how, if I'masking you about anxiety, if I'm
trying to speak to you aboutpostpartum depression, how
things might feel, how you knowthe importance of recognizing
there's something wrong andbeing able to seek help.
It's even harder to communicateEven if I have, you know, a
(09:16):
language barrier phone, even ifI have all of those things,
because there's still somethingculturally that's blocking that
I'm not even able to reallycommunicate, or even you're not
really even allowed to expressyourself and say I need help.
Speaker 1 (09:30):
Wow, it's a very serious problem.
But what about the economicfactors?
If you were to address that,what would be your point of view
Economically?
Speaker 2 (09:41):
I mean, the thing is, you know, unfortunately, that
comes down to a lot of times,insurance, right, if I have, do
I have health care?
A lot of times, if you'recoming in on Medicaid, medicare,
something like that, you knowyou may not even have access to
even being able to speak to atherapist, okay.
And then the other thing is,too, is therapy is not cheap.
(10:02):
You know, we need more programswhere you know it's more,
either affordable or even free,to be able to receive that type
of care.
Right, there's SNAP, wic, allof these things that you qualify
for because maybe you're notmaking as much money, you have
(10:23):
no job and everything like that.
But then where's the mentalpart of it that can be addressed
for free or, you know, a deepdiscount?
Speaker 1 (10:32):
for most parts.
You know, like you know manypeople who have Medicaid, if
they have a mental health issuesgoing on, medicaid will pay for
it.
Speaker 2 (10:41):
Medicaid will pay for it, but I think that in terms
of postpartum, it's not.
Not that it's Medicaid is alittle, a little funny's not?
Speaker 1 (10:51):
Even if you are being diagnosed Even if you're
diagnosed it's not.
Speaker 2 (10:56):
I don't want to say it's not as easy to get, but are
you devoting the time for it?
I think that people who pay fortherapy will have an easier
time to maybe deal with itversus someone that you say pay
out of pocket, Out of pocketright, but therapy is so
expensive.
It's so expensive If you'resitting down one, you have to
find the right therapist.
(11:16):
Um, cause, not every therapistis going to work with you too.
When you do find the righttherapist, I'm sure it's not
it's not covered by insurancemost of the times.
And then you're paying, youknow.
And now you're paying out of,out of pocket.
And now imagine if you're on alower socioeconomical level, um,
you may not be able to evenafford it.
So now, which care am Ireceiving?
Tiktok community, and I might.
(11:37):
What if I need medication?
I can't get that from tiktok,you know.
Maybe now I have to resort toother things, and maybe that
could lead to other problemsalcoholism, drugs, or harming
yourself, harming your child,you know, like sleep deprivation
, all these things come intoplay.
But I think that there shouldbe more programs available, not
(12:02):
only just for people who maybe,let's say it's not Medicaid.
But what if I am working?
Okay, I'm a nurse, and let'ssay, you know, god forbid I fall
into this pattern where I needmental health addressed, whether
it's in pregnancy or what haveyou.
Most nurses don't have the bestinsurance, right?
Let's say, I'm supporting myfamily, or maybe it's just me
(12:25):
and my husband, or somethinglike that, and we don't have the
money.
Mortgages are expensive.
So let's say I, I own a home, Ihave a mortgage to take care of
, maybe I have a car note, andnow the money that I have to
spend freely on stuff is not azillion of all the bills exactly
.
(12:45):
I have student loans, you know.
So all of these things comeinto play and again therapies
needed, but it's so expensive.
It's so expensive and Iwouldn't say to a therapist you
need to decrease your ratesbecause it's important, but
where's the give?
Speaker 1 (13:01):
Because I may be in need, so I may want that place
where I go to therapy to kind ofdecrease their weight.
But at the same talking, theyalso have responsibilities to
taking care of you know whetheryou know the place you know have
a mortgage on or they arepaying rent electricity bill
guys you all have bills all thebills plus employees so they
(13:25):
have to pay.
So it's like it's a struggleeverywhere that you go, so it's
not going to be easy.
Speaker 2 (13:32):
I will say a lot of jobs do have some sort of mental
health program where you cantake part of it, maybe get a
couple of sessions free here andthere, but it's usually not the
greatest either, you know.
So again, coming down to pay, Iguess in that sense Because
I've had people that have takenpart like that I know have taken
(13:52):
part in their jobs mentalhealth program, but the
therapist maybe it helped outfor a moment, but it doesn't
address a long-term issue.
And then I'm back to can Iafford to seek therapy?
It's serious?
Speaker 1 (14:07):
Yes, it's serious.
But you know one thing there isalways gonna be help around.
Yes, so I may, you know, go tothis place and I may not be able
to get the assistant over there, but I cannot just say you know
what, so it's like I'm notgoing to get it.
So there are help lines that wecan call to get the information
(14:32):
.
There are 311 that we can callthat can lead us to the direct
direction, because, at the endof the day so I understand, you
know like, medicaid may notcover this fully, but they may
cover it partially, you know.
So this insurance may not coverthis.
So, and hey, you may find aplace that can you know, in
(14:56):
order to really assist you, thatcan decide to bring the fee
down, just to assist you.
Yeah, let's say, if you were topay 100 per week, so they're
like you know what, can youafford fifty dollars per week
and before even know it, you mayget the assistance.
Yeah, that's what at the end ofthe day, so what?
(15:18):
I will recommend people not todo it, not to sit on it, right?
Speaker 2 (15:22):
the first, the, the best thing you can do for
yourself is to take the firststep.
The first step is what you haveto take in order to make any
change and make any progress inaddressing anything in your life
, whether it's losing weight,your mental health, your job.
It's not gonna come to you likethat.
You have to take a step.
That's very true, yeah.
Speaker 1 (15:43):
You know, and oftentimes you may have family
members and friends who wouldlike to support you too.
So don't feel ashamed, becauseif Ihmm, because if I have a
need, I have a need.
Yeah, so if you're my friend,I'll come to you, mm-hmm, so you
may not have the financialmeans to help me, but at the end
of the day, you can refer me tosomebody else.
(16:03):
Don't sit on it.
Ask, mm-hmm, you know, becauseyou know you will always find
help somewhere.
Yeah, you know, if you go thatway, you know you don't find
help.
So keep on, keep on asking,keep on looking, keep on
searching, right, you know, andplug yourself to people.
Go to those churches, you know,and it doesn't matter if it is
(16:25):
protestant or catholic, becausethey are very.
Churches tend to be greatresources, believe it or not.
Yes, you know.
So it's like, whatever that youneed you may not be able to
find it, you know.
You go to that churchpresbytery and you ask for the
information.
They may not have it, but theywill know where to send you.
Do something about it, yes, soanything else that you want to
(16:50):
add to that about it?
Speaker 2 (16:52):
yes.
So anything else that you wantto add to that?
Um, no, I think that, as youknow, time passes by and that
things become more openlyaccepted.
I I hope that the disparity andthe gap in terms of addressing
and dealing with anxiety, postpostpartum depression, that that
does close.
But just like we you know wejust talked about it all
(17:14):
requires you to take a step, andthen we listen and we don't
judge right.
Speaker 1 (17:18):
Exactly.
But one thing, nurse Baker,with that situation according to
research, women who havepre-existing condition mental
health condition they are moreprone to be affected by this
situation that you justmentioned.
So in that situation, if I goto the doctor, you know, knowing
(17:42):
that I am carrying a child nowI'm pregnant, right, so that
will be very important toaddress or to bring to my
doctor's attention, to say youknow what I was diagnosed with,
this and that, so my doctor willknow that because I have a past
(18:03):
history, then you know,carrying a baby can put me more
at risk while I'm pregnant andeven after I give birth.
Speaker 2 (18:14):
Yeah, so I think that a lot of times in medically, in
terms of addressing that thereare medications that are safe
for pregnant moms to take, thatthat are teratogenic, so that
they don't affect the baby orcross the blood-brain barrier,
which is a concern, there arecertain ones that do, and so
maybe a lot of therapists orproviders will not prescribe
(18:39):
certain medications if you areof childbearing age, or if you
maybe were on those medicationsbefore, they will start to taper
them down so that it decreasesthe chance of affecting the baby
, but they are medications thatare safe to take.
So, in terms of if you had apre-existing condition, yes, you
are at higher risk and maybeyou do need to be looked at more
(19:01):
, maybe you need to follow upmore.
A lot of times therapists areinvolved in that type of care,
but again, did you have accessto it before you know?
Is the issue I think the biggerissue, I would say in that
situation.
Speaker 1 (19:16):
But in that environment, the doctor that I'm
seeing, the hospital that I'mgoing to, knowing that I have a
past history, should kind of,like you know, set things for me
in a way to be well equippedupon giving birth, not to fall
into deeper problems.
Speaker 2 (19:35):
So a lot of hospitals , part of your like admission,
when you come into the hospital,we do as nurses, we have to
assess you, and so one of thethings that we ask is do you
have a history of anxiety, ahistory of postpartum depression
, even the history ofinfertility?
There's a lot of things interms of also, um,
socio-economical issues, interms of where do you live?
(19:55):
Is it stable?
Do you need legal help?
And one of the questions thatit ends up asking is does the
patient need a social workconsult?
And you can click off yes, andthat's not something I'm going
to ask you.
I'm going to ask you all thoseother questions, but it's the
computers asking me.
The system's asking me doesthis person need a social work
consult?
And I can choose to say yes orno.
I put an hour and you may notcheck off everything, but I will
(20:19):
say yes for something and thena social worker will come and
see you during your admissionand to address those issues.
So I think hospitals dorecognize that they're an say
yes for something and then asocial worker will come and see
you during your admission and toaddress those issues.
So I think hospitals dorecognize that they're an issue.
There is an issue and you know,does things to address that to,
you know, to kind of curb that.
But also then it comes down tothe nurse too.
If I have five admissions, am Igoing to be asking everybody
(20:44):
those questions Because I'm justgoing to keep on clicking no,
no, no, no, no, no, because Idon't want to input further
information.
Speaker 1 (20:51):
So there's a lot of issues that can happen, but that
should not be something to takeupon you.
It shouldn't Not to do.
It shouldn't Because you have alarge case load it shouldn't
but these are things that happenBecause every patient should.
It's wrong, though, becauseevery patient should have been
seen according to their needs.
It is, but I will say like interms of like, because now you
(21:14):
answer no, no, no, no for me,while all three quarter of those
questions could have been yes,yes, yes, yes yeah, but I think
that that's something that canhappen at hospitals where you
may have a lot of patients,especially like someone that is
working in an emergency room,for example.
Speaker 2 (21:30):
They're asking all of these questions as well, and
maybe if you had, like a traumathat's coming in, I may not have
time to ask all of thesequestions.
If there's short staff, ifthere's all these other things,
and so these are things that canbe missed, then that's another
way that hospital need to, andI'm not saying, and I'm not even
saying this as an you know,this is factually happening.
(21:52):
I'm just saying, and just as anexample, that it can.
But this is why, to me, it's soimportant for you know things
like this to be addressed duringpregnancy, because if I'm at
the doctor's office not to saythat those things can happen,
but it's, on a less severe case,you know, a less severe
situation in terms of maybe Ihave a lot of things going on in
the emergency room, not thatsay you don't have things going
(22:13):
on in the doctor's office, butit's just less severe, so you
should be able to ask thosequestions.
So if it's addressed earlier,even if I miss it, we already
have a history and we alreadyknow that I may need to pay
attention a little more to whatthis person is saying or not
saying, in that sense.
Speaker 1 (22:30):
Or myself as a pregnant woman.
I may not know the type ofquestions that you should be
asking me, but if I know myconditions and I have certain
needs that I need to bring toyour attention, certain needs
that I need to bring to yourattention even though you didn't
ask me, but I still can bringthat to your attention for you
to kind of like you know what?
(22:50):
Hey, let me take note on that.
Yes, you know, as somethingthat need to be considered.
Yes, very important.
Yes, you know, very important.
It's a lot of information.
Thank you so much.
You're welcome.
Now, before we finish, we'renot going to finish without you
telling us about your podcast.
Speaker 2 (23:09):
Oh sure, Okay, so, um , my podcast is called the nurse
aspect.
It is available everywhere.
You listen to podcasts onSpotify, apple, youtube.
Um, I'm on Tik TOK.
Tik TOK is a little differentjust because it's me talking
about my real experiences,things that I have like a little
series called Relatable orDebatable on my TikTok.
(23:32):
So it's just me saying thingsthat you know.
Can you relate to this or not?
And I find that a lot of times,often, nurses can relate to
certain things that we gothrough as nurses.
Um, I'm on Instagram.
Um, I take all kinds ofquestions all day, all night.
Um, I'm available at the nurseaspect at gmailcom.
(23:52):
Um, and yeah, so it's just metalking to different nurses, um,
different backgrounds.
So there's traditional bedsidenurses, there's nurses who maybe
started out at the bedside butour real estate investors, and
there was nurses I've spoken tothat you're a nurse and a
firefighter.
(24:12):
So it's just me talking todifferent, different backgrounds
in the hopes that one.
You know, as nurses, we all gothrough things, I'm sure, as
everyone goes through things intheir own.
You know specific fields, but Ijust think that it's just a way
for people to have a release.
You know, um, a lot of times,we all going through the same
things and maybe, maybe we'renot.
(24:33):
Maybe you want to go into acertain field of nursing and
I've spoken to someone thatmaybe after listening to the
show, you're like I don't thinkI want to go into that, or maybe
it's driving you to go intothat.
So that's pretty much, in anutshell, what my show is about.
And yeah, so, like you said, Istarted a few months before you
and yeah, it's going so it'severy week.
(24:59):
So initially it was supposed tobe every week, but at this point
right now, I'm releasingepisodes about every two to
three weeks.
Right now, two to three weeks,but there's definitely a lot to
listen to, so there's noshortage of content, I would say
.
Speaker 1 (25:10):
OK, OK, OK.
So, and hey, you just heardNurse Baker, so go out there,
you know, listen to her podcast.
Speaker 2 (25:18):
subscribe like, subscribe, ask questions.
You don't have to be a nurse.
I take questions from anyone.
I love talking so and I'm notshy.
Speaker 1 (25:27):
Can people ask you health-related questions?
You can ask health-relatedquestions, but I am a nurse.
Speaker 2 (25:34):
I'm not a doctor, so I'm not diagnosing anybody with
anything.
If you want my opinion onsomething, if I know the answer
to it, then I will tell you.
But I'm not diagnosing anybodywith any type of medical concern
.
I can tell you what I see atthe hospital in that sense.
But if I can help you, I'llhelp you.
If I can't, I will.
(25:54):
I will say that I can't helpyou okay?
Speaker 1 (25:56):
so if I suffer with high blood pressure so and I
need some advice on medicationand things like that, I cannot
ask you.
So you will refer me back to myhealthcare provider.
I will definitely refer youback to healthcare.
Speaker 2 (26:08):
I could.
I could even refer you to ahealthcare provider if you don't
have one, um, but in terms of,like, what medication I think
you should take?
No, because at the end of theday, I don't have lab work on
you, I don't know.
And and again, my job is not toto diagnose.
But if you want a nurse aspecton hypertension, sure, no
problem.
Speaker 1 (26:27):
Okay, yeah.
Speaker 2 (26:28):
Okay.
Speaker 1 (26:28):
It's fair enough.
So, darling, it was a pleasureto have you.
Thank you so much for having meso when I, you know, I remember
when I shot you that text and Iasked you, you know, if you
will be available to make it.
You know, to the show andwithout even taking twice, you
say yes, of course, yeah, youknow so, to finally make it
(26:50):
happen.
So it's a well appreciatedmoment for me.
Thank you for having me.
I believe it's the same foreveryone who's watching or
listening.
Thank you so much for your time.
Speaker 2 (26:59):
I enjoyed being on on your world, okay, so together,
we're gonna keep on yes, growing, yes, thank you.
Speaker 1 (27:06):
It was with you all, Dr Beatrice Ippolite, with your
world.
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