The postpartum period is a time of significant physical, emotional, and psychological adjustment. While much attention is given to pregnancy and birth, the weeks and months following delivery often receive far less support, despite being a particularly vulnerable period for maternal mental health.

PMDD, Premenstrual Dysphoric Disorder, is a reality for some that significantly impairs their work, relationships and daily functions. Think PMS's big angry evil sister. PMDD affects roughly 1 in 20 women in their reproductive years.

Cultivating gratitude in the midst of grief sounds impossible. And sometimes, you need to sit in your grief, experience the pain, and allow yourself to mourn. Please hear that you have permission to skip out this year. You have permission to pass on the gratefulness platter. Be kind to yourself.