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      <image:title>Postpartum Depression and Anxiety - What if my primary experience is anxiety?</image:title>
      <image:caption>It is very common to experience anxiety when you have postpartum depression. In fact, this may be your most significant and challenging symptom. Treatment for postpartum depression effectively addresses anxiety. Sometimes there are not symptoms of depression, only symptoms of anxiety. Like postpartum depression, postpartum anxiety is a treatable condition.</image:caption>
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      <image:title>About - Janine Castle, Ph.D. Pronouns: she/her (what's this?)</image:title>
      <image:caption>Licensed Clinical Psychologist</image:caption>
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    <lastmod>2026-02-23</lastmod>
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      <image:title>Therapy - Cognitive Behavioral Therapy</image:title>
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    <lastmod>2026-04-13</lastmod>
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      <image:title>Reproductive Loss - Reproductive Loss</image:title>
      <image:caption>It is rarely on anyone’s radar that they may experience loss related to pregnancy and childbirth. When this loss happens, it is a traumatic crisis that causes tremendous feelings of grief. But we live in a society that struggles with issues of grief, and even more so when it is related to pregnancy and childbirth. This can mean a strong feeling of distress and a lack of support or even feelings of isolation after the loss of a pregnancy or a stillbirth.</image:caption>
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      <image:title>Reproductive Loss - Mourning For LBGTQ+ Families Reproductive loss does not discriminate, and the grief process is further complicated for LGBTQ+ families because of barriers to support, which include: a culture that may not recognize the legitimacy of the pregnancy or the reproductive loss for LGBTQ+ persons, the failure to identify the non-birthing person as grieving, the lack of knowledge about how reproductive loss affects LGBTQ+ families, discrimination or fear of discrimination by healthcare providers, friends and/or family, pregnancy being associated in our culture with heterosexual, cisgender women, and the fact that most supportive services for reproductive loss center on the heterosexual, cisgender person’s experience .</image:title>
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    <loc>https://www.janinecastlephd.com/obsessive-compulsive-disorder-ocd</loc>
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    <lastmod>2026-04-13</lastmod>
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    <loc>https://www.janinecastlephd.com/exposure-and-response-prevention-therapy</loc>
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    <lastmod>2026-02-23</lastmod>
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    <lastmod>2019-07-05</lastmod>
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