NPR

Psssst: Parenting Twins Can Be Depressing

Expectant parents of twins and other multiples may be ready for the joy and extra physical demands of caring for more than one baby. But few know the risk of depression and anxiety runs higher, too.

In 2014, when Crystal Duffy found out she was pregnant with twins, she felt shocked and overjoyed. "Twins run in our family," says the Houston resident, who was 33 at the time, and already the mom of a 2-year-old. "But we still weren't prepared for the news."

Duffy had hoped for a joyful twin pregnancy. But during her second trimester, she began having complications.

"I had a very high-risk pregnancy, and my twins were born premature," she explains. "They spent five weeks in the neonatal intensive care unit. It was a very stressful time. I felt anxious and traumatized."

While the doctors had told Duffy that twin pregnancies for her and her

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