Category Archives: life

Sharing the Journey with Michael Puline

A couple of weeks ago, we shared the journey with Amber Koter-Puline. Today we’ll get her husband’s point of view. It’s important to include dad in the postpartum experience because his support is invaluable to recovery. I want to thank Michael from the depths of my heart for sharing his story so openly and for supporting Amber so wonderfully during such a difficult experience. I hope this provides invaluable insight for new or expecting fathers who may either find themselves in a similar situation or know someone who is already there.

What makes you tick? Tell us a little bit about who you are!

I enjoy business – specifically the retail real estate business.  I enjoy all aspects of my business.  I spend a good portion of my time dedicated to being successful in my work so that I can provide for my family.  I also enjoy spending time training Gracie jiu jitsu; its something that I have always wanted to get into before but didn’t have the opportunity.  When we moved to Atlanta and I found a place to train and I immediately began.  I am a morning person!  I like to get up very early before others to accomplish things.  I am generally waiting for the gym to open at 4:45am when I arrive.   Sometimes they let us in early.  On nights that I am not at jiu jitsu, I play the guitar and enjoy spending time with my family.

You’ve walked the dark path of Postpartum Depression with your wife. Share with us what it was like to watch the woman you loved seemingly slip away into a dark shell.

It was awful.  I saw a highly motivated and capable person become so helpless and undergo such a radical change.  It is almost as if you no longer know the person.  They are someone else.  It was very difficult for me because I didn’t really believe it was happening.  I thought that it would go away on its own.  But, when Amber came to me and recognized that she was in need of professional help I knew that it was serious.  It was  very difficult to deal with.  I had to change my work schedule and Amber had to even come with me to work some days.  It was almost as if she had regressed mentally to a 4 year old.  She had to be at my side almost 24-7.  You can’t believe it until you experience it.

How did your faith support you through Amber’s recovery?

It helped in many ways.  One of the biggest was seeing the outpouring of help from our church community.  Even people who we did not expect to come through for us came and truly tried to make a difference in our lives and help us with this difficult situation.  As a result of having gone through this, my faith has grown stronger and I can now see why God chose this to happen to my wife.

What has it been like to see your wife take something so painful and turn it into such a point of strength and grace?

It has been really nice. I know she enjoys it. Anytime you go through a challenge and are able to transform it into a positive aspect of others lives I believe it is the ultimate blessing you can receive.  Amber has done this.  She has put her heart and soul into a blog, website, communicating with others, and constantly trying to reach out and help others. It is very commendable. I love her for it. It feels really good to know that she wants to help others. She took the situation, transformed it, and is giving it back to God by helping others. It’s the only way to live.

Did PPD affect your marriage? If so, how?

Yes, in many ways. It has changed our plans for future children (we had previously wanted a larger family.) We had to change our schedules and had to change the dynamics of our child-rearing than we had previously planned. You see, Amber and I had initially thought about having several children, however when she went through such a severe PPMD it really changed her desire and made her feel as if she could never handle more than one child, as she could barely physically and emotionally handle this one. As she had continued to get better, I believe her opinion continues to change slightly. For the first 3 or 4 months I had to do the lion’s share of the night-time wakings, because she needed to rest. At first I think I resented her for it, but now I think it helped me to build an irreplaceable bond with my son. While it was difficult at the time, I am very much thankful for the opportunity to do that because the benefits clearly outweigh the sacrifice I made. Hey, whats a few hours sleep for a guy who gets up at 4:30am anyways? I think as a result we take specific time in our day to better ourselves- praying together, reading and discussing books together, etc. We truly want each other to grow and develop everyday as individuals and parents. We are much more committed to each other. Not just to having our marriage be ok or something we endure, but to flourish. It also changed how we now interact. We have a different relationship. It’s much stronger.
Fathers need to remember not to lose themselves in the process of parenting. What is it that you do to just hang out and be a “guy”?

Jiu Jitsu.  I train.  For me, jiu jitsu offers me the opportunity to escape.  Going to the gym is similar, but jiu jitsu provides me the one on one competition that drives me to do better every day.  I think one of the reasons I like it so much is that I wrestled as a child.  I always enjoyed wrestling and jiu jitsu is similar, but you wear a gi instead and the object is to submit an opponent vs. pin them.  Outside of that, I really like to watch football.  College, NFL, it doesn’t matter!  My wife will watch “our teams,” but can’t understand at all why I would watch other games.  For me, this is how I relax…sitting on the couch or in my chair, with a cold beer Sweetwater 420 (shameless local beer plug!) in my hand.  That’s my release.

3 things that made me laugh…

Telling others a story about how a rock hit my windshield.
My son saying “mango” as one of his first words.
Remembering when my wife saw a coyote walking down the middle of our street when she had PPD.  I asked her if it was real.  She replied, “I am crazy, but not THAT crazy!”  The next day we got a notice about a neighborhood coyote spotting.  :)

What do you find the most and least challenging about fatherhood?

Having patience with my son has been challenging.  I sell things…I am a salesman.  I have absolutely NO patience for anything and I don’t care to.  For me, patience was not important at all.  But now, with my son, I start to realize that there are times where it is needed.  I think that because my love for him is so strong I am able to be more patient and give him the attention that he needs.

I think just having fun with my son comes easily and naturally to me.  Ball, guitar, piano, wrestling, etc.  If there is one thing that I know how to do, it’s how to have fun!  I have spent my whole life enjoying every moment.  Get the fullest out of life.  I want to look back and say I wouldn’t have done anything differently.  It’s the only way to live.

Amber’s PPD Support means…

Alot to me because it means a lot to her.  I think it is important to her.  It helps her grow as a person and move past this terrible part of her life that occurred.

Advice…

This is REAL.  It can happen to anyone.  Don’t feel badly.  Don’t try to hide it.  Don’t ignore it.  Seek professional help right away.  Be more proactive in finding out how your spouse is feeling postpartum.  Ask her- Are you feeling overwhelmed?  Are you feeling depressed?  Can we go for a walk and talk?  Observe her.  Is she getting enough rest?  She is human, too.  She needs more than 2 hours of sleep a day.  Is she getting it?  You are much better off taking the necessary time off in the beginning to try to avoid a PPMD getting worse than to let it evolve untreated.  It will get worse before better.  In closing you’ll note that in the beginning it may be harder to detect, but easier to cure.  While left untreated, it will become VERY apparent and much more difficult to cure.  My suggestion is to be proactive.  It really can happen to your family.

Sharing the Journey with Amber Koter-Puline

I had the pleasure of meeting Amber during an initial meeting for the formation of Georgia Postpartum Support Network. Amber is a mom, a working professional, a blogger and a dedicated Postpartum Peer support volunteer who facilitates two groups in Atlanta. She also serves as GPSN’s Secretary. Thank you Amber, for being a brave and courageous woman in adding your voice to the ever-growing group of advocates for PPD Support!
koter-10Tell us about yourself. Who is Amber when she’s not being a mom?

I am a friend, a wife, a sister, a daughter, and also a career-oriented woman.  I enjoy my work in service as Director of Intergenerational Ministries at my church.  I also provide one-on-one and group volunteer peer support to women with Postpartum mood disorders.  I do this through email, meeting moms in person, the telephone, and also a support group in Midtown Atlanta that I facilitate twice a month.  I also host a playgroup and mom’s discussion group at the church, each once a month.  I serve as Secretary of GPSN and I hope that this role will allow me to help bring awareness and education to Georgians and all Americans someday.

Share with us how your Postpartum Experience unfolded. Did you feel prepared for childbirth and the postpartum period prior to giving birth?

I was commited to a natural birth, but after 36 hours of labor I had to get an epidural and then after ten more hours I had an emergency c-section.  My birth was completely different than I had planned or hoped for, and I was devastated.  I began my postpartum experience filled with regret, shame, and completely sleep-deprived in addition to being physically unwell.  I utilized the Hynobirthing method in preparation for and during labor.  I did feel completely prepared for a natural, vaginal birth.  Unfortunately, in my desire to be commited to natural methods I didn’t even consider the possibility of it not unfolding the way I wanted.  This left me disappointed and shocked.

What prompted you to seek help – what wasn’t going well and what helped you get on the road to recovery?

After 5 weeks of exclusively pumping breastmilk because my son would not latch on and not getting more than 2 hours sleep at night I felt completely a wreck.  I was scared, unhappy, exhausted, and I had so many unsettled feelings leftover from the birth.  On top of that, I was still recovering from major surgery.  My head was filled with obsessions and anxiety.  I knew that I needed help.  I was thankful that I had the business card of a psychiatrist my OB-GYN had given me early in my pregnancy (it was a surprise and I was not sure how I felt about it when I first learned I was pregnant).  What helped most was the medication.  After two weeks on anti-depressants I knew I was still very unwell and we added a couple of other meds to my regimen.  This helped SO much.  I really needed something to help me sleep and quell my anxiety.  Talking with my doctor who is an expert in this field made me feel normal and less alone.  The biggest thing I did to help myself was to admit to everyone how sick I was.  I told my parents and husband the truth about my obsessions, my depression, my lack of sleep, and how helpless and hopeless I felt.  Because of my truthfulness, they were able to be fully aware of my situation and to act appropriately to care for me and my son.  During the 4th week postpartum we had begun utilizing the nanny who had planned to be with my son once I returned to work.  After I was diagnosed and through my early weeks of treatment she continued helping several days a week.  Knowing my baby was well cared for was reassuring.  During the most difficult time (weeks 6-12 postpartum) my husband was my rock.  I am not sure how he was able to keep a positive outlook while living with someone who was so depressed, but he did.  Returning to work at 13 weeks postpartum was healing for me.  I found the me that had something to offer other than diaper changing and rocking.  Lastly, I have a best friend that was there for me in every way on an almost daily basis.  That support rounded out my treatment and allowed me to recover much faster. 

I know that you’ve had some Postpartum Thyroid issues. Share with us some of your experience and how your physicians uncovered the Thyroid factor.

It is still unclear as to the severity of the thyroid issue or whether it has had any role in my postpartum struggles.  I have had fairly moderate gastic pain and also sleep difficulties and fatigue since I first gave birth.  In my efforts to explore what was wrong physically and emotionally in the 2nd month postpartum we learned that my thyroid was functioning in the hyper spectrum, if only slightly.  One year later, the results are the same.  I will be having a thyroid scan on Monday to determine how my thyroid is functioning on the whole.  I do know for sure that thyroid issues can have an extreme impact postpartum, though, and recommend that thyroid tests be done on anyone experiencing a PPMD.

At what point in your recovery did you feel the desire to turn your journey into support for other mothers? How empowering has the experience been for you?

I knew from the moment that I began coming out of the darkness (around 11 or 12 weeks postpartum, after 6 or so weeks on medication and with therapy) that I felt called to serve other women and to educate all people about PPMDs.  In my darkest hours I never felt alone and always knew that God would make good out of a truly horrific experience.  He has opened so many doors for me.  I am still amazed at how women find me…it feels very spiritual at times.  Being able to help others makes me feel purpose in my pain.  It allows me to relate to others and provide true empathy.  It is a precious gift.  As I often share; it took me 31 years to find my calling and spiritual gift.  I never was good at sports or music, and though I did well academically, I believe that this work is my true passion and area of giftedness.

Share three things that made you laugh or smile today.

My son trying to “swiffer” my hardwood floors at 16 months old.
Realizing that I endured 36 hours of labor naturally…and that really, I shouldn’t feel guilty or embarrassed…that’s not a bad track record!  (It only took me 16 months to get to this point!)
The thought of sitting on the beach reading a book in complete peace and quiet.

What has been the most challenging aspect of parenting so far? The least challenging?

For me the loss of identity initially was devastating.  I had a very difficult transition into motherhood that I believe they now call Postpartum Adjustment Disorder.  I simply could not accept that my life entailed changing diapers and trying to entertain a completely helpless being.  Finding a way to find myself again and then balance the “new normal” with fulfilling my own personal needs was a challenge.  I believe that it is only in the past 3 months that I have found my way again.  I typed the sentence, “the least challenging for me…” three times before I finally erased it and decided to share that I don’t think there are any aspects of being a good parent that are easy.  That’s the deal…you reap what you sow.  I know that each time I face a choice when it comes to my son that the “harder” option in the short term will be the better one for the long term.  That which takes effort is rewarding.

As you recovered from Postpartum, how much of a part did your faith play?

As you can tell from my previous answers, my faith was everything to me.  I am not a fundamentalist and I don’t feel like an extremely “religious” person, but I do believe that God can be seen so many times in my day, each day.  His hand touches my life with great blessing.  I am not rich, powerful, or even close to perfect, but overall I have a good life.  There was a time that I didn’t, so I think I appreciate my life now even more.  I believe that being in conversation with God through prayer during the difficult childhood I endured and the horrible PPMDs I overcame made the difference in who and how I am on the other side of all that.  Faith defines who I am.

Tell us about your blog. What should readers take away from your writing there?

My blog began as a way to talk about what I was doing with the mom’s groups and what I hoped mothers would get out of those groups.  I also wanted to document my experiences in an organized way and once I read another blog I realized that was a free and easy way to do so.  That was almost a year ago.  Since then, I have developed it into a much more comprehensive site.  I post news and research, personal stories, support group info and more at www.atlantappdmom.blogspot.com.  Had I realized that I would be writing in the long term there and that the readership would grow, I would have chosen a different web address.  In order to have a more educational site with a name that will appeal to everyone I created a website, additionally.  www.postpartumhealing.com has specific information for those who are just discovering postpartum health topics.  I hope that readers of my blog will find honesty and integrity in what I share about being a mother.  I try to tell it like it is, even if I am only feeling that way for a short period of time.  I know a few things I have shared have made people cringe, but I never was good at hiding the truth.  Maybe there are women who LOVE every moment of it.  But, I think that most of us dislike a lot of aspects of being a mom.  It doesn’t mean we love our children any less, though.

And last but not least, if you had a chance to give one piece of advice about Postpartum Depression to an expectant mother, (new or experienced), what would it be and why would it be important for her to know?

My advice to everyone, postpartum or not, is to have and to offer REALISTIC expectations of motherhood, especially the first 3 months.  It is normal not to fall in love with your newborn.  It is ok to feel inept and scared.  It is not really easy or fun to care for such a little person when they can’t even provide a smile to thank you for your exhaustingly hard work to keep them alive and well.  Being a new mother is a journey with challenges that match each joy.

Thank you for inviting me to share my experience with your readers.

Puppy Size


This is a neat story. You will know precisely  what this little girl is talking about at the end (and you’ll want  to share this one with your loved ones and special friends)!

‘Danielle  keeps repeating it over and over again.  We’ve been back to this animal shelter at least five times. It has been weeks now  since we started all of this,’ the mother told the  volunteer.

‘What  is it she keeps asking for?’ the volunteer asked.


‘Puppy  size!’ replied the mother.


‘Well,  we have plenty of puppies, if that’s what she’s looking for.’


‘I  know… we have seen most of them, ‘ the mom said in frustration…


Just  then Danielle came walking into the office


‘Well,  did you find one?’ asked her mom.  ‘No, not this time,’
Danielle  said with sadness in her voice.  ‘Can we come back on  the weekend?’

The two women looked at each other, shook their heads and laughed

Danielle took her mother by the hand and headed to the door. ‘Don’t
worry,  I’ll find one this weekend,’ she said.

Over the next few days both Mom and Dad had long conversations with  her.


They both felt she was being too particular.  ‘It’s this weekend or
we’re  not looking any more,’ Dad finally said in  frustration.


‘We  don’t want to hear anything more about puppy size, either,’ Mom added.

Sure  enough, they were the first ones in the shelter on  Saturday
morning. By now Danielle knew her way around, so she ran right for  the section  that housed the smaller dogs.

Tired  of the routine, mom sat in the small waiting room at the end  of
the  first row of cages. There was an observation window so you  could see  the animals during times when visitors weren’t  permitted.


Danielle  walked slowly from cage to cage. One by one the dogs were brought out and she  held each  one.

One  by one she said, ‘Sorry, but you’re not the one.’


It  was the last cage on this last day in search of the perfect pup.


The  volunteer opened the cage door and the child carefully picked  up
the  dog and held it closely.  This time she took a little  longer.


‘Mom,  that’s it!  I found the right puppy!  He’s the one!  I know  it!’ She  screamed with joy.  ‘It’s the puppy size!’

‘But  it’s the same size as all the other puppies you held over the last  few weeks,’ Mom said.

‘No – – not SIZE…  The SIGHS.  When I held him in my arms, he sighed,’  she said.


‘Don’t  you remember?
When  I asked you one day what love is, you told me love depends on the sighs of  your heart.  The more you love, the bigger the sigh!’


The  two looked at each other for a moment.  Mom didn’t know
whether  to laugh or cry.  As she stooped down to hug the child, she  did a  little of both.


‘Mom,  every time you hold me, I sigh.  When you and Daddy come home
from  work and hug each other, you both sigh.  I knew I would find the right  puppy if it sighed when I held it in my arms,’ she said.


Then,  holding the puppy up close to her face, she said, ‘Mom, he loves
me.   I heard the sighs of his heart!’

Close  your eyes for a moment and think about the love that makes you sigh. I not only find it in the arms of my loved ones, but in the caress  of a sunset, the kiss of the moonlight and the gentle brush  of cool  air on a hot day.

They  are the sighs of God
. Take the time to stop and listen; you will be  surprised at what you hear. ‘Life is not measured by the breaths we
take,  but by the moments that take our breath away.’



I hope your life is filled with Sighs!!!

Mommy!

Mommy! Mommy mommy mommy mommy!

MAAAAAHHHHHHHHH-MEEEEEEeeeeEEEEEEEEEEEEEEEEeeee!!!!

CHARLOTTE HIT ME!

Mommy! She’s not sitting down!

I hong-ee Mahmee – me want ice-pop! (nevermind that we just finished a meal!)

Mommy. I’m not feeling well. Mommy. I want to lay down. Mommy – I need to take my shirt off cuz I’m getting sweated. Can YOU unbutton it for me?

Mommy! Look what she did! Charlotte! We don’t DO THAT!

Mommy mommy mommy mommy mommy mommy mommy mommy mommmmmmmmmmmmmmmmmyyyyyy!

But I want to

No but I want to

I wanna watch this just not the scary part mommy!

Can I go on my computer? MOMMY! I wanna go on my computer! Mommy! CHARLOTTE’S BOTHERING ME AGAIN!

Me got poopy! (yay)

Mommy! Charlotte drew on herself with the marker!

She’s touching me!

Coping with Depression after PPD

Sue McRoberts, author of Lifter of My Head: How God Sustained me through Postpartum Depression, recently blogged about her recent revisit with depression. I asked Sue for permission to share her words here and she graciously granted it. So here are her words, her story about coping with depression after surviving Postpartum Depression. To keep up with how Sue is doing or to offer words of encouragement, you can visit her blog by clicking here.

I have taken quite some time to reflect on 2008 and contemplate what 2009 might hold.  This past year has been a mixed bag of good and bad.  I am thrilled for my husband and his wonderful new job that has brought us to Indiana.  But this move has been pretty hard on me.  Ten days after we left Minneapolis for Indianapolis my dear Aunt Carolyn died.  I felt like I’d lost my mother and immediate support system all in one swoop that month.  How do you make new friends in a new place when you are hurting twenty four hours a day?  How do you even talk to someone when you have nothing but tears and grief?  For six months I suffered because I had no idea what to do with all my grief.  To make matters worse, once again, I felt like I’d never even existed in Minnesota.  I found myself missing my friends way more than they missed me.  It was deja vu and painful.  I had no idea what to do with all my pain.  So I spiraled downward and found myself in a familiar place.  With no church home and no friends to speak of I found myself desperately depressed.  I did a weird thing with God that I don’t recall doing before.  I ran and hid.  I didn’t want his comfort or peace. I wanted to hurt and hurt.  I avoided any scriptures that would offer comfort.   I read stories and parables and things Paul wrote;  I avoided anything David wrote.  It was completely different that when I had PPD.  Each and every day I wanted to feel better, to feel human.  This time around I did not want to feel better.  I wanted my friends and church back.  I wanted my aunt back.  I reasoned that if I felt better then I didn’t really miss these people.  I wondered if somehow it would mean I was okay with Carolyn being gone if I didn’t cry every single day.  I cried each day for six months when I finally decided to address what was happening.  I admitted publicly that I was struggling with depression…again…and it cost me some huge opportunities professionally in ministry.  I was devastated as I never predicted such an outcome of my honesty.  It took me six weeks of reeling in pain to reach the point where I called my doctor for help.  My world felt like a bottomless, foggy pit and the medicine and medical support gave me a floor to stand on.  I am now reading the Psalms again and clinging to God for strength and hope.  I’ve decided to quit being a stubborn mule and ask Him for his loving comfort.  For some reason I felt like I needed to prove to God that I could do this by myself, boy that was dumb.  So here I am feeling pretty darn healthy.  I’m running and training for my first half marathon.  I’m sleeping well and I’ve stopped crying.  I’m reading a book about grief that is helping me sort out my world post Carolyn.  I’m determined to figure out how to live in my new world in Indiana.  I will continue to encourage people to see their doctor if they are depressed for months on end.  I take a pill and I’m okay with that.  Not everyone in ministry is.  I’m in a good place now and I’m able to pray for them, pray that they will never experience the depths of depression that I have.  I pray they will never understand the pain I’ve felt.  And I’m grateful to God for new opportunities that he’s already brought me.  I am hopeful that I will find my place in this world and that God will grow me up some more in the process.  So here’s to a new year, a new year for a better me, and for a better you.

Be lifted!

Sue

Isaiah 43:18-19

Forget the former things; do not dwell on the past.  See, I am doing a new thing!  Now it springs up; do you not perceive it?  I am making a way in the desert and streams in the wasteland.