Category Archives: motherhood

A Simple Dream

A mum in the UK recently took her own life. Fellow PPD blogger Ivy Shih Leung wrote a very long and insightful piece about it here.

While I have not read anything beyond Ivy’s piece, I want to address one of the issues Ivy touches on in her post. For me, it is one of the primary reasons women who struggle with a Perinatal Mood & Anxiety Disorder still fight so desperately with reaching out for help and then with actually receiving the proper help.

Our battle has multiple levels. Were PMAD’s a video game, we would have to survive level after harrowing level before finally reaching a properly educated doctor or therapist. Some of us may be lucky enough to skip all these harrowing levels but for most of us, we are destined to fight with all we have while we don’t have much just to get by in a world expecting us to be super mom while we are at it.

First, we have to fight with ourselves to acknowledge that there is a problem.

Then, we fight with loved ones for help with every day tasks and with reaching out for help.  We fight the argument that we are “faking” or “pretending” just to get out of housework or parenting. We are, some of us, told to suck it up and get over it. Move on. We’ll fall in love with our children eventually. Worse yet, some of us are told depression is some sort of luxury the former generations did not have time with which to deal.

Next, we fight with the front desk folks at the doctor’s office who may tell us such things as “If you’re not suicidal, don’t call us until you are.” (And yes, shamefully, that DOES happen in real life).

We then level up to arguing with a doctor who may brilliantly tell us that our hormones should be back in order by now so of course it can’t be Postpartum Depression despite the fact that we just admitted several high risk symptoms to them. So we are referred to the therapist who calls and reschedules until we are exhausted and cancel altogether.

So we suck it up and try to make do on our own until the next baby when we completely fall apart and start the entire routine all over again. Only this time around, there is a little less resistance from family members and friends because they have seen you go through this before and realize that maybe, just maybe, she isn’t making it up this time around.

But we have to stay off the Internet because it’s a dangerous place for a woman with a PMAD to be – we will be judged for breastfeeding while taking medication or for giving formula because we have to medicate. We didn’t try hard enough to protect ourselves, there is something wrong with us. Damn straight there is something wrong with us – it’s an illness, it’s real, and it is hell.

Psychiatric stigma is bullshit. The divisiveness motherhood brings to a woman’s life is bullshit. Hell, sometimes just being a woman altogether is bullshit. Why we judge each other so harshly for our choices is so beyond me I don’t even know how to begin to understand why we do this. I’m serious – I truly do not understand the in-fighting or bickering.

It comes down to understanding one simple truth:

Each mother needs to do what is best for HER and for HER family. As long as she is doing just that, we do not need to judge, we do not need to place blame, stigma, guilt, or any other negative blanket upon her or her family.

The Internet can be a fabulous place for support if you end up surrounded by the right people and ignore the wrong people. It’s finding the wonderful people that is the challenge.

I have a simple dream, in closing. It’s a dream that one day, mothers of all sort of different beliefs, will be able to have a discussion about parenting without inadvertently reducing each other to panic attacks and/or tears because they’ve judged someone for doing something outside the realm of *their* comfort zone.

One day, right?

Don’t Be Decoy Mom

Colourful jars sit atop a shelf in a misty and humid room. Running water slides down her skin as she lathers up with the latest in moisturizing body wash which promises to make her skin glow with youth. She washes her hair with shampoo and conditioner to make it thick, silky, and soft.

As she exits the shower, the drying process begins – softly – so as not to leave any red marks or heaven forbid, pull skin in the wrong direction. Pat the face dry then move down to her toes. She folds the towel in thirds and places it neatly back on the rod before she wraps her hair in a smaller towel.

Grabbing a toothbrush, she measures out the whitening toothpaste and gets to work. Rinses, then gargles with mouthwash to ensure bad breath stays at bay. Then, moisturizer. While that soaks in, she puts on her undergarments. A bra with an underwire and underwear that promises to hold in the stomach which has nurtured the lives of her children close for the past few years. She frowns. Back to the bathroom.

She reaches for the first layer of glow, then dots on concealer. Waits for it to dry before applying an overall foundation and gently blending it together to hide the exhaustion and stress marching across her face. Next up, eye liner and eye shadow. They make the eyes more open and energetic. Mascara goes on next, gently, the kind that lengthens the lashes because again, more awake and conscious. Less tired.

Then she puts on blush to cheer her cheeks up, smiling as she carefully brushes up, not down – happy, not sad, she whispers to herself.

She takes down her hair and gives it a tousle. Plugs in the hair dryer and gives her hair a once over, then pulls it into a messy bun. Walks into the closet and chooses whatever isn’t wrinkled or covered in baby food stains. Grabs a pretty pair of heels then over to the jewelry box to select accessories.

A small hand tugs on her skirt and she looks down.

“Mama? You look beee-yooo-tea-fah. Hug?” her middle daughter asks, covered in chocolate from whatever snack she just finished devouring.

So the mother leans down and gives the child a hug, knowing she will have to change her clothes. She sends her daughter on her way, and walks back into the closet, stripping as she goes. A new outfit selected, she makes it to the car with no child-induced stains on her pretty clothes.

She turns the key, unlocks the door, and slides into the driver’s seat, throwing her miniature purse on the passenger seat beside her. Exhaling, she checks her makeup one last time to be sure she looks human and not like some exhausted creature just waking up from hibernation. She doesn’t. She turns the key, starts the music, and backs out of the driveway.

Transformation into Decoy Mom complete.

Decoy Mom is a mom who goes through great lengths to hide how her life is really going – every stitch must be perfect, every thing in it’s place, nothing negative to be found anywhere. And yet, inside, everything is falling apart. Her heart, her life, her soul – it’s all cracked and crumbling.

I’m not saying that a Mom who has it all pulled together is definitively falling apart. Nor am I saying that a Mom who doesn’t have it all pulled together is well. What I am saying is that we are all “covers” when we are with people and some of us are even “covers” when we are alone. We choose what pieces of ourselves to share and what pieces of ourselves to hide. We are not expected to fully share ourselves with anyone unless WE choose to do so. But we should absolutely be at least fully sharing ourselves with ourselves. In order to be authentic with anyone at all, you have to first be authentic with yourself. Being authentic with yourself is a difficult practice but a necessary one.

Stop hiding behind a mask, telling yourself lies about who or what you are inside and outside. Take a hard look inside. Explore. Make a list of everything that is there whether it is good or bad. Work to improve or re-frame the bad (sometimes, negative traits can be utilized for positive things – are you firm & harsh? Figure out how to rein that in by using compassion and understanding). Expand the good, let go of the negative. Focus on flipping the script.

Figure out what you want out of life this year, make a list, then break it down into smaller goals. Don’t let the big things overwhelm you and don’t let yourself become Decoy Mom. Be the authentic Mom, wife, sister, cousin, aunt, and YOU that you were meant to be. Stop hiding her under layers of crap. You might find that you have more time (and energy) to BE you if you give up all the hiding.

Thoughts on Miriam in DC

On October 3, 2013, Miriam Carey tragically lost her life Washington, DC. She was supposed to be in Connecticut, taking her daughter to a doctor’s appointment according to the myriad of articles I have read this morning.

They all seem to have the similar tone to them, these articles. That a woman tragically lost her life because she had Postpartum Depression.

Yet, medication recovered at her Stamford, CT, apartment would indicate that what was going on with Miriam went much deeper than Postpartum Depression.

A woman with Postpartum Depression does not simply break with reality and drive hundreds of miles out of her way to drive into barriers, lead police on a chase, and somehow end up dead, all with her infant daughter in the back seat.

The behaviour of Miriam Carey lends itself to the behaviour of a mother struggling with Postpartum Psychosis, the facts of which can be found at this page on Postpartum Support International’s site. According to this page, symptoms of Postpartum Psychosis can include:

  • Delusions or strange beliefs
  • Hallucinations (seeing or hearing things that aren’t there)
  • Feeling very irritated
  • Hyperactivity
  • Decreased need for or inability to sleep
  • Paranoia and suspiciousness
  • Rapid mood swings
  • Difficulty communicating at times

There are a number of symptoms on that list I have seen discussed this morning. Some of them match up with PPP.

The other things I have seen discussed this morning are heartbreaking. Folks judging Miriam for her actions. Saying she’s a monster. Wondering how she could possibly have driven her vehicle into the barriers and toward a hail of police bullets with her daughter in the back seat.

I have also seen some honest discussion about what it means to struggle with a mood disorder after the birth of a child and how it hurts whenever something like this happens. I feel as if I have been punched in the gut, to be honest. I want to fall to my knees and weep for what happened to Miriam. But instead, I am writing and I am reaching out to those in the community I founded to support women and families struggling with mood disorders after the birth of a child.

Why?

Because this kind of support, on a human level, helps quell the storm. It lets others know they are not alone and there is hope. We help each other find the way in the dark, particularly when a storm like this tragedy looms on our shores. You see, at one time or another, we have all been Miriam. We have had those thoughts, the scary ones about driving our cars into solid objects, about letting go, about just giving up and moving on toward that great white light. Some of us have almost touched that white light. WE KNOW the darkness which drove Miriam to Washington, D.C. intimately. We have sat with it on our shoulders, in our hearts, and felt it try to gain control of our heads. We, however, are the lucky ones because we are still here, fighting.

When the women of the Postpartum Support Community band together, it is a beautiful thing. We are some of the strongest women in the world and we refuse to stand down. In the spirit of standing strong, I will be participating in a Blog Carnival “For Miriam” on World Mental Health Day on October 10th. If you would like to join us, you can find more information here on the FB page.

For now, know that you are not alone, it is absolutely okay to reach out for help, and you are loved.

If you or a loved one are currently struggling with a Perinatal Mood & Anxiety Disorder, reach out to Postpartum Support International at their website or find me on Twitter @unxpctdblessing. There is also 24/7 support available via the hashtag #PPDChat and we have a closed FB group as well. You are never alone.

On Loving Motherhood

One of the phrases I hear a lot from parents who struggle with mental health issues after the birth of a child is that they didn’t feel an instant bond with their child. Or that they did but it was to the nth degree and they obsessed over every little thing that happened to their child, to the point of it interfering with day to day living. Instead of being the parent society leads us to believe every parent should be, they were either detached or over-attached. It’s the Goldilocks syndrome with none of us feeling that “just-right” level of attachment.

One of the most difficult aspects of experiencing a mental health issue after the birth of a child is that in addition to healing ourselves, we must develop a bond with a new person we hardly know and cannot communicate with in the normal manner because they are not yet capable of deep thought and expressive language.

Imagine that you’ve just met an amazing person. You want to get to know them, to give them all you have inside you, but you can’t. You don’t have the energy. So you worry about the effect this will have on the relationship -if they’ll end up hating you because you can’t quite reach out the way they need you too. You wonder how much emphasis they’ll put on the lack of affection from your end. Somehow, though, you manage to muddle through and they miraculously stay. They love you simply because you’re you, something you struggle to comprehend. Then you feel guilty because you haven’t put as much into it as they have (or perceive that you haven’t) and so you overcompensate, which fills you with intense guilt as the days go by. So you read books about what you should be doing. After awhile, it becomes habit but somewhere, deep inside, you always wonder if you’ve done enough. Or if they’ll bring it back up some day when you falter the least bit.

Or you remain detached, thinking that it’s just not worth the work, the stress, the anxiety. Things are the way they are for a reason, right? Why bother? They’ll either stay or go. The choice is theirs in the end.

Parenting can be hell.

It’s the toughest job on the planet, and no matter how much preparation we put into it while expecting a new little one, we’re all thrust into it, suddenly. It’s on-the-job training. When you add a mental health issue, it’s like on-the-job training at the Hoover Dam on a day when it’s sprung a leak. SO much is flung at you.

Every little thing means more than it should.

Bed seems really lovely.

Giving up seems like a fantastic idea.

Walking away – sheer brilliance.

In the past, I envied parents who seem to know exactly what they’re doing or really enjoy their kids. As a survivor of multiple PMAD episodes and issues and a relative introvert, it’s extremely difficult for me to relate to others who want to spend every waking minute with their children. It’s not that I don’t love my kids, I absolutely do. But for me, parenting is traumatic. My start was more of a train wreck with a hurricane thrown in for good measure. I fight for every second of what appears to be “normal” parenting.

What I forget in my battle to be “normal” is that no one is normal. We are all fighting our own battles, they are just a bit different from the battles of those around us. As I have moved toward healing, parenting has become more like breathing for me. Sometimes I still have to fight for breath but most of the time due to the necessity of mindfulness in my own survival, parenting has become easier as the years have gone by. The wounds have healed enough to not feel as if they are torn off with every single negative instance.

To those who are still in the trenches and still fighting for breath as they fight to parent their children and remain sane, (with or without a PMAD), my hat tips to you. To those fighting through a PMAD specifically as you parent your new one (and possibly even older children), I know how it feels to be where you are and I want to tell you that it won’t always be this way.

One day, things will just work. There will always be potholes and bumps as you navigate the road, but if you take the time to just breathe, ask yourself if what you’re about to explode over is really worth it, and then address the issue at hand (or not, depending on the answer to the second step), things will improve. Take time for yourself. See your child as just that – a child – take the time to see the world through their eyes, marvel at the little things right along with them, and let the world hold you close instead of crawling away into a cave. Baby steps.

You may remember all your faults but your baby will not. All your baby needs is you. They are not mini-adults, judging you for not knowing what to do. They aren’t the ones behind the myriad of research which blames parents for all that is wrong with adults. Let it go. We are our own worst critics. If we take the time to just be as humans instead of critiquing every single choice life flows so much better.

Stop judging.

Stop worrying.

Just be. Drink in life, drink in your child. Drink in the sunshine and the joy when you can. Store it up for the days short on both.

You can do this. Even Goldilocks found the right one eventually, didn’t she?

Your just right is out there, I promise. It’s just a bitch to find in the fog.

You are not alone, you will be okay, and your baby will be okay too.

In the interest of all honesty, recovery is not as easy as sitting out in the sunshine and drinking in life. For many, it takes a multitude of visits to a therapist, maybe a few medication changes, and a hell of an effort to reach the point where you CAN sit in the sun and drink in life. It certainly took all of that for me, and more. But the fight is worth it in the end and that fight will make the sunshine even brighter once you’ve evicted the fog.

If you find yourself struggling with a Perinatal Mood & Anxiety Disorder, you can find hope and help through Postpartum Support International or over at Postpartum Progress. If you are feeling down and struggling with suicidal thoughts, reach out to Lifeline, the National Suicide Hotline here in the United States.

Question From A Reader: “Will I Ever Feel Like This Is The Best Thing That Ever Happened to Me?”

A reader emailed me earlier this morning to thank me for my “fabulous blog.” But she also had a question about her current experience with her journey through Postpartum Mood & Anxiety Disorders.

Below is her question and my response:

Her Question:

“I’m over three months into recovery – having therapy and taking anti-depressants. Although I have much improved – I’m more bonded with my son, my sleep and appetite is better, my anxiety attacks are reduced etc – I can’t help wondering if I’ll ever feel that true elation, true joy that despite everything becoming a mum is the best thing that’s ever happened to me?

Should I still be hopeful that this will come as part of full recovery or should I be finding a way to accept that although, I now know I love my son, life is always now going to be a little more miserable?”

My reply:

“Sending hugs, first and foremost.

Second, I’m glad to read that your symptoms have lessened just three months into your recovery and you’re feeling more bonded with your son and your appetite and sleep have improved as well. Those are HUGE things.

Think of recovery this way – first, we have to take care of the essentials – the basic things which keep us going – like eating, sleeping, etc. After those things have sorted themselves out, we can then focus on secondary things, such as mood, etc. Mood can absolutely disrupt the primary but as we heal from mood issues, we must heal the primary first.

It took me a long time to get back to being able to truly feel elation and joy, but that journey and the length of it is different for every person, just as physical recovery is different for every person.

Just as with a broken bone or a severe injury, there will always be a “scar” or “phantom pain” but eventually you regain full use of the complete spectrum of emotions, even if it takes some time.”

Add your thoughts, experiences, or support below. Time to rally!