Category Archives: sick

Thoughts about Ebony

I was going to wait to publish this post until after I’d had time to read it through. But given that I just accidentally posted it, freaked out, made it private, I’m realizing that folks who got it through email will be able to read the entire thing anyway. SO. Here ya go. With a temporary title that obviously will be the permanent title – my ramblings and thoughts regarding Ebony Wilkerson, tragically better known as the mom in Daytona who drove  her minivan into the sea.

The public defender’s office said there was a reason she beat her stomach. “She {is} being held in seclusion naked in her cell,” said Craig Byer.

Public defender James Purdey at first asked for Monday’s hearing to get Wilkerson’s 1.2 million bond reduced.

Purdey instead asked his client be transferred from the Volusia County Branch Jail to a psychiatric ward for longer than a typical Baker Act hold, so she can get mental pre-natal care.

The judge did not rule on the request to move Wilkerson because the judge said it’s something that hasn’t been done before. (Source)

According to the Ebony Wilkerson narrative we have thus far, she drove to Central Florida from South Carolina to escape an abusive partner. Her family struggled to get her help but she signed herself out of the hospital and somehow managed to get the keys to the minivan and drive it and all of her children into the ocean despite the family’s efforts to hide the keys from her.

This week, we are told she has been held naked, in seclusion at the local jail and started punching her stomach, causing her defenders to push for her to be moved to a psychiatric ward for “mental pre-natal care.”

What the hell is wrong with this picture?

From an emotional and advocate standpoint, a lot.

From a logical standpoint, I can understand why these measures may need to be taken, particularly if Ebony has been suicidal. Of course you don’t want to give her anything that she could possibly harm herself with but there has to be a way to do that without completely stripping her down and removing all sense of dignity, something she was more than likely running low on if indeed she was escaping an abusive relationship.

The judge’s reluctance to move her may also be grounded in logic as well. Perhaps she did not feel she had enough facts to justify setting a precedence with Ebony’s case. Or perhaps the Volusia County Jail has the capability to be considered as “clinically appropriate” (as is required of examination/treatment in the Baker Act) and therefore the judge did not see moving her as a necessity. Or perhaps there simply wasn’t anywhere to move her to which offered the same level of security the judge felt Ebony requires at the moment.

But when examined from an emotional and advocate point of view, this is absolutely heartbreaking.

A pregnant mother, escaping an alleged abusive relationship, drives her kids into the ocean despite attempts to help her. To me, this screams of absolute desperation. This is beyond sanity. It’s more than a call for help. This type of behaviour requires action.

But is what Volusia County doing enough?

How do we best handle this type of situation in this day and age?

It’s like I tell my kids and my partner – we can’t fix a problem unless we know about it. Unfortunately, women (and men especially) who are in abusive relationships are often quiet about their situations until it’s almost too late, and some until it is too late. Why? Because they are often threatened by the perpetrator that if they don’t remain silent, there will be repercussions.

Silence is also a hallmark of Perinatal Mood & Anxiety Disorders for multiple reasons. Society believes we should be happy when pregnant or in the throes of new parenthood. Thing is, mood disorders have been happening since the dawn of time. Our responses to them over the centuries have varied but even early on, a few folks got it right. Take Asclepiades, for example. According to Thomas Millons Masters Of The Mind, he “argued against dark cells and dungeons for the mentally ill…thought patients should be in settings that were well lit and comfortable.” Asclepiades also proposed that “biological and chemically based treatment would be beneficial” in addition to dividing conditions into acute versus chronic and also distinguished between hallucinations, delusions, and illusions.

The main point of Asclepiades is that even in the early ages (171-110BC, by the way), someone recognized that locking away the mentally ill in dark, dank places was NOT the way to go.

Arataeus believed the “soul was the basis of psychic disturbances” and “mental disorders were exaggerated normal processes”. (Millon)

Then there’s Soranus who posited “consider(ing) culture as a factor in both investigating and treating mental patient.” (Millon, Masters Of The Mind). He also advocated for decent and kind treatment of the mentally ill, asking “his peers to remember who was ill; physicians should not view their patients as disagreeable persons who offended their self-image.” (Millon) It seems to this outside observer that Volusia County is not doing that in Ebony’s case.

Does being an abused woman or a woman at the hands of a Perinatal Mood Disorder excuse the type of behaviour Ebony Wilkerson has exhibited? No. But both are mitigating factors which led to her behaviour and should absolutely be taken into consideration as her case proceeds.

I’ve written extensively about Postpartum Depression as a defense. Cases like these are both fascinating and heartbreaking because all at once, those of us who have experienced a Perinatal Mood & Anxiety Disorder, see fractions of ourselves in the women who make headlines. We collectively gasp and think, my God, what if I had given into all those thoughts racing through my head? I could be her. I could be Ebony. I could be Miriam, I could be Andrea, I could be Otty.

We shudder because we were there, with them, in the dark, in the hell, holding their hands and they fell as we watch in horror. The way their fall is paraded in front of society scares the crap out of us and drives many to silence. Is this healthy for society? Yes and no. We should be outraged when children are subjected to death (or the threat thereof) at the hands of their parents. But at the same time, we need to take steps to prevent this type of situation from occurring in the first place.

How do we do that when every single case, every single situation from mother to mother and from birth to birth is different? How do we catch a falling mother if we don’t know she is falling?

Even if we start by putting measures in place to check for signs of falling, we will still fail if the mother doesn’t admit to having a problem or, as in Ebony’s case, refuses help (for whatever reasons – cultural stigma, fear, etc) which is offered to her because she is far past the breaking point and sees death as the only way out. Do we just throw our hands up in the air and let her do what she may? No. So what do we do then?

I don’t know.

What I do know is this:

  • Mothers (and fathers) do not deserve to be alone in this battle
  • Mothers (and fathers) deserve emotional support
  • Mothers and fathers need a village
  • Perinatal Mood & Anxiety Disorders are not deserving of whispers, they require shouts
  • We need to speak up, every single time, not just when there is a crisis
  • Accept those who are hurting with open arms and provide a safe space for them to fall apart
  • Not judge those who have/are struggling so harshly

So what can we do to improve the situation for struggling parents across the globe with the very real (and often co-occurring) issue of domestic abuse/violence and Perinatal Mood & Anxiety Disorders?

  • Make it okay to reach out for help and ditch the supermom/superwoman/superman/superdad façade
  • Initiate requirements for ALL health professionals who may come in contact with an expecting or new mother to be well-versed in the ins and outs of a Perinatal Mood & Anxiety Disorders (this includes pediatricians, OBGYN’s, GP’s, Family Doctors, IBCLC’s, doulas, midwives, naturopaths, you get my point…)
  • Create local, state, and national referral networks which incorporate above said training on a regular basis
  • Create networks of parents willing to mentor other parents through these tough situations and make it easy to access across the board

Are these solutions going to fix our current problem? No. But they’re a start and sadly, most of it revolves around a tradition which our current technologically advanced society has strayed greatly from – the tight knit expanded family. It takes a village to raise a child but it also takes a village to raise a mother to raise a child right. In my post “On Not Wanting To,” I state the following:

Our village is in peril. Our village? FELL THE FUCK APART AND NO ONE GIVES A DAMN.

In America, we have a pitiful excuse for maternity leave. We are bombarded by stories of celebs who gave birth and look AHMAZING in less than three weeks after giving birth. We are insanely comparing ourselves to women who are a) genetically blessed and b) have crazy access to things like trainers, nutritionists, nannies… and then there are the way we compare ourselves to each other. Stupid idiotic milestones of when we went back to work, how much we manage to get done every day, pushing ourselves to be better than the next mom and still have it all pulled together.

It’s no wonder we are screaming out for help and some of us are doing so through extreme measures.

Let’s keep the “if I were her, I would” out of the conversation. We do not know what she’s going through. Even if we’ve been through hell ourselves, we do not know *her* hell nor should we take her story as one which portends the downfall of ALL women who struggle with domestic violence/abuse and a Perinatal Mood & Anxiety Disorder. Instead, reach out to mothers, to fathers, let them know it is okay to reach out for help. For that matter, teach it to your kids so that when they get older they don’t feel as if reaching for help is in essence, failure to handle something on their own. Yes, independence is a grand thing but there is a time and a place to lean on someone else. Not to lean in, but to lean on, sometimes for dear life.

Our village has forgotten how to do this very simple yet necessary human act. We are now expected to be everything to everyone and dear GOD help us if we are not. Should we assume something is wrong with every mother? No. But instead of oohing and ahhing at her baby, ask how she’s doing. Ask how Dad is doing. Do not dismiss their very real role in their new situation. By acknowledging them, you acknowledge their existence and empower them to express their feelings. And that, my friends, is possibly one of the most powerful things we can ever do for a new parent.

Will it keep more pregnant women from being held in seclusion, naked in a prison cell, after they’ve attempted to kill their older children and themselves? Not all of them, no. But it’s a start.

An even better start would be to continue educating people about Perinatal Mood & Anxiety Disorders, including those in the law enforcement and legal arena. I realize they are bound by the courts and must adhere to the law but if they had a better understanding of the facts behind Perinatal Mood & Anxiety Disorders, perhaps, at least, the treatment of mothers imprisoned for crimes committed whilst experience these disorders would stand a chance of improving.

In the meantime, I genuinely hope that Ebony Wilkerson receives the help she so desperately needs as she awaits trial for her actions on the fateful day she drove her minivan into the sea. We’re watching, Volusia County. Don’t fail us more than you already have failed Ebony.

Two Hours to finish a Smoothie?

My attempt at hiding Alli’s medicine in a smoothie failed miserably.

It took nearly two hours for her to finish the thing and if I had recorded the sounds she was making the entire time, you’d expect me to be announcing the birth of a child after it was all over. Seriously!

What the heck is going on here??? Why won’t my kid take her medicine? Chris says it’s because she’s got his discerning palate which means she’ll be a chef someday. I don’t care about someday, I told him. All I care about is that she take her medicine now so she can go back to school.

I just got off the phone with a very unfortunate nurse at my pediatrician’s office who’s first suggestion was to hid the medicine in some yogurt or pudding. Were you NOT listening to what I just told you about the friggin smoothie???  The medicine was hidden in blended layers of frozen blueberries, yogurt, banana, and blueberry juice. AND SHE KNEW IT WAS THERE!!!! Then the nurse brilliantly told me to hide it in some Sunny D. Listen here sweetheart, my kid’s got strep. I’m not giving her something as acidic as Sunny D. Correct me if I’m wrong but I believe that’d be a bit like rubbing salt in an open wound. And then Brilliant Nurse Idiot suggested I not let Alli see me put the medicine in whatever I’m hiding it in. Really? Oh My God. Thank YOU for that brilliant tip. I HADN’T THOUGHT OF THAT ONE!!!! The pediatrician is supposed to call me back. I think I got a bit too belligerent on the phone but I’m at my wit’s end, can ya blame me?

I want to go curl up in our bed and go to sleep.  I think I will right after the ped calls me back.

Anyone have a tracking number for that Cuervo?

Diagnosis: Strep Throat

No school until at least Wednesday for Alli.

Hopefully we’ll be able to get through the night without waking up at 3am as we’ve been doing the past two nights. It’s wearing me out!

Tomorrow is Day 2 of Chris’ on the job evaluation. Today went well as he really impresed the Management Development person.

Another big thing happens tomorrow – I will be attending a Meet & Greet for the Spring Interns at Common Ground here in Athens. Two of the interns will be working with me on the overhaul of the support group meetings for PACE. I’m hoping the new format will draw in new attendees, gain additional community support, and also form a strong base for a new nationwide support movement for families struggling with Postpartum Mood Disorders. I’ll be posting more details about the project as they arise. I’m really excited about this and feel that it is the beginning of something really awesome.

Meanwhile, the bulk of tomorrow will be spent at home, resting and hanging out with the kids as Alli recovers.

Hanging in there

Tomorrow was to mark the beginning of Alli’s second week back to school after the giddy holiday season.

She won’t be going.

Poor little girl has had a fever all weekend. She’s also been complaining of a sore throat and owwie ears. We’ve been giving Motrin and using Cameron’s ear drops for now and will probably be taking her to the doctor’s office tomorrow depending on what morning brings. She hasn’t been lethargic – far from it, actually. This evening she was a bit worn out but her fever was higher than it had been.

Chris and I are doing ok. He’s been working every day from 8-12n on trying to find a job and has been actively participating in household duties and parenting. In fact, I haven’t even had to ask him to do chores. He’s been doing them on his own. Who is this man and what has he done with my husband? Am I going to find my real husband bound and gagged somewhere? Don’t get me wrong, I’m loving the new Chris and am very grateful for the effort he’s been putting forth. This is the Chris that has been hiding for so long and he’s starting to shine. I pray that God will allow him to continue to shine and continue to get brighter as he goes.

Tomorrow I’ll be driving Chris to an on-the-job eval. It’s supposed to last for three days but we only have his hours for tomorrow. On Tuesday evening I’m supposed to be getting together to meet with my interns at a Meet and Greet. I’m hoping I will be able to go and that his schedule won’t preclude me from attending. We’re having a bit of a difficult time with his parents right now so I don’t think asking them to watch the kids will be possible. It’s so frustrating to be left out in the cold like this. And with Alli sick I certainly wouldn’t expect anyone but family to keep the kids. Prayers that this situation will resolve itself would be gratefully appreciated. I’ve done my best with giving the entire situation to God but man is it hard!

So it’s New Year’s Eve…

It’s been a rough year.

Can I say that again?

It’s been a rough year.

One more time –

It’s been a rough year.

And here I sit, on the last day of it, sick, tired, and trying not to worry about the future.

I’m worn out. Slap worn out. But amazingly enough, still hopeful, still laughing, and still smiling.

I know I should focus on the positive. Focus on the gifts of my renewed faith, my renewed strength in God’s power and plan for my life. I’m trying. Really, I am.

It’s been a good year for my PPD work –

  • This blog has had nearly 20,000 hits since May
  • The PPD Dads Project has over 1,000 hits and has only been in offical existence for 26 days now.
  • An interview at 5 minutes for mom.
  • Lots of interviews here!
  • There’s been the development of a statewide initiative here in GA
  • Several local connections made, one of which has netted me two interns to help overhaul my support meetings!
  • I’ve really had a blast working over at iVillage as the CL of the Postpartum Depression Board and thank God I am able to provide support in that way too.
  • I’ve provided support for at least 1 woman/family each day this past year (that I know of). That’s a minimum of 365 families. Wow.
  • Chat at Pampered, Pregger & Beyond

Personally it’s been a rough year but I’ve struggled to focus on the positives instead of the negatives. I know if I focused on the negatives, I would be swept away into the deep dark depths of the sea of sorrow forever.

My car accident taught me we can never know what is coming our way and that the protection we thought we had here in the world may not be there at all. There is only one way protection and safe place in which to rest – on Him. He will never fail.

My probation as a result of my car accident taught me that if you do truly lean on Him, He will bring compassion to those around you and allow the repentant nature of your soul to be revealed to them. He will humble you.

Alli’s diagnosis with ADHD has shown me that we need to be understanding of others and patient with them no matter what. We are all beautiful no matter what because HE made us.

And more recently, my husband’s job loss has taught me that even when things seem irreparably damaged, there is hope as long as both parties are willing to work towards the same goal with the same fervrent dedication.

So while I am not ending the year on a high note, I have truly learned some valuable lessons this year. Lessons that have allowed me to grow by leaps and bounds and have carved a new me. Just as I have in the past, I intend on pulling myself up by my bootstraps (yes, I KNOW that’s a cliche!) and wading into whatever 2009 has to offer. Serve it up, baby. I’ve got God on my side.