Category Archives: woman

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.

If Postpartum Mamas Banned Bossy

“Shhhhhhh. Don’t talk too loudly and don’t let anyone hear you.” the woman whispered as they chatted in the vestibule at church. Her companion had just expressed concern about a young new mother in the congregation who looked a bit exhausted that morning as she wrestled with her six week old and two year old toddler.

She patted her grey curls and adjusted her purse as she glanced around and leaned in to speak. “Don’t say anything but I heard from Ethel that she’s struggling with…” she lowered her voice to barely a whisper “that postpartum depression stuff.”

Her companion gasped and put her gloved hand over her mouth.

“No… not that. Why, in our day, we didn’t have that sort of thing. We just made do. These new age mamas and their excuses not to do the work mothering requires of them. Why it just makes me so angr…” Susan wagged her finger in front of her mouth as the bedraggled topic of their gossip approached.

“Well, hello there, Beth! Just how are things with you these days? And ohhhh… look at the new little one! Isn’t she just precious?” Beth sighed, glanced at the baby then back at Susan. She forced a smile and said “Just fine, come on, Ethan. Let’s go find Daddy.” As they started to walk off, Susan made a knowing eye contact with Joan, motioning after Beth, as if to say “I told you so.”

They stood there for a few more minutes, dissecting every aspect of Beth’s behaviour, dress, and choice of clothing for her children but not once did they discuss how they could help Beth as she learned how to navigate her way through this brand new motherhood of two children. Instead, they simply stood aghast and whispering at her apparent failure, ignoring all the signs that something was amiss.

Sadly, this still happens to many mothers. We are judged. Discussed. Analyzed. Dismissed. All because so many fail to discuss what is actually going on inside our heads. Because not enough of us get BOSSY about it.

What if, when Beth finally heals, she grabs the bull by the horns and starts a support group at her church? What if she dares to get up in front of the congregation and admits to her experience and educates those sitting there? What if she dares them to do more for new mothers and therefore changes the lives of new mothers touched by this church? But if we ban bossy, the Beths of the world won’t do this because well, they’ll be sitting down and not doing anything to blaze a path because SHHHHHHH. We dare not be bossy.

If I had not been bossy with my maternal medical care, things would have gone unnoticed. Hell, even though I was bossy the first time, I still went untreated because I was seen as “wrong” even though I knew myself better than anyone else. My “bossy” hormones should have slid magically back into place at four weeks postpartum so it wasn’t possible for me to have PPD. Shame on me for daring to say anything about not feeling well and daring to expect the doctor to actually, oh, I don’t know, DO SOMETHING. I slinked away, disappointed at not receiving help and resolving to stand up for myself down the road if necessary even if it hadn’t gotten me anywhere the first time around.

I got bossy the second time around too after my docs scheduled me for an induction WITHOUT MY CONSENT after noting that my first baby had been “big” at birth (she was 8lbs 3oz, thank you very much.)

What would happen to women, to all the progress we have made in the birthing world – hell, in the postpartum world, if we banned bossy?

There would be no Katherine Stone.

There would be no #PPDChat.

There would be no ample supply of kick ass doulas.

There wouldn’t be a chorus of PPD advocates or breastfeeding or formula feeding advocates. Or Attachment Parenting advocates. Or…. do I really need to go on?

What about NICU Parents? Where the hell would they AND THEIR CHILDREN be without the bossy trait?

Bossy is necessary.

Bossy saves lives.

Banning bossy is akin to telling someone to sit down, shut the eff up, and take whatever life shoves their way. Maybe that’s not what this campaign is about, maybe it’s about taking charge and finding a more positive way to spin it but dammit, no one gets to tell me what word to use to describe myself.

Words are powerful things. They incite strength, they spark revolutions, they can make us cower or they can give us power. But the beauty of words is that WE get to decide what they mean to us, not those who are spewing them at us. We define them. We can take them and twist them into the most beautiful and amazing things ever seen by mankind. It is up to us to choose how to process that which is spoken to us, about us, by us, and for us.

No one should ever put bossy in the corner.

No one.

Instead, we should grab it by the hand, drag it out to the dance floor, and flaunt that baby like there’s no tomorrow. Own it as if we are in the spotlight with Patrick Swayze himself, getting ready to dive off the stage into his arms.

The idea that we are to ban this word to encourage young girls not to be afraid of being “leaders” scares me.

Are we really empowering girls by doing so or are we further protecting them from the big bad world out there waiting to swallow them whole? Bossy gets you places. Bossy starts inside, it drives us forward, and it ENABLES us to be leaders. Not the other way around. If we ban bossy instead of embracing bossy, we are further shaming the word and the attitude. Hell, motherhood alone requires a certain level of bossy, does it not? As does fatherhood.

I am bossy.

I am not afraid to say no.

I am not afraid to stand up for my beliefs. I am not afraid to stand up for others and the rights they have. I am not afraid to tell someone “No, that’s not right. This is the truth, and you need to listen to it.” I am not afraid to protect and defend mothers who suffer from Perinatal Mood Disorders.

I will be bossy about Perinatal Mood & Anxiety Disorders until the day I die.

No social media campaign (or anything else for that matter) will ever change that.

Let’s not ban bossy.

Let’s make some noise…and make some history while we’re at it.

Because “well-behaved women seldom make history” yanno.

Here’s to all of us bossy women – rocking the world, taking names, and kicking ass.

Stay bossy forever.

A Different Breed

She sighs, in the dark, as her baby snuggles closer to her neck, his chubby fists opening and closing as he exhales and relaxes his body with a small whimper. She waits, supporting him, waiting for that moment when the weight of sleep brings a random tingle or two to her forearm. Stands up slowly, using muscles in her thighs to lift her upper body as she does so, careful to not a muscle touching her now sleeping infant. Eyes flutter shut as she puts one foot in front of the other, heading for the crib. Baby shifts, stutter sighs, and moves, nuzzling further into her neck. She moves her hand to the back of his head, rubbing it softly as she hums their song.

She manages to lay him down and leave the room. As she crawls into bed, her calves sink into the mattress first, then the exhaustion surges upward until her eyes slam shut until morning, all of an hour and a half away when she will wake up to a hungry baby, a dog with a full bladder, and a toddler who has probably strewn cheerios over half the house because she needed to feed the dog.

Motherhood.

It changes us.

Mentally.

Physically.

For some, motherhood is a warm field on a sunny day filled with laughter, babbling brooks, playful deer, and an intoxicating joy.

For others, motherhood is a dark room in the bottom of the keep, covered with bars, the key well beyond our reach. We fight, we scream, we rage against the thick door but it won’t budge. We see the warm field in the sun from the window a the top of our room and long for it – long to talk walks with our little ones as the sun beats down upon our faces and a smile spreads across our face but instead, we are trapped inside our own special hell.

Motherhood without a mental illness is not the easiest road to tread, either. Heck, life in general requires some level of tenacity. One of the most frustrating things I am faced with is not discounting the struggles that each of us go through – respecting the journey of every single mother without demeaning the journey of another. And yet, it’s my goal.

Over the past several years, I have been privileged enough to meet some of the most amazing and resilient parents. Parents who fight for themselves, for their children, for their relationships, for life. Parents who work through even deeper hells than I can even imagine and still manage to parent their kids, all the while, worrying about how their experience will affect their kids, their marriage, their jobs, their lives. Yet, every morning, they wake, get out of bed, and take another step forward toward healing, even if they are absolutely exhausted.

A friend of mine posted on FB a quip about hockey players being a different breed. He was commenting on Rich Peverly’s alleged desire to get back into the game despite having experienced a cardiac event on the bench. Any other sport and the player wouldn’t be thinking about getting back in the game, right?

The same is true of mothers battling against mental illness, whatever form it may take for them. We want to get back in the game. We want to play, we want to laugh. We want to be free to just…be…without the burden or restraint of our mental health on our souls. This is why we cherish the good days and wade through the bad ones. Why we hold on so tightly to every single glimmer of hope crossing our hearts.

We are a different breed.

We aren’t worse.

We aren’t better.

We’re just different and we want to be loved for who we are, not what you think we should be or could be.

We just are.

Love us anyway?

On Not Wanting To

I’m tired, y’all.

I’m so damn tired of reading about women splashed across the front page because they’ve done something horrible to themselves or their children.

I’m tired of immediately wondering who let her down. I’m tired of wondering at what point did she fall through the cracks. I’m fed up, to be honest.

It happens way too often, these worst case scenarios splayed across the front page for all to read and shake their heads in disgust or sigh in exasperation because yet another mom has lost her mind.

I’m tired of this bullshit.

I get that drama sells and when it comes to sales or clicks, it’s all about the what will draw people in so OF COURSE LET’S SHARE A STORY ABOUT A MOM WHO FAILED.

Where the hell are the stories about the doctors who failed to screen? Where the hell are the stories about the partners who told these new moms to just suck it up? Where are the stories about their loved ones who didn’t show up to help them when they cried out for help? WHERE THE HELL ARE THESE STORIES?

It takes a damn village, people.

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.

There was a push for screening but it’s buried in the ACA and we know how well that’s been going with implementation, right?

Then there’s the complication of who will screen. Maternal mental health care crosses so many specialties it’s not even funny. OBGYN, midwives, doulas, Pediatrician, General Practitioner, Lactation Consultants….so who screens? Does the OB? The midwife? The doula? The Pediatrician? The GP? The IBCLC? WHO? Once they screen, what happens? Is the woman informed of her results? Is she successfully referred to the proper care? Is that care knowledgeable about Perinatal Mood Disorders? Will they dismiss her as an exhausted mom instead?

What about the potential physical issues which can masquerade as PPD? Like anemia, thyroid issues, vitamin D deficiencies, etc? Will those be ruled out before she’s put on medication? Or is the doctor just going to toss a script at her and leave her all alone on her skiff in the middle of a hurricane at sea?

Where is this information in childbirth classes? Why are we not informing new moms about this? Why are we not telling them that it can happen, dear caregivers? WHERE ARE YOU? WHY ARE YOU FAILING US? WHY ARE YOU GLOSSING OVER THE DANGER???

Wake up.

Women are dying.

Children are dying.

Families are being destroyed.

And you, you are sitting there claiming “It’s not my place.”

But it is.

Your move.

Get it right.

Choosing Happy

Happiness is not a goal; it is a by-product. 

~Eleanor Roosevelt~

Happiness is a direction, not a place.

~Sydney J. Harris~

Think about those quotes for a few minutes, letting their truth sink deep into your psyche. Sip your coffee, tea, juice, or water, and let it wash over you.

What do they say to you? How do they feel in your heart?

It is difficult to remember, in the depth of depression, that happiness is not a goal nor is it a place. It is instead, a by-product of life and more in the journey than in the destination. All too often, we focus on reaching a final ‘state’ and forget that our ‘states’ are instead fluid and are pulled with the ebb and flow of life.

I’ve written before about whether happiness is a choice. I did not believe happiness was a choice until I finally chose it. You see, happiness does not equal a constant cheerful demeanor. Happiness doesn’t mean everything is giggles and confetti.

Happiness, to me, is flowing with what life throws at you. It is knowing what to do when things turn negative, it is taking care of yourself in the midst of the whirlwind. Happiness is realizing that life happens and the majority of it is how you choose to react to it.

Let’s take, for example, a young woman in a grocery store. She’s in a rush to grab a few last minute items to cook dinner for her boyfriend. She runs around the store, grabbing the items, and goes to the front. All the self-checkout lanes are taken and she is left with choosing between two open registers with cashiers. One has a young mother with three children and a very full cart while the other one has an elderly woman with not much in her cart. The young woman chooses the aisle with the elderly woman. But the elderly woman is very chatty with the cashier and very slow with her wallet. She also decides she doesn’t want to purchase a few of the limited items in her cart so the young woman has to wait for a manager to come over and do a return. By this time, there’s someone in line behind her so she’s stuck and can’t go anywhere.

This young woman would have every right to be frustrated and angry. Instead, she takes a deep breath and enjoys the few moments of peace this has granted her in between her very busy job and the busy rush of cooking ahead of her. She looks around the store and notices the colours of balloons floating above displays for an upcoming holiday, she listens to the children in the aisle next to her giggle and play with each other as their mother manages getting all the groceries on the conveyer belt.

We have a choice in the way we respond to external stimuli. One of the most popular things I hear people with disabilities or mental health challenges say is that they may have x,y, or z, but x,y, or z doesn’t have them. It truly is the best way to view things because when x,y, or z doesn’t have you, it doesn’t have power over your mind which means you know how to handle it.

And as we children of the 80′s remember, knowing is half the battle.

Owning My Pain

I had goals for today. They were sidetracked by housework which left me in a tremendous amount of pain. Then I discovered our ISP has some speed issues so instead of sitting down and resting or going to the gym to soak in the hot tub, I pushed myself to get things done and be ready for a tech to show up at any moment.

Of course, the tech did not show up until nearly 5pm.

I stood the entire time he was here, nearly 10 minutes, holding back tears the entire time. And then, I forced myself upstairs where I collapsed on the bed and proceeded to fold laundry. Why? Because folding laundry made me forget about the pain – it distracted me from the intense fire in my lower back. That’s how J found me when he arrived home not much after I sat down. He walked through our bedroom door, asked me how I was and all I could do was look at him with absolute pain and tears in my eyes.

He sprang into motion, put a SalonPas patch on my lower back and fixed me a drink. Then he helped me finish laundry, chiding me for twisting and lifting the laundry basket. He tucked me into bed, nudging pillows behind me and making sure I was properly supported. After awhile, (and after some Aleve finally), I fell asleep.

I’m sitting on the couch downstairs now and as long as I don’t move, I’m okay. Tomorrow is a new day and even if I have to crawl into the gym, I’m going to go sit in the hot tub.

I struggle with my emotions on days like today. I am stubborn and tend to push through pain. I do not accept “failure” well. This, this not being able to function as I should, is failure. Intellectually I know it is not but it feels like it. I live with a standard level of pain every day so when that pain level surges and affects me like this, it is incredibly difficult to deal with. I handle depression or mental health issues far better than this sort of thing. I know how to deal with those. I can still move around. But when this happens and I am relegated to bed? Just ugh.

Earlier this evening, as we were folding laundry together, I focused on the fact that we were together. I also focused on the sunset outside. It was gorgeous – a phenomenal combination of oranges, yellows, greys, and pinks which slid into vibrant purples, dark blues, and specks of magenta. Certainly one of the most beautiful sunsets I had seen in awhile and because of this intense pain, I had a front row seat.

It is a fight to focus on the positive instead of the pain so when I manage to do so, it is quite a victory. I talk myself into holding on until the next day, convincing myself I will feel better then which is usually the case…or at least has been thus far. I may need to take it easier than usual but I make it through.

The same holds true today. I just need to make it to bedtime. In the morning, a brand new (and better) day begins. Tomorrow, I will own the pain instead of the pain owning me.

On Walking Through Life as a Postpartum Mood Disorder Survivor

I had a very interesting discussion yesterday as part of an interview with a woman who is putting together a proposal for a book about Perinatal Mood Disorders. Both of us struggled with PP OCD and for the first time, I think we nailed it when we discussed how Postpartum becomes part of your life, even after the initial “crisis” phase passes.

You see, struggling with a Perinatal Mood & Anxiety Disorder affects your entire life. It affects how you function, how you relate to everyone and everything around you, and it ultimately changes your outlook on life. This change, this transformation, at least for me, is directly related to know just how far down I slid when it struck me from out of the blue the first time around.

Diagnosis is one of the first steps toward healing. Diagnosis leads you to help and regaining your footing on the proper path. We all walk different paths and for some of us, our diagnosis becomes our mask. For others, it becomes just one part of us. Or for others, it becomes the very definition of who we are as a person, a mother, and whatever else we are…some become the personification of a PMAD. One of the things we hit on is how women who do not define themselves completely as their diagnosis find it easier to heal because for them, it’s essentially a broken leg instead of a full body cast if that makes sense. It doesn’t take as long to heal just one part vs. the whole thing. Even then, there are always mitigating factors affecting the pace of individual healing.

When you fight back, you develop coping mechanisms to pull yourself through. These look different for everyone and depend on how defined you allow your sense of self to be by the diagnosis of a Perinatal Mood & Anxiety Disorder. It is also important to note that these coping mechanisms may continue to be part of your life for the remainder of your days. It takes 21 days to develop a new habit. Therefore, it makes sense that if you continue something for longer than 21 days, it will become a habit. Whether this habit is healthy or not is up to you and your physician to decide. If it’s minor, no worries. But if it affects your normal day-to-day functioning, it might be time to evaluate things and consider breaking this “habit” as it isn’t healthy.

Do I still carry some of my OCD habits with me from my Postpartum days? Absolutely. But I know they are not a sign that I am still fighting the beast. They are there because they were a part of who I was for a very long time. There are still signals that speak to me and let me know that I am spiraling down the dark path once again, however. My habits tend to increase and begin to interfere with my day to day living when this happens. For instance, I will obsessively brush my hair, stop listening to music, and start looking for things to be upset about if I start to feel overly stressed. Learning to recognize these is a huge leap forward and learning to accept that little quirks you developed with Postpartum are just that, quirks, is also a huge leap forward.

Today was a huge milestone for me. I cleaned and organized the entire first floor of our town house because it needed it, not because I needed to do it. Yes, the clutter was bugging me but not to the point that it made me twitchy. To clean and not “need” to clean felt fantastic. In fact, I’m sitting here, basking more in the accomplishment of having cleaned NOT because of my OCD and because it needed it than in the fact that the downstairs (including the front closet) is completely spotless.

Our habits stay with us after Postpartum because we have immersed ourselves in them for so long as a coping mechanism. Sometimes we have thoughts that carry us back to those dark days and it is important to recognize them as such – just thoughts, not an actual fall back into the dark hole (unless they persist for more than a week or two – then you may want to seek help). Some of us may move on to a deeper, lifelong diagnosis of a daily fight against mental health. But the thing to remember is that you are YOU. You are not your diagnosis, you are not your habits. You are YOU and YOU are amazing, even when it is darkest.

Changing Your Stars

I am watching A Knight’s Tale, one of many movies I could watch several times over. As I start to write, this scene is in the background:

“He’s a real Knight, William. Watch him and learn all that you can. Now go, and change your stars!”

“But father, I’m afraid.”

“Afraid of what?”

“Afraid I won’t be able to find my way home.”

“Don’t be afraid William, you’ll just follow your feet.”

Life is full of changes and situations which evoke fear in our hearts. “Courage is being scared but saddling up anyway,” according to John Wayne. It is knowing not knowing what is around the bend but peeking just beyond despite this unknown, is it not?

For me, that bend was motherhood, and waiting around that bend was one an awful monster I had no desire to meet. But we came face to face anyway, the monster and I, not too long after my first daughter graced my arms. The monster, he breathed heavily in my face, the moisture from his open, drooling mouth specking my face as if it were drizzling. He growled at me as he snatched me, taking me back to his lair just beyond the edge of town.

This monster, he shoved me down a hole in the floor of his shack, a hole so deep there was no light. I crawled into a corner and wailed helplessly until I fell asleep. This monster, he fed me, when he could, but left me there to wallow and ruminate, lost forever from the world, away from my child, my partner, everything. Until one day, a hand reached into the hole and helped me out. The light, it burned. The leaves were greener than I remembered, the dew sparkled on them as the sunlight bounced off the fresh rain collected just on the surfaces of the just born foliage.

The face of my rescuer blurred into many faces for it was not just one person, it was many, working together, which brought me back to the land of the living. One of those faces was my own for I had to fight to accept the help I so desperately needed to escape from the deep dark hole under the monster’s house.

As I left the monsters house, I of course, had to follow my feet home. For me, they led me to a new place in life, some of it familiar, some of it brand new. But alas, it was the home where my heart belonged.

In A Knight’s Tale, as Oreck travels to Cheapside, he encounters a little girl to find out where his father lives. She tells him, and he discovers his father is now blind, unable to see. So he goes up to see him, telling him that he is well without identifying himself, and that he has indeed managed to change his stars. Then there is this exchange:

“Has he followed his feet? Has he found his way home at last?”

“Yes.”

“Oh, Oh William! Oh my boy!”

Then, they sit, they talk, they eat, they laugh as if time has never passed. This is how it should be when a prodigal son returns. A celebration of return to self, or return to an improved self, rather.

Then the story goes dour again as the Adhemar, the knight opposing Oreck (William), exposes him as not being of noble birth. This is much like a relapse, as if the monster had hunted us down again and shoved us back in the hole.

But this time, this time he has people willing to fight with him, beside him, and most importantly, someone willing to truly change his stars. This is what I wish for all of us fighting a Perinatal Mood & Anxiety Disorder – a warrior willing to tilt full speed ahead with a lance against anything and anyone daring to rip us off our horses as we heal. This is what I work to be for all women who contact me – a fighting spirit who will not only go to bat for them but will do whatever I can to instill the same spirit within themselves.

Prince Edward then dubs Oreck, now William Thatcher, as a knight, asking him if he is fit to compete. He is, of course, and he wins against his enemy, the villainous Adhemar.

This is what those of us who fight against a mental illness want – we not only want to win our battles, but we want to be acknowledged as someone who matters. We are human, longing to be counted among those who surround us.

Every day may be a battle, every day may be exhausting, but we get up the next day, and do it all over again, hoping that today, just maybe, we will change our stars a little bit more than the day before, inching ever so much closer to the person we long to be deep inside our hearts.

Go. Change your stars. Don’t be found weighed, measured, and found wanting. Push yourself toward constantly changing your stars for the better. Defeat your monster, make him look up at you from the flat of his back after you have knocked him off his horse.

If you don’t need to change your stars, help someone else change theirs.

To you, it might just be a random act of kindness. To them? It might just change their entire life.

What Would Your Trophy Say?

“It’s psychotic. They keep creating new ways to celebrate mediocrity.”

~Mr. Incredible, The Incredibles~

Ah, good old mediocrity. The goal for which everyone aimed, right?

Not really.

In the sixth grade, I completed in the school’s spelling bee. If memory serves correctly (I’m getting old and yes, there is truth to the old adage that brains stop working as well once you hit a certain age), I won the class competition which is what placed me in the school’s bee.

I won the school’s spelling bee.

Don’t ask me what word I spelled to win because I don’t remember.

I remember, however, thinking winning was kick-ass, especially because I was one of the younger kids in the school. I beat the older, (and I thought smarter), kids that day.

I did not make it past the county spelling bee, however, despite studying my ass off. The other kids there were simply better at spelling than I. (I know, completely shocking, right?)

I have the trophy stashed somewhere, probably in a box long gone, to be honest. Who knows. It is a symbol of victory, of not settling for anything but the best.

I also played soccer as a kid. Our team did not win a lot of games, we definitely did not win regionals or go to any sort of championship. At least, I don’t remember us doing so. Know what we all got at the end of the season? A tropy. For mediocrity.

That trophy, while pretty, is completely worthless. Sure, it has my name on it and is a symbol of a lot of physical exertion over a few months, but meh. There is no victory attached to it therefore it means nothing.

We do not need to reward people for mere participation. For just showing up. Awards are meant for people who go above and beyond expectations, who fight like hell to do their very best and dedicate their lives to be the very best they can be at what they do.

Trophies don’t go to people who half-ass it. At least, they shouldn’t.

I think anyone living with a mental illness who battles through their days just to survive, however, should have a damn trophy. Because that? IS HARD WORK. Getting out of bed, doing what needs to be done, making plans, living – that is damn near impossible for someone with a mental illness. Doable, but damn near impossible without an extreme exertion of energy, both physical and mental.

It is a well-practiced tango between mind and body – convincing the brain to properly control the body to do what it needs to in order to accomplish the most base tasks like eating, showering, cleaning, etc. Same days? It’s more like the hokey pokey – you put the left arm in, you take the left foot out, you do the hokey pokey and you shake it all about. If you’re lucky, you fall asleep and start all over again, praying that your mind & body are back in sync the next day.

If you created a trophy for yourself or someone you loved who struggled with a mental illness to inspire/empower them, what would it say?

Tell me down below!

I’m gonna have to give some thought to what mine would say. Stay tuned for that update!

Meeting Enemies Undaunted

Last night, when I took to my keyboard to write “Finding Life at the End of My Comfort Zone”, I did not need to write it to complete my 500 words for the day. It was just time to admit what had gone on in my life for the past year and how I was coping. After I hit publish, I exhaled. Finally. It was all out. For me, part of healing is being open and transparent.

Not more than a couple of minutes after hitting publish, the post received a comment from someone who has never commented here. It was held in moderation, and I will not be publishing it as a comment. I am, however, going to publish it here, addressing why it is a highly inappropriate response to my post yesterday.

The entire comment is as follows:

Hi! I think that it’s great you’re taking medications to help yourself but I am so sure that you can do so much more awesome things than taking medicine. I am one of those who don’t step outside my comfort zone as well and you know stepping outside the first couple of steps are the hardest but gradually you’ll become stronger to keep pushing yourself forward. You should try meditation it’s not religious at all too. It’s a practice to obtain peace and can really reduce stress. I believe you can do it, you just have to tell yourself that you’re strong enough! I wish you good luck of your journey! :)

You ready to analyze it? I am.

Let’s start with the greeting and the first sentence:

Hi! I think that it’s great you’re taking medications to help yourself but I am so sure that you can do so much more awesome things than taking medicine.

Notice the cheery greeting, complete with exclamation point. She’s HAPPY! She thinks it’s awesome that I’m taking medications to help myself BUT.. wait…. what’s this? She’s sure I can do so much more awesome things than taking medication? Really? Based on what sound evidence? Is she a physician? Has she discovered some amazing new way to deal with situational depression brought on by an insane amount of stress in a short period of time?

*GASPS* Wait – I know! I should have stuck with just my HappyLight, regular rest and relaxation, supplements, and prayed harder, right? Right? *smacks forehead* I totally failed that one, right?

She then goes for the “I relate to you” sentiment with this line:

I am one of those who don’t step outside my comfort zone as well and you know stepping outside the first couple of steps are the hardest but gradually you’ll become stronger to keep pushing yourself forward.

Oh really? Preach on, sister, preach on. That’s how it works, huh? After two episode of PP OCD, an episode of antepartum depression, post-divorce depression, I had NO clue that the first couple of steps were the hardest. I’ve been through the “gradually you’ll become stronger” thing and know that it’s a hard process. I also know that pushing yourself forward is necessary for progress. Of course, these are all things I thought I addressed in my post which, clearly she read because she commented, right?

Perhaps there’s a solution of which she’s aware that I haven’t thought of yet?

There is!

You should try meditation it’s not religious at all too. It’s a practice to obtain peace and can really reduce stress.

Aaaaaaand here’s where it gets fun, people.

Never mind the call I made to a medical professional after fighting on my own for months against the beast inside me, a beast egged on by the stress of living with very negative neighbors who attacked us verbally or intimidated almost every time we stepped outside and wild children who screamed and yelled outside our condo until the wee hours of the morning, interfering with any chance of sleep at night in addition to an insane amount of anxiety through the day.

Never mind the discussion I had with her during which I stuttered, nervously spilling all the details of the hell in which I found myself, fighting back the urge to completely lose it as I did so.

Never mind the years of school and practice my Nurse Practitioner has under her belt which allowed her to have a very compassionate discussion with me about my current state of mind and what my options were to fix it while calming me down at the same time.

We discussed the possibility of therapy but we cannot afford a weekly therapy session right now because we are not insured. But meds which have worked before were an option. So after two weeks of working my way up to making the call, I walked into a pharmacy and picked up a bottle of pills, feeling as if I were less than a toddler’s forgotten cheerio stuck in a couch cushion.

Apparently, what I should have done instead was head over to YouTube and find a meditation video. Boom. All better, right?

An article in Forbes earlier this month touts the benefits of meditation as rivaling that of anti-depressants. The study in the article specifically focuses on “mindfulness meditation” as the preferred form. If it works for you, fabulous. Kudos. I am a huge fan of doing whatever works for you.

Here’s the thing about depression and mental health issues, however: there are a myriad of treatments available because we are not all built alike nor do we all arrive at our diagnosis via the same path. We also do not find our road to wellness along the same path.

Don’t even get me started on the entire religious aspect of this comment. Let’s leave that out of it because we wouldn’t want to offend anyone, would we? (Which is clearly why she specified that meditation is not religious, right?)

Since my brush with Postpartum Mood Disorders, my life is increasingly mindful. In fact, over the past year, I am healthier mentally than at any time in my life. How can I make that claim despite being on anti-depressants now? Mental health does not always mean happy. To me, what it means is a deep understanding of why things happen and accepting what you need to do in order to move beyond them. It means the capability to examine events in your life and hold a healthy response even if it does not lead to joy. The path back to joy, motivation, and yourself is a personal road and no one beside your physician has the right to tell you how to get there. It is YOUR road map, not anyone else’s.

Of course, blogging about my mental health opens me up to criticism and suggestions like this. Some might say that I “deserve” to have comments like this. No one deserves to be told what to do, not even if they’re asking for advice and particularly not if they are opening up about their choices they have already made.

Telling someone that they SHOULD do something other than what they have chosen to do with the help of a medical professional is beyond reprehensible. Making the decision to reach out for help  – to admit you are not okay to a medical professional is an absolutely nerve-wracking experience.

I cannot help that someone who would dare to judge someone else’s road has never traveled down a similar road. Because if they had traveled down this road, they would know how detrimental it can be to be judged for their decisions as they fight to get well.

She wraps up her comment with a much better outlook:

I believe you can do it, you just have to tell yourself that you’re strong enough! I wish you good luck of your journey! :)

Yay. Cheerleading! RAH RAH SISK OOM BAH!

Had she skipped the whole rigamarole about “more awesome than medication” and “try meditation instead” this would have been a perfectly awesome comment. THIS is a perfectly acceptable response to someone admitting they’ve settled on a method of treatment for a mental health issue. It empowers, supports, and encourages without judging the decisions of the person.

So, after all of this – how do you perfectly respond to someone who is struggling and has settled on a method of treatment? It’s hidden in this very comment.

Like this:

“Hi! I believe you can do it, you just have to tell yourself that you’re strong enough! I am one of those who don’t step outside my comfort zone as well and you know stepping outside the first couple of steps are the hardest but gradually you’ll become stronger to keep pushing yourself forward. I wish you good luck of your journey! :)”

Now this is how you support someone!

You support by offering encouragement, compassion, and empowering the person who is fighting like hell to be themselves again.

If someone proffers judgment on your treatment choices, do not let it deter you from your healing. You are in the driver’s seat and decide what exit is yours on this interstate of life, not anyone else, and definitely not a stranger who knows absolutely nothing about why you’re in the car to begin with.

A friend of mine said it best on FB, typos and all:

“Hugs. Love. I Get Its. And no judgement here. Take your meds. Meditate if it helps ON your meds. But fuck everyone else and their well-meaning yet severely judgmental opinions. Just do what’s fight for you.”

That’s what I’m doing – fighting for me, always.