@karma_D, Lisa, found me via the  #PPDChat at Twitter. At this week’s Just Talkin’ Tuesday, she expressed a  desire to share her story but said she wasn’t ready to do so on her own  blog yet. Lisa wanted somewhere to share her story anonymously in order  to help other moms. I offered her a place here at My Postpartum Voice.  This is truly what I want this site to be about – the power of sharing  our stories to help one another find our own Voice as we journey through  recovery. 
Lisa’s story is powerful. Her NICU start reminds me of my own  postpartum after the birth of my second daughter. It’s a rough start  for sure and I hope Lisa finds the same strength as I have as she  journeys towards recovery. Please don’t hesitate to send @karma_D some love. And if you’re a mom in need, you can follow me by clicking here. You can also visit Postpartum Support International to find a Coordinator near you. You are not alone, you are not to blame, and you will be well.
I have  post partum  depression.   That might be a shock to friends and family,  but no one was more  unprepared  for it than I was.  My pregnancy was  incredible.  I felt amazing,  better than I have in years, both  physically and emotionally.   I felt strong, hopeful, like a dream a  lifetime in the making was  finally  coming true. Those months were full  of planning, anticipation,  expectation,  all culminating in the  beautiful instant my son was born.  It was  the best moment of my life,  euphoric almost in the sudden absence of  pain and joy of meeting him.
Within hours of his birth,  he was taken to the NICU for breathing  difficulty, and so began the  downward spiral, full of broken  expectations.  Instead of bonding  with a newborn in the hospital room  surrounded by adoring guests, we  shuffled back and forth to the NICU to  stand around a helpless baby  attached tubes and wires.
The  night we came home from  the hospital without our son was horrible.   Pulling into our  neighborhood  late that night I vividly remember  looking out the car window and  feeling  like I was witnessing life from  another person’s body.  Reality  seemed unrecognizable.  We arrived  home to flowers and hospital  bags dropped off earlier by our parents,  mountains of gifts and food  cluttering the house.  In that moment I  couldn’t see this wonderful  outpouring for the blessing it was, but  instead as anxiety inducing  clutter.  Exhausted, my husband went to bed  but I stayed up and  cried.  I felt alone, scared, not myself.  It was  not at all  the homecoming I had anticipated.
When we finally did  bring our  son home a week after his birth, things didn’t get better.    Breastfeeding  difficulties often left one or both of us in tears.  It  was not  at all the bonding experience I had hoped for.  I pushed  through  because I wanted so desperately to do the right thing, to act  like a  good mother even if I didn’t feel like one.  I was tearful and   scared because I didn’t feel like myself, and when I did manage to   communicate this to my husband all I could muster was, “It’s so  hard.”   He did his best to reassure me and I tried to reassure  myself it was  just “baby blues” and sleep deprivation.  I minimized  my symptoms to  the OB and Pediatrician, who screened me for PPD but  didn’t pick it up  early on.  I tried to will it away and hoped  things would get better,  and kept acting like everything was fine.
Months went by and it  never  did get better, and the mood swings actually got worse.  One  moment  I was okay, the next agitated or enraged, then crying and  despondent.   I yelled a lot, mostly at the dogs or my husband.  One  afternoon  when my son was crying I yelled at him to “SHUT UP!  JUST  SHUT  UP!”  The guilt of yelling at him was awful.  I believed  it was  going to be burned in his psyche forever and he’d always think  I was  crazy.  Still not wanting to think the mood swings could  be PPD, I  blamed it on my IUD.  Eventually I did tell my OB about  my symptoms  (though admittedly I glossed over them again), and she said  she “wasn’t  getting a good read on (me).”  She agreed it  could be the IUD but  convinced me to give it some more time, and  encouraged  exercise and  DHA supplements.  Finally I demanded the IUD removed  as I wasn’t  getting better, but even then no one diagnosed me with  PPD.
I  spent 6 months of maternity  leave waiting for things to look up.  I  kept hoping to turn the  corner but never did.  Instead, the mood swings  continued, and  intrusive thoughts began.  I pictured horrible things  happening  to me and my baby and felt helpless to prevent them.  I often  lacked  motivation – even the simplest tasks seemed too much to manage.   Once  I went an entire week without leaving the house because it was  just  so overwhelming.  My mood wasn’t always down.  There were  lots of  times I felt fine, happy even, and capable, but they never  lasted   long.  These moments of calm made me think I was okay.  I  never wanted  to harm myself nor my baby, I got up and dressed every  day, and I  didn’t really feel like what I believed depression to be,  so I never  admitted what was happening in my head and never asked for  help.
Returning  to work was a  blessing  and a curse.  It gave me a much needed break  but the guilt was  crushing.  The mood swings got progressively worse  until one night  (Valentine’s Day), I got so worked up over my son’s  difficulty going  to sleep that I exploded.  After slamming the door to  his nursery  I went and hid under the covers, my body buzzing and  feeling like I  might explode out of my skin.  My thoughts raced and I  just wanted  to go away.  I didn’t want to die but I didn’t want to  exist  either, at least not then.  Later that night I had another fit   when the baby woke up.  My husband asked, “What is wrong with  you?” in a  tone I’ve never heard from him, one that suggested disgust.  That was  my rock bottom.  I couldn’t hide it anymore.  The  next day I finally  told my husband I thought I had PPD and made an  appointment.   I saw a  different doctor and started treatment.
The improvement has been   rapid.   I feel hopeful again, motivated, more clear headed.  I can  reason  rather than shutting down.  The anger is better, the crying is   better.  The anxiety still creeps in and I do have setbacks.   On those  days I just try to survive until tomorrow.  I’m learning  to recognize  triggers and figuring out coping mechanisms – Blair’s  STOP has been  helpful, as has  reading and  chatting with other moms who’ve experienced PPD.  (At the  same  time, I feel the need to control what I’m exposed to so I’m  careful  about following blogs and such and limiting potentially  upsetting  material.)  I’m trying to let go of expectations and enjoy  the moment more.  My  bond with my son is growing and I am starting to  appreciate those  wonderful  Mommy emotions I had hoped to experience  immediately. I wear a locket  every day and inscribed on the back is  “Before I understood your words,  I understood your love.”  I have an  amazing son and I know he  understands the bond, too.
I think a  lot about what it  will be like next time – the “do over” as I call it.   In  the darkest moments of PPD I swore we would be “one and done” –  I  couldn’t fathom ever going through this again.  Now, I am hopeful.    Things will be different.  Per my doctor, I’ll likely start meds   immediately.  I’ll make a strategy for how I’m going to get  support,  something like a birth plan but for postpartum, and share it  with my  “team.”  I am almost certain I won’t breastfeed.   The stress of nursing  was a huge trigger, even after all the initial  issues as I worried  about pumping and supply.  I’ll also know I’m  not alone.  I wish I had  believed that months ago.