Tag Archives: mental health

Just Talkin’ Tuesday 05.25.10: How long does recovery take anyway?

Lately, I’ve had this question thrown my way by more than just a few of you.

It’s a tough question to answer.

There is no defined recovery time we can hand out. It’s not like going to a deli, pulling a number, having your number called and then walking out the door into the wild blue yonder with your neatly wrapped item. Ok, so maybe it’s kind of like that. If it’s a busy deli and the wait is long. And then they’re out of the meat you need. And then you have to start the process all over again somewhere else or settle for something like ham when you really wanted corned beef pastrami.

Bottom line though – recovery is not something your local deli guy will wrap up neatly in butcher paper and tie off with a pretty bow.

Recovery is messy. It can take a long time. It can go quickly. It can involve lots of starts, stops, and side trips.

And in the end, you may be recovered but there will always be the organic memory of the experience of your Postpartum Mood Disorder to jump out at you and mess with you.

So how the heck do I know if I can consider myself recovered from my PMD?

Here are my three humble signs of recovery (always check with your caregiver/therapist and don’t every stop treatment cold turkey!)

1) You have more good days than bad days.

2) You are able to laugh at things.

3) Your world has returned to vibrant colors instead of the dimmed down twilight you’ve been living in for the last several nights.

I remember the day I saw that brighter world. I was on my way home from my therapy appointment. It had rained that morning so everything had been rinsed clean. The sun shone down and the trees burst forth with new growth as they strained for freedom at the birth of spring. As I breathed in the clean scent of rain and honeysuckle, my heart soared. The trees were greener, the sky was bluer, everything sparkled. And not just because of the rain.

Just a few weeks later I discovered I was indeed pregnant with our third child. Scared to death, I worried all my progress would be all for naught. But it was not. I continued to move forward. Not because I had to but because it was what I wanted. Once I got past the shock of our unexpected pregnancy, I focused all my energy on preparing for postpartum support instead of getting ready for baby. It was time well-spent. I educated those around me, created a postpartum plan, and thankfully I thrived. Not all mothers are this fortunate though.

Every mother has  a different story, different doctors, and different reasons for struggling.

What helped you recover and if you’re fully recovered, how long did it take you to recover? What advice would you give to a still struggling mother?

One of my favorite songs when I was struggling was “Breathe” by Anna Nalick.My favorite lines?

There’s a light at each end of this tunnel, you shout
But you’re just as far in as you’ll ever be out.

To me, it means keep on going forward. Because it’s FORWARD motion that’s so very healing.

Let’s get to just talkin’!

Just Talkin’ Tuesday 10.06.09: Have you experienced dismissive clergy?

Just Talkin Tuesday The church and depressionOn October 2nd, 2009, Psych Central posted about an ongoing Baylor University Study. This study examines the response of clergy and pastors to mental illnesses. As I read the post, tears came to my eyes. Turns out that even though clergy and pastors are the most frequently sought during times of crisis (even moreso than psychiatrists or other mental health professionals according to Baylor’s press release), they are also most likely to be dismissive of mental health issues.

“The Baylor study found that despite recognizing a biological basis to all mental illness, the views of the BGCT (Baptist General Convention of Texas) pastors surveyed vary across disorders in how much they believe environmental or spiritual factors, such as personal sin, lack of faith or demonic involvement, play a role. Major depressive disorders and anxiety disorders were viewed by pastors as having greater environmental and spiritual involvement and were more often dismissed than the more “severe” mental illnesses like schizophrenia or bipolar disorder.”

Another interesting view point of this study was that these same pastors were more likely to recommend medication for a biological illness than for a mental illness. Referrals were more likely to be given to professionals known to be Christan than to those not known to be Christian. Just an opinion on that – perhaps because the clergy/pastors felt these professionals would back up their dismissiveness regarding the congregant’s condition and also not prescribe medication.

Christians struggle with mental illness just like members of any other faith. Dismissing their symptoms or struggles can do so much more harm than good. “The Gospel According to Prozac” is great article focusing on faith, mental illness and medication. It appeared back in 1995 in Christianity Today. The author really narrows the issue down in just one paragraph:

“Ultimately, the primary concern for Christians is not what Prozac will do to them but the whole idea of relying on a miracle drug for emotional and psychological well-being rather than on the God of miracles.”

When I read the Psych Central blog post and subsequent Baylor University press release regarding this study I was absolutely dumbfounded. I cannot tell you how many times I have referred women to their local churches a source of solace. After all, you should be able to rely on your faith in time of need, right? Forgive me if I am mistaken but that is the purpose of the church, correct? Even Jesus loved those who were mentally ill and healed them. And aren’t we all raised to “Love thy neighbor as you love thyself?” To do unto others as you would have done to you? to LOVE those around you regardless of their state? To not judge?

As the magnitude of this study hit me, I suddenly had to wonder how many women I had sent straight to the offices of clergy who only shot them down and left them blaming themselves for their illness.

I believe choosing to take anti-depressants does not make one weak. I believe in the support of the church for those who are hurting. It saddens me to think that there are those on the front lines with their heads in the sand regarding this issue. This month is Mental Health Awareness Month. I want to urge you to visit NAMI Faithnet to read about how you can approach your own church and help grow their sensitivity and awareness towards those with mental illness. I’ve helped other members at my own church and hope you will do the same.

Ok, off my soap box now – let’s get to the Just Talkin’ section of this post. Did you seek help from your local church? What was the response? How did you feel when you approached your clergy? Have you made a difference in the local faith community when it comes to Postpartum Mood Disorders or Mental Health Illness? Talk to me!

Just Talkin’ Tuesday 08.11.09: Breastfeeding & PPD

Original Photo "the breastfeeding lady 2" by Raphael Goetter @ flickr

Original Photo "the breastfeeding lady 2" by Raphael Goetter @ flickr

When I gave birth to my second daughter I saw my dreams of a normal postpartum smashed upon the rocks just 30 minutes after delivery. A delivery after 42 hours of labor, 36 weeks of pregnancy spent un-medicated but largely depressed and unaware of any potential issue facing us. We fully expected (as any parent) a healthy child, normal delivery. A large part of my smashed dreams tied into the hard reality that I would absolutely not be able to nurse her because she was born with a cleft palate so wide and large that it would be physically impossible for us to do so.

Later that day I was faced with a crucial decision. What kind of formula would I prefer for my daughter? I cried. She wasn’t SUPPOSED to get formula! That evening found me hooked up to a hospital grade pump praying for anything to happen. I barely squeezed out a drop. But I persisted and pumped for her faithfully until she was seven months old. I even researched everything I could in order to try to get her to nurse – books, cleft organizations, the La Leche League, the local Lactation consultants and even going to a training to become a trained Certified Lactation Counselor (which I completed one month AFTER we stopped nursing!) I left no stone unturned! Charlotte and I used SNS, nursing shields, and sheer determination. She eventually nursed for almost five minutes! Those five minutes were so amazing words cannot even begin to describe. In fact, it was tears falling from my face which interrupted the glorious event.(You can read more about our journey here: Breastfeeding Charlotte)

But at seven months, I faced a decision. My desire to continue to give breastmilk to my daughter or my mental health which had deteriorated so much it was adversely affecting my relationship with my husband and other daughter. With a heavy heart, I drove to Wal-mart to purchase formula. I cried the whole way home. Eventually I made peace with the decision. “Hanging up the Horns” or HUTH as it’s called in the world of exclusive pumpers, was a difficult decision. But one I was glad to make as it allowed me to bond with my entire family. I had come to resent Charlotte for all the extra work she required. But now, all I had to do was pour, heat, and I was done. I made strides towards better mental health and so did the rest of the family.

For me, the decision centered around the stress providing breastmilk created. I was also on medication which can be another tremendous issue for new moms. Many mothers don’t want anything crossing over to their infant through their breastmilk. Dr. Thomas Hale, author of Medications & Mother’s Milk, is a wonderful authority on the topic as are the researchers at Motherisk in Canada. When nursing while on any medication, it is important for the infant’s pediatrician to be aware of the medication and dosage amount so baby can be monitored for any adverse reaction. The decision to take medication is a personal one and should be made carefully with the help of professionals. Ask questions. Make sure the prescribing physician KNOWS you are nursing. And do not let them force you into quitting nursing if it is the one thing in which you find comfort. If you are currently struggling with this decision, please read this wonderful essay by Karen Kleiman: Is Breast Really Best?

So let’s get to Just Talkin’ Tuesday already!

Did your Postpartum Mood & Anxiety Disorder affect your nursing decision? Did you decide to formula feed to help improve your mental health? Do you regret your decision? Made peace with it? Did stopping help? Did your desire to nurse increase your desire to seek natural treatment? Speak up! Share!

(Absolutely no bashing for deciding to formula feed will be tolerated here. We respect the decision of all mothers to choose the course of treatment/feeding they feel is right for their families. Any posts discrediting or attacking a mother for her decision to formula feed will not be approved.)

Give An Hour

I found this article on my cell today and wanted to share it with you. Please pass this information on to anyone you know that will find it useful OR can volunteer. Give an Hour is working very hard to help our soliders and their families.

Here’s their mission statement with the article below:

Our Mission
Our mission is to develop a national network of volunteers capable of responding to both acute and chronic conditions that arise within our society. Our first target population is the U.S. troops and families who are being affected by the current military conflicts in Afghanistan and Iraq. Give an Hour is asking mental health professionals nationwide to literally give an hour of their time each week to provide free mental health services to military personnel and their families. Research will guide the development of additional services needed by the military community, and appropriate networks will be created to respond to those needs. Individuals who receive services will be given the opportunity to give an hour back in their own community.

 

Psychiatrists Volunteer to help soldiers

WASHINGTON – Thousands of private counselors are offering free services to troops returning from Iraq and Afghanistan with mental health problems, jumping in to help because the military is short on therapists.

On this Memorial Day, America’s armed forces and its veterans are coping with depression, suicide, family, marital and job problems on a scale not seen since Vietnam. The government has been in beg-borrow-and-steal mode, trying to hire psychiatrists and other professionals, recruit them with incentives or borrow them from other agencies.

Among those volunteering an hour a week to help is Brenna Chirby, a psychologist with a private practice in McLean, Va.

“It’s only an hour of your time,” said Chirby, who counsels a family member of a man deployed multiple times. “How can you not give that to these men and women that … are going oversees and fighting for us?”

There are only 1,431 mental health professionals among the nation’s 1.4 million active-duty military personnel, said Terry Jones, a Pentagon spokesman on health issues.

About 20,000 more full- and part-time professionals provide health care services for the Veterans Administration and the Pentagon. They include psychiatrists, psychologists, psychiatric nurses, social workers and substance abuse counselors.

According to veterans groups and health care experts, that is not enough for a mental health crisis emerging among troops and their families.

“Honestly, much is being done by the Department of Defense and the Department of Veterans Affairs,” said retired Army Brig. Gen. Stephen Xenakis, a psychiatrist. “But the need to help these men and women goes far beyond whatever any government agency can do.”

About 300,000 of those who have served in Iraq and Afghanistan are estimated to have anxiety or post-traumatic stress, a recent private study said. Add in spouses left home to manage families and households without their partner as well as children deprived of parents during long or repeated tours of duty, and the number with problems balloons to 1 million, Xenakis said.

The VA says it has seen 120,000 Iraq and Afghanistan veterans who have symptoms of mental health problems, half with post-traumatic stress disorder. Although rates are high from those two wars, most of the 400,000 patients seen in VA last year for PTSD were Vietnam-era veterans, officials said.

Civilian groups are trying to step in for troops from the current conflicts.

“There are over 400,000 mental health professionals in our great country,” said Barbara V. Romberg, a clinical psychologist who practices in Washington. “Clearly, we have the resources to meet this challenge.”

Romberg founded Give An Hour, a group of 1,200 mental health professionals donating one hour of free care a week to troops, veterans or family members. They have to commit to doing it for a year.

Romberg, in cooperation with the American Psychiatric Foundation, hopes to find 40,000 volunteers over the next three years, or about 10 percent of available civilian professionals. The effort to get the word out to those who need the help and to recruit and train volunteers is being backed by a $1 million grant from the Lilly Foundation.

Romberg’s group is the largest of a number across the nation.

Nearly 200 also have volunteered for the Soldiers Project, started by psychiatrists at the Ernest S. Lawrence Trauma Center of the Los Angeles Institute and Society for Psychoanalytic Studies – and now operating in Chicago, Seattle and New York.

The Coming Home Project in the San Francisco area has dozens of volunteers. A group of veterans, psychotherapists and interfaith leaders, it offers everything from retreats and workshops to yoga and other stress management programs as well as the counseling.

“Thousands of therapists across the country are donating their time to give vital treatment and support to our soldiers, sailors, airmen, Marines, veterans and families,” Xenakis said at a recent news conference announcing the Lilly grant. “These young men and women volunteered to defend our nation, and now our nation can volunteer to serve them.”

The government acknowledges there might be a place for such groups.

“While the military health system does not endorse volunteer health care organizations, we recognize that groups such as this one offer more options for our warriors and their families,” said the Pentagon’s Jones.

“If these mental health caregivers are willing to give and learn about our warriors, they may be more willing to become TRICARE providers,” he said, referring to the network of more than 300,000 physicians and specialists and 55,000 pharmacies that support the department’s military medical facilities and uniformed medical corps.

The military health care system serves about 9.2 million people – active duty, and guard and reserve components for all the services, as well as their families and retirees and their families.

Jones said there are 3,000 mental health professionals available under TRICARE in addition to the 1,431 in uniform. The VA said it has 17,000 full- and part-time mental health workers, 3,800 of which it has hired in the past few years.

The services are trying to hire about 575 more. Also, about 200 mental health officers from the U.S. Public Health Service will be detailed temporarily to the Pentagon to work in military facilities, Jones said. An agreement between the Pentagon and the Health and Human Services Department is to be signed in the coming weeks to finalize the arrangement.

The Pentagon has made a special effort to hire since a yearlong task force last year found it had neither enough money nor staff to support the military and family mental health needs during peacetime, let along during war.

Staffing was not the only issue. Officials have worked to change the military culture in which there is a stigma in seeking help and a fear doing so will harm careers.

They have tried to make mental health care more accessible, embedding more workers with troops, offering suicide prevention training and advising troops how to recognize mental problems in themselves and others.

The military also is working to assess mental health among troops, screening them before and after deployments and sending mental health teams to the front each year to measure morale, the amount of mental health problems, availability of care and related matters.

Programs to help families with housing, child care and other issues have been bolstered. Troops get mental-health training in a program called “Battlemind” that teaches about common problems to expect at home as they readjust to domestic life.

Still, some emotional difficulties are a normal reaction to war.

“No one who goes to war comes home the same person,” said Patrick Campbell, a medic for an infantry unit who served in Iraq in 2004-2005. “There are things you have to unlearn to emotionally feel again.”

 

By PAULINE JELINEK     Associated Press Writer