Tag Archives: PMD

Are PMD’s the new Jimmy Chu’s?

Six years ago, I woke up and wandered into my walk in closet. To my left, neurosis and psychopathy. To my right, temporary madness. I walked right past them to the very back of the closet and grabbed a pile of dusty boxes from the darkest corner.

Ahhhhh.

There they were. All the members of the Postpartum Mood Disorder line, their labels obscured by years of dirt and grime, left there by the previous generation of women just for me. Chills ran down my spine as I placed the boxes on the floor and plopped down beside them, dizzy with anticipation.

Postpartum Anxiety, Postpartum Obsessive Compulsive Disorder, Depression, Post Traumatic Stress Syndrome, and the most spectacular and rarest of them all – Postpartum Psychosis.

As I opened one, cobwebs covered my hands as stale air escaped.

I hyperventilated as the suspense of discovering my poison washed over me.

As I pulled the lid off, there it was, shining in all its glory.

Postpartum Obsessive Compulsive Disorder! I clapped my hands with glee, grinned, squealed, and slipped my toes into the bejeweled insanity, strapping my heels in for the bumpy yet glittery ride.

As I returned the other boxes to the shadowy corner, the fun times rolled full force ahead!

Horrible traumatic thoughts about harming myself and my baby slammed into me. I shivered in sheer delight. My anxiety level shot sky-high as my daughter screamed and fussed in the next room. And oh yes, my favorite of all – my newfound fear of kitchen knives as they became central to the little shards of horrificly delicious thoughts.

Oh yes.

THIS is what I am talking about. This is awesomeness all wrapped up in a gorgeous pair of killer heels. Where on EARTH had they been my whole life? This rocked.

As I sat down in the living room to nurse my daughter for what seemed like the 50th time in less than 3 hours, I admired my fancy new shoes. They were hypnotic, yet psychotically tragic at the same time. But dammit, they were mine. Bejeweled, beveled, and shining like gold, they clung to my feet with a grip that just would not quit.

Slowly the sun slid beneath the horizon as the house darkened and a loud silence filled the world, screaming at me.  Yet here I still sat, pinned to the couch, nursing baby on my boob, on my gazillionth episode of Star Trek: The Next Generation, shoes still strapped to my feet. My heels blistered, my toes horribly pinched, my arches swelled, and my cankles threatened to devour the straps.

I wanted to take the shoes off. Now.

But baby wouldn’t stop eating. Life wouldn’t stop moving forward, swallowing me whole, the thoughts wouldn’t stop swirling around my head long enough for me to figure out how to undo the now almost buried straps beneath my cankles.

I pulled, I fought. I screamed, I wept, wailed, gnashed.

I needed professional help.

Had I waited too long? Had I done permanent damage to myself? To my marriage? How would I care for my baby if I could no longer function? What on earth had I really sacrificed to be so fashionable? Slipping on a PMD was the trendy thing to do, right? Why wasn’t this working for me? What the hell had I done wrong?

Turns out I had done nothing wrong.

And for the record, I didn’t really slip on a PMD. No, it crept up on me from behind, beat me over the head, and rode me like a drunken sailor rides a mechanical bull after one too many beers during shore leave.

I did NOT choose to have a PMD.

I do not claim to have a PMD so I can be like Dooce.

I do not claim to have a PMD so I can outdo your bad days.

I do not claim to have a PMD just because the cool kids are doing it.

I do not claim to have a PMD just because I want more traffic to my blog, dammit.

I started my blog to cope with an unexpected pregnancy AFTER two episodes of Postpartum OCD, one of which spit me out on my bed, rocking back and forth in the fetal position muttering “I don’t want to be Andrea Yates,” over and over to avoid grabbing a pillow and smothering my daughters. Yes, I said daughters.

My Postpartum experience couldn’t be solved simply by going home and calming my daughter down because even when she was calm, those thoughts still crashed against my shores, angry, unforgiving, and pushing me even further toward the overgrown jungle.

I for one, applaud mothers daring to be vocal about their experiences with PMD’s. As we raise our voices in a loud and beautiful chorus, more mothers are aware of what CAN happen after the birth of a baby. More mothers today know what to do, how to seek help, and have access to peer support immediately via the blogosphere, Twitter, Facebook, or other Social Media sites.

At the same time, I do agree that some might cry wolf. BUT – it is not my place to judge them. It is not my place to tell them to MAN UP. It is not my place to force them to a doctor so they can pop pills and become one of the “cool kids.” (By the way, if you go to a doc about a PMD and he/she immediately writes you a script, RUN. Run quickly. Find someone who rules out physical causes such as thyroiditis or anemia first. Please?) It is not my place to diagnose them. It’s not my place to compare their journey to theirs and try to one up them. It’s not my place to brag that my Motherhood Lane has more or less potholes. It’s not my place to blame them for feeling lied to if that’s what they express. It’s just not.

It’s my place to listen. It’s my place to show compassion. It’s my place to love them as they travel down their OWN Motherhood Lane. It’s my place to offer resources through which they will also find compassion, empowerment, and achieve the Motherhood Journey they so sorely yearn for as they lay curled in their beds, unable to get up because the thought of facing one more day has left them powerless. Or the thoughts racing through their heads have frightened them so much they want to sleep forever – because when you’re asleep, when you’re asleep .. those thoughts are quiet. But they’re there as soon as you wake up and when you have a new baby, let’s face it, you’re up a LOT.

Once again, disappointment creeps deep within my heart. I wish we could co-exist in our own spaces without offering critique. Without feeling like the grass on the other side is just a smidge greener and then offering suggestions on how to improve our neighbor’s lawn or gossiping with the other neighbor about how the problems we are having with our own lawn is SO much worse than the ones they are experiencing. Fire Ants? Yeh, well, I’ve got moles. Moles? I’ve got groundhogs. STOP IT. Just stop it.

Can’t we all just grab a margarita and tear down the fences between us without the competition? Please? Cuz that, that would rock.

Association discovered between Diabetes & Perinatal Depression

"Drink Me" by Ara Alexis

"Drink Me" by Ara Alexis

A new study by researchers at Harvard Medical School and the University of Minnesota School of Public Health focusing on Medicaid Records of over 11.000 NJ moms found an association between Diabetes & Perinatal Depression. The conclusion of the study is that Moms with Diabetes are 55-60% more likely to develop Perinatal Depression. The researchers are quick to point out the Diabetes isn’t necessarily the source of the Depression and that they didn’t take into consideration a family history of mental illness or other risk factors for Perinatal Depression. Their requirements for identification of depression relied on a written diagnosis or filling of anti-depressant prescription during the course of the study. Mothers included in the study had been eligible for Medicaid 6 months prior to birth and up to one year post-delivery.

While the study isn’t conclusive due to the focus on such a local and specific population, the researchers encourage health care providers with Medicaid patients and a Diabetes diagnosis to focus a little more on depression prevention. You can read more about the study here.

My thoughts on this? The beginning of my Postpartum Mood Disorder journey began when my husband had a good job and we had private insurance. I DID develop Gestational Diabetes during pregnancy and went on to develop full blown Postpartum Depression & OCD but was never officially diagnosed. My second pregnancy we still had good insurance but were struggling a bit financially but I did not have Gestational Diabetes – landed in the hospital. Third pregnancy was a Medicaid pregnancy as we did not have access to private insurance. I did not develop Gestational Diabetes and did not have a Mood Disorder either. But I had also become quite educated about PMD’s by then and was very forceful in my advocacy of care.

Research like this should always be taken cautiously and with a grain of salt. It’s encouraging and exciting that so many researchers have taken an interest in Postpartum Mood Disorders but always make sure to look at the big picture and do your own homework before taking someone else’s word for it!