Category Archives: fathers

Postpartum Voice of the Week: 02.03.11: Searching for Hope

The following piece is an original story which was submitted for consideration. The author takes you from one of the darkest places she has ever been in to a place in which she offers hope to others. She’s still struggling in the midst of it all but thankfully has hope on her team these days. Without further ado, I give you this week’s Postpartum Voice of the Week:

 

I didn’t have a “mom” growing up. I had no one to teach me right from wrong, no one to talk to, no one to look up to. My mom was physically there, just enough to scrape by with the title of “mom.” When I needed her to get through some of the darkest times of my life, she wasn’t around. I was so miserable having someone who was supposed to be there, but who wasn’t. I had promised myself that I would be the mother to my kids that I never had.

The time came for me to be mom when my first child was born in 2008. I was overjoyed, ecstatic, blessed to have such a title and to give everything I had to this little baby. We welcomed his younger sister into our family in early 2010, and with that, our family was complete. I was ready to raise these children in a family full of love and be the best mom I could possibly be. I was meant to be a mom, it was the only aspiration I ever had.

Having had a difficult childhood myself, I knew the face of depression. I understood feelings of being worthless, hopeless, and simply not good enough. What I didn’t know was that these feelings could accompany the birth of a child. After my daughter was born, things gradually started getting worse. I would become irritable with every cry, angry every time a bottle wouldn’t soothe my crying little one, and just hostile when things weren’t going the way I had planned. Six months had gone by; I had brushed the feelings off my shoulder as if they were “normal.” I had 2 kids under 2, things were supposed to be hectic, right? Running on very little sleep, being needed by two kids simultaneously with only 2 hands was enough to make any mom a little discouraged when things were rough and there was no help in sight.

Six months postpartum, I had noticed I wasn’t getting better. The irritability was at its worst, I had those same feelings of worthlessness that I had once experienced, I had no desire to take care of my kids, I had no desire to even take care of myself at this point. I let all the housework go, I cried at the drop of a hat even when I had no logical reason for crying, I started spending more time in bed, and nothing seemed worth it anymore. I had awful thoughts of leaving my children, my family, and never looking back. I just didn’t want anything. I felt like a failure; I wasn’t even good at what I wanted to be for so long…a mom. My children didn’t deserve me anymore. I kept thinking of my mom, and how there were times I wished she weren’t around-that she weren’t my mom. I didn’t want my kids to grow up wishing I wasn’t their mom or that I wasn’t around because I was a spitting image of my own mother. I thought taking myself out of the equation was the best decision for my family. I whole-heartedly believed someone could do my job better.

No matter how much I wanted to in that moment, I couldn’t ever leave my children. Ever. I knew something was wrong, and I needed help immediately before such irrational thoughts became my reality. I asked my husband to drive me to the hospital, that it was an emergency. He really had no idea what was going on, my feelings were kept to myself because I didn’t want anyone to think bad of me or that I was a bad mom for having such thoughts. After being evaluated for an hour, I wanted to walk right back out the doors I walked in. I was scared; there was no way I belonged there. Seeing other patients walk the halls with their head down, the screams that came from rooms down the hall that warranted a handful of doctors to hurry off, I knew this was a mistake. My anxiety was too much for me to handle at this point. The evaluating nurse asked me many questions that left me with feelings of shame. How could I have such deep, dark feelings when I have two beautiful children at home needing me? Needless to say, I was admitted. There was no turning back, I was there and there was no way out. Although I knew this wasn’t the right place for me, I made the decision to get everything I possibly could out of this hospital stay. I told the numerous psychiatrists and therapists I saw on a daily basis exactly how I felt, why I was there, and let them in on my life (which is something I don’t do until I have full trust in a person). Against medication from the beginning, I openly tried whatever meds they wanted to put me on because I was desperate to get better. I was diagnosed with PPD/PPA/PPOCD. What was that? I had no clue there was such a diagnosis. I was never talked to about this. After nearly a week of being there, I was released…sent on my way. I had the number to a psychiatrist and a therapist whom I was instructed to follow up with. I did just that. The psychiatrist changed my meds completely, and it was only weeks before I started to really see an improvement in my behavior. I’m still working on finding the right combination of meds to keep me stable, and we’ll go from there.

What I can tell you is that I now have hope that things will get better. If someone would have told me something, anything, about PPD ten months ago, I wouldn’t have hit rock bottom before reaching out for help. I wouldn’t have gone through four months of absolute misery thinking of how bad a parent I was and how guilty I felt that I couldn’t take care of my own children. I saw multiple healthcare professionals during my months postpartum- the OBGYN, my family doctor, my children’s doctor, nurses at hospitals when my kids were sick, yet no one ever asked me how I felt emotionally. I was too afraid to bring up my feelings, fearing they would tell me it was all normal and I was worrying too much. I almost took my life because I thought I had ruined not only myself, but my children. I almost walked out on the two most important people in my life because I thought I was crazy. The fear of admitting the awful thoughts I had was bizarre. I believed people would immediately think I was “crazy” or “undeserving” of my children. But I reached out. I took control of my own behavior. I waited too long hoping that someone would help me. I waited too long thinking I would eventually get better on my own. I waited too long to take this illness by the horns and control my own destiny. I wanted to get better so bad for my children, for my family. However, it took me wanting to get better for MYSELF before I had the courage to do so, to reach out and put myself and my feelings out there into the hands of people who have the control and the knowledge to help me. My biggest motivation was the thought of having to live the next day as miserable as the day before. Things needed to change.

These postpartum mood disorders have me in check. Every time a thought passes through my head that I have conquered this beast, I am made aware that I am still on my journey to recovery. I am, by no means, fully recovered from PPD/PPA/PPOCD, but it no longer controls me. I control it.

As awful as this journey has been, I have become a better person because of it. I have learned to cherish every moment with my children, from the sleepless nights to the temper tantrums. I have learned to appreciate things for what they are, rather than what I want them to be. Most importantly, I have learned that even in the late hours of the night, or on my darkest days, I am stronger than I think I am. I can get through the bad things, and things will get better. There is hope, and that’s what keeps me going…

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Just Talking Tuesday 11.23.10: Husbands, Wives & Postpartum Mood & Anxiety Disorders, Oh My

"Argue" by jk+too @flickr

“I wish my husband understood that I’m not just trying to get out of Motherhood.”

“How can I admit to struggling when he seems so happy? I’d hate to rain on his parade.”

“He doesn’t believe in mental illness. Neither does his family. So I fake it.”

“I can’t take medication. He won’t let me.”

“My wife won’t admit she is struggling. What can I do?”

“Everything I do is wrong. I’m scared I’ll lose my wife and my child.”

“She’s awesome with the baby. Me? I suck. I’m failing at fatherhood.”

“I’m the Dad. I have to be the rock. I can’t be depressed.”

“I drink/do drugs to hide/numb just how bad I’m feeling from her.”

Every single one of these statements are real things parents who have reached out to me have expressed. These statements are extremely telling. What do they tell, you ask? They tell just how much communication has broken down within the relationship. The breakdown may have occurred before baby. Or it may be a new thing. Until now, everything within their relationship may have been picture perfect. They were the perfect couple. Never had to work hard at their relationship. They may have been “THAT” couple. But now that everything is dashed to hell, smashed to pieces by an innocent new life, their relationship struggles to stay afloat. Everything they thought they knew about each other is also up in the air. They wait with bated breath for it all to crash back down, hopefully back into the right place.

We did just that six years ago.

Things are still falling back into place.

We met at work. Yes, we were like Pam & Jim. We met the weekend after Thanksgiving in 2000 after our Supervisors relocated us to adjoining cubicles. Our first date? A flirtatious invite to a non-existent steak dinner as I bragged to him about my evening. I dashed like a mad woman to the grocery store to turn this imaginary meal into a reality. We’ve been inseparable ever since. In 2002, we got married.

In 2003, we got pregnant.

In 2004, we officially became parents and I went off the deep end.

Suddenly he couldn’t do anything right. I knew everything, he knew nothing. I snapped at him because, well, I could. He got frustrated. We stopped talking. If he did talk or get upset about something, it was automatically my fault. My self-esteem took a nose-dive. I did not think I was verbally abusive, irritable, angry, or crazy. Turns out I was. This continued well into my second pregnancy.

Then our second daughter was born. She spent time in the NICU. I was hospitalized 56 days postpartum after a near-psychotic break. Think we weren’t communicating before? Now we really weren’t on the same page. He had been medicating with marijuana along with the same anti-depressant I ended up on after my hospitalization. We yelled. We screamed, we fought, I cried, I begged him to tell me he wasn’t okay about all of this – that he was hurting too. He lied and said he was fine because that’s what he thought he was supposed to do – he was the man. The rock. He was supposed to be okay.

Turns out he wasn’t okay after all.

After the birth of our third child, I was involved in a car accident at just 3 months postpartum. I went to jail. Why? Because my husband had been spending money on marijuana instead of on important things like vehicle registration and car insurance. Again, failure to communicate.

He’ll be 3 years into recovery this coming March. So will I. Wait – did you say  – I did. I’m no longer a co-dependent. I’m no longer enabling his habit. Believe me, you didn’t want to be in this house the day after my accident. It was not pretty.

Our fallout from PMAD’s and Paternal Postnatal Depression took nearly four years to explode. It’s taken close to seven years to claw our way back to where we are now – a place very closely resembling normal and healthy. Even here though we have our issues. I suspect we always will. To assume perfection is to ignore the flaws in front of you. Flaws are not always a bad thing. Sometimes they are just what we need to learn and move forward.

We have mistakes in our past. We have learned from them. Moved on. Trusting in God and His enduring support as we grow to trust in Him for everything. Our journey has been full of hell. But it’s also been obviously filled with grace and tenacity. On our part and on God’s part.

There are times within the past almost seven years at which I could have walked away and no one would have faulted me. I chose to stay and fight. Certainly not the easiest path but definitely the right path – especially as I sit here in the glow of a Christmas tree, a fireplace, and my husband beside me.

For us, our brush with Perinatal Mood & Anxiety Disorders ripped the band-aids off situations we may not have otherwise faced head-on. We were thrust headlong into trauma, grief, mental illness, and forced to decide how to move forward. I am thankful we clung to each other and made the decision to move forward together. I know many other couples who are not as fortunate for whatever reason. Each situation, each person, each Perinatal Mood & Anxiety Disorder is different. Therefore, the results will be assuredly different as well.

What challenges have you faced as part of your PMAD? Has your husband axed certain avenues of treatment? Has that affected your recovery? Your marriage? Did your PMAD ultimately lead to divorce? Or is your marriage stronger as a result of coming through the fiery storm that is a PMAD?

Let’s get to just talking about Husbands, Wives, and Postpartum Mood & Anxiety Disorders. Oh My.

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Just Talkin’ Tuesday: The High Toll of Postpartum Mood & Anxiety Disorders

Original photo "DSC07197" by poodlerat @flickr.com

#PPDChat tonight got me thinking about the toll of Postpartum Mood & Anxiety Disorders.

A mom with a PMAD is Ground Zero. Her immediate family is in the blast zone, at highest risk for developing their own mood disorders, depression, or other accompanying issues. Extended family is just outsize the blast zone and quite often bowled down as they absorb the shock which reverberates as she flails for survival.

As Mom recovers, Dad may sink into his own dark pit, unaware of what is happening, unwilling to admit his own demons in the dark. Why? Because Dad is the rock, the hinge on which the moon is hung. His family needs him. Depression is a sign of weakness. It does not happen to real men.

Oh, but it does.

Just as Mom has cleared her last hurdle, Dad sinks even further away. He is angry. Frustrated. Hopeless. Lost.

Mom questions her own recovery as Dad lashes out. He is incapable of giving her space in which to grow. Incapable of recognizing her growth, her recovery.

Anger quickly eclipses any rejoicing.

Stress and angst fill the air of the home, adversely affecting their children, their lives, their relationships with friends, families, resulting in isolation.

Their marriage spirals downward. Their children act out.

Their lives fall apart.

Granted, the above does not happen to every PMAD family. But a PMAD affects so much more than just Mom. It truly affects the whole family. My PMAD’s damn near destroyed my own marriage. My husband self-medicated after our second daughter. That did not fall out until after the birth of our third child. What a spectacular fall out it was though. I nearly walked away. Instead, just as with my PMAD, I chose to turn and fight. Fortunately, so did my husband. We were supported by members of our church, our Pastor, and family members as we fought savagely to save our marriage. I wanted to give up several times. So did my husband. We have shared this with each other and in doing so, moved to a new level of communication and trust. It has been a long, bumpy road.

One worth traveling.

While I would not want to do it again, I would not change a thing about my past six years of hell. For they have hewn me into a strong woman, a strong Christian, a strong wife, and a strong Mother. I can finally say I am blessed. God saw me through my storm. I know there are more storms brewing out there. I’m okay with that. Bring it. I am ready to tell those storms just how big my God is these days.

However; if there was one thing I would like to toss out the window it would be the exposure to anger, arguing, and stress for the kids.

I did not choose to have a PMAD. But they certainly don’t deserve to suffer from the ripples set in motion from my experience. I think this is one of the biggest things I struggle with as a remnant of my PMADs. The anger, guilt, rage over their exposure at such young ages to such a harsh environment. Sure, it could have been worse. But they certainly didn’t do anything to deserve it. Neither did I, but they truly are the innocents in all of this. And for that, I am remorseful. Resentful even that my PMAD’s stole their infancy and my enjoyment of their infancies from me. If I could toss one thing in a toll booth bucket and be forever done with it, it would be my remorse and resent over what my PMAD’s did to my kids. I wonder every time they misbehave if it is because I was depressed. Do my daughters have ADHD because I was depressed? What about my son? Are my daughters resentful that he and I have a stronger bond because I didn’t have a PMAD with him? Will they be able to rightfully accuse me of having a favorite? How will I explain myself down the road?

It’s enough to make you blink back tears and choke back anger all at the same time. Nauseating, really.

SO. As I take a deep breath and choke back some of that anger and blink back tears, what remnant or part of your PMAD do you wish you could just toss away and be done with forever? Get it off your chest.

Let’s get to Just Talkin’ this Tuesday.

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The Great Divide: Researchers, Clinicians, Medical Professionals, Peer Support Advocates, Struggling Patients

All across the globe, there are Researchers dedicating their lives to exploring all aspects of Postpartum Mood Disorders. Many of these researchers work in clinics, some are purely academic, and others review the research of others and present a compilation to conclude results.

Clinicians (for our purposes here) are trained in a variety of professions from therapists to psychiatrists to psychologists. These are the professionals on the front line. Some may be trained specifically in Postpartum Mood & Anxiety Disorders while others may be largely unware of the nuances of these conditions.

Medical Professionals often see Postpartum Women prior to a Clinician is involved. These are General Pracitioners, Family Practice doctors, Pediatricians, Obstetricians, Midwives in some areas, ER doctors, nurses, etc. These professionals again, may or may not have additional specific training in Postpartum Mood & Anxiety Disorders yet it is highly unlikely they are familiar at all with the nuances involved.

Peer Support Advocates are in the trenches. These may be made up of survivors, passionate and informed Clinicians, nurses, pediatricians, IBCLC’s, doulas, and a number of other people various walks of life. They become Peer Support Advocates for various reasons but largely due to personal experience from either a lived experience or the experience of a loved one.

Struggling Patients are in the thick of a Postpartum Mood & Anxiety Disorder, often navigating the system for the very first time. Many of them have never had a mental illness before giving birth or pregnancy. They are not familiar with their rights, the issue of medication, diagnosis, follow-through, or where to turn for help. They are filled with guilt, shame, and fear. These families and patients are often afraid to speak up and reach out for help. But their voices are increasing. Yet they are still echoing into an empty cavern as they scream out for the help they so desperately need.

Peer Support Advocates often are the first to hear the cry of the struggling patients. We work with them to find knowledgeable support in their locale. While the possibility of connecting these patients with knowledgeable or compassionate care is increasing, often times, we find ourselves up against a brick wall riddled with barriers to treatment. The biggest barrier is lack of knowledgeable local referrals. Primary referral in many areas is often to an uninformed or untrained Medical Professional.

An uninformed Medical Professional may do more harm than good with a Postpartum patient. He or she may erroneously take the DSM guidelines to heart, refusing to acknowledge a Postpartum Mood Disorder if the patient had her baby more than four weeks prior to presenting with symptoms. Nevermind that the APA itself admonishes the usage of the DSM in such a manner. If the non-mental health trained Medical Professional is informed, then the patient may find herself ushered higher up the ladder into the office of a professional Clinician trained to deal with psychiatric illness and disorders.

Clinicians are not always trained in Postpartum Mood & Anxiety Disorders. Therefore, it’s important for the patient to know what questions to ask when making an appointment with a specialist in the psychiatric field when seeking help for a PMAD. Questions like “Have you been trained in Perinatal Mood Disorders?” or “By whom have you been trained?” or “How long has it been since you were trained?” or “What is your approach to treating PMADs?” are all excellent questions someone who has been trained in Perinatal Mood Disorders would be comfortable in answering. A good clinician will answer honestly that he/she has not been trained but is willing to learn. He/She should offer her viewpoint on treatment and not force you into accepting their way or the highway. A good (and informed) clinician will also keep up with the latest research regarding PMADs.

Researchers are often not in the field with patients. On rare occasion they are clinicians themselves. Many are academic researchers. These researchers study everything from epidmeology to treatment to type of Perintal Mood Disorder, to risk factors, to contributing factors, birth trauma, etc. The issue with Researchers comes in when their research is manipulated, funded by Pharmaceutical companies, involves retro-data, a small data group, or a limited field in which some factors are not viable simply because the size of the group or source of the group is inherently flawed or for some other various reason. This is not to say that all research should be thrown out the window. It shouldn’t be at all. BUT it is important to be able to distill the research with a keen eye and apply some common sense to the outcome.

This is where Clinicians, Medical Professionals, and Peer Suppport Advocates come into play. Anyone trained or in contact with experts in the field of Perinatal Mood Disorders will be able to help you recover. Even those not well-trained but well-meaning and open-minded will be able to help you. If your Clinician, Medical Professional and Peer Support Advocate is willing to help formulate (or find) help which fits your personal lifestyle and belief system, your chances of recovery increase. But if you have a Clinician, Medical Professional or Peer Support Advocate who is closed off to certain avenues of treatment due to a certain aspect of your own life such as breastfeeding, other children, pregnancy, etc, then you may want to continue looking for help elsewhere.

In light of the new guidelines in the DSM-5 which will keep the Postpartun Depression Identifier at 4 weeks, we need to work to get those involved in care for Postpartum Women struggling with disorders talking with each other instead of at each other or indirectly with each other via research, peer support survivors, and trainers, etc. But how do we do this?

How do we get the researcher to share with the Clinician their goals, interests, and conclusions? How do we then get the Clincian to spark interest in the Medical non-specialist Practioner to learn about Perinatal Mood & Anxiety Disorders? Then how do we plug in the Peer Advocate and the patient? How do we open the discussion between Professional, Peer Advocate, and patient? How do we keep the communication going once it’s started? What will it take? How many more tragedies must we endure before everyone involved is ready to talk and on the same page?

Enough is enough. We need to stop talking at each other, around each other, to each other and instead talk WITH each other. Until we do, innocent women, children, and families will continue to struggle, suffer, and possibly even die. I am not willing to let that happen. Are you?

Speak up. Say something. EVERY Word makes a difference. Every.Word.

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Just Talking Tuesday: Through the eyes of another

It’s dark. You are both collapsed into heaps, this time, you managed to make it to bed. You sigh, close your yes and mutter goodnight into your pillow.

It’s 234 a.m., your wife notes.

“Waaaaaaaaaahhhhhhhhhhhhhhhhhhh!”

You lift your head and glare at the clock.

It’s 315 a.m.

You shove your face back into your pillow and silently scream.

Really? 46 minutes?

Sighing, you get out of bed to get the baby. Check the diaper. A little wet so you change it. Rock, sing, soothe. Nothing works.

Time to get mommy. She’s got the food.

You walk into the bedroom to wake her up. She sighs, shifts, and snuggles closer to the bed. When you do manage to wake her up, she snaps at you.

“But I JUST nursed! Did you check the diaper? Try to put him back down? I’m tired. I don’t want to…. ”

“Yes. Gimme a little credit. I’m not an idiot. I’ve tried everything. Clearly he’s hungry. You’re nursing so…”

“Dammit. I’ll be there in a minute.” She snuggles back into the bed.

You sigh, loudly, frustrated, knowing it will be a good 30 minutes before she even attempts to get out of bed. She will fall back asleep and you will have this conversation all over again before she finally gets out of bed, cursing you under her breath for interrupting her sleep.

She won’t mean it. She’s exhausted, just like you. And yes, you have work in the morning and should be sleeping but she won’t get to sleep much during the day either. Oh, she may rest, but it won’t be restorative. She’ll nod off while nursing, try to snooze when the baby does, but if the baby is up, she is up. And then there are chores. Dishes. Laundry. Cleaning. Cooking. Possibly other children to care for. Errands. Her job? Never.friggin.ends.

Your job never ends either. It’s hard for her to see that though. What SHE sees is you, walking out the front door toward other adults. Toward freedom. Toward conversation that involves more than a few garbled syllabic words at a time. What SHE sees is you, showered, shaved, dressed in something other than the same pajamas she’s now lived in for two weeks. What SHE feels is jealousy, hatred, sadness, grief. For the most part she knows it’s not rational. Somewhere, deep down, she tries hard not to feel this way. But she’s been moody for weeks now. Snapping at you for the simplest comment or action.

You bring home dinner. It’s not what she wanted but she loudly sighs and announces “It’ll have to do.” You pick up the baby and she watches your every move with him like a hawk, waiting for you to falter. You begin to falter yourself. Are you built for fatherhood? Are you doing things wrong? What if you’re screwing up your kid for life at just 3 months old? What if she never lets you really be a father? How will you ever learn what to do? Will your marriage survive? Where the hell are you?

What she doesn’t know is that as you walk out the front door every morning, your heart hurts. YOU are filled with jealousy because she gets to enjoy every moment with your son. She gets to watch him grow, change, and do new things every day. You mourn your fatherhood as you shower, dress for work. You fumble under her judgmental stares, worrying that your fathering skills are not up to par with her expectations. You’ve asked  a million times but you can’t for the life of you get her to tell you what her expectations are for you as a father. What are the rules to this ball game? If you only knew, life would be so much easier. After all, you’re not a mind reader.

___________________________

Today’s Just Talking Tuesday is cross-posted with The Postpartum Dads Project. If you’re a mom, please go visit the Postpartum Dads Project and share what you wish your husband had known about Postpartum Mood Disorders and parenting. What would have best helped you when you were suffering? If you’re a dad, share here. What got you and your wife through those dark days? How did you keep communication open if you managed to do so?

(Note: The Postpartum Dads Project site is down for the moment. Let’s all just share here for now and I will cross post when the site is back up! Thanks for understanding.)

Social support is key for recovery from a Postpartum Mood Disorder. The best social support starts at home with your partner. Get them involved and you’ve zoomed forward a zillion spaces on your recovery path.

Let’s get to just talking.