Category Archives: media sensationalism

On Shonda Rhimes, Race, & Postpartum Depression

Last night’s episode of Grey’s Anatomy has some folks flurrying around, claiming it stigmatizes mental illness and does some serious damage to women who struggle with Perinatal Mood & Anxiety Disorders. (Click here to read more about this battle moms are taking to Shonda’s alleged shaming of Perinatal Mood & Anxiety Disorders.)

I’d like to take a view that is the polar opposite of being infuriated.

Shonda Rhimes did everything right last night.

Everything.

(This is where you go elsewhere if you haven’t seen the episode yet and don’t want spoilers – in fact, go get Happy with Pharrell!)

We start the episode out coming back from winter break – we last found out that Kepner & Jackson’s baby has serious issues and Derrick is leaving for DC after a fight with Meredith.

HELLLOOOO STRESS and high tensions.

The opening scene involves Meredith discussing the hiring of a nanny with Callie. The conversation is interrupted by the incoming trauma of a mom who drove off a bridge with her two kids in the car. At this stage, we do not know the ages of the children and I don’t recall if they mention mom is pregnant at this time (ie, no need to jump to the PMAD hopscotch square yet). Meredith remarks, as everyone starts to walk, “Maybe she needed a nanny.”

Doesn’t every mom need a nanny at some point or other? Why does this imply a mental illness? It doesn’t. It implies motherhood is fucking difficult and sometimes, mom just needs some help (which we do).

Then, we fast forward to another scene where Dad arrives at the hospital after Mom has, only armed with the knowledge that there was an accident and believes someone has pushed his wife’s car off a bridge. He’s dumbfounded to find out it was his wife who was the driver – and rightfully so. Would you truly believe that your spouse were capable of driving off a bridge?

Stephanie interviews the husband as doctors and nurses prep his wife in a room, asking him if there’s anything he had noticed about her that – he interrupts, and says “You mean do I think she’s crazy? No! Absolutely not!” He then sits down and starts to list signs he’d noticed – fatigue, forgetting things, stressed, etc. Admits he’s been working a lot of hours and perhaps hadn’t been paying attention like he should have been.

Meredith, meanwhile, becomes the woman’s advocate and pushes back against any judgement implying the patient is, for lack of a better word, crazy. In fact, Meredith is the one to push for a physical diagnosis of her behaviour instead of a psychiatric one.

In the second half of the episode, the husband breaks down with Jackson, weeping, asking how on earth he could have missed this and how could he have been prepared for something like this to happen? Of course this hits Jackson hard as he is facing the birth of a child with serious health issues.

April, in her own personal hell after learning the situation with her own unborn child, goes on the most glaring rant against the patient’s behaviour.   Callie attempts to calm her down but doesn’t really get anywhere. April’s reaction, to me, was completely justified because she’s reacting from a place of hurt and is projecting.

Here’s how I saw the episode go down, in bullet points:

  • Situation/stigma presented (start in the messy)
  • Situation/stigma delved into
  • Situation/stigma pushed back against

How often do we see a show that deals with a Perinatal Mood & Anxiety Disorder by introducing the stigma, toying with it, but not dealing with it and instead treating it like the elephant in the room?

Grey’s didn’t do that last night.

No.

In fact, they brought the stigma in, expanded it by using a woman and family of colour, and then they smashed right through every single damn stigma aspect they introduced.

And yet, that’s still not enough.

A groundbreaking episode presented to us on a popular television show run by the ONLY woman of colour in TV running things right now and that’s STILL NOT GOOD ENOUGH.

What the actual hell?

I watched the episode, waiting for the horror to unveil itself. Instead, I found myself agreeing with every single situation I had seen bashed as being handled poorly. Every single situation in this episode seen as “stigmatizing” simply WAS NOT STIGMATIZING. AT ALL.

I expected one of the children to be an infant. But nope. Well out of toddler years for both children.

There was simply no reason to fly off the handle for this episode. None. Except wait, the line where someone mutters “crazy moms who…” We push back against this as hard as we can with facts, with exposure of what it’s really like to live with a Perinatal Mood & Anxiety Disorder. Guess what? Even though last night’s mom didn’t have a PMAD? They pushed back. They had a solid grasp on reality and they exposed it. Reality is, this is where we are as a culture – and that isn’t going to change over night. I, for one, welcome a show which is willing to push the boundaries of stigma and what exists there but also be willing to yank it back. Because in reality? Not everything is neatly tied up and beautiful replete with facts and details.

Shonda Rhimes starts where it’s messy. Then she wades through it and brings it to conclusion. Does it end up where we want it to? No. But you know what? It starts with what we recognize as a CULTURE. Is that right? Not yet. But we’re getting there and last night’s episode of Grey’s acknowledged that in a big way because it:

  • introduced a woman of colour who did something unspeakable
  • had the husband deal with it appropriately
  • involved the staff reacting in an appropriate medical manner without judging mom

In my book, that’s GROUNDBREAKING, not shameful. Not at all.

Thank you, Shonda Rhimes, for putting this episode together and doing so in a respectful and mindful manner. Keep that up.

 

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.

#PPDChat Topic 03.10.2014: Media Sensationalism & PPD

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Join me tonight as we explore the issue of media sensationalism and PPD. So often, as I stated in my post “On Not Wanting To”, when a mom hurts herself or her children, we get the sensationalized version of it and the details of her journey to that point (and her journey after the event) are dramatized as well. I hope you’ll join me for a passionate and insightful chat into why this needs to change as well as why we owe it to ourselves and to society to reach out to every new mother dyad with care, compassion, and understanding.

We cannot let the village continue to fail.

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.

In the Aftermath of Tragedy

There was an event this morning, as I’m sure many are already aware – how could you not be? You won’t find a link to it within this post. It is horrible, and people struggle to make sense of this senseless tragedy as the news races across every platform to which I (and you) belong.

People sharing every shred of new information as the media spoon feeds it to us, commenting on how the media should be handling the situation, what could have been done to prevent it, quarterbacking the chaotic mess from the safety of their living rooms, coffee houses, and wherever else they may be. For some, it may be their job. For others, they may simply be newshounds obsessed with over-sharing the hot story of the day or the moment. For others, they may have followers in the area or live there themselves.

For those of us who struggle with things like OCD which sprung up after childbirth, a disorder of which harmful thoughts toward our own children is a hallmark, days like today are HARD. For those of us who struggle with any sort of mental illness and are triggered by disaster or tragedy, days like today are damn near impossible.

I just spent 45 minutes cleaning the bathroom. Why? Because ALL that was on my timeline at Twitter and Facebook was in regards to the events at an elementary school today and I couldn’t cope with every shred of information overwhelming my otherwise cheery feed. I needed today to be happy. Selfish of me considering it’s horrible for so many in that town?

No.

It’s self-protective.

In this day and age, when we have the most access to information, we also have the MOST CONTROL over what comes into our lives, into our digital lives. If we can’t handle it or we find ourselves triggered, turn it off. Walk away. Go do something productive. Don’t let the chaos swallow you whole.

This is a lesson I learned nearly 5 years ago when, after watching a live car chase, the man responsible exited the vehicle with an infant in one arm, a handgun in his other hand. I don’t know how it ended by that image is forever burned on my psyche.

I have a fast and hard rule – unless it affects me directly, I don’t watch or read the news. I haven’t intentionally turned on a network based news broadcast in years. If I watch anything political, I watch CSPAN. Why? Because I know that I am easily triggered.

If you’re active on Social Media, as I am, please ask yourself before you RT every bit of evidence/news regarding an unfolding story –

  • What’s the point of this RT?
  • How will it help my followers?
  • Do they need to know this?

If you have followers in the area in which the situation is unfolding, then yes, share. I RT’d a lot of information regarding Sandy and resources – even though Sandy was and still is somewhat triggering for me. But if the event will only serve to potentially trigger my followers (most of whom follow me for my PPD work), I don’t RT it. Not because I want them to be in the dark, but because I don’t want to add to something which may already be triggering for them. Instead, I let them know that I am aware of the situation and I’m available to talk if they need. Then I suggest they @ or DM me – because I’m not going to be active on Social Media once an event like today’s blows up my timeline.

If you find yourself triggered today as well, know that there is help. Reach out. Talk to someone. Unplug from Social Media and the Internet if it’s too much. Go do a puzzle. Take a walk. Bake a cake. Coffee with a friend. Playground with your kids. Watch a funny movie or some stand-up comedy. Call your therapist if you have to.

Laugh. Live. Love.

Days like today hurt because they remind us of our mortality and how fragile it is – no one wants to be reminded of that. No one wants to have it shoved in our faces.

Sometimes, as hard as they had it, I think our forefathers had it easier because they didn’t get this sort of thing tearing into their day. Sure they lived shorter lives because they didn’t have access to the medical technology and other technology which extends our lives today but you know what?

I’m willing to bet their lives were happier.

If you are in the U.S. and find yourself triggered by today’s events, please reach out to @distressline on Twitter or call their Hotline (1-800-985-5990) or SMS (text TalkWithUs to 66746) operate 24/7 to be connected with a trained volunteer who can talk you through your feelings & connect you with local resources.