Category Archives: Perinatal Mood Disorders

The Power of the anniversary

"A Floating Red Balloon" by jcarlosn @ flickr.com

Put the past behind you.

Move forward.

Be happy about how far you have come since (fill in the blank).

These are all common phrases people love to shoot off when they know someone is struggling to deal with something which happened in the past. While they are certainly lovely sentiments, the one thing people who give voice to these phrases do not know is that memory is very organic. Sure you can do your best to decide to deal with a tragic event in a positive way but then there are the memories which sneak up on us and scare us to death. The anniversary of the birth of my daughters and the anniversary of my time in a mental ward for Postpartum OCD are a few memories which did just that to me.

I am not alone in this experience.

Many women struggle when reaching their child’s first birthday, their hospitalization date, miscarriage date, or the date on which they lost a child. These are all events that leave more than a glancing blow. The fight to return to the “new normal” is an uphill battle. And once the “new normal” arrives and you’ve unpacked the last box, there’s a looming date trouncing your way ever so cheerfully. Sure you can bob and weave but even the best of us may find ourselves down for the count after a few sucker punches.

A fellow PPD warrior mom, Helen Crawford, shared with me that her 1yr anniversary was very traumatic. She could smell/hear the memories of the year before. “My fingers burned. I talked with my therapist. Surviving severe depression is like surviving extreme trauma. I took the finger burning as a reminder to ‘love myself more’ and say thank you to my body.”

Today my three year old daughter found pictures of herself as an infant. Awwwwww, you say. But these particular pictures included a feeding tube taped ever so gingerly to her less than 24 hour old cheek with cute teddy bear gauze tape. Classic symptoms consumed me – heart in throat, check, rapid shallow breathing, check, rapid pulse, check, dizzy, check. Oh.CRAP. She’s been flashing them here and there for the past week and I’ve been ever so nicely sidestepping the issue. But today, today she wanted to know WHAT that was on her cheek and why it was there. Oh boy. And I thought the hard question with kids was supposed to be “Mommy? Where do Babies come from?” (And for the record, I GOT that one today too from her 5 year old sister – what a day!)

Suddenly, there I was again. Curled up in the hospital bed, crying my heart out, aching, hurting, wanting to go back in time to BEFORE the birth, for someone to warn us about the rabbit hole into which we were about to trip. What.the.hell???

She knows about her cleft palate and knows doctors fixed it. She also knows which belly button came from mommy and which one belongs to the doctors. But we have never discussed the tubes. NEVER. As playfully as I could, I explained to her that because her mouth had a hole in it when she was born, she had to eat with a tube which went in through her mouth and went allllll the way down to her stomach. (I can still hear her laughing because I tickled her as I told her this.) Inside, I was dying. I smelled the NICU. I heard the sounds, the crying, saw the tense faces, the reserved mouths as they asked about worst case scenarios. I thought I was going to pass out when she said she wanted these pictures – the tube pictures – up on her bedroom wall. I softly replied that Mommy would have to think about it.

I thought about it all day. ALL day. Once she got home from her 2 hours of special needs pre-k for her speech, we talked. Honestly and age-appropriately. I told her that when she was born while I was very happy to meet her and get to know her, all of the medical stuff surrounding her birth like the tube feedings and surgeries were very difficult for Mommy to handle. And that it was very hard for Mommy to look at pictures of her with tubes and such attached to her. I promised her we would find some different baby pictures to put up on her wall. I also told her that it was ok she had to use a tube – and I was glad the nurses and doctors knew just what to do to help her grow strong so she could become the amazing silly little girl she is today. She was sad but seemed to take it in stride.

To top things off, 12 years ago today, my maternal grandfather passed away suddenly after experiencing congestive heart failure. Yay for anniversaries, right? (And in 19 days, I’ll be marking the anniversary of my paternal grandfather’s death which left me grandparentless. I was a real ball of joy 12 years ago, I tell you what!)

Grief is a tough thing to handle. 12 years ago I dealt with it in a very physical and raw manner. I remember crying, screaming, and punching my then boyfriend until I would literally black out. Healthy, right?

The thing is to give yourself PERMISSION to mourn/remember/accept whatever it is that your anniversary centers around. Celebrate how far you’ve come since said event. Honor the event but also do something to help propel yourself forward. One of the last things my maternal step grandmother said to me (in what I now know was her I know I’m dying soon so I better get this out while I can speech) was to always be the best that I could be no matter what stood in my way. Those words have stuck by me. And even in failure, I’ve always strived to do every single thing that I possibly could before giving up. It’s part of what got me through my PPD. I knew I was better than PPD. I KNEW I had to turn and fight. And every time I have an opportunity to help another mom through her struggles, I am celebrating my anniversary. I am celebrating no longer being alone. I am paying forward the help I received. I am choosing to walk the line between remembering the past yet striving for the future. I AM HERE to do that. And for that, I am grateful.

Remember to celebrate YOU on your child’s birthday too. It’s not just your child’s birthday – it’s YOUR own personal Mother’s Day. Don’t rush around for the kid without stopping to breathe for yourself too. Sure, Hallmark doesn’t make a card for this but that makes it all the more special, right? You’ve earned it. You’re worth it. And doggonnit, we like you. In addition, the more positives you make out of a negative, the less power it holds over you. Darkness cannot win when bathed in light. Choose to regain those reins as you approach your anniversary – whether it’s childbirth, miscarriage, hospitalization, recovery – it’s ok to cry. But it’s totally awesome to party too.

Happy Holidays bring internet absence

If you read my blog regularly, I’m sure you’ve noticed it’s been almost a month since I’ve posted anything.

Not publishing Thanksgiving weekend was intentional. I went home for the first time in years and thoroughly enjoyed the chaotic visit filled with all the turkey trimmings.

Upon returning home, my laptop died. I did not lose any data so don’t freak out for me. Seems my mouse is taking a line from ‘Twas the Night Before Christmas a bit early. Not a creature is stirring, not even my mouse. You see, it scurries just fine until I click on something. Then it scampers toward one of the four corners (most often the upper right hand one), refusing to come out unless the computer is manually restarted. I suspect an elf has hidden some irresistible Linberger cheese up there.

I have been trying to keep up with my email via my phone but now my mobile email program is refusing to work.

I think I’m being told to take some time off.

On a positive note my home is so clean I’d be ok with a complete stranger visiting. Still have some spaces in need of rescue but the main rooms are mostly spotless. Ever heard the phrase “Show me a clean house and I’ll show you a broken computer.”? I’m living the dream.

I’m throwing in the towel for the time being. We already had plans to purchase a brand new monster of a laptop with all the trimmings after the holidays so now I’m just biding my time. I am blogging right now only because I’ve hijacked my husband’s laptop which he has graciously been leaving at home for me but it’s been a bit like visiting a stranger’s house. I’m not completely comfortable on someone else’s machine. Plus I’ve really been enjoying the kids so most of the time I forget his computer is even here.

In the meantime, please feel free to forage about the site using the archives.

If you’re in need of immediate assistance, please visit Postpartum Support International. You can also pick up the phone and give their warmline a ring at 1.800.944.4PPD. And don’t forget they do have weekly support calls for both men and women. Men’s calls are on Mondays while Women’s calls are on Wednesdays. Details are at the website.

If you are thinking of Suicide, please visit SuicideHotlines.com for a pretty comprehensive list of Suicide Hotlines across the states.

Also, please visit Postpartum Progress for regular PPD posts and some great holiday survival tips.

You can also find online support at the Online PPD Support Page.

So while I won’t be back until after the holidays, I’m leaving you with plenty of support and well wishes. May you have a wonderful holiday and I look forward to jumping back in head first after the first of the year!

Just Talkin’ Tuesday 11.17.09: When did your fog lift?

base photo credit "water droplet with fall reflection" by mahalie @ flickr

All the cliches you hear about not being happy are profoundly true. The grass is a dull shade of green – khaki almost, for me at least. The trees filled with sorrow, the birds didn’t chirp as cheerily, the leaves waved as if mourning, the air filled with the weight of the entire world as the clouds swooped down and swarmed around my mind, fogging my vision of anything in front of me. My grandfather called those infamous fogs “pea souppers.”

I remember the day my Pea Soupper existance finally lifted. It was a bright spring day. The trees stood ready to burst forth brand new leaves still wrapped tightly in buds, rain had rushed through – not drenched us but rather left just enough behind for everything to sparkle a bit. I can still smell the rain of that day if I close my eyes and think long enough. THIS is the day I want to hold close to my heart forever when I think of my PPD.

Sure, I remember the bad stuff. I remember the cold sleep room where I first checked out. I remember all too well the smell of the soap from the NICU. I remember the cold hard plastic and mechanical whirring of my breast pump, the flat pillow at the psych ward. But when I think of my PPD, I want to remember that spring day. The day that not only Mother Nature birthed yet another child of spring but I found myself reborn as a complete person – myself and motherhood all rolled into one – ready to take on the very world which waited at my feet. Had it still been raining I may have pulled over and danced a little jig.

So tell us – when did your fog lift?

Let’s get to just talkin’.

 

National Institute for Health Care Management Foundation – Webinar: Identifying and Treating Maternal Depression

National Institute for Health Care Management Foundation – Webinar: Identifying and Treating Maternal Depression to take place on December 9, 2009 at 1:00pm -2:30pm EST. Registration is free. Please click on the previous link for information and to register for this event.

According to NIHCM’s website,This webinar will explore the prevalence of maternal depression and the current state of screening for perinatal and postpartum depression. It will include a discussion of the recent recommendations from the American College of Obstetricians and Gynecologists (ACOG) and the American Psychiatric Association (APA) for the treatment of women with depression during pregnancy. The role of primary care providers in identifying and managing postpartum depression will also be discussed and a web-based training program to educate providers on screening, diagnosis, treatment and referral for postpartum depression will be shared. Finally, the session will highlight a current health plan program to identify and manage depression during pregnancy and coordinate care following a depression diagnosis to ensure healthy pregnancies and deliveries.”

Please pass this information on to anyone you may know that will benefit from this important webinar. I am planning on attending myself because the information to be discussed sounds absolutely fascinating. I am particularly interested in the discussion of the role of the primary are providers in identifying and managing postpartum depression as so many patients often first seek help from their primary caregivers rather than a specialist.

What a crazy week!

Monday: middle child diagnosed with Bronchitis after an hour wait at pediatrician’s office. Come home, get her on bus, take youngest to get her medicine. Maybe an hour to myself in the middle of the day.

Tuesday: Husband diagnosed with bronchitis at ER after difficulty breathing. (Did not get to sleep until nearly 2am only to wake up at 545 to get daughter on bus in time!)

Wednesday: Recovery

Thursday: Oldest daughter’s cough gets worse.

Friday: Oldest daughter’s cough is much much worse, brought home early from an evening with grandparents.

Saturday: Urgent care with oldest. Diagnosis? Ear Infection and severe allergies.

Sunday: Catching up on the important stuff like email, blogging and trying to bake brownies in the waffle iron.

yeah. It’s been one of THOSE weeks.