Category Archives: Perinatal Mood Disorders

Thoughts on Miriam in DC

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On October 3, 2013, Miriam Carey tragically lost her life Washington, DC. She was supposed to be in Connecticut, taking her daughter to a doctor’s appointment according to the myriad of articles I have read this morning.

They all seem to have the similar tone to them, these articles. That a woman tragically lost her life because she had Postpartum Depression.

Yet, medication recovered at her Stamford, CT, apartment would indicate that what was going on with Miriam went much deeper than Postpartum Depression.

A woman with Postpartum Depression does not simply break with reality and drive hundreds of miles out of her way to drive into barriers, lead police on a chase, and somehow end up dead, all with her infant daughter in the back seat.

The behaviour of Miriam Carey lends itself to the behaviour of a mother struggling with Postpartum Psychosis, the facts of which can be found at this page on Postpartum Support International’s site. According to this page, symptoms of Postpartum Psychosis can include:

  • Delusions or strange beliefs
  • Hallucinations (seeing or hearing things that aren’t there)
  • Feeling very irritated
  • Hyperactivity
  • Decreased need for or inability to sleep
  • Paranoia and suspiciousness
  • Rapid mood swings
  • Difficulty communicating at times

There are a number of symptoms on that list I have seen discussed this morning. Some of them match up with PPP.

The other things I have seen discussed this morning are heartbreaking. Folks judging Miriam for her actions. Saying she’s a monster. Wondering how she could possibly have driven her vehicle into the barriers and toward a hail of police bullets with her daughter in the back seat.

I have also seen some honest discussion about what it means to struggle with a mood disorder after the birth of a child and how it hurts whenever something like this happens. I feel as if I have been punched in the gut, to be honest. I want to fall to my knees and weep for what happened to Miriam. But instead, I am writing and I am reaching out to those in the community I founded to support women and families struggling with mood disorders after the birth of a child.

Why?

Because this kind of support, on a human level, helps quell the storm. It lets others know they are not alone and there is hope. We help each other find the way in the dark, particularly when a storm like this tragedy looms on our shores. You see, at one time or another, we have all been Miriam. We have had those thoughts, the scary ones about driving our cars into solid objects, about letting go, about just giving up and moving on toward that great white light. Some of us have almost touched that white light. WE KNOW the darkness which drove Miriam to Washington, D.C. intimately. We have sat with it on our shoulders, in our hearts, and felt it try to gain control of our heads. We, however, are the lucky ones because we are still here, fighting.

When the women of the Postpartum Support Community band together, it is a beautiful thing. We are some of the strongest women in the world and we refuse to stand down. In the spirit of standing strong, I will be participating in a Blog Carnival “For Miriam” on World Mental Health Day on October 10th. If you would like to join us, you can find more information here on the FB page.

For now, know that you are not alone, it is absolutely okay to reach out for help, and you are loved.

If you or a loved one are currently struggling with a Perinatal Mood & Anxiety Disorder, reach out to Postpartum Support International at their website or find me on Twitter @unxpctdblessing. There is also 24/7 support available via the hashtag #PPDChat and we have a closed FB group as well. You are never alone.

Why Stigma is Not Like a Band-Aid

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Stigma sucks.

So does Stigmata but that’s a whole ‘nother topic.

Thing is, band-aids would do a better job of healing stigmata, as horrific as it is, than it they would to heal the misconceptions about mental illness.

For centuries, people have developed their own fears and prejudices in regards to those of us who struggle with mental illness.

We’re scary.

We’re violent.

We’re stupid.

We can’t function.

We should be locked away.

We are to be feared.

We are to be hidden.

We are to be whispered about.

We are not to be talked about at all.

We are to hide our illness the best we can.

We are an embarrassment to our families.

We can’t have friends.

We can’t have children.

We can make our illness go away.

We choose to be crazy, nuts, insane, loco.

We use mental illness as an excuse to not contribute to society.

We are lazy.

Meet stigma.

Stigma is a heavy blanket which covers all of us who struggle with mental illness. Not only do we fight against whatever illness it is we are diagnosed with, but we fight the blanket too. It’s a thick and heavy blanket society has flung over us to hide us as we try to function within their world. It’s hiding us. Just as a band-aid hides a wound.

Band-aids don’t always heal wounds. Sometimes a wound needs to breathe, to gulp in fresh air, scab over, and continue to grow new skin in order to heal. Fresh air is the equivalent of open conversation of mental illness not laced with stigma. Until we, as a society, are able to sit down at a table together to discuss mental illness without resorting to judging or stigmatizing those who struggle with it, we will never heal.

Stigma is not something which can be pulled off quickly like a band-aid either.

It requires a slow removal because stigma is a wound which has been festering for eons. Lots of tender care is required in order to aid in the wound reaching fresh air. Several layers need to be removed, slowly and carefully. Bold conversations, intense honesty, patience, compassion, and a dedicated desire to convey the truth about mental health are requirements.

It is possible to peel back the layers and allow the wounds to heal. Start with one person and you might be surprised where your ripple of truth ends up. But if you never start that conversation? Stigma will continue to thrive. Don’t hesitate to do something because you believe just one voice doesn’t make a difference. Because your voice, no matter how small, matters.

What Is Recovery?

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In glancing through search terms which people have searched to find my blog, questions about Postpartum OCD are the most common.

The biggest question, and the one I dread the most asks, “Do intrusive thoughts go away?”

My heart breaks when I am asked if the thoughts go away because I know where they are – how they’re feeling. How FRUSTRATING it is to want to be with your child and not have any intrusive thoughts flit through your head as they snuggle close to you and  drink in that sweet angelic baby smell in the dusk of the evening.

I know it goes away.

I know it fades.

What stays, and what is difficult for those of us who have OCD to differentiate, are typical parental fears – the nagging fear that something might happen to your child when you’re not watching. THAT stays forever. It’s not intrusive, it’s a normal heightened awareness which comes with parenting. When you have survived OCD, however, it is extremely difficult to keep these normal heightened awareness type thoughts from spiraling into intrusive thoughts. We constantly battle to keep them from growing into giant monsters.

Recovery, at least for me, is not a cut-off date. It’s a constant involvement in awareness of my feelings, reactions, and coping methods in regard to the ever changing world around me. It’s ensuring that in addition to my daily requirements, I’m taking care of myself as well. Recovery is not a discharge notice from a hospital, nor is it the last pill swallowed at the end of a prescription. It’s not the final therapist visit nor is it uttering the words, “I’m okay.”

This is how the dictionary defines recovery:

Recovery Definition

What is recovery in the living world?

Recovery is life.

It’s living and moving forward with a tenacity learned in the depths of hell, a grip on enjoying all the little things and a determination to not go back. It’s knowing that even if I do go back, I have a road map to lead me back out again.

Recovery is self-care, self-compassion, and self-respect.

It is knowing that it is okay to not be okay sometimes. Recovery is celebrating both the ups and the downs. It’s getting to know yourself SO well that you recognize the difference between yourself and depression/mental illness. Recovery is knowing exactly what to do when the ugly beast stirs to keep it from waking completely. It is about arming yourself with a cadre of weapons guaranteed to slay the succubus.

Recovery is acceptance.

It’s being okay with the tough days and providing a soft place to land when they happen. It’s having a support system in place for the bleak days, one that will also be there for the good days. It’s understanding that sometimes, you’re gonna feel angry about your mental health and that’s okay. It’s learning the range of healthy and unhealthy emotions and knowing when to reach out for help.

Recovery is being imperfectly perfectly you.

According to Alexander Pope, “To err is human.” Perfection is a fallacy (so is control). It is an impossibility we set up in our minds, a standard most of us will not reach. Do the best you can with what you have. There’s a special kind of joy (and peace) to be found when you let go of any expectations you, life, or anyone else may have forced upon you. When you are truly yourself, you shine.

Recovery is personal.

We cannot compare our journey to that of others. There are similarities, sure, but we each carry our own luggage and travel our own road. Our stories are as different as we are from each other. Knowing someone else has traveled a similar road helps. But it is absolutely important to remember that just because someone was at point X by a certain point on their Y timeline does not mean you will also be at point X at the same time. There are SO many variables to every story. It is impossible to compare so stop doing just that.

Recovery is…..

Your turn. What is recovery to you? Share below.

On Loving Motherhood

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One of the phrases I hear a lot from parents who struggle with mental health issues after the birth of a child is that they didn’t feel an instant bond with their child. Or that they did but it was to the nth degree and they obsessed over every little thing that happened to their child, to the point of it interfering with day to day living. Instead of being the parent society leads us to believe every parent should be, they were either detached or over-attached. It’s the Goldilocks syndrome with none of us feeling that “just-right” level of attachment.

One of the most difficult aspects of experiencing a mental health issue after the birth of a child is that in addition to healing ourselves, we must develop a bond with a new person we hardly know and cannot communicate with in the normal manner because they are not yet capable of deep thought and expressive language.

Imagine that you’ve just met an amazing person. You want to get to know them, to give them all you have inside you, but you can’t. You don’t have the energy. So you worry about the effect this will have on the relationship -if they’ll end up hating you because you can’t quite reach out the way they need you too. You wonder how much emphasis they’ll put on the lack of affection from your end. Somehow, though, you manage to muddle through and they miraculously stay. They love you simply because you’re you, something you struggle to comprehend. Then you feel guilty because you haven’t put as much into it as they have (or perceive that you haven’t) and so you overcompensate, which fills you with intense guilt as the days go by. So you read books about what you should be doing. After awhile, it becomes habit but somewhere, deep inside, you always wonder if you’ve done enough. Or if they’ll bring it back up some day when you falter the least bit.

Or you remain detached, thinking that it’s just not worth the work, the stress, the anxiety. Things are the way they are for a reason, right? Why bother? They’ll either stay or go. The choice is theirs in the end.

Parenting can be hell.

It’s the toughest job on the planet, and no matter how much preparation we put into it while expecting a new little one, we’re all thrust into it, suddenly. It’s on-the-job training. When you add a mental health issue, it’s like on-the-job training at the Hoover Dam on a day when it’s sprung a leak. SO much is flung at you.

Every little thing means more than it should.

Bed seems really lovely.

Giving up seems like a fantastic idea.

Walking away – sheer brilliance.

In the past, I envied parents who seem to know exactly what they’re doing or really enjoy their kids. As a survivor of multiple PMAD episodes and issues and a relative introvert, it’s extremely difficult for me to relate to others who want to spend every waking minute with their children. It’s not that I don’t love my kids, I absolutely do. But for me, parenting is traumatic. My start was more of a train wreck with a hurricane thrown in for good measure. I fight for every second of what appears to be “normal” parenting.

What I forget in my battle to be “normal” is that no one is normal. We are all fighting our own battles, they are just a bit different from the battles of those around us. As I have moved toward healing, parenting has become more like breathing for me. Sometimes I still have to fight for breath but most of the time due to the necessity of mindfulness in my own survival, parenting has become easier as the years have gone by. The wounds have healed enough to not feel as if they are torn off with every single negative instance.

To those who are still in the trenches and still fighting for breath as they fight to parent their children and remain sane, (with or without a PMAD), my hat tips to you. To those fighting through a PMAD specifically as you parent your new one (and possibly even older children), I know how it feels to be where you are and I want to tell you that it won’t always be this way.

One day, things will just work. There will always be potholes and bumps as you navigate the road, but if you take the time to just breathe, ask yourself if what you’re about to explode over is really worth it, and then address the issue at hand (or not, depending on the answer to the second step), things will improve. Take time for yourself. See your child as just that – a child – take the time to see the world through their eyes, marvel at the little things right along with them, and let the world hold you close instead of crawling away into a cave. Baby steps.

You may remember all your faults but your baby will not. All your baby needs is you. They are not mini-adults, judging you for not knowing what to do. They aren’t the ones behind the myriad of research which blames parents for all that is wrong with adults. Let it go. We are our own worst critics. If we take the time to just be as humans instead of critiquing every single choice life flows so much better.

Stop judging.

Stop worrying.

Just be. Drink in life, drink in your child. Drink in the sunshine and the joy when you can. Store it up for the days short on both.

You can do this. Even Goldilocks found the right one eventually, didn’t she?

Your just right is out there, I promise. It’s just a bitch to find in the fog.

You are not alone, you will be okay, and your baby will be okay too.

In the interest of all honesty, recovery is not as easy as sitting out in the sunshine and drinking in life. For many, it takes a multitude of visits to a therapist, maybe a few medication changes, and a hell of an effort to reach the point where you CAN sit in the sun and drink in life. It certainly took all of that for me, and more. But the fight is worth it in the end and that fight will make the sunshine even brighter once you’ve evicted the fog.

If you find yourself struggling with a Perinatal Mood & Anxiety Disorder, you can find hope and help through Postpartum Support International or over at Postpartum Progress. If you are feeling down and struggling with suicidal thoughts, reach out to Lifeline, the National Suicide Hotline here in the United States.

The Challenge of Moderating A Mental Health Peer Support Community

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The world of advocating and supporting those fighting the hard fight against Perinatal Mood & Anxiety Disorders holds within it a myriad of challenges. Moderating a community requires a lot – patience, compassion, understanding, and knowing when to properly apply tough love. The last one gets me every time -it is definitely a challenge and very heart-breaking to apply tough love to a struggling mama- but it is sometimes the only option left.

Within the #PPDChat community, some moms may end up being friends, others may just need me for a short period of time on their journey. I have to be okay with either, learning to let go as the moms who contact me move in a very fluid way in and out of my world.

My primary goal, however, is to keep everyone within the community safe above all else. To ensure that they feel respected, empowered, validated, and treated with all the dignity each of us deserves as humans and as adults, something all of us deserve. When someone within the community fails to meet this goal or feels these goals are not being met, I take action.

When there is a threat/disrespect for the community, a member requires more help than I or other members can provide, or threatens the safety of those close to them, I reach out for additional support. Dealing with threats to themselves or to the safety of the group is not a pleasant situation but it is something which is bound to crop up every so often. I must be prepared to provide solace for all involved – the community at large and the struggling member, without divulging too much information regarding either. Even though I am not legally bound by the classic “client/therapist” privilege rule, I hold myself to it unless threats are made. Even then, I only release information to the necessary parties.

Moderating #PPDChat has taught me a few lessons about dealing with people in general:

1) Be kind, for everyone you meet is fighting a hard battle. This one is tough because sometimes, when I would like to be angry at someone, I see their pain. I see the suffering which is causing their anger. I have learned when to dive in and hold a conversation but at the same time I have also learned when to walk away and let them fight their own battles with their dark storms. Sometimes, and this is perhaps the toughest lesson of all, people need to fight the storm on their own and we have to walk away because they are simply not prepared to let others put on their battle armor with them. I have found that if I need to do this, the best way to do so is to leave the door open as I walk out, in case they are ready to have an army by their side.

2) Be kind to yourself, for the battles you face may be harder than you think they are and it’s okay to not be okay. We all do it, tell ourselves that what we’re going through isn’t as hellacious as it should be – a lie. It’s okay to fight, it’s okay to hurt, and it’s okay to be kind to yourself. I say this often: Self-care is not selfish, it’s selfless. There is a fine line between self-care and selfish, however – it’s importance to balance taking care of your responsibilities with taking care of yourself. In the same vein, it’s okay to say no to extras. Things which are responsibilities take priority over things which are “supplemental” to life. To figure out the difference, make a list and ask yourself if life will go on if you skip something. Meal prep is a responsibility. Gotta eat. Making a ton of cookies for the church social? Yeah, saying yes might put you in the good graces but if it’s at the sacrifice of your sanity, it might not be worth it. Instead, choose to spend that time with your family or with yourself.

3) Everyone won’t be happy with the rules…or with what other people in the group have to say about certain topics. We all come to motherhood with different expectations and beliefs about how things should go. We all walk different paths and need to find the right path for us – in the process, remember that the right path for US may not be the right path for those around us. Judging the choices of others is something I DO NOT tolerate in the #PPDChat community because we are already judging ourselves as women, as mothers, and as mothers fighting a mental health battle. The LAST thing we need to add to that full plate is our support community judging us too. When personal attacks happen, tough love knocks down the door dressed up as a Mama Bear.

4) Treating others with dignity goes a long way. We’re dealing with other adults here, not with children. I don’t even see Teen Moms as children. They are mothers now, with very real adult responsibilities. To treat them, or any new mother, as anything less than an adult with responsibilities, is to disrespect them. You’re not helping if you’re constantly holding someone’s hand and telling them what they can or cannot do. It’s not empowering to talk down to them. Mental health struggles do NOT equal incapable. I was an adult prior to my postpartum issues and I was still an adult when I was fighting the beast. I treat others with the same respect and dignity with which I would want to be treated in the midst of my own storm. I believe it lends to confirming to the woman/family seeking help that they ARE still human, they DO matter, and it provides a sense of normalcy, if you will. It’s possible to acknowledge struggles without demeaning or patronizing the person experiencing them.

5) Authenticity is important. Sharing parts of yourself as a peer moderator builds trust. It shows your community that you are indeed human and understand their pain. Particularly online, it is important to not just be a robot spouting self-care-isms, if you will. Mean what you say and say what you mean. My community is perfectly aware of my rather unhealthy obsessions with bacon, football, F1, Star Wars, and a myriad of other things. Why? It humanizes me and therefore humanizes the community as we are able to bond with each other over a myriad of topics. It allows us to talk about things beyond our “labels.”

6) Know when to be light-hearted and when to be serious. There is a fine line between these two approaches, particularly when dealing with mental health issues. Cross the light-hearted line a bit too much and you may end up in the stigma/discrimination zone. That’s never a good thing. We joke a bit more about it in closed group but I am always, always careful about how I phrase things because I absolutely do not put up with any form of discrimination within the community. I see everyone one equal footing – as people fighting like hell to just be themselves, whatever that may be now. We need laughter but we also need respect and tough love. Toeing the line requires finesse, something I work diligently at achieving.

I’m sure there are more lessons I have learned whilst moderating the #PPDChat Community but the six above are perhaps the most important ones.

It is my utmost desire that everyone who reaches out to #PPDChat for support find a community which respects them as a whole person, respects their individual choices regarding child-bearing and child-rearing, and empowers them as they fight with all their might on their journey toward being well once again.

I know people feel that way because I hear it every so often from those who have participated. In fact, just the other day @jenrenpody shared this with me:

“I turned to ppdchat because I felt safe, validated and heard. I needed that validation and support. I found so much more – community and friendships.”

#PPDChat works to do exactly what Jen states and it always will. If for some reason, you have a different experience, let me know and I will do my best to address the issue. You are absolutely not alone, you will be heard, and you are safe. Always.

What would be most important to you in a peer-based community support group and why? Has #PPDChat helped you feel empowered to fight your battle against Perinatal Mood & Anxiety Disorders? Join in the discussion by sharing below!