Category Archives: postpartum depression

Media Sensationalism, AOL, and Postpartum Mood Disorders

1, 2, 3, 4, 5, 6, 7, 8, 9, 10.

Oh, hey.

You’re here. Excellent.

1,2,3,4,5,6,7,8,9,10.

Why am I counting? You’ll find out in a bit. For now, just go with it.

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In the United States, from October 2008 through October 2009, 4,148,000 live babies were born.

The statistical rate of Postpartum Mood Disorder is up to 20% of all new mothers. And by new, I mean just gave birth, not first time mom. Postpartum Mood Disorder is one of those fabulous non-discriminating kinda things which will walk up to anyone and cold cock them for no reason at all. Regardless of how well prepared said person may be. It’s kinda like getting mugged. Repeatedly.

This means that from October 2008 – October 2009, approximately 829,600 new mothers more than likely struggled with a Postpartum Mood Disorder at some level. This means 2 out of every 10 moms struggled with a Postpartum Mood Disorder (hence, the counting).

There is no data which tells us how many of those 829,600 mothers sought help.

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I have been in the trenches with Postpartum Mood Disorders since 2004. You see, I had a very horrible episode of Postpartum OCD after the birth of my first daughter. After her birth, vicious thoughts swirled about in my head. Visions too. Instead of enjoying my brand new baby’s time here, I was swallowed whole with anxiety, shoved into fight mode to protect her from myself, and left thinking the whole world was out to get me because they knew how much I sucked at this whole motherhood thing.

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For the record? I did the right thing. I called my doctor and made an appointment. I had to take my daughter with me because my husband was unable to get off work. So off we went, into the wild blue yonder where this thing called Help lived. We arrived, waltzed through the front door and signed my name with a flourish because dammit, we were there to do the right thing.

Only my doctor was not there to do the right thing.

He was there to judge me. To inform me that all my hormones had slid magically back into their little slots at 4 weeks postpartum and there was nothing wrong with me.

Whaaaa????

Wait a second.

I JUST handed you a scale. On which I answered YES to having thoughts of harming myself AND my child. And YOU, a trained medical professional, are dismissing this? Did I miss something here? I am no professional but.. uh… um…. really?

THEN… oh then… the icing:

“How important is breastfeeding to you?” he asked, quite seriously as he peered at me from behind his large and imposing wooden desk as my daughter screamed her head off to be nursed beside me.

I should have gotten her out of her car seat and started to nurse right then and there. But I didn’t. Shock slacked my jaw and curled my mouth into a grin. This “professional” clearly did not have the capacity to help me. I smiled my way right out of the appointment and drove home with tears sliding down my face. You see, the Internet had told me just what to do – to go seek help. To make an appointment with my doctor. The Internet had said nothing about what to do when you are shot down by your doctor.

So there I was……driving baby, me, and my shattered heart all the way home. Alone. Isolated. Abandoned. Scared as hell.

Never before in my life had I experienced a hell quite like the one in which I now found myself mired. Never before had I, a perfectly normal person prior to giving birth to my daughter, given any thought to harming another person. NEVER. And the day on which I discovered my pregnancy? There was no way I would have ever thought that less than three months after giving birth I would want to go back in time so I would never get pregnant. I wanted to run, hide, make this new me go away.

In what state did all of this take place?

South.Frigging.Carolina.

Just a couple of hours away from Orangeburg and less than 45 minutes away from where Susan Smith, well, you know.

Let me tell you a bit about rural South Carolina.

There is nothing in rural South Carolina. Small towns there are devoid of much of anything. Residents in these towns are intent on keeping outsiders out and insiders in. We barely made any friends while there. The town in which we lived seemed to have some sort of an addiction problem as most wandered around mindlessly. The poverty level? Wow. We were on the high end of the scale for living because we: Rented a HOUSE instead of a trailer and owned TWO cars instead of one or none at all. The house we rented was tiny. But that didn’t matter. We were considered to be upper class in the town despite the fact that we were just squeaking by on my husband’s salary as a restaurant manager.

In this town, there lived a family everyone knew to avoid. They didn’t have running water so they never bathed which made them reek to high heaven. If you were fortunate enough to be at the local Wal-mart or Bi-Lo when they were, you learned to walk to the other side of the store if you saw them coming.

High School graduates were also hard to come by as well. Many young people had to go to work early to help support the family. They worked at whatever they could find – sometimes driving long distances for good jobs. Even then it was hard to get good work because the jobs in the city were very picky if you lived too far away. Understandable concern but it really does put a crimp on improving your life when you are living in the middle of nowhere and cannot afford a move into the city until you get a better job which of course, you can’t get because you live too far away. It is a very vicious cycle.

Oh, and the Klan had a central PUBLIC meeting location.

And yes, you read that right.

Bottom line here – South Carolina has problems. A lot of problems. Many states do but never before in my life had I witnessed a perfect storm – poverty, ignorance, and a lack of support for its residents.

Since I have left, there has been the development of a Postpartum Coalition there. I’ve been asked to speak at their annual conference in October 2011. I am really looking forward to coming full circle with my experience and helping to educate providers and citizens alike in a state which so desperately needs raised awareness of Postpartum Mood Disorders.

Why did I just walk you through all of that history?

Earlier this week, a mother in South Carolina was arrested for the deaths of her two toddler sons. According to news articles, she was unemployed, frustrated, and had some heated words with her mother the night before the incident. This mother has since confessed to her actions and is now in jail facing court and charges.

For some reason, various members of the media have dragged the idea of this mother having Postpartum Depression into the Speculation surrounding her case. Now, Dr. Arlene Huysman, author of The Postpartum Effect, an excellent book which examines why mothers kill, postulates that Susan Smith and others may struggle with something called Progressive Postpartum Depression.

Here’s how she describes it on page 43 (empasis mine):

“The mother with progressive postpartum depression (PPPD), however, does NOT recover without treatment. She merely experiences a hiatus until her next episode. Subsequent episodes are very often triggered by rejections, separations, and losses, and recur throughout the woman’s life. Usually the next episode is worse than the last. If this pattern goes unchecked, the mother will spiral into a cycle of illness that can destroy her life and her family.

When a mother is in the grip of this disease in its most serious form, she passes beyond reason. In the place of the capable woman is one full of dread, rage, and confusion. She feels unloved and unlovable and loses her ability to distinguish right from wrong. She may hear voices in her head and be listening to them rather than the voices of her family. This is not a symptom of schizophrenia, but rather a reflection of her own obsessive thinking. Death may become a preoccupation. She is in the throes of what feels like an unending despair.”

Yesterday, (Please do not click on the following link if you are still struggling as it may be triggering.) AOL News contributor, David Lohr, published an article about this South Carolina mother at AOL News. In the original version, he included a quote from criminal profiler Pat Brown. Ms. Brown, based out of Washington DC, has been featured in many outlets including CNN, Court TV, and various other sources. Makes perfect sense to get a quote from a criminal profiler for a case involving well, crime.

But David Lohr and AOL news made an egregious error in their publication of the quote by Ms. Brown. AOL news has since removed the quote from the story and appended the story with an editor’s note to this effect. Ms. Brown has gone on the defensive in regards to a very public and viral outburst by many of the women I am proud to blog and tweet with on a daily basis.

The offensive quote:

“Most women who suffer depression after their children are born are suffering from post-how-did-I-get-stuck-with-this-kid, this body, this life? They may be depressed, but it is their situation and their psychopathic personality that brings them to kill their children, and not some chemical malfunction.”

If most women were truly suffering from “post-how-did-I-get-stuck-with-this-kid, this body, this life” then all we would need is a personal trainer or plastic surgeon, a nanny, and a million dollars to effectively change our stars. Oh wait – speaking of stars, don’t celebs have this too? Bryce Dallas Howard had it. Miranda Kerr, Gwyneth Paltrow, Brooke Shields, Marie Osmond, and many others. Granted, they did not kill their children but they still struggled (even severely) with Postpartum Mood Disorders. And they had access to all the help in the world.

Postpartum Mood Disorders do not just strike poor down on their luck moms.

Postpartum Mood Disorders are NOT the only possible explanation for filicide.

Postpartum Mood Disorders may not be definitively caused by a hormonal or “chemical malfunction” but study after study shows there are differing rates of various hormones of women struggling with PMD’s. Researchers have not yet defined what this means yet but I suspect that with sustained research we will get closer to answers each and every day.

The ignorance of Ms. Pat Brown in making such a sweeping statement in regards to an entire population of struggling moms is highly irresponsible. With her reach and popularity as a commentator for several national shows including the Today Show, the CBS Early Show, Larry King, Inside Edition, Nancy Grace, Issues with Jane Velez-Mitchell, Joy Behar, and America’s Most Wanted as well as featured on the Court TV show I, Detective, it frightens me to hear her make such a grandiose and untrue statement. The possibility that a hurting mother somewhere may have read her statement and then dismissed her own issues scares the hell out of me.

We, mothers who have struggled with Postpartum Mood Disorders, have issue enough with gathering strength to make that first call for help. We become convinced we are bad mothers. That we have failed and will never get better. We talk ourselves down even further the rabbit hole into which we tripped after we gave birth to children we love more than life itself.

Moms with Postpartum Depression are NOT:

Bad Mothers

Mourning the loss of our previous supermodel body

Tragically sad because now we have a little person stuck with us

Moms with Postpartum Depression ARE:

Madly in love with their children

Good moms who want to heal

Desperate to find reliable help

I can’t even begin to fathom the damage this statement has made. I have had more mothers tell me they are a bad mom because they are sad. It’s not supposed to be like this. I’m supposed to be happy. I don’t love my son, daughter, husband, etc. What is wrong with me? The confusion, angst, sorrow, frustration, guilt, all adds to their journey with a Postpartum Mood Disorder. Then if they are unable to find the help they need (like me), they are left to their own devices for recovery. Unfortunately, some of us never find the right help and are not surrounded by empowering people who can lift them up and guide them toward recovery.

If you are struggling with a Postpartum Mood Disorder or hurting, sad, upset, and thinking of harming yourself or others, PLEASE reach out for help. If it’s after the birth of a child, you can call Postpartum Support International at 1-800-944-4PPD. Volunteers check the messages on a daily basis (I’m one of them and these ladies are DEDICATED. We will get you in touch with someone in your area who can help you). If you need urgent help, please go to the nearest ER. If you’re feeling suicidal, you can call 1-800-273-TALK anytime of the day, even at 2am on a Sunday.

I remember that sense of isolation. The need to reach out and talk with someone who has been there and done that was overpowering. The desperation I felt in my incapacity to locate professional help. I tried for four days before I broke down to call my doctor. I hung up as soon as the automation came on the line. Have you ever tried to admit to someone that things are NOT okay when you are supposed to be at your happiest, especially according to Johnson & Johnson? It is one of the hardest things in the world to do. Hands down.

Fittingly, Jennifer Lopez’s Let’s Get Loud just came on Pandora as I’m wrapping this up.

I thank everyone out there who got LOUD yesterday to let AOL, Pat Brown, and David Lohr know how wrong they were.

AOL, you need to apologize. The quote should never have been published to begin with.

Pat? I challenge you to read Dr. Huysman’s book, The Postpartum Effect if you have not already. It’s available at Amazon. Hell, I might just mail you a copy. Anyone else want to flood her office with copies? It’s about $15 or so. If that wouldn’t get her attention…..

And David Lohr, the next time you need a quote about something related to Postpartum Depression? Try Postpartum Support International. I believe they know a thing or two about Postpartum Mood Disorders.

Postpartum Voice of the Week: Meds, Placentophagia, and Mamas! Oh My!

To take meds or not to take meds. THAT is the question so many moms with a Perinatal Mood Disorder face with a heavy heart. I hope it is a decision you take seriously, educating yourself about the risks, the benefits, talking with your doctor before changing a dosage level if you do decide to take medicine, and involving your pediatrician as well if you are nursing and decide to take medicine. Pharmacological treatment of a Postpartum Mood Disorder should involve a team of professionals – and the most important person on that team is YOU.

Stacey over at Maternal Ramblings wrote a wonderful post simply entitled “PPD” in which she opens up from a mom’s point of view about a severe case of PPD that led her to take medicine. She didn’t want to take medicine at first as she feared it would control her life. Stacey came to realize that a good day on meds was better than a bad day without. She’s enjoying feeling normal again and looks forward to the day when she won’t need the medicine anymore.

Kate Kripke, a fellow Postpartum Support International Coordinator in Colorado, wrote a great post from a professional standpoint entitled “What if I have PPD and I don’t want to take meds?” It’s well worth the read as she offers some invaluable insight when it comes to alternative or complementary approaches.

Ruta Nonacs, MD, Ph.D over at the Massachusetts General Hospital Center for Women’s Health offers a Quick Review of Non-Pharmacologic OptionsĀ  for the Treatment of Antenatal Depression. Understandably, a pregnant mother may want to avoid meds on a personal level even more so than a postpartum mother. Ruta quickly sums up several options but does caution that all of the studies associated with these methods only reviewed their effectiveness with mild to moderate depression. If you have severe depression, these options may not work for you. Remember, your health and mood is paramount. Depression crosses that placenta too.

Finally, Kate Kripke also offers a great piece on Placentophagia. If you are not quite sure what that is, it’s the ingestion of the placenta after birth. Many mothers have begun to encapsulate this after birth. To read more about a mom who did just that and how she did it, a great post is offered up by Emma Kwasnica, a passionate natural birth advocate in Canada. (There ARE pictures.) If a mom wants to ingest her placenta after birth, I feel she has the right to do so. Where I run into a problem is with the promotion of Placentophagia as a prevention for PPD. As laid out by Pec Indman as part of Kate’s post, much of the research quoted by those who practice Placentophagia is outdated and much of it does not focus on actual placenta ingestion but instead on the depletion of iron after birth. To date, no known human study has been completed which specifically focuses on Maternal Mental Health and the practice of Placentophagia. If you happen to know of one, please share it with me. I, and other PSI Coordinators, would love to read it.

In the end though, we are all on our own paths and so must our journey to wellness reflect our own hearts. I believe whole-heartedly in supporting a mama in whatever decision she may make as long as it is a well-informed decision reflecting her true sense of self and her family philosophy. No mother should ever be judged for her decisions when it comes to her mental health or the well-being of her family.

Survival Tips for having a baby after Postpartum Depression

Once a Mom has experienced Postpartum Depression one of the questions at the forefront of her mind when thinking about another baby is: “Will Postpartum Depression return?”

No one can answer this question. No therapist, no doctor, no friend, not even you.

But the best thing you can do is to prepare for yourself instead of baby. Involve your medical professionals, your family, friends, etc.

Grace over at Arms Wide Open asked me to write a post covering just this topic.

You can read it here.

It’s chock full of great tips and ideas.

Read up!

Just Talkin Tuesday 07.13.10: Surviving a Bad Day

Everyone has bad days. But when you’re depressed, a whole bunch of bad days get strung together. Then you start to heal. And then WHAM. A bad day pops up out of nowhere. It’s not quite relapse but it sucks nonetheless. Even those of us who are recovered still have sucky days. We may be recovered but we are far from perfect. Far far far from perfect.

I know typically this is a longer post but frankly, it’s been a rough day here and I’m about to fall asleep. I spent the better part of the morning at the pediatrician and lab with my 6 year old daughter. We’re now waiting to see if she develops a rash to determine a diagnosis. I’m praying the rash doesn’t show up and the symptoms are just an unlucky combination. Somehow I’ve managed to hold it together and I totally credit the hell I went through with Postpartum Depression for allowing me to make it through this day intact. Exhausted, but intact.

I looked forward to sitting down on the couch and just vegging out tonight, listening to some music, and hanging with the ladies over at #PPDChat on Twitter. I needed it tonight.

What are some things you do to help yourself get through a tough day? Have you learned your triggers yet? Are you able to cut it off before it gets going? (If you’re not, that’s okay – everyone is at different stages of recovery!) What gets you to calm down?

Let’s get to just talking ladies!