Category Archives: postpartum depression

This week’s Postpartum Voice: Miranda of Not Super Just Mom

Miranda of Not Super Just Mom, is sharing as this week’s Postpartum Voice. She’s been hosting guest bloggers on the topic of  PPD/PPA over at her place this week as part of Mental Health Month and the D-Listed Blog Hop. Miranda and I met via #PPDChat at Twitter (I’ve been meeting SO many new moms there lately!) and I’ve really enjoyed getting to know her.

Miranda’s story starts out with disappointment after delivery didn’t quite go the way she had planned. I’ll let her tell her story in her voice now….

Ask anyone who knows me and they will tell you one thing. I am an over-achiever. I expect my best from myself in all things. I do not settle. I never have. Slowly, however, I’m learning to accept that sometimes my “best” has to be “good enough.”

I began battling depression in late high school. I fought with anxiety and depression off and on for years.  Once I got to college, I had pressure to keep my scholarships, to not disappoint my parents, to make sure I paid my mortgage and car payments and insurance and utility bills on time. To maintain a social life and find the person with whom I was going to spend the rest of my life.

I finally got help during my junior year of college when I broke down and realized I couldn’t continue to live the way I’d been living. What I was facing was something bigger than me. The clinicians and psychiatrist who helped me were amazing and I owe them a debt of gratitude for teaching me how to “deal.” While I was in treatment, I met a wonderful guy, got married, and set out to suburbia. Eventually, we decided to expand our family.

I knew I was meant to be a mother.  I knew that I would be good at this.  It was my destiny.  How could I not be a natural?

So imagine my shock when, two days after having my beautiful plans of a natural, vaginal, med-free delivery shot down due to “failure to progress,” I found myself crying into my meatloaf.  Apparently, someone having an “inappropriate response to meatloaf” has become code-language in my doctor’s office for “watch out for this one.  She’s on the fast-track to medication.” Or something like that.  But see, that wasn’t normal.  And I didn’t know it.

And when I wrote that post, the anger over my C-section was definitely present.  I was angry.  I am angry.  Even now, 14 months later.

And that’s how my PPD/PPA started.  With anger.  And bitterness.  And resentment.

And then the anger and bitterness and resentment turned into sadness over how things didn’t go the way I planned.

And then I heard the words “you’ll have to supplement” at my son’s first newborn visit after being discharged and that’s where the no-no “F” word started creeping in.

FAILURE.

I had only been a mom for five days and already I was a failure.  I’d failed to get him here the way I’d envisioned.  I’d failed to keep him from losing 10% of his birth weight because my stress and anxiety over the surgery (and the pain! Sweet baby Jesus in a manger the pain) kept my milk from coming in.

And I just KNEW that supplementing would be doom for breastfeeding for us.

And then I’d be failing at yet ANOTHER thing and I was BARELY EVEN A MOTHER YET AND HOW CAN I ALREADY BE SO BAD AT THIS?!?!?

When my one-week postpartum check-up came around, Peggy-the-PA and Dan and I discussed my “inappropriate response to meatloaf” in the hospital while Joshua, ever the little stinker he is, slept peacefully in his carseat.  A carseat that he HATED for the first four months of his life (which effectively trapped me in the house because the sound of him screaming would send me into what I now think were mild panic attacks…WHILE DRIVING).

While we were at that visit, Peggy wrote me a prescription for an anti-depressant.  She thought it’d be a good idea for me to go ahead and start taking them.

But I didn’t.  Because I wanted to believe that I was stronger than that.  I wanted to believe that this was just the “Baby Blues” and that they’d go away and I’d realize that I was a natural at this.  That I was a PERFECT mother.

But I wasn’t.  I’m still not.  And the “Baby Blues” didn’t just evaporate.

It didn’t help that a mere seven days after giving birth, I was flying solo with this tiny bundle of lungs and poop.  I couldn’t drive because it still hurt to sneeze, so I still needed to take pain medication. But I couldn’t take pain medication and be home all day with the baby because what if he needed me and the medication made me drowsy and I was sent a baby who wouldn’t sleep so there was no “sleep when baby is sleeping” in this house for at least three weeks.

I resented my husband.  I resented the fact that he got to leave every day and go to work.  He got to get out.  He got to see people.  If I tried to leave, even to go to Target, I’d have the baby screaming his tiny baby lungs out the whole way there.  The whole time we walked around the store.  The whole time we drove home.  It just wasn’t worth it.  So I didn’t leave.  And when Dan left for work, I’d cry.

And because I was so mired up in my own grief, I didn’t feel connected to my son.  I’d read blogs written by women who would gush and gush about how when they saw their baby it was love at first sight and they knew instinctively what to do and what their baby needed and part of me screamed “THAT IS BULLSHIT” and then part of me cried.

Because that’s what I wanted.  I wanted that instant bond.  That connection.  That look from my baby that said “You are my mommy and I know this because I have heard your heart for 40 weeks and 5 days and it is the greatest sound in the world and I love you, Mommy.  And I promise to sleep all night long and save all the poop-splosions for Daddy.”

And I didn’t get that.  Even close to a year out, I still didn’t feel that.  Even now, there are times where I look at my son and go “WHAT PLANET ARE YOU FROM!?!?” because he and I just don’t seem to understand each other very well.

The times that I felt most at peace were the times when my mother came down to spend the day with me.  She’d get here early in the morning and do a load of laundry or dishes or sweep my floor.  And then?  Then she’d hold Joshua while I napped in the bed.  It was glorious.  But it was brief.  My reprieves from the resentment were short-lived.  I knew she’d leave soon, so when it would be time for her to leave, I’d get all anxious in the pit of my stomach and I’d feel the lump forming in my throat.  And then she’d walk out the door and I’d be choking back tears and trying to hold it together.

And in the midst of all of this, Joshua was diagnosed with reflux and a milk protein allergy.  Which meant mixing up little packets of Zegerid twice a day and me cutting out all yummy dairy goodness for as long as I planned to breastfeed.  Me and Oreos became BFFs because they are totally, completely dairy free.  And some days, I’d eat Oreos.  All day long.  That’s almost all I’d have to eat.  Maybe I’d sneak in a graham cracker and some peanut butter.  But I didn’t have much of an appetite, despite the fact that I was a dairy-free dairy cow.

(I think the fact that we finally got breastfeeding worked out is the only thing that helped me keep it together.  It’s the only thing I knew I didn’t totally suck at, even though it had its own set of drawbacks…like growth spurts, and nursing every hour, on the hour, all.night.long. AND GIVING UP CHEESE AND COFFEE CREAMER.)

At my six week postpartum visit, I finally admitted to Peggy, and my husband, and my mom, and myself, that I needed to fill the prescription she’d written me six weeks earlier.  I knew that this was not something I could do alone.  So, I drove to the pharmacy, filled the prescription, and started taking them that night.

And I didn’t feel instantly better.  I still have days where I don’t feel better.  I have days where I just want to cry.  Or where it physically hurts to move my body because I’m just so weighed down with my thoughts.  And there are times when Joshua screams (um..hello…he’s a Tiny Terrorist.  That’s pretty much all he does is scream) and I feel my heart start to beat faster and I kind of lose my train of thought and I become robotic.  GET.DIAPER.ON.NOW.PICK.UP.BABY.NOW. And I just sort of “do” it.

One of the things I’ve come to realize through my battle with PPD/PPA is that I have to take every day as it comes.  I’ve also had to abandon the quest for “perfection.”  Nothing is perfect.  Especially not me.  Which is the purpose behind this blog.  I’m not perfect.  I’m never going to BE perfect.

I’ll have perfect moments, and moments where I go “Hey, I don’t suck at this!” but I’m not going to have those moments all the time.  The “perfect” world of mommyhood that I envisioned for myself prior to actually being a mom doesn’t exist.

And slowly…slowly, I’m becoming more and more okay with the lack of perfection in my life.  And I’m finding something kind of perfect in the imperfection.  I’m finding me.

Miranda can be found at Not Super…Just Mom. She’d like everyone to know that she is not, in fact, a Supermom. But with a cape and a tiara she could probably save the world.

Speaking up for depressed Dads

So unless you’ve been hiking the Himalayas this past week, you’re aware that a study about dads with prenatal and postnatal depression and it’s correlation to maternal depression was released. Published today, actually in JAMA.

Twitter’s been aflitter with this study. Tons of media outlets are jumping on the story. Almost every Google Alert I’ve received this week has had a ton of links for variation after variation on this new study involving dads and depression.

And then…

And then.

I got an email this morning. It included several tweets doubting the possibility of men having depression. I wanted to cry.

People on Twitter were saying awful, awful, awful things. Did I mention the awful things? AWFUL.

Here are a few of the ones I’m comfortable with posting. Even though they make me cringe. And want to grab every single Tweeter and have a little Homer Simpson/Bart Simpson moment with them.

“Post Partum Depression for dad’s? Really? Already a name for that. Called “Llife got tougher. Deal.” Judges also would accept, “Parenthood.”

“CNN: “Dads get post-partum depression too.” Oh, come on. It’s called sleep- and sex-deprivation.”

“I’m sorry. I just cant see a man suffering from postpartum depression. No one is cutting his man hole & sewing it up to bring out a baby”

“A man suffering from postpartum depression is a girly man.”

“Lol @ “postpartum depression can strike new dads”. Yeah, no. Until they have to have an episiotomy…no”

Wow.

Mmmmmmk.

Let’s see here.

You want to know WHY it’s so important that we know this about men and depression after they become expectant or new fathers? Because men, when depressed are:

Less likely to seek help

More likely to complete suicide

More likely to take their depression/rage out on their families

Depressed men will exhibit the same symptoms as women to a certain extent but there are some differences. Men may begin to abuse alcohol or other substances, dive into work, put up a wall with friends and make up excuses to avoid his family.

I’ve lived with a depressed dad. I’ve suffered the consequences of a depressed dad’s attempts at self-medicating his moods away. It is not pretty people, it is not pretty. It hurts. It opens long-healed wounds if left untreated. Turns things upside down and inside out. Depression destroys lives. It rips out hearts, infects every aspect of your life. It’s not much different than cancer in that sense… left to it’s own it runs rampant and has the potential to kill you. Depression is DEADLY. The only difference between cancer and Depression is that Depression can kill others even if they’re not infected. Doesn’t that make Depression more deadly and dangerous? I certainly think so.

Owning up to a depression bigger than you, a monster that’s been hard at work destroying your life takes a helluva lot of courage. It takes guts to step out from behind the facade of normalcy to admit things are not okay. It takes a helluva lot of guts to completely break down and cry in front of other people. It takes courage to then get up the next morning and the next and the next with the goal of rebuilding yourself. It takes a REAL MAN to own up to depression and seek help.

I applaud the Dads who are owning up to being depressed during their partner’s pregnancies and as they navigate life as a new father. Thank you, Joel Schwartzburg. Thank you Dr. Will Courtenay for providing a safe place for Dads to come to and find help.

Thank you.

Men often hide their depression during the pregnancy of their partner or after the child’s birth because they feel they’re expected to be strong. Even though I begged my husband to tell me he was struggling too after the birth of our second daughter, he repeatedly told me he was fine. All I wanted to hear was that I wasn’t alone. Instead he kept it inside as he began to abuse marijuana on top of the anti-depressants he had been prescribed. In fact, I just discovered last night that he didn’t even want to hold her while she was in the NICU. Our daughter is now four years old.

Depression can happen to anyone, at anytime, with no warning of onset.

If any of the above people were to ever experience a mental illness, I would hope they would not encounter comments like the ones they just made. Instead, I would hope they would find compassion, knowledgeable resources, and be able to surround themselves with people able to empower them as they journey toward recovery.

No one deserves to be kicked when they’re down. No one deserves to be doubted when they dare to speak up. No one deserves such harsh words.

Would you tell a male cancer patient they’re a girly man for getting breast cancer? Cuz men have breasts too and yes, they get breast cancer.

Would you tell a man to tough out a heart attack? To man up and fight the pain? Skip the nitro and the aspirin – you’ll be fine. It’s just tough right now.

Would you tell a man who just broke his leg that he’s not justified in complaining just because his break isn’t the worst break on the planet?

Nobody would dare say those things to such patients.

Then pray tell, why, why do you feel comfortable saying them about mental health patients? Please tell me because I truly do not understand.

And to the ladies who commented about surgery and birth – there are plenty of women who have given birth naturally or vaginally without episiotomies and gone on to experience postpartum depression.  But I suppose that’s not allowed either because clearly surgery and episiotomies are pre-requisites for depression after childbirth.

I leave you with something my parents raised me to believe.

If you can’t say something nice……

Just Talkin’ Tuesday 05.18.10: How did you first share your Postpartum Mood Disorder story?

Today is a mash-up of posts.

It’s the APA’s Mental Health Blog Party day and my weekly installment of Just Talkin’ Tuesday. (If you’re interested in reading other entries for today’s Blog Party, the APA is rounding them up here.)

Today, the APA is asking all mental health (and not) bloggers to raise our voices in order to shatter the stigma which surrounds mental illness and disorders. In that spirit, I had to give quite a bit of thought to the topic for today’s Just Talkin’ Tuesday post. It had to be a topic we had not covered recently as well as one that fit the blog party spirit. And wouldn’t ya know it, inspiration strikes right as I am seriously craving some time with my bed. This topic has been meandering about upstairs for a few days but decided to wait until the last second to make a mad dash for the door, er, keyboard. So here I sit, at 1215am EST, words pouring onto my blog. I make no promises as to the length of this ramble. Proceed at your own caution and time restraints.

It started with a simple phrase uttered to me while at psych ward on a suicidal/harm to others hold during my second postpartum experience.

“You don’t have to tell anyone where you were this weekend.”

Why?

Why would I want to keep this experience a secret? What reason would I have for not wanting to share my struggle?

My mother raised me to keep the communication lines open no matter how deep the trauma. And my father taught me to always, ALWAYS think before I spoke. So you see, I strive to keep a balance between the two. Sometimes this means holding my tongue or my thoughts for a bit longer than I should and missing out on opportunities to speak up. But then I figure maybe it is for the best I didn’t say anything in the first place.

"Raffles Resort Beach"by fpugirl @flick

More than anything though, I believe strongly in both values. And these values are what caused me to question why on earth the nurse told me I didn’t have to tell anyone about my visit to the psychiatric wing. And what pray tell, would I have told them? That I had won a trip to the Carribean? Been waited on hand and foot? Slept the weekend away on pillows flatter than ironed Martha Stewart Linens? C’mon, people!

From the very beginning of my downfall, I was vocal about my experience. I asked questions. I sought answers. I wanted to talk to other mothers. I needed, desperately, to know that I was not alone in this new pitch black rough and tumble sea.

There was something I clung to as a lifesaver in the midst of my temporary insanity. And I don’t think I have ever properly thanked him for saying it to me right when I needed to hear these words the most.

“You are reacting no differently than anyone else in your shoes would be. Don’t let them tell you any different!”

My father spoke those words to me during a phone call from the hospital. I clung to that phone like a lifeline. My father’s words echo through my mind every so often but back then, when I needed to hear them most, they were a shiny buoy of hope in my dark dark sea. I never let go. Thank you Dad, thank you for knowing just what to say right when I needed to hear it. I am sorry if I have not thanked you before now but THANK YOU. From the very depth of my very healed heart.

If I could be on the phone, by golly, I was on the phone. Talking. Sharing. Being HONEST about where I was and how I had gotten there. And every last person on the other end accepted me, loved me, did not judge me. I know how fortunate I am to have that kind of support. Believe me, I am above and beyond grateful for the support which exists in my world. There are others who exist and fight with no support, no place to turn, alone in their dark sea upon which they are now sailing. Sailing with no compass, no supplies, lost.

There are mothers out there who struggle in the darkness for a very long time. So long, in fact, that Dr. Arlene Huysman coined a term, Progressive Postpartum Depression, an undiagnosed Postpartum Depression which gets darker and darker as time marches forward, dragging the darkness along for the ride. So long that there’s an entire Scientific American article dedicated to the topic and a ton of research on the impact of untreated Maternal Depression if you should care to go looking for it via Google or med journals. Why do they stay quiet? Why do they not seek help? It does not make sense. If your throat is sore, you see the doctor. Heart attack, ER. So why not this? Is it not the same? It should be treated as such.

But it is not.

Many believe you should be able to snap out of a depression. That Happiness is a choice. That somehow, we are choosing to be sad, insane, or conjure up these intrusive thoughts to get out of being a mother. That it’s all a conspiracy. But it’s not. Oh, it is SO not a conspiracy. There’s no dark back room to which we all retreat in the middle of the night and agree on what symptoms to exhibit the next day to escape the humdrum of domesticity. We don’t choose straws to see who gets to be the happy housewife and who gets to curl up in a ball muttering to herself. There are no auditions for this. IT.JUST.HAPPENS. And guess what? We don’t like going through it anymore than you enjoy watching us go through it.

A Postpartum Mood Disorder is sheer hell. First, there’s the myriad of symptoms from anxiety, to depression, to not eating to not sleeping to obsessing, to thinking horrific thoughts about what might happen to baby, what we might do to baby, etc, so on and so forth. And then there’s the guilt. OH the guilt. The guilt of not wanting to have anything to do with our baby. The guilt over not gushing over baby or not snapping back as quickly as celebrities or not coping like the suave women in the Johnson & Johnson commercials. The suave women who invade our homes every day as we sit in front of the TV with a screaming infant as our hair becomes ratty and our bathrobes and slippers wear thin because we haven’t changed our clothes in over a week. And then, there’s the judgment. We are supposed to be happy. Anything less than happiness is unacceptable in most families. Suck it up. Get over it. Yeah, motherhood is hard but I just did it. I didn’t get sad. I didn’t curl up in a ball. I don’t remember.

We are all different.

We are ALL beautiful.

And there is a quiet power in each and every one of our stories. An important power. One we must protect and share so that others will listen, learn, and understand.

"Stormy Sea" by Xeubix @flickr

When I was in the thick of my Postpartum sea with waves crashing all around me, I dreaded sharing my story. I hated having to explain to yet another person what had brought me to my knees. I hated answering questions.  At some point, that changed. At some point, it became liberating to tell others how I had managed to escape and heal. The mode of transportation whether it be natural, pharmaceutical, physical, spiritual – does not matter. All that matters is that you find what works for you, for your personal philosophy and situation. And damn anyone who dares to judge your choices. YOU are in charge of you – don’t ever forget that. It is your path to wellness and not that of anyone else. Take command of your decisions and let no man judge you for them.

When I first shared my postpartum story with power behind my words, it was with Wendy Davis of Postpartum Support International as I applied to be a Coordinator here in the state of Georgia. At the time, there was only one other Coordinator. There are now four of us, a statewide support network, and two support groups in operation according to the PSI Georgia webpage. That’s a lot of growth in just three years. Since then, I’ve operated my own support group (which has stopped meeting due to lack of local interest and support), began blogging to reframe a third pregnancy, and also become the Community Leader for two iVillage message boards dedicated to helping both Postpartum and Pregnant women who are depressed or struggling with mental illness. I’ve also recently started a #PPDChat at Twitter. Turnout there is still small but it has been powerful. I believe in quality vs. quantity when it comes to peer support. Every time I share a piece of my story, I empower another woman, another family. I continue to empower myself through my sharing. I am always healing, a work in progress.

There are power in your words. Share them but share them wisely and carefully.

How did you finally share your Postpartum Story? What made you decide to share your story? Was it with a loved one? With a colleague? A complete stranger? In person? Online? Or have you held it in for years, filled with shame because there was no one to tell who wouldn’t judge you?

Let’s finally get to just talking – and beat the crap out of PMD stigma while we’re at it, ladies and gents!

Oxytocin nasal spray may help moms bond with baby

An interesting article in the Sydney Morning Herald details a new study by Australian researchers.

This new study involves Mom getting a dose of a synthetic nasal spray version of the hormone Oxytocin, also known as the “cuddle hormone.”  Mom then participates in a few structured therapy sessions with baby to measure eye contact, affection, and if there is any improvement in bonding between mother and baby.

You can read more about this study by clicking here.

Friday Soother 05.14.10: The Bridge to Spring

"The Bridge to Spring" by WisDoc @ flickr.com

Life has no smooth road for any of us;

and in the bracing atmosphere of a high aim the very roughness stimulates the climber to steadier steps,

till the legend, over steep ways to the stars, fulfills itself.
W. C. Doane