Category Archives: sleep

Diagnosis: Strep Throat

No school until at least Wednesday for Alli.

Hopefully we’ll be able to get through the night without waking up at 3am as we’ve been doing the past two nights. It’s wearing me out!

Tomorrow is Day 2 of Chris’ on the job evaluation. Today went well as he really impresed the Management Development person.

Another big thing happens tomorrow – I will be attending a Meet & Greet for the Spring Interns at Common Ground here in Athens. Two of the interns will be working with me on the overhaul of the support group meetings for PACE. I’m hoping the new format will draw in new attendees, gain additional community support, and also form a strong base for a new nationwide support movement for families struggling with Postpartum Mood Disorders. I’ll be posting more details about the project as they arise. I’m really excited about this and feel that it is the beginning of something really awesome.

Meanwhile, the bulk of tomorrow will be spent at home, resting and hanging out with the kids as Alli recovers.

The Insanity of Sickness & Christmas

Oh how it royally bites to be sick on a holiday. Especially when you’re the one cooking THE MEAL and it’s your first time at the helm for such a big event. I somehow managed to hold it all together and pulled off an awesome Christmas Lunch of (get this) Roast Beef Tenderloin with Beef Mushroom Sauce, Carrot Souffle, Green Bean Bundles, Creamed Corn, and Yorkshire Pudding. I baked a Scripture Cake the night before in honor of the man of the day, Jesus.

Yet once I stopped moving frantically about in the kitchen and sat down, my body realized the rush was over and apparently gave itself permission to implode.

My left hip? Out of alignment for the better part of the afternoon and evening. Only heat and a whopping dose of Tylenol and Ibuprofen cleared that up. And thank goodness it did because I was unable to bear weight on my left side without almost collapsing and crying outloud.

My head and chest? Obscenely Congested. Tylenol Cold did nothing for me. Ended up making a Walgreens run at 10p last night for myself and for Cameron. I got Severe Cold Meds and Nasal Spray. He got a little Flowing Vapors desk thingy by Triaminic. (Have I mentioned Charlotte’s sick too?)

All of this started last Friday when Alli was coughing slightly. The cough got worse and by Sunday evening I was at the ER with her. First thing I did when we got ushered back to a room? Turned on the NY Giants game! (Thank GOD they won!) She had to get a strep swab, flu swab (which is a nasal swab and not an easy thing to watch), take some ibuprofen and tylenol, get some chest x-rays, get said x-rays done again, and finally ended up with a diagnosis of Possible Pneumonia. She was given antibiotics there and we were sent home with a prescription. Half an hour after she took the antibiotics she threw up. Repeated this again in the morning when we tried to give Motrin. Off to the ped’s office with a feverish uncooperative toddler in tow.

Much of this past week has been spent in a headlock with Alli to get her to take her meds and trying to conserve the tissue use because her nose has been running a freakishly long marathon. We’re all coughing (except for Chris) and today has found me in bed for the better part of it – I’ve been awake a couple of times but not very long. I’m due to take some more medicine here shortly (I think – how bad is that!) and am ready to crawl back into bed and rest. I just can’t take being awake anymore. My head is pouding, my voice has apparently bought the last ticket to Clarksville, and this cough and congestion is driving me insane.

And for the record, Chris has been absolutely awesome today. He’s really taken the reigns and let me pass out. I can’t even begin to express how much that has meant to me!

So forgive me if I haven’t posted much the past week or don’t post much for the next few days. I’m taking my own advice and doing some much needed self-care.

So sleep deprivation makes it worse, huh?

sleeping-mother-and-baby

A study by Bobbie Posmontier of Drexel University published this past week concluded that sleep deprivation exacerbates symptoms of Postpartum Depression.

Really? Sure about that?

And money was spent on this research?

You’ve GOT to be kidding me.

So those endless sleepless nights, stolen moments of sleep here or there because I just couldn’t keep my eyes open or my mind awake anymore just made things worse? And wait a second – you’re also saying that women with PPD have a hard time falling asleep? So it WAS the PPD that caused all those racing thoughts and sleep problems! Wow. There’s an eye-opener.

What really gets me about this is that the end of the article published by Blackwell, there are recommendations for sleep habits of new moms.(You can read the article by clicking here)

Posmontier recommends clinicians treating women for PPD to address the importance of adequate sleep. “Mothers can develop a plan to have other family members help care for the baby at night,” she said. “They also should practice good sleep hygiene. That includes going to bed at the same time every night, avoiding naps and steering clear of caffeine, exercise, nicotine and alcohol within four hours of bedtime.”

Hey wait! Caffeine (and power naps) helped me get through those first few bleary weeks! Well, toothpicks too but that’s a whole ‘nother post in rebuttal to a whole new study – about how toothpicks are ineffective tools for keeping your eyes open due to the OW factor. (That study hasn’t already been done, has it?)

My sarcasm aside, Ms. Postmontier does make a valid point of getting practitioners and clinicians to increase their awareness and their patient’s awareness of adequate sleep.

And here’s where I get serious.

With our second daughter, we begged our pediatrician for a night nurse. Tube-fed, someone had to be up with her 24/7 as we couldn’t just let a feeding slip by. It mattered too much to get her as much food as possible. I was also pumping exclusively for her and my life revolved around caring for her but with a lot of above and beyond thrown in for extra measure. Typically my husband stayed up with her at night and let me sleep at least the five hours I could sleep without sacrificing supply.

Just one month after she came home from the hospital was when I was admitted to psych ward for suicidal ideation/thoughts and thoughts of harming my children. I slept most of the time I was there. The nurses would wake me so I could pump, which I did every three hours during the day until midnight or so and then I would go to sleep until 6a and start the whole routine over.

That weekend was a tremendous turning point for me. Not only was my medication changed but I got sleep. The nurses hounded me to change my routine at home and make sure I took time for myself, something I made sure to do when I returned home. I started walking every morning and learned the true value of self-care. I felt guilty at first but now not only have I come to expect it, my husband is an active enforcer of my self-care time. (He knows what a grump I can be if I don’t get my sleep!)

So while the whole study struck me at first as a “DUH” moment, it really is a valuable enforcement of the importance of sleep in a new mom’s life. The better care you take of yourself, the better shape your family will be in come the long-run. Thank you, Ms. Postmontier for your invaluable contribution to this important aspect of Postpartum Care.

Sharing the Journey with Adrienne Griffen

Meet Adrienne Griffen, an amazing woman, mother, PPD Survivor, and fellow PSI Coordinator.

Adrienne has been volunteering with PSI for about as long as I have and is located in VA. She recently launched her own non-profit, Postpartum Support Virginia.Not only is she one dedicated woman, she’s from my home state, VA. Gotta show the love, right?

Her first postpartum experience was awesome – she even held a dinner party for 40 people when her new daughter was just three months old! (YOU GO GIRL!) It was with her second child that events quickly spiraled out of control and Adrienne found herself struggling for someone, anyone, to listen compassionately to her and show her the way back out. Finally her husband located a physician who specialized in women’s mood disorders. Adrienne began to recover having finally located the correct help. Her third pregnancy was a lot like mine – she stayed on her meds, educated her doctors (even received an apology) and received a screening questionnaire at her 6 week checkup. (By the way, HAVE you written or called your Senator about the MOTHER’S ACT yet?) Impressed with how far the medical community had come, Adrienne felt great and was now fully dedicated to improving things even more. Read on to find out more…

Just like me, you’ve been driven to help other Moms struggling with PPD through an experience of your own. Would you mind sharing that experience with us and why it inspires you to help other mothers?

After my second child was born six years ago, I had a fairly significant episode of postpartum depression and anxiety. I knew something was wrong because everything about this birth and postpartum period was the opposite of my first experience with childbirth two years earlier. My second delivery was rather traumatic (emergency C-section); my second baby ate more, slept less, and cried more than my first; I had a toddler AND a newborn (which I believe is the hardest stage thus far of parenting); I was totally sleep deprived; and I just couldn’t imagine how I was going to survive the next 18 years until this baby went off to college, never mind the next 5 minutes. Compounding my misery was the fact that my next-door-neighbor had just had her second, and my sister just had her fourth, and they made it look so easy.

The hardest part was finding help. Despite realizing that something was terribly amiss, I couldn’t find the help I needed — or at least the help I wanted. At my 6-week postpartum, I told the OB/GYN that I wasn’t feeling well, and without any discussion she offered me Prozac. When I called the Behavioral Medicine branch of my HMO, I was hoping for a verbal hug from someone who could reassure me that others had felt like this and that help was available. Instead, I was told to call back during normal business hours, overheard the intake nurse tell her supervisor I was “homicidal”, was told that they would report me to Child Protective Services if I had hurt my children, and was charged two co-pays since I saw a nurse AND a doctor. The psychiatrist recommended sleeping pills — I wasn’t sure if he meant for me or for my baby. I called mental health providers but couldn’t find anyone accepting new patients. I called about support groups, only to be told that they were now defunct. I saw a psychologist for several months who never understood how desperate I was. I felt like I was banging my head on a brick wall. Finally, when my son was six months old, my husband located a psychiatrist who specializes in women’s mood disorders and gave me the reassurance and care I needed.

I vowed during this time that I would someday do something so that others could find help more easily. This isn’t rocket science. PPD is relatively easily diagnosed and treated. The hard part is getting information to new mothers and connecting them to health care resources.

Tell us about your organization, Postpartum Support VA. How long has this been in the works and what does it feel like to finally have it up and running?

Postpartum Support Virginia is a not-for-profit organization providing hope and help for new mothers through:

  • support for new and expectant mothers (one-on-one and group support)
  • information and resources for new mothers and their families
  • outreach and education

I think of it as an umbrella covering all the activities ongoing in Virginia dealing with postpartum depression. The website (www.postpartumva.org) lists telephone and email volunteers, support groups, and mental health professionals who treat women with postpartum depression and other perinatal mood disorders.

I’ve been thinking about creating an organization like Postpartum Support Virginia for about three years, ever since I started to volunteer with mothers experiencing postpartum issues. But with three young children (they are now 8, 6 1/2, and 3) I couldn’t devote the time and energy until now. My approach has been to build the infrastructure first, then put the superstructure in place.

In other words, I’ve spent the last few years laying the foundation — helping other volunteers get started, speaking to maternal/child health care providers, leading support groups, networking with others involved with PPD throughout Virginia, attending PSI conferences. The past six months have been about formalizing these operations — creating a not-for-profit organization, building a website, creating a board of directors. The next few months will be focused on fund raising. Postpartum Support Virginia is still in its infant stage, and I really feel like I’ve given birth to my fourth child.

What do you find to be the most rewarding about helping other PPD Moms and families?

There is such joy in helping these new mothers who are swirling around in the whirlpool of depression and anxiety. To see the change after they get the help they need is so rewarding. In particular, seeing a new mother fall in love with her baby is amazing. And to receive feedback like this email from a mom who attended one of our support groups makes it all worthwhile:

“Thank you from the bottom of my heart. The knowledge and encouragement that you all gave me in only 2 visits put me on the path to a better life than I ever could have imagined. I went from the worst time in my life to the happiest I have ever been so I am very grateful. Thank you so very much.”
How did your husband handle your PPD? Any advice for dads struggling to cope with their partner’s PPD?

My husband kept our little family going while I had PPD. He researched this illness and found the psychiatrist who finally helped me. He would come home from work at a moment’s notice when I was falling apart. Whenever I feel guilty about how he carried me through this time, he reminds me that is what marriage is all about. Spouses who see their partners suffer PPD, please remember that this is not her fault, you are not alone, and with help she will be well again.
What is the most challenging thing about motherhood?

The most challenging thing about motherhood is being mentally present for each of my children. They are each so special and unique, requiring different parenting skills from me, that it takes time and energy to give each what s/he deserves.
What is your most favorite thing about motherhood?

The same as all other mothers – BEDTIME! Just kidding.

Three things:

  1. I love making my children smile.
  2. I love seeing the progression towards independence, which is bittersweet but the goal of good parenting.
  3. I love watching the sibling relationship develop.

How long have you been a PSI Coordinator and how did you first find out about PSI?

I have been a PSI coordinator for two years. I heard about PSI from another PPD survivor and volunteer, Benta Sims, who raved about the conference she attended a few years ago. Joining PSI gave me the sense of connectedness and credibility that I needed to do this type of volunteer work.

What do you do when you take time for YOU?

Oh, I take LOTS of time for me to ensure I have time and energy for my family. On a daily basis I exercise and nap — in fact, I have taken a nap virtually every day since I was pregnant with my first child almost 10 years ago. I go to bed at 10:00 every night (except tonight while I am answering these questions!). I see a therapist, go to a chiropractor, get monthly therapeutic massages, and practice yoga. I host coffee once a week with three great neighbors — we solve each other’s problems and keep each other on track. And I have terrific in-laws who take my children for a few days once a year so I can revel in being alone in my own home. This is the best gift ever — and usually when I fall into a novel and read non-stop for two days.

How do you balance motherhood and work?

Balancing motherhood and work is extremely difficult, as most mothers know. I don’t really consider what I do as “work” because I find it so fulfilling — and because I don’t get paid (yet). The way I balance it is being my own boss. I know that at this stage of life I wouldn’t be happy with someone telling me what to do, answering to someone else’s demands or expectations or schedule, and forcing my children into my work schedule. So with my own organization, I can do what I want when I want.

Practically speaking, it means working while my children are at school or at night so I can be fully present for them while they are at home. During the summer I hire a babysitter a few mornings a week to take my children to their swim team or the park while I work from home. I’ve been ramping up slowly, but this year will be a big turning point as my youngest starts half-day preschool.
Finally, if you had a chance to pass on just one piece of advice to a new mom (experienced or not), what would you share with her?

Take care of yourself so you can take care of your family.

Sharing the Journey with My Husband

As I sit here having just read this interview, I am blown away by how far we have truly come since the birth of our first child. We have overcome so much and I know it is because neither one of us is afraid of staring adversity in the eye. Chris and I met November 2000 while we worked at the same company. We’ve been inseparable ever since, no matter what the storm brought to our world. Relying on each other’s strengths and shoring up each other’s weaknesses, we’ve managed to build an extremely strong marriage that has been tested time and again in the short six years of wedded partnership. And you know what? We’ve come out of each storm stronger and closer than before. There’s a quote by Louisa Alcott:  “I am not afraid of the storm for I am learning to sail my ship.” Together we are not afraid of the storm and have slowly begun to master sailing our ship through whatever mighty waves come our way. I hope you enjoy this honest and compassionate look into my PPD experience from my husband’s perspective.

Would you share your experience of watching the woman you love suffer from Postpartum Depression? What were some of the emotions you went through as you watched me spiral downward and what was the hardest part for you?

Wow, thats tough. I guess it is hard because I have blocked that out of my mind. I think the best way to answer that question is to just explain what PPD looks like from the outside from the perspective of someone who is uneducated in the signs, because that is where I was when it all began. Honestly I really didn’t know what to think. All I knew is that the woman that I married and loved was gone. You were reclusive and moody most of the time. All I really wanted to do is just tell you to snap out of it, and I think that I did a couple of times. I thought you had become lazy and selfish. I knew something was wrong, but I thought it was more of a problem with lack of motivation and lack of discipline. It made me angry. After our second daughter was born, I had educated myself. I found that even though I got frustrated with you, I understood. I probably didn’t show it all the time, because I had my own stresses going on with sixty hour work weeks and the hospitalization of our daughter. The hardest part of it all though was watching you hurt. I just wanted so bad for you to be happy and it just didn’t seem to happen.

Looking back, would you agree that the lack of diagnosis/treatment of my first episode compounded my second episode?

Definitely. I actually believe that it just carried over into the second pregnancy. You never really recovered from the first episode. It wasn’t until nearly a year after the birth of Charlotte that I even began to recognize you as the same woman that I married.

You recognized my PP OCD the second time around well before I was able to admit there was a problem. In fact, you even made the call to my OB’s office for initial treatment. What were some of the warning signs that alerted you to the beginnings of this episode?

You had become anti-social. You were sad most of the time. You did a lot of cleaning, and please don’t take this the wrong way because you really are a great housewife, but neither one of us is Mary Poppins when it comes to keeping the house clean. What really tipped me off though was that you just didn’t seem well. You wanted to sleep a lot and you also seemed to snap very easily at the smallest things.

My hospitalization absolutely frightened me but ultimately became the turning point in my recovery. Would you share your memories and feelings surrounding my hospitalization?

Honestly, I was scared to death as well. I didn’t know what I was going to do. I was working sixty hour work weeks with a two year old and newborn at home and I didn’t know how I was going to take care of them. And how would I juggle having to make the hour drive back and forth to the hospital that you were in to bring you the things that you would need and to get milk for Charlotte? I didn’t know how long you would be there. I was really scared. I was also concerned for you. I love you and didn’t want to see you hurting. I was also thankful for the fact that you were getting the help you needed. When you called me at work and told me that you were having intrusive thoughts, I couldn’t get home fast enough. Who knows what the outcome would have been had you not gone to the hospital that day? That thought still crosses my mind today. I am so grateful that you understood the severity of your problem and took the help that was given to you. I think it all goes back to education.

We worked very hard together to prevent PPD after Cameron’s birth. What were some of the differences in how we approached the postpartum period this time around?

Well, I know that you took antidepressants during your pregnancy, but we also had a set of written guidelines as to what to look for and for how we would respond if certain events took place. We tried to educate (there’s that word again) our families about the signs to look for and also what were the right and wrong things to say and do in the event that PPD reared it’s head again. During your second bout with PPD I really think that we were better educated, but our families were not. This caused a lot of tension and strife. With the whole family knowing what to look for, it helped make everyone sympathetic to the situation. Boy do I wish we had that in place when in the throes of your second episode.

What is the biggest lesson you feel you’ve learned from my PP OCD episodes?

I always viewed mental illness as something that happened to other people. I viewed people with mental illness as weird or abnormal. The biggest thing I learned is that mental illness can strike anyone, at any time. I suffer from ADHD, depression and anxiety and would have never sought help with my issues had I not educated myself about yours.

What has it been like to watch me grow from mother suffering from PPD to the PPD Advocate I am today?

First I would like to say how proud I am of you. You have turned adversity into triumph. I have been amazed at the transformation. Most people just take their hard knocks and then move on, but you have taken up a cause and have made a difference in other peoples lives. I am inspired and in awe. I love you and encourage to keep up the great work that you are doing.

Share with us what you find to be most challenging about fatherhood. The Least challenging.

I have always been a rather impatient person. Fatherhood is teaching me patience. That is a challenge since I tend to want instant results. Maybe that is just the ADHD in me. Kids sort of move at their own pace, and I have learned that they are learning all along the way. To rush them along is not only detrimental to their growth and development, but it is also unfair to steal those learning experiences away from them. The least challenging is loving those precious kids. I just can’t seem to get enough of them and can’t give enough hugs and kisses. That is not a challenge at all.

How important do you feel it is to hold onto a sense of self once you become a parent? What are some ways a father can provide some much needed alone time?

You must know who you are before you can help someone else, namely your children, discover who they are. The best way to do that is to have some “me time”. It is very difficult to get when you are a parent between diaper changes and cleaning mud (or other mud like substances) off the walls, but is essential. Sometimes I will stay up late to get some alone time or will go to the store. Don’t forget though that you and your spouse need some time together too. Also, it is ok to ask your wife to take the kids for a few hours while you go get some coffee. Just remember though that you need to provide her with that same luxury as well. Ask the Grandparents to take the kids too. Even if it is just for an hour or two, you and your spouse can have a nice dinner or just go home and work on some of those household projects that you have on your “honey do” list.

And last but not least, if you had one piece of advice to give an expectant father (new or experienced), what would it be?

Educate, educate and when it’s all through educate some more. You can never fully prepare yourself for everything that fatherhood throws at you, but knowing some of what to expect takes a lot of the anxiety away and relieves a lot of the stress on you and your spouses relationship