Tag Archives: Mood disorder

Just Talkin’ Tuesday: The High Toll of Postpartum Mood & Anxiety Disorders

Original photo "DSC07197" by poodlerat @flickr.com

#PPDChat tonight got me thinking about the toll of Postpartum Mood & Anxiety Disorders.

A mom with a PMAD is Ground Zero. Her immediate family is in the blast zone, at highest risk for developing their own mood disorders, depression, or other accompanying issues. Extended family is just outsize the blast zone and quite often bowled down as they absorb the shock which reverberates as she flails for survival.

As Mom recovers, Dad may sink into his own dark pit, unaware of what is happening, unwilling to admit his own demons in the dark. Why? Because Dad is the rock, the hinge on which the moon is hung. His family needs him. Depression is a sign of weakness. It does not happen to real men.

Oh, but it does.

Just as Mom has cleared her last hurdle, Dad sinks even further away. He is angry. Frustrated. Hopeless. Lost.

Mom questions her own recovery as Dad lashes out. He is incapable of giving her space in which to grow. Incapable of recognizing her growth, her recovery.

Anger quickly eclipses any rejoicing.

Stress and angst fill the air of the home, adversely affecting their children, their lives, their relationships with friends, families, resulting in isolation.

Their marriage spirals downward. Their children act out.

Their lives fall apart.

Granted, the above does not happen to every PMAD family. But a PMAD affects so much more than just Mom. It truly affects the whole family. My PMAD’s damn near destroyed my own marriage. My husband self-medicated after our second daughter. That did not fall out until after the birth of our third child. What a spectacular fall out it was though. I nearly walked away. Instead, just as with my PMAD, I chose to turn and fight. Fortunately, so did my husband. We were supported by members of our church, our Pastor, and family members as we fought savagely to save our marriage. I wanted to give up several times. So did my husband. We have shared this with each other and in doing so, moved to a new level of communication and trust. It has been a long, bumpy road.

One worth traveling.

While I would not want to do it again, I would not change a thing about my past six years of hell. For they have hewn me into a strong woman, a strong Christian, a strong wife, and a strong Mother. I can finally say I am blessed. God saw me through my storm. I know there are more storms brewing out there. I’m okay with that. Bring it. I am ready to tell those storms just how big my God is these days.

However; if there was one thing I would like to toss out the window it would be the exposure to anger, arguing, and stress for the kids.

I did not choose to have a PMAD. But they certainly don’t deserve to suffer from the ripples set in motion from my experience. I think this is one of the biggest things I struggle with as a remnant of my PMADs. The anger, guilt, rage over their exposure at such young ages to such a harsh environment. Sure, it could have been worse. But they certainly didn’t do anything to deserve it. Neither did I, but they truly are the innocents in all of this. And for that, I am remorseful. Resentful even that my PMAD’s stole their infancy and my enjoyment of their infancies from me. If I could toss one thing in a toll booth bucket and be forever done with it, it would be my remorse and resent over what my PMAD’s did to my kids. I wonder every time they misbehave if it is because I was depressed. Do my daughters have ADHD because I was depressed? What about my son? Are my daughters resentful that he and I have a stronger bond because I didn’t have a PMAD with him? Will they be able to rightfully accuse me of having a favorite? How will I explain myself down the road?

It’s enough to make you blink back tears and choke back anger all at the same time. Nauseating, really.

SO. As I take a deep breath and choke back some of that anger and blink back tears, what remnant or part of your PMAD do you wish you could just toss away and be done with forever? Get it off your chest.

Let’s get to Just Talkin’ this Tuesday.

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Just Talking Tuesday: Depression, Super Glue, and Bonding

All too often we are shown over and over and over again those scenes in movies where a mother, who has just given birth, lies in bed in beautiful nightgown complete with a bed jacket. Her hair is perfectly coiffed as she is handed her baby. She instantly knows how to hold this perfectly quiet and peaceful infant. Her face softens as she oooohs and ahhhs as the camera goes all vaseline and fuzzy while sappy music swells in the background.

I don’t know how your births went, but mine were nothing like that. My hair was everything but perfectly coifed, I was wearing a frumpy hospital gown, and I had no clue what to do with this squirming thing now in my arms who was screaming at me like some sort of pissed off Banshee. The second time around, I knew what to do with the little one but she could not cooperate because she was physically unable to do so. The third time around went much much better despite the persistent lack of perfectly coiffed hair and no sappy music.

No one tells new mothers at their baby showers just how hard birth and those first few weeks will be on us. It’s all fun and games, cute frilly or frocky clothes in blue, pink, or some other pastel. Even if we do know what to expect, depression can still slam into us after birth. It is not something we choose. Not something we can turn off at the drop of a hat or just because you want us to be happy again. It takes time to heal.

One of the biggest things depression or a mood disorder affects is a mother’s ability to bond with her infant. The best way to describe this feeling to someone who did not have a problem bonding with their infant is this:

Let’s say you hate cats. You don’t know why but you do. You visit a home with a cat. Said cat decides that YOU are a brand new BFF and relies on you for everything. Meows at you constantly, purrs, wraps itself around your legs, curls up on your lap, and wants you to pet it every second you are there. This interferes with your ability to have an adult conversation with the friend you came to visit. Suddenly your thoughts are sliced in half, then in quarters. You’re distracted, frustrated, your blood pressure rises, you may even begin to itch or manifest physical symptoms as you try to detangle yourself from the cat.

The difference between someone who hates cats and a mom who is depressed and doesn’t bond with her child is that somewhere, deep inside, that woman LOVES her child. She does. Even if she is not showing it, she does. She wants to bond to that child and is desperate to try anything.

Motherhood is something we add to our sense of selves though, not something which should overtake our sense of self. We should not superglue the baby to ourselves and miss out on life because we are a Mother. There needs to be a balance, a sense of old and new. It is a hard line to walk. A hard line to find. An almost invisible line to find if you are a mother with a Postpartum Mood & Anxiety Disorder. But it’s there. You just have to be patient and wait for it to slowly reveal itself.

I struggled with bonding with our first two daughters. Our first because I had not a clue what to do with her, even apologized to her at 7 days old because I did not know how to talk to her. Our second because she was physically separated from me at less than 24 hours old and sent to a NICU in another city over an hour away. I would later find myself wailing that I wanted to leave her at the hospital. We did not bond until she was nearly three years old and back at the same hospital in which she spent time in the NICU.

I bonded well with my third though but I did not struggle with Postpartum OCD or Depression that time around. We had all the warm fuzzies and after a few weeks if you listened closely enough, you could hear sappy music in the background.

I know my issues with depression and OCD interfered in my ability to bond with my babies. But today, I try so hard not too look back and be sad. Instead I try my best to bond in the here and now because that’s what matters. I cannot change the past. I can only work to improve the present and make the future even better. (Believe me, it’s taken me almost 6 years to be able to say that!)

Did your PMAD affect your bonding? How? What was your experience?

Let’s get to just talking.

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Is PPD a series of mini-episodes or thoughts vs. something major: A reader makes an important point

Yesterday, I posted this piece regarding a DM I received at Twitter. Tonight I received this response which includes some excellent points. I wanted it to have more than just an afternoon meandering about. So here it is- in all it’s bloggy goodness. Thanks for commenting!

I so much appreciate your honesty here, Lauren. And, of course, am always so glad to know that you are out there sharing your important journey with other moms who are struggling or who have struggled.

I am going to make a point that, please know, comes with a huge amount of respect. It is more of an observation and a request to look at this question with another perspective than anything else.

The title to this post is “Is PPD a series of mini-episodes or thoughts vs. something major?”- I imagine that the woman who wrote this might be wondering if she could possibly have PPD- because for her, this is characterized by a series of on again off again thoughts or feelings that come and go and come back again, You know the situation I am sure: mom feels awful and confused by her thoughts and then for a day or two feels better. So she doesn’t reach out And then, again, WHAM, she feels awful again.. for a few days, and so she thinks she will seek out help. But then, ahhh.. a few days of feeling much better so, again, she holds back. And on and on. This mom thinks she must not have PPD because hers is not a knock-down -lights out situation. And so it takes her months and months to get the help that she actually needs.
I see this over and over in my psychotherapy practice when moms come in, finally and exhausted, at about 8 months postpartum when they have been feeling this way for a longer time than they needed to.

I appreciate your last few paragraphs about how everyone’s experience is unique, and so I think this is what I am trying to highlight in my comments. PPMDs come in all shapes and sizes and on a spectrum from mild to severe.
Your last paragraph is a set of questions to moms out there and it reads “is your PPMD JUST a series of thoughts?”

I would ask that we all make sure that we acknowledge that no PPMD is a “just” anything… No matter what someone’s challenge is, it can be pretty darn ugly for them.

with respect and admiration,
Kate Kripke, LCSW

Dear Kate,

Thank you so very much for commenting and bringing to light such invaluable points regarding Postpartum Mood Disorders. They are indeed unique to each woman. It is true that just because a woman hasn’t been knocked flat off her feet she can’t struggle with a PMD. Just as clothes, PMD’s really do come in all shapes and sizes and they come in every season too – no mom deserves to have her experience with Postpartum Mood Disorders dismissed as you’re completely right – no one deserves to have their experience termed as “just” something. The word “just” is dismissive for me.

I chose to blog about this question because it legitimately intrigues me. The writer was asking a question about PMD’s in a way I had never considered them before. Honestly, I think it was the word “just” that drew me in to the question at hand. No mother should ever have to decide if her experience is “just” this or “just” that. It IS what it IS and that is what she will heal from as the days go on and the sun continues to rise on the new days ahead for her. No mother should ever have to worry about someone pointing the finger at her and telling her that it’s “just” a series of thoughts or “just” a series of episodes. And even if it is thoughts or episodes for her – they should ALWAYS be considered and handled as if they were a serious knock-down case of PMD’s. Each and every mother deserves our support regardless of where she may be on the “spectrum.” In fact, regardless of where she is on the spectrum, our compassion for her should remain in the same place. High.

Thank you again for your comment and for taking the time to point out some very invaluable information.

Warmest,

Lauren Hale


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