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Just Talking Tuesday: Wrangling the Guilt Monster Postpartum built

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“I’m a bad mom because I have Postpartum.”

If I had a dollar for every time I’ve heard that since I started reaching out to other new moms struggling with Postpartum, I swear I would be richer than Donald Trump.

Thing is, we are NOT bad moms because we have Postpartum.

Postpartum is not like a breakfast cereal. It’s not like we woke up one day, went to the cabinet and chose the Postpartum Flakes with Insomnia nuggets sprinkled with a bit of Anxiety for good measure.

HELL NO.

It chose us.

That bastard came trouncing into our homes, jumped into our beds with glee and announced it had no immediate plans for departure, grinning all the while, daring us to do something about it’s very presence.

Some may spring into action immediately. Others wait to see if it will disappear on it’s own. Still others wait to see if things will get worse before seeking out help.

We may hold our babies closer. We may push them away. We may yell. We may crawl into bed with Postpartum and cuddle close.

Rest assured though that Postpartum mamas are NOT BAD MOMS.

In fact, Postpartum Mamas are some of the most ferociously protective and strong mothers on the face of this planet.

Before our children are one, we have fought to protect them, to keep them safe. We beat ourselves up for yelling at them at 1 week, 1 month, 3 months, 6 months, whenever it was we lost our minds and could not tolerate another second of motherhood because we were literally unable to do so. We defend our relationship with them, redefine our relationship with them – our bond with them, however fragile or deconstructed has truly been born of fire and forged iron strong. We may not see it that first year. In fact, it may be the second, third, or fourth year before we realize just how strong our bond is with our Postpartum child.

More than anything, the lingering monster with which we wrangle on a daily basis is the Guilt Monster. He’s a slippery little devil.

We wrestle with him when our children cry. We wrestle with him when we leave our children, when our children misbehave and we discipline them. We wonder if our Postpartum affected our ability to parent. Are we bad parents because we had Postpartum? Are we harming our children because we can’t “snap out of it”? Guilt asks these questions. Guilt makes us second guess every decision. Guilt is the last monster to leave the nest. Frankly, guilt stays around in some aspect or another as long as we are parents. What changes is how we cope with the questions guilt attempts to force in our direction.

Spill your confessions here. Has Guilt sabotaged your recovery? Your parenting? Your relationship with others? Your job? Your decision to stay home as a parent?

Let’s get to just talkin!

Postpartum Voice of the Week: Please Don’t Take My Sunshine Away: My PPD Experience

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Earlier this week, a fellow member of Twitter messaged a group of us to say she had recently written her story as part of her recovery. She wanted to share it but did not know where to start. I responded and offered her space at my blog. Later that morning, I had her story in my email. Then my week happened. Pediatric appointment with my 4 year old, my 6 year old coming home from school two days in a row and then insomnia hit. I finally got to reading her story and immediately wanted to publish it. I did not want to wait until Thursday. I love the way she breaks down lyrics from “Please don’t take my sunshine away” and writes her story. The story unfolds and unfurls as you feel her frustration, her desperate need to heal. I found myself nodding my head and cheering along with her once life begins to return.

If these words touch you as much as they have touched me and you would like to reach out to her, please leave a message in the comments. I’ll make sure she gets them.

She has asked to remain anonymous for this post and I am respecting this request.

Without further ado, I will step aside and let you read her words.

Update: The author of this post has left a comment and I have verified her desire to share her identity. Her name is Sarah. If you want to reach her, you can do so by sending her mail here: sem55(@)georgetown(dot)edu

She left the following in the comments:

I am the author of this story… what a difference a few months makes. When I wrote this I felt stronger, but still ashamed. My name is Sarah and I have PPD and I AM a great Mom! Thank you to all of the courageous women out there who have reached out to me to share their strength. I only hope I can return a fraction of the support I have received to someone who stumbles upon my story. Thank you Lauren for the opportunity to share, and for all you do for moms!

Thank YOU, Sarah, for revealing yourself. And Kudos to you for taking such a huge step in owning your experience. It’s a HUGE step.

And now, here are SARAH’S words.

 

You are my sunshine

The second you become a mother you are transformed. Your purpose, your dreams and your complete identity change. My son has taught me how to live, love and grow in ways I could have never understood before. His very being keeps me going and give me purpose. It is a love like no other.

My only sunshine

After nearly three years of trying to get pregnant, including an ectopic pregnancy, surgery and infertility, in June of 2009 I successfully conceived. I didn’t allow myself to get too excited or attached while I went for weekly blood draws and ultrasounds to monitor my early pregnancy. As the first trimester passed and we saw our tiny bean grow into a perfectly formed tiny baby, the hope in me stirred and I began letting myself feel joy. Anxiety continued, however, as I underwent frequent fetal echocardiograms to evaluate the baby for a heart condition he was at risk of developing. The second trimester came and went and his heart remained perfect; we were in the clear. At 32 weeks, I started having contractions, thus followed two hospital visits for pre-term labor. At home, I remained on bedrest, and luckily made it to the 37th week. My labor was quick and my beautiful baby boy A .N. was born perfect and healthy at 6 lb 1 oz. I felt the biggest relief in my life when I saw my newborn baby. This joy dissolved quickly when the OB began the repairs. I began feeling very funny. I was trying to communicate how weird I was feeling when I found I was unable to speak. Ringing in my ears drowned out the sounds and I began to slip into unconsciousness. This is it, I thought. My baby was born healthy, but the price I am paying for it is to die in childbirth. The next thing I knew I was waking up on the Mother-Baby Unit. The nurses there cheerfully told me I had experienced lidocaine toxicity and my baby was with my husband in the nursery. I ached to see his face and hold his perfect body. When they returned, I instantly felt a jolt of joy and energy as I acquainted myself with my new family.

Two days later we were discharged and sent home as a new family of three. Our families had camped out at our house but we sent them home to have the space and room to figure out what we were doing. The next few days were quiet, but things did not feel right with the baby. I couldn’t shake the feeling that something was wrong with him. My milk came in late and A became dehydrated and difficult to arouse. After that crisis resolved, we received a concerned call from the pediatrician. The results from A’s metabolic screen were positive for a rare but potentially fatal disease. They cautioned us that there are many cases of false positives, but I went into panic mode. We stayed on alert night and day to watch him breathe at all times. We had to wait for a week for the news that it was an error, A was fine.

You make me happy when skies are grey

The weeks after were full of relief, bliss and love. I managed through the marathon feedings and fell more in love with my son each day. Parenting seemed to come naturally to my husband. I finally had everything I dreamed of. Then at 11 weeks, A did a remarkable thing, he slept through the night. Usually a cause for celebration, this milestone marked the beginning of my downfall. I felt as though this gift I had dreamed of for so long was somehow a mirage and could be taken from me at any moment. The lines between fear and reality became blurred. First I stopped being able to sleep, feeling the need to rest my hand on the baby’s chest feeling it’s reassuring rise and fall. I started having the most disturbing images in my head. These horrifying images tortured me relentlessly. I felt constantly nervous and on edge. I felt so agitated I couldn’t keep my body still, when I lay in bed to rest my legs wouldn’t stop moving. I had the most intense feeling that sometime terrible was about to happen to A. Something that I had to stop. Soon I was having stomach problems, not being able to keep anything down and then being unable to force myself to eat. I started going days straight without sleeping. I stopped eating solid foods, losing over 20 lbs. in a month. I became weak and fragile. I began having the images coupled with horrifying phrases in my head. All involved seeing my baby harmed. I started having urges to do things like bang my head on the shower wall to stop them. These urges were like the most intense itch you know you should not scratch. I felt if I didn’t give in to them, I would jump out of my skin or
explode. During the day, I was having panic attacks where I would feel as though I was dying; my arms would go numb, my heart would race, I would become sick to my stomach and feel paralyzed. At night, with the baby and my husband tucked safely in bed, I began having urges to disappear. I wondered how fast I could pack everything up and drive off before they awoke. I thought if I disappeared, my baby would be able to grow and thrive and would be better off without me. My husband did not understand at all what was going on and became very angry at me. We began constantly fighting. I had to ask him to stay home from work or leave work numerous times because I didn’t feel safe alone with the baby. June came and his birthday and father’s day came and went and I found myself unable to get out of bed. I wondered if I was dying or losing my mind. I didn’t want to live anymore. I pictured milestones in A’s life without me present. I became obsessed with planning A’s birthday party because I had the distinct feeling that I wouldn’t be around by then. The day came when I couldn’t take another second. That was when I reached out to my Mom.

You’ll never know, dear, how much I love you

I always wanted to get better. For A, for our family. But help seemed so hard to find. Living in X, I had isolated myself. I didn’t want anyone to know what a bad mother I was so I tried to stop visitors and kept phone calls brief. I had been refusing to take the medications I needed because they were not compatible with nursing. Having to suddenly wean my baby was like a final blow of failure to me. After my urgent phone call to my Mom, she left work in the middle of the day without packing a thing, got on 95 and talked to me on the phone until she arrived 3 hours later. She took me to the midwife, who sent me to the ER to be admitted. Because I told them I had no imminent plans to kill myself, they wouldn’t admit me. They gave me sleeping pills and the address of an urgent care psych center. It turns out the place was a partial-hospitalization program, which my insurance did not cover and would require me
to be away from A during the day. I felt helpless and desperate. I didn’t have any hope of anyone being able to help me. I was taking the medication, but it didn’t seem to be doing
anything for me. Things escalated at home with my husband and I really feared hurting myself, so I packed our stuff and we left for Y.

After my Mom and my sister helped me get settled in Y with A, things started to turn around. I moved in with my sister who was a huge support to me. There was family and friends around me constantly. I had the help I needed to care for A while taking care of myself. I sought help at a local center devoted to post partum mood disorders and began to see a psychiatrist and therapist regularly. I was given a name for what I was going through: Post-Partum OCD. I joined a local support group that meets monthly and I met the most amazing and inspiring women who really get it and have been there. Their strength was contagious. I starting believing that I could get better. The thoughts in my head became more fleeting. I felt more connected with my son. I still had some panic attacks where I felt myself regressing. Dark thoughts would again invade my brain. Sometimes I felt like I wasn’t getting better at all and there was no point to struggling through this. But I learned to reach out to those who cared about me when I felt this way. During my darkest days the phrase “this will not end well” would repeat itself in my head, this mantra was now replaced by “this too shall pass.”

Please don’t take my sunshine away

Time, therapy and medication have given me my life back. My recovery has been full of ups and downs, good and bad days. I am still working on mending relationships. But as the Autumn came, I felt my old self emerge. I will never be the person I was before I had a child, but I am a stronger, wiser woman. I have found I am strong enough to make it on my own, but that the support of others is essential. I am learning to enjoy the moments without obsessing about what will come next. I am learning to let go of complete control and let my son explore and experience with my guidance. It’s a new way of living, and it’s very freeing. I am able to enjoy every day with A. He amazes me on a daily basis. I don’t know what challenges or heartaches I might face in the future, but now I am healthy and strong enough to face them head-on. And if I’m not, I will still be ok because of the support system I have. And in February, I will be at my son’s first birthday party, celebrating his year of thriving and mine of survival.

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

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

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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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Just Talking Tuesday: Through the eyes of another

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It’s dark. You are both collapsed into heaps, this time, you managed to make it to bed. You sigh, close your yes and mutter goodnight into your pillow.

It’s 234 a.m., your wife notes.

“Waaaaaaaaaahhhhhhhhhhhhhhhhhhh!”

You lift your head and glare at the clock.

It’s 315 a.m.

You shove your face back into your pillow and silently scream.

Really? 46 minutes?

Sighing, you get out of bed to get the baby. Check the diaper. A little wet so you change it. Rock, sing, soothe. Nothing works.

Time to get mommy. She’s got the food.

You walk into the bedroom to wake her up. She sighs, shifts, and snuggles closer to the bed. When you do manage to wake her up, she snaps at you.

“But I JUST nursed! Did you check the diaper? Try to put him back down? I’m tired. I don’t want to…. ”

“Yes. Gimme a little credit. I’m not an idiot. I’ve tried everything. Clearly he’s hungry. You’re nursing so…”

“Dammit. I’ll be there in a minute.” She snuggles back into the bed.

You sigh, loudly, frustrated, knowing it will be a good 30 minutes before she even attempts to get out of bed. She will fall back asleep and you will have this conversation all over again before she finally gets out of bed, cursing you under her breath for interrupting her sleep.

She won’t mean it. She’s exhausted, just like you. And yes, you have work in the morning and should be sleeping but she won’t get to sleep much during the day either. Oh, she may rest, but it won’t be restorative. She’ll nod off while nursing, try to snooze when the baby does, but if the baby is up, she is up. And then there are chores. Dishes. Laundry. Cleaning. Cooking. Possibly other children to care for. Errands. Her job? Never.friggin.ends.

Your job never ends either. It’s hard for her to see that though. What SHE sees is you, walking out the front door toward other adults. Toward freedom. Toward conversation that involves more than a few garbled syllabic words at a time. What SHE sees is you, showered, shaved, dressed in something other than the same pajamas she’s now lived in for two weeks. What SHE feels is jealousy, hatred, sadness, grief. For the most part she knows it’s not rational. Somewhere, deep down, she tries hard not to feel this way. But she’s been moody for weeks now. Snapping at you for the simplest comment or action.

You bring home dinner. It’s not what she wanted but she loudly sighs and announces “It’ll have to do.” You pick up the baby and she watches your every move with him like a hawk, waiting for you to falter. You begin to falter yourself. Are you built for fatherhood? Are you doing things wrong? What if you’re screwing up your kid for life at just 3 months old? What if she never lets you really be a father? How will you ever learn what to do? Will your marriage survive? Where the hell are you?

What she doesn’t know is that as you walk out the front door every morning, your heart hurts. YOU are filled with jealousy because she gets to enjoy every moment with your son. She gets to watch him grow, change, and do new things every day. You mourn your fatherhood as you shower, dress for work. You fumble under her judgmental stares, worrying that your fathering skills are not up to par with her expectations. You’ve asked  a million times but you can’t for the life of you get her to tell you what her expectations are for you as a father. What are the rules to this ball game? If you only knew, life would be so much easier. After all, you’re not a mind reader.

___________________________

Today’s Just Talking Tuesday is cross-posted with The Postpartum Dads Project. If you’re a mom, please go visit the Postpartum Dads Project and share what you wish your husband had known about Postpartum Mood Disorders and parenting. What would have best helped you when you were suffering? If you’re a dad, share here. What got you and your wife through those dark days? How did you keep communication open if you managed to do so?

(Note: The Postpartum Dads Project site is down for the moment. Let’s all just share here for now and I will cross post when the site is back up! Thanks for understanding.)

Social support is key for recovery from a Postpartum Mood Disorder. The best social support starts at home with your partner. Get them involved and you’ve zoomed forward a zillion spaces on your recovery path.

Let’s get to just talking.