Tag Archives: postpartum depression

Just Talkin’ Tuesday 06.08.10: How do you talk with your kids about Postpartum Depression?

First, apologies for this being late. Summer break, a new family schedule, a blah day yesterday and then Internet connectivity issues today have all come into play. Starting next month, I’m going to work on planning a whole month’s worth of posts focused on one topic. So if there are any specific questions you’d like to have answered, send them to ppdacceptance(@)gmail.com. Maybe YOUR question will be a Just Talkin’ Tuesday post soon!

Looking back, I have realized our older daughter experienced a lot of things at 23 months old no child should ever experience. My husband and I yelling and screaming at each other because we were not communicating, Mommy collapsing in the floor as she wailed because something minor set me off, snapping at her for nothing at all, trapped in the house because we could never leave it, feeling abandoned as we went to Atlanta to be with Charlotte (don’t worry y’all – we had family members caring for her – not like we tossed her some cookies in her bed and wished her the best of luck!), and just the overall instability a Postpartum Mood Disorder drags with it into the household.

When we discovered our third pregnancy we decided things had to have a different focus. Instead of preparing things for the baby, we would need to prepare ourselves for the baby. By this time I had been doing advocacy work for just a few months and running a support group for nearly 4 months. I read, researched, picked a local OB known for his attention to women after delivery, and poured my heart and soul into the development of a personalized Postpartum Mental Health Plan.

Our girls, then nearly 4 and 2, sat in the middle of this potential storm. How could we best prepare them for the firestorm?

We waited until 8 months or so into the pregnancy. At every meal we would bring up Postpartum Mood Disorders. Yes, they got sick of hearing about it. But what we did worked well for us.

The conversation went something like this:

“Mommy wants to talk to you about something.”

Daughter 1: “Yes, mama?”

Daughter 2: plays with her food

“You know how you’re getting a new baby brother?”

Daughter 1: “Ahuh. And he’s gonna be so much fun and…”

Daughter 2: shoves food to one side of her plate.

“Well, sometimes, after mommies have babies, they get really super duper sad. And it’s not anyone’s fault.”

Daughter 1: “Sad? Why sad?”

Daughter 2: working on moving food back to the OTHER side of her plate.

“Well, no one really knows why yet. They just do. And like I said, it’s not anyone’s fault. Not the Mama’s, not the daddy’s, not the children’s fault, and not the baby’s fault. Got it?”

Daughter 1: “Got it.”

Daughter 2: is now parting her food as if it were the Red Sea.

“So who’s fault is it if a Mommy gets sad after she has a baby?”

Daughter 1: “The Mommy’s.”

*sigh* “No… it’s not anybody’s fault! It just happens.”

Daughter 1: “Oh. Not anybody’s fault?”

Daughter 2: Contemplating a spoonful of food at eye level.

“That’s right! Not anybody’s fault!!!”

“So – if that happens to Mommy and she gets sad, let’s think of some ways you can help mommy cheer up.”

Daughter 1: “Okay. I can tickle you. That will make you smile!”

Daughter 2: Attempting to eat said food. Instead creating a river of oatmeal down her chin.

“I like that! So if you see mommy sad or upset you can come tickle me, okay pumpkin?”

Daughter 1: “Really? I can? Yay!!!” cue really big goofy toddler grin.

Daughter 2: now smearing river of oatmeal on table. I’ve given up.

“So who’s fault is it?”

Daughter 1: “NOBODY’S!”

“And what are you going to do to help mommy if she gets sad?”

Daughter 1: “TICKLE YOU!”

And off we giggled into the sunset as a river of oatmeal flooded the plains.

But seriously – see what we did? We had a completely age appropriate discussion about Postpartum Depression. It really sunk in because if I looked sad after our son was born, my daughter really DID tickle me. So totally adorable.

As for the flip side – telling your children about your own experience with Postpartum Depression you had with them is a completely different ball game. Sure, I have share with them some of it but again, it’s in an age appropriate manner. They know mommy spends so much time on the computer because she helps women who are sad after they have babies. They have seen me cry when I’ve been touched by a story or a tragedy. And my oldest knows enough to know that if she ever has Postpartum Depression, she needs to talk to mommy cuz mommy knows what she’s doing. I hope and pray neither one of them experience this hell but with my experience, their risk goes up. So I feel I owe it to them to educate myself as much as possible, be as open as possible, and let them know beyond a shadow of a doubt they are NOT alone.

SO let’s get to Just Talkin’ here. Did you have older kids when you experienced your Postpartum Mood Disorder? Were you able to prepare them? If not, how did they react to your Postpartum experience? How did you talk with them about what was going on with Mommy? And here’s a doozy – will you ever tell your child the full unfiltered and uncensored story about what happened? Or will you continue to tell them in general terms about Postpartum Mood Disorders? (I’m still on the fence about whether or not I’ll share full details with them – if I ever write a book I suppose there’s no turning back then, right?)

I can’t wait to discuss this with y’all!

Request for Domestic Violence & Postpartum Depression Research

I had a friend of mine contact me today asking if I’d spread the word she’s in need of some research about Postpartum Depression & Domestic Violence victims for a current project. She is specifically “looking for research that demonstrates victims of domestic violence are at a greater risk of developing perinatal depression and also for research that demonstrates a history of sexual assault being a risk factor.”

Please direct any links, research, further questions you have to tlawton@drshosh.com.

Thanks wonderful readers!

Warmest,

Lauren

Graham Crackers & PB series will return on Monday

It’s been an emotionally draining week to share my story in such intense detail.

I need to take a few days to myself before wrapping up my story.

The feedback from all of you has been absolutely amazing. It’s thrilling that so many people have found such power and beauty in my words.

It has been such a relief to finally get all of this out in the public eye. I feel free from PPD. Finally. I’ve taken the last step and kicked it to the curb.

I hope you’ll stay tuned and check back in on Monday for the wrap up to my story!

(Once the entire series is published, I’ll create a new page that will link to all the posts for easier navigation.)

Graham Crackers and Peanut Butter with a side order of crazy: Part IV

The part in which the title finally makes sense:

I rested my thin pillow against the cold glass of the medical transport window, snuggled down into the blanket, and dozed off as the wheels of the van propelled me toward the psychiatric hospital 45 minutes away. I kept shivering despite the blanket. Every time I shivered, I woke up. Then I would fall back asleep. Then I’d wake up again. Finally, the van came to a stop. Ahead of us, bright red brake lights glared into the dark, illuminating stark pine trees lining the isolated country roadway.

About that time, the transport driver said something about a traffic jam. She turned the van around to head the other direction. What should have taken us just 45 minutes quickly turned into an hour and a half. During that time I woke up. The driver and I started talking. She was the first non-medical professional with whom I shared everything I had gone through. And you know what she told me? She told me any other mother in my shoes would have been hard pressed to keep it together. I quietly thanked her and pulled the blanket closer as the shivering had started again.

We finally pulled up to the psychiatric hospital. I sat quietly as I waited for the driver to open the door and unbuckle me. (That’s right – I had to wait to be unbuckled. At 29 years old, I had to wait for someone ELSE to unbuckle me. If that’s not humbling…..) She carried my bag and breast pump for me (again, I wasn’t allowed to do so) to the doorway. A security guard met us there and walked us down a long hall to a small room. As the transport driver stood there, the guard went through my bag, checked me over, and went over me with a wand. We then walked down another hallway to the Acute Flight Risk Ward. The driver said goodbye as the nurse from the ward took custody of me.

We sat at a table and filled out paperwork. The nurse asked question after question. I was cold, tired, and shivering. I wanted to sleep. I wanted a warm blanket. My teeth chattered. I sat there and answered best I could. I remember a lot of “yes ma’am” and “no ma’am.” It was not me that sat there that night. It was someone else – a shell of myself. A shivering shell nonetheless.

As we filled out paperwork, another patient meandered into the main area. She had wild salt and pepper hair, wore a large plaid pattern flannel shirt and sang at the top of her lungs as she shuffled about. My first thought? Dear Lord. Please don’t let her be my roommate. I asked the nurse about private rooms. She told me no, honey, there are no private rooms here. It was right then and there that I knew this meandering woman was my roommate.

We wrapped up paperwork and I asked if I could pump. I was let into the medical supply/clinic room to do so. A nurse checked on me every five minutes (and I thought topless double pumping with a hospital grade pump in front of my mom was embarrassing!) Once I finished, I went to my room.

(An aside here: Lemme tell ya people – the pillows at a psych ward? Wow. They suck. I didn’t know Aunt Jemima made a line of pillows – they were that damned flat.)

My body collapsed into bed and I was out. They did checks almost every hour so I kept waking up. My roommate finally came to bed a few hours after my arrival, bursting into the room with her loud personality and voice to boot. Between the flat pillows, the loud roommate, and checks, I did not get a lot of sleep that first night.

The next morning, at the break of dawn, my roommate prayed to Jesus at the top of her lungs. She was praying for sunshine because if it was cloudy or raining, she wouldn’t be able to go smoke her cigarettes and then He knew what she was like if she couldn’t smoke her cigs. I didn’t want to find out what she was like if she didn’t have her cigs so I prayed – quietly – that she’d get her precious cigs.

I got up after she left the room and went to shower. A long, hot, shower. Except the water wasn’t hot. It was cold. But it still felt relaxing to shower without worrying about having to take care of the kids.

Once I showered, I went and pumped. I had no idea what time it was but asked the nurses to please make sure I pumped at least once every three hours until 10:00p.m. They were pretty good about making sure I kept on schedule.

I had several conversations with the nurse who checked me in. During those conversations, we discussed ideas for taking time for myself. But she also told me I did not have to tell anyone where I had been that weekend. (You see how well I followed THAT advice!) Even then, I knew that didn’t seem right. Why would I hide what was happening to me? Where would I tell people I had been?

After I pumped, I walked out into the common area. There were crayons, paper, a TV, a radio, couches, and a phone. I spent a great deal of time on the phone. I called my parents, Chris, my brothers, just to reassure them that I was okay. Kind of funny – here I am in the psych ward and I’m calling folks to tell them I’m okay.

One of these conversations included my father. He told me in no uncertain terms to not let anyone tell me I’m crazy. With everything we had been through with Charlotte, it was no surprise I had collapsed like I had. It was amazing I hung on as long as I did with no support.

I asked Chris to please bring me a book. The other patients, to be honest, scared the crap out of me. They were angry, blank, scary people. My heart broke for them even in the midst of my own trauma.

We all lined up to go to breakfast. The food sucked. I realized I could get food delivered to me from the cafeteria and stayed away from the cafeteria for the rest of the stay.

A couple of times a day, a snack room was open and available to us. We were to eat the snacks in the main room but I snuck them back to my room. My favorite snack? Milk, Graham crackers, and peanut butter. I had never put peanut butter on graham crackers before but for some reason, I found it comforting. And energizing. I’ve not eaten it since. I can’t bring myself to do so. I know I’m better but I just can’t do graham crackers and peanut butter anymore.

While I was there, my charming roommate and I scored another roommate. This woman came in not talking, almost catatonic. I always asked her if she wanted something to eat when I would go get something for myself. She answered once and I brought her some food. It was the first time she had spoken since arriving. First time she ate anything since she got there too. Later that afternoon, as I woke up from a nap, I heard her talking with one of the nurses. I lay there, still, quiet, bored out of my MIND but knowing that if I moved, she might stop talking. I knew she needed to talk. I knew she needed the help.

Once the nurse left and my roommate went back to sleeping, I stared out my window. I saw Chris arrive. I tried desperately to get his attention but he didn’t see me. I rushed to the phone to try to call him to tell him where my room was but I couldn’t – someone was talking. Out of the entire weekend, the one thing that made me feel the most trapped was that – seeing my husband and not being able to hug him.

While I desperately begged my husband (telepathically of course) to look toward me, the psychiatrist came in to talk with me. I repeated my story, including how I broke down. We agreed a med change might be in order. I had not taken any meds in over 24 hours. That night, I was given a new med and another one the following day before leaving the ward.

My mother had come down again to help Chris with the kids. They wanted to release me in the morning but Chris would not be able to pick me up until that afternoon and I did not want my mom to pick me up from yet another hospital. I wanted it to be Chris. Plus if he came to pick me up, I’d get to stay longer and sleep longer.Sneaky, I know.

After a weekend of solid sleep, relaxation, and time to myself, I was feeling much much better. Definitely not the vacation every new mom day dreams about but hey, it worked for me.

As I sat in the car with Chris on my way home, the sky was grey, the world was bleak, and although I had survived, I could not help but wonder what was ahead of me as we drove home, together, yet so very far apart.

Click here to read Part III

Graham Crackers & Peanut Butter with a side order of crazy: Part III

Welcome to Part III. Today I talk with the doc and get sent to the ER. Not the best day in my life but one of the most helpful by far. Click here to read Part II.

And we’re back at the morning when I wanted to let go.

They say the hardest thing to do is to let go.

Lemme tell you something – that morning, letting go was easy. I was weak, tired, frustrated, confused, and overwhelmed. I had nothing left to do but to let go. So I did.

As I drove myself to the doctor’s office, my mind was blank. I don’t really remember the drive. When I arrived, I went back pretty quickly and shuttled into a little room with a nurse. She asked why I was there. Didn’t I tell you on the phone? Why do I have to repeat myself? It wouldn’t be the last time. I sighed and let the monsters out of the bag. I was too far gone to care about consequences.

I sat in the doctor’s office confessing all of my dark secrets. But it wasn’t me.

No, I floated above myself as this other woman confessed to a multitude of sins that I had not committed. To thoughts I had certainly not had. To horrible things like not bonding with my child and wanting to smother her with a pillow. My mouth moved, sound escaped, but surely it wasn’t my voice uttering these things. I am a good mom. Good mothers do not want to do things like smother their children or abandon them at the hospital. Good mothers can do anything. Good mothers are perfect and kind and… well, like June Cleaver.

My house was a wreck, I slid closer and closer to carrying out these horrific pirhanic like thoughts swimming through my brain, I barely slept, barely kept up with anything anymore. There was no way in hell good mother applied to me.

She spoke slowly and deliberately, asking how long it would take me to get to the local hospital, what route I would take, if I felt I could drive myself.

I asked if I could go home to get some of my things. I needed a breast pump. My breasts were starting to sting they were so full. (It was almost 4:00 p.m. now. I had not pumped since 11:00a.m. and normally pumped every three hours.)

No. You have to go straight to the hospital. Can you do that?

But I need to get my things….

No. Hospital. Now.

Okay. If you say so.

She and I walked quietly to the front of the office where she helped me check out. (Sidenote: I carry that receipt/slip with me in my wallet to this day. It reminds me of how far I have come since then.)

I left and walked to my car. I called my husband to tell him the doctor sent me to the ER. I’d call with an update when I could.

When I arrived at the ER, they were waiting for me. The doctor said she would call ahead. I was triaged and sent back almost immediately.

The ER doc on call came in, sat down and asked me what was going on with me.

I told him. Quietly and calmly.

“I’m here because I do not want to be Andrea Yates. I don’t want to be Andrea Yates. Please, keep me from being Andrea Yates.” I pleaded with him as he sat across from me, legs crossed, arms crossed, yet seemingly warm and open. Relaxed. He stood in a very relaxed position. This made me comfortable.

I remember this ER doc. He kept telling me how much courage it took to seek help. He commended me for my bravery. Shortly after the ER doc left, a nurse came in and a security guard showed up. My belongings were taken away from me to keep them safe. (Translation – to keep ME safe.) I talked openly with a social worker about my situation, my thoughts, everything. I don’t remember what he asked or what I said to him. I do remember asking if I could have a breast pump. It was now nearly 6:00 p.m. I believe. My breasts were moments away from bursting.

The social worker talked with me about hospitalization. I nodded in agreement. I needed help. I needed to rest. He disappeared to make some calls. I wish I had known about Emory at this time. I would have requested to go there. But I didn’t so off to elsewhere I went.

My husband arrived with some of my things including my breast pump which I received permission to take with me. He looked exhausted and scared. I’m sure I looked the same – or worse.

Shortly after he arrived, the transport driver showed up. I asked to go to the rest room and had to be quick about it. I hugged my husband good bye and followed the driver to the van.

I don’t know what time we left the ER. The inky sky swallowed me whole as tiny rays of light beamed down. I missed the sun. I felt even more trapped and alone as the van glided over streets I had driven time and time again prior to this night. Yet tonight the buildings judged me, the stars judged me, and the headlights of the oncoming traffic judged me. They all knew – they all knew why I rode in the back of the medical transport van.

As the driver turned onto the main road away from my town, I took a deep breath. I had no idea what the rest of the night held but I already felt a tremendous sense of relief.

(Read Part IV here)