Wednesday, May 6, 2015

Vulnerability Around Postpartum Depression

The days, weeks, and months after giving birth can be agonizingly difficult.  I am proud of and thankful for my friend Becky Maners who has shared about her experience with postpartum depression, and has given me permission to share her experience here.  I am sure that many can relate to her experience, and it is her hope (and mine) that sharing her story will aid others in getting the help that they need.

Please click here to view Becky's message.  It is worth the 5 minutes it takes to watch.  For those of you who would prefer to read, the transcript is pasted below.

I am hoping that others continue to be brave enough to share their experiences with needing to seek help for mental health issues.  As people feel comfortable openly sharing their experiences in seeking treatment, the stigma of seeking help for a mental health concern can lesson, allowing others to freely and unashamedly seek help.

Crossroads Conference Story

Post-Partum Depression and Mental Health
By Becky Maners

Nearly 5 years ago, a baby girl was born - and so, as they say, was a mother.  From the moment of her emergency c-section delivery, she let me know that she had different plans than I did for  how this was going to go.  I was prepared to "sleep when the baby slept" - but beginning at just 3 weeks old she started going 10-12 hours without a single nap.     

After a short 8 weeks off, I returned to my full time job, absolutely exhausted, barely making it through the day.  I'd finish up the day eager to see and enjoy my baby girl.   Her caregivers would say she "had a great day."  But from the minute I put her in the car, she would wail and scream. I was convinced that my baby hated me and so I cried, too.  This was not at all how I'd imagined it would be. 
I kept waiting to feel better…when she starts sleeping more, when nursing ends... Then,  those things happened  - and I still felt like I was drowning.  I loved my daughter, but I didn't love being a mom.  I really wanted to. But I felt so overwhelmed, and like I was doing a terrible job at it.

I set up an appointment at a post-partum depression clinic.  The week or two prior to my visit I started feeling brighter and when I met the psychiatrist I announced that I probably didn't need to be there; I was feeling better, back to normal.  He shared with me, however, that the screening questions I had answered  indicated a low to moderate score for depression symptoms. 

Wait, what?  Really?  My best is a mild depression? What might I have scored on some of my worst days I wondered?

As I discussed my symptoms and history further, it became clear that my definition of "my best" was distorted due to dysthymiaDysthymia is a chronic mild depression that often lasts for years before being diagnosed,  and people with dysthymia may also have episodes of major depression,  such as I had post-partum.

I pulled out old journals and reflected on the past and I was able to see ways  depression had impacted my life and relationships.  And I decided that it was time for me to change the story.  Depression was a reality I had to face, but it need not define me.  

So what could I do? After carefully considering the options, I decided to give a combination of medication and therapy.   I wanted a chance to discover what my "best" could really be.

Medication helped me in ways I didn't expect.  It seemed to lift the cloud that held me back from doing things, like having lunch with friends or joining a yoga class, which in turn helped me feel even better. 

Therapy helped me change the way i think or respond to things.  I began to enjoy myself and laugh again, while at the same time worked on being comfortable with feelings like  sadness or  disappointment.  I realized that I didn't need to fight or make those feelings go away, it was possible to feel them without being swept away by them. 

After a few years of feeling better, I wanted to try for another pregnancy.  But I had a lot of concerns about what that would mean for my mental health.  Was it safe to stay on medication? Was it safe to NOT stay on medication?  Depression had already stolen so many moments from me and my family and I did not want that again.  Finally, I decided it was best for me to stay on medication while we tried to add another baby to our family.

In January 2014 our son arrived, and I was reminded what it’s like to live with a new baby.  It’s a little like taking a white water rapid adventure trip.  The river doesn't follow your lead, you have go with the flow.   It's easy to be so fearful that you don't enjoy the trip at all.  After my daughter was born, I fell into the river and was struggling with every ounce of energy to simply survive.   My son's first year was like a trip down the same unpredictable river, but instead, knowing what to do if in trouble, and having the support of  people I trust by my side.    Both were scary and required LOTS of hard work.   But the second time around, I was able to enjoy the adventure, to fully participate in each precious fleeting moment.    

For many of us, a crossroad comes when you reach the point where  it's far riskier to stay where you are and NOT change than it is try something new. Admitting you can't cope and might need help is hard.  But it can also bring hope.  If you are struggling with depression or other mental health concerns, I encourage you to take that brave first step of toward  the hope of better and brighter days in your future.  

About Becky:

Rebecca (Becky) is employed full-time in a health care IT position.  She began her health care career as a Registered Dietitian, and has migrated through several other health and wellness related positions. She is grateful that she had colleagues who were able to help her connect with support resources when she realized she needed them!    When not working, she might be exploring Pittsburgh  with her husband Matthew and 2 children, or at home reading stories, racing cars or having a tea party. In addition to juggling  work and family, she owns Charis Notes and Gifts, a handmade business that has provided the rich experience of meeting and networking with other local entrepreneurs.  In the brief post-bedtime hours,  she squeezes in a favorite TV show or podcast, while gluing, painting or cutting paper.   She also loves Pittsburgh, and is passionate and actively involved in building a strong community in the transitioning neighborhood of Swissvale.  At the end of the day, in this story, she is a patient - like we all are from time to time.  She believes that personal stories are very powerful in activating others to manage their condition and reach out for support.  

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