Showing posts with label Post Partum Depression. Show all posts
Showing posts with label Post Partum Depression. Show all posts

Sunday, July 24, 2011

Coping with Depression: Recognizing the Signs & Getting Help

I would like to introduce to you Gretchen Mather of Julian's Journey: Life as We Know It.  Gretchen and I are blogging cyber buddies.  We have been reading and commenting on each other's blog for a while now and I am thrilled to have her a guest blogger today. I am always struck not only by the amazing cuteness of Julian, but also by her complete honesty and raw emotions so beautifully written in her blog.  I sincerely hope that after reading her guest post, you decide to continue on following Julian's Journey.

Coping with Depression: Recognize the Signs & Getting Help
Here I am, on the Chronicles of Ellie Bellie Bear blog (hi everyone and thanks Anna!) typing to figure out where to begin. Anna asked me to talk a little more about my experience with depression and I thought it was a great idea. I hope that with this post, I can help others who are currently depressed cope with their feelings and find the right treatment.

You see, I experienced a severe depression after my son 
Julian was born. I have a history of post-partum depression and suicide that runs in the family.
If you are reading this and are currently depressed, PLEASE KNOW THAT YOU ARE NOT ALWAYS GOING TO FEEL THIS WAY.  Read on for my story and how to cope. 




Here is a bit more about my story:



I am living proof of someone who has been to the point of being suicidal and now am truly feeling happiness again.  How did I know I was depressed? Well, I was unhappy most of all of every day. I would get up in the morning and think "crap, another day I have to get through".  Living each second of every day was torture.   I didn't even have the energy to eat.  I lost my appetite and lost about 15 pounds.  Other signs and symptoms of depression include frequent thoughts of death and suicide.  Here are some facts from www.dbsaboston.org (Depression and Bipolar Support Alliance of Boston):

Common symptoms of clinical depression include:

  • Prolonged feelings of sadness, anxiety, or hopelessness
  • Sense of impending doom or disaster
  • Reduced enjoyment and pleasure
  • Loss of energy and motivation
  • Low self-esteem, feelings of worthlessness or guilt
  • Indecisiveness, reduced concentration, slow thinking
  • Significant changes in appetite and/or sleep patterns
  • Social withdrawal
  • Recurrent thoughts of death or suicide

Key Facts About Depression

In any given year depression affects up to 20 million Americans, or 10 percent of the adult population.
  • Women are twice as likely as men to experience major depression: One in four women, as opposed to one in eight men, is likely to experience a mood disorder in her lifetime.
  • Two out of three people with mood disorders do not get proper treatment because their symptoms are not recognized, blamed on personal weakness, or misdiagnosed.
  • When properly treated, 90 percent of people with mood disorders can be helped.
  • People with untreated severe depression have a suicide rate of about 15 percent
How Do You Know If You Are Depressed?

If you have been feeling down or sad for at least two weeks in a row consistently, all day of every day, then you might want to seek out the help of a therapist to talk about how you are feeling and determine if you are depressed.  Signs that you might be depressed are below (from www.webmd.com):
 
  • persistently sad, anxious, or empty moods
  • loss of pleasure in usual activities (anhedonia)
  • feelings of helplessness, guilt, or worthlessness
  • crying, hopelessness, or persistent pessimism
  • fatigue or decreased energy
  • loss of memory, concentration, or decision-making capability
  • restlessness, irritability
  • sleep disturbances
  • change in appetite or weight
  • physical symptoms that defy diagnosis and do not respond to treatment (especially pain and gastrointestinal complaints)
  • thoughts of suicide or death, or suicide attempts
  • poor self-image or self-esteem (as illustrated, for example, by verbal self-reproach)
Physical signs of depression:

  • appearance of preoccupation
  • lack of eye contact
  • memory loss, poor concentration, and poor abstract reasoning
  • pacing, hand wringing, and pulling on hair
  • psychomotor retardation or agitation, such as slowed speech, sighs, and long pauses
  • self-deprecatory manner, or belligerence and defiance (especially in adolescents)
  • slowed body movements, even to the extent of being motionlessness or catatonia
  • tearfulness or sad countenance
A bit about my mental health history
Before Julian was born, I had a history of anxiety and panic attacks but that was treated by some therapy and yoga for relaxation.  I was not on any medication to manage my anxiety.  I had also had two drug induced psychotic episodes in college (brought on after smoking marijuana) which I didn't think too much of at the time - I chalked it up to drug experimentation and a strange reaction.  Later, I realized this was substance induced psychosis. 

I haven't had a chance yet to write down my experiences in detail about my psychosis experiences (before and after Julian was born) and will likely leave that to another day (I touch upon it briefly in 
Gretchen's story on my blog). You can feel free to leave ANY AND ALL questions or comments about psychosis on my blog or here because it might help trigger some thoughts in order to start writing about it. 
When the trouble began....
The trouble for started not with depression, but with a psychotic episode a couple days after Julian was born which landed me in the mental hospital since this is a very serious condition.  The general definition of psychosis is "loss of contact with reality" usually characterized by hallucinations and delusions.   I spent 9 days in McClean




I was released from the hospital and came home to a 2 week old baby Julian that I frankly didn't know how to take care of and didn't have much attachment to.  It was hard for me to distinguish if these feelings were related to the fact that he had Down syndrome (unexpectedly) and I was having trouble coping with that (which I was), or if I was depressed.  I was able to determine that yes, I was sad and grieving the typically developing baby that I expected. However, I was also clinically depressed.  I also learned that it is pretty common for new mothers who are depressed to not feel any attachment to their babies. 


And then, the depression came on strong
Life went on.  I tried to get through the days.  But I wasn't feeling much joy, and on top of trying to absorb the information about my new baby who has special needs, I was trying to sort out my mental health.  People reached out to me thank goodness.  I had a therapist that I had seen for a few years prior that helped me to find a Post Partum Depression support group in the area.   I highly recommend this.  I went every Wednesday for an hour to share thoughts and feelings with other mothers.  The group was called "This Isn't What I Expected."  
If you don't have someone to talk to, please please please get help.  Go to a therapist. Call your insurance company to ask them who in the area is covered and who they can recommend.  Or call a friend to ask them to help you. Call or talk to ANYONE. The key is reaching out and telling people how you are feeling and letting them help care for you. 
Especially if you are a new mom or a mom having another child, often in this society people think that mothers are feeling uber joy after their babies are born.  No one talks about the fact that it is quite typical that moms feel unattached, sad, depressed.  This post partum group for me was a place where it was OK to voice your feelings and "normalize" them. 
Weekly therapy, doctor support

I saw a psychiatrist every week. She managed my meds.  I went to weekly therapy sessions.  My family helped take care of Julian.  In fact, they were taking care of him - I wasn't.  I couldn't really get through the days and needed a lot of support.  During one of the toughest times in my depression when I was very suicidal, I had my mom come and stay with me.  She would take care of me and cook for me and make sure I got up in the morning, encourage me to shower, encourage me to take a walk around the neighborhood.   I can not tell you how amazing that was for me to have her there. And my husband Tom of course played a HUGE role in helping me cope.  It took a big toll on everyone though.  It was not easy. 


How do you cope when you are depressed?
Well let's see.  I guess I kept thinking about the words from my therapist - YOU WILL NOT ALWAYS FEEL THIS WAY, I PROMISE.  When you are depressed, everything is the worst thing in the world. You feel absolutely no joy in anything.  I would look in the mirror and think about killing myself.  I didn't see beauty in the world, I couldn't enjoy the sunshine, I didn't care about the beautiful flowers blooming.  Nothing mattered. I wanted to die. Why was life worth living anyway? 
So if you are or have thought any of these thoughts, then he is what I suggest you do:
1) GET PROFESSIONAL HELP.  Go to someone who is trained to help you. 
2) 
DAILY SELF CARE. Try to do the little things every day, like shower, get dressed, comb your hair - I know this is very very VERY hard to do when you are depressed.  But you can do it.  I know you can. I did.
3) 
EAT. I was not hungry EVER when I was depressed.  yes, I said NEVER. I would never ever get hungry.  So I had to try to eat whenever I could (mostly people would force me to eat).
4) 
FIND A SUPPORT GROUP in your area.  I know, it is hard enough to get dressed, how are you going to get out of the house? Ask a friend or relative to drive you if this would help (that is what I did)
5) 
MEDICATION.  Medication helps correct the imbalances in your brain.  I am still on anti-depressants and they help me feel like I do today which is HAPPY. Believe me, do it.
6) 
EXERCISE.  Take small walks (again if you need help from friends or family, ask them to come and take you out).
7) 
SOCIALIZE.  I know you will not feel like planning anything yourself or even not have any fun when you get together with people.  But you need to force yourself (or ask a friend or relative to help you plan social occasions).  It is important that you get some interactions every day.
8)  and lastly, like I have said before 
KEEP REMINDING YOURSELF THAT YOU WILL NOT ALWAYS FEEL THIS WAY.

With the proper help from professionals, YOU CAN GET THROUGH THIS.  As someone who was suicidal and spent time in a mental institution to recover, I was at the bottom of the barrel.  I am now back at the top - working a full time job in the industry I love, raising my beautiful boy Julian, and loving and enjoying life again.  It was not easy to get where I am today, but do not give up.  Do not let yourself give up. Even on your darkest days, please remember that it will get better. I promise.  But you have to help yourself get better too.





If you want to contact me with ANY questions at all, please feel to leave a comment here or at my blog or send an email to glm0210@yahoo.com. You can also follow me on Twitter @julians_journey.

Thanks again Anna for letting me be your guest!

Tuesday, January 12, 2010

There Is A Light




This morning I work up and I found little stinky-butt at the head of the bed playing.  She was trying to roll over from back to tummy :o)  I guess her crazy acrobatics caused her to migrate to the head of the bed.  Of course being a paranoid mother, I worry that my Circ De Soleil baby will get her head trapped between the mattress and crib railing.

As many of you know I have been suffering from PPD (Post-Partum Depression).  After multiple crying episodes and feelings of failure, I finally got back in to see my psychiatrist.  On Thursday of last week we added on nortriptyline, a tricyclic antidepressant that works on norepinephrine, in addition to my increased dose of Lexapro.

Have you ever read the side effects of these medications that mess around with brain chemistry?  Involuntary muscle movements, twitching of the face & tongue, hallucinations, erratic heart rates, etc.  Then it goes on to say that some of these reactions may be permanent.  As in forever!   Yep, really makes you want to take the medication.  Well, so far I am not twitching and I am hopefully not hallucinating or having delusions.  I mean, how do you know if you have hallucinations--you believe that they are there unless someone tells you otherwise.  Seriously, I doubt Ellie could tell me that I am hallucinating.  Anyway, I think that all is good.

The past 2 days I have been doing better.  Yesterday I actually left the house willingly for something that had nothing to do with a doctor's appointment.  My mother (who is helping out do to my bum back), Bear Bear and I went to a British Coffee & Tea shop.

www.friartuckspantry.com

They have scones!  Brownies!  Digestive biscuits!  (if you do not know what those are--ask Matt Abbott)  They have French Press Coffee!  Lots of coffee!  We had coffee from Yemen.   I didn't even know they exported coffee. Mom and I ordered this amazing brie & bacon sandwich with raspberry chipotle spread.  Yum :-)  Of course Little Ellie Bear slept through the whole thing.



Andrew and his 2nd wife

Guess what Andrew did?  He ordered me one of those poles that picks up objects from the floor.  Oh goody.  Nothing like making me feel decrepit and old.  Maybe he should have also ordered me a "Help, I've Fallen & I Can't Get Up" button.  Seriously?!?!  Okay, I know that it is actually practical, but still.

Saturday, January 2, 2010

I Will Get Through This

I find myself constantly repeating the mantra "this too shall pass" and I really hope it does.  With depression, the neurotransmitters are all butting heads. In my case, the serotonin and norepinephrine. There are too many receptors for some and not enough for others.  That leaves the brain's wiring all tangled and leads to irrational thought patterns.  This means that I feel doomed and that things will forever be this way.

I would like to think that the increase in Lexapro from 2 weeks ago was successful, but I would be kidding myself otherwise so it looks like Dr. S will be getting a follow-up phone call from me come Monday.  I am scared because I have maxed out my Lexapro dosage and I have already tried several other meds.  Again, the doomsday thought processing--is there any medicine left that can help me?

Poor Andrew has been so supportive and helpful, but I know that this is hard from him too.  He went from helping out with Sophie and Ellie to also helping me out--physically (back problems) and emotionally.

Simple tasks seem like mountains to climb.  For instance, I needed to pack for our trip to Plano.  It was/is a simple 2 day trip.  I cried and stressed which I know are completely unproductive so I tried some of my cognitive-behavior-therapy strategies.  I made  baby-steps of packing Ellies feeding supplies, then her diapering supplies, then clothes, then Sophie's food so forth and so on.  Only I lost it when I couldn't pack some of Sophie's toys because I couldn't bend down and get them off the floor!  I couldn't pack our travel toiletries in the traveling pack because they were in the lower cabinet!  Fortunately my very patient and very loving husband reassured me and helped me out.

I have a job and it is a big job--take care of house, Ellie, furbabies, and be a good wife/mother/daughter/friend.  I feel like I am failing in all of them.  I cannot pick up Ellie without help.  I cannot lift her carrier.  I cannot do her physical therapy on the floor anymore.  I cannot play fetch with Sophie.  I cannot use the leash on her.  Laundry is near impossible without help.  Sure, I can get them into the washer but I cannot reach down and transfer the clothes to the dryer or then get them into the dryer.   I am crying in the middle of the night with the irrational fear that Andrew will leave me because I am a burden and a kleenex sodden mess.  It is stupid and I know this.  Ellie is alive, fed, warm, and knows that her mommy loves her.  My furbabies are loved, fed, clean and know that I love them.  Andrew knows that I love him and value him.  I know that I will be better with a combination work, meds, therapy, supportive friends, and my faith in God.  So I say, this too shall pass.

Friday, December 18, 2009

12.18.09 Postpartum Depression



Yes, I know that the title is a real kill joy, but it needs to be discussed.  Or I at least need to blog about it.  I said that this blog was about our family and it would be rude of me to not look into this topic. 

I now have proud ownership of the label, I mean diagnosis, of postpartum depression.  No, I am not a danger to myself, Ellie, or others.  Well, crazy Christmas shoppers possibly, but seeing as I am done with the Holiday shopping even those people are safe.

As many of you females and possibly males know, hormones play a big roll in mood and well reproduction/fertility.  There are surges of certain hormones during pregnancy and surges of others afterwards, aka postpartum period.  Some hormones are suppressed such as the thyroid hormone.  Do not worry!  I will not detail the hormones/NTs like estrogen, oxytocin, progesterone, serotonin, or norepinephrine.  Just recognize that the brain chemicals play a role.  

Anyway, sometimes I feel like my brain chemicals and hormones are confused.  I find myself at times crying for no apparent reason and yet an hour later I feel energized and all is right with the world.  Other times I feel like an incompetent parent.  How can I take care of this little baby?  Especially when I forget things like leaving the milk on the counter and putting my keys in the fridge.  Then the animals.  I forgot that I left Sophie outside and Tama is in the closet.  Augh!  Sometimes all I want is a nap.  Yet at the chance to get a nap all I do is have thoughts of what needs to be done. . .  or I relive receiving Ellie’s diagnosis.  Actually that is a big one.  Is it possible to have post-traumatic stress due to birth?  I relive that diagnosis part over and over again.  I also relive Rodeo’s death as well.  I miss him so much. . . 

Fortunately I recognized that I am having issues and sought help in several forms.
1. Lexapro which is great for depression, anxiety, and obsessive compulsive disorder.  It works on the neurotransmitters serotonin and norepinephrine.
2. Playgroup:  I love my playgroup.  They are wonderful mothers who provide reliable support.  They listen and provide great advice.  They also have adorable babies and who doesn't feel better when they see a smiling happy baby?
3. Andrew & Family & Friends: they understand that I am not myself and are trying to help me cope.
4. Ellie Bear's smiles.

The numbers:
Approximately 10-15% of new moms will experience postpartum depression
Moms are at a higher risk if they have experience previous episodes of depression or mental illness
Other risk factors include but are not limited to unplanned pregnancy, major life changes such as a death in the family or move, depression during pregnancy, postpartum depression with previous pregnancy, and low social support.

If celebrities are important to you--not confirmed but found during a Google search:
Brook Shields
Marie Osmond
Catherine Zeta Jones
Courtney Cox
Amanda Peet

Support & Info:



Thursday, October 22, 2009

10.22.09 Frustration

Sometimes I feel as though my daughter's life revolves around assessments and evaluations conducted by various medical professionals. I get frustrated because Ellie is a normal, beautiful little baby who just so happens to have 3 spindly shaped 21st chromosomes. Why can't we just enjoy this precious neonatal time without putting Ellie through all of these tests and evaluations? Why must we spend all of these hours each week in a doctor's office, meeting with DSACT, & ECI and why must I spend so much time on the phone coordinating these services rather than bonding with my daughter?

Do not get me wrong, we are blessed and truly recognize how lucky we are that Ellie is so healthy. We are not asking for pity or saying woes me. We know that many families who have children with DS and those who do not have it much worse. We are not taking for granted that Ellie is developing on tract and is free of cardiac and feeding issues. We do understand the need for all of these assessments--cardiology, GI, developmental, endocrine, ophthalmology, genetics, audiology, etc (Children with DS are at risk for cardiac defects, celiac disease, mental retardation, developmental delay, hypotonia, hypothyroidism, eye & ear problems, and leukemia [that one scared/scares me the most]). We realize that it is important to screen for all of these issues to either rule them out or to implement early treatment. We understand that and are grateful that thus far Ellie seems to be a healthy & thriving baby girl who we love so much. It is just sometimes I am so frustrated and say "this was/is not how it was/is supposed to be! This time was/is meant for bonding, playing, & enjoying these first few weeks".

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