Tag Archives: ppd

Breathing It All In

When I think back to the days and weeks after C was born, I don’t remember that much. I was trying desperately to breastfeed, but felt like I was failing. Hubster and I were extremely sleep deprived. C developed colic around his second week of life. He needed to be held in order to sleep. I remember a lot of crying, a lot of stress, a lot of frustration, a lot of uncertainty in my ability to raise a human being.

Some of that, I’m sure, was normal. Becoming a first-time parent is a scary thing. It can be overwhelming, especially when you’re dealing with a colicky baby. I wonder how much of it, though, had to do with PPD. When did it begin for me? I can only pinpoint when things got noticeably worse, but I don’t know when the firestorm started.

This time is different. Maybe it’s because I’m more confident in my parenting ability. Maybe the medication I started last month is doing its job of keeping my brain chemistry balanced. Maybe this time I realize how quickly babies grow and I want to take in every moment.

It’s probably a little of each. I’m thankful to have this second chance to breathe in all of the littleness that is Baby Jo. Her tiny fingers, the noises she makes when she drinks her bottle, the way she sometimes peeks at us through one slightly open eyelid.

Being able to breathe it all in this time is bittersweet. I wish I had been more present with C. The bond that he and I share shows me that I didn’t fail him, but I wonder if my own guilt will always be there. I’m so grateful for the knowledge, preparation and support I’ve had this time around. This time will be different, and it already is.

Down the Rabbit Hole

Note: Loved ones, know that I am safe. My intrusive thoughts do not equate to actions.

Here I go again. Down, down, down the rabbit hole. I wonder how deep it is this time. Probably not as deep as last time, because I know enough to ask for help. But this time I’m plummeting faster. Deeper.

A month ago, I made the appointment to go back on medication. That appointment is April 1. Monday. It seems far away, and it keeps feeling farther away instead of getting closer.

Because I’m falling deeper. Faster.

The intrusive thoughts are there. The rage is back. I recognize their faces this time, and do my best to fight them off. But sickness makes me weaker. The fatigue from this cold makes the demons feel stronger. Darker.

And I keep falling deeper. Faster.

For the first time in my life, I had thoughts of self-harm. Intrusive thoughts, not plans. I’m not going to hurt myself. My thoughts are not my own. I’m held captive by the darkness. But I keep fighting as I fall.

Deeper. Faster.

I called to get an earlier appointment. But it’s never an emergency unless you’re about to commit suicide. Why is that? Why is mental health not an emergency unless physical harm is imminent? I know I need help. I’m falling.

Deeper. Faster.

But I have to wait. Until Monday. So I keep pulling myself up. Looking to the light. Grasping at the tools I was taught last time I was in the rabbit hole.

Until Monday.

PPD, PPMDs and Some Not-So-Common Symptoms

Spreading awareness about PPD and other postpartum mood disorders (PPMDs) is something that is very close to my heart.  If it wasn’t for another blogger sharing her experience with a PPMD, I wouldn’t have realized that I needed help.  I didn’t experience symptoms that one might typically associate with depression.  I didn’t “feel” depressed.  Here are some of the not-so-common symptoms of PPMDs that I’d like to share with you:

  • Rage
  • Feeling overwhelmed
  • Feeling guilty
  • Feeling nothing
  • Feeling disconnected or, conversely, hyperattachment (sometimes referred to as intensive mothering)
  • Anxiety
  • Intrusive thoughts
  • Racing thoughts
  • Lack of concentration
  • Sleeping disturbances
  • Appetite changes
  • Physical symptoms (i.e. nausea, headaches, stomach cramps)

For more information about PPD and other PPMDs, check out my guest article that is being featured at Our Mom Spot this week.  For more on my personal experience with PPMDs, you may view all of my posts via my PPD page.

The Return of the Intrusive Thoughts

I’m going to be honest with you all.  I’m nervous.

I battled intrusive thoughts in the postpartum period with C, and I didn’t even know what they were for a long time.  I didn’t know that intrusive thoughts didn’t mean that I was going crazy until some of them were so bad that I could no longer cook with knives and was afraid to be behind the wheel of my car.

Here I am for round two, like a seasoned veteran.  The thoughts are returning and, not too surprisingly, center around the same general subjects.  Heavy objects falling on C, running the vehicle off the road, suddenly jerking the vehicle into oncoming traffic, flipping over the vehicle.

So far, I’ve been able to rationalize these thoughts away rather quickly.  This time I have the right tools in my belt.  But, I’m still nervous.

I scheduled an appointment with my psychiatrist for April 1 to go back on medication.  Our plan was for me to go back on antidepressants (not the same one I was on before, thank GOD) about 4-5 weeks before delivery so that I won’t experience the “bottoming out” of hormones.  I’m just getting nervous that the appointment is a month away.

Will these intrusive thoughts become stronger?  Will I be able to rationalize them away until April 1?  Will I start to succumb to the anxiety that they create?  Will I start to feel like I’m going crazy again?

And then again, I’m so thankful.  I’m thankful that I’ve met so many wonderful women through my last experience with PPD, PPA, and what I’m sure was undiagnosed PPOCD.  I’m thankful to know what to expect, and to have a support system in place.  I’m thankful that I’ve been through this before, so I know how to get help.

Here comes round two, my friends.

Hubster’s Stay at the Hospital

On Monday, I quickly mentioned that Hubster was in the hospital.  It kind of turned into a long, emotionally exhausting week.  I wanted to share it with you all, since I didn’t post this morning like I normally do.  Also, because I’ve been through the ringer this week emotionally and I survived – and I’m so proud to say that I have.

Remember how Hubster had emergency gallbladder surgery a couple days before Christmas?  Well, it turns out that a few stones had escaped his gallbladder and were hanging out in his common bile duct in his liver…waiting for the right time to wreak havoc on him.  When Hubster came home from work last Thursday and told me he wasn’t going to a meeting that night, I knew he wasn’t feeling well.  Hubster is kind of a workaholic dedicated employee. ;)  He went to work on Friday, but on Saturday he really wasn’t doing well.  In fact, he skipped dinner on Saturday night because he was experiencing pain that was “eerily similar” to what he felt with his gallbladder issues.  On Sunday, he looked pretty bad.  He made it through church like a trooper, but by the afternoon he was dragging around and lying on the couch.  I told him he needed to call a doctor.  He was just NOT okay.

They told him to go to the ER, and he was admitted.  He spent Sunday and Monday night in the hospital.  During that time, they did an endoscopy, in which they put a scope down his mouth all the way to his liver to confirm that there were stones stuck in his bile duct.  They inserted a stent to widen the space for any stones to pass through.  He’ll go back in to have that removed in a month.  He was able to come home on Tuesday morning.  He looked yellow from jaundice, but his numbers were going down appropriately.

Waiting around at home with C during all of this was incredibly difficult.  I desperately wanted to be in two places at once.  It’s one thing to be waiting in the hospital, but waiting at home with no word for hours on end is an entirely different animal.  I kept myself busy with C (and with a couple neurotic cleaning sprees) and somehow kept it together.  I almost lost it a couple times.

On top of that, C started acting out a lot because he sensed that something was wrong.  Our upstairs neighbor was up around 5am each morning, which meant that I was awake that early too because she’s an obnoxiously loud walker.  When I tried to nap during the day, she was blasting her music.

I was sleep deprived.  Stressed to the max.  Emotionally exhausted.  Solo parenting.  But I didn’t lose it.  I’m pregnant with a history of PPA and PPD, but I didn’t lose it.  I am so relieved and proud of myself.  I want to sleep for a week, but I’m not losing my mind.

Thank God.

Then this morning, I had to take Hubster back to the ER.  He nearly blacked out in the shower.  His heart rate was very high when he was admitted, but everything came back normal – an EKG, labs, x-rays and even a CT scan to check for a blood clot in his lung (he was experiencing shortness of breath).  He was severely dehydrated, but okay.

Thank God.

I don’t know how much more of this I can take.  I’ve reached a new level of exhaustion.  And with that, I am going to make this my last post until Monday.  I need a few days to get as much rest as I can and just regroup.

Wishing you all a wonderful weekend, and I’ll see you again on Monday!

Preventing PPD The Second Time Around: Building a Routine

I’m 25 weeks along in pregnancy number two and I’m starting to get a little nervous about history repeating itself.

I’m better prepared this time.  I will be setting up an appointment with my psychiatrist to start medication before delivering Baby Deuce, to prevent the major hormonal drop that I experienced last time.  I have established a therapist.  I know what to expect.

But, much like last time, I don’t have a local support system in place.  I’m not plugged in to my local community.  Besides Hubster, my support system lives at least two hours away.  Sure, it’s better than the six hours away they were last time, but it’s still not enough.  They have their lives and can’t jump in the car for two hours if I’m in crisis.

It seems like we’re never home on the weekends, because we’re always traveling to things.  When we have been home, it’s when Hubster is on duty and can’t go within 10 minutes of campus.  Our church is 20 minutes from campus.  We haven’t established ourselves at our local church by attending regularly like I wanted.

I’m saying that enough is enough.  I need to get into a regular routine.  I need to attend church every Sunday.  I need to get to know people.  I need to establish myself here.  Needs.

It’s time to pay attention to my own needs.  I need a routine that I can return to after Baby Deuce arrives.  I need local friends and the comfort that simply having a routine and being plugged in to my community can provide me.  I need connection.

I can’t fall down the rabbit hole this time.

An Unwelcome Return

This past month, I’ve noticed the return of intrusive thoughts that plagued me during my battle with PPA and PPD.  These “what-if” thoughts can be truly terrifying.  I’m happy that I recognize them for what they are this time – just thoughts.  Intrusions in my mind that have no logic, rationality or bearing on reality.

I’m currently reading, Dropping the Baby and Other Scary Thoughts: Breaking the Cycle of Unwanted Thoughts in Motherhood by Karen Kleiman and Amy Wenzel.  It’s an enlightening book about intrusive thoughts and how to combat them.  I wish I had known about this book a year ago, because at that time I felt like the crazy person on the block with these thoughts swirling through my mind.  This book reveals that these horrid thoughts are not just my own; other women experience them, too.  What do you know – I’m not the only freak in town! ;)

Right now, I’m able to work through them on my own with the tools I learned in talk therapy.  I’m hoping that they don’t get worse before I deliver the baby.  I’d like to be able to go without medication until just before Baby Deuce arrives.

How I Cope With Tragedies and Triggers After PPD and PPA

The elementary school shooting in Newtown, Connecticut, is simply horrific.  There really are no words to describe such a senseless act of violence.  I know that it has affected many people in tremendous ways, particularly those who suffer from depression and anxiety (or have in the past).

I’m lucky to be aware of my triggers for anxiety and depression.  For me, violence against children is probably the biggest trigger of all.  It’s unthinkable, unimaginable.  And yet, it happens.

Even though I have recovered from PPD and PPA, there are still certain things that I know will send me spiraling downward emotionally.  Friday’s tragedy in CT is one of those things.  I choose to cope with these triggering events by not really paying attention to media.

While I fully recognize and acknowledge that this happened, I can do so without delving into news coverage of details.  Knowing all of the sordid details and final moments will not do me any good.  In fact, it would probably send me into days of emotional turmoil, distress and tears.  I just can’t go there.

I guess you could say that I deal with tragedies in the world by…not really dealing with them.  This method of coping may not work for everyone, but it’s what I’ve found works best for me.

My deepest sympathies to the victims, families and loved ones impacted by this tragic shooting.  My love and prayers are with you.

Preventing PPD The Second Time Around: Saying “No”

One of the biggest lessons that I’ve learned in the past year is that I need to stop people-pleasing and say “no” when I need to.  As the holidays approach and the number of commitments we have or are discussing rises, I’m reminded of this lesson that I learned the hard way last year.

Last December, I was at my worst with PPD.  I was diagnosed in early December, and was adjusting to medication when we went to visit family for two weeks for the holidays.  I love our families dearly, but that trip was a big mistake on my part.  I should have realized that, even when I’m well, a two-week trip constantly staying with others takes its toll on me.  As an introvert, it’s difficult not to have alone time for that long, or not to have “alone” time as just our family of three.  I had two breakdowns during that trip, and one of them was quite bad.  I just could’t mentally handle the pressure of going everywhere we needed to go, and trying to maintain an appearance of…sanity…that I just wasn’t capable of at the time.

I’m not suffering from PPD this year, but I am pregnant and actively trying to avoid a recurrence of antenatal and postpartum depression by recognizing my limitations.  This year, I know that I need to say “no” when I need downtime, even if it’s not what people want to hear.  Even if they don’t understand.  Even if it hurts me to do so.  This year, I can’t afford to be a people-pleaser because I know that my mental health is at stake, and that is WAY more important to me this year than making everyone else happy.  The road back is too awful not to take precautions now.

The fact is that I can’t be everything and everywhere that everyone else needs me to be.  I can only be me, and in order to maintain this “me,” I need to listen to the signs that my body is giving me and really be in tune to my limitations.

Preventing PPD is my top priority in this next year.  I am so thankful to have gained the tools and resources that I have, and grateful to have learned so much more about myself than I ever would have known had I not experienced this once before.

An Emergency Cesarean and the Scars That Remain

After C was born, it didn’t cross my mind right away that I had experienced a traumatic delivery.  I think I was in shock from it all, and just relieved that it was over.  While I generally don’t think about his birth and the events that led to my emergency cesarean, there are certain triggers that bring it up for me.

Whenever someone I know has a baby, particularly via vaginal delivery, I’m hit with feelings of envy and jealousy.  This is not to say that I am not happy for them.  I would never wish my experience on anyone; I simply would have liked to experience a healthy vaginal delivery myself.  Or even have the option of a future VBAC.

I still have feelings of inadequacy over my emergency cesarean.

After experiencing labor for three days, I was finally admitted to the hospital and given pitocin.  I slowly progressed over 13 hours and then pushed for 2.5 hours.  The on-call OBGYN came in to evaluate and said that I was at about 9.5cm and not completely dilated.  He considered it a failure to progress.  C was stuck.  He ordered an emergency cesarean.

Then they capped off my epidural to prepare to move me to the operating room.

The epidural wore off well before I was moved to the OR.  I was literally blinded by the pain.  Nurses came and went, someone poked me with a needle, someone shaved whatever I hadn’t had the ability to see at 40+ weeks pregnant, consent forms were shoved at me and somehow, between the screams and inability to see, I signed them.  I yelled out in pain, over and over again.  Nurses reassured me that we were moving to the OR.  Hang in there.  Don’t push.  Ok, maybe you can push if you need to.  You’re okay.  More screaming.  So much pain.  Do I push or not?  They brought Hubster two shirt scrubs, no pants.  He asked for pants.

Finally, I was wheeled to the OR.  They hooked me up to another epidural.  Only one side of my body went numb.  Oh my dear Lord, I’m going to feel everything on the other side.  They strapped me down.  They tipped me on the table to help get the medicine to the other side.  I thought I was going to fall off the table.  They put the curtain up.

Finally, I was numb.

So cold, shivering.  Shaking.  Could barely keep my eyes open or focus on anything anymore, my vision blurred from exhaustion and pain.  Hubster appeared next to me.  I could not stop shaking.

Beeping monitors, machines, voices of busy nurses and doctors.  So many nurses and doctors.  I was completely exposed on the table, having my insides cut open.  You’re going to feel some pressure.  They pulled and prodded at my insides to get C out.

Ouch, so much pressure.  The vaginal canal is definitely one place that the epidural did not reach.

C cried.  Congratulations!  You have a baby boy!

He aspirated meconium in the womb.  A flurry of activity.  They show him to me briefly, but I can’t focus my eyes on him.  All that, and all I could make out with my blurry vision was the outline of my child.  I noticed his cone-shaped head from being stuck in the birth canal.

They whisked him off to the NICU.  Hubster went with him.

It’s so cold.  I feel pressure.  They’re cleaning out my womb.  Stitching up my broken body.  I’m being wheeled to recovery.

My medicine is wearing off again.

I need pain medication.  Where is some pain medication?  I feel everything.  It’s okay, we’re ordering some morphine for you.  The nurse is on the phone trying to get me morphine.  They’re not bringing it.  I feel everything.  How is it so difficult to get morphine in a hospital next to the L&D OR?!

It hurts.  Oh God, it hurts.

An excruciating hour later, I get my morphine.  Hubster wheels C into the room and they place him on my chest.  I finally get to see my boy.  I wish I could hold him.  I’m so sad that I can’t hold my child, but I have to lie there.

The rest of our hospital stay is kind of a blur.  It was less eventful, less traumatic.  Looking back on my experience, I don’t have complaints about the care I received.  The nurses were fantastic; the doctor was an excellent surgeon.  Despite the trauma, postpartum depression and anxiety, my body healed well.

They should have handled my medication better.

After my surgery, the doctor that performed the cesarean told me that it was absolutely necessary.  He discovered that my pelvis was too small for my child to fit through.  Even if I had dilated that last half centimeter.  Even if I had pushed for another hour.  It never would have happened.

I will never be able to birth a child without medical intervention.  The feelings of inadequacy nag me.  I think that is where the jealousy and envy stems from whenever a friend or family member births a child.  I think there is this deep-rooted culture that being able to have a vaginal birth, particularly without drugs, makes you some kind of super mother, able to perform the task that your body was designed to do.

I don’t know why that culture has influenced me to make me feel inadequate.  It’s a constant struggle to believe what I know to be true.  That is, if it weren’t for modern medicine, my son and I would not be here.  That’s a powerful thought.  My physical scar is a battle scar, but it is also a testament to the love I have for my child.  I do not love him any less, nor am I any less of a mother, because he entered this world via cesarean.  I am a mother.  I love my child.  I would do anything for him, and did.  I, too, am a warrior mom.

I’m linking up today with Pour Your Heart Out Wednesday via Things I Can’t Say and Be Enough Me via Just Be Enough.


Down to Zero

Today is the final day of my withdrawal from Effexor: dropping down to 0mg.  I’m about an hour past the time I always take my dose, and I’m kind of nervous.

Am I going to have worse withdrawal effects than usual, simply because I’m coming completely off the drug now?  Will I finish this long withdrawal process only to find out that I need to continue to be on medication?

I’m not even excited, like I thought I would be, because I don’t want to be disappointed if it goes poorly.  If PPD still has a hold over me…I don’t know what to even say other than I’ll be disappointed.

Time to wait and see…