Tuesday, February 9, 2010

Out of the Valley Ministries: new site administrator- Welcome and thank you in advance, Sara!

I was thrilled to receive this email this weekend:
I wanted to let you all know that Sara Pollard, R.N.  is going to take over facilitating and writing for the Out of the Valley website and blog.  I'm SO excited about this!  She posted an intro post on the main site and the blog.  I wanted to let you all know so that you could update your links and spread the word!  Please feel free to forward this email as well...my brain is foggy on who to pass the word on to now.

God bless,
Tara Mock
www.outofthevalley.org


Tara's site was a crucial help for me when I was suffering. I must admit that I wasn't able to read much there at the time, but just knowing that other Christians had suffered from PPD and that it didn't make me a bad or unfaithful person on unworthy mother helped me to get through.

Please visit and read Sara's first post- an introduction and a candid sharing of her PPD experience.   I pray Out of the Valley will bless you, too.

Monday, February 8, 2010

Not Me Monday: I am...


NOT a huge fan of bribing!

"Candy Night"- that's what we call a night when my son doesn't reqire assistance to go back to sleep at night after he's been put to bed.  If L sleeps until at least 6am without calling out to us and needing to be rocked back to sleep, we've had a candy night.  Let's just say our candy nights over the past couple of months have not reqiured purchase of a second bag od m n' m's, unfortunately.  On said mornings after said candy nights, we DO NOT have a list of things that L will acquire quickly upon awakening.  What started out as two m n' m's is NOT now two m n' m's, a spoonful of honey, a whole gingersnap cookie and watching two episodes of his favorite (and my least favorite) cartoon, Fireman Sam.  Yikes, how do I keep all that NOT bribing straight?  And how will I ever mange to NOT stop NOT layering onto the bribe whenever the current bribe stops working?  Not sure, but as long as it works, I am just fine with it!

Friday, February 5, 2010

Women in Pittsburgh Needed for Study of Estrogen to Treat Postpartum Depression

Since Pittsburgh is my hometown I wanted to share this.  Friends, please pass this along...this is an important study.  I will be considering estrogen as a treatment option for prevention of PPD if we do opt to have a second child...
PITTSBURGH – One of every eight women experience depression following the birth of a baby. To help such women, researchers at the Western Psychiatric Institute and Clinic of UPMC and Magee-Womens Research Institute are seeking mothers between the ages of 18 and 45 to participate in a study to determine if depression in the three months after childbirth can be treated with the hormone estrogen.
Participation involves contact with study staff, either by telephone or in person, for eight weeks. After the first visit, mothers will be randomly assigned to receive their first dose of estrogen (delivered as an estradiol skin patch), the antidepressant medication Zoloft, or a placebo. Women who respond to treatment will continue in the study for an additional 16 weeks.
All enrolled women receive expert psychiatric assessment, consultation with treatment recommendations, and a review of mental health care options whether they decide to participate in the study or not. These services are provided free of charge by an internationally recognized team of perinatal psychiatry specialists. All participants will receive information on breastfeeding, childcare for appointments, and study medication without cost with the hope of making treatments better for postpartum women in the future.
Participants can earn up to $315 in compensation if all scheduled visits are completed. Compensation for transportation, including bus tickets or parking cost, also will be provided. The study is underwritten by a grant from the National Institute of Mental Health. For more information, call toll-free 1-800-436-2461 or visit www.womensbehavioralhealth.org.

Thursday, February 4, 2010

First guest post of the new "season" of Beyond Postpartum: The Fearless Formula Feeder!

I can't tell you how thrilled I am to share Suzanne's story with you.  Her blog was a big part in the healing that has taken place over my failed breastfeeding attempts and eventual switch to exclusively formula feeding.  I still grieve the loss of a breastfeeding experience and what might have been both in terms of bonding for me and in ppd prevention, though I might have gotten benefits from those early weeks of nursing and then pumping.

She truly is fearless--supporting formula feeding mothers and standing up to those who attack moms, even accusing her of promoting formula companies.  I promise you, her only goal is to help take the stigma currently associated out of formula feeding and raising awareness about all the very valid reasons (including mom's mental health) that women may choose not to breastfeed.  She also makes sure that people realize that not everyone is able to breastfeed...a common accusation from self-proclaimed "lactivists" is that ALL women should be able to successfully breastfeed if they choose, which is not (and never has been-see the days of wet nurses) true.

Below is my "interview" with Suzanne.  I hope you will read and be inspired by her story.  A big hug and thanks to my new virtual friend, Suzanne.  I look forward to continuing to work with you to help moms everywhere however we can!

1) Tell us about you- catch us up on what your adult life was like prior to having a baby...
If you’d asked me ten years ago to predict what my life would be like at 32, I would have given you some schpiel about being an actress in New York, probably single, and definitely not a mom. I spent my twenties fighting against my maternal and domestic urges, until I finally realized that being a mostly out-of-work actor and freelance writer wasn’t cutting it. I think meeting my husband had a lot to do with that – he was truly my soul mate and things just started making sense once I was with him. He’d always wanted kids, but funnily enough, it was me who woke up at 29 and decided it was time to start trying. We’d been living in Los Angeles for about three years at the time, and had more financial stability than we’d had in years past; still, the thought of having a child was daunting. We were both creatives, so our schedules were crazy – some days we wouldn’t get out of bed before noon, but then we’d be up until 3 or 4 working… it was a very flexible, free lifestyle. We knew having kids would change that immensely, but we were more than willing to sacrifice for the joy that having a family would bring us. I’d stopped pursuing acting in favor of my writing career at this point; being an actress had been holding me back from getting pregnant due to concerns about appearance and “castablity” ; once that was no longer a concern, I was raring to go.

2) You have a blog...The Fearless Formula Feeder. Where did the name come from and what inspired you to begin writing?
I actually started writing another blog while I was pregnant, mostly for my own benefit (to keep a record of my thoughts and experiences during the pregnancy). So I was already hooked on the blogosphere. I went through a real struggle with breastfeeding – which was more than partly tied to my postpartum depression – and I decided I didn’t want any other woman feeling as alone as I did when I was going through that experience. I wanted a safe place for formula feeders to come and vent about their feelings, and to find the support I so needed when I was struggling – a place where someone would tell them it was okay to formula feed, if that was the best choice for their families – so I started the Fearless Formula Feeder blog. I was trying my best to be fearless myself, about all things having to do with parenting, so the name was a constant reminder for me to stay strong and do what I felt was right.

3) Tell us about your pregnancy...was it planned?
The minute we decided to start trying, we got pregnant. Unfortunately, we ended up miscarrying. And then we got pregnant again, and lost that baby, too. The third time was the charm, but my two prior losses put me in a horrible mindset. I could not believe that there would be a healthy baby at the end of the nine months. I lived in constant fear up until about 30 weeks, when I finally started feeling confident about things. Ironically, that is when the pregnancy got complicated: I ended up having contractions from about 33 weeks on; my son stopped moving in utero; and it was later discovered that I had a growth restriction, so he stopped growing around 33 weeks as well. No one caught this until I was 39 weeks along, so it was a bloody miracle that he came out alive and okay.

4) You've mentioned dealing with postpartum depression on your blog. When did you first feel that something was not "right" with you?
I’d struggled with depression before, but strangely enough, despite my fear concerning the pregnancy, I felt pretty stable emotionally during the pregnancy itself. Which, incidentally, is why I am such a strong believer that real depression is chemical and not just situational – I had every reason to slip into a depression during the miscarriages and tough pregnancy, but I was fine. It wasn’t until I gave birth that things went dark. And I mean the second I gave birth. I remember feeling like someone had drowned me from the inside in cold water. I couldn’t stop crying, and I couldn’t look at my beautiful, desperately wanted child and feel anything but fear and ambivalence. It was awful. I knew I loved him, but it was like this weird echo of love… like I would be doing him more harm than good to love him. It’s hard to explain. Sometimes I think I emotionally detached from him early on in the pregnancy because I was so afraid of losing him; so that when he finally came out, he was a stranger. This will sound awful, but it was like someone had given me a puppy – something that I would love, I knew I would take of, but that I had no physical or inherent bond with…it was very strange.

5) What symptoms did you experience and how did you deal with them?
From the moment of delivery on, I felt that emptiness I just described… and then I started having all these breastfeeding problems, and it just exacerbated the problem. My son couldn’t latch and so we were constantly trying to feed him, as recommended by the numerous lactation consultants we saw, which meant that he was screaming every time I got near him, out of frustration and hunger, I imagine. I felt like he hated me; that I couldn’t even do this fundamental part of motherhood correctly; that I was just a failure in every way. 

Luckily – weird to say this was lucky, but still – I had been through depression before and knew I was at high risk for PMD, so I immediately sought help. I got on the lowest dose possible of antidepressants (because I was afraid it could go through my breastmilk, even in miniscule amounts) and started feeling a bit better. My depression didn’t totally clear until I weaned completely and switched to formula, however. There was just so much stress and pain surrounding nursing and pumping, that once I was free from that, I was free to heal.

6) How has your husband/partner been through the postpartum period and what role has he had in dealing with your PMD?
I don’t think my husband really knew what to do for me. He was handling all the parenting in those early days – I am so grateful that he is such an incredible father, because it was just second nature for him to nurture and care for our son when I wasn’t able to. I think he was frustrated with me, though… he has never dealt with depression or any type of mental illness, so he can’t quite understand it. He just wanted me to be happy and normal. I also think there was an understandable element of denial – to this day he says I “wasn’t that bad”, but I don’t think I put on much of an act, so I’m not sure I believe him. I was a mess.

7) After suffering from a PMD, how will you think differently about future pregnancies (including whether to have more children)?
I know I want a second child, but the thought of a PMD haunts me. I never want to feel that way again – I’m not sure I believe in hell, but if there is one, that must be what it feels like. But I do feel like I am prepared this time. I know what to do to give myself the best possible shot at a healthy postpartum period. I will get on antidepressants right away, and make other choices that will rule out some of the situational factors that contributed last time.

8) Is faith a part of your life? If so, how has that been impacted by a PMD and how did it impact how you dealt with your depression?
I definitely believe that there is something out there, but I wouldn’t call myself religious at all. I believe in some sort of higher power or purpose to everything – on the most basic level, that things will work out in the end. My husband has taught me that – he is very positive and eventually that rubs off, even on someone as fatalistic as I can be. And in some weird way, having a PMD made me more optimistic – because I got through it, and came out on the other side so much stronger. The thing I feared most happened, but I overcame it, and know that I can beat it again, if I have to. There’s a lot of power in that.

9) What do you do to keep yourself happy?
Yoga was my saving grace during my pregnancy, and it helped me in the postpartum period too… there was just something about being alone with my body and my thoughts, feeling my heart beating and my limbs moving, that kept me connected to the world when I was feeling so terribly disconnected. Taking long walks with my dog had the same effect – I am such a strong believer in exercise. And music. Listening to my iPod, choosing songs that spoke to me at the time – it allowed me to work through my emotions and reconnect to who I used to be. Because I think, independent of any PMD or anything like that, becoming a parent can be a difficult transition. It’s so easy to lose yourself, to forget who you were before this amazing creature came into your life and changed everything. I think it is so important to remember that the core of who you are remains constant; motherhood just adds another element. It can be hard to remember this in those early days, and taking a half hour to listen to my favorite songs and process everything did wonders.

10) What's the funniest/silliest thing that you've done or that's happened to you since you became a mom?
When Leo was a few weeks old, we had a bunch of out-of-town family visiting. My husband went upstairs to change my son’s diaper, when suddenly I heard this shout of horror. I ran up to the nursery and there was my poor husband, literally covered head to toe in our son’s pee – he’d been right in the line of fire during the diaper change. I laughed for the first time since giving birth. But when I went to help remedy the situation and put a new diaper on my baby, the floodgates opened again – but this time, it wasn’t just pee.  My son pooped all over me, the changing table, the curtains…everything. We had a living room full of guests, but we had to leave them unattended for about an hour as we scrubbed down the entire nursery, and then ourselves. You’d think we would have learned a lesson, but that was just the first of many diaper disasters. The kid has aim, I will tell you that.

11) What do you wish you had known about Perinatal Mood Disorders before you experienced one?
How quickly it can attack. I was forewarned and forearmed, but it didn’t help. It was instant. I wasn’t prepared for that; I figured it would be a slower progression, like other depressions… this was more like someone hit a switch and my world went dark.

12) If you could only share one message with a pregnant or new mom, what would it be?

I wish new moms wouldn’t put as much pressure on themselves as they do. We live in a world with too much information and not enough support. Before a woman even gives birth, she feels she has to make decisions on what kind of parent she will be – attached, permissive, cloth diapering, breastfeeding, bottle-feeding, working, stay-at-home – there are just so many labels. We’d be so much better off if we allowed for some flexibility, and an understanding that there is no “right” way to parent. You take it as it comes. You have no idea how motherhood will affect you, or what kind of personality or needs your child will have… it’s setting yourself up for failure to put all these restrictions on yourself.
I also think women need to know that it’s okay to not like the infant stage. Motherhood is the coolest thing ever – I love it now, in an indescribable way – but I was not into the newborn thing. I couldn’t wait for my child to “wake up” to the world – and once he did, everything changed. This made me feel inadequate or flawed in some way, until I started talking to other women… it seems there are some moms who loved the first few months and mourn the loss of their babyhood; others do better with toddlers; others shine as their kids reach school age…Of course you will love your child every step of the way, but it’s okay to admit that you aren’t crazy about a certain stage. The newborn part was really tough for me, and I needed to hear that it would pass; that I would sleep again, and leave the house, wear something other than sweatpants, go to a movie…I can’t tell you how much I love the age my son is at now; I would never have known that a mere year from my darkest point, I’d be the happiest I’ve ever been. It really does get better. And better, and better.

Wednesday, February 3, 2010

A shift in focus

A couple of months ago I wrote about transitioning my blog to focus on a more personal account of my continuing journey into motherhood.  I shared about the feedback I had gotten to post less "news" and more of my writing. 

I have continued to pray about where I am feeling called to take this blog and all of the PPD related work I do.  I am really enjoying the interviews and presentations I have been asked to do and of course feel especially fulfilled by the peer support work I do both on an individual basis when people email or call me or when they attend the Atlanta Postpartum Support Group.  As I specifically consider this blog, I wanted to share with you that I am so grateful for the surge in comments both on Facebook and here that have recently been offered.  Survivor Mamas from all over have expressed their support, gratitude and shared their own stories of motherhood through their comments.  It seems that these types of posts are what moms want and need to read right now.  Keeping that in mind, I have decided to focus my future posts on my personal experiences and guest posts by Survivor Mamas and those who care for them.  Here at Beyond Postpartum you will continue to see posts like my recent ones that honestly chronicle real moms and their everyday struggles and triumphs.  I promise that the posts will always keep in mind this is a blog that was begun because of PPD and even though every single post won't be about perinatal mood disorders, they will all be relevant to the topic of motherhood and will honor the fact that the reader may be currently experiencing a PMD.  I hope that this shift will be helpful and interesting to you, my loyal and beloved readers! 

Katherine Stone does a beautiful job of keeping us informed of the latest and greatest news, research, educational opportunities, and ways to get help over at Postpartum Progress.  I will be adding a link to her site at the top of my blog sidebar so that anyone who wants to stay up to date on this type of info can link directly from Beyond Postpartum to Postpartum Progress quickly.  I also want to remind you that I regularly post links to articles related to perinatal mood disorders on Twitter...you can follow me at www.twitter.com/atlantamom!  Here you will find only links to my blog posts and tweets and retweets spreading awareness about PMDs; I save the personal stuff for Facebook! :)

I hope you'll always feel welcome to comment or email me and make suggestions about what you'd like to see me write about or who you might like me to "interview" for a guest post- maybe that person is YOU!

Tuesday, February 2, 2010

Quote

You are not managing an inconvenience; You are raising a human being ~ Kittie Franz
I share this quote not to make you feel overwhelmed or to create guilt about the enormity of the task you have undertaken.  Rather, I share it because it is something I needed to hear and I think you might, too.

A couple of weeks ago I was completely humbled when I came across a blog that across its header had only the name of the blog (forgive me, I have since forgotten it) and this quote.  I was having a challenging week (which has only led to more challenging days and weeks) in the life of raising a toddler and I had become quite irritated with my son's behavior. 

You see, to be honest (like I am ever not...), I don't really enjoy a lot of the details associated with mothering.  The redundancy is annoying to me.  The bathing, the cleaning up of the same bowls, placemats, little forks and spoons.  UGH.  I feel like my life has somehow been reduced to tasks that could be completed by a robot.  If I could justify and afford a live-in nanny/au pair I would.  It's not that I want someone else to raise my child at all.  But, while I am busy raising my child- you know, teaching, playing, talking, hugging, laughing, etc., I would love to have someone else bathing, rocking, tending to cleaning potty chair residue and the like.  The truth is though, the intimacy of doing these things probably brings me closer to my child.  As much as it stinks to admit, putting my all into even the menial and redundant tasks is serving God by honoring my family. 

When I seem to have forgotten this, I read this quote and remember- this task is huge!  I don't tell myself this so I will become anxious about how large and difficult it is.  Instead, I remind myself so that I remember the importance of this task.  Seriously.  Read it again.  You haven't lost your identity, your prestige or your meaning by becoming a mama...instead you have taken on the most important job in the world.  Don't ever forget it.

Listen In--Please Explain: Postpartum Depression and Perinatal Psychiatry

On January 15th, WNYC radio featured on their popular program Please Explain, the causes and symptoms of postpartum depression, and the field of perinatal psychiatry, the evaluation and treatment of psychiatric disorders associated with female reproductive function. We're joined by Dr. Catherine Monk, Irving Assistant Professor of Clinical Psychology, Columbia University Medical Center, and Dr. Shari Lusskin, Director of Reproductive Psychiatry, at NYU Langone Medical Center and Mt. Sinai Medical Center. 

Click here to listen in and then read the comments below.  Let me know what you think!

Sunday, January 31, 2010

Don't cry, Mama

...have a banana (pronouned "manama").

Today we went to the park to enjoy the first sunshine we've had here in Atlanta in days, despite the chill in the air that remains.  We enjoyed watching L play t-ball, tossing football and chatting with other parents of little ones.  Afterwards, we took a drive North of our neighborhood a little to explore and see what homes might be for sale and what neighborhoods meet our needs.  We didn't find any home-runs, but the time was worth it, and we saw a few places that intrigued us.  L began to grow increasingly restless and began to speak in a tone that was loud, demanding and well, rude.  "I need ice, now."  "Open this, now, Mama."  are examples of the orders he was delivering to us.  When I didn't respond to his beck and call, he promptly decided to get my attention another way...by throwing his sippy cup football style directly at me, hitting me square the shoulder.  It actually hurt which shocked me almost as much as the flying H2O.  We scolded him as best you can in a moving vehicle and moved on.  Five minutes later the scenario was repeated.  We were both angered now and only 5 minutes from home, which allowed us to warn, "you are in trouble.  When we get home you will be punished."  The timer had to be reset 4 times while L was in the naughty spot because he kept getting out and teasing us with his continued misbehavior.  Needless to say, I was emotionally spent after the ordeal and L seemed more concerned with what he might eat for dinner than a genuine apology at the end doing his "time."

I went into the other room to bang a few things around to try to calm down.  M heard me and asked, "are you alright?"  I said, "no."  I began to cry and went out to get some consolation in the form of a hug from my husband.  L finally began to be concerned for me and said repeatedly, "you alright, mama?"  When M told him that he had made me cry and I explained further to M that I felt sad and frustrated when L's behavior was so negative and astray from the polite, mannerly and kind boy we are trying to raise, they both wrapped me in a hug and rubbed my back.  L looked at me in all seriousness and said, "don't cry, Mama; have a manama."  He reached up to the fruit bowl and tried to get one for me.

As mothers we take too much responsibility.  We feel too much guilt.  We expect too much of our kids and husbands sometimes because we are such perfectionists ourselves.

I know it wasn't my fault that L threw a sippy cup.  I think I am a pretty good mother who strives and puts effort into discipline in the form of prevention, redirection, and natural consequences.  I am a former preschool teacher.  I know two year olds throw things, yell, demand and are generally unruly at times.  It's age appropriate.  Sometimes I just need a hug (and a banana) to remind me.

Saturday, January 30, 2010

Sometimes I miss my old life...

and I am not ashamed to say it.

Tonight we are having our first date night in over a month.  The babysitter will be here shortly and then we'll be headed to our 5:45 dinner reservation.  Yes, you read that right.  Five friggen forty five.  With the blue hairs (no offense to the friends- many of you- I have that fall into that category or are growing close to).  Why that ungodly early hour before I will even be hungry, before anyone we could possibly relate to will be dining with us, and even without a child, which often does necessitate that hour?  Because we want to actually do more than eat on this date.  We'd like to see a movie.  AT THE THEATER.  Can't remember the last time we did that.  I might have been pregnant.  Scary.  Additionally, my husband would appreciate me doing more than throwing on sweats as soon as we get home and diving into bed, hopeful that I will fall asleep quickly (something that doesn't generally happen since my insomnia two years ago), and praying that L might sleep until 7...OK, God, I will settle for 6:30.  So, knowing that I will likely be up 1-3 times in the night to rock L back to sleep (yes, I know, he slept better as an infant than he does as a toddler and it stinks), I refuse to get home later than 10.  Fitting in driving time, dinner, a movie, and you-know-what will require said early dinner.

I miss my old life.  I wasn't a crazy partier anytime in the last decade.  But, I did have fun.  I traveled.  I went to movies, shows, dinner when 7pm was an early reservation.  I went out for drinks after.  I didn't get hungover from two glasses of wine.  I didn't worry about not being able to sleep past 6am and then not getting a nap because the day I come home too late the night before will be the day that my son "forgets" to rest in the afternoon.  I miss not paying $14 a ticket for a movie and then paying a babysitter $13 an hour during that movie so I can watch a show that is just so-so.

I don't regret my son.  I don't wish for any life different than the one I am living right now.  Sometimes I just need to vent.  And maybe a hotel room for a night- we'll work on that.  

Cheers @5pm!

Sunday, January 24, 2010

When Life Hands You Lemons



When I checked out one of my favorite PPD blogs, All Work and No Play Makes Mommy Go Something Something, I was so excited to see that  I was awarded with “When Life Hands You Lemons” blog award. Thank you, thank you, Kimberly!


The rules for this award are simple:
I am to thank the giver of the award and link to their blog (see above).   I am supposed to share 5 things about myself.  And I am supposed to link to 5 new blogging recipients of my choosing and notify them.

Here goes….
1.  I think I am Italian even though I don't have one single % of Italian blood that I am aware of.  My stepmother and husband are both Italian to the core and I have picked up on the traditions, the culture and the "Amore" over the years!  
2. When I was in Elementary School I was absolutely convinced that I would be the first female president of the U.S.  I was passionate about politics from a young age and I loved Ronald Reagan and what he stood for as much then as I do now, as an adult.  I regularly wrote him letters, beginning at age 6.
3.  I had a Seinfeld experience once.  My former cleaning lady stole a cashmere sweater from my closet and proceeded to wear it to clean my house a couple of weeks later.  Needless to say it was the last time I saw her.  Weird.
4.  I have had some bizarre experiences meeting celebrities over the years.  None of them were memorable in a good way.  Go figure.  They really are famous for a reason...they're strange.
5. My grandfather's name was Jesse James.  I named my son after him.  He was my hero.  He lived until he was 93 years old.  I miss him deeply.

Here are a few of my fave bloggers right now (please forgive me for listing more than 5):
Rediscovering Domesticity