4 Ways People Responded After I Blogged About Postpartum Depression

When I published Not My Normal Self, I had only told four people I was managing PPD. I’m fairly certain I wrote, erased, and rewrote the post at least a dozen times. After all, if you Google “postpartum depression”, half of what you find is about stigma anyway.

I was scared of how people would react. Would they think I’m weak? How would I  be judged? Would my career be impacted? Does anyone even care? My very-public announcement of mental illness elicited four types of responses.

“I Would Have Never Known”

This was by far the most common response I received, especially at work. So many people were shocked to learn I had been struggling for months. When people said this to me, they said it as more of a compliment. I’ve always found that strange. Like it was supposed to be some sort of compliment I didn’t let my illness affect my work, friendships, family, etc. This is misguided, but I can understand it. Parenthood dramatically changes an individual- how is someone to know if there is actually a problem or if I am just adjusting to parenthood? Two words: get nosy.

Postpartum depression affected every aspect of my life. Every waking moment I struggled to focus. While at work, I threw myself into learning my new job, but I also had this nagging fear I would have a panic attack in the middle of a meeting. At home, I didn’t even recognize the person I had become. I felt like my own house was closing in on me and there was no way out. With friends, well, I was a new mom so I hardly interacted with them. Recently, B and I were looking at photos from when M was a baby. He paused on one particular photo and commented that it didn’t look like me, that he could see in my eyes something wasn’t right.

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Aside from the intent of a compliment, I think others who said “I would have never known” meant it as a defense for why they didn’t help. It was as if they wanted to tell me that had they known, they would have been there for me. To each one of you, I know this. I chose not to disclose for many reasons, and I don’t doubt that if anyone in my life had known, they would have offered support. I’m fortunate to have a fantastic support network.

Discomfort Talking to Me About It

Some folks didn’t want to acknowledge it. Others kind of tip-toed around me, acting shifty and not making eye contact. Perhaps people were afraid I would burst into tears or have a “breakdown”? I’m not sure exactly what this was about, but there were some people who very conspicuously avoided the issue. Here’s what I think about this type of response to someone with mental illness: would you treat me this way if I needed major surgery?

I like to think of mental illness as any other illness. For example, if someone has a heart attack they go to the hospital, receive treatment, have some sort of medication and rehab, and hopefully recover. Resource shortages aside, the same thing for someone who has a mental health emergency. They go to the hospital, receive treatment, have some sort or medication and rehab, and hopefully recover. The same analogy holds true for chronic conditions like Crohn’s Disease and chronic depression; they don’t go away on their own and have to be monitored by a health care professional. If you wouldn’t feel uncomfortable asking someone about their health condition, why would you feel uncomfortable asking about my depression?

Confessions From Other Moms

At least three other women told me they’d had postpartum depression. All of these women are folks I’ve known for years and either are friends or close colleagues. Why hadn’t I previously known? It all comes back to stigma.

This was truly the silver lining of postpartum depression. I heard so many amazing stories from women who had been through something similar. This community and sense of understanding was critical to my recovery, as well as others.

Consultation Requests

On a similar note, many expectant or new moms now ask me about PPD. Some have even re-read my blog! Here are some of the questions I am asked:

  • How did I know?
  • What were my symptoms?
  • What was my treatment plan?
  • What’s the difference between “baby blues” and PPD?
  • Did I take anti-depressants?
  • What was therapy like?

I welcome any and all questions and will be honest about my experience and my limitations. I am not a mental health professional. However, by sharing my own experience with others, I can normalize it for others and help them look out for warning signs. Even strangers or folks in the blogging community.

Conclusion

I’m so grateful for all the support I have received: my husband, friends, family, colleagues, therapist, and psychiatrist. My network was just as important to my recovery as the Sertraline and therapy. Looking back, I’m also grateful I chose to be open about my struggle with PPD. Ending the stigma is critical for early detection and treatment. Through being open about my own experience, others have sought professional help and support.

If you know anyone who may be struggling with postpartum depression, or any other mental illness, please talk to them. Take time to listen, empathize, and normalize. Encourage folks to get help and offer to support them however necessary. After all, mental illness is illness; how would you treat someone with any other health condition?

Resources

National Suicide Hotline – 1-800-273-8255

Postpartum Support International – 1-800-944-4773

Anxiety and Depression Association of America

 

The BS of Mental Illness

Sometimes I come across blogs about depression that are utter bullshit.

To be clear, in no way am I about to dismantle someone’s personal experiences. I am not discounting the fact that everyone’s symptoms of mental illness vary and that lifestyle changes can help.

What I’m talking about here are the blogs/websites/people who think they have ALL the answers for “curing” depression. They surely know more than therapists, psychiatrists, OB/GYNs, patients, researchers, etc. THEY are the experts, after all.

According to THEM, here are some of THEIR revolutionary ways to “cure depression”

  • Clean the house – including a whole weekly schedule (Just strap on the baby and get cleaning)
  • Get some fresh air and sunshine (Vitamin D!)
  • Take a shower (Being clean on the outside makes one better on the inside)
  • Exercise (When the body is still recovering from a major medical event, this will surely solve everything)
  • Do crafty things (All women like crafts, right?)

Yes, some of these may help and are part of regular self-care. However…these are daily activities, not treatments. According to Mayo Clinic, “Postpartum depression isn’t generally a condition that you can treat on your own.”

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Here are some things that actually work (at least according to doctors, researchers, therapists, etc…but what would they know?!)

  • Counseling
  • Anti-depressants
  • Support from partners/family/friends

Sources: WebMD and Mayo Clinic

What annoys me most is that this way of thinking completely discounts the experience of those with mental illness. By suggesting every day activities as treatments, these people are mitigating the suffocation that is mental illness. They are ignoring the folks who are winning simply because they got out of bed that day.

The next time you are talking with someone about mental illness or suspect someone needs help, try just listening and offering support. Or, if you are going to give unsolicited advice, at least encourage them to talk to consult an expert.

And don’t forget to Get Nosy.

 

 

 

 

 

Get Nosy

Today I’m giving you permission to be intrusive.

I recently came across this article from The Mighty that had been tweeted by Katherine Stone of Postpartum Progress. Check it out. Or, just trust me that it’s a beautiful description of a mom’s shame and struggles with postpartum depression (PPD).

There’s such a stigma around postpartum depression and mental health issues that people won’t even ask about it directly. We have no problem asking someone for an update on their back pain, if they have a cold when they sneeze, or encouraging them to see a doctor when sick. Why aren’t we the same way with mental health?

My challenge to you

Ask people directly. Don’t take a “step back” to let them “get settled with the baby” unless told to. Don’t beat around it by making a joke – all you will get is a nervous laugh and mistrust in return.

Here are just some of the examples of hints and jokes about mental health said to me between M’s birth and diagnosis.

“Wow, a house, baby, marriage, new job…aren’t those all at the top of some checklist of mental health stressors?”

“That’s a lot of change! Those things are all on those mental health inventories!”

“Are you feeling back to normal?”

“If you don’t feel like yourself in a couple weeks, you need to tell me.”

“It’s just the baby blues. You’ll get over it.”

None of these directly address postpartum depression or other postpartum disorders. Nor are they directly asked if I am experiencing it.

Not being asked directly made it easier for me to hide in my shame and delay getting help.

I’m sure some of you are thinking right now that as a mature, responsible adult, I’m responsible for advocating for my own needs. You are right, to an extent.

However, some people experiencing depression are not capable of self-advocacy. It’s just part of the sickness. Besides, with all the pressure to be perfect, what new mom wants to admit they don’t have it all together?!

To all the folks who may be feeling guilty for not saying anything or recognizing a loved one needed help, it’s okay. What new moms need is different for everyone and everyone has their own way of giving support. I’m just saying next time, ask directly about postpartum depression. Here are some examples:

“It’s quite common for moms to continue to feel down, depressed, anxious, or just not themselves after giving birth. Do you feel this way?”

“Are you experiencing symptoms of postpartum depression?”

“Lately I’ve noticed *insert behavior here*. Do you feel like you might be experiencing a change in your mental health?”

Finally, when someone does disclose to you. Make them feel affirmed, loved, and help them find help.

 

June Wrap-Up

Sorry for the slight delay on the June wrap-up. I hope everyone enjoyed their holiday weekend! For me, the unseasonably cool and cloudy Iowa weather was a welcome change.

This weekend we attempted one of the final and most procrastinated yard tasks: removing a nasty, old compost pile. Yuck! More on that later this week.

Don’t worry, there was also plenty of time for relaxing. Last night I got out of the shower to find B had set up my new reading nook for me, complete with a glass of sangria!

reading nook

My new reading corner

Isn’t he the best?

Anyway, back to June. Here’s a quick recap:

  • 1 fabulous new logo (thanks, Danielle!)
  • 1 Father’s Day visit from my dad
  • 1 trip to Green Bay for a friend’s baby shower (and dinner at Lambeau Field, of course)
lambeau

Pretzels, beer cheese dip, cheese curds, and Spotted Cow

Since July started with such a wonderful long weekend, I know it’s going to be a great month. A few things coming up:

Happy Tuesday, everyone!

Michelle

Did you know it takes individuals an average of three counselors before they find someone they like? Lucky me, I hit the jackpot the first time. Or maybe I’m not that picky. Or I was just very desperate. August 2015 is a little fuzzy.

The day of my first appointment had finally arrived. B asked me if I was nervous. I said no, and I meant it. Imagine having chronic pain for months before getting treatment. It was relieving.

Before the appointment, I had thoroughly researched Michelle. She was a graduate student, working on several women’s health research projects, and seemed to be legit. I also determined she was younger than me, single, and childless. Would she relate? Did it matter?

I arrived at the clinic ahead of schedule. While reading my book, a short, dark-haired woman approached me and whispered my name. It was her. We made forced small talk down the hallway, up the elevator, and to her room. Which, by the way, did not have a leather couch, dim lighting, or leather-bound books.

We went through a basic questionnaire. I explained what was happening. It was so strange to be putting it all into words. I hadn’t even fully described what was happening to B. It was liberating, yet it also made it real. When Michelle left to go get the psychiatrist to discuss medication, I was left wondering, “Do I have PPD? Will she give me a diagnosis?”

When Michelle returned with Dr. S, he asked me a few questions and discussed a low Sertraline dosage. He explained the minimal side effects and seemed optimistic it would be successful. It was decided. 50 mg of Sertraline and therapy every Thursday.

That was pretty much it. It wasn’t at all scary. The intake was very much like any other health-related appointment. I shared my symptoms, discussed options, and left with a treatment plan. No one tried to take away my baby. I wasn’t admitted. I left knowing I could confidently return to Michelle and Dr. S and they would believe me; I felt encouraged my life would improve.

Thanks to Michelle and Dr. S, it did.