Insomnia versus Sleep Deprivation in new moms (yes, there is a difference between the two)

Here, finally, is my post on sleep (as a follow-up to my post “Some Postpartum Advice for New Moms-Part I”) ….or actually, insomnia.  Just what is insomnia?  Equally frustrating as explaining the difference between the baby blues and postpartum depression (PPD) is explaining the difference between having insomnia and not having the ability (or lack of opportunity/time) to sleep.  Insomnia is when you can’t sleep at night and can’t nap during the day no matter now exhausted you are.  I’m not talking about sleep deprivation, which is what ALL new parents experience in the first 3 months postpartum.  I’m not talking the lack of opportunity or time, either.  To be perfectly clear, a person with insomnia has difficulty falling asleep and/or difficulty staying asleep, even when the baby sleepsInsomnia is one of the most common symptoms of PPD. In fact, it has been shown that early severe fatigue predicts depressive symptoms at 1 month postpartum.  For me, insomnia was my very first symptom of PPD and I wholeheartedly believe that the constant sleep interruptions that started during my week-long stay in the hospital charted a course that was headed for PPD.

You need sleep to stay healthy and to be able to take care of your baby day in and day out.  I had it bad.  You’d think that sleep deprivation would cause exhaustion which would cause me to fall asleep readily and at first opportunity.  That couldn’t be further from the truth in my case.  I couldn’t fall asleep, even when the baby was sleeping.  I couldn’t nap during the day, even with someone taking care of the baby for a few hours.  When I told my doctor I couldn’t sleep at night, he instructed me not to take naps, to which I said “That’s not an issue because I can’t nap either…I can’t sleep at all.”

I encourage you to try one or more of the following to try to switch gears and condition your body out of this situation.  The key is to have the patience to stick it out for at least a couple of weeks.  I know with PPD it can be really hard to do, but please try your best.  Things don’t happen overnight.

  1. If you can’t fall asleep within 30 minutes, stop trying to sleep.  The more I couldn’t fall asleep, the more I was unable to fall asleep.  This effect is referred to as conditioned insomnia where your mind doesn’t expect you to fall asleep, which in turn, keeps you from falling asleep. Lying there waiting to fall asleep but not succeeding will only eat at you and make you more and more frustrated.  It will do you no good.  The harder you try to sleep, the more anxiety you will experience, and that anxiety will keep you from falling sleep—a vicious cycle.  The key in those situations, it seems, is not to expect to fall asleep.  If you fall asleep, great.  Just relax and try to blank out your mind from any thoughts.  Sounds so easy, but is so hard to do.   So many people warned me that the last thing I should do is toss and turn in bed for more than half an hour at a time.  Instead, I should get out of bed and go into another room to watch TV or listen to some quiet music before trying to fall asleep again (this is to interrupt the conditioned insomnia).  Of course I didn’t heed their advice because I was stubborn.  In my mind, sleeping was the only thing I should be doing in the middle of the night.  Plus, I should be exhausted and able to fall asleep instantly.  But after 2 hours of tossing and turning, I was in a state of anguish beyond words.  Had I known at the time that PPD was behind this all, it never would’ve gotten this bad.
  2. Avoid looking at the time.  Move your clock(s) out of the room, if necessary, as watching time go by will only serve to make you feel even more anxious about not being able to fall asleep.
  3. Get a headphone noise canceller or white noise generator to use while getting your 5 hours of uninterrupted sleep.  This is, by the way, just if you have someone like your husband or relative staying with you and helping to care for the baby at night.  My husband had suggested getting me a headphone noise canceller or white noise generator in terms of helping me not to overreact to my daughter’s noises and his snoring (which I could hear even when he was in the den or living room downstairs).  I swear back then I could hear a pin drop, I was so attentive to every little sound that was made in the house!
  4. Have your husband or whoever might be staying with you to give you a back/shoulder massage right before bed.  Ordinarily, a back/shoulder massage right before bed feels so good and is so relaxing, I would fall asleep immediately.  Needless to say, my husband’s massages when I was already sick with PPD didn’t help me one smidgeon.
  5. Establish a bedtime ritual:  Much like trying to condition your baby to associate a bath, reading a book and/or humming a lullaby with going to bed, you should try to recondition your mind to associate drinking warm milk (if you’re not lactose intolerant) and eating something high in complex carbs that can promote drowsiness like bread, taking a hot soothing bubble bath or listening to relaxation music (the kind that would be played during a massage) with going to bed.  I never realized that the reason why so many people suggest warm milk to help you sleep is because it contains tryptophan, which increases serotonin, promoting sleep.
  6. Avoid exercising within 2 hours of going to bed.  My doctor suggested exercise anytime during the day except for within 2 hours of your bedtime may burn off excess energy/reduce jitteriness and promote sleep.  I tried but couldn’t keep this up.
  7. Avoid napping during the day.  My doctor suggested that I avoid napping during the day, as it may charge me up to the point and increase the likelihood that my body will feel less tired at the end of the day.
  8. Do a wind-down routine.  My mother suggested I do a wind-down routine, similar as I would do for my daughter, every night before going to bed.  I should avoid exerting myself or watching stimulating television shows or read books that require too much thinking.  She gave me some information about Chinese relaxation techniques that have been used for centuries.  I tried that, but that night, I ended up having my first anxiety attack from failing to fall asleep after 3 hours of doing that relaxation exercise.  She also suggested I try breathing exercises and visualize positive things when I’m in bed, so as to facilitate sleep.  But try as I might, it was to no avail.  The harder I tried, the more I expected to be able to sleep, and the more agitated/panicked I felt that I would never fall asleep without medication for the rest of my life.  A friend told me that counting backwards in three’s helps her sleep.  I tried that too, but with no success.  It actually drove me crazier.
  9. Reserve your bedroom for sleeping only.  There’s a reason behind the saying “Mothers know best.”  But nearly half the time, I dismiss my mother’s advice as “old wives’ tales.”  Well, when my mother advised me to reserve the bedroom for sleeping only and not do anything like read, watch TV or write in bed, I waved off her advice saying “Uh huh whatever you say, mom.”  Then, I read in “Postpartum Depression Demystified“ by Joyce Venis, RNC and Suzanne McCloskey (pg 41) that you should “Make your room your sleep sanctuary.  In other words, don’t watch TV, read, or play with your baby there.  Your bedroom should be only for sleep.” So, mom really does know best, after all.
  10. Stay away from caffeine.  For me, caffeine wasn’t a factor, since I was totally caffeine free all of my pregnancy and continued to be caffeine free postpartum.
  11. If within a week all the above suggestions fail–provided you don’t experience tremendous anxiety from not being able to fall asleep–then it’s time to see your doctor.  Don’t wait or you could you find yourself going down the same road I traveled—in other words, experiencing high anxiety and panic attacks from not being able to fall asleep.  Don’t wait.  You could go from bad to worse very quickly, and I wouldn’t want you to experience what I experienced (or worse).  Do see a doctor for an evaluation to help determine what is causing your insomnia.  Be honest about all your symptoms when talking to your doctor.  No question is a stupid question when you are a patient.  Doctors are paid to provide medical care, which includes consultation about your diagnosis and treatment.  Leaving out key details will only impede your recovery.  Also, do not let your doctor try to convince you that this is temporary and is experienced by all new mothers.  If you find that your doctor doesn’t know the difference between the blues and PPD, it’s time to find another doctor.  If you don’t know where to find a doctor that can help, reach out to your state PSI coordinator.

Additional Suggestions

Here are some of the things we did to help my daughter sleep through the night, which may be helpful to you:

  1. If you are breastfeeding without any difficulties, you may want to consider having the baby sleep in your room in a co-sleeper so you can pull the baby into bed with you for nighttime feedings without ever having to get up.
  2. If you aren’t breastfeeding, it would help to prepare bottles of pumped milk or formula in advance and have your husband take turns with you in terms of nighttime feedings.
  3. By 3 months if you haven’t done so already, have the baby sleep in her crib in her own room so you will not constantly be disrupted, especially if the baby tends to make a lot of noise while sleeping.  My daughter started sleeping in her own room at 6 weeks because her noises kept us from sleeping during the night, which I know contributed toward my insomnia and PPD.  I had every intention of keeping her in our room through the 2nd month.  Avoid setting this expectation, as it will only let you down harder if you are unable to follow through.  The fewer expectations you have and the more open-minded/flexible you are, the better off you will be.
  4. Keep a clear distinction between night and day as bed time and awake time, respectively.  Keep the room completely dark and quiet at night and bright during the day, with constant noise and hustle and bustle of activity (even when the baby naps during the day).  Doing this consistently can contribute toward your baby’s sleeping through the night earlier.  Every baby is different, I realize.  Fortunately, our daughter was sleeping through the night within 2 months.
  5. Establish a bedtime ritual for your baby, like reading a book or humming a lullaby so she associates bedtime with them.  My daughter used to hum and then drift off to sleep.  So she clearly associated humming with sleeping.  In fact, at four years old, I can still tell when she’s tired because she would all of a sudden start humming/singing to herself.
  6. At 3 months, you may want to start trying to avoid immediately going to your baby when she cries during the night or as you put them to bed.  It’s tough to not immediately go to your baby when they cry.  A minute can feel like an eternity when you hear your baby crying.  At first, you may want to give it 5 minutes before going to her.  If you can’t last 5 minutes, try 3 minutes at first and work your way to 5 minutes.  And then over time, stretch the interval to 10-15 minutes before going into her room, calming her down and letting her cry another 10-15 minutes.  To calm her, you can try humming a lullaby or talking to her, avoiding picking her up, and then walking out of the room.  Repeat this until she falls asleep on her own.  Pick her up and comfort her (or feed her if necessary) only when all else fails.  Keep this up…it will work.

 We found that for 1-2 weeks at a time while she was teething, and even after she learned how to go back to sleep, she would wake up every night at around 2:30 AM crying.  She needed our comfort during that time to fall back asleep.  So we’d pick her up, hold her while sitting in the rocking chair, and sometimes hum her back to sleep.  After about 5-10 minutes, we’d put her back in her crib whether she was asleep or not.  At first, we feared she had regressed.  But it was only temporary.  You may find this will happen to your baby while they are sick, teething or have an ear infection.  A baby who is teething and/or has a fever and/or is not feeling well should be comforted immediately.

 By 4 months, in order to teach her to fall asleep in her crib while she is still awake, begin putting your baby to bed at night while she is still awake.  If your baby will only fall asleep if you rock, nurse and/or hum a lullaby, she will come to depend on being rocked, nursed and hummed to in order to fall asleep, so that when she wakes up in the middle of the night, she won’t know how to fall back asleep without your intervention.

Stay tuned for my next post that continues on this topic, specifically in relation to awareness of the importance of sleep and setting up a support network before you have your baby as being the key to prevention of insomnia (and PPD).

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34 thoughts on “Insomnia versus Sleep Deprivation in new moms (yes, there is a difference between the two)

  1. Hi Ivy,
    Well I am better not much much better but I will take what I can get. I have now been on the Lexapro for 3 1/2 weeks now ( I think) and I take either .25 or .5 Klonopin for anxiety in the afternoon and I am on 150mg Seroquel at night to sleep. I have been able to doze off on the couch for a bit in the evening which is what I used to do so I am happy about that (although it is b/c I am taking the Klonopin) When I take the Seroquel I am able to fall asleep and now most of the time I am able to go back to sleep where I wasn’t able to do that before. I am still waking up about 3-4 times/night but as I said most of the time being able to go back to sleep. It is far from perfect or where I want to be but I know I have to be patient, it just seems to be taking a long time. My husband stays downstairs with the baby at night to let me get the best sleep I can without hearing the baby or waking to the monitor. Also the baby only is waking one time a night now anyway. We were thinking about trying it again where we actually sleep in the same bed like normal couples and still let him get up for that middle of the night feeding and see how it effects me. I am still scared that I will have to be on meds for sleep permanently or that this won’t get better but I try to stay positive. I just really think I should be doing better than I am right now I don’t know? The psychologist and psychiatrist that I am now seeing I like and they both said I don’t have PPD but PPA and the insomnia. Well, overall I am better and I am able to see that a little bit now. I will say 4/7 days are almost normal feeling for me. I will keep you posted if you have any comments I’d like to hear them. Thank you for being part of my support system I look forward to hearing from you.
    kate

    • Hi Kate,
      So glad to hear you are slowly, but surely, getting better! It does usually take a few weeks for the medication to kick in. For me, it took exactly four weeks. But remember that everyone is different, all meds are different, and different meds work differently for different people. It’s so great that your husband is helping so much, even sleeping in a different room. You will not be on the meds for sleep permanently. It’s important for you to stay positive! The recovery process is a gradual one when it comes to postpartum mood disorders. I probably had PPA as well since my symptoms were very similar to yours. But I couldn’t even get my GP to even say once that I had a postpartum mood disorder. SO GLAD you are able to see that you are indeed getting better. You will find in the coming week or two that the better days will be outnumbering the bad. Glad to be part of your support system!
      All the best,
      Ivy

    • Hi Kate,
      Haven’t heard from you in about a month now. Hopefully, no more insomnia and all is well with your baby, motherhood, etc.!
      All the best,
      Ivy

      • Hello,
        I am so sorry I haven’t written in a while. Life is still crazy but hey what does a new mom expect! I am loving motherhood, my little guy isn’t so little anymore, he is growing way too fast for me. I simply cannot believe he is 4 months old now. (I have to add that he grows cuter by the day!) As for me yes I am much better, I am actually weaning off of the Klonopin and am almost off of it completely, as for the Seroquel I am still taking that at night for sleep but in a week or so I will try weaning off of that too and then I will stay on the Lexapro for a while. My sleep is better most of the time. Not perfect but I will tazke anything I can get. I am able to nap on the couch in the evenings although during the day I still can’t do this and don’t know why? maybe I will never be able to who knows, maybe I am just wired to be awake when I am home alone with the baby? But then again maybe it will just take time still for me to be able to accomplish this. I usually get about 6-7 hours of sleep at night as Tyler sleeps through the night most of the time. I can even wake up and go back to sleep most of the time too. I am pleased with all of the progress and hope it continues to get better. I can’t wait to be off of all the meds I pray every day that this will happen. So overall mostly good days vs. bad. I am so thankful. I appreciate your support. I didn’t forget about you (and I never will) as you played a part in me getting to where I am today and I want to thank you. Talk to you soon.
        Kate

        • Hi Kate,
          Soooo glad to hear you are doing so much better! I’m not a doctor or anything, but seems weird you have to “wean” from Klonopin (an antianxiety med). Didn’t even know you were taking Seroquel (an antipsychotic that can be used for insomnia). You are already finding that your good days are outnumbering the bad, and you are able to sleep at night and nap during the day. You will be weaned off the Lexapro–not to mention sleeping on your own– before you know it. I will reach out every now and then to see how you are doing. In the meantime, continue enjoying motherhood!
          All the best,
          Ivy

  2. Hello,

    I am doing somewhat better, I was able to see a psychiatrist (actually 2) to decide which one I like better and I saw the psychologist. I am undecided yet as to who I think I will pick as they were both very good. Sleep has been better as has my anxiety for the most part. I won’t say sleep is perfect as I cannot expect that it will be. At least now there is someone who is going to manage the meds and the 2 psychiatrists were on the same page as my PCP so everyone seems to be in agreeance on that. I feel like we are actually getting somewhere now although I still have in the back of my mind that these things won’t work and I have “that dreadful disease” We are working on getting that out of my head though. Every night I get sleep is a positive for me. So I am thankful. I would love it to be sleep without medication but for now I have to accept that is what my body needs and that is what it will get. I appreciate your support and helpful words. I will keep you posted.

  3. If you are able to come up with a name somewhere within a 30 mile radius that would be great. I have searched and can come up with nothing, not even a real support group or mommys group. I have my appointment with my PCP tomorrow so if you are able to come up with the name of someone that would be great. Thank you for your help. I have asked the lady from PSI and she had no one on her list. She also gave me a support group but it was in another state. I live in Wynantskill NY. I appreciate your help. Thank you.

    • Kate,
      Hope you’re doing much better? The person best-equipped with mental health practitioners in your area is the PSI coordinator for your area (whom you’ve spoken to already). I didn’t want to misguide you in any way, as in your situation, every day counts and you need help immediately. For your situation (which sounds very serious) if it doesn’t get any better you need to get someone to take full-time care of your baby until you are better and let the meds you’ve been prescribed have a chance to work before bouncing to a different one. There could be serious ramifications if you change/mix meds suddenly.

  4. Well the psychiatrist appointment was a joke, it was some 90 year old man who had very broken english and I couldn’t even understand him. We didn’t even really talk he asked what meds I was on and just gave me new perscriptions for more of the same. I was very upset as I just needed some reassurance and I didn’t get that. So I see my PCP tomorrow and we will go back to the drawing board in search of another person to talk to. I was very upset after todays appointment but what can you do except keep trying. I have a lot of confidence in my PCP so I know he will make me feel better tomorrow. Thank you for thinking about me and I will update you after tomorrows visit. Talk to you soon.

    Kate

  5. I am so scared that this won’t go away. I guess I just don’t understand having PPD when I don’t feel depressed. I know I am anxious, very, and there is a fine line between the two. It all started with the insomnia and just spiraled out of control from there. I guess I am just having a hard day today as I didn’t get too much sleep last PM. I know even with the meds every night is not going to be great so I should be thankful for what sleep I did get. I just had a lot more stress going on yesterday and I am sure that is why I didn’t sleep as well. Tonight is another night. I am still just having underlying thoughts of me having that terrible disease although the PPD/PPA is making much more sense to me compared to that now. I am taking 100 mg seroquel at night to sleep and can go up tp 150 per my doctor. I have been doing okay with the 100 though and so I really don’t want to push it up unless I have to. It is an antipsychotic med used also for insomnia. In my mind I am afraid my brain is recognizing the drug and becoming less effective meaning the “sleeping pill” isn’t working and it all goes back to having that horrible rare disease where sleep meds don’t work and everything progresses. I need to get that thought out of my head. I have to just keep telling myself that insomnia is common for PPD/PPA. I try to drill that into my head but some days are harder than others. Especially when you don’t have the greatest night sleep. Well I guess today isn’t the day to cut my anxiety medication in half. I am taking Klonopin one time per day in the afternoon as this is when I seem to have the hardest time. Please tell me this is all temporary and will go away. I just want to be able to wake up in the middle of the night and feed the baby and be able to go back to sleep. Not having to take meds and have people here to help take care of m baby through the night. Thanks for listening.

    • I know it’s hard to understand why you’d be categorized as depressed when you don’t feel depressed. Believe me, I couldn’t understand either, until after I was well on my road to recovery. You don’t have to feel blue/tearful to have PPD. What you’re going through is biological. Your serotonin levels are probably all out-of-whack. Serotonin is a neurotransmitter that is involved in the regulation of sleep and emotion. You will overcome this, but it will take a couple weeks before the antidepressant kicks in. You will see your psychiatrist in 3 days, so be sure to bring up all your concerns w/him or her then! Try REAL hard not to think too much! Again, easier said than done, as I’ve been exactly where you are now. The one thing you should be telling yourself is that THIS IS TEMPORARY! I didn’t think I’d ever return to my old self again, but I did!

    • Kate,
      Was thinking of you and wanted to see how your trip to the psychiatrist went? Are you feeling a bit better, hopefully, since the last time we corresponded?

  6. thank you for such a quick reply, yes I am seeing a psychiatrist Thursday. I hope it will help. I know your page and some other peoples comments are certainly helping me through this. Thank God I can read about someone elses story who’s is like mine it validates it in my mind that this is all I have is PPD. Just so strange because I don’t really feel depressed, I know I am anxious and have been starting initially with the insomnia and it has cycled out of control. Today is actually a good day for me although I don’t know how much sleep I really got and that kind of bugs me. I guess it doesn’t really matter. I have taken the clock out of the room. I don’t know if it is helping or hindering my anxiety. And yes the computer has been off limits for me except a few blogs and to check my e-mail. It is a little too late though in finding out about that horrible disease. I just have to keep telling myself that these truely are symptoms of PPD and I too will get through this. Why even when I feel calm and relaxed I can’t sleep? Why do I have to keep increasing the sleeping meds in order for them to work? This is what scares me. It is a sedative and half of the dose I take should knock someone out, and only gives me a few hours sleep anywhere from 4-7. I am scared but I am trying to be strong today. Thank you for your support.

    • Kate,
      I’m so glad to hear you have an appt w/a psychiatrist on Thur! I’m also glad that my blog is helping you in validing that you are NOT alone. I felt the same way as you…not understanding how I could be depressed (because I’ve never been depressed before). Some women with PPD have a particularly high level of anxiety (like you, me). Tearfulness and feeling blue are not necessarily symptoms everyone experiences. Insomnia, though is like I’ve said before, a classic PPD symptom. SSRIs (like Paxil, Zoloft) are usually prescribed to PPD patients to increase serotonin levels, the depletion of which is tied to insomnia and anxiety. It’s not a mind-over-matter thing. This is a biological thing you are experiencing. Again, don’t increase sleeping meds without talking to your doctor. You need to get to the root of the problem, which is your serotonin levels. Talk to the psychiatrist about all this. Stay STRONG!

  7. I have been in contact with a lady from PSI via phone/e-mails. We have tried out the uninterupted sleep thing on the weekends but it just doesn’t work. I will still end up waking up. Like last night, I took my medicine and was asleep from 9-10:30 woke briefly back to sleep until 12:30 woke again back to sleep until 2:30. This was all uninterrupted as my husband takes the baby until around midnight and it was the first time the baby slept 3.5 hours straight. So once I was up at around 2:30 that was it. I fed the baby again at 3:00 went back to lay down at about 3:15 (I don’t tnik I fell asleep) was back in the babys room at 4:00 he needed to be changed, fed him again at 5:00 and I just layed on the flloor in the nursery and dozed for maybe 15 minutes as I remember a brief dream. Now I am all upset about being tired and not being myself and able to just sleep when I am tired. So frustrating.

    • Oh, good…glad you’ve tried to contact PSI. Sorry, the uninterrupted sleep strategy could’ve helped lower the chances of developing PPD, had you done that from the time you had your baby through the 4th-6th week postpartum. With insomnia, the harder you try, the more frustrated you get. It drives your anxiety levels to a point that you could, like me, start to experience panic attacks. So please keep up what you’re doing, with the help of the meds you’ve been given (you should discuss the Lexapro with your doctor and maybe get a 2nd opinion), as well as getting support (emotional/practical). SSRIs are effective in increasing your seratonin levels, which in insomnia are low.

  8. no, no one screened for ppd. I don’t believe the MDs would even know how! Can you be depressed and not know it? I know it sounds like a stupid question. They keep saying it is more anxiety but if you had insomnia for 2 days straight of course you’ll be anxious about sleep and when it hasn’t been too much better (although I will take 2-3 hours over nothing) it is just a big cycle. I think I could be getting depressed over all of this but I don’t know I am more scared than anything and that is why I cry when I do b/c I am petrified of not sleeping on my own again or something happening to me over not getting enough sleep and being on a benzo!

    • Absolutely, so many women get PPD and don’t even realize it until they get help (or in way too many cases, way after the fact, unfortunately). Again, insomnia is a classic symptom of PPD if it occurs after 3-4 weeks postpartum. You will be well again (with the right treatment)! Call PSI…they’ll be able to provide you better and more qualified support! What state do you live in?

      • I live in New York. Well again thank you for listening to me and we will chat soon, I will keep you updated. I pray for another decent nights sleep tonight with the Klonopin and hopefully the baby won’t be too fussy and will sleep for 3 hours at a time and go right back down and mommy too. My little cutie patootie!

          • I ended up going back to my pcp who diagnosed me with having severe ppd/anxiety. I have been on lexapro 10mg now for a week and am taking an antipsychotic med to sleep at night. I am also taking klonopin during the day when my anxiety gets really bad. The problem is two things one I ended up finding information on the computer by accident about something called fatal insomnia. Now I am petrified that this is what I have as my symptoms “progressive insomnia” and “sleeping pills don’t work if this is what you have” and I have tried a few and then they stop working and now even with this med I have had to increase it about every 4 days. I can’t get this disease thought out of my head. “I have lost my ability to sleep on my own” No naps can’t sleep. I am terrified which doesn’t help the anxiety. I know it is a rare disease many people haven’t even heard of it and unfortunately I stumbled upon it. It also scares me b/c they say it usually happens to people in their 40-50s but can happen as early as 30. I am 31. One report also said it primarily happens after childbirth. I wish I had never seen this. It is just hard when you are searching for answers and you find something that explains your symptoms to a T. I have lost my ability to sleep and nap as hard as I try and as relaxed as I am and it scares me and is frustrating. Now I have this other stuff in the back of my mind. I pray that it is just a symptom of PPD. I know it is more likely that but not any less scary to think about. Any words of encouragement would be great. Thank you for listening.

            terrified mommy

            • Kate,
              It’s unfortunate you stumbled across this “extra bit of info” that is only driving your anxiety levels even higher. Don’t stray from what the doctor has prescribed. Consult with him/her before you do anything re: your meds. Can you make an appointment with a therapist about this? You may not want to because you may have never had to, but it can make a tremendous difference having someone to talk to about your fears. I can help you locate one if you’d like. If you’d like that, just tell me the general area you live in. I don’t think you necessarily have what you fear is this rare disorder. You shouldn’t necessarily trust some of the info on the Internet, esp. because it’s easy to misinterpret and assume it’s something you have. This is what they call playing Internet doctor. Sometimes you cannot even rely on the validity of the info that’s posted. You sound like you’re going through exactly what I went through. So, to help you through the next weeks until your antidepressant kicks in, stop looking at the Internet, and go see a therapist face to face. Many, many moms get through their PPD with a combo of therapy and meds. What you’re going through many many other moms have also experienced, they have survived, I survived, and YOU WILL TOO! YOU WILL GET THROUGH THIS!

  9. I have not began the Lexapro yet as we are waiting a week, so next week if there is no improvement then we will begin. They have not indicated PPD but more anxiety but I must be somewhat depressed as I haven’t slept right in God knows how long and it is effecting everything. I know Lexapro is an anti anxiety and antidepressant. I just get so anxious about my sleep debt that keeps adding and adding and I keep thinking my brain will just shut down and I will die or become psychotic! Really. I don’t know, I don’t think that can really happen but then again I nor no one else can seem to tell me that answer either. So yeah I have been talking with a support group person via phone email as in Albany NY I haven’t been able to find any kind of support groups for PPD or mother groups,very sad and if/when I get past this I will be sarting some! I think it is ridiculous we have nothing here and I know I am not alone in this so a group would be nice. Well I know I got at least 4-5 hours of sleep last night so I am thankful and will try to just keep looking forward. Thank you for your reply, it is nice to talk to someone who has been there. Let’s chat again soon Ivy. Thank you so much.

    Kate

    • Did your doctors try to screen you for PPD by asking certain questions (see last part of post http://ivysppdblog.wordpress.com/2009/06/14/recent-news-on-screening-expectant-and-postpartum-moms/). Insomnia past 3-4 weeks postpartum is what they refer to as a “classic symptom of PPD.” Doctors need to get up-to-speed on properly detecting/diagnosing/treating PPD, which is one of the reasons why the Mother’s Act is so critical. I can understand your concern, because I’ve been where you are now. You are certainly not alone with your experience….believe it or not the rate of PPD is 1 out of 8 new moms! Yes, it is very sad we don’t have more resources–not to mention education–about PPD….yet another reason why the Mother’s Act is so critical! And my reason for blogging (and writing my book)!

  10. I have had severe insomnia/anxiety since 2 weks after the birth of my son 6/17/09. I have been back and forth to the doctor,psychologist and accupuncturist. My doctor put me on Klonopin .5 mg one time a day tried it for 2 weeks only allowed me at best 2 hours sleep to start with if I was lucky I would be able to go back to sleep after I fed the baby during the night. He just added another dose of .5mg Klonopin during the day and I have only been taking half as I am home alone with the baby and don’t feel comfortable taking it. Mt PCP suggested Lexapro and I told my OB this he said we will try the Klonopin 2X/day then if that doesn’t work then we will try adding in the Lexapro and weaning off the Klonopin. I am terrified about the little sleep I am getting and if I will just collapse and die from it. No one can seem to answer this question as to what happens. How long can someone go on like this with little sleep? I am so scared and I know that it is a viscious cycle of anxiety over not sleeping/insomnia/thoughts of will I ever be able to sleep on my own again. What dod you end up doing?taking? Please share so I can stop feeling like I am going crazy!
    Thanks Desperate

    • Hi Kate,
      So sorry to hear what you’re going through! Reminds me so much of what I went through myself. I was petrified as well, but just know that I recovered, just as you will recover too. Did your doctor/psychologist indicate you had PPD? The Klonopin is a benzodiazapene, which is usually prescribed at the same time as an SSRI like Lexapro because it can take roughly 4-6 weeks for the SSRI to take effect (or what they call reaching a therapeutic level). I was prescribed Paxil (an SSRI) at the same time as Xanax (a benzo), and by the 4th week, the Paxil kicked in and I was off both Ambien (sleep aid) and Xanax. I was sleeping again! But every woman is different and different meds work for different people. For your own good–and I know it’s so much easier said than done–please try not to be too anxious because as you’ve said, it does end up becoming an overwhelmingly vicious cycle. You may want to try yoga to help reduce stress (if you feel up to it). How long have you been on the Lexapro now? Has it been 4-6 weeks yet? I’m far from being an expert on insomnia, and I’m not a healthcare professional so can’t really provide any other advice other than to perhaps look up your state PSI coordinator at http://www.postpartum.net and see if they can get you in touch with PPD support services in your area. Better yet, give the PSI Postpartum Depression Helpline: 1.800.944.4PPD a call and you can talk to someone there about your concerns. You can always contact me anytime for additional support, as needed (and definitely let me know when you are feeling better, which I hope will be very, very soon)! All the best, Ivy

      • Hi,
        I came across this blog and hoping for some support. Im 6 weeks pp. And have been suffering from PPA. I have been seeing a therapist weekly. I tried zoloft for 2 days and it didnt agree with me. I tried laxapro for 4 days and seemed ok but had a massive headache amd stopped. I statt viibryn today. I hadnt been having much troubke sleeping,,or going back to sleep after feedings, but if it happens one night that i cant sleep i freak out and set my self up for further issues about going to aleep. I didnt sleep at all last night even with 1mg klonopin. I was able to sleep the other nigjt 9 hours w 1mg xanax. I dont want to rely on benzos. Im scared of this getting worse. Will the meds help ease the anxiety which is making me nervous to sleep? I cant ever nap during the day.. i dont understand i used to be such an amazing sleeper!
        I hope i can get it under control.

        • Hi there,
          Before I had my baby, I was an amazing sleeper too. I am an amazing sleeper now, and have been again since after my recovery (thankfully!). I am glad you found my blog, and I’m really glad you’ve been seeing a therapist weekly. What sort of reaction did you have with zoloft, just curious? Part of the problem is that you’ve been switching meds rapidly, not letting any of them really become effective. I’m hoping your therapist has taken the time to explain to you that SSRI’s could take 4-6 weeks before the medication kicks in (depending on the person and/or the severity of the PPD and/or type of antidepressant), after initially being started on a low dose and slowly increased over the course of several weeks until you reach a therapeutic dosage. Your therapist will want to see you every week in the beginning of your treatment to once every month later on in your treatment to monitor your progress and doses. It’s not like taking an Advil and having your headache or cramps go away in thirty minutes. Here we are talking about medications that work on your neurochemistry. I’ve corresponded with a number of women who were so desperate for their medication to work that they asked their doctors to prescribe a different medication (and then a different one when that one didn’t kick in within two to three weeks). The Paxil didn’t kick in until the fourth week (and thankfully in the meantime, the Xanax I was on gradually alleviated the panic attacks that were scaring me like you wouldn’t believe), and yes, I was desperate to feel improvement and I absolutely had my doubts about the medication and whether my doctor had prescribed the right one for me. His lousy bedside manner and the fact that nothing seemed to be happening as each day and week went by with no improvements only contributed to the doubts in my mind. I know it will feel unbearable to go on like this for another day, let alone several more weeks, but please hang in there!

          Also, please note that, unlike pain killers and cold medication, you shouldn’t just stop taking an antidepressant as soon as you feel better. And please don’t change your medication dosage or stop taking your medication abruptly simply because you don’t seem to feel any improvement in the first couple of weeks, you feel the side effects are making you feel worse than before you started to take it, you think you feel like your old self again, you don’t feel like taking it anymore, or you want to see how you would do without it. Not following the prescribed protocol can risk delaying your recovery. Antidepressant dosages should always be gradually tapered down in consultation with your therapist. I started the weaning process about six months into my treatment, but it took another seven months before I could safely stop altogether.

          Please let me know if you have any questions, and do keep me posted! Sending encouraging vibes your way. You WILL get better!

          • The zoloft gave me racing heart,constant yawning, tingling in my arms.. it was scary to me! So we tried lexapro, but after the massive headache i had my dr suggested i stop. Being it was ony in my system 4 days we did not have to taper.
            The viibryn has been reacting well to me..so i am hopeful and will have patience. But i couldnt sleep again at all last night. I tried 6mg melatonin per my dr. I started to drift and then heard my husband come in the room and up i was the rest of the night. i tried not to take too much of the xanax so i could tend to the baby. I thougt my husband was working today ans hes off. So that could of helped.
            Im hoping my sleep improves as the meds take effect. What did you do to get sleep? I cant even nap.. its so frustrating :(

            • Glad to hear the viibryn has had no neg side effects (knock wood)! Re: the switching from one med to another and not tapering…that’s ok cuz like you said, you haven’t been on them long enuf for you to need to taper. I’m referring to after you’ve been on viibryn (which I hope will be it) and you’re well on your course to recovery, even if you feel like you are well enough to stop taking it, you should taper in consultation with the doc.

              I was on Ambien (along with the Paxil and Xanax) until my panic attacks stopped (somewhere between the 2nd-3rd week) and I got brave enough to try stopping it (by the end of the 4th week). So, by the 4th week, I was only on the Paxil. I don’t remember much of the details during that month because of the condition I was in (it was pretty bad) and because this was over 8 yrs ago).

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