Journey of a PPD Survivor – Q/A Series – #1

Welcome to the very first of my Journey of a PPD Survivor Series!

I know many, many survivors whose journeys led them to helping other mothers feel less alone and suffer less than they themselves did.  These women have gone on to become doulas, social workers, psychiatrists, psychologists, psychiatric nurse practitioners, peer support group leaders, founders of not-for-profit groups, bloggers (like myself), book authors (like myself), fundraisers, volunteers (like myself), etc.

Kathy Morelli, whom I’ve had the pleasure of knowing since we met in 2011 at the Postpartum Support International conference in Seattle, has the honor of being my very first interviewee for this series.  Back in 2012, she wrote the most amazing book review for my book.  She herself is a book author in addition to being a licensed professional counselor and licensed massage therapist for pregnant/postpartum women.

Thank you, Kathy, for taking the time to provide my blog readers some insight into your journey as a PPD survivor!

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Question 1:
Can you please describe your journey to becoming a Licensed Professional Counselor and Director of BirthTouch, LLC and what motivated your passion for maternal mental health matters
?

Ivy, lol, this could be a looooong answer! I’ll try to keep it reasonably brief!  I came of age in the 1970s when feminism was just starting to impact our society. I was raised to believe that I could go to college and get a good job, just like the boys. But I was also enculturated to stay home with my children. My mom didn’t work outside the home. There was no Title IX, equal funding of boys’ and girls’ sports, etc. when I was growing up. There was no family leave, no daycare centers included on corporate campuses. So, the tantalizing idea that a woman could work equally as a man was out there, but there were no plans for what to do about motherhood. What to do with a newborn during a career trajectory. These things were not in the public discourse at all. So, I never thought about how the integration of career and family is an enormous life challenge. How would I know?

I was the first-generation Italian American in my family to go to college.   I started my career in my 20s in data processing on Wall Street. I worked my way up to be an AVP at a major international bank. I managed the Database Department there. It was extremely stressful and not really emotionally fulfilling to me. But it was a good job that paid well. I was the only woman of 12 mid-level managers. It was challenging to be the only woman in this peer group. I never felt comfortable in that situation. They talked about things I wasn’t interested in. And sometimes they went to a strip club down the street for lunch. I certainly wasn’t going to do that.

The long commute led to my finding a job at another large data processing facility in New Jersey. My husband and I planned to start a family, and I didn’t want to commute on the subways while pregnant.  I had my son (now 22!) when I was 37 years old. I never changed a diaper or babysat very much at all, as my older sister did all that!  I also didn’t know much about the processes of pregnancy and birth, so it was all big mystery to me.

I actually had negative physical reactions to the idea of putting my son in daycare.  Daycare was a new concept 22 years ago. We made the decision for me to stay home with my son for a few years. I had postpartum depression (PPD) after I had my son. Looking back, it’s obvious that the life changes and the identity shifts were challenging for me. I had always been a high achiever, so shifting to taking care of a baby, which I had never done before, was not easy. I felt isolated. The feelings of depression were difficult to handle and caring for a baby on top of that was just so overwhelming.  In retrospect, I should’ve taken medication. But I wouldn’t, as I was nursing and I was concerned about the effect medication would have on my son.  Back then, there wasn’t the abundant research regarding the relationship of psychotropic medication to breastfeeding that there is now. If I had the information available now on such sites as Mother to Baby , I would’ve been able to make an informed choice with research data as input. I would’ve chosen the medication. Even with counseling, I was depressed for two years. It was a joyful yet painful time.

In short, my journey to becoming a therapist has been founded on my desire to have a career where I could make a difference in the world. From my experience, I also had insight into what it was like to become a mother and go through a lot of biological and psychological shifts all at once.

 

Question 2:
Can you provide an overview of what services you provide?

I’m a Licensed Professional Counselor (LPC) and Licensed Massage Therapist in the State of New Jersey. As an LPC, I work with a broad range of people experiencing everyday family and marriage issues, depression, and anxiety. I have an integrative approach and use both traditional verbal therapies and mind-body therapies.  For many years, I’ve had a special focus on perinatal mood disorders, the transition to parenthood, and birth trauma, but I see a broad range of people.

Currently, I am shifting my focus to using interventions such as eye movement desensitization and reprocessing (EMDR), Somatic Experiencing (SE) and cranial sacral body work to treat post-traumatic stress disorder (PTSD) for single incident and chronic trauma.  Single incident trauma can be birth trauma, trauma from even necessary medical interventions (such as for cancer), a car accident, a rape, etc. Chronic trauma includes childhood sexual, physical, and/or emotional abuse.

So many women talk to me about their pregnancy and birth experiences and how traumatic and medicalized childbirth is. Sometimes the medical trauma is something that is necessary such as when there are true complications and other times the medical trauma is from too many unnecessary, cascading interventions coupled with a general atmosphere that lacks compassion at an individual level.

So, I’m an advocate for woman and family-centered childbirth and have been for 22 years. I’m an advocate for social programs that promote a true family centered focus in our society.

 

Question 3:
You wrote three books, correct? Can you give an overview of what your books are about? 

Yes, I did!  They are all about self help and education for women and families in the childbearing year. They are all available on Amazon!

BirthTouch® Shiatsu and Acupressure for the Childbearing Year is all about education and self-help for the pregnant mom and her family.  There’s information about the difference between infant bonding and attachment, emotional management and safe touch to promote the relaxation response and family bonding during and after pregnancy.  There are numerous studies that conclude that safe massage promotes the relaxation response and family bonding. Safe touch promotes the release of relaxing endorphins and oxytocin and downregulates cortisol, the stress hormone. It’s all about self care in the family unit. Shiatsu is done fully clothed, and it’s a simple shiatsu routine, so even small children can participate, as well as an acupressure routine that is known to promote childbirth. As a massage therapist, I have certifications in shiatsu and acupressure, so the mind body connection is quite relevant to me and how I practice.

BirthTouch® Healing for Parents in the NICU  is a slim volume meant for parents who have a baby in the NICU. The focus in the NICU, is, of course, on the baby, but this slim volume is meant for the parents to help remind them to turn towards each other and support each other through this difficult time. It is a short-seated shiatsu routine that can be done in a waiting room.

BirthTouch® Guide to Perinatal Mood Disorders for Childbirth Educator is a slim volume meant for childbirth professionals, who are often the first line of support for the new mom. This slim volume fully delineates the different perinatal mood disorders and their differential diagnoses for the childbirth educator, so s/he can know what to look for.  It also explains why it’s not always easy to differentiate between the various perinatal mood disorders, because of the overlap and subtlety of symptoms.

 

Question 4:
Can you please explain how shiatsu and acupressure can help a pregnant/new mother? How did you learn these techniques and how did you discover that they can be effective in treating perinatal mood disorders?

I studied shiatsu and Jin Shin Do® Acupressure at the Meridian Shiatsu Institute in Pennsylvania from 1996 – 2000. I became certified in both modalities. The owner of the school retired over a decade ago and closed the school.  I started BirthTouch® around that time, which was a massage and bright hypnosis business for pregnant moms and their families. Women and midwives started to ask me what the acupoints were to begin birthing. I would write them out on a piece of scrap paper at first for my clients, and then eventually I developed a short workbook.  I began studying psychology. I found the intersection of my two fields, touch and psychology, in the seminal work of Dr. Tiffany Field at the Touch Institute in Miami.  Her studies were really the first research examining the effects of touch on mood in pregnant/postpartum women and in infants. Now, it’s a mainstream idea and you can see there are hundreds of studies that validate the use of touch to promote relaxation and mitigate the symptoms of depression and anxiety in pregnant/postpartum women.

After working with many women and families, I realized that people wanted to learn some safe, easy techniques for touch during pregnancy, birth, and postpartum. After teaching these techniques for many years and seeing the clinical benefits, I wrote my BirthTouch® book in 2012.  I hope to run a research project specifically around BirthTouch® techniques in 2019. I will keep you posted on this!

 

Question 5:
I can remember when I first met you at a Postpartum Support International conference a number of years back. How long have you been a member?  What prompted you to become a member?

I think I’ve been a member of Postpartum Support International since 2010.  I was a Warmline Volunteer for about a year on Wednesday evenings, but then it was too difficult to keep it up, as my practice was so busy and Wednesday evening is prime time! I now do some work for the New Jersey Chapter of Postpartum Support International. I wanted to become a member, as I wanted to complete their training and to attend the wonderful conferences and actually meet and be a part of the researchers and clinicians who work in women and family advocacy every day!

 

Question 6:
Is there one key piece of advice you would offer to an expecting or new mom?

Please plan for the Fourth Trimester!  Here’s a link to my website BirthTouch®, with an article about the Fourth Trimester.  Don’t try to do it all yourself or with your partner.  If you don’t have local friends or family who are free to physically help you, then hire some help. It is well worth it! Ask for help, don’t be afraid to tell your doctor how you feel and if you need help, don’t suffer alone. Planning for the Fourth Trimester is key! Have list of resources at ready, in case you need them….friends, family, community resources, food prep, sleep plan, therapist phone number, doctor phone numbers, etc.  Talking to a therapist and taking medication is not shameful!

 

Question 7:
What would you want to say to women currently suffering with a postpartum mood disorder?

Recognize that you have a treatable mood disorder and that taking care of your emotional health is as important as, if not more important than, taking care of your physical body.  Talk to your primary care physician, your obstetrician, a therapist, or a psychiatrist.  Perinatal mood disorders are treated by talking to a therapist and/or taking medication.

Taking care of a baby is hard work. Please get yourself help in many different ways: sleep, food prep, taking time off from baby care by asking family or hiring help, etc. This new dynamic of having an infant to care for sets off feelings where you wonder whether you need to attend to my baby’s needs or my needs? Of course, the baby’s needs must be fulfilled and you need to include your needs in there in some way as well. It’s a new way of being.

To find resources in your area, call Postpartum Support International’s Warmline where you will be connected to someone in your area who can refer you to perinatal mental health resources in your community.

Postpartum Support International Warmline: 1-800-944-4773

 

Question 8:
What advice would you offer to friends/family members of a woman who is currently suffering with a postpartum mood disorder?

Please recognize that your loved one needs support and understanding. Don’t undercut her mothering skills by giving suggestions on how she should manage her baby. If she is struggling, ask her how she feels. Use active listening techniques, ask open-ended questions, and help her get to a therapist and/or doctor to get the help she needs.

And also, as caregiver, try to remember to take care of yourself, although this can be challenging. Caregivers get burned out and depressed as well. Take it easy on yourself and practice lovingkindness towards yourself and others.

 

Question 9:
In your practice, what kinds of treatments for PPD do you recommend? Is there a type of therapy/ies you would recommend?

I think the best treatment is developing a realistic baby-feeding, sleeping and self-care plan that take into account both mom’s and baby’s needs….all of this can be truly overwhelming.

Going to a therapist who has special training in perinatal mood disorders to help process the feelings around the transition to motherhood and the feelings around childbirth events is a good way to manage perinatal mood disorders.

Sometimes talk therapy is not enough. If medication is needed, going to a psychiatric nurse practitioner or psychiatrist is a normal part of treatment.  Feel proud you are taking steps to care for yourself.

In my practice, I take an integrative approach and use a variety of therapies tailored to the individual’s needs. My basis is insight-oriented therapy, combined with some dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), and cranial sacral therapy (CST) tools.

 

Question 10:
What do you see as the biggest challenge in helping a mother recover from a postpartum mood disorder?

 The biggest challenge is that people often don’t want to reach out for professional help. They think they can manage okay by toughing it out and ignoring their own needs. This approach isn’t emotionally healthy. You want to learn to optimize your own and your family’s emotional health.  If mama ain’t happy, no one is happy!

 

Question 11:
What do you think medical health practitioners who come in contact with new mothers, like OB/GYNs, GPs and pediatricians, can do to help prevent, detect and treat perinatal mood disorders?

Prevention starts with a solid social safety net, which our society does not provide.

Individual medical practitioners can coach pregnancy moms and their partners about the possibility of the occurrence of perianal mood disorders, and help them recognize this before the mom becomes seriously incapacitated from a mental health issue. If a mom has a previous episode or a family history of perinatal mood disorder, then pre-treatment–with counseling and perhaps medication–is the best way to minimize occurrence.

Medical practitioners who come in contact with new mothers need to be trained to recognize the presence of a perinatal mood disorder and have resources to offer her and her family. Studies show that having the mom complete an abbreviated 3 question version of the Edinburgh Postnatal Scale is as effective as the original 10 question EPDS.

Medical practitioners who treat new mothers for perinatal mood disorders should take specific trainings in these disorders in order to effectively treat their patients. Postpartum Support International has such trainings and also a supportive professional community that shares resources and knowledge.

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If you wish to contact Kathy, she has an office Wayne, New Jersey
Her phone number is 973-713-5966
Her websites are: kathymorelli.com  and birthtouch.com

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Postpartum Support International – Online Support Training

If you are a postpartum depression (PPD) survivor and would like to provide online (web, email) and/or phone support to moms currently suffering from a postpartum mood disorder, you may want to consider signing up for the February 25th session offered via Postpartum Support International that I just signed up for.

Click here for more info on this session, plus other sessions pertaining to providing support to new mothers and their families via support groups that are peer-led (i.e., led by other survivors) or hospital-based.

If you are a PPD survivor who wants to help pull other moms out of the PPD darkness and hopelessness, please consider signing up for one or more of these sessions.

Let’s make a positive difference for as many moms as we can.  Thank you so much!

 

Adjusting Well, by Ann Jamison

I’ve never re-blogged anyone’s blog posts before, but I had to for this.  This piece–so moving and honest and raw–brought me to tears…reminding me so much of my own dark, lonely, helpless days of PPD.

Call to Participate in a PPD Survey

My dear friend Walker Karraa, er, I mean Dr. Walker Karraa, is looking for postpartum depression (PPD) survivors to participate in a survey on ways PPD changes women who experience it.

For those who have followed my blog for at least the past year, Walker’s name may sound familiar.  Almost exactly a year ago, I blogged about her need for participants in a dissertation on the transformational dimensions of PPD.  Thanks to the participants of that study, she was able to put together a wonderful dissertation that helped her earn her PhD in Philosophy (she uses philosophy to examine scientific, social and cultural paradigms of women’s mental health — particularly maternal mental health).

With respect to this survey for which she is now seeking participation of at least 500 women, the results will be used for the book she is now working on that will be based on her research into the ways PPD changes women.  Please, if you haven’t participated yet, take a few minutes to do so and if you aren’t a PPD survivor and know someone who is, forward them this information and encourage them to participate.  Thank you!

While you’re at it, please also follow Dr. Walker Karraa’s professional page on Facebook, the content of which is dedicated to the full spectrum of issues of regarding women’s mental health and wellness.  You can expect her to keep you abreast of important updates in research, events and news on maternal mental health.

If I Survived PPD, I Can Survive Most Anything

Since the new year began, I’ve had several situations loom over my head like a dark, ominous cloud.   All sorts of situations that I won’t get into detail here.  I’ve posted recently about and shared with friends in recent weeks the fact that I seem to have reached a turning point with the publication of my book.  A turning point in which I promised myself I would no longer let ghosts of my past continue to keep their stronghold over me.  My personal mantra has become “If I survived postpartum depression (PPD), I can survive most anything.”

In essence, ever since the start of this year–and it’s merely a coincidence that I’m vowing to stay on this path right now, at the beginning of 2013, but this is NOT any kind of new year’s resolution because I never make any–it’s like I’ve been self administering cognitive behavioral therapy (CBT) by realizing how certain ways of thinking and behavior are self-defeating and highly detrimental to me and then telling myself to think and respond differently.  Basically, I’m going to be more self nurturing.  Because, you know what?  I’M WORTH IT.

So, what exactly am I going to do differently?  Well, for starters:

  1. I am going to say what’s on my mind when people say obnoxious things to me. I used to hold back, only to kick myself afterwards for doing so.
  2. I’m not going to let old crippling thoughts take control of me, like automatically thinking “Why me” and retreating under my covers (both figuratively and literally) in despair.
  3. I’m not automatically going to cower in defeat like a dog with its tail between its legs when I experience ANY kind of bullying–whether it be at work or online.  By “any” kind of bullying, I mean isolation tactics too, as excluding people deliberately is a form of bullying.
  4. I am going to continue my mission in maternal mental health advocacy, of helping moms feel less alone in their PPD experience through this blog.  I may be writing less frequently because, as time goes on, the anger that ignited the passion in this blog is waning.  Yes, anger used to fuel the stream of words that easily appeared in my blog posts.  Without anger, there is no passion.  Without passion, words fail me.
  5. I would like to increase my efforts when it comes to anti-bullying advocacy and providing support to teens struggling with issues of self esteem and bullying (support I needed but never got when I was a teenager).  For example, on January 30th, I learned about Noah’s struggle, and I immediately started to write a letter to him and didn’t stop that evening until I completed it.  I know and am very happy that so many caring individuals have written to Noah.  You can still do so.  He is turning 13 on Friday, February 8th.  Click here to see the Letters for Noah Facebook page where you can find out how you can help.
  6. And last, but certainly not least, I am not going to let my fear of speaking prevent me from speaking in front of people–be it on PPD (and my book) and/or on bullying.  They say some people fear public speaking more than they fear death.  Well, while that may not necessarily be the case for me, it comes pretty darn close.  I’ve been and will continue to keep the valuable tips I gleaned from Nicole of NWK Consultants in mind during speaking opportunities.

Basically, I am determined not to have any reason for karma to come biting me in the a$$ one day.  I want to live out the rest of my days knowing that I will do the best I can for my family, myself and whoever else I can help along the way.  I want to provide the kind of help I didn’t have when I was a teen and then a new mom struggling with PPD–both situations in which I felt alone and desperate.

This sign, which I stumbled across on Facebook and pinned a couple days ago, says it all for me.  I keep these words firmly engrained in my mind whenever there is a hint of thought that wants to derail my self esteem and put me on the glass half empty train.

If the words of this sign pertain to you, may it give you the strength to carry on as it is helping me.

BE PROUD OF YOURSELF.

My Journey to Motherhood Was Far from Perfect….and I’ve Learned to Accept That

This morning, I saw an acquaintance who had a baby just a couple weeks ago.  I told her she looked great, like she never even had a baby.  And she replied “I feel pretty good and yes, it does seem like I never even had a baby.”  I then said to her “You are blessed, you really are.”  To which she shrugged and that was the end of that conversation.  She didn’t think it was a big deal that she’d just had a baby, and I wasn’t about to make it a big deal.  She looked as good as she did before she had her baby.  She didn’t look tired.  She has two other children, and seems unphased by the new addition.  She really is blessed, she really is.

At that point, I felt really awkward.  I didn’t know her that well, so what else was there to say?  Though the conversation, albeit brief, stayed on my mind for a while today (because I immediately thought this would make for a good post), I refused to let it get to me.  Knowing what I now know, that I am far from the only one who didn’t experience a perfect pregnancy, childbirth and postpartum experience, I didn’t react with feelings of resentment, jealousy, or even regret like I probably would have if I hadn’t had postpartum depression (PPD) but was just struggling with my first crack at motherhood, all anxious and uncertain.

I reminded myself of what I’d written in my book….you don’t know what goes on in someone else’s life.  She could have relatives close by that can help watch her baby regularly and other two children and/or she could have a very good babysitting arrangement.  She seems to have a very laid-back personality, with no predisposition to anxiety, self esteem issues, or even pessimism.  She exudes confidence.  None of these describe me or my experience.  But again, I have to tell myself that I don’t really know what’s going on in her life.  How things appear in public could be very different from what they’re really like in the privacy of one’s home.

My journey to motherhood has taught me many things about myself.  I believe I was meant to experience PPD, and survive it…..and emerge from it a very different person.  Had I not experienced PPD, self doubt and self esteem issues would more than likely have engulfed me and caused me to react to situations like my conversation this morning with the mom with the “everything is hunky dory and oh, did I really just have a baby because I feel that awesome and look that great and motherhood is a snap” attitude in a–let’s just say–negative way.   Why would I have reacted in such fashion had I not experienced, and survived, PPD?  Well, unlike some moms, I had ZERO experience taking care of babies until I had my very own.  I never babysat, nor did my mother ever ask me to help take care of my two younger brothers.  When you have ZERO experience, your self confidence would naturally not be that great.    And in my pre-PPD days, my self esteem was so lousy that my self confidence would take a nose dive at every little thing.  Negative thoughts and attitudes people had about me once used to have a crippling effect on me.

For the past 3-1/2 years, I’ve come to know many moms who, like me, experienced far-from-perfect roads to motherhood.  I’m NOT the only mom who’s had infertility problems.  I’m NOT the only mom who’s lost pregnancies.  I’m NOT the only mom who’s had childbirth complications.  I’m NOT the only mom who’s had PPD.  I’m NOT the only mom who’s felt uncertain, anxious, and a failure at motherhood (and breastfeeding too).  I am FAR FROM ALONE in feeling like–how shall I say it–the opposite of a Supermom.

I am not going to let my negative experiences defeat me.  Instead, I’m going to take them and make the most of the rest of my life.  My PPD survival played a pivotal role in changing me…for the better.    My PPD experience—and subsequently writing my book and my blog—has given me a voice and a strength I didn’t previously know was possible for me to possess.  After I completed my book last year, it’s like I came out of a cocoon.  I metamorphosed into a new person.  This change has made such a positive difference in terms of my attitude at work and the attitude others have of me at work.  Rather than take offense to, get crushed by, and harbor grudges due to annoying and even condescending behaviors of colleagues at work, I let all that stuff slide now.  I tell myself it’s totally not worth getting bent out of shape about.  IF I SURVIVED PPD, I SURE AS HELL CAN LET THIS PIDDLY SH$T SLIDE.  Not only do I see the change in me, I feel that my colleagues have also seen the change in me.

So, am I going to let this morning’s conversation and realization that there are indeed people who have it seemingly easy when it comes to motherhood get to me?  Nope.

2012 Postnatal Depression Awareness Week – It’s Not All Black and White (Australia)

November 18-24 is Postnatal Depression (PND) Awareness Week – It’s Not All Black and White in Australia.  This is an initiative organized by PANDA, the Post and Antenatal Depression Association, located in Victoria, Australia.  As you can see, I don’t just blog about postpartum depression (PPD) news/events in the U.S., because PPD is an illness that is suffered by women all over the world.  My post for last year’s Blogging for World Mental Health Day sums up why public awareness about PPD is so critical.  PPD isn’t black and white.  There are varying “shades” of PPD and there is actually a spectrum of perinatal (before/during/after) mood disorders.  Each  mom’s experience will be unique in terms of duration, treatment, and symptoms.

Here is an excerpt from my book on the spectrum of perinatal mood disorders, or the different “shades” of PPD, that make it so darn challenging to understand by the public and even healthcare professionals:

PPD can occur anytime within the first year after you give birth. It can start as early as a few days postpartum, but appears to occur most frequently around six to eight weeks postpartum. It has even been known to occur in mothers weaning their babies at two years postpartum. PPD often serves among writers on the topic as a catch-all phrase for the spectrum of perinatal mood disorders, or those mood disorders occurring before pregnancy (antepartum, antenatal, or prenatal), during pregnancy, and after childbirth (postpartum or postnatal). The spectrum of postpartum mood disorders includes postpartum anxiety, postpartum panic disorder, postpartum OCD, and postpartum psychosis.

Not everyone who suffers from PPD suffers the same symptoms. The extent to which women suffer from PPD varies and depends on the woman’s biological makeup and past experiences with stressors. PPD experiences range from bouts of crying, heightened anxiety, and fatigue to feeling completely unable to function and to the extreme cases of postpartum psychosis where the mother may hurt or even kill herself and/or her baby. My symptoms were, for the most part, physical rather than psychological. For example, I had no self-esteem issues, and baggage from the past did not resurface (e.g., unresolved issues with a parent’s death or departure during childhood, I have to be a better mother than mine was, etc.). I felt so anxious and unable to function that I could barely get myself to leave the house for my doctor’s appointments. My only symptoms were insomnia, high levels of anxiety, and panic attacks. I was always prone to worry more than the average person, but I had never had any panic attacks before. Hard to believe that my fear of never being able to fall asleep and stay asleep on my own, without medication, could drive my body to have panic attacks. I wanted to fall asleep, but didn’t want to take the Ambien so that I could prove to myself that the insomnia was temporary. When I couldn’t fall asleep, that led to my panic attacks, where my heart raced uncontrollably, my extremities would turn cold, and, when I woke up each morning, I’d be in a cold sweat. All this was so overwhelming.

And:

  • Women throughout the world suffer from PPD, but just as one woman’s genetics, physiology, life experiences, and coping strategies are unique to her, one woman’s PPD experience will vary from the next woman in terms of the triggers, symptoms, severity, reaction to medication and/or therapy, and duration. The way everyone reacts to things like fatigue, stress, and lack of support is unique.
  • A woman may experience PPD for one but not all of her pregnancies.
  • PPD symptoms may differ from one episode to the next.
  • A woman who has suffered from nonpregnancy depression in the past can experience very different symptoms with PPD.
  • There is a wide range of possible symptoms.
  • The timing of the onset of symptoms varies, ranging from a couple of weeks to several months to as late as two years postpartum. Most cases begin six to eight weeks postpartum, though it can begin up to a year postpartum, and even as late as two years after childbirth due to weaning.
  • Recognizing the onset of PPD can be difficult due to the fact that such symptoms as mood swings, tearfulness, irritability, and anxiety are also symptoms of the baby blues.
  • Some amount of stress, anxiety, irritability, hypersensitivity, difficulty sleeping, and exhaustion (mental and physical) are considered normal consequences of having a brand-new baby to take care of. If you tell your doctor or another parent that you’re anxious and having trouble sleeping, he or she will look at you and say, “What new parent can sleep? It’s perfectly normal to feel some amount of anxiety.” Not being able to sleep at all even when the baby sleeps and you are utterly exhausted is insomnia, and you need to drive that point home.
  • Even women who had smooth pregnancies and deliveries, with no history of emotional problems or depression, can also develop PPD.
  • Fathers can also develop PPD.
  • Adoptive parents can also develop PPD.

Now, do you get why the tagline is so perfect for this awareness campaign?!

It gives me hope whenever I see a U.S. state–or in this case, a different country–acknowledge that PPD is a real illness and the stigma surrounding it must be combated through public awareness campaigns to educate the public about an illness that strikes in as many as 20% of new mothers.  Last year, Postpartum Support International declared May National Maternal Mental Health Awareness Month with a “Speak Up When You’re Down” Campaign, an awareness campaign dedicated to increasing support for pregnant and postpartum women and their families here in the U.S.  Certain states like California (CA Perinatal Mental Health Awareness Month), Oregon (Maternal Mental Health Awareness Month), and Illinois (Perinatal Mood Disorders Awareness Month) have passed legislation declaring May a month dedicated to educating the public of the resources/treatment programs available to women and their families should they experience a perinatal mood disorder, as well as reducing stigma associated with maternal mental health.  Other states like New Jersey and Massachusetts have passed legislation relating to public awareness, screening, research, and support services.

Now, getting back to the Land Down Under, there are some wonderful PPD bloggers and their blog posts in support of Postnatal Depression Awareness Week.  I’d like to highlight fellow alumna Debra Dane and her blog post, who does a great job explaining why this awareness week has the tagline of “It’s not all black and white,” and my friend Yuz Rozenblum’s Not Just About Wee blog post.

If you look at the end of each of these two blog posts, you will see all the posts written by other PPD mamas.  Please check them out!  For moms currently suffering from PPD, you are NOT alone.