A Reminder to New Moms: Get Outside As Much As You Can

If you’re a new mom and seeing this blog post, then I’m glad, cuz this post was written with you in mind!

There is a reason–actually, reasons–why people say you need to get outside as much as you can after you’ve recovered from childbirth.

Sunlight is good for you.
Click here for a post about the benefits of sunlight.

PLUS

Fresh air and exercise are good for you.  Being cooped up is NOT good for you.  
Refer to my past post “3 Pieces of Basic Advice for the New Mom.”
Exercise can be as simple as walking around your neighborhood (or in a mall in bad weather) to get that circulation going…and of course, brisk walking is better and once you feel up to it, jogging  is great for burning some of the pregnancy weight off.  Being cooped up paves the way to increased feelings of isolation, which feeds depression, negative thoughts and even a bit of agoraphobia–all of which happened to me when I got hit at 6 weeks postpartum with PPD.  I’m not saying that being cooped up for long periods of time will definitely lead to depression, negative thoughts and agoraphobia, but nothing good comes out of seclusion after you’ve had a baby. We are social beings that need a certain amount of interaction with others.  Just being around people, but not necessarily interacting to a great degree with any particular person(s), has its benefits.  Social support is a whole other matter that I’ve blogged about a lot in the past.

Of course, all this stuff is purely common sense, but with the whirlwind that makes up the first postpartum weeks, a first-time mother that doesn’t have a baby expert (doula or relative) helping out will need these reminders that self care is just as important as baby care.  If you’re anything like the overwhelmed and exhausted wreck that I was after I left the hospital 7 days after I gave birth and experienced childbirth complications, the basic necessity of getting outside will fall by the wayside all too easily.

By doing this for you, you are also doing this for the baby.

A healthy mom means a healthy baby.

 

 

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ONE MOM’S REFLECTION FOR MOTHER’S DAY

This is a post a mom wanted to share on my blog anonymously.  Thank you, mama, for sharing your experience!  ❤ ❤ ❤

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To think of moments like this that I would have missed had I just given up. If I had let the mental illness win.

After my twins my postpartum depression/postpartum anxiety (PPD/PPA) was severe.

Paralyzed by a sudden sense of worthlessness, hopelessness and fear of everything, I panicked.

Intrusive thoughts told me I was not good enough and that my kids were better off without me. I told my husband to leave me. I was scared to touch the twins for fear I would somehow hurt them or that I was ruining them.

This was at the time I felt it in my heart and soul something was majorly wrong with G and I blamed it on myself.

I was overwhelmed with two colicky twins. They cried all the time and I felt like a failure that I couldn’t soothe them. Fast forward they have sensory issues G with autism and S with ADHD. they have had a very hard time regulating themselves and have come a long, long way.

If I could wish one thing for all mothers is that please don’t blame yourselves.

Be mindful. Baby yourself just like how you baby your children. Be kind to yourself.

I was beyond hard on myself and it took its toll. It left me fragile and fearful and broken.

But I’ve always been a fighter and I’ve done everything I could to power through that time and learn how to live all over again.

It began with loving myself.

In June 2013 I was so traumatized by the panic attacks that the panic made me want to end it all. I called an ambulance to come save me from myself. That day on I’ve only marched forward. I’m mindful to my surroundings. I don’t blame myself for the struggle that my babies have faced with their development.

I am an excellent mom. I am worth it. They are worth it. So much that I gave it all another chance when I had R knowing that I faced a chance of a relapse with PPD. But with incredible support I did it and I’m still doing it.

I love my sweet family, my friends, my life.

I believe in second, third, fourth chances.

There is always room for improvement and to make things better and life is very much worth living.

Everything that happens to us makes us stronger.

I will never hide what happened to me from my children, especially my daughters.

It’s okay to fall down.

What matters is we keep going and with a good heart.

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Happy Mother’s Day 2017

Dear Mama-

If you’re visiting my blog, I just want to let you know that you are not alone in your postpartum experience.

You may feel like you are alone.  But you aren’t.

I am a PPD survivor.  There are MANY PPD survivors.  I am here for you.  There are many PPD survivors out there for you.

I love analogies, and I’m going to use one here.  I have pansies outside on the deck that I never expected to make it all winter with the cold, snow and ice, but it DID make it.  I covered the plant with a plastic food container to prevent it from getting crushed by snow/ice and to protect it from the below-freezing temps and wind.  I visited it, touched the one or 2 flowers that endured during the winter, and spoke to them (never thought I’d ever be a flower whisperer, but here I am) as much as I could.

Here are the persistent pansies that failed to let the elements prevent them from standing tall.

And here are the pansies today!  

You will get through the sleepless nights due to your anxiety, insomnia, feelings of helplessness.  Just like the pansies surviving was doubtful, they were able to persist because they received care and support.

I made it, without even knowing that what I had was PPD.

I made it through with crappy bedside manner from both my OB and doctor.

I made it with no support from anyone else around me except for my husband. I’d never heard of anyone having PPD before.

I didn’t know about Postpartum Support International (PSI).

I wasn’t on the Internet much back then.  It was 2005. I wasn’t on Facebook or Twitter.

I wasn’t referred to any therapists who specialize in PPD.  I didn’t have a support group, either.

But I made it.  And YOU WILL TOO.

If you are reading this and you are suffering and don’t have any idea how to get help, please leave me a comment.  I will respond and try to help you find resources to help you get through this.  You can also go to the PSI website for phone and local resources.

There was a blog post from fellow PPD survivor, Andrea Bates, author of the blog “Good Girl Gone Redneck” featured on the PSI website on World Maternal Mental Health Day this past week that I want you to visit if you haven’t seen it already.  Please check it out.  She’s a wonderful writer.  I wish I could write like her.  She also wrote 3 blog posts leading up to Mother’s Day this past week that you should also check out.

Happy Mother’s Day, Mama!

Love,
Ivy
❤ ❤ ❤

Dear Evan Hansen: The Broadway Musical That Connects Us All

Congratulations to Dear Evan Hansen for its Tony Award nominations!  From the time I first heard Ben Platt sing “Waving Through A Window” weeks before the show even hit Broadway, I decided I had to see the show as soon as it came out.  So, see it I did during previews in November 2016.  AND IT WAS AMAZING!!!

And how a propos that the nomination occurred this past week during Mental Health Awareness Month, as the theme of the show is high school students struggling with social anxiety, drug addiction, depression and suicide.  Yes, it’s a pretty deep theme for a musical, but the cast, music and overall production are so amazing that the show has been sold out for weeks especially with the Tony Awards coming up on June 11th.  Thank you to the amazing cast, crew, director and producers for bringing such an important topic to the Broadway stage!

Ben Platt’s voice and acting were out-of-this-world-good.  No one else would be able to carry out the role of Evan the way he’s been carrying it out since the show hit the Broadway stage last November (oh, excuse me, since the show was first performed in Washington, DC from July 10, 2015-August 23, 2015 and then Off-Broadway from March 26, 2016-May 29, 2016).

It’s not surprising that Dear Evan Hansen has garnered 9 Tony nominations, and I would be extremely surprised–not to mention, disappointed–if it doesn’t win at least Best Actor in a Musical and Best Score for the amazing lyrics of Oscar-winning La La Land lyricists Benj Pasek and Justin Paul.  It was these lyrics in addition to the cast’s vocals that helped the musical’s cast recording to debut in the Billboard album chart’s top 10….the first time for a Broadway musical recording to do so since the 1960s.  Yes, you heard right!  Hamilton didn’t even debut in the Billboard album chart’s top 10 (it debuted at #12).  After the Dear Evan Hansen album was officially released on February 3, 2017,  it landed in the #8 spot on the Billboard 200 chart, and in so doing, it becomes the highest-charting musical since Lerner and Loewe’s Camelot debuted at #4 in 1961. Yes, you heard right!  It’s only one of 4 musicals to earn a top 10 Billboard spot in the past 50 years other than Hamilton, Book of Mormon, and the original 1969 production of Hair!

Here’s the video of the April 25, 2017 performance of “You Will Be Found” on the Today Show.  I cried from the moving lyrics while at the show, just as watching the intensity of the singers singing the emotional lyrics brings tears to my eyes each time I watch this video (I watched it about 5x in a row after I stumbled across it on the Internet this afternoon)…until I finally decided to write about this on my blog.  Here are the lyrics.

 

We need more shows like this (similar to Chicago Med) that show regular people–regular people like Evan or even like me (I had postpartum depression but most people around me didn’t know I even had the condition until I opened up months or even years later via my blog)–living around us that are struggling to cope with some sort of mental illness but you wouldn’t know it unless they shared that with you.  Mental illness is not just about some “nut” or “psycho” that’s dangerous to others…..nor is it something that you can control and “snap out of” at the blink of a finger or via spa treatment or buy buying yourself something nice.

We decrease stigma and shame by normalizing mental health issues. And why wouldn’t we?  After all, just to give you an example of how prevalent depression is, according to statistics, approximately 14.8 million adults–or 6.7% of Americans aged 18 and older–are affected by it in any given year.  Shows like Dear Evan Hansen brings much-needed awareness to mental health challenges that are very much a part of all too many people’s lives, people like Evan Hansen.  Like Evan, all too many people need help but go unnoticed.

Dear Evan Hansen connects us all.

If you live in the NY metro area, I recommend you see this show.  If you’re not in the NY metro area, I recommend you listen to the full Broadway recording on Youtube.

If you or someone you know is in crisis, please call the
National Suicide Prevention Lifeline at 1-800-273-TALK (8255)
or contact the Crisis Text Line by texting TALK to 741-741

Here are some other important Suicide Prevention Resources:

The First Center of its Kind in New Jersey

As I mentioned a few days ago, I took the day off because  I needed to witness the grand opening of the very first center of its kind in my home state: The Perinatal Mood and Anxiety Disorder Center at Monmouth Medical Center.

 

 

 

 

 

After paying this center a visit personally and hearing about the immensely positive impact it has had the past 6 years since Lisa Tremayne first endeavored to provide a place for mothers suffering from postpartum depression (PPD) to go to for help, I am just so, so amazed and have such tremendous respect for Lisa and for the staff.

 

 

 

 

There were many mothers/babies there that were there to celebrate with Lisa and the amazing staff.

 

 

 

 

 

Robert Graebe, MD (Chairman of the OB/GYN Dept) kicked off the ceremony.

 

 

 

 

 

Followed by Mary Jo Codey who recounted her personal experience with PPD so long ago.  I’ve heard her speak what must be a dozen times by now, but hearing her wrenching experience from when she suffered from severe PPD in the 1980s and a second time in the 1990s always serves as a reminder of how far we’ve come and yet how much further we still need to go when it comes to helping new mothers realize when and how to get help, helping doctors correctly diagnose and treat PPD.  She wrapped up her speech with a statement about how grateful she is for the existence of this center and how we need to make sure more centers like this open up in New Jersey.  Click here  and here for articles posted earlier today that include pictures and video clips.

After the former First Lady’s speech came Lisa Tremayne who gave a brief history of the center and how it has been helping mothers since 2011 and then introduced PPD survivors Meg Santonacita, Luciana Mangyik, and Carolyn Stack, each of whom shared their experiences and how the center helped each of them to recover.

 

 

 

 

 

After the speeches came the ribbon cutting ceremony!

Maternal Mental Health Awareness Month – 2017

Just like this time last year, I’ve come across so many things on my Facebook feed in the past few days–all in anticipation of Maternal Mental Health Awareness Month– that I’m just going to highlight all the exciting work, developments, other mothers’ experiences, and upcoming events all in one post.  It’s just a shame that these exciting developments, including articles to boost awareness, don’t happen all year round!  Think about how much more progress there would be if that were to happen!

As I stumble across more articles this month, I will add them to this blog post.

 

House Bill 1764 in Illinois

I saw an exciting announcement today on my Facebook feed from my friend Dr. Susan Benjamin Feingold, a nationally renowned expert on perinatal (pregnancy and postpartum) disorders and the author of Happy Endings, New Beginnings: Navigating Postpartum Disorders.  She testified yesterday in the Illinois Senate Criminal Committee.  HB 1764 just passed the Senate Committee and must next pass the full Senate.  Once the Governor signs off on it, it becomes Illinois law, making Illinois the first state to pass such a law!  Such a law has existed in the UK since 1922 when the Infanticide Act was put in place to ensure mothers receive psychiatric treatment and rehabilitation, rather than a death sentence or life in prison. Canada and several other European countries have also adopted similar laws.  It’s about time the US did too!

It’s due in large part to the following individuals that HB 1764 has made it thus far:  Dr. Feingold and Lita Simanis, LCSW who provided critical testimony, Bill Ryan (retired Assistant Deputy Director at the Illinois Department of Family and Child Services who regularly visited the Lincoln Correctional Center in Logan County, IL and heard the stories of numerous women serving long or lifetime prison sentences for crimes committed while sick with a postpartum disorder) who proposed the law and brought it to State Representative Linda Chapa LaVia (83rd District) who sponsored it, and Barry Lewis (Chicago Criminal Defense Attorney) who provided a written brief and expert testimony as to why this law is constitutional (in response to opposition from the State Attorney).

Click here for more information about postpartum psychosis and why this news is of such significance and a major stepping stone to what will hopefully be the passing of similar legislation throughout the U.S.   Cases of postpartum psychosis are rare and cases of ones leading to infanticide are even rarer.  But as the article states, all cases of postpartum psychosis are neurochemically caused.  Usually, women who are sick with postpartum psychosis don’t even know that’s what was wrong with them and their conditions go untreated, undiagnosed or diagnosed but not properly treated.  During trial, these women are not allowed to talk about their conditions or have them considered as mitigating factors in sentencing.  Although the idea of infanticide is truly tragic and unfathomable, try donning your empathy hat and imagine what it would be like if it were you (be sure to read up on what postpartum psychosis is and what it does to a person first) that was being controlled by  neurochemistry gone completely out of whack until tragedy strikes with an act you commit–one that you could not prevent or control due to your illness–that you will pay for dearly for the rest of your life enduring painful, unrelenting regret, many years or life in jail (or even face the death sentence), and with your illness never addressed or treated.

 

PPD Screening in NYC and Texas:
On May 18th, First Lady of NYC, Chirlane McCray, announced that NYC Health + Hospitals will screen EVERY new mother for maternal depression.  NYC Health & Hospitals provides healthcare services to more than 1.4 million New Yorkers in more than 70 patient care locations and in their homes throughout New York City.  Click here for the link to her Facebook page announcement.  Click here for more about NYC Health & Hospitals.

On my Facebook feed on May 23rd, I saw a link to an article that made my eyes pop wide open!  How exciting was it for me to read that, over in Texas, House Bill 2466 was passed for new mothers participating in federally-backed health care programs (for low-income families) like Medicaid to be screened for PPD when they bring their babies to see their pediatricians.  Yes, mothers who bring their babies in for their checkups can get screened for PPD by their babies’ pediatricians, and the screening would be covered under their children’s plan, like the Children’s Health Insurance Program. Research has shown that PPD is less likely to be identified and treated among low-income mothers, and this bill seeks to detect PPD through newborn checkups.  The rationale is–which I’ve blogged about previously and even wrote about it in my book–since mothers are not required to see their OB/GYN after childbirth unless there’s a medical issue that needs treatment, there is the opportunity at their babies’ 1-month checkup for the pediatrician to screen the mother.

 

Alexis Joy D’Achille Center for Women’s Behavioral Health:
In my Facebook feed today, I spotted an article about a new center like The Perinatal Mood and Anxiety Disorder Center at Monmouth Medical Center, which celebrated its grand opening on May 5th.  Click here for my blog post about this first of a kind center in New Jersey.  Due to open this fall, the the Alexis Joy D’Achille Center for Women’s Behavioral Health will offer comprehensive maternal mental health care at West Penn Hospital in Bloomfield, PA, in partnership between Allegheny Health Network and the Alexis Joy D’Achille Foundation.  This new facility will offer a wide range of treatment, including weekly therapy, an intensive outpatient program and partial hospitalization for women with more severe forms of PPD.  The Alexis Joy D’Achille Foundation was founded by Steven D’Achille in memory of his late wife who at the age of 30 lost her battle against the severe PPD that hit her after she had her daughter in August 2013.  The article about this new center talks about the work it has done to benefit new mothers since 2015, and the work it plans to do once the facility is completed.

 

Personal Success Story: If You Only Ask – by Jordan Reid
Being your own advocate by being informed about postpartum mood disorders, knowing your risk, and being prepared for the possibility – unfortunately, you have to for self-preservation purposes because there aren’t enough resources to catch the moms who fall through the cracks of doctors failing to diagnose, treat or even refer maternal mood disorders. The post reflects the main steps I suggest in chapter 5 of my book, which delves into risk factors and coming up with a prevention plan.  I also touch on being prepared in a previous blog post by having a therapist lined up, just in case, if you think you are at high risk for postpartum depression (PPD).  I’ve also blogged about risk factors for PPD.

 

Postpartum Support International (PSI):
The annual PSI conference is coming up in Philadelphia!  Register by May 8th to take advantage of early bird rates for its PMD certificate course from 7/12-13, as well as for the regular 2-day conference from 7/14-15).

Additionally, PSI has just announced its partnership with the University of North Carolina-Chapel Hill (UNC-Chapel Hill) School of Medicine to expand the PPD ACT.  The PPD ACT is an iPhone app previously released in the U.S. and Australia to study PPD, which is now expanding its reach to iPhones in Canada and to Android phones in the U.S. and Australia.  The app was designed to help understand why some women suffer from PPD and others don’t, in the hope of improving the ability to minimize risk and find more effective treatments.  Women with the app can participate in surveys and DNA testing to study the genes of those suffering from PPD.  This study is the first of its kind.  Last year, approximately 14,000 women enrolled in the study.  Many women who participated were successfully treated for PPD. Ultimately, the hope is to be able to expand the study across the globe.  To download the app or learn more about the study or PPD, click here. For more information about the PPD ACT, click here to access the UNC-Chapel Hill announcemen, here for a HuffPost Canada post announcement, and here for a Mom.me post titled “Find Out If You Have Postpartum Depression Without Leaving Home” by Claudiya Martinez on May 15, 2017.

 

National Coalition of Maternal Mental Health (NCMMH):
And last and most definitely not least, please have a look at how you can participate in Maternal Mental Health Awareness Week (May 1-7) led by the National Coalition of Maternal Mental Health (NCMMH).  Click here to see how you can partner along with other organizations, blogs, authors, mental healthcare providers, etc. in the awareness initiative by becoming a social media partner (like me) to NCMMH.  Help spread the word about the #1 complication of childbirth on Facebook and Twitter by changing your profile pictures and cover pictures, as well as re-tweeeting/re-posting digital messages from the NCMMH’s Twitter and Facebook accounts from May 1-7.

 

The Perinatal Mood and Anxiety Disorder Center at Monmouth Medical Center – Grand Opening on May 4, 2017

Announcing the Grand Opening of The Perinatal Mood and Anxiety Disorder Center at Monmouth Medical Center (MMC)!  This is such an exciting development for New Jersey that I’m taking the day off from work to attend this grand opening to meet the program’s multi-disciplinary team of experts and clinicians certified by Postpartum Support International.

When:  Thursday, May 4 at 1:00 p.m. (ribbon cutting starts then)
Where:  Maysie Stroock Pavilion (Pavilion & Second Avenue, Long Branch)
RSVP:  Email teamlink@rwjbh.org or call 888.724.7123
Agenda:  Speakers will include Mary Jo Codey (former NJ First Lady who will share her personal experience with postpartum depression (PPD), Lisa Tremayne, Robert Graebe, MD (Chairman of the OB/GYN Dept), and several PPD survivors who are former patients of the center.

Thank you to Lisa Tremayne, RN, CPPD, CBC, CCE — maternal child health nurse at MMC — for graciously providing the details of how New Jersey’s VERY FIRST perinatal mood and anxiety center of its kind has evolved under her persistent efforts.

After the birth of her triplets (after 6 years of not being able to conceive naturally and one round of IVF) in 1998, Lisa suffered from what she later learned was postpartum anxiety/postpartum OCD, which greatly affected her life as a new mom.  She experienced racing thoughts and living in a constant state of anxiety.  She never received help, no one ever questioned if she was okay, and it took years for her to fully recover.

It wasn’t until 2007 when she was at a mandated lunch and learn with the Central Jersey Family Health Consortium that she learned she had what they referred to as postpartum depression (PPD).  Not telling anyone about her experience, she started volunteering for the consortium, and helped patients find resources and help. In 2011 she became the MMC Childbirth Education Manager. As facilitator for a new moms support group she quickly realized many mothers were suffering from PPD.  She then received permission to start a PPD support group, which was instantly well received and attended by large numbers of mothers.  It was at that point she broke her silence and shared her experience with others. She presented her plan to start a PPD program to new business development, but it wasn’t until April 2015 that the plan was accepted and the program was started with the support of the chairperson of OB.  The program consisted of Lisa, a therapist and a psychiatric nurse practitioner on a part-time basis. Since then, the program has grown.  It is now a mother/baby program in which babies are not only allowed but encouraged to attend with their mothers so the staff can assess mother/baby attachment at all times.  Many classes/workshops are designed specifically for the mother/baby.

Lisa and the other dedicated members of the program are excited about the grand opening that is finally going to take place on May 4th!  To date there have been intakes of over 800 women, and 500 women have received medical evaluation, treatment and referrals to appropriate services through the program.  On average, there are 30 new patients a month.  Lisa hopes the program will evolve into a partial day stay program by 2018.  The program is interdisciplinary and every member is completely passionate about helping moms/babies, normalizing this temporary and treatable illness and educating the public that this is the #1 complication of childbirth.