Thank you for having the courage to share this, Kate! I’m sure many will benefit. We really need to continue to be open about discussing mental illnesses of all kinds. So often we think we can heal ourselves, or just “shake off” depression. I often share this analogy: if we had an infection or a broken arm, would we visit a doctor and ask for help? Of course we would! It shouldn’t be any different when our spirits are suffering.
I suffered from depression for most of my life, and only sought treatment after my daughter’s death. And thank God I did! Hopefully others will be inspired to seek treatment after reading your article.
Thanks again, Kate!
Beat the Baby Blues
by Kate Wicker in Health on Thursday, March 18, 2010 6:00 AM
After giving birth to my first two children, I found myself basking in pure baby bliss and couldn’t understand how any mom could possibly suffer from the “baby blues.”
Then I had my third baby.
I remember the moment I realized something wasn’t right. An acquaintance asked me, “So how’s the transition been going from two to three kids?”
I opened my mouth, but no words would come out. My face crumpled. My arms ached, and it felt like I was carrying dead weight, not a wiggly, happy baby.
Then I started to weep.
My friend, surprised I’d sprung a leak, gently patted me on the back. “Are you alright?”
“I’m so sorry,” I said, still sniffling. “I’m just tired. I’m really fine.”
I was tired, but I wasn’t fine. I had a five-month-old baby and two other sweet children, and I was trying so hard to be happy, but even when I smiled or pretended like everything was okay, I felt as if a flattening lethargy was on the verge of crushing me.
I was sad. And I was angry. I was angry at myself for not being able to pull it together. I was even angry at God ... I’m trying to be open to your plan for my family. Can you please help me out here?
Eventually with gentle nudges from my husband, my spiritual director, my mom, and God, I admitted what I was dealing with was bigger than me and wasn’t something I could just put on band-aid on and call it a happy day.
Shortly after I came to this conclusion, my midwife diagnosed me with postpartum depression (PPD), a condition that affects 10 percent of women, according to the American Pregnancy Association.
PPD symptoms can pop up anytime from a few weeks after the birth of a child to up to a year postpartum. While temporary emotional lows are to be expected in the weeks following birth, PPD symptoms are often more severe and last for more than two weeks. Some of the signs of PPD include: crying spells, sleep disturbances (sleeping all the time or not being able to sleep at all), changes in appetite, difficulty concentrating, feeling disinterested or detached from the baby, and persistent anxiety or excessive worry.
Maybe you’re hurting too, or know someone who is. Even if you’re not dealing with full-blown PPD, the onslaught of hormones during the postpartum period and the sometimes overwhelming task of caring for a new baby can cause their share of ups and downs. Here I share what has helped me smooth the emotional roller coaster ride:
Realize this isn’t your fault.
There’s a lot of pressure for pregnancy and new motherhood to be a happy, joyful time - especially in Catholic circles. While babies are always blessings, you don’t have to feel ashamed if you don’t feel like singing in the rain or even in the shower manage to squeeze in on any given day.
I’d always assumed I’d be impervious to the darkness of depression. I have my Eeyore, worry-wart moments, but I’m generally a fairly happy person. So when I was faced with recurring and often irrational crying jags, I kept thinking my feelings were only temporary or a result of being tired.
Then I started beating myself up for not praying hard enough. If I’m good and holy, then the suffering will stop. This my doing. Likewise, since I struggle with vanity and prefer for others to think I’m an uber mom who has it all together, I didn’t want to anyone to know I was struggling.
Anne McClure suffered from PPD after she had her first child and grappled with some of the same feelings. “My postpartum depression manifested as extreme irritability and irrational anger or frustration. Because I have a ‘I can fix it myself’ complex, I didn’t get help right away,” she says. “Then I went through a whole guilt thing. Oh my gosh, I scarred this baby for life. I am a terrible mom. Try not to do that. It is not your fault, and you will set a wonderful example for your kids by showing them how to face your struggles with integrity. Eventually I realized that this was just not something I could control.”
Ask for help.
My only regret now is that I didn’t ask for help sooner. I was under the misguided notion that my struggles were part of some greater spiritual ambition - that God was plunging me into the darkness so that I could see the great light.
But even Jesus didn’t endure the Passion completely alone. As Christians, we believe suffering is redemptive, but God doesn’t expect us to bleed out. Look for your Simon of Cyrene to help carry your cross. This might come in the form of friends helping to watch your children so you can have some alone time. Or your healing may require something more. Talk to a trusted health care professional about your treatment options. Certain antidepressants can be taken safely while breastfeeding, but don’t assume medicine is the only effective balm out there.
“Therapy can be really helpful in helping you work through situational stuff and make changes,” says McClure.
Make taking care of yourself a priority.
Shortly after I was diagnosed with PPD, a nursed asked me, “What do you enjoy doing?” In times past, I knew the answer to this question, but the problem always had been carving out time to pursue my pleasures like exercising and writing. However, at this point of my life, I could not think of one single thing I actually enjoyed doing. The only promising pastime was sleep and usually when I tried to rest, I’d end up staring at the ceiling or crying (or both).
That’s when she advised me to start with the basic stuff. Eventually, I’d feel like myself again, but first, I needed to just take care of myself physically: Eat healthy, sleep as much as I could, and get some exercise. (Research shows a brisk 30-minute walk three times a week may be just as effective in relieving major depression as are standard antidepressant drugs.)
Sleep wasn’t in my control so much, but eating was. Pregnancy, breastfeeding and just caring for a newborn and the rest of your family all demand energy. If you’re not getting adequate nutrition, you’ll feel more tired and irritable. When the dark cloud of depression descends, it’s tempting to either not eat at all or to turn to comfort foods like chocolate, ice cream, or potato chips.
This creates a vicious cycle. You feel badly. You eat badly. You continue to feel badly. Make small changes to your diet. Eat more fruits and veggies, lean proteins, and whole grains. Consider taking an Omega-3 fish oil supplements since research has shown fatty acids may curb depression. McClure recommends reading Fertility, Cycles, and Nutrition by Marilyn Shannon. “I benefited significantly from the nutritional advice and recommended supplements for anxiety and depression.”
Heal your soul.
You did not cause your depression; however, past emotional wounds or patterns of sin can contribute to feelings of despondency. Heal your soul by praying, spending time in Adoration, and going to confession. Finding a spiritual director is also helpful, according to McClure. “I connected with a priest whom I continue to see for confession. He gives me spiritual direction towards healing emotional wounds and closing the door on things from the past,” she says. “This is essential to fighting depression because sometimes just praying more on your own isn’t enough.”
—Senior writer Kate Wicker will be sharing more about PPD in today’s Faith & Family podcast. Read her blog at KateWicker.com.
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Comments
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Hi Kate,
Thanks so much for your honesty both here and in your blog. I’m gearing up for the birth of my first baby (in +/- 5 weeks!) and I’m really worried that I’ll fall victim to PPD or its other postpartum siblings as I’ve struggled with minor depression in the past, I’m not living around my family network (though my husband and I have plenty of wonderful, supportive friends), and we’ll be moving to a new country where neither of us speaks the language particularly well when the baby is about 4 months old. It helps so much to have a faithful Catholic voice sharing on this painful and private topic… just in case I (or anyone else) may need it.
God bless you and your family abundantly,
Holly
Thanks for writing this PPD article Kate. After my third, I was also depressed - but convinced myself that since I was rational enough to know I was depressed, I wasn’t truly depressed. I never got any help, and had a really hard time dealing with my fourth pregnancy which occured only 5 months after my third child had been born. Finding out that this 4th baby was a girl (after having 3 wonderful boys) was what really lifted my spirits. I know God gave that gift to me because it was what I needed. And after having my fourth, I did not suffer at all from depression. My mom and 2 sisters also had really rough times after their third child was born. It seems to be a common thread among the moms I know. I do know that if we have more babies in the future, I will not pause for a second to get professional help for any depression that may occur. PPD does not mean that you are failing in your role as super-mom, it just means you are a normal mom who needs help to feeling super again
There are many who know someone with this or who suffer themselves, thank you for your courage and witness. I will keep everyone who suffer’s with this in my prayers. I want to bring attention to a rarer and more severe form, which is postpartum psychosis, we need to pray for these women as well. It causes paranoia, hallucinations, thoughts of suicide to yourself and your children, etc. etc.. I believe the more knowledgeable we are the more we can help one another and ourselves. The words “do not be afraid” come to me, hopefully these women will be able to ask for help as soon as they know something is not quite right and grant others Lord the grace to know how to help them in the best possible way.
Thank you, Kate, so much for writing about this. It really hits home. Two things you said really stood out to me as problems endemic to living a very Catholic, open to life family and suffering from PPD. You said:
There’s a lot of pressure for pregnancy and new motherhood to be a happy, joyful time - especially in Catholic circles. While babies are always blessings, you don’t have to feel ashamed if you don’t feel like singing in the rain or even in the shower manage to squeeze in on any given day.
This is so true! Babies are a blessing, but that doesn’t mean that they are easy to care for. I think Catholic moms, more than others, feel this pressure that if they aren’t over the moon excited to be a new mom, that it is giving into the Culture of Death mentality.
Also, you said:
My only regret now is that I didn’t ask for help sooner. I was under the misguided notion that my struggles were part of some greater spiritual ambition - that God was plunging me into the darkness so that I could see the great light.
That coupled with the idea that “if I just prayed more, I’d be a better mom” is what finally did me in with my PPD. Looking back on it, I had varying degrees of PPD with all of my babies, but it was significantly worse after babies 3 and 4. I thank God every day for the wonderful people he positioned in my life who were able to get me the help I needed. It’s hard work, but you can battle back from it with help.
One thing you didn’t mention though that all women should be aware of is that while PPD usually starts in response to chemical reactions in the brain after pregnancy and delivery, it can continue for other reasons that might lay hidden in the recesses of your heart. Once your brain is in depression mode it’s hard to shake it free. That’s where the spiritual direction or therapy with a Catholic or Christian therapist can be the key to complete healing.
Catholictherapist.com is a wonderful resource for finding help from someone versed in psychology but who also respects and practices the tenets of our faith:
http://www.catholictherapists.com/find-a-therapist.html
Thanks for mentioning catholictherapists.com It is a wonderful resource. Although I never suffered from full blown PPD I have a tendency to be depressed or anxious. I never really knew that at the time though. I only found that out when my youngest was about 6 and I started having panic attacks. Kate thanks for being so upfront and brave. It isn’t easy admitting our shortcomings. God Bless you!
Thank you for this post. I was diagnosed with PPD after my second and suspect I had it with my first, though not as severe. I can’t say enough about how much exercise helped raise my spirits. Those endorphines really help!
I do have a question though—does anyone have any recommended reading on the topic?
PLEASE read this short study on the use progesterone for PPD:
http://www.naprotechnology.com/depression.htm
This is part of the NaProTechnology that seeks to solve women’s health issues through the Creighton Model of NFP (FertilityCare). I had PPD and PPA (anxiety) with my first, and now that I’m expecting #2, I’m hoping to seek out help through this avenue, rather than going back on antidepressants that left me feeling flat.
God is good!
I second Emily’s comment about the use of progesterone to treat PPD. I used it in after my second pregnancy, per my Creighton Model teacher’s suggestion. It made a world of difference! I only wish I would have known the first time around!
Stacy,
Did you use an over-the-counter cream or was it an injection of a synthetic hormone (seems like there should be some concerns about synthetic hormones since hormone-replacement therapy has been shown to actually be quite dangerous…). Just curious.
Thanks!
I’m so glad you wrote this. Thank you!
I do want to mention, though, that your info on major depression and exercise is incorrect. The last time I looked into the research, studies had found exercise to be as helpful as antidepressants only for mild and moderate depression, not major depression. As many people with major depression are suicidal and may literally need antidepressants to save their lives, this kind of misinformation can be really dangerous as it often encourages people who are already afraid of getting help for mental health issues, esp. medical help, to delay taking what may be life-saving medication for the sake of trying out more natural means they’ve been incorrectly told are just as effective as medication. Please look over the studies again and publish the correct info. Thank you!
With all due respect, this article published in 2007 supports Kate’s information:
http://www.psychosomaticmedicine.org/cgi/content/abstract/69/7/587
Conclusions: The efficacy of exercise in patients seems generally comparable with patients receiving antidepressant medication and both tend to be better than the placebo in patients with MDD. (Major Depressive Disorder)
Musings, thanks for bringing this up. I’ve seen conflicting research (as is so often the case). I probably should have gone with the more conservative approach that exercise combined with other therapies has been shown to be quite effective in alleviating the symptoms of even severe depression. I certainly don’t want anyone with severe depression to lace up their running shoes instead of seeking treatment.
Exercise helps lift my mood immensely (always has - even though I’d never suffered from depression before this episode), and I just wanted to give people lots of different ideas for defeating their depression.
But the best starting point is to just ask for help. You don’t have to deal with this alone. Take care of yourself so you can take care of your family - and enjoy them!
God bless.
I just wanted to put in a word for anti-depressents! If there is a more “natural” solution to your depression (i.e. counseling, exercise, time-alone, etc.) then great but there are a lot of us out here who really need the meds.
I come from a family with a history of depression and DURING my pregnancy with babies #3 and #4 I was very depressed. During pregnancy#3 I went to a perinatel depression center at the University of Michigan (I highly recommend them!, there’s also a similar center at Johns Hopkins in Baltimore if you are in the area) and got diagnosed officially with depression and anxiety.
I didn’t take any drugs because I just felt so uncomfortable with medicating while pregnant (even though there are many studies on certain classes of drugs that show minimal to no effect on the baby). 6 months are having baby #3 (who slept well and was a perfect, happy baby) my depression began to return and I had already been doing aerobic exercise 3x’s/wk for 3 months, got alone time every week (thanks to my MIL and DH), went to adoration most days of the week, even tried going to a Catholic therapist and still had NO interest/joy in my very rich and blessed life. So I went and got a prescription for Zoloft. I started taking the Zoloft (sobbing the first time I swallowed it because I just felt like such a failure and that I was weak and pathetic) and saw results within a week. I gradually started being grateful for my life and finding the joy in it again. I stopped needing TV to numb me and distract me from my unhappiness. I became patient and understanding once I was able to look outside myself again (depression can make us so insular). I also immediately got pregnant with baby #4. Upon the recommendation of all of my doctors I continued to take the Zoloft through pregnancy #4 and now that I’ve had her and am coming up on my 1 year “anniversary” of beginning the Zoloft I’ll see about weaning myself off.
But I just thought that a word deserved to be said for my own, personal Simon of Cyrene: Zoloft! ![]()
P.S. I would recomment getting diagnosed through a psychiatrist instead of your GP or OB/Midwife in the cases like mine where making the decision to go on drugs is painful and difficult. You are likely not to take them and just “muddle through” if you don’t really think the prescriber has “expertise” in this area. It is funny to be on the other side of the decision to start up meds because now that my brain chemistry is in a healthy place I can’t imagine what was so emotional about deciding to take them. Clearly I had something wrong with my body, it just makes sense to take medicine to help it but when we are depressed we can’t see things that clearly and it seems like a failure. It’s a cyclical problem and sometimes we need the meds to breaks the cycle.
Sorry for typos, I’m multi-tasking here.
Absolutely Alexis! Everyone has to find the treatment that fits their specific circumstance all the while being monitored by professionals and loved ones that they trust to tell them honestly if they are progressing. You can’t always just trust yourself to determine healthy progress. There are so many options out there that no woman should feel as though her situation is impossible or untreatable.
It is so sad and disappointing that there is this stigma associated with medication particularly for mental illnesses and I think stories like yours are doing wonders to help break that down prejudice. For me, a long family history of chemical dependencies and addictions, not to mention sensitivities to certain families of medication made prescription intervention a less helpful option. The more natural approach worked best for me and might for someone else too in a similar situation, but they should be forewarned… it means that it might take longer than you expect, it might mean much more frequent contact with your medical professionals than you expect and it might mean a lot more exercise/nutrition alteration/therapy than you expect. That isn’t always doable for everyone. I think it’s wonderful that you found the treatment method that worked best for you!
Ugh… that should be “break down that prejudice”.
Thanks to everyone for their kindness and support. This still isn’t easy to talk about, but clearly a conversation on this sensitive topic needed to be started.
I am sorry I neglected to mention progesterone as a treatment. I did start off on progesterone, and I know it’s been very helpful to many women. I think a key point emerging from this dialogue is that seeking treatment is the first step. There doesn’t seem to be a “one size fits all” treatment for people fighting depression. I’ve personally found a combination of things to be very, very helpful. Just please don’t feel like you have to suffer alone…
God bless.
NaproTechnology as implemented by a Creighton Trained Medical Consultant (a doctor) uses natural progesterone or hCG shots to help with PMS/PMDD/Depression. These are natural hormones not synthetic hormones like progestin which is used in the birth control pill. It is also important to understand NaproTechnology does not use progesterone creams or oral progesterone supplements as these are not very effective. You can check out http://www.naprotechnology.com for more information.
Thanks, both of you, for your input. I believe that the majority of well-controlled and researched studies have shown exercise to be really effective only for mild and moderate depression—though of course there’s always the odd study that finds something different. As most studies have found exercise really helpful only for milder forms of depression, I believe most doctors and professional organizations don’t recommend exercise as a good primary cure for major depression (though of course it can help!). I like your clarification, Kate, and I hope you’ll find a way to modify the original article if you can! It’s important for people who are suffering from major depression to see their doctors and get immediate help as it can be a life-threatening condition.
What a lot of info popping up on the web this week on this topic! I linked on my weekly roundup - new mothers (in general!) are always in my prayers as I remember how difficult and dark that time was for me. Blessings to everyone!
Hi,
Meditation is gaining attention as a potential way to maintain well-being and good health. It can calm your mind, relax your body, and soothe your spirit. In addition, it’s inexpensive and its risks are minimal.
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