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PPD/my visit to the social worker  

post #1 of 7
Thread Starter 
I must say - I just had a great session with her and have treated myself to a very very yummy lunch.

Here's the long and short of it. To recap: I always got very emotional during PMS, usually self-denigration kind of stuff (I'm so fat, I'm so stupid etc etc). I was always keenly aware of what was going on. They even tried medicating me for a while - Lorazepam just if I was feeling PMS-y, but I gave it up after not too long.

Well, my PPD with Sam was dramatic, but short lived. It was about 8-10 weeks of thinking awful thoughts and feeling just utterly terrible. I had been warned that I was a candidate for PPD but coulnd't get past the inertia at the time to do anything about it.

So this time around, the MWs wanted me to talk to this woman sooner rather than later to try to be proactive about things and have someone who had background on me in case I needed it later on. So.

So a few weeks ago I'm in that deep funk and I get on the phone to set up an appointment, which everyone around me agreed was the best thing for me to do.

I have to say, I was really ready and prepared for it and she was really cool. She said that in many cases, PPD comes from a woman's feeling of inadequacy - ie, I'm not good enough to be a mother, I don't know how to do this, etc. She said that in many cases, too, if there is an issue with the birth of something post birth - an unexpected c-section or trouble nursing (I had trouble nursing) that can trigger it in people who are candidates for it. The encouraging news she had for me was that it sound like in my case, it is really that my body is super-tuned in to hormonal changes which is why I have these reactions but also why it ended so abruptly at around 8-10 weeks postpartum when hormone levels start to get back to normal and breastfeeding was on track etc. She said that we won't be able to completely avoid it, but that by managing my stress levels and working through some of the issues that I addressed, that we should be able to make it more manageable. Plus, by having her know me fairly well, we'll also be ok because if I do sink into a bad depression, she will already know me, my life, my issues, my history etc and be able to better help me.

I've got to tell you - I feel great. I was never someone who was big on therapy - I watched my whole family go through it and in the 80s when I was a teenager they kept trying to put me in and all the shrinks said look, you're dealing with normal teenage stuff, and we can help you with it but you are also normal and can handle it on your own if you so choose, which I did. But this time, knowing what happened after Sam was born, I really do want someone to know about the things that set me off, the things that make me feel stressed - and maybe, possibly, help me to work through them a bit. Who knows, maybe it is a sign of maturity, or maybe it is just a typical 30-something kind of reaction to my life as I know it, but I really think this is the right thing. I spoke to DH about it, too, and he was totally wonderful and supportive about what I spoke with her about today and really thinks that I am doing the right thing and is happy to think we can work to manage it without medication and is supposrtive of me trying to work through some of the stresses and insecurities I have. So I am very pleased about it all. better yet, my insurance covers about 50% of each visit, so it is financially manageable, too!

I hope that everyone does know that I take all of this very seriously and I would never belittle anyone else's experience or say that something is definitely going to cause PPD for someone. Obviously we all are different, but the thing to note is that PPD is more prevalent than many people think and I think it is important to deal with the possiblity of it in whatever way is right for each individual. One alternative therapy I have heard is incredibly successful is light therapy, and I'd be interested in that. As well as acupuncture. So if anyone would like to talk more about this topic, I'd be open to sharing moe about my experience and how I plan to deal with it this time around, as well. It is hard for me to admit vulnerabilities, but I know that I need to do that and that it is also ok to not be perfect, and hopefully just being able to say that and know that it is true will helpme to be stronger emotionally this time after delivery.
post #2 of 7
Thanks for posting! I had some bad experiences with "forced therapy" as a kid/teenager too (mostly due to my mom projecting her own unhappiness and all the family problems onto ME!) But I have a great therapist now who I started seeing a few years ago when I was considering foster parenting and wanted to make sure I had a good support system already in place if things got hard. It really benefitted me at the time, and I still see her once in a while. It might be every 4 or 6 months, but I feel really good knowing that she's there if I need her.

I know at least three women whom I know pretty well--all of whom are totally on the ball in every other respect and are great moms too--who have had serious and disabling PPD, to the extent of having psychotic episodes. It's a very scary thing to think could happen to you.

I'm glad that your visit went well and that you like this woman! It sounds like you have a good proactive plan in place!
post #3 of 7
Hey, I'm so glad it went well and you're feeling good about it. It sounds like you really are being proactive and have a plan in place, so to speak, which I think will make all the difference for you this time around.

I think it will be great to have this community to share our feelings postpartum and to know that we are not alone if we are having PPD.

Mine was mostly due to nursing difficulties (which never got easier after 13 months- I was so guilty about weaning, but also proud for lasting that long- it did help to have that area of constant contention not there any more between ds and I that had been there since birth). I am hoping for an easy nursing relationship this time and a much more easygoing baby- if so hopefully I'll be good to go, but you never know how it's going to be adjusting to 2 kids on sleep deprivation!
post #4 of 7
Erica, sounds like you had a really good visit with her. And the stuff she said makes alot of sense. The acute phase of my ppd was over by the time she was 10-12 weeks as well, so I bet hormones have alot to do with my sensitivities. I also really believe that the mini-pill did not do anything to help and may have caused more harm than good. Which is probably mostly my fault b/c I couldn't remember to take it (and I've never had trouble remembering medicine!) and I'm sure that caused some even more unusual hormone swings.

I can remember being so down at 6 weeks b/c I thought that was when everything was supposed to magically get better. Get to six weeks and they'll nurse well, sleep well, you'll have fallen into a routine, etc. All the stuff I had read had lead me to believe this is true. But there's nothing magical about the six week mark and all those adjustments happen gradually.

I'm prone to periods of depression during pregnancy as well and I have to keep a close internal check. I don't want back on meds (I battled a pretty major depression and was on meds more than 3 years) so I try to gauge where I am by how it compares to where I've come from...it hasn't gotten that bad again or lasted as long. In fact, if I could figure out how to deal with "anniversaries" (birthdates, deathdates, holidays...anytime associated with intense emotion...tend to set me back) I think I'd be okay.

Thanks for sharing your experiences...and thanks to all of you for "listening" to a long, rambly post.

Christa
post #5 of 7
I had moderately bad PPD after Alex was born- mildly debilitating, but it lingered for a long while- which we now think may be tied to the SAD I may/may not have. Right now, I'd say I'm borderline depressed- my head is just about above water, but it wouldn't take too much to push me over the edge- and heading back into counselling for after bubs is born.
The light therapy is something I'm looking into, too- basically, melatonin production has a much more major impact on the human body than anyone had previously thought, and exposure to light is a prerequisite for melatonin production. (I know I'm explaining this very badly.) So, some of the hormonal changes in the menstrual cycle are down to moon rhythms and levels of night-time light, in the same way that eczema can often flare up at the time of a full moon.
post #6 of 7
Another thing about the light therapy is that it would increase your vitamin D, which most of us are deficient in, although synthetic vit. D is added to milk the real form is better.

Samsmama -- I can't help but mention it again since we're talking about PPD, but it really couldn't hurt to try the Cod Liver Oil (which also has vit D as well as the omega 3s). Check out this short article about it and depression and PPD:

http://www.mercola.com/2002/nov/30/depression.htm

Here is a little quote from it:
"A recent study highlighted another reason for pregnant women to supplement their diets with fish oil. (J Affect Disord 2002 May;69(1-3):15-29) The study showed that mothers transfer DHA, a fatty acid found in fish oil, to their fetuses to support optimal neurological development during pregnancy. If the woman doesn’t receive enough DHA, she runs the risk of developing severe postpartum depression."
post #7 of 7
I am just so glad for you! It is great that this personmay be a good support for you during/after birth. I am a big fan of talk therapy with SWers. (Maybe b/c I am a SWer myself, hee hee.) Thanks so much for sharing your experience with us, too. Since this is my first, I am not sure how I will do with PPD but my mental health has been so great just since I have been preg. Maybe it's all the B vitamins in my prenatal!
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