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St John's Wort, exercise, diet changes and BF?  

post #1 of 8
Thread Starter 
Hello mommies!
I think I may have a bit of a problem with depression/anxiety, maybe not postpartum - my little girl is 7 months old and things have only been getting really difficult for a month or two. I didn't even have baby blues! I was just elated about my new little person! Now I am totally preoccupied with the fear that my dd will die, or that I will die and won't be able to take care of her, or that her daddy will die. I think about it pretty consistently, but in the past few weeks it's turned into brief panic kind of events - for example, I was in a reading workshop (I'm a teacher) and suddenly wanted to rush home to check on her. My heart was pounding and I was sweating, and I hid in the bathroom. I have no reason to worry - my husband is a SAHD, and dd is in the best possible hands. There have been other things too - insomnia, crying, generally grouchy, no motivation, unusual forgetfulness. the anxiety is the biggest problem.
I've had some other stressors - my dad spent 3 weeks in the hospital and then died when dd was 11 weeks old, I traded 3 part-time jobs for 1 full-time job, we have major financial issues since dh lost his job a few weeks before dd was born, we will move this winter... you get the idea.
I really don't want to take meds. My half-sister has been on prozac, paxil, etc for depression for 13 years off and on. I think I just need to get through this ton of transitions and I'll be fine (I was ok before!)
my midwife ruled out thyroid a while back (3 mos. pp I think) - blood tests were ok.
some literature recommends St John's Wort - is that ok with bf? And is it effective? also, exercise - any advice? or diet change ideas? I'm open to suggestions!
post #2 of 8
Hi there,

You came to the right place!

First, I want you to know that PPD can surface at any time during the first year, and sometimes even after that. You do sound like you have a lot of the signs. Hypervigilance, extreme anxiety and worry, sadness, crying... anyway, there are lots of things you can do.

St. John's Wort is NOT compatible with breastfeeding. I think I read that in The Mood Cure. You also have to be careful with that. Also, I don' t think the amino acids are compatible with breastfeeding.

Zoloft has been tested and tested and is VERY safe for nursing moms and their babies. You could certainly look in to that.

Other things you can do are exercise certainly, reducing/eliminating sugar and caffeine, and light therapy. Talk therapy is also HUGELY important and I would try and find someone in your area. You can check tthe Postpartum Depression Alliance and try and find a provider in your area.

Best wishes to you. I struggled with much the same feelings and finally made the choice to start meds along with therapy. It has made a HUGE difference.

ETA: I see that you had a C/S. I did, too. It is very common for moms who have had a c section to have PTSD following childbirth. The things you describe, like being really worried about your and the baby's health, are very common following this surgery. Because you can realize the fragility of life, and it is scary. This could be contributing to your anxiety. My symptoms did not really appear until my son was 9 months old, and like you, in the beginning, I was blissfully happy. I know you can find help and that you will get better.
post #3 of 8
This is what I went through - anxiety attacks, obsessive thoughts about DS dying. I was convinced he wouldn't make four months. Now at 6.5 months, it's mostly under control. There are still days, but they're spacing apart. This is what helped:

I got hold of a wonderful, crunchy therapist and she had me start with a B-complex and an Omega 3-6-9 supplement to help me relax and get quality sleep. She also wanted me to make sure I was eating protein and good carbs through the day to balance my blood sugar - she recommended keeping a pot of beans and rice to nibble on for that.

I also do breathing - deep deep down in your toes and blow every bit of it out. I forget the exact physiology behind this, but by ten breaths, the fear is not the urgent getmeoutnownownow thing it was.

Sunshine - fifteen minutes every morning on my balcony, which is where I also did some deep stretching/pseudo-meditation for excersize.

Sorry, this is just the basics (nak) - this sticky up top for the PP support international website has a great section with tips for anxiety - knowing that it WOULD go away helped tons. The mantra "what IS, not what IF" got me through many scary nights.

Hope this helps just a bit. That IS a lot of stress.
post #4 of 8
I couldn't read and not post. My thoughts are with you right now. It sounds like you have had a ton of stuff to deal with and so what you are going through is of course normal. The posts above sound right with me so "ditto."
And a big . Good luck!
post #5 of 8
Rescue Remedy helps me when I am having thos epanic moments. I have to keep a close eye on my diet as I notice I get bad anxiety and irritability when my blood supgar dips off or I ingest too much caffienne or crap foods . (sweets) I also use aeromatherapy, mostly in hot baths, yoga, deep breathing (focused breathing like mentioned above), singing (its always been my outlet) , excersize, sunshine and I do my best to get decent sleep. (when possible!) I was on zoloft which really did help take teh edge off but nothing is a magic pill first of all and i was not comfy taking meds long term. For me it simply got me over teh hump after DH left us. My life is a day by day healing and i have to always be super consientious of it all cuz if I drop one of those balls I may have a tough day but for me its worth it to not have to be on meds anymore and it really helps the depression to be proactive in your treatment. I hope thinsg get better for you. I can totally relate to the obsessive fears! Hugs to you mama!
post #6 of 8
Thread Starter 
Thank you so much for your encouragement! I have been doing a good job hiding my worries from everyone except dh (who is wonderful and loving but can't figure this out at all!), but the panicky thing happened tonight with dinner with my mom, so she is on to me.... which sort of is a relief, I think. She is very supportive of the no-med route, or the get-over-the-hump med route. I think she's going to work on getting me a doctor's appt (our doc is wonderful).
Tonight's brief (15 minutes?) freaking out was because I thought I might stop breathing. No real reason for that, I have asthma a very little bit but that's all. But my dad died from respiratory failure. It was the usual, a worry like a speeding snowball that grows and grows and suddenly my heart was jumping out of my chest and I was all shaky and sweaty. Then it went away, and all was fine again.
thank you thank you thank you... Please post if you think of any other ideas I can try!
post #7 of 8
thank you so much for sharing - many many many hugs to you!!! This is the EXACT thread that I needed to read at this EXACT moment! I KNOW that your symptoms will be gone very soon. I feel it. Many blessings, Lee Ann
post #8 of 8
ftr i've been on st johns the whole preg and nursing now 1 year...

no visible prob... minor jaundice at birth...

pm me with questions if you like... for me, yes it works
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