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postpartum anxiety  

post #1 of 38
Thread Starter 
Hello Mamas, I am just posting here because I am surprised to find a flare up in my panic and anxiety feelings in the past 2-3 days. I started taking prozac in the second trimester during my pregnancy with dd2 and am now 5 weeks postpartum. I am on 20 mg/day and it had been very helpful.

We have had a lot of stress in our lives in the past 2-3 months (dh's beloved father died, new baby born, we've all been sick on and off for 3 wks, dh's helping his mother relocate to our city), and it's just going to continue/increase (dh who has anxiety problems also got a new job that starts in March). I have been coping "great" up until now, but I think it's starting to catch up with me.

I have been feeling overwhelmed by everything and have been feeling a bit alone, like I am shouldering this tremendous responsibility and burden alone. Except that I know it's not true, dh has been helping tremendously with dd1 while I tend to our newcomer, but he's working FT, gets home at night and helps with dd, complaining about exhaustion, being sick, etc., he's mourning. I look around our home and it's dirty, messy. Dd1 has been sick and her constant whining is getting to me. I think the normal sleep deprivation that comes with a newborn is getting to me. Dd1 is often babysat by my mother during the week, but recently I've had both kids more often and the sleep deprivation is starting to wear me down. Financially I am waiting for my maternity leave benefits to kick in and we're really in the hole. We recently had contact from my estranged brother who triggers me. My grandmother is really sick. My parents are stressed out. It's affecting me.

Lately I have been worrying about going back to work in one year (career path - I need to make a change and don't know what I want to do next), managing the pressures of working FT and being a mom, running a home. This pace of modern life is too hectic. What can I do to simplify? What kind of example am I showing my daughters by trying to keep on top of this hectic lifestyle in some way/shape/form?

Two night ago I had a HUGE GIGANTIC wave of panic wash over me, it was a big surprise, totally out of my control, I started to feel paranoid like I'm going crazy, and that it's due to my meds or something. Then I realized what was happening - oh I'm having a panic attack starting. I had a few waves of it but managed to keep it at bay using self-talk, talking with dh, and listening to taped relaxation scripts. Tonight I woke up at 3:50 a.m. to feed dd2 and started to feel it again.

What's going on??? Why this flare up of panic/anxiety feelings when the Prozac had been so helpful up until now? Is it possible that my life circumstances are just catching up to me?

I need to exercise. I need to talk to some friends IRL (which I feel paranoid to do, for some reason). I need to get a change of scenery, not just staying in my walls all the time. I need sleep. I have been trying to take care of dh but also feel like I've been overtaxing myself. I have been eating more chocolate lately (valentine's day, comfort food) and think it may be catching up with me.

I can go on and on, I think I'll stop here. Any insight or encouragement would be helpful. TIA
post #2 of 38
Sounds like you have just had a lot of triggers lately. Do you have a therapist who can help you with CBT? That has been the most helpful to me. The meds help, but only enough to get me to a place where I can do the CBT. Perhaps that is where you are now, just needing to employ some strategies that will get you back on track.

Exercise certainly will help, but also routine. Get out every day. Sunlight. Also, yoga breathing helps.

I hope things get back on track for you. Know that this does NOT mean your meds are not working. Just that perhaps you need to get on a path of working harder on therapy for now.

Best,
post #3 of 38
It does sound like you have just had a lot going on that has pushed you beyond the reach of the meds *hugs* I have had anxiety since dd was born and been on meds this past year and this past few months have had much more anxiety again, but things have been pretty crazy and my anxiety flares with PMS and is fine the rest of the time, I just seem to breakthrough the meds for a few days.

Take care.
post #4 of 38
Thread Starter 
Thank you both for your posts. I've been thinking about doing some CBT but need some focus. Dh and I intend on going for a couples counselling session when dd2 is 2 mos. old to take stock and refocus.

I am starting to declutter and make some changes. I guess I'm realizing that there are some things in my control that I could be doing something about that stress me.

Thanks for your support.
post #5 of 38
I'm glad to see this thread here-- was recently dx'd w/ postpartum anxiety (not depression). I'll be going to CBT starting next week-- will be interested to see how it works out.
post #6 of 38
Thread Starter 
Quote:
Originally Posted by mom0810 View Post
The meds help, but only enough to get me to a place where I can do the CBT.
Mom0810 - I have been thinking about this. I think it's probable that this is an opportunity for me to make some changes about the way I think about certain things.

Something that has helped too is that dh is feeling better. I'm glad, I was very worried about him and realize that I felt like I couldn't help him enough because I couldn't shoulder all the burdens to give him a rest. I was trying to do more and more and more and it burned me out. We have balanced things out now more or less and he is feeling better (turns out he had bronchitis).

What would you suggest for the CBT? I mean, if I booked some sessions, I don't know where to start. What should I be seeing the counsellor about exactly? YK? Things have quieted down again for the most part. I am feeling quite good.

Lolar2 - I'm sorry to hear you've been struggling, I hope the CBT is helpful. Keep us posted on how it turns out.
post #7 of 38
Well, I would start by just going to the therapy, and talking about the things that are bothering you. The therapist (if he/she is a good one) will be able to assign you homework to challenge some of the thought processes that you are having. For example, if you are afraid of doing something, she will challenge you to do it. CBT is about changing behaviors, and then the thoughts will change.

If you have PPD anxiety, you may be challenged about some of the things you are worried about. Stuff like that.

Where did you find your therapist? Check out www.postpartum.net and see if one of the specialist therapists is within your driving distance/insurance. Even if one is not close enough, many of them do phone sessions.

Best wishes to you and hopefully things will look up soon.
post #8 of 38
emese'smom
i'm glad your starting to feel better.
just wanted to send you love and support.
what is cbt, btw?
post #9 of 38
Cognitive Behavioral Therapy.
post #10 of 38
Quote:
Originally Posted by Emese'sMom View Post
I guess I'm realizing that there are some things in my control that I could be doing something about that stress me.
i understand this...and this is part of what makes ppd/anxiety so difficult...sometimes you know what could help and for whatever reason you just can't make it happen.
post #11 of 38
Thread Starter 
Thanks Riverundine.

Mom0810 - I'd been going to the specialized Reproductive Life Stages Psychotherapy and Psychiatry Dept at Women's College Hospital in Toronto (Canada). They're excellent. I was assigned a psychiatrist when I was referred, and after discussion with her (incl. a diagnosis and Rx) I was referred to a psychotherapist. My psychotherapist, who was "okay", is now on maternity leave and would meet her replacement if I went again. My pdoc likes the replacement a lot and is excited that she's here, so that sounds encouraging. I only went for a couple of counselling sessions (incl. a couples session) before dd2 was born. I didn't feel like I needed more at the time. It's a Brief Psychotherapy Clinic so it's time specific, and you have to go in with a specific goal. I had found this type of counselling extremely helpful in the past. However, I'm not sure if I should bother because I KNOW CBT (having done worksheets in my anxiety workbook for the past 10-15 yrs or so and they've been very helpful).....I could probably analyse and reframe things for myself if I took the time to sit down, write and reflect on my way of thinking. Infact I've done this a million times in my life. I am just too tired and busy right now to take the mental energy to come up with a specific plan for the brief psychotherapy, or do that work myself right now, you know?

Things are easing up a bit. I haven't had any more panic flare ups. I am changing my standards and realizing things have to be chaotic while dh is sick, worried, mourning, etc. My house will have to be messy and dirty, I'm busy bfing dd2 and being a mommy to dd1.....gotta put away that Super Woman cape and just be Human Mommy. Things are simply more chaotic in the first couple of years when a new baby is on the scene. I have to go back to loosening my standards.

I also need to make sleep more of a priority again (which is why the computer has been off more than on lately).

Anyway, thanks for listening and for your support. This will pass. In the meantime I am enjoying my children.
post #12 of 38
Good For You!!! Stop the black and white thinking, and you will feel so much better. Sounds like you are already doing that.

I really hope you continue to feel better. I had similar symptoms with PPD, and I know how hard it can be.

Best wishes!
post #13 of 38
Thread Starter 
Hello mamas, just wanted to share an update. Spoke with my pdoc today who decided to up my meds a bit. She said she takes this seriously that something is out of balance and she wants to stave it off before it establishes itself strongly. I haven't had panic attacks since those two waves a few weeks ago, but I think it's worth the extra support for mood. Tonight I start a 5 mg increase and then next week I'll go up another 5 mg. :

I feel sick and tired right now. We have all had these stupid colds and things for weeks on end. Today I feel really sick and have laryngitis. It will pass but I'm feelin' it tonight, yk? Must go, baby crying.
post #14 of 38
Thread Starter 
Reflections:

I am having some insights on some key stressors. There are some ways dh and I relate that really stress me out....they are very subtle, underhanded and insidious.....but need attention.

I am realizing that I need to bump up my "countering anxious thoughts" and reframing skills........in dealing with dh. He has anxiety probs as well and takes ativan as needed. I am realizing that there are many things about our parenting that is affected by his own anxiety, ways he inadvertantly communicates a lack of trust in me or undermines me, my needs and my decisions. I need to get better at addressing this with good, rational, calm, logical discussion.

It's very exhausting right now. When dh and I have these deep, triggery relationship issues (as has surfaced in the past couple of days again, and which were a huge part of my PPD for 2 yrs after dd1 was born) I feel very unsupported, undermined, alone, and desperate. This will pass. I know it just feels bad right now because we're so stretched to the limit being sick, etc.



I feel very alone. I am unhappy with certain aspects of our relationship (but am happy with others). Certain things really get me down like the fact that we've hardly had nookies since dd1 was born and ESPECIALLY since my pregnancy with dd2. Verbally he insists he is attracted to me etc. but the action does not back it up. I have a hard time believing what he says because he often does not back things up with action.

I will stop here. I am starting to vent and it's not productive. I just need some hugs. Thanks.
post #15 of 38
lots of
i'm sorry to hear that you're feeling exhausted, alone and anxious. it makes it so hard to fully revel in the blessings that have been bestowed upon us.
i remember after dd1 was born and dh was back at work if i was feeling depressed i'd nurse her and look out our window on lake tahoe just rattling off all the blessings in my life. it'd make me feel slightly better, just getting my mind to move to another, better, place.
relationship issues stink, and everything becomes more challenging when we're under the weather. i'm so sorry, for all of you, that your dh is still sick . i hope that your household is healthy soon so that things can be seen/dealt with from a more clear-headed perspective.
do you think something new and exciting might increase the romance? ever thought about a love swing? seriously. i held a passion party after dd1 and was able to get one for free for just hosting. it gets you up off of the bed (if you cosleep) and it's fun and exciting . i should probably think about unpacking it, huh?
how's your diet and exercise?
thank goodness spring is coming and we can get outside more! it is coming, isn't it?
well, just wanted to let you know i'm thinking about you and sending you love and support through the ethers .
post #16 of 38
wow, I can totaly relate to you! Keep on keeping on, take one day at a time. I know how you feel, I too am struggling with my career that never got off the ground. Im struggling with money and I was very depressed while I waited for maternity benefits to kick in, how stressful not to know if you will have enough money to make it through the month.
post #17 of 38
Thread Starter 
Riverundine - Thank you so much for your message. Finally we are all turning a corner, we are all starting to feel better, we can see the light at the end of the tunnel.......I think the multivitamins, good food, and some rest have helped. And the most recent viruses have run their course.

Today I was feeling much better, I suppose it's partly due to the fact that I'm on day 3 of my dosage increase and I always get a bit of hyperarousal as a side effect when I increase. Today I cleaned the upstairs bathroom, did some decluttering and tidying, painted dd1's and my toenails , made some phone calls, and even did aerobics! I haven't had energy like this in awhile! I love these temporary gains made by the meds but in the past they have leveled out some as my body adjusts. Perhaps with the increase to 30 mg though some energy gains will remain. I hope so.

Gosh the aerobics felt good. Before having children I danced for 25 years, cycled, swam, hiked. I LOVE physical activity. Love love love it. I would love to have the energy to pop down to the pool at our condo for a swim. Eventually, I would love to take dance classes again.

I too like to think of the blessings we have. It helps keep things in perspective. Also, when I feel like beefing about my marriage, I think about some of the other marriages I know that would make me insane, and I appreciate mine. I still chose my problems over some others, yk? I love my dh, he is such a kind, gentle, thoughtful man. He has his foibles, but so do we all.

I think I will seriously look into getting the love swing. Afterall, why not? Before children dh and I were quite adventurous. I have felt guilty infusing time, energy and money into that dept, but we could both use the lift (no pun intended) now. My mother has been offering to take the kids one weekend so we can get some time alone together. I think I should take her up on it and book us into a cheesy hotel with a heart shaped hot tub in it .... if we are at home then we plunk in front of the TV or computer to chill out. Being away together without distractions allows us to reconnect.

Yes, spring is around the corner. Things are looking up. They don't stay bad forever. They really don't. Just when you think you can't take it anymore....they lift.

Thanks for the support and good vibes. And thanks for listening. I know you've had your own troubles lately and I appreciate the supportive messages.

LifeIsBeautiful - thanks for your message too. Lately I've been thinking about the pros and cons of changing careers, how I want to spend my life energy, things like hours and holiday time, etc. I know I need to spend some time doing a really thorough reconsider and planning new goals in this department. I am doing well in the area I'm in, but I'm sort of at a dead end.

Dh needs the computer now, so I must run. I will add that finally my mat benefits have come through, and dh has started a new, higher paying job, so things are changing financially for the better. Phew.

I'm sorry to hear you are struggling with the career thing. I think it's an unfair promise to make to the modern woman that you can have it all. Can you?
post #18 of 38
Emese'sMom....we were in the same ddc and I think we spoke about anxiety there a bit. It sounds like you and your family are dealing with so much! I'm glad that you have good, supportive medical professionals working with you. That's so important.

I could have written some of what you've said about knowing that the CBT works, but just needing to be more on top of actually monitoring your thoughts, expectations, etc. The therapist I saw during pregnancy moved me in a very different direction more toward acceptance. Basically, anxiety may be part of your life and the more you accept it, the less scary it becomes because despite how hard we try sometimes it is out of our control. Some days that stuff works for me, other times I just reapeat "you are OK, you are OK" as my heart races Whatever gets you through!

I hope that things continue to go well and that soon you and your dh will be able to reflect on getting through a really tough spot together.
post #19 of 38
Quote:
Originally Posted by Emese'sMom View Post
I think it's an unfair promise to make to the modern woman that you can have it all. Can you?
wow, ive been pondering that too. you know, i dont think you can. its like, i feel i have to decide between starting my career over (i was never really established but starting out) and being a mom. but the media and 'popular opinion' tells me i can do both beautifuly and be fantastic at BOTH. so i feel less than for not feeling like i can do it... i watch these fluffy shows called lipstick jungle and cashmere mafia, soo entertaining and funny but... unrealistic. guess thats why i like it...
post #20 of 38
Quote:
Originally Posted by Emese'sMom View Post
Riverundine -
Thanks for the support and good vibes. And thanks for listening. I know you've had your own troubles lately and I appreciate the supportive messages.
right back atcha
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