"Alternative" treatments for PPD?
By this I mean non-drug ones.
I am having a hard time lately, but certainly NOT a dehabilitating one. And I have had a clinical depression before, this is not quite as bad as that was. I would like to prevent it from getting to that point, if at all possible.
But...I sure could use a boost of some sort. I am finally taking a good vitamin regimen (one of my New Year's gifts to myself), but I imagine it will take some time before there's any result (and to be honest, I think all of it will go to restoring my vastly depleted personal stores, since the guys are still exclusively nursing).
Is there such think as PPD 'talk-therapy'? If so, does it make you feel better? I have much more help than the average person, and a wonderful partner who lets me vent my spleen whenever I wish...so I'm not sure that it would be worthwhile for me.
*sigh*
Private Messages gratefully accepted as well, if you have experience with this but don't want to out it to the world at large.
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been there, doing that
I'm also have a tough time right now, 7 mos. post partum (not unlike when the last really severe depression hit with my first DD).
Talk-therapy is always wonderful, and if you feel it would help, run, don't walk to get it. Though I had been through talk therapy several times before, it did help during PPD, as I was a different person with a different therapist, and she gave me a lot of new coping skills. A good partner or friend will listen, but a good therapist will say something like "I've heard this story before . . . why do you think you keep returning to it," or "Let's go back to what you were saying about 'X'; tell me more about . . . " or "last week we decided that 'Y' would be a positive step you can take -- how did that go?" And I could say things like, "I read that 'Z' would be helpful, what do you think?" To which she might say, "'Z' might be good for a lot of people, but not for you right now."
That said, last time after 4 months of talk therapy everyone in my world (therapist, spouse, etc.) was delighted when I finally gave in and started taking the drugs.
Truth is, hormones, seratonin, and the like do not really participate in talk therapy (though they are affected by stress reduction), so if your depression has primarily chemical origins, you may need a chemical cure.
I, however, have chronic (i.e., more than 3 bouts of severe depression, with more expected to come) depression of various sorts -- still on Zoloft, folks! -- so I am not telling you my tale as an example of what will happen to you, just letting you know where my perspective is coming from.
But a good therapist will help you with all that anyway, so go already!
Oh, and my old psychiatrist was a recognized expert on food and mood and other ways of treating depression. (And he had me on 100 mg Zoloft for a while, so you *can* combine your methods.) He suggested the book Potatoes not Prozac to me, which you might find helpful.
He also highly recommended a high-dosage B complex (all the Bs in one) and a tryptophan supplement (can't remember the name). I have not tried these in a while since I have been pregnant and nursing and too lazy to research their safety. But you could.
I am so sad he moved away -- especially since the new psychs and psych nurses I have seen since then always say "Dr. Emmons? -- oh yes, I've heard of him!"
This is my second baby I've nursed on Zoloft, so I obviously feel the benefits outweigh the risks in my situation. I would only add that depressions can wear a kind of "rut" in your brain -- the more you have (and the longer they go) the more your brain will be likely to slide quickly into depressive mode in the future. (See Jon Kabat Zinn's Full Catastrophe Living on this -- in fact, just see it, it might be wonderful for you. It is more medically oriented than his other stuff, not just meditations on meditation.) In my case, Drs. have always supported a strong initial response, then backing off, rather than gradually increasing the treatment. Keeps that "rut" from getting deeper.
Good luck and blessings to you!
Shaun
(((hugs)))
I struggle off and on w/ atypical depression. I'm also one of those who has been doing the whole pregnancy, nursing cycle for the last 10 yrs so it's hard to say what is PPD and what's not
.
I know that one of our local hospital offers a post-partum support group for the talk therapy, though i haven't attended it -- you might call hospital social workers and see if something like that is available.
There are also quite a few nutritional deficiencies (as you mentioned) that can lead to or aggravate depression. For me the biggest key seems to be fish oil in quite high doses. It has been a life saver through this pregnancy in a variety of ways -- i will see how it holds up afterwards. I have found this site http://krispin.com to be quite a good primer in sorting through some of the nutritional issues and i plan on ordering her workbook soon (i wish i had the $$$ for a consult!)
i hope that you find something that works for you!
some thoughts...
After my first (three years ago), I suffered from PPD. Many months after delivery, I finally talked to my dr. about it. I didn't take the non-pharmaceutical route, so I don't have much experience there. A few months on Wellbutrin and I felt back to normal again. I wish I would have done it much sooner, but I was in such a haze back then. Are you living in an area that has little sunlight in the winter months? Sometimes seasonal affective disorder (SAD) can accompany other types of depression. I've felt better just standing over a lamp for a couple of minutes a day. (I'm sure there are many more effective ways to do light therapy, however.) Good luck to you anyway!!!Kay
So glad you brought this up
Kitty you must be an angel to have cracked this open....I cant tell you how many times over the last weeks I have wanted to post to reach out to say something anything to my friends here at TNH.I guess I havent mainly out of embarassment that Im not doing well.I am suffering from what I think is severe post partum depression.I cant take the standard anti depressants for it beccause I suffer from manic depression wich is agrrivated by drugs like zoloft and paxil are not an option.Traditonal manic depressive therapy meds dont work I have had the same bad reaction with all of them it effects my blood pressure even in low dosages.So meds at this point arent really an option the best I could do would be sedatives wich wouldnt be a big difference from where I am now.
It all stared so subtle.I was just tired.I thought its beccause I have 4 kids.Then I felt alone and down.I thought standard baby blues.Then Im sleeping till noon.The house is getting messier by the day.Im a wreck.Im yelling at the kids I hate my husband for not doing more he hates me for not doing anything I need to be save for nursing and diapering Nesta.I dont want my husband to touch me.I avoid looking in the mirrors that are all through my house.Im not taking care of myself even.No regular showers ect...If I manage to crawl out of bed and do one thing its an accomplishment.I see doom in every corner.Im constantly afriad something horrid is going to happen to my children.The recent flu deaths and the fact they have all had non stop colds and stuff hasnt helped.My husband gets angry beccause I have to send him to check them every half hour just to feel peace.I franticly need them to be checked but Im just terrified to walk down the hall and do it myself in case something is wrong.If he wont do it though the fear builds until I force myself to do it.When I hold the baby I see doom in everything.The past few days the anxiety has gotten to an all time low and I cant even hold the baby sometimes wich makes my husband even angrier that he has to do it.Our budget is strained beccause I never feel up to dishes and cooking so our wallets are empty and the trash is full of fast food wrappers.Last night I was reduced to begging my husband to come with me to watch me shower beccause when I went alone and gathered my razor for shaving from the medicne chest I was so overwhelemed with fear that I couldnt trust myself alone with this bladed object.Not that I was thinking of killing myself but that I was so afriad that the depresion would consume me and I wouldnt be able to control my actions maybe not even be aware of them.My husband is making things worse in his anger.He knows its post partum depression and he belives it will just pass and I should in his words just "chill out" until it does.This just hurts me more for I know what he wont belive that it wont just pass over and that I cant just chill out beccause if I had that ability surely I would have already done it for love of my children.Sometimes in his anger he call me names.I know he isnt truly bad but just frustrated and helpless to fix his broken wife.I fear our marrige wont survive this.He calls me names even in joking that hurt...like if im in the bathroom or something and the baby is crying for milk he call moo cow to hurry up wich makes me feel number one fat and ugly and number two like im only useful for the milk I provide.As the house has went way down hill he hasnt had more than 3 pair of clean socks in over 2 months and I wont have any intamacy with him or take care of anything he gets frustrated and call me worthless wich just embodies how I already feel.And when the anxiety comes and I make him check the kids or if Im feeling bad over the house and I nag or yell for him to clean up or take better care of me and the kids he calls me twitch or psycho wich just makes me hate myself more and pushes the buttons that are already being pushed hard anyhow.I know there are reasons for his side of things but I cant see it from here I just hate him for it.Hate him for not picking up the slack while Im sick like this.Hate him for not seeing how what he is doing is making me worse.Sometimes he holds me and tells me he loves me or that Im beautiful but I feel like its all just lies and want him away from me.My heart is breaking more as I write this but I have to find someone who cares out there.You all cared for me before and are the lovingest people I have ever known I probably should post this on a ppd site but I just dont feel comfortable pouring this out there I feel like I can trust the reactions of you more.Last night I was truly afriad holding my razor shaking and knowing I needed to put it down and just have someone there to be safe.I should be able to hold my razor and shave.I should be a good mom. So many shoulds haunt me.But one should Kitty you helped me face.I feel I should tell somebody.
Oh Jenn!
Jenn, I'm so glad you said something. I have SO been there, all of it down to the fear of sharp objects. You have GOT to get professional help, and get it now. I'm private messaging you my phone number. Not that I'm a professional, but I'm here if you need to talk. In the meantime I'm going to see if I can dig up a postpartum depression professional to come do a chat here.
Lynn Siprelle, Editor
Postpartum resources
I'm gradually throwing postpartum resources into the Healthy Living section of the weblinks directory. Feel free to add any that you're aware of as well. (In fact, feel free to add anything to any of the weblink areas.)
Lynn Siprelle, Editor
Prayers for you Jen!
Jen,
I am praying for you sweetie - I know you are a great and lovingMom - you have a lot on your plate - it would be hard for anyone. Please take advantage of any resources you can -
Andrea
yes, please keep reaching out
I have been there too Jenn -- I think it is great that you are reaching out. I also remember feeling afraid of myself, what I might do if I went over the edge, even staring too long at the knife's edge while trying to cook. At that point it was so hard to tell anyone, because I felt like a total nutcase, beyond help, not even worth helping.
But it's not true! The fact that you are reaching out to us is so hopeful to me! Please find someone in your community you can tell, or even call a hotline -- they will get you in touch with someone who can help you.
I can see in your post that familiar feeling that there is no hope -- nothing will work -- there's no way out. But there is, I promise you, there is. Make that first call, and people will carry you from there.
Please post to us, and feel free to contact me privately too. You are going to be OK!
Sending up lots of prayers for you,
Shaun
Today
How are you doing today Jen?
Just wondering about you -
Hugs -
Andrea
Today
I alright as I can be....Thanks for asking. Ive decided to have my childrens pediatrican refer me to someone when we go next week.I am trying to keep my head up.
glad you have a plan
Hang in there while you wait. I know myself how hard it can be to wait for those appointments -- while I was pregnant I had to tell someone once -- look, I just can't wait that long.
Take care sweetie and go slow and easy this week.
Oh, Jenn, somehow I missed yo
Oh, Jenn, somehow I missed your post yesterday. I have been wondering where you were, and now knowing how you've been under it...my heart goes out to you! I sure wish your husband could be more caring and sympathetic, or that we could all be there in person to hug you and listen, but in the meantime, sending (((hugs))) across the internet to you. Hang in there until help is forthcoming!
Love and prayers,
Susannah
More support for Jenn and Kitty
I had a mercifully brief bout with PPD with my first and only child. I can't begin to imagine how difficult your days are, trying to meet the needs of several small children while PPD tries to thwart your every move. I'm so glad that you're both reaching out for help.
As far as non-pharmaceutical means of dealing with PPD go, there is a growing body of evidence that exercise helps to alleviate some symptoms of depression. It doesn't have to be elaborate. Just a small walk might help.
Please check back in to let us know how you're doing.
Rose
Oh Jenn!
I've been so busy recently that I've only just popped in here out of interest. Since it isn't an area of experience for me much I stayed out until I had more time...
Did it feel any better at all to get it all off your chest?? And to realise that nobody here started seeing you as some kind of unnatural ogre mother!!
Even those of us without a history of real depression have done things when we've been overwhelmed, and hated ourselves afterwards, thinking we must be bad mommies, so I'm pretty sure we can all empathise.
And Kitty too... you've seemed so together since the boys were born that you must have been suppressing this pretty hard. I'm glad you've both been able to come out here and ask for help and support. Even that small step must have been so tough, but I'm sure it's important for you both.
Jenn, I don't think your husband's a bad guy at all. He must be really, really frustrated at being so helpless, and with all the extra pressure you're accidentally giving him, and not able to relieve his frustrations as you might normally! This one I know, because I felt exactly that way when I was so ill last year... the pressure mounts up on them, and they just don't know how to let it out without it coming across as anger and frustration. It isn't anger at you, not really, so try to remind yourself of that whenever you can. Are you having times when you feel less awful?? More like your normal self?? Perhaps you could use those times to let your DH know what he can do to help you (just holding you and letting you know how much he loves you!), or if he's not around you could try something I started which is a load of little notes to my DH letting him know how much I love him, so that when I'm just not in the right place to tell him for whatever reason, he can pick out one of those notes and be reminded. You could write a few notes when you're feeling good and put them in a box or something, then add more the next time you're feeling a bit more loving!
Might make you feel more in control too, as well as giving him a flicker of light at the end of a long and very dark tunnel.
"Alternative" methods in such a severe case as you describe Jenn must surely be extras. It doesn't mean you can't get started, as Rose suggested, just on a walk or something simple. Maybe with the kids around that isn't possible, so put on some happy music and dance with your eldest, or... More notes... make a list of ideas when you're feeling good so you won't have to use your irrational brain to think when you're feeling lousy! Kay mentioned SAD which I know Shaun at least suffers from, and grim weather can be enough to get anybody down at the best of times. Any way you can increase your dosage of natural light?? And the vitamins... it's all worth a try unless you're talking about stuff which might conflict with depression meds. The normal stuff you'd use to pull yourself out of a normal bad mood won't pull you out of a depression, but it might just lift the shadows a little.
Jenn, just a thought... I don't know whether you might do this, but when you go to the pediatrician, don't let yourself chicken out of asking for that referral. Find a way to force yourself into asking for it, because if that's a day when you're feeling particularly down it occurs to me that you might subconsciously try to sabotage your chances of getting better - does that make sense to anyone?? Could you maybe call the pediatrician, have her write the referral in her own time and then she can give it to you at the appointment?? Something which you can do at a time when the real you is more in control, and then there's no risk of you coming away from your appointment without the referral! I can kind of imagine doing that myself in a similar position... it's a form of procrastination somehow.
{{{HUGS}}} for both of you, and remember how brave and special you both are to have been able to share this with us.
Kerri.
Thanks Ladies
Thanks so much to all of you who have responded with so much support and love and a BIG SPECIAL thanks to Lynn for her weblinks.I finally found what is wrong with me after much searching and fear of having post partum psychosis.I knew it was more than even really bad PPD.It turns out I have post partum OCD.The medication that is most helpful to the most women is something I have had a little experince with and actually did react good with so I can take it.Hopefull I will be getting on it soon but Im networking with some people from an online support group to find someone locally who has some experience with PPOCD who can get me a prescription for the meds wich thankfully only cost about 20 bucks for a months supply.I am sleeping when I feel ovewhelmed with these fear thoughts though this isnt the best fix its the best for right now until I am on meds.As soon as I find out who does the local PPD support groups I am going to go as PPD is part of the problem too but also I am going to see if there is or can be started one for PPOCD even if i have to hand out flyers and post them myself.If it were not for you all well I dont want to think what would have happened to me but no doubt I would have kept it all inside.I still feel very bad but at least now I can but some name to the feelings that isnt just me loosing my sanity.I love you all more than you know and will keep you informed about what is happening.I hate to think what women who dont have the net and dont have the kind of knowlegeable people like you all to turn to must go through.Most doctors I have talked to dont even know about PPOCD and are not well informed about PPD and PPP.I think it should be mandatory for doctors who treat pregnant women to know about these mood disorders.I pray that before more lives are lost to these things that the medical communtiy will wake up and help us women who suffer and are misdiagnosed.
Thanks for checking in!
I know that feeling of relief, when you finally find out you're not nuts, there really is something wrong. Keep us updated.
Lynn Siprelle, Editor
Glad to hear from you!
Your message is an answered prayer, Jenn! I am so glad you have found some help and hope, and I hope you can get that support group going.
I really do admire you for getting help. I know when I have been really down with PPD or regular depression since having my babies, I have been terrified to reach out because I imagine that they'll cart me off to the loony bin and take away my kids. Of course that is just the depression giving me bad judgment, but how can you know that when you are depressed? So congratulations and kudos to you!
You are so right, OBs, midwives, and nurses should all be doing more to help with this!
Step in the right direction -
Jen, it sounds like you've gotten some answers. I'd really like to see you visit your physician and get those meds though! I have never heard of PPOCD, interesting. You are still in my thought and prayers -
Andrea
me either
I had never heard of it before either but if you want to know more here is a good place to get more info....
http://www.daybreakalliance.org/
I find myself holding my brea
I find myself holding my breath too when I know someone's waiting to go for an appointment or something Courtney!
Shows how close we all are I think.
I'm glad you've got a name for the problem Jenn. That was a tough step to take, and now you've taken charge - you've got to feel good about that, even if only for a little while! I haven't heard of the PPOCD either... isn't it amazing how many things there are that are being categorised an identified and labelled. I know there's a big fuss about labelling people, but when it comes to something like this I still think it's easier to have a label, so you feel more like the problem can be quantified, and if it can be quantified, identified in some way then it can be 'solved'. Anything too vague is far more worrying I find. I shall have a look at that link too so that we can follow your progress.
Extra sleep WILL help... of course it will! I shouldn't think there's a mother alive, especially one with young kids, who gets enough sleep, and sleep deprivation can only make things worse, so it's a great idea to snatch extra sleep. Otherwise you add ordinary crankiness to the mix and find yourself exploding even faster!
I hope you can keep the enthusiasm and the momentum going... that first burst when you've done what you needed to do doesn't last long, and you need to be on medication and going to the support group before that buzz wears off!
Is your DH relieved?? I'll bet he is. Now he has a label so he knows that he's not going crazy himself, that you've got a genuine problem and that it can finlly be addressed. Some labels can be comforting I reckon.
Good luck with taking the next steps... and don't ever forget we're all here to help in any way we can.
Kitty - how're you getting on?? Have you figured out what steps you need to take?? I know you said it isn't a big out-of-control problem now, but you also acknowledged that you need to get working on it before it escalates.
Kerri.
Oh my GOD!!!
Don't tell me you're actually following your own instincts instead of doing what the 'experts' tell you?? Oh Kitty, what an awful person you must be!!!
Sorry... Couldn't resist. But seriously, that's exactly what you're doing, and if you can't 'fit in' with other people I wouldn't worry about it too much. Nobody else's family dynamics will ever be exactly the same as yours, so what works for you may not work fo them, and vice versa. The wonderful thing about TNH is that we've always been pretty good at accepting that. We're quick to offer advice and experiences when they're asked for by desperate moms, but at the end of the day nobody's going to think any less of you here for going your own way. That's the only way that's ever going to work, and the most important thing about parenting is learning to trust your own instincts. I realise that's a bit of a problem when you're being affected by some kind of post-partum problems. How anyone manages to parent when they don't know how to trust their instincts is beyond me - it must be unbelievably hard, so I can feel for you guys having your instincts attacked from the inside.
Keep on trusting your instincts Kitty, do what feels right for your family. Doesn't mean you'll be right every time, or that you won't keep second-guessing yourself, but it's the best place to start. Fitting in is highly overrated.
An I just screamed at my son because I'm sick to death of him telling me all morning how late he is fr school, that it's time for lunch or that he should be getting changed when it's over two hours yet before he starts school. So there you are... parenting's the toughest job in the world.
Kerri.
Jenn, yes, please tell somebody!
This is too great a burden for you to bear alone! What about your OB? Please call him/her right away on Monday! Not only should they be able to hook you up with resources (and there are probably low cost options as well) but someone also needs to explain to your DH that this is a real thing. I don't know why, but a lot of people 'believe' it more when there's a doctor involved.
You ARE a good mom, sweetie. You are fighting so hard. Please reach out not only here, but to your doctor (OB, or general practitioner, or whoever's your favorite if you have one!). Severe depression is something you need outside help to put yourself back together. I've not faced it in years, but I had a horrible episode in college where I was very glad that I had loving friends that literally dragged me in to get medical help.
Thank you for sharing this! What can I do to help support you more? You are not alone, you don't have to be alone.
-Kitty, mama to Fiona, Thomas, and Dylan.
I've thought of you a lot today...
and just want you to know that I'm thinking, praying and rooting for you. You're a really great mom, seeking the right help.
I'm SO glad
you've posted, Jenn! I didn't realize, but I've been sort of holding my breath waiting to see you pop in and say how it's going. I didn't want to hound you and am really happy you've gotten some answers!
I'll keep on praying too!
Courtney
I've committed to exercise fo
I've committed to exercise for 20 mins daily, after the kids are in bed, which has given me an instant lift. I've also started a vitamin regimen, which I suspect will help a great deal, but will probably take a few weeks.
I've also been making more of an effort to do things around the house, instead of just being mama cow. It's nice to look around and see you've accomplished something other than nursing for the day. Not that nursing isn't an accomplishment, but it's not exactly TANGIBLE until the kid(s) get weighed at the dr's appointment, you know?
My husband is the best...I don't know where I would be without him. He's really been the 'primary parent' since the guys were born. I can't tell you how much time exclusively nursing twins takes, but it's exhausting and extremely time consuming and not very much fun (I LOVE nursing my girl, and did in the past too--with the guys it's so utilitarian I don't have time to do the same relationship). It's been very hard to see a lot of my parenting philosophies amended by necessity (though not in spirit). And doubly hard to be part of communities that can still be relatively 'pure' attachment parent people, and hear them make thoughtless unqualified comments about baby gear and other petty things.
Sometimes I think half of my funk has to do with me feeling like I have one foot on each side of the gulf. Many multiple moms I know are regimented schedulers, EZZO types even, who think exclusively breastfeeding is a pipe dream even for one kid and that CIO for 3 hours straight with a 8 week old baby might be okay. Then you have the other folks I know (that aren't multiple moms) that think strollers and baby seats are The Evil and that only a crappy neglectful parent uses 'baby gear' like that. I do have a few crunchy friends who *gasp* actually are tolerant and understanding. But it's weird to go to activities with either crowd, because I really feel like I am a freak no matter what.
Things are looking up though...I have actually met two moms of multiples who also practice "AP" stuff with less 'born again' fervor than the purists. It's nice to have people who understand.
So I'm doing okay. I've just been neglecting my body for a long time, and I'm still processing a lot of fear/grief from the boys' pregnancy/birth. So it will just take awhile to heal. I can accept that.
-Kitty, mama to Fiona, Thomas, and Dylan.
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