postpartum depression

8 Tips for Conquering the Dark Side of Early Motherhood

Being a mother is something you’ve always known you wanted. As you counted down the days until the baby came you fantasized about how wonderful it would be to care for your beautiful baby. You imagined holding your baby in your arms, pushing your baby through the park, kissing the tiny toes as your baby cooed. Now all your dreams have come true. You have a loving husband, a beautiful house and the much longed for children. You also have a secret: you don’t like motherhood.

Of course, you love your kids, but for you, life as a mother is far from enjoyable.

In your mind, motherhood was supposed to be a deeply fulfilling…even magical experience. Instead you’re deeply exhausted. You are never alone, not even in the bathroom. It seems someone is always touching you, sitting on you, grabbing at you, needing you. You are constantly hearing screaming and crying dealing with mess after mess and it never ends. Even when you go to bed you can’t completely relax. You are always on alert for a child to cry out in the middle of the night. You’re worn-out.

When you were in the hospital having your baby they made you watch a video about the dangers of shaken baby syndrome. You just couldn’t imagine how someone could do such a thing to a defenseless baby. Now it's not such a mystery.

When the toddler is throwing her breakfast on the floor and the baby is screaming and your husband is away and you have barely eaten or slept let alone showered in days, and the house is a mess and this is not what you thought being a mother would be and you just want the crying to stop…you suddenly understand the importance of watching the shaken baby video, and you hate yourself for it.

A good mother, a loving mother shouldn’t be able imagine such a thing. And with every dark thought you also feel incredibly guilty. You LOVE your children. You really do, and you would never hurt them.

It’s no wonder you’re at the end of your rope. You’re completely drained physically and emotionally. It is incredibly difficult to offer kindness and empathy when you are empty. In addition, you’re disappointed. Your expectations of motherhood did not match up with the day-to-day reality of caring for small children.

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You are not alone.

Our society romanticizes motherhood. Mothers are revered, but not supported. Mothers are expected to dive into this new role with little training, little to no experience and often alone. They are doing all of this while recovering from the physical trauma of childbirth and the hormonal shifts that come after. Many moms rarely get breaks let alone days off. It’s no wonder so many moms feel at once at their wits end and incredibly guilty for feeling that way.

Give yourself a break. You are not a bad mom. You are doing an unbelievably hard job, and you’re doing a lot better then you think. It is not unusual to feel this sense of maternal discontent, or even to have dark thoughts. Being able to understand the impulse to lose control when you are at your wits end is far from acting on it. Many people have dark thoughts when they are overtired and stressed, but few people act on them.

What you need is support. Every mother needs support.

Here are suggestions for easing the stress of motherhood and getting the support you need:

  1. Take a break: No one can continue to work effectively without ever getting a break. It’s important to have regularly scheduled time off. Whether it’s an afternoon to yourself or a weekend away. Take some time off.
  2. Connect with other supportive moms: Join a mom’s group, take a mommy and me class, go to the park or story time at the library, go to a mom’s night out. Talk to other parents who have been there and have gotten through it.
  3. Take care of yourself: Exercise (join a gym with childcare), eat right, meditate, leave the dishes and nap when your kids nap…do something for yourself.
  4. Acknowledge your feelings: There are parts of motherhood that suck…and it’s okay to admit it. Recognizing the unpleasant parts, allows to you to see that it’s not all bad.
  5. Be mindful of what you love about motherhood: Close your eyes and focus on your happiest parenting moment. See it in your mind’s eye, feel the joy it evokes, allow that joy to envelop your body. Sit with it for a few minutes. Now open your eyes and notice how you feel. Doing this exercise on a regular basis can begin to offset the negative thoughts that you’ve been having.
  6. Find help: Call your friends, call your family, call your neighbor. Find support wherever you can get it. Parenting is much easier when you don’t have to do it alone.
  7. Focus on the relationship: Shift from seeing motherhood as a burden to seeing it a opportunity to cultivate a relationship with your children. Take a step back and look at them as interesting individuals rather than the source of more work. Be mindful of what makes them special and what you love about them. Notice their smell, the sound of their voice, the feel of their skin, the way their eyes light up when they see you. Engage with them in something they enjoy, and introduce them to something you loved at their age.
  8. Call a therapist: Life doesn’t have to be so hard. If you find you are excessively unhappy or anxious or if the suggestions above feel overwhelming or impossible to do don’t suffer in silence. This week new recommendations came out encouraging healthcare providers to screen all pre-partum and postpartum women for depression. An experienced therapist can help ease your pain. If you need a referral call your doctor or your insurance company.

Is it “Baby Blues” or Postpartum Depression

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The baby you have anxiously awaited has just arrived. You should be on top of the world. So why are you so sad? It’s not clear, but you are not alone. As many as 80% of women have some mood difficulties after giving birth. They feel alone, disconnected, upset, scared or unloving toward their baby…and, of course, guilty for having these feelings.For the majority of women, the symptoms are mild to moderate and go away on their own. However, about 10-20% of new mothers experience a more debilitating mood disorder called postpartum depression. So how do you know if its just common baby blues or something more serious?

The “baby blues” are a temporary state of heightened emotions that effect about half of mew mothers. This usually peaks 3-5 days after giving birth and can last for about 2 weeks. Indications of baby blues include, crying easily, difficulty sleeping, irritability, sadness and edginess. Baby blues are not considered an illness, and do not get in the way of a woman’s ability to care for her baby. The tendency to develop postpartum blues is not connected to a previous mental illness and is not brought on by stress.

On the other hand, postpartum depression is a serious illness, and it requires the mother to get help.  Postpartum depression occurs in about 10-20% of women who have recently given birth.  It usually happens within a few months of delivery, but it can develop anytime in the first year.  Risk factors include previous episodes of depression, severe stress, inadequate social support and previous premenstrual dysphoric disorder (a severe form of PMS).

Symptoms can include depressed mood, tearfulness, inability to enjoy pleasurable activities, difficulty sleeping, low energy, change in appetite, suicidal thoughts, feelings of inadequacy as a parent, and impaired concentration.  A diagnosis is made when these symptoms are present for a least a week.  Unlike baby blues these symptoms do not resolve on their own, and they do interfere with the woman's ability to function.

If you experience postpartum depression, you may worry about the baby’s health and well-being. You may have negative thoughts about the baby and fears about harming the child (although women who have these thoughts rarely act on them). Postpartum depression  impedes a woman’s ability to care for herself and her baby, and if left untreated can create a very dangerous situation for both mother and child.

If you suspect that you or a loved one has postpartum depression call do not wait until the situation gets worse.  Call your obstetrician or contact Rebekah Shackney, LCSW at rebekah@rebekahshackney.com for questions or concerns regarding postpartum depression.

The Real Face of Postpartum Depression...Mine

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I am Rebekah Shackney. I’m a wife, a psychotherapist and the mother of two. Seven years ago, as I waited for my son’s birth, visions of rocking my baby in the nursery wearing a beautiful nightgown with bluebirds singing at the window danced in my head. I heard from friends that new motherhood was difficult, but like many women before me I didn’t take the warnings seriously. How hard could it be to care for my beautiful baby boy?

Well, let me tell you it was harder than I ever could have imagined.

It was not just the sleep deprivation, the pain, the crying, the lack of free-time, etc. I felt completely alone even though my husband worked from home, and my next-door neighbor also had a newborn. I felt desperately insecure about my abilities as a mother. I worried constantly that every wrong decision I made would ruin him for life. I was miserable.

New motherhood was not the fairytale fantasy I had imagined. Instead of a beautiful nightgown I wore milk-stained t-shirts as I sat on the couch with my son on my lap, unable to move. I was paralyzed with sadness, resentment and guilt. I was suffering with post partum depression, and I did not realize it.

How does such a thing happen to a person who spends her professional life educating people about their mental illnesses? Depression is a covert illness that infiltrates the mind and body so gradually that the pain it causes feels normal. I thought it was normal for a new mother feel as bad as I did.

Thankfully, I was wrong. I got help and so can you. It wasn’t an instant cure. It was a long process that took time and effort, but I can still remember the enormous relief I felt the day I made the call. It was then that I realized I was not alone, and neither are you.

If you are struggling with postpartum depression, don’t wait for it to get better on its own…it won’t. Get help right away. You owe it to yourself and your family.