What I Want You To Know About Postpartum Psychosis

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Five years ago today my little man was born.

As for any first-time mom, the excitement and energy of the rush to the hospital to meet him is a bit of a blur, especially given the five years that have flooded my memory since then. Sure, we had the same fears and concerns as any new parents: is he sleeping and eating enough? Are we using the right baby products? When will his umbilical cord heal? Are we doing enough tummy time? But for us, the beginning of our story is quite different than that of most new families starting out.

Because right after he turned four weeks old, I had to be hospitalized for postpartum psychosis.

I knew I was experiencing hypomania from the time that he was placed in my arms around four a.m. the morning after he was born. He tried nursing for the first time and the physical exhaustion and emotional release of having just given birth started to set in. We sent him to the nursery so that I could try to catch up on sleep, but with the nurses checking my vitals every hour due to the C-section, sleep was nearly impossible.

Some people may wonder why I hid my symptoms from the people who could help me. The doctors and nurses who saw me when they came to check on the baby while we were still in the hospital never noticed that I was struggling. My therapist, who saw me when I was three weeks post-partum didn’t detect anything unusual. My husband and my parents could sense something was different about me, but we were all so caught up in the new baby that we pushed my mental health issues to the side and put the needs of the baby first.

I love my son with everything in me, but I know from all that I’ve been through over the past eight years living with bipolar disorder that I need to put my mental health first in order to be the best mother I can for him and his sister.

But in the first few weeks of his life, I didn’t know this. I was just a new mom. Trying my hardest to not screw up. And at the time I thought that meant staying off medication to protect my baby.

I was absolutely determined to breastfeed him. I put so much pressure on myself to make it work that the first week I was barely producing any milk because I was so stressed out and the internal fear that my body wasn’t going to be able to actually make food for my baby was doing just that: stunting my ability to lactate.

We did finally figure the whole breastfeeding thing out, me and Owen. And I nursed him for the first four weeks until I was no longer able to hide the fact that I was losing touch with reality.

I felt as though I was invincible and hardly needed to eat or sleep. The less I slept, the more energy I seemed to have. I never napped when the baby napped because I’d always find something to do around the house that was of course more important than catching up on sleep.

Everything around me had a certain sparkle to it. It was as if I were living in a dream world where everything was amplified and so vivid that I had to stay awake to soak it all in. There was no pain, only the soothing sounds of my baby cooing or crying softly before I picked him up.

It was all very surreal. But when hypomania turns into mania, and mania escalates to psychosis, things can go very wrong.

I am so thankful that my husband realized what was happening and knew exactly what to do in order to fix me.

As hard as it was for him to call 911 and have the police and EMT’s take me to the hospital, he knew that I needed to be separated from my baby for a week in order to get well.

And as much as I mourn the week that I lost with my son, I’m grateful for what I learned and how sharing my story has the potential to help other moms and families out there.

Not enough is shared about postpartum psychosis. Even though it is not nearly as common as postpartum depression, doctors still should discuss the potential chances of the occurrence, specifically in patients like me who had a previous bipolar disorder diagnosis.  Society doesn’t understand it and therefore, families aren’t on the lookout for symptoms in new moms. And I’d like to change that.

Women who experience postpartum psychosis are just normal moms who unfortunately have a chemical imbalance in their brains. Some of these women have thoughts of harming their children, and some of them act on those violent thoughts. I was one of the lucky ones who didn't have those intrusive thoughts, but even if I did - that doesn't make me a monster, as my friend Robin wrote on her blog recently.

I’m just a mom, with a 5-year old little man, who wants to prove to the world that our struggles don’t define us. They only provide us with opportunities to make a difference in the world. I’m beginning to work on explaining this to him every chance I get.

I’m loving watching my son grow into a smart, funny, caring, determined and stubborn little guy who has stolen my heart with his hugs and his smile. I’m still in complete awe of the fact that he grew inside of my belly, remembering the pressure of his little feet apparent from the outside. Bringing him into our lives was a miracle and we couldn’t imagine life any other way.

The other day I asked him what he thought it would feel like to turn five. “I’ll be all grown up! A big kid!” was his response. So much like me, he’s eager to make his way in the world, try new things and move mountains. I’m trying my best to just let him be little, to enjoy the carefree afternoons at the playground or the library. To linger over snacktime at home with him while his sister is still napping. And to savor every small moment we have together like our morning hugs and bedtime stories.

Five years have gone by so quickly but I’m not sad about them passing. The collection of countless precious memories which I’ve tattooed onto the inside of my mind are what I carry with me in my heart from the past.

I’m eager to see what the years ahead hold. Both for him, and for his mom who will always be looking on with pride.

 

Comfort: Five Minute Friday {6}

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COMFORT

Back then, newly sick and with the fear of a mental illness diagnosis looming over my head, there were few things that brought me comfort.

 

One that was the most strong was her love

and her continued fight

to get me back to well.

 

There were so many tears back then. But we were able to smile when we were together for pictures, even if it sometimes felt forced. Behind the smiles there was silent suffering.

 

No matter what, she never stopped trying to comfort me. To ease my pain. To take the hurt away from her baby, her firstborn.

 

She will always bring me comfort in times of sadness. She’s my mom.

Happy Mother’s Day, Mom.

I love you with all my heart.

xoxoxo

Five Minute Friday

Balance and lack there of

Wow. What a week it's been. Lately I find myself wondering: why it is so hard to balance the various curveballs and uppercuts life throws at us? Why can't I just magically make everything WORK? Speaking of work. That is something I did very little of this week. But I'll get to that.

Little man came down with a fever on Monday morning which landed us in Urgent Care that evening at 9:30pm when he could barely catch his breath. He slept okay after a nebulizer treatment and some Children's Motrin, but by the next afternoon he sounded like Darth Vader so we ran over to the pediatrician to find out he had croup, which I had suspected by that point. The doc put him on an oral steroid to keep his airway from swelling shut.

It worked really well. By Wednesday morning he was much better, but Baby girl had contracted his lovely virus. Luckily (I thought at the time) her airway sounded fine and I thought she'd escape with just a cold.

Yeah. Not so much.

She had a fever off and on all day yesterday and her breathing started sounding worse and worse. Last night I had my husband stop at Target on his way home from work to buy a new humidifier and she slept fine with it running to steam up her small room. But I knew right when I picked her up this morning that she needed that same med that the doc gave her brother. I didn't even bother to take a shower. Instead I threw on clothes, brushed my teeth and asked my husband to stay home with our son while I rushed her over to the pediatrician (so thankful to live within 3 minutes driving distance from the office and for their established patient walk-in sick hours from 7:30-8:30am).

There was a line 8 patients long by the time I arrived at the office at 7:30. A kind mother in front of us who heard my daughter's Darth Vader breathing let us go ahead of her and her son.

We didn't have to wait long at all, which was such a blessing. And all the excess activity in the waiting room actually distracted baby girl, so that was helpful.

The P.A. took a quick look at her and put her on the same med just in a liquid form. They even gave her the first dose (along with a dose of Children's Motrin) in the office to get her feeling better ASAP.

We headed home to give her breakfast. Hubby left for work. Little Man was still in jammies. At least he was eating, that was a start.

I gave her a breathing treatment after she ate while the kids watched an episode of Super Why. Then it was upstairs for mommy to have a quick shower before we rushed out the door again.

We had to drop off her prescription at the pharmacy and luckily there was a Starbucks in the strip mall because my head was about to start throbbing from my lack of my usual 2 cups. Then we hit the barber so that Little Man could get a haircut before his big first day of preschool.

After that we had plenty of time to make it to my eye doctor appointment across town. The kids were amazingly well-behaved while we waited the extra 15 minutes before the doctor was ready to see me to check if the trial lenses she had set me up with were working (they weren't). She said she'd order me a new pair to try and sent us on our way.

Back home we ate lunch and got Little Man ready for school. Baby Girl was jealous of his new backpack, so I found his old butterfly backpack which satisfied her for a little while when I told her she could pick out some toys to stuff in it. We got his snack together to take to school and took some pictures (okay, a lot of pictures) at the front door before hitting the road for what felt like the tenth time today. At this point, Baby Girl is starting to tear up at the mere sight of the car.

Drop off at his new preschool went so well! The only thing that is tough about it is the timing - he starts school at 12:45, which is usually the time his sister is napping. So I'm hoping over the next couple of weeks she'll get used to napping later. For now, she fell asleep on the way to school, woke up when we had to get out and walk him to his classroom, and was up on the drive home. I prayed she would go back to sleep in her crib once we got home. Little Man was so excited and jumped right into meeting his teachers and new friends. It was really cute.

Now if I could have just let her sleep until I had to pick him up, it wouldn't have been that bad. But, of course that's not what happened today. She was asleep in her crib from 1pm while I worked, until I realized I had my psychiatrist appointment at 2pm (thankfully, she's in the same building at the pedi) so I let her sleep until the very last minute I could and we made it to the appointment on time.

All the running around today was not very conducive to Baby Girl resting to kick this damn croup.

We were back home from 2:45pm (when I gave her a dose of Children's Tylenol because she was so uncomfortable) until we had to leave to pick up her brother at 3:30. Thank heavens for carline pickup!! Seriously, it's so convenient. Five cars line up at a time, the teachers walk those 5 kids (radioed from the Directors whose parents were there to get them) to their parent's cars. Baby Girl got to snooze on. Little Man had such a fun day, but got annoyed with me that I kept asking him to tell me more. He gets such an attitude sometimes when he skips his nap, but we could only get PM preschool, so he'll have to just make up for those M/W/F naps on Tuesdays and Thursdays.

I treated the kids to McDonald's strawberry milkshakes for the rough day we had.

The worst part about this crazy, hectic, so-over-my-kids-being-sick-and-cranky day? I completely forgot to call my mom and wish her a happy birthday.

I suck.

My phone rang at 6:58pm and when it was my Dad on the caller ID I didn't even think of it then. Not until I answered and heard my mom's voice instead.

"Hi honey! How was your day? Little Man feeling better?" she asked, cheerily.

"Okay. Yeah, he's better, but I was at the pedia-OH MY GOSH! HAPPY BIRTHDAY! I AM SOOOO SORRY, MOM!!!"

My heart sank. I wanted to cry, but instead spewed off all the things we did today only to feel even worse that I was making excuses for why I almost forgot.

Oh, and her card is also running a day late. Daughter-of-the-year over here.

I'm so sorry Mom. Please know that I'm still trying to figure out how to balance it all.

I know that things will never be perfectly aligned, that there will always be kids that get sick, work hours to put in, a house to clean, etc, etc. I just hope that I don't ever potentially  forget another birthday in the future. (I like to think that I would have realized my mistake tonight after the kids were in bed, so let's just give me the benefit of the doubt to make me feel a smidge better, okay?)

I love you to pieces and can't wait for our beach trip in November where you'll have a luxurious, relaxing facial at the spa to enjoy as your birthday gift from me. Thank you for being my mom. You mean the world to me.

Happy Birthday, Mom.

xoxo

Mommyhood has been good to me

The year after I was diagnosed, I found a support group for those suffering from Bipolar Disorder and I joined. I started attending meetings weekly and got to know some of the group members. Each week there were regulars and newbies. I found the group meetings helpful in my recovery process and my journey to accept this illness that I will be dealing with for the rest of my life. We would basically just go around the circle and each person would take a few minutes to talk about how their week was, how they were feeling, and then the group would offer suggestions on any issues they were struggling with. We weren't supposed to talk about meds, but of course everyone had opinions on them so that often came up. It was before we had started thinking about having kids. I was just trying to figure out what was going on with me and how I could best handle my severe anxiety and depression now that I was out of the state of mania that caused my hospitalizations. The last thing I was ready to think about was throwing kids in the mix, sometimes I felt like I could barely take care of myself. How would I ever be able to handle one baby, let alone the two I had always dreamed of. Yet I still knew it was something I wanted for us, and my husband had said he was ready to try whenever I felt that I was. He was (and is) always so patient about things.

If there is one thing I remember looking back on those meetings, it is this one woman. I can recall her so vividly, and find myself thinking of her from time to time, even though it's been years since I've attended one of those meetings. She was very petite and seemed so frail, often shaking as she spoke during her time to talk at the meeting. She had two kids and if I remember correctly they were about 6 and 9 or something along those ages - a boy and a girl. And she was married too, it seemed her husband was pretty supportive and caring. But it made me so sad to listen to her talk. She was on such a potent cocktail of meds and yet, she was still struggling so much with her anxiety and depression. She often spoke of how she could barely get out of bed in the morning to fix her kids breakfast and get them off to school. I found myself wondering if that would be what it would be like to be a mom who had bipolar disorder and two kids.

I am so lucky. Her situation is the complete opposite of my life as a mom.

Sometimes when I put the kids to bed at night I'll wish it was morning already so I could get them up to play again. Usually as they are walking up the steps to head up for bathtime, I think about how much I love being their Mommy. It's the best job I could have ever asked for and I never want it to end. Today I found joy in the midst of changing a poopy diaper which had leaked. I had my 10-month old daughter all clean and as I propped her up, naked on the bottom half, so that I could wrap up the dirty diaper, she peed all over the hardwood floor while holding onto the baby gate. I couldn't help but crack up laughing. It's the little things. I should have taken a picture, but I was too busy laughing and cleaning up the mess.

I hope that my friend from the support group has been able to find a good doctor who found the best combination of meds and therapy for her to improve her situation. Because really, that is what it comes down to when you are living with bipolar disorder. A good doctor, the right meds, regular therapy and a solid support network.