Postpartum Depression & Stigma: You Don’t Need to Prove That You’re Worthy

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postpartum depression stigmaI got an email from a mom this week who, in her story of frustration over the lack of help for postpartum depression, made sure to let me know how successful she is.

She’s smart. She has a great job. She makes good money, she told me.  Her words struck me.  How many of us, when seeking help for our mental illness, feel we have to make sure people know we are competent individuals?

I know I did.  I felt that I had to prove to people that I was still worthy.

Hey doc, I may have postpartum OCD, but I swear I’m a good person.  I have a great title at work.  I was in the National Honor Society in high school.  I was in Who’s Who Among American Universities & Colleges. I’m intelligent.  I have a lot of achievements. Please don’t throw me in the trash heap …

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Time Magazine & “Psychotic Nut Job” Mothers

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"Psychotic nut jobs." That's the term used in a recent Time magazine Healthland piece about mothers who kill their newborns.

Time, have we not already been over the issue of mental health stigma and poor reporting with you?

Good grief. I'm appalled.

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20 Things I NEVER Want To Hear Or Read Again, Postpartum Depression Edition

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stigmaHere are 20 things I don’t ever want to hear or read again about postpartum depression, and every other perinatal mood or anxiety disorder. (I have heard every single one of these, whether directed at me personally or in emails and comments from Postpartum Progress Readers who share their own stories with me.):

20 Things I NEVER Want to Hear or Read Again, Postpartum Depression Edition

1. Just [go for a walk/go out with your friends/have a drink] and you’ll feel all better.

2. If you just buy this book online, even though we don’t tell you what’s in it, you’ll learn the “cure” for postpartum depression.

3. In a news report on infanticide or any other child murder: She must have had postpartum depression.

4. Magazine or online article headline: 10 Easy Steps To Get Over PPD Now! (None of them will mention, of course, that getting over postpartum depression is not easy, and none of them will mention getting medical help.)

5. Women have been having babies for tens of thousands of years, and they got through new motherhood just fine. Toughen up.

6. I just finished my album/thesis/marathon/political campaign. This must be what postpartum depression feels like.

7. Maybe postpartum depression is God’s way of letting you know you don’t have enough faith. I think you should pray harder.

8. Here’s some information on postpartum depression I’m supposed to give you. You’re probably not going to get it, though, so I wouldn’t pay too much attention to it.

9. Quitting breastfeeding is selfish. The baby’s health is so much more important than yours.

10. I know breastfeeding is really important to you, but you have to quit so you can be treated for PPD.

11. This is the exact medication and dosage I took for my PPD. Just take that and you’ll be OK.

12.I would never take antidepressants. You shouldn’t need that stuff to be a mother.

13. Here’s a prescription.(No mention of side effects. No mention that it may not work. No mention of therapy. No mention of follow up appointments.)

14. You’re just mad the baby is getting all the attention.

15. PPD is just a fad. Only spoiled, Western women get it, and now that it’s “popular” on the blogs, everyone is jumping on the bandwagon.

16. Can’t you see how lucky you are? You have a beautiful baby!

17.This will probably go away on it’s own, so don’t worry about it.

18. I wouldn’t talk about this with anyone. You don’t want them to think you’re crazy.

19. You don’t need to worry about your symptoms unless you’re having thoughts of harming your baby.

20. Postpartum depression isn’t real.

What would you add to this list? Put them in the comments section below!

Photo credit:  © Scott Griessel – Fotolia.com

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Questions About PPD Often Induce Shame & Reinforce Stereotypes

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Earlier this week, Katherine posted about The Oprah Show’s request for the stories of mothers with PPD. It seemed like a good opportunity to show the world another side of postpartum mood disorders, and I jump at any chance I have to do that. At Oprah’s website, I filled out a form with some personal information, and then had to write a short description of my experience with PPD. It had to be under 2000 characters long, which I found to be quite restrictive, but I made it work. I expected that to be the end of it.

I was surprised when I received an email from an Oprah staffer the next day, asking for more specific information about my postpartum depression story. I was a little shocked, to be honest; I actually questioned the authenticity of the email, but eventually figured that even if it were some random person asking me these personal questions, sharing the information wouldn’t do any real harm to me or my family.

I started answering the questions in the email, which mostly had to do with the particulars of my diagnosis, and whether or not I was currently undergoing treatment for the disorder. These were easy to answer, as the information is pretty straightforward.

Then I got to the last few questions, and I read this:

After your child's birth…are you feel empty and sad instead of elated and excited?

And this:

Are you scared you were going to hurt your child or yourself?

These questions rankled a bit, to be honest. Aside from the glaring grammatical errors (which bother me more than I’d like to admit), I found the questions themselves to be indicative of the stereotypes of PPD moms I’ve come to expect from the general public.

I know that the questions were most likely meant to get a broad sense of what PPD is like and I should probably just let it go, but I can’t help myself. I’m bothered, especially in light of the catastrophe that was AOLNews’ coverage of the Duley murders in South Carolina.

It seems that people are intent on pigeonholing PPD as a crazy-making disease, one that turns women into baby haters, baby killers. The truth is, as with any disorder, there are so many shades of postpartum depression, a veritable rainbow of symptoms, circumstances, and treatments, none of which are exactly the same from woman to woman.

One reason I allow myself to be so offended is because it is precisely these types of questions that make women with PPD/A/OCD not want to speak out. Who wants to talk to a virtual stranger about the fact that they could’ve cared less about their child, only moments after said child was out of the birth canal? Not many people would be so bold.

Why is it that the first thing that comes to people’s minds when they hear PPD is “This woman probably doesn’t love her child,” or “This woman is probably going to hurt her child.”? It’s as though all the literature about the range of PPD symptoms simply doesn’t exist–in the eyes of the world, all PPD moms are a danger to themselves or their children. It’s no wonder many women fear speaking out.

There is another layer of offensiveness here, though, and I wrote as much in my email to The Oprah Show. Like I said above, there is a broad spectrum of symptoms associated with PPD, and mine had very little to do with wanting to harm my child. Not only that, but I was completely elated at the birth of my son–it wasn’t until later that I started to manifest symptoms of depression. Why couldn’t the question have just said, “What types of symptoms did you experience during your bout of PPD?” It seems like that courtesy doesn’t extend to people with mental illness–in our society, it’s perfectly acceptable to jump right in andassume every depressed mother wants to kill someone.

I’m not sure what it’s going to take to show the public that postpartum depression is a bonafide illness, and as such, can manifest in many different ways. Am I to feel like my case of PPD was less severe because I never wanted to harm my children? Should the women who did have harmful thoughts be made to feel like worse mothers than those who didn’t? The answer is no, of course, but these things are so easily inferred by the language that is now most commonly used among laypeople who have never experienced a mood disorder.

The response to the AOLNews piece yesterday showed me that the tide might be turning. To see so many women and men up in arms about an issue that is so often swept under the rug was like a gulp of cool water on a hot summer’s day. I pray that this trend continues, and the language changes, so that someday soon, the first thought that comes to mind when we hear about a PPD mom is “I’ll bet she’s a strong woman, to be able to live through that.”

Alexis Lesa

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