Tuesday, March 17, 2009

The Darker Side of Postpartum Depression


“Would you just sit still?! I don’t know why the snow is on the ground! Mommy can’t answer any more questions right now! Stop crying!”

This is how the feelings of rage began. I felt overwhelmed, stressed, and tired and then I'd just let loose and forget who I was speaking to. And then I was flattened by guilt. A crushing wave of shame crashed over me and I was suddenly the worst mom in the world. What was wrong with me? Why couldn’t I pull it together? What’s the big deal if we were five minutes late to Mom and Tot Swim class?

I have a history of depression and when I became pregnant with my first baby I was very concerned about Postpartum Depression. I spoke with my midwives about it. I discussed it with my husband. I guarded myself against any sadness, weepiness or other bad feelings that might have arisen after giving birth. With the exception of some normal baby blues, however, my emotional state after my first son was born was normal. Now, however, as I adjust to being the mother of two I find myself overwhelmed by unexpected emotions.

Do I feel depressed? Not exactly. Do I sit and weep inconsolably? Who has time? So, how do I feel? Angry. Ridiculously, illogically, uncontrollably angry. I am irritable, impatient, and resentful. Then I feel guilty, which makes me feel angry all over again.

After losing my temper at my two-year-old, screaming at my husband, feeling irritated at my newborn, and breaking dishes and other household items, I began to feel as though I was losing my mind. I am, after all, a doula and childbirth educator. I help other women and families prepare themselves for having babies. I felt like such a fraud for not “being able to handle” two small children. I couldn’t wait to have my second baby and here I was resentful every time he cried for me or woke in the night.

I thought briefly that this could be Postpartum Depression, so I did some research and found a list of symptoms:

• Feeling restless or moody
• Feeling sad, hopeless, and overwhelmed
• Crying a lot
• Having no energy or motivation
• Eating too little or too much
• Sleeping too little or too much
• Having trouble focusing or making decisions
• Having memory problems
• Feeling worthless and guilty
• Losing interest or pleasure in activities you used to enjoy
• Withdrawing from friends and family
• Having headaches, aches and pains, or stomach problems that don’t go away

Well, what I was feeling just didn’t seem to fit the list. I wasn’t sad, I wasn’t crying, and many of the symptoms (fatigue, memory loss, headaches, etc.) were, to me, just symptoms of being a mother. So I began to wonder if I was just a really bad mother. I felt like I loved being a mom, but longed for time alone. I loved my children, but would watch the clock while waiting for bedtime each day.

After several weeks of my anger and irritability becoming steadily worse, a very dear friend suggested that I go and see my family doctor to speak about how I’d been feeling. I reluctantly agreed. I was just so tired of feeling awful about myself and I felt that my children, and my husband, deserved better.

When I spoke with my doctor about my symptoms he simply said, “You have classic Postpartum Depression.” I was relieved and surprised simultaneously. I couldn’t believe that I fit in that category when I didn’t feel sad at all, I was just angry... all the time at everyone. He said that for the majority of PPD-suffering moms, the most noticeable symptoms are anger and irritability. When you think of a woman suffering from PPD you often think of a mother, sitting with her baby, weeping and unable to get out of bed. This, at least in some ways, is an “acceptable” way for a woman (and a new mother) to behave. What is considered perhaps less acceptable is a new mom yelling at her children or going into her closet to scream instead of cry.

Many moms have been told that PPD is defined as being sad and crying uncontrollably. They might feel ashamed of their anger and unwilling to speak with someone about the rage-filled mother that they have become. They need to know that being angry, feeling resentful, and being irritable on a consistent basis are not just normal feelings that you have to live with. Perhaps we should refer to it as Postpartum Anxiety or Postpartum Rage instead of depression. The Canadian Mental Health Association reports that up to 20% of women suffer from PPD. I wonder, if the spotlight shone more brightly on some of the “less ladylike” traits of PPD, that the number would rise significantly. Perhaps so many more mothers would get help.


I am getting help and it is getting so much better. I am bonding with my new baby so much more now. I am enjoying my young son as he asks me hundreds of questions a day. My dishes have much less to fear and my husband no longer walks on eggshells. Are there some days when I still get angry and lose my temper? Absolutely. But they happen less often and when they do happen I am more easily able to get myself under control. It’s getting so much better, for me, but every time that I speak to moms or moms-to-be about PPD from now on the information and list of symptoms I give will be much different.

(We have heard from Katherine at "Postpartum Progress" and want to encourage moms who are wondering about PPD, think they may need more information about the way the are feeling or are worried they may be a candidate for PPD to check out her blog and the resources she shares on it. She has information for moms and moms-to-be in Canada and the US.)

A couple of other great articles about PPD -- illuminating signs like anger as well as the more traditional PPD responses -- are found at:
Parenting Through Depression: How I Tend to My Children When I'd Rather Stay in Bed: advice for moms and dads with depression by Jane Roper
Barely Knit Together: Results Are In On The Elephant In The Living Room - Part One
and Part Two

Kristin

21 comments:

barelyknittogether.com said...

I am about to post on this very issue! I would like to link to you if it's okay. I feel for you, and would love it if you would chime in on any discussion prompted by my post. The more we talk about the more unusual symptoms of PPD, the more likely women might be to get help. Thank you for sharing this. I understand all too well how hard it is to talk about.

Sam said...

@ barelyknittogether Please feel free to link to this post. We will keep an eye open for your post and will certainly add to the discussion. Thanks for reading.
Take care
Sam, one of the two babyREADY owners who have had PPD

Blacktating said...

Thank you for sharing this. I remember when my son was born I was so happy and I was talking to a friend who has 5 kids and I told her I thought I was safe from PPD because I was so thrilled with my new little man. She told me to give it a few days and sure enough, BAM, the baby blues hit me. I don't think it was severe enough to be considered PPD, but I definitely was a combo of angry/sad. I was angry at myself for ruining my life by deciding to have a baby. A "what have I done?" panic set in. Thankfully it was short lived and I obviously can't imagine life without my son now. This morning he pointed to Daddy's butt and said "Poo poo" and we all died of laughter. I mean, you can't beat life with a kid. It can be rough in the beginning, but don't be afraid to get help if you need and know that this too shall pass.

Anonymous said...

S.vS wrote:

"Fantastic article :-)"

Anonymous said...

K. Z. wrote:

"I concur. Been there done that. Lived to tell the tale....seek help.
It does the body (and mind) good. ;)"

Noble Savage said...

Wow. Now I wonder if I have PPD. I have recently sought help for managing my anger but no one mentioned that it could be PPD, even though I have a six-month-old baby and told them that it started shortly after he was born. Interesting...and good to know I'm not alone.

Katherine Stone said...

Awesome post. Thanks for sharing what so many people don't recognize, which is that anger and irritability are definitely one symptom of PPD. I'm going to link to this post over at Postpartum Progress.

Kim said...

So great to share your experience. I had PPD with my 3yo son and I remember saying angrily to him "you don't want to eat? fine! you can starve!" when he was an infant and didn't want to nurse for some reason (maybe because his mom was an anxious basket case? hello!) My fuse was non-existent, and the resentment toward DH was through the roof. I remember thinking "what mom says that to her child????" Well, a mom with PPD. Yuck. Thanks for your honesty, it will help women.

Paige said...

Thank you for sharing your story. I'm a new mom with previous depression and I conceived through IVF which is supposed to more than double my chances of PPD. I think sharing stories about how PPD does not always follow the classical "sad and crying" symptoms is important. Actually depression in general - my father suffered for years undiagnosed because he was angry not sad. Treatment has changed his life!

I would like to link to your story! I'm planning a post regarding PPD and infertility patients.

Thanks for your post!

babyREADY said...

Katherine and Paige,

We would love to have a link from your posts. Thank you for reading and spreading the information to the moms who need it.

Katherine,

Had a look at your blog and will be sharing it with the couples that come through our prenatal series classes.

Thank you,
Kristin, Sam, and Tara

babyREADY said...

Kim,

Your comment brought me to tears. It was so difficult to hear myself saying things to my two-year-old that I would have been ashamed for someone else to hear. Thank you for your comment.

Kristin

Anonymous said...

Just today - and my child is three plus - I shouted at him to leave me alone, didn't want to do anything about house, just - oh, I don't quite know what... Just lots of anger, wanting to abuse. There are worse days and better days, partly cyclical, but also, unrelated. Try to watch out for it, and fail more often than not. Oh God, please let me not hurt my child, let him not learn this from me...

babyREADY said...

@Anonymous:

Thanks for your post and your commiseration on how difficult parenting can be. You're right, it isn't just when they are infants that the frustration and anger can surface. Sounds as though you are still struggling sometimes. Do you have a care provider (family doctor, midwife, etc.) with whom you have built a trust-based relationship and in whom you can confide when you are feeling overwhelmed? Another resource which may be helpful is an on-line support network that I found: www.ppdsupportpage.com
Please don't forget to ask for help when you need it. **ALL** of us need help sometimes.

Nicole said...

This is exactly how I felt shortly after my son was born.
I was afraid to ask for help or inquire about despite the fact that I had a sneaking suspician that it might have to do with PPD because everyone around me joked about it and there was definitely a stigma about it.
I was a single mom and people just expected me to "be strong" and "deal" with it.
If I'd known then what I know now I would have asked for help.

Anonymous said...

Kristin-
please help with some advice on what meds to take for exactly your symptoms of anger and rage and irritability!
aekear@yahoo.com

Anonymous said...

You have no idea how much reading this has helped me! I have 2 children, and after my first I seemed fine, but after my second baby, about 2 months after I gave birth I started getting physical symptoms like dizziness, and disassociation, panic attacks and the very real fear that I was dying and who would take care of my kids. After seeing doctors and tests..they concluded that it was PPD. I didn't seem sad, or depressed...I felt worried all the time of dying and my kids. I was put on medication which helped, the physical symptoms went away but I had to change meds several times. Now I am off meds, but I feel very overwhelmed, and angry all the time. I resent my kids, thinking that if I never had them I wouldn't have all these mental issues. I feel like I gave up a career to have kids and now I am back at square one. My body will never look or feel the same way after 2 c sections. I am always picking fights with my husband...basically I am miserable. After reading this today I realize that PPD is not all about crying but anger and irritability to. At first I thought that I didn't need meds because the feelings I have are different...from being scared to what might happen to my kids...to resenting them, now I realize that they help and this will get better.

Anonymous said...

Oh my God. It took me several minutes to post this because I began sobbing after reading your article. You're article is about my life.

I just finished putting my daughter (7.5 months) down for bed and I sobbed through that entire ordeal as well all because she was grabbing at my face while nursing and I snatched her poor little hand away and said "NO". And she instantly started crying her shrill scared-to-death cry. How could I behave that way with my own precious baby? It's ridiculous how overwhelmed I feel constantly. I couldn't even begin to list all of the things I hate about myself sometimes. We tried for 2 years to get pregnant but sometimes I feel like I don't deserve it at all. Better yet, she doesn't deserve to have a mother like me. She's pure perfection and she should have a happy mommy who loves her and appreciates every waking moment with her. I hate myself right now.

I actually FINALLY tried to call my family doctor today after putting it off for months because I'm so ashamed. I called at 4:32 ... they were closed. I started crying over that because now I know I have to gain the courage to call again.

-Janice-

The pale observer said...

My little sister just had her second child, a boy - she and her husband have a 5 year old girl.

She has been calling me and writing to me to say that she feels like she's 'losing it', and that she's a horrible mother because she just feels obsessed with the new baby, and is irritable with both her little girl and her husband.

She does have a history of anxiety and mild depression, and I believe this could be classic PPD.

Do you have any ideas/comments???

Sam said...

To everyone who has taken the time and COURAGE to post comments, questions, worries or thoughts about PPD we want to start by saying THANK YOU! Just the very idea of PPD has many people running and hiding and hoping no one wants to talk about it.

I would like to encourage all of you who have questions or concerns to PLEASE speak frankly with your care provider. Another resource that many of my past clients have found helpful is the online (and anonymous by extension) community available at: www.ppdsupportpage.com

While Kristin and I have both experienced different variations of PPD we are not qualified to counsel others. We appreciate you being willing to share here and please feel free to continue to do so. We can all learn from one another.

Deanna said...

I was diagnosed with PPD after I returned to work full time at 12wks pp. I had depression prior to pregnancy due to 2 miscarriages, 2 yrs of fertility tx and divorce. 2 weeks after I got engaged to my current husband, i found out i was pregnant...with no help from meds at all. I was on cloud nine. I was literally in labor for 2 weeks...contractions every 3 minutes and dilating very slowly. Was finally started on Pitocin on her due date because I wasnt dilating just contracting. Well, MY MIRACLE child inside did not like the contractions anymore...her heart rate dropped into the 30's and i was rushed to EMERGENCY c-section. When she was 6wks old she was diagnosed with moderate hearing loss and along came 30+ appointments in a 6month period while working full time and dealing with a pot head "rebellious teenager" husband. PPD hit hard, I was angry no...RAGING. I was all of a sudden throwing things, punching my husband in the arm, screaming and just absolutely miserable. But...ONLY towards my husband. I was absolutley over joyed with my daughter but despised my unsupportive, selfish self centered husband. The fighting got worse and I got lower and lower. I confided in him that I didnt know if I could live life like this anymore. I hated feeling like this towards the man that I truely loved. The more we fought, the less he came home, leaving for days or weeks at a time. I couldnt get the help that i really needed. I practically begged my OB/GYN to put me back on the meds I was on prior to pregancy, but all he would do was put me on anti-depressants and refer me to a psychologist. All the psychologists that I called 9and there were A Lot) were booked out 2-3months. I needed help NOW. After i confided in him with my deepest thoughts and fears of ruining my family because "THIS WASN"T ME" and I couldnt fathom divorce, he had me mental hygeine arrested. i was admitted for observation for suicide, put back on my anti depressants, mood stabilizer and anti anxiety that I was on prior to pregnancy and BAM...I feel 100% better emotionally. i can think clearly again and there is NO MORE anger or rage. However, my husband now thinks that I am crazy and a nut job and wants nothing to do with me. How do I get him to understand what happened to me? Is it even possible to get him to understand especially since he has PTSD and is addicted to marijuana? Now he is trying to take the baby away from me in courts because he thinks that I am crazy and an irresponsible mother for talking about suicide. DONT LET THIS HAPPEN TO YOU...GET HELP EARLY!!!

Anonymous said...

I am a mother of two (2 1/2 yr old and a 7 month old) Since the birth of my daughter I have dealt with these overwhelming feelings of anger, resentment and it was directed, sadly, to both my daughter and husband. Now, after the birth of my son, it seems to be getting worse. I just tend to "lose it" more often now that I have the stress of dealing with two children. To top it off, my husband doesn't understand why I cry or get angry. I get angry at him for not helping with the kids. He has to see me get so upset before he really tries to help. Then I just get more upset at him. He said I am sick and need help. I feel like such a failure and a crazy woman. I hate the example I am setting for my children. I don't want to be this way anymore.

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