Helen H. Moore's Blog, page 841
March 8, 2016
âI was melting from the insideâ: My struggle with postpartum anxiety
When my daughter, Clara, was 4Â months old, I became mentally ill. The psychiatrist Iâd calledâfollowing two fully sleepless nights, escalating panic attacks, lack of appetite, and the fear that I would never recover from the birth of my childâsaid I was experiencing a âmoderate to severe episode of postpartum anxiety.â It didnât matter that I had work (teaching and writing) I loved, or Danny, my kind and brilliant husband, or my perfect baby girl. Even with all of these gifts, Iâd gone officially crazy.
It started with me feeling tired, but more than the usual new mommy standard. Commuting on the subway rendered me nauseous and dizzy. The effort of bumping Clara down the stoop for a stroll in the winter sunshine was insurmountable. I planned our Mommy Groupâs first-ever-night-out-without-babies, but then worried too much to show up. My arms vibrated when I held Clara. As I walked to get coffee and a scone, passing faces grimaced and swelled with malevolence. Car alarms, sirens and unexpected footfalls made me jump. I felt as if I was melting from the inside.
That was the beginning, of what a tidier writer or mother might call my âjourney to recovery,â a story that would progress in neat, even beats. Before I gave birth, I didn't think postpartum mental illness could happen to me; I got sick, received treatment and medication; post-recovery, I became an advocate for other women, turning this worst-thing-that-ever-happened-to-me into the topic for my first book. That story isnât wrong, exactly. As my grandmother would have said, I took lemons and made lemonade. Cue the surging string section out of "The Blind Side" or "Erin Brockovich."
But Iâm not a tidy writer or mother (as the collection of socks under my sofa attests), so cue a different soundtrack, with tensile strings and more percussive looping. Or maybe I should just say it, into the needle-bump drag at the end of the soundtrack: Iâm not recovered, and never will be.
Then what am I?
Iâm a woman with a mental illness. Iâm a mother whose brain doesnât always behave itself. Since my daughterâs birth, I carry emotional instability like a spore in my head, latent, but ready to sprout. That potential has affected my parenting style ever since. Which is not necessarily a bad thing.
As teacher, Iâve worked with kids with learning differences for years. The result of successful remediation is rarely recovery. But once the frustration of knowing they wonât be âcuredâ wears off, something else happens: They learn to budget more time for schoolwork than their friends or to plot ahead how theyâll talk to their teachers whenânot ifâthey need help. These kids often come to understand their needs better than typical learners.
Iâve come to realize that mothers (including myself) who struggle with postpartum mental illness have to prepare, to remediate parental problems. But we can transform our weaknesses into⦠I hesitate to use the word âstrengths.â More like: if we have to rewrite the manual, we might as well make it a better book. So, five years after my diagnosis (practically to the day) here is my messy, arrhythmic story of parenting with anxiety.
***
After I got my meds âZoloft for the anxiety that my exhausted body turned into depression, Ativan to cut the panic, and Ambien to put me to sleepâI was devastated to hear that I might need to wean my daughter. Breast-feeding was one of the few âmommy thingsâ I was pretty sure I was doing right. I read up on the literature, consulted extra doctors, and ultimately felt safe continuing to nurse, carefully, on my pharmaceutical regimen.
Now, most of my breast-feeding friends weaned between 6Â and 12Â months. Somewhere in that timeframe, their babies learned how much fun it was to try out their new teeth on something with more texture and taste than Mamaâs boob. Clara never got less interested in âthe nursing relationship.â We kept going . . . for two and a half years.
The usual explanation for extended breast-feeding is that itâs better for the child. Iâll admit the truth, though. I kept breast-feeding for me. That connection reassured me that I wasnât an unfit mother, all panic and no nurture.
After my insomnia hit, my doctor and therapist insisted that my health required eight uninterrupted hours of sleep, in a room away from Baby. We live in a small Brooklyn rental, and Clara's crib was in an alcove next to my head. Danny heard the doctors, and insisted we figure it out. We put Claraâs bassinet in his office on the far side of our apartment, two heavy wooden doors away from medicated me in the marital bed. Danny slept on the couch, taking Claraâs nighttime feeds. He continued to do this even after she was big enough to sleep through the night, knowing that I still needed the rest. Six months later, we built Clara her own room, and Danny came back to bed.
Women with postpartum mental health issues obsess over their maternal failings, and I was a classic case â I couldnât wake in the night with my baby, which (in my mind) meant that I wasnât the parent whose body and smell was her first source of comfort and succor. The reality: Fathers or other parenting partners can become a second âmotherâ for the child. Clara often turns to her daddy as the more nurturing, less exhausted and irritable parent. I could lock that Bad Mommy yoke around my neck forever, or acknowledge that Clara and Danny are better off with the relationship my illness forced them to have.
Then, when Clara was around 3, she started sleeping in bed with me. As with the extended nursing, I kind of loved it. I was finally getting that snuggle time Iâd missed in her infancy. Danny and I always figured weâd move her back to her own bed any day, but sheâs loud and screams, and, well, weâre working on it. Guess what? Clara is happy and healthy, and she knows that both Mommy and Daddy will be there for her in the middle of the night.
The obvious question: Isnât it hard with my husband on the couch? Well, yes. The big deal isnât Danny literally or metaphorically coming back to bed. Anxiety isnât one partnerâs issue. It becomes a part of the marriageâs history. For a while, it becomes the marriage.
I'm a crier; floods of tears have always been part of how I process difficulty. For my husband, however, floods of tears look like a frantic signal of oncoming panic. Weâve had to work to let him trust me to fail and falter, to feel anxious and manage it. I donât get to suck in all the emotional light. Danny doesnât want to be the guy who big-foots over his sick wifeâs feelings, but sometimes I have to blow my damn nose and give him his turn.
Last September Clara started kindergarten. The same week she pulled on her new sparkly pink backpack with wings, learned to tighten her own new sparkly silver sneakers, and walked into her kindergarten classroom, I began a new teaching job. In addition to my other teaching job. In addition to writing yet another revision of my book. Danny was responsible for all school drop-offs after the first day, and most of the pickups. I didnât feel as if I knew what was happening with my own child, just like when sheâd been an infant and I was so sick. This time, however, I was making changes for the good, and so was she; we were both growing. Except our growth looked like a mess.
Clara loved her school, but she was exhausted, cranky, and â for the first time in her young life â regularly melting down with us at home. I wasnât much better. At night, Iâd stay up late prepping lessons or rereading my book, putting myself into sleep deprivation. On an October afternoon, I had a panic attack on the train on the way home, then another a few days later on my way to class, and then, inevitably, I felt the familiar hot-cold-looping-thinking during a class. It had been years since I carried Ativan in my purse, and now I found myself replenishing my âemergencyâ pill daily.
âI think Iâm having a relapse,â I told my therapist. âAlso, Clara is really stressing us out.â
âBoth of your lives are very new right now,â she said. âGive it time.â
This is the reality of living with anxiety of any kind, you thread it through, having good days and bad days, weeks, months. A child complicates that. Your bad day isnât yours alone.
Weâre better now, six months in. Iâm still sleeping too little, but the lack isnât making me panic. Clara has gotten better at telling us what she needs -- and to deal when she doesnât get it.
Yesterday, I went on a field trip with Claraâs class to a pizza bakery. When I had to leave, she cried a little, but then bounced off to recess with her friends. I went home and worked, then back to Claraâs school for pickup, and Danny was home in time for all of us to eat tacos together at the dinner table, listening to George Gershwin. Today or tomorrow might bring possible stomach flu (I just got a warning call from Danny), a babysitter crisis, and a cold snap for which we donât have enough clean laundry. Weâll deal. Itâs not recovery, itâs life.
When my daughter, Clara, was 4Â months old, I became mentally ill. The psychiatrist Iâd calledâfollowing two fully sleepless nights, escalating panic attacks, lack of appetite, and the fear that I would never recover from the birth of my childâsaid I was experiencing a âmoderate to severe episode of postpartum anxiety.â It didnât matter that I had work (teaching and writing) I loved, or Danny, my kind and brilliant husband, or my perfect baby girl. Even with all of these gifts, Iâd gone officially crazy.
It started with me feeling tired, but more than the usual new mommy standard. Commuting on the subway rendered me nauseous and dizzy. The effort of bumping Clara down the stoop for a stroll in the winter sunshine was insurmountable. I planned our Mommy Groupâs first-ever-night-out-without-babies, but then worried too much to show up. My arms vibrated when I held Clara. As I walked to get coffee and a scone, passing faces grimaced and swelled with malevolence. Car alarms, sirens and unexpected footfalls made me jump. I felt as if I was melting from the inside.
That was the beginning, of what a tidier writer or mother might call my âjourney to recovery,â a story that would progress in neat, even beats. Before I gave birth, I didn't think postpartum mental illness could happen to me; I got sick, received treatment and medication; post-recovery, I became an advocate for other women, turning this worst-thing-that-ever-happened-to-me into the topic for my first book. That story isnât wrong, exactly. As my grandmother would have said, I took lemons and made lemonade. Cue the surging string section out of "The Blind Side" or "Erin Brockovich."
But Iâm not a tidy writer or mother (as the collection of socks under my sofa attests), so cue a different soundtrack, with tensile strings and more percussive looping. Or maybe I should just say it, into the needle-bump drag at the end of the soundtrack: Iâm not recovered, and never will be.
Then what am I?
Iâm a woman with a mental illness. Iâm a mother whose brain doesnât always behave itself. Since my daughterâs birth, I carry emotional instability like a spore in my head, latent, but ready to sprout. That potential has affected my parenting style ever since. Which is not necessarily a bad thing.
As teacher, Iâve worked with kids with learning differences for years. The result of successful remediation is rarely recovery. But once the frustration of knowing they wonât be âcuredâ wears off, something else happens: They learn to budget more time for schoolwork than their friends or to plot ahead how theyâll talk to their teachers whenânot ifâthey need help. These kids often come to understand their needs better than typical learners.
Iâve come to realize that mothers (including myself) who struggle with postpartum mental illness have to prepare, to remediate parental problems. But we can transform our weaknesses into⦠I hesitate to use the word âstrengths.â More like: if we have to rewrite the manual, we might as well make it a better book. So, five years after my diagnosis (practically to the day) here is my messy, arrhythmic story of parenting with anxiety.
***
After I got my meds âZoloft for the anxiety that my exhausted body turned into depression, Ativan to cut the panic, and Ambien to put me to sleepâI was devastated to hear that I might need to wean my daughter. Breast-feeding was one of the few âmommy thingsâ I was pretty sure I was doing right. I read up on the literature, consulted extra doctors, and ultimately felt safe continuing to nurse, carefully, on my pharmaceutical regimen.
Now, most of my breast-feeding friends weaned between 6Â and 12Â months. Somewhere in that timeframe, their babies learned how much fun it was to try out their new teeth on something with more texture and taste than Mamaâs boob. Clara never got less interested in âthe nursing relationship.â We kept going . . . for two and a half years.
The usual explanation for extended breast-feeding is that itâs better for the child. Iâll admit the truth, though. I kept breast-feeding for me. That connection reassured me that I wasnât an unfit mother, all panic and no nurture.
After my insomnia hit, my doctor and therapist insisted that my health required eight uninterrupted hours of sleep, in a room away from Baby. We live in a small Brooklyn rental, and Clara's crib was in an alcove next to my head. Danny heard the doctors, and insisted we figure it out. We put Claraâs bassinet in his office on the far side of our apartment, two heavy wooden doors away from medicated me in the marital bed. Danny slept on the couch, taking Claraâs nighttime feeds. He continued to do this even after she was big enough to sleep through the night, knowing that I still needed the rest. Six months later, we built Clara her own room, and Danny came back to bed.
Women with postpartum mental health issues obsess over their maternal failings, and I was a classic case â I couldnât wake in the night with my baby, which (in my mind) meant that I wasnât the parent whose body and smell was her first source of comfort and succor. The reality: Fathers or other parenting partners can become a second âmotherâ for the child. Clara often turns to her daddy as the more nurturing, less exhausted and irritable parent. I could lock that Bad Mommy yoke around my neck forever, or acknowledge that Clara and Danny are better off with the relationship my illness forced them to have.
Then, when Clara was around 3, she started sleeping in bed with me. As with the extended nursing, I kind of loved it. I was finally getting that snuggle time Iâd missed in her infancy. Danny and I always figured weâd move her back to her own bed any day, but sheâs loud and screams, and, well, weâre working on it. Guess what? Clara is happy and healthy, and she knows that both Mommy and Daddy will be there for her in the middle of the night.
The obvious question: Isnât it hard with my husband on the couch? Well, yes. The big deal isnât Danny literally or metaphorically coming back to bed. Anxiety isnât one partnerâs issue. It becomes a part of the marriageâs history. For a while, it becomes the marriage.
I'm a crier; floods of tears have always been part of how I process difficulty. For my husband, however, floods of tears look like a frantic signal of oncoming panic. Weâve had to work to let him trust me to fail and falter, to feel anxious and manage it. I donât get to suck in all the emotional light. Danny doesnât want to be the guy who big-foots over his sick wifeâs feelings, but sometimes I have to blow my damn nose and give him his turn.
Last September Clara started kindergarten. The same week she pulled on her new sparkly pink backpack with wings, learned to tighten her own new sparkly silver sneakers, and walked into her kindergarten classroom, I began a new teaching job. In addition to my other teaching job. In addition to writing yet another revision of my book. Danny was responsible for all school drop-offs after the first day, and most of the pickups. I didnât feel as if I knew what was happening with my own child, just like when sheâd been an infant and I was so sick. This time, however, I was making changes for the good, and so was she; we were both growing. Except our growth looked like a mess.
Clara loved her school, but she was exhausted, cranky, and â for the first time in her young life â regularly melting down with us at home. I wasnât much better. At night, Iâd stay up late prepping lessons or rereading my book, putting myself into sleep deprivation. On an October afternoon, I had a panic attack on the train on the way home, then another a few days later on my way to class, and then, inevitably, I felt the familiar hot-cold-looping-thinking during a class. It had been years since I carried Ativan in my purse, and now I found myself replenishing my âemergencyâ pill daily.
âI think Iâm having a relapse,â I told my therapist. âAlso, Clara is really stressing us out.â
âBoth of your lives are very new right now,â she said. âGive it time.â
This is the reality of living with anxiety of any kind, you thread it through, having good days and bad days, weeks, months. A child complicates that. Your bad day isnât yours alone.
Weâre better now, six months in. Iâm still sleeping too little, but the lack isnât making me panic. Clara has gotten better at telling us what she needs -- and to deal when she doesnât get it.
Yesterday, I went on a field trip with Claraâs class to a pizza bakery. When I had to leave, she cried a little, but then bounced off to recess with her friends. I went home and worked, then back to Claraâs school for pickup, and Danny was home in time for all of us to eat tacos together at the dinner table, listening to George Gershwin. Today or tomorrow might bring possible stomach flu (I just got a warning call from Danny), a babysitter crisis, and a cold snap for which we donât have enough clean laundry. Weâll deal. Itâs not recovery, itâs life.






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Fathers passed on nearly four times as many new mutations as mothers: on average, 55 versus 14. The fatherâs age also accounted for nearly all of the variation in the number of new mutations in a childâs genome, with the number of new mutations being passed on rising exponentially with paternal age. A 36-year-old will pass on twice as many mutations to his child as a man of 20, and a 70-year-old eight times as many.Those genetic mutations in men of âadvanced paternal age,â to modify a phrase, were found to be associated with psychiatric disorders in multiple studies. A 2014 report examining more than 2.5 million public health records found an increased risk of autism, ADHD, psychosis, bipolar disorder, suicide attempts, and substance use problems in offspring born to men age 45 and up. âWhen compared to a child born to a 24-year-old father, a child born to a 45-year-old father was 3.5 times more likely to have autism, 13 times more likely to have ADHD and 25 times more likely to have bipolar disorder,â reports advocacy organization Autism Speaks. Those findings were preceded by a 2006 study conducted by an international group of researchers that found children of fathers â40 years or older were 5.75 times more likely to have [autism spectrum disorder] compared with offspring of men younger than 30 years.â Another study even found that men who became fathers when they were 50 or older were nearly twice as likely to have a grandchild with autism than those who did so at age 20 to 24. âTo me, this was a remarkable observation because when I was in medical school, we were always warned about the age of the mother," neurologist Kári Stefánsson, who led the study on sperm mutations, told the Washington Post. "You could argue that in our work, there is buried a little bit of redemption for the old mother that we are always criticizing for the risk of having children, because what is truly dangerous is the high age of the father." There are additional factors. High stress levels of fathers while their babies are in utero may be associated with behavioral problems in their toddler-aged kids. Researchers think theyâve found a causal link between some birth defects and paternal occupations, a list of which includes both predictable and totally unexpected vocations (âmathematical, physical and computer scientists; artists; photographers and photo processors; food service workers; landscapers and groundskeepers; hairdressers and cosmetologists; office and administrative support workers; sawmill workers; petroleum and gas workers; chemical workers; printers; material moving equipment operators; and motor vehicle operatorsâ). And fathers whose diets are nutritionally deficient may increase the risk of âsevereâ birth defects in their children by as much as 30 percent. âNo one ever thinks of birth defects as coming from the father if they arenât genetic,â Sarah Kimmins, a reproductive biologist of the latter study told the Washington Post. âThis is becoming a really outdated way of thinking.â Forget, for a moment, the myriad ways mothers can negatively affect their babiesâ health and instead, briefly consider how much damage is done by not examining what dads should be doing. The problem isnât just that ignoring paternal issues exacerbates sexism or inequality, though those are pretty good reasons to rethink our biases. Itâs that the role men have to play in creating healthy babies is being overlooked. Which can add up to pretty terrible outcomes for babies overall. All because of our outdated ideas about gender roles. âItâs not just about women anymore, itâs about you, too,â fertility advocate Madsen added, speaking to the Times. âIt takes two to make a baby, and men who one day want to become fathers need to wake up, read whatâs out there and take responsibility.â Thatâs all true, but we could be doing a lot more to ensure the information men need is widely available. Most women, whether they want to have kids or not, have been inundated for decades with messages about what they should and shouldnât be doing before and after pregnancy. Direct some of those messages to men. Women donât make healthy babies on their own. Kali Holloway is a senior writer and the associate editor of media and culture at AlterNet.






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