Tuesday, March 31, 2009

Atlanta Support Group update

The Atlanta Support Group is currently on hold while the time/day and location are evaluated to make them most convenient for those moms seeking a support group. In the meantime, one-on-one and small group peer support will happily be offered. Please contact Amber at atlantamom930@gmail.com for more information!

Peer support is a very effective form of treatment for perinatal mood disorders. It can serve as the main form of support for mild cases and in combination with therapy, medication or other mod.-severe cases. Click HERE to read more about peer support and it's effectiveness.

PLEASE, please contact me. I would be happy to get together for tea or to schedule a time for 2-4 of us to get together at a time convenient for all interested. I don't want to close the group, but it has become clear that the times previously offered are not working for folks right now, so I would rather schedule on an as-interested basis.

Meet with other local women who are dealing with or have recovered from Postpartum reactions and mood issues, including depression, anxiety, obsessive compulsion, post traumatic stress disorder, insomnia, panic disorder and baby blues. Non-mobile infants are welcome and we may offer childcare if enough interest is expressed.

Monday, March 30, 2009

Article on Perinatal Anxiety- study at UNC

You've probably heard of postpartum depression - a common problem after pregnancy, suffered by about one in seven new mothers. But did you know there is a much more common form of distress that can also be harmful for pregnant women, parents and newborns?

Perinatal anxiety - unhealthy distress experienced during or soon after pregnancy - is the subject of a major new study being conducted by psychologists at the University of North Carolina at Chapel Hill and Florida State University.

"We call perinatal anxiety the hidden disorder," said Jonathan Abramowitz, Ph.D., co-principal investigator for the study, associate professor of psychology and director of the Anxiety Disorders Clinic in UNC's College of Arts and Sciences. Abramowitz is also a research associate professor in the UNC School of Medicine's psychiatry department.

"This is not new, but it's not been discussed or studied very much, even though it's a lot more common than postpartum depression," Abramowitz said.

Symptoms of perinatal anxiety may include general uncontrollable worries during pregnancy or the early stages of parenthood. First-time parents encounter many unknowns which can make them fearful, Abramowitz said. "They may think: is the baby going to be healthy? Is the baby normal? Am I going to be a good parent?"

"About 60 to 70 percent of new mothers and fathers have these kinds of thoughts," he said. "It's normal to think these things, dismiss them and move on. But when you can't control your thoughts, or they interfere with your sleep, your health or your ability to care for your baby, then you may need help."

In some cases, such anxiety results in panic attacks. In the most serious cases, parents may become obsessed with senseless, intrusive negative thoughts which they can't seem to control no matter how hard they try, Abramowitz said. "They may begin to worry about all kinds of things: What if the baby dies during sleep? What if I lose control and harm or molest the baby? What if I do something terrible to the baby? Worse, they may feel scared and confused about what these thoughts mean - fearful that they will act on these obsessional thoughts."

Abramowitz, an expert on anxiety disorders, has been studying perinatal anxiety since 2001. First he identified symptoms and explored how to predict if new parents were susceptible to the condition.

Now he and colleagues are trying to determine if first-time parents experiencing significant anxiety can be helped by cognitive behavior therapy (CBT). This form of psychological treatment is effective in treating other forms of anxiety, including panic attacks and obsessive compulsive disorder.

"Cognitive behavior therapy involves helping patients learn strategies to change maladaptive thinking and acting patterns that contribute to anxiety and obsessions," Abramowitz said.

All participants in the six-week study will receive helpful childbirth counseling as part of free weekly prenatal classes. Half of the participants will receive elements of CBT as well. Those who complete the study will also receive a modest fee at the end.

First-time pregnant women over the age of 18, and their partners, can learn more and complete a screening questionnaire online at www.babyprepstudy.com.

The Anxiety Disorder Clinic is part of UNC's psychology department. In addition to engaging in studies, the department's clinics provide low-cost therapy services to adults and children on a sliding-fee scale. They can be reached at (919) 962-6906.

http://www.unc.edu/

Melanie Blocker Stokes Mothers Act needs YOUR support!

Susan Stone, former president of Postpartum Support International, is spearheading the nationwide effort to get the Melanie Blocker Stokes MOTHERS Act passed by the US Congress. This bill supports increased research into the causes and treatments of postpartum depression, as well as funding for better services for women. It is already endorsed nationally by NOW, the March of Dimes, ACOG, AWHONN, NASW, Mental Health America, the American Psychiatric Association, and many other well-respected organizations. To read the bill, click here: http://www.perinatalpro.com/ppdlegislation/billlanguage.html

Susan needs more endorsers from the state of Georgia. I have already endorsed this bill, as has the Georgia Postpartum Support Network. If you are interested in lending your name to the list of supporters from our state, please email Susan at susanstonelcsw@aol.com with the following information:

If an organization: Send your name and permission from Executive Director... need name of organization and contact person.
If an individual: Send your name, any credentials (if any, such as MD, LCSW, RN, etc.), title if you'd like, and state.

Wednesday, March 25, 2009

Great Article about C-section recovery- emotional and physical

This is an awesome article that is a chat from Pampered, Pregger and Beyond that has been published. I love the insight into the emotional aspects of a c-section birth. I want to print it off and share it with my family and friends so that they read in such plain language how I felt after a long labor and then c-section.

Monday, March 23, 2009

The confidence of a believer

Dear friends,

You may or may not be a believer in God, a person whose life is directed and supported by faith, or who finds their place in a religion. Regardless, I invite you to read this insight below into spirituality that Joel Osteen ministries sent out today.

So often I have spoken to friends and acquaintances who feel that they are strong enough or not so weak that they need to rely on a higher power to "get them through life." I have always found this argument a bit confused, convoluted and backward of the faith that I call my own. You see, my experience of faith is that it takes a level of commitment and effort that other relationships do and sometimes more. Rather than considering myself a religious person, I classify myself as having an active relationship with God. I feel that this does not make me a "weak" person, requiring extra support and (founded or unfounded, mystical or real) input from a higher being, but rather strong. This strength comes from the unrivaled strength of my God and from the strength that each person acquires from all good and right efforts in this world. We have all heard others say and have probably said ourselves "I don't regret that struggle, it only made me stronger and who I am today. " Such is our relationship with God. It may be a struggle at times to believe, to have faith when things are tough, to find the time in our busy lives to pray, to study, to worship. But, it really does only strengthen us. It solidifies our faith and our ability to help others when we stand firm on what we believe.

So, I challenge you today, whatever your beliefs, to be strong. To have confidence. To have faith. To share, worship and praise...I promise...it doesn't make you weak, but strong.

TODAY'S SCRIPTURE

“For the Lord of hosts has purposed, and who can annul it? And His hand is stretched out, and who can turn it back”
(Isaiah 14:27, AMP).

TODAY'S WORD from Joel and Victoria

As believers, you and I have an advantage. We don’t have to go through life just depending on our own talent, our own ability, our own strength. The Scripture talks about how God’s hand is outstretched toward His people. That means there is a supernatural power behind every believer. God’s outstretched hand will help you accomplish dreams that you thought were impossible. His outstretched hand will cause you to get well even when the medical report says there is no way. The outstretched hand of God will help us to prosper even when the economy is down.

Let this sink down into your heart today. All through the day, imagine God’s hand outstretched toward you. It is a hand of healing, a hand of favor, a hand of restoration. No matter what you may be facing, you have to realize there is a force for you that is greater than any force that will ever be against you. You’re attitude should be, “I am not settling where I am. I know I have an advantage. As a child of the Most High, I know God’s hand is outstretched toward me.”

A PRAYER FOR TODAY

Father in heaven, thank You for Your outstretched hand of protection and provision for me. I choose to lay aside every fear and every concern knowing that You will make a way for me. In Jesus’ Name. Amen.

© 2009 Joel Osteen ministries

Wednesday, March 18, 2009

What's your word?

So I have been reading "Eat, Pray, Love" by Elizabeth Gilbert this month. Not surprisingly, this book was popular and a NY Times Bestseller a couple of years ago. That's my typical style...I watch movies, buy appliances and read books a long time after they peak in popularity and then return to a more normalized place in the public. It's not that I am naive, out-of-it or so clueless about culture that I don't even know what's popular until years later. More that the rebellious nature of my personality won't allow me to "give in" to the popularity of something and enjoy it while the rest of the world is. Some who have this nature may just be bucking the system, trying to be unique, alternative, and "too cool" for what everyone else is doing. I definitely don't think I am too cool. :) Nor am I the type that wants to hear what everyone else has to say about something before I give it a try. In fact, often I try to avoid detailed recaps or opinions of something that I am fairly certain I will try at a later date. But I do love the wait. The time that lapses between that peak and when I personally experience something.

Anyway, so Elizabeth's journey through Italy, India, and Indonesia is a spiritual one primarily, but also includes excerpts of her interactions with the people she meets along the way. Some of these folks, in fact most of them, teach her valuable lessons. In Italy, she meets a gentleman with whom she shares time so that they can teach each other their native languages and learn their desired second languages. Giulio, in one of their conversations, tells Liz that each city, person, etc. has one word. This word is meant to be able to fully encompass the entire lot in a description so clear and obvious that you can know almost everything about that person or place by knowing their word. Giulio utilizes the example of Rome by telling Liz that Rome's word is SEX. He claims that word can sum up Rome in it's entirety. Liz spends 4 months in India after Italy and at the end of her time there discovers her word: ANTEVASIN. This word is a sanskrit whose definition is "one who lives at the border."

As I have been reading this book I have been pondering my word. Would it be ENERGY? Is it ASSERT? Is it CARE? Is it ANXIETY (I hope not...)? No, I think my word is SEEK. At dictionary.com seek is listed this way:

seek

sought, seek⋅ing.
–verb (used with object)
1. to go in search or quest of: to seek the truth.
2. to try to find or discover by searching or questioning: to seek the solution to a problem.
3. to try to obtain: to seek fame.
4. to try or attempt (usually fol. by an infinitive): to seek to convince a person.
5. to go to: to seek a place to rest.
6. to ask for; request: to seek advice.
7. Archaic. to search or explore.
–verb (used without object)
8. to make inquiry.
9. be sought after, to be desired or in demand: Graduates in the physical sciences are most sought after by employers these days.

I am happy with this word. I do feel connected to it. These words which are used to define it define me and my efforts on this earth. To try. To attempt. To make inquiry. To request. To go in search of. Am I not constantly trying? Reaching out. Searching for my place. Finding my passion. Requesting information? Exploring and going? Inquiring with God on the how tos of life? Asking him for help in my journey? Seeking joy and peace. Questing for rest and solutions? Indeed, this is my word.

Tuesday, March 17, 2009

Important links when having (or considering having) a baby after a PPMD

This LINK leads you to a Postpartum Pact that was created by Karen Kleiman of the Postpartum Stress Center. This pact is chock full of wonderful planning tools that you can have prepared before the birth of your next child. These tools can help your husband, partner, or other family member or friend to best support you in the postpartum period.

Karen also has written a book that is touted as the best book for PPD moms considering pregnancy again after surviving a PPMD.

What Am I Thinking:
Having a Baby After Postpartum Depression

by Karen Kleiman, MSW

Here is a card that you can give to educate and thank those who are supporting you through a PPMD.

Monday, March 16, 2009

He's stretching me...

Thanks for walking this journey with me. I am so inspired by the way that you all have agreed to be an active participant not only in the world of postpartum research, education, and healing, but also on my personal journey. I do try to be as open of a book as possible to allow for lessons that I am learning along the way to to be experiences that may be relevant to others.

Over the past week I have worked diligently to be mindful of the present moment and to allow God to work within me to help me to find the joy in mothering that I am certain He wants for me. I have had lots of opportunities to spend extended time with L. and we had a great time! My husband was out of town for 3 days and this allowed us to focus on our mommy-son bond. I really felt connected to L. and found myself by Sat. evening allowing him to climb the stairs (up and down, over and over) for at least 20 minutes before church. I was not impatient. I was not frustrated. I was not unhappy. I simply allowed my son to do what he was excited about (no matter how boring it was to me). I realized by Sunday that it had been a whole week since my "revelation" about lightening up. I want to share with you that this is not an overnight transformation. That I am nowhere near the end of the road in finding the joy. But, I am walking in the right direction.

God is doing work in me. I can feel it. He is STRETCHING me. This is the term I like to use about how God works in us through the challenges that we are presented. I am not talking about a God who orchestrates every detail great and small in our lives. Not a God who creates drama and trauma to intentionally "punish" us as humans for our brokenness and teach us a lesson. I am talking about my God, a God who helps me to see His presence in my life through everyday events. I truly believe that God presents opportunities for us to learn about ourselves and our faith by taking us out of our comfort zone, by presenting simple challenges, and by showing us the Holy Spirit at work. As I sang out in worship on Saturday I realized that God really does "never let go of me." He always has His hand upon me and my life, working in subtle or obvious ways.

Over the past couple of months I have been presented with moderate challenges. One of these was the early arrival of my nanny's first child. We had planned for her to watch L. for two more weeks and her little baby arrived almost 3 weeks early. This situation forced me to find alternate childcare options, to rearrange my schedule, and to learn to do things at home like get ready for work without someone to help with my kiddo. The first couple of days I stumbled...I realized that I would have to take a shower at a different time of day and that I would have to leave 30 minutes earlier than usual for work to allow for daycare drop-off and traffic on the highway and in town. That I would not have any free time with childcare on my days off from work. It's amazing how much more confidence I have in my multi-tasking skills at home now that I have done this for 6 weeks! I know how to get myself and my babe ready faster and more efficiently than before. I am a pro at getting over 6 or 7 lanes to the HOV in the mornings and then back over in time to make my right exit from the highway.

I think of myself as silly putty in His hands. Not like clay which is added to and shaped into separate and somewhat different pieces, but putty. Putty that is being stretched, shaped and molded into a different form though the original components have not changed. While the putty may become too thin and even holey at times, God is careful only to stretch me far enough to lengthen me, to deepen me, to grow me in my faith. God does not want to break me, to pull me too hard that He can't easily stretch me again. I trust him. I trust that the lessons I am learning are a part of His will and work. I am thankful. What a gift that I can find joy in the work that God has set before me as a mother.

Monday, March 9, 2009

Finding the joy

Dear readers, I hope that Spring is beginning to spring in your part of the world and that you have found time to get outside and connect with nature recently. Being outdoors always makes me feel a bit closer to God. Perhaps its because it is His creation with which I am connecting or perhaps it is the removal of the physical barrier of the walls and doors that create just one more layer of separation between me and Him. Whatever it is, I best like being outdoors on a 70 degree day wearing a long-sleeved shirt and pants with no coat.

This weekend our dear friends generously allowed us to stay at their lakehouse in TN. Packing up a carload of clothing, linens, food, babygear and other items for a 36 hour trip would perhaps be a deterrent to some to even making the trip. The "professional bag-lady" that I am (my father has always referred to me as this due to both my constant shifting of homes with a dysfunctional divorced family as well as my love of travel that has only grown in adulthood) takes on this challenge fairly confidently. So off we went, arriving just in time for dinner on Friday. Saturday we awoke early to a chilly, but beautiful day. We took a hike and then headed back to the house for some time on the lake.

This part of the story gets a little personal and some of you who don't know me may wonder why I am willing to share such an intimate conversation and circumstance with the public. In short, I feel that God has called me to minister to others and I hope that my experiences through PPMD, motherhood, and other trials will offer some hope, insight, or simply empathy to another.

Our Mom's Bible Study is currently reading a book entitled Calm My Anxious Heart. This book aims at helping women become content with their lives, themselves as humans, and their faith. On Friday we were focused in discussion of contentment with one's self. We began talking about "getting good," as my friend C. calls it, with who we are and how God made us. C. describes this as accepting and loving yourself as how you are, but not as using that as an excuse not to act.

Over these 17 months of motherhood I have struggled with the real me as a mom vs. the ideal me Mom. This struggle has included guilt, shame, sadness, anger, and many other emotions. I feel like I have recently come out of this struggle and have gotten good with who I am. Getting good has meant accepting that my highly assertive, bold, CEO-type personality is more comfortable in a conference room than a playroom. It means I know what to do with a room of 150 people at an event better than one on one with my son at times. It doesn't mean I am a bad mom. BUT, it does mean that I need to work really hard at being a good mom. Regardless of how much interest I have in playing cars on the floor or practicing going up and down stairs with my kid, I need to do it. It is my responsibility to do it. Here's where it gets tough...God wants it to be my JOY to do it.

That's where a new struggle has begun. As I shared with my Bible Study, I am not finding the joy easily. I find myself easily distracted by household tasks, by websites and blogs, by email, by social networking, by cooking, really by anything. I never thought that laundry would seem less monotonous or more interesting that playing with a toddler, but if I am honest sometimes I find myself enjoying that boring task more. It makes me sad. This weekend I found out who it makes sadder...

As we sat on the dock while L. napped inside the lakehouse M. and I had a moment of absolute candor. M. had observed me becoming frustrated earlier when L. wanted to climb up and down the porch steps repeatedly rather than doing all the things at the lakehouse that I thought he would want to do. Instead of fishing with his Dad, swinging in the hammock, playing with the sticks and rocks in the yard, or running around the property, he just wanted to go up and down. U.p.a.n.d.d.o.w.n. again and again. When I had finally had enough I took L. inside where he was contained, sat him down with a pile of blocks, and made us some lunch. It was clear that I was frustrated and disappointed. M. could pick up on it the whole way down at the dock.

So later that day as we took a few minutes to talk, M. really called me out on it. He said that he would LOVE to spend all day every day with L. and that he can't imagine that I don't want to. He said that he doesn't care what activity L. chooses to do that it is fun for him because they are together. He said it doesn't bother him to play silly games or do redundant and monotonous tasks with a toddler. Lots of feelings were shared, the gist of which was that M. was not sure that I was the person he thought I was and that he wasn't even sure that I wanted to be a mother. He said that this made him question spending the rest of our lives together and made him sad. He said that he thought I didn't know what I wanted. He said he had thought it would "go away." I began to share that I had thought that it would go away with my illness, as well. That I had imagined these thoughts and feelings floating away on the dark cloud that was my PPMD. That I never imagined that I would not enjoy being a mother or wonder if I really wanted to be one. I tried to explain how devastating it was to already know your child and love him and yet wonder if you would have had children if you had never known a child that you already had. That it was so sad, as well as frustrating for me to not really find joy in the activities of mothering. That I do love them both and want to be married and be L.'s mother even though I feel this way sometimes. That though I love to be alone, being alone does not mean not wanting to be a part of our family. We walked in silence from the dock to the house, both filled with thoughts and concerns too big to voice at that moment.

Later in the day I found myself going about general tasks such as dishes and marinating the steaks for that evening. As I was doing this, my husband was sitting in a recliner watching television and L. was playing with toys throughout the room. I looked out from the kitchen area and it was as if a glimmer of hope hit me in between the eyes. Something seemed to become clearer to me. Perhaps it wasn't me, it wasn't the experience, and it wasn't the age of my child. Perhaps it was how I was viewing the situation. Was my need for control and my serious nature ruining my ability to find joy in this experience? Was my inflexibility preventing me from being the mother I wanted and needed to be for myself and L.? I thought back to a conversation we had had with a couple who lives in PA still and has a child of similar age to L. The mom had mentioned that even with a child who never slept through the night that she would love to have 10 kids. At the time I took her as naive, simple-minded and frankly a little crazy! Saturday, I began to see that maybe, just maybe, the reason I was not enjoying motherhood as I could was because I was taking it too seriously. Maybe it doesn't matter if L. is exposed to some grown up TV shows. Maybe it doesn't matter if he is consistently challenged and engaged throughout the day everyday and never allowed to play with electronic toys or watch cartoons. I think back to our sweet friend and think maybe she's not out of her mind, but simply ok with being who she is and being a good mother, but not taking motherhood too seriously. She has been open about the fact that she and her son spend their days in the family room, her on the computer half-watching HGTV and him playing independently with the toys in the room. She probably takes a break from work once in a while to give him a squeeze or suggest a new toy. I am sure she makes sure that he has balanced snacks and meals and fresh diapers. But, she doesn't obsess that he might see a commerical, might not be enrolled in preschool or other "stimulating" programs, or really much else. She takes it one day at a time. She lives in the present.

Saturday, God opened the blinds a little for me. The view is still not absolutely clear, but the I feel like He is helping me to see that there is joy for me, too, and that finding it may actually be easier than I thought. If I can capture the moment, live for it, realize that God is working in me in big ways (Thanks, C. for pointing this out), and take myself and motherhood a little less seriously perhaps I will find the joy.

BTW- I shared these thoughts with my husband who seemed to think I was on to something...things aren't perfect...the storm of PPMD still has left a lot of clean-up for us in our marriage, but we are happily working on it.

Great web tool at Pampered, Pregger and Beyond!

Pampered, Pregger and Beyond is a wealth of information for perinatal women. Here you will find transcripts of chats and discussions and downloadable audio files of teleclasses. Please take the time to explore this site, become a member and share with others. I participated in last week's chat on Cesarean Recovery and learned valuable lessons about homeopathy that will come in handy for many purposes, some even unrelated to childbearing.

Tuesday, March 3, 2009

Postpartum Depression and Anxiety Process Group starting March 17, 2009

Group facilitator: Jacqueline V Cohen, LAPC

This group is for women who have a newborn or up to a one year old child. It will consist of 6 to 8 women. Topics will include any symptoms of depression and anxiety, adjustment to motherhood, body image after baby, partner/family/community/support , communication, family boundaries, motherhood in the 21st century, and what it means to be a “good enough” mother. The group is an 8 week commitment. It begins Tuesday March 17th and will be held every Tuesday for 8 weeks from 11-12:30. Non-mobile children are welcome. Cost is $40 per group, plus initial interview. If interested, please contact Jacqueline Cohen at 404-822-1026. Location: Roswell, GA


Sunday, March 1, 2009

Read the full transcript of my

Thank you so much to Tiffani Lawton at Pampered, Pregger and Beyond for inviting me to host a chat there a few weeks ago. The chat is described as, "Through the first 3 month's of her child's life, postpartum anxiety robbed Amber of the joy of the early weeks of being a new mother. The constant physical and emotional side effects overshadowed her ability to utilize and trust her intuition." Tiffani has made the transcript available HERE. I hope you will enjoy learning more about the risk factors and stressful events that preceded my ultimate diagnosis with Postpartum Mood Disorders, including Postpartum Anxiety.