There’s a new study published in Maternal & Child Health‘s March 2012 issue about the impact of maternal depression on the health of children. What interests me about the study is that it seems to indicate, to me anyway, that moms who get treated for postpartum depression have less to worry about than moms who don’t. If a mom who has PPD goes untreated (as 85% of them do), and her postpartum depression morphs into ongoing chronic depression, her child has a greater risk of chronic behavioral problems as he or she gets older. Here’s the abstract of the study: [Read more...]
Ongoing Maternal Depression Can Lead To Later Child Behavior Problems
University of Penn Needs You for Online Survey on New Motherhood
AHRQ Opens To Comments On Efficacy of Postpartum Depression Screening
Important alert on postpartum depression screening! The US Department of Health & Human Services’ Agency for Healthcare Research and Quality (AHRQ) is conducting an evidence review of the efficacy and safety of conducting postpartum depression screening and has opened comments to its “Key Questions” about this topic. The comments are open until December 6, so please be sure to add your opinions if you are an expert on perinatal mood and anxiety disorders.
The AHRQ explains the reason for this new evidence review of postpartum depression screening as follows:
Mirror, Mirror On the Wall: Who Do You See When You Look At Yourself? (BlogHer’11)
There’s the me I know quite well. She talks a lot, often too much in fact, mainly because she’s insecure in her skin and trying so hard, too hard, to show what she knows or that she’s worthy even when she thinks she’s not. Or maybe she is. Truth is, she’s never exactly sure. She can talk a good game, as we’ve just established, but she has a hard time making close, intimate friends, partially due to social anxiety and partially because true intimacy scares the heck out of her. She does work to help others and is sometimes fortunate to be recognized for it, yet when the recognition comes it always feels like an out-of-body experience. It can’t be her they’re talking about.
Then there’s the Katherine I saw reflected back at me when I went to a blogging conference last week called BlogHer. She has style, she smiles a lot and she feels strong and confident. She has friends — lovely, smart, interesting, kind, accomplished, freaking cool friends. She has learned some things along the way that she is happy to share with others, and she is also just as eager to learn from those others. When she looks in her hotel room mirror, she sees beauty, some of it on the outside, most of it radiating from within. It cannot be ignored.
What was with those mirrors in the San Diego Marriott Marquis, anyway? They don’t look at all like the ones at home. Are they made with some special kind of glass? Why is it that, much like the Grinch’s heart, my self-esteem grows three sizes larger when I’m around so many kind and supportive women? Why did I feel more beautiful and more capable and more worthy when looking into the mirror at BlogHer?
While there are many opportunities to cry at BlogHer, given the powerful and sometimes gut-wrenching stories that are always told there, I’m pretty good with a stiff upper lip. The work that I love – helping mothers with perinatal mood and anxiety disorders — is steeped in a lot of pain and despair, and in order to do it day in and day out I have hardened myself just enough so that I can empathize and understand but am not sucked permanently into a vortex of sadness. Instead, I focus on the endgame: recovery and the love and happiness that can be … will be … found in mothering.
I was startled, then, when tears started flowing as I sat in on a BlogHer panel about owning your beauty. They came tumbling out of my eyes with unstoppable force and I felt silly for it but I could not stop. As I sat there listening to the beautiful and talented Rita Arens, Jess Weiner, Karen Walrond, Kate Harding and Stephanie Nielsen, I felt that more than any other message I needed to hear what they had to say. Not only hear it but take it in, believe it and make it my truth: We are all worthy. At that moment I felt crushed under the weight that I alone place on myself, my unease at accepting that I’m more than enough.
I have to wonder how much my issues with self-esteem and my belief, or lack thereof, in my self-worth played into my experience with postpartum OCD. When it came to what I must subconsciously believe is the ultimate test of one’s value — being a good and loving mother — I was sure from the start that I was doomed to fail. What bullshit! How could I have been so unfair to myself when I’m never this unfair to others? I’ve come to learn, of course, that I was dead wrong. I’m a great mom, but it took my children’s love to convince me of that.
Are there other women who were in San Diego who also went home and looked into their own mirrors and noticed they were different too? Women whose beauty and worth is so obvious to me but which they cannot see? I came home, peered into mine and felt a strong urge to rip it down, fly back to San Diego, dismantle the one from room 2166 and reinstall it here. Yet that won’t fix the problem. It’s not my mirror that’s dysfunctional. It’s me. I want to be the Katherine that I saw in the mirror at BlogHer. I need to learn and accept that girl is me. I AM HER. It’s not okay to tamp myself down. I need to allow my eyes to see HER, not the lesser Katherine who often stares back at me. Whether it’s how I look, what I weigh, what kind of mother, wife and friend I am, my age, the work I do and how I do it, it’s all worthy. So …
Which Katherine am I? I am Katherine the Great. I can do this. I can practice and practice until I fully believe this.
So can you. To the following friends, in case you didn’t already know, I want you to know the spectacular beauty and worth in you that I see, and I’m hoping you saw in your BlogHer hotel room mirror, was and is the real and true reflection of you:
Rita Arens, Cecily Kellogg, Robin Plemmons, Briar Sauro, Dresden Plaid, Kristen Howerton, Meagan Francis, Megan Jordan, Sarah Braesch, Laurie White, Ree Drummond, Liz Gumbinner, Becky Harks, Miranda, Katie Sluiter, Beth Anne Ballance, Alena Chandler, Esther Crawford, Ellie Schoenberger, Heather King, Ann Imig, Linda Sellers, Ellen Seidman, Cheryl Contee, Darline Turner-Lee, Casey Mullins, Jenny Ingram, Emily McKhann, Fadra Nally, Chrysula Winegar, Morgan Shanahan, Lindsay Goldner, Annie Urban, Holly Hamman, Anissa Mayhew, Diane Lang, Cristi Comes, Robin Farr, Janice Croze, Debbie Bookstaber, Gina Brown, Lisa Stone, Elisa Camahort Page, Tanis Miller, Danielle Smith, Anissa Mayhew, Alli Worthington, Barbara Jones, Kelby Carr, Jenna Hatfield, Denise Tanton, Kim Tracy Prince, Kristen Chase, Jess Weiner, Victoria Mason, Karen Walrond, Molly Shalz, Shannon Mr. Lady, Jill Krause, Heather Burrell, Liz Thompson, Schmutzie, Deb Rox, Dr. Goddess, and every single other one of you fantastic women I met.
Oh, and you too, Neil.
The Site is Back Up (Whew!) plus More News You Can Use!
Postpartum Progress was down last week, and let me tell you, it was AWFUL. Clicking the link and seeing a blank screen was supercalifragilisticexpeali-AWFUL. I could just imagine someone who needed help trying to get to a page and being unable to, and it was pretty much too much to take. In the end, we had to actually stop the transfer of PP to WordPress and will try again after I come back from the BlogHer conference.
I’ll be going to San Diego this week, and am so happy I will be able to see and spend time with so many Warrior Moms in person, including Miranda, Katie, Molly, Casey, Beth Anne, Jenna, Morgan, Cristi, Shannon, Alena and SO many more. So many women who have been courageous in openly sharing their stories of postpartum depression, postpartum anxiety, antenatal depression and more. There will be lots of hugging.
Heads up! If you live near San Diego and are a survivor or sufferer of postpartum depression (or a related illness) and would like to meet me, I’ll be at a special Happy Hour sponsored by the wonderful organization Postpartum Health Alliance on Wednesday night. It will be at Extraordinary Desserts on Union Street from 5:30 to 7pm. Hope to see you there!!
Also, I’m really proud to have been featured by More magazine this week online at More.com. I hope you’ll check the story out as I really want to send as much traffic as possible to thank them for doing a piece on postpartum depression. Your help with that is much appreciated.
Like A Bridge Over Troubled Water: On Childhood Anxiety, Mine & Theirs
My daughter told me today, as we went on a walk through our neighborhood, that she doesn’t like walking by the pond.
“I don’t like going this way, mama.”
“Why?”
“Because what if I fall in? What if I drown?”
What if. That dreaded phrase. I know “what if” like I know the sound of my breath drawing in and back out.
* * *
When I was little, we lived in New Orleans. Whenever we went to visit my grandmother in Mississippi, which was several times each year, we had to drive over the Pontchartrain Bridge. If you don’t know, the Pontchartrain Bridge is the longest bridge in the world. For me, it was 24 miles of unmitigated terror.
The bridge is situated very low over the water. As you pass over it, you’re almost convinced you could reach out and touch the murky, swampy lake water and the dead stumps of cypress trees poking up out of it. If you’re a small, anxious child riding in the back seat, all you see is this, for miles and miles:
And miles. Nothing but bridge, and water.
I always imagined us going over the side. My mind would play the scenario over endlessly the entire way across the bridge. I knew it would happen when we were way out in the middle, too far from land for any rescue people to get to us quick. I’d try to think through what I would do, how I would get out of the car, what I might try and hold on to. I had no idea how deep it was, or what might be in that water. I was just CONVINCED that one day my luck would surely run out and I’d end up there and there’d be nothing I could do to save myself.
Did other children who rode in cars over that bridge have the same anxiety? I have no idea. For me, it was just one of my “what ifs”. I hated that bridge. In fact, I’d probably go out of my way to avoid driving over it even now, just so I wouldn’t have to relive how traumatic it was for me as a child.
* * *
As I walk with my daughter by the pond, she says she doesn’t like it. She angles her body away from it, as if it might reach out and grab her. What if she falls in, she asks, even though we’re walking at least six feet away from the very shallow edge. This is a serious concern for her. I can hear it in her voice.
I’ve never mentioned Pontchartrain Bridge to her. We’ve never discussed drowning, or any fear that I may have had as a child. I know how to swim. So does she. I like water and so does she. So how is it that she has the same kind of what if? How can it be that my troubled bridge over troubled water is hers too?
Maybe it’s normal to have fears and anxiety like I had as a child. I don’t know what normal is. I never felt comfortable enough to tell my parents how afraid I was of that bridge, or how my heart practically beat right out of my chest or that I was barely able to breathe for however long it took to drive over it. I never told them. I knew they’d dismiss my fears as ridiculous, without ever really trying to understand me. I didn’t think anybody would understand me and my “what if” mind.
I asked my daughter, “What would happen if you fell in?”
“You would get me out,” she says, half questioning and half assured.
“That’s right, presh. I’d get you out immediately. It’s okay that it makes you nervous. I’m right here with you.”
I know what ifs. I know anxiety. I’ve lived with it. I want to hear her troubles and fears. I want her to know that she can be whoever she is with me, and I will encourage her and let her know it’s okay. I will never dismiss her outright. I know the fear is as real to her as it was to me.
As much as possible, as much as is appropriate, I will be a safe bridge, a bridge without fear. I will be my children’s bridge over all the troubled water.
I’m on your side
When times get rough
And friends just can’t be found
Like a bridge over troubled water
I will lay me down
Like a bridge over troubled water
I will lay me down
Postpartum Depression Research Roundup: Oxytocin, BDNF & the Value of Screening in the Hospital
There's been a lot of research coming down the pike lately. Can't tell you that any of it means anything significant to you who are suffering at this very moment. But offering it up for the researchey peeps among you …
Link between oxytocin and postpartum depression
Link betweenbrain-derived neurotrophic factor and antenatal depression(depression during pregnancy)
Whether it's worth testing for PPD in the hospital right after delivery (looks like it may not be very effective, as PPD didn't show up in the majority of mothers screened 1-2 days postpartum)
Abused Latinas Have Higher Risk of Postpartum Depression
It is not news to those who pay attention to perinatal mood and anxiety disorders that women who were or are abused have a higher risk of getting postpartum depression. However, I do think the new widely-reported study on abused Latinas having a five-fold higher risk of PPD merits a mention because … 5 TIMES HIGHER! Clearly, domestic violence prevention could have a positive impact on the number of women who suffer.
MotherWoman Seeking Participants for PPD Research Study in Massachusetts
If you live in Massachusetts, you may be eligible to participate in a study looking at thebarrierstocarefor mothers experiencing emotional complications during pregnancy and/or the postpartum period. The study, being conducted by MotherWoman and the University of Massachusetts at Worcester, involves participating in a focus group in either Greenfield or Northampton. Light refreshments and childcare will be provided. Additionally, they will be offering a $25 gift certificate as a thank you for participating in the study. Click here to learn more.
The Results Are In: PPD Higher During Winter Months?
Yesterday I became aware of a newly published study in the American Journal of Obstetrics & Gynecology on how the season you give birth may have an affect on whether you get postpartum depression.
It found thatwomen who gave birth in October through December were about twice as likely to have symptoms of postpartum depression after 6 weeks and 6 months as those who had children in April through June. The study looked at 2,000 women in Sweden, and it was noted by the researchers in a story on FOX News that, " …compared to most countries, Sweden has a much bigger difference in its amount of daylight in winter versus summer. For that reason, the effect of the seasons on rates of postpartum depression might be more obvious there."
I always have a healthy level of skepticism when people start reporting widely that some link has been found to explain what causes postpartum depression. I'm not a scientist and I'm not a doctor. I just like asking questions, and I'm fortunate to have access to all of you who have survived these illnesses. So, in a very short-lived, un-scientific poll I asked all of you yesterday to tell me both here and on Twitter, in which month you experienced a perinatal mood disorder did you have your baby. I got 93 responses, which ain't bad, and here's how it played out:
January 1
February 8
March 10
April 15
May 4
June 6
July 9
August 10
September 8
October 13
November 3
December 6
Take from this what you will.
















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