Islam & Postpartum Depression

postpartum depressionWhat does Islam have to say about postpartum depression?

I found myself asking that question when I read a heartbreaking comment from Amina, a Muslim mother who had postpartum depression, on a piece I had written about postpartum depression and different religious faiths.

I’m Muslim and had postpartum two years ago with my 4th child. Never had it before then. I remember when I told the Sheik’s(kinda like pastor’s) wife that I needed help. They made me feel so small, like I wasn’t a practicing Muslim, and said stuff like “You don’t need those pills.” or “They are just going to make things worse.” or “It’s all in your head. You just need to pray more, pray harder”. It was like saying you’re not a believer in God because you have this issue. I was devastated. I went looking for support and was dragged down even more. I even bought a book from their library and in the book it blamed “the devil or spirits ” and insisted I needed to pray more, or pray certain prayers. Thing was I prayed and prayed and prayed til I could barely move or speak. Did everything I was told to and it didn’t help at all. I never went back to that mosque after that day. It felt like they made things worse on me. I felt like I was being told I’m not a “real” Muslim or a true “believer” or I was simply “weak”.

This happens so often. Women made to feel horrible by people in their religious communities. This is something I cannot abide. Postpartum depression or anxiety (or antenatal depression or anxiety) are not moral failings. Period.

I reached out to my buddy HK to see if she was aware of what the Islamic position on PPD is, and she, being the awesome person she is, found the following for me from Ask The Scholar. It’s not specifically about postpartum depression, but it does provide an Islamic perspective on mental health issues:

Question: What does Islam say about mental disorders/illnesses? Is it due to the effect of jinn (demons) or Satan? What is the Islamic treatment for mental disorders?

Answer: It is indeed very unfortunate that some Muslims today cling to folklore that was not even accepted by those Muslims who came before us.

Even a casual glance at Islamic history reveals that, while much of Europe in the Medieval Period viewed mental illness as demon-related, Muslim scholars of the time, including Ibn Sina (known in the West as Avicenna – the founder of Modern Medicine), rejected such notions and viewed mental disorders as conditions that were physiologically based.

This kind of forward thinking about mental health by early Muslim scholars is also what led to the creation of the first psychiatric ward in Baghdad, Iraq by al Razi (one of the greatest physicians Islam has ever produced and known in the West as Rhazes). Based on the view that mental disorders were medical conditions, patients in these wards were treated not only humanely and compassionately but also using psychotherapy and drug treatments.

All this should be ample proof that in Islam, mental disorders are considered as illnesses that warrant medical attention and treatment, including medication, if prescribed.

In fact, taking medication and treating ourselves via experts is an important Islamic teaching. The Prophet Muhammad (peace be upon him), is reported to have said, “Treat yourself through medications, for God has sent down a cure even as He has sent down the disease.”

All this being said, one should supplement treatment for all illnesses with prayers asking for God’s mercy, cure and healing.

I welcome other perspectives, as I am not a Muslim myself. I have to tell you, though, that I think this persective will remain my favorite. To me, it is beautifully supportive and healing. ;-)

Postpartum Depression Resources for Different Religious Faiths

Lastweek over at O My Family, Allison took on the topic of religion and postpartum depression. As an evangelical Christian, she has not been helped by those who would have her believe that her PPD is simply a moral failing:

"Often when (if indirectly) criticizingor minimizing the validity of the use of anti-depressants for the treatment of depression, statements such as 'Find your healing in Christ', 'Medicine only masks the problem,' or 'Only Christ can restore your joy' are made. Depending on their context, these statements are potentially harmful (and well, the 2nd one is always harmful because it’s not true). Spoken to a friend who needs help seeing through the darkness of depression and then followed up by a sincere offer to help her find the resources she needs, they are good; Christ is the healer, He is the source of all true joy. However, it breaks my heart to have read these statements verbatim on a Christian mother’s blog series on depression no less than a few months ago. When left out there in the cyber universe as blanket statements, they feel like condemnation to the depression sufferer who is feeling helpless. They leave him or her without an actual, tangible step to take toward healing.

They make a 23-year-old new mother in Minnesota sit for months on end in a very dark place because she knows she needs to find her joy in Christ but she doesn’t know how and trying harder isn’t working."

Allison isn't the only one. Psych Central did a story back in 2008 on research that found that more than 32 percent of Christians who went to their church to get help for a mental illness were told they simply had a spiritual problem, even though these were people who had been clinically diagnosed. While that study focused on Christians, I imaginethis experience may be true for women who suffer PPD no matter the religion. Among those who believe, there will always be people who think a woman with postpartum depression is simply not centered enough in her religion or close enough to God or Allah. That makes me sad. As I wrote in a past piece onGod and PPD:

"I know that PPD is NOT a spiritual failing. Does anyone really imagine that if Jesus were here sitting across the table from us he would say "It's your own fault for not praying hard enough"? In my mind, I felt the God I believe in put His arms around me and tell me it would be OK, that I needed to believe I would get better, and that my recovery could include spiritual counseling and/or therapy and/or medication. Whatever it took to get better and be the kind of mom He wanted me to be. I think that whatever higher power you believe in would do the same."

For those of you to whom faith matters, I thought it would be helpful to sharepertinent resources. I am aware of a few positive resources from various faiths on postpartum depression -ones that recognize PPD and related illnesses as real and that accept that medical helpmay be necessary. If you know ofresourcesfor other faiths, PLEASE let me know so I can also list them here.

Christianity

Living Beyond Postpartum Depression: Help & Hope for the Hurting Mom & Those Around Her by Jerusha Clark

The Lifter of My Head: How God Sustained Me During Postpartum Depression by Sue McRoberts

Mental Health Ministries

Out of the Valley Ministries Christian PPD Support

Judaism

Sparks Center, NY: Article from Rabbi Abrham Twerski MD, Torah scholar and psychiatrist (pg. 2)

Delivery From Darkness: A Jewish Guide to Prevention & Treatment of Postpartum Depression by Baruch Finkelstein

Nitza: The Israel Center for Maternal Health (their website doesn't seem to be working at the moment)

Mormonism

LDS.org: Managing Postpartum Depression

Behind the Smile: My Journey Out of Postpartum Depressionby Marie Osmond (not sure how much this book focuses on her faith, but I thought I'd list it here)

Photo credit: © Horticulture – Fotolia

Free Comprehensive Resource on Mental Illness, Spirituality & Recovery for Clergy & Faith Leaders

Rev. Susan Gregg-Schroeder of Mental Health Ministries has created a 4-session resource and study guide for clergy and communities of faith in response to the questions she gets from people who want to include spirituality as part of their treatment and recovery process for mental illness.

She writes: "Surveys show that over forty percent of Americans seeking help with mental health issues turn first to ministers, priests and rabbis. This is twice as many as those who went first to a psychiatrist, psychologist or family physician. Unfortunately, the response of clergy and congregations falls significantly short of what parishioners expect of their faith leaders. Individuals struggling with mental illness are significantly less likely to recieve the same level of pastoral care as persons in the hospital with physical illnesses, persons who are dying or those who have long-term illnesses. Mental illness has been called the 'no casserole disease.'"

That's hilarious. The 'no casserole' disease. No kidding.

Her resource, which can be used for small group study or seminars among other things,has 4 sections:

  • Understanding Mental Illness
  • The Unique Role of Faith Communities
  • Creating Caring Congregations
  • Help for Faith Leaders

"Mental Illness & Families of Faith: How Congregations Can Respond" is completely FREE and can be downloaded as a PDF from the Mental Health Ministries website. It also has worship resources, bulletin inserts, brochures, handouts, articles. Click here to download it.

Rev. Gregg-Schroder, you are amazing. Thank you for continuing to work to eliminate stigma and create better support within the faith communities.

For more resources related to PPD and religion or spirituality, click here.

How Spirituality Can Impact Recovery from Postpartum Depression

I noticed a flurry ofblogpostson religion and depression in the last couple of weeks, and decided I'd share them all with you in a single post, as I know for many of you spirituality is an important part of your recovery.

Last week, Lauren Hale at Sharing the Journey hosted a discussion about religion and spirituality and perinatal mood and anxiety disorders. If you scroll down and read the comments, you'll see a brief but very nice discussion of this topic from some of Lauren's readers, including one woman who is an atheist and who blogs about her PPD experience. I LOVE to see these diverse viewpoints discussed so openly and positively.

In this post, Therese Borchard at Beyond Blue features an interview from NAMI FaithNet with Jay Mahler, founder of the California Mental Health and Spirituality Initiative, and Reverend Laura Mancuso, director of the aforementioned Initiative. In the interview they discuss why spirituality can be important for mental health.

Amber, over at Beyond Postpartum, writes about a new book called The Postpartum Survival Guide that she says addresses PPD from the Christian perspective. (Note: I haven't read it yet, so this reference doesn't constitute an endorsement.)

For more stories from Postpartum Progress on spirituality and perinatal mood and anxiety disorders, click here.

Photo credit: © Horticulture – Fotolia

Sue McRoberts: A Letter to New Moms

I struggle to write you because words are critical and precious. The pain that you are in is unmeasurable and practically impossible to understand. Though I've experienced many of your hurts, fears and anxieties I can never comprehend your exact agony. I tread lightly because I fear I will diminish your experience. I am in tears as I think of what you must be enduring. It has only been a few short years since postpartum depression wreaked havoc on my life, the pain is oh so fresh at times. I question, "What could someone have said to me that would've made a difference?" I've spent weeks reflecting on what you might want to hear and what you also need to hear.

1. You are not alone.

Frankly, if I was you that would make me angry. Most of the time you feel very alone in your illness! Most people don't know how to talk to you. Your spouse in probably freaking out or withdrawing. You have a baby who needs constant attention. Your body is desperately trying to heal. Your mind and heart are broken. But you have the advantage of resources. Utilize them and you won't be alone. Use your friends and family for support. Find a great counselor. Ask some people to pray for you. I will! Find a group of gals to exercise with. Stay in contact with people. Talk to someone, someone who will listen. I know of one person who will listen, comfort and not ask for a bunch of explanations — God. I promise you that God loves you and will listen to your heart's cry. He wants for you to be whole and healthy so you can enjoy your baby.

Zephaniah 3:17 The Lord your God is with you, he is mighty to save. he will take great delight in you, he will quiet you with his love, he will rejoice over you with singing.

2. This will get better.

I never in a million years thought I would get better. I thought my diagnosis of PPD was similar to a diagnosis of diabetes, something I'd always have to live with and manage on a daily basis. Even as I made significant steps toward healing I never imagined myself whole. Here I am … better. Perfect? No. I've dealt with a lot of pain post PPD. I'm not going to lie to you or sugarcoat any of it. I've struggled with a few relapses. But today, on this day, I feel like a million bucks. It's almost hard for me to write that because I feel like I'll jinx it. But I'm telling you, this season of life will pass. It's not fast or easy by any means. My PPD lasted 18 months plus. But I got better and I'm still getting better. It's a process, a very irritating process!

Psalm 40:1-2 I waited patiently for the Lord; and he inclined to me and heard my cry. He also brought me up out of a horrible pit, out of the miry clay, and set my feet upon a rock, and established my steps.

Here are some questions that you may have. These are questions I had in my head as I was struggling. Most of these questions I asked directly of God. My faith was strengthened a million-fold as God sustained me through my depression. I often share these questions publicly with ladies and they typically respond with, "Oh year, I was wondering that too!" For me, the best place to find the answers to all my questions is right in my Bible.

Will I ever overcome this illness?

Romans 8:37-39 "… in all these things we are more than conquerors through him who loved us. For I am convinced that neither death nor life, neither angels nor demons, neither the present nor the future, nor any powers, neither height nor depth, nor anything else in all creation, will be able to separate us from the love of God that is in Christ Jesus our Lord."

Where can I go for help?

Isaiah 41:13 "For I am the LORD, your God, who takes hold of your right hand and says to you, Do not fear; I will help you."

Deuteronomy 33:12 "… Let the beloved of the LORD rest secure in him, for he shields him all day long, and the one the LORD loves rests between his shoulders."

Does God have power to help me?

Psalm 18:35 "You give me your shield of victory, and your right hand sustains me; you stoop down to make me great."

Jeremiah 32:17 "Ah, sovereign LORD, you have made the heavens and the earth by your great power and outstretched arm. Nothing is too hard for you.

Can God give me peace?

Psalm 29:11 "The Lord gives strength to his people; the Lord blesses his people with peace."

Isaiah 54:10 "Though the mountains be shaken and the hills be removed, yet my unfailing love for you will not be shaken nor my covenant of peace be removed, says the Lord, who has compassion for you."

Will God stick it out with me?

1 Samuel 7:12 "Thus far has the LORD helped us."

Isaiah 40:28-29 "Do you not know? Have you not heard? The LORD is the everlasting God, the Creator of the ends of the earth. He will not grow tired or weary, and his understanding no one can fathom. He gives strength to the weary and increases the power of the weak."

Does God truly see and hear me?

Psalm 31:7-8 "I will be glad and rejoice in your love, for you saw my affliction and knew the anguish of my soul. You have not handed me over to my enemy but have set my feet in a spacious place."

What does God expect of me?

Psalm 42:3,5 "My tears have been my food day and night. Why are you downcast, O my soul? Why so disturbed within me? Put your hope in God, for I will yet praise him, my Savior and my God."

Can any good come of my illness?

2 Corinthians 1:3-4 "Praise be to the God and Father of our Lord Jesus Christ, the father of compassion and the God of all comfort, who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves have received from God."

This may be a difficult Mother's Day for you. The only way out of it is to go through it. Cards, flowers, candy, jewelry, whatever … it may not bring any smiles this year. Even your baby may bring no joy this time. I pray that with time, rest, medication, counseling, whatever it is that you need … that you will find your way to wholeness. I believe with all my heart that God gave us children to enjoy them, not to be in psychiatric units or counseling offices because we gave birth to them. Take a deep breath, get some sleep. You may be in this for the long haul. If you need a friend in the meantime who gets a lot of what's hurting you, please email me. I'd love to be your new friend!

Sue McRoberts is the author of "The Lifter of My Head: How God Sustained Me During Postpartum Depresson" and a blogger at Totally New Moms. She is a survivor of postpartum depression.

Depression: Moral Failing Or Real Illness?

I write here very little about my spirituality, because I want to make sure all who come to this site feel welcome. But I do think it’s important every now and then to reinforce the notion that postpartum depression is NOT a spiritual failing.

Dr. John Grohol over at Psych Central reported last week on a new study in which " …more than 32 percent of Christians who approached their local church for help with a personal or family member’s mental illness were told by their clergy that they did not really have a mental illness. They were told the cause of their problem was solely spiritual in nature — such as a personal sin, lack of faith or demonic involvement." These were all people, by the way, who had been officially diagnosed by a psychiatric professional. Even worse, " … women were more likely than men to have their mental disorders dismissed by the church."

UGH. It’s just not true, and it’s just not fair. Mental illness is real. Does having a strong faith help? Absolutely. Does God give you great tools to help live a more grateful and contented life? I think so. But people still get sick, and it doesn’t mean they’re possessed by "the demon". It just doesn’t.

Here’s another piece on this topic that I like called "Depression, It’s Spiritually Incorrect" from Therese Borchard at the Beyond Blue blog on BeliefNet. A highlight:

"Somehow Christians and God-fearers of all religions are programmed to believe they are "above" mental illness and depression. Faith conquers all.

Even though these devout individuals don’t feel morally weak when coming down with a stomach bug, or something more serious like a viral pneumonia or arthritis, they absolutely do feel morally bereft if anything (genes, stress, illness, trauma) disrupts the structure and function of brain cells, destroying nerve cell connections–resulting in neural roadblock to the processing of information (which happens with depression)."

Clergy could do so much to help others by educating themselves on mental illnesses and being supportive rather than placing blame. Help us access the various tools and treatments that God has blessed us with, including the church or temple or mosque, as well as therapy, medication, nutrition, exercise, support groups and whatever else helps.

Hope, Spirituality and Postpartum Depression

Shannon Armitage at the Managing Life Transitions blog writes about research from the University of South Carolina on the rates of postpartum depression among women with strong religious or spiritual ties. The study was published in the Archives of Women's Mental Health back in February. (Did I write about it then? I don't remember hearing about it.) Anyway, Sharon uses it as a jumping off point to talk briefly about the importance of hope.

Spirituality & Postpartum Depression

We are going to have a religious discussion now, so everyone get ready. If you don't think you can be ready, don't read any further. And before I start I want you to BE VERY CLEAR that I welcome and embrace anyone and everyone who comes to this site, regardless of your ideology. I do not judge you because of what you believe or don't believe. OK, here goes …

Lately I've had more than a few experiences speaking with Christian women suffering from perinatal mood disorders. It saddens me that many of them believe it is a spiritual failing on their part that led to their illness. Some are taught this at an early age, others are told by people they trust when they're right in the middle of suffering. I am aware of one case where a woman actually committed suicide after being told by those closest to her that she was sick because she wasn't "right with God". Well here is what I know for certainPPD is not a punishment from GOD.

I was reminded of this issue by reading a post just now entitled "What I Wish I'd Been Told" by a young Christian woman identified as "rocknrollmandie." Here is part of her courageous post:

I grew up in a denomination that taught (to my understanding) that any mental illness can be traced to unrepented sin in one's life. This not only left me wondering what I had done wrong whenever I experienced depression or anxiety, but it unfortunately caused me to wrongly judge those who struggled with similar issues. I also grew up under the impression that medicating a mental illness was unnecessary and only covered up the issue.

She goes on to discuss her experience with postpartum depression, and at the end she asks whether others feel guilty for having emotional struggles.

I have avoided discussing my personal faith on this site because I never want to give an impression of exclusion of others. But I want you to know I am a Christian who has been through PPD and gotten better with medication. I know that PPD is NOT a spiritual failing. Does anyone really imagine that if Jesus were here sitting across the table from us he would say "It's your own fault for not praying hard enough"? In my mind, I felt the God I believe in put His arms around me and tell me it would be OK, that I needed to believe I would get better, and that my recovery could include spiritual counseling and/or therapy and/or medication. Whatever it took to get better and be the kind of mom He wanted me to be. I think that whatever higher power you believe in would do the same.

The only kind of people who can say these illnesses aren't real are the people who've never had them.

Click here for more on Christianity, other religionsand postpartum depression.

Writer Looking for PPD Stories from Christians

Kimberly Rogers is writing a book on postpartum mood disorders from the Christian perspective and would like to hear from Christian women who are willing to share their stories. Kimberly has a Master of Divinity degree and is a previous pastor and teacher. She is also co-coordinator of Northern California for Postpartum Support International.

Please reach out to her if you’d like to participate or if you have question at ppdstories@kimanddarren.com.

Christian-Based Website Offers Comfort to PPD Sufferers

For those readers who are Christians and find comfort in their faith, there is a new website called Out of the Valley Ministries that was created to provide Christian encouragement and support for women suffering from postpartum mood disorders.

Created by Tara Mock, who suffered severe postpartum depression after the birth of her son last year, it features community forums and Bible-based inspiration. Mock created the site because she discovered a need during her own recovery for a Christian ministry dedicated to supporting women just like her. You can find the site here.