[Editor’s Note:Postpartum Progress reader Katie wrote this on her blog today, and I wanted to share it here. Way to go Warrior Mom! -Katherine]
stig-ma (stig-muh)
- a mark of disgrace or infamy; a stain or reproach, as on one’s reputation
- Medicine/Medical
- a mental or physical mark that is characteristic of a defect or disease.
I am just going to throw this out there. I think there is a stigma against mental disorders, or disorders of mental health or however you want to say it. I was reading Postpartum Progress again, and a post Katherine wrote really got me thinking. She was pleading with the media to please stop assuming every single hurt child out there must have a mom suffering from PPD.
It got me thinking. Really thinking. What was behind the half-smiles and “You’ll get through this” I heard when I confessed my diagnosis? At the time I was so glad to have an answer, a reason for feeling my world spinning. The sleepless nights, the racing thoughts, the utter heartbreak; they all had a reason.
And best of all, labeling it with a diagnosis, from a doctor no less, made it seem less my fault. I felt better telling people it was PPD. It’s the hormones! I am not really crazy; this just happens to some women after they have a baby. It’s completely out of my control. And you won’t judge me right? Because it’s not like I am some knife-wielding psychopath. But wait.
I was being judged. Looking back I whipped out my diagnosis to almost anyone who asked how I was doing. I was in survival mode. And in that mode saying it out loud—I have PPD and PPA—was like a salve to my gaping wounds. Little did I know what most people were probably thinking. Those looks, sometimes of pity, were also sometimes of fear. I am not sure if it was fear that I could lash out at any minute, fear that I was, in fact, crazy, or worse, fear that I was going to harm my child.
Looking back, I wish I would have kept my diagnosis closer to the vest. Not because I am ashamed of it, at all! But because I just don’t feel like society as a whole is accepting of mental illness yet. Even I am not sometimes, honestly.
I got a letter in the mail the other day from my life insurance company, who had contacted my former employer. In my employee file it is listed that I didn’t return to work after the birth of my daughter due to “Major Depressive Disorder.” No, no I thought, I wasn’t depressed in the traditional sense. I wasn’t really crazy, it was just hormonal. I had Postpartum Depression, completely different. My file needs to be corrected, I didn’t have Major Depression. Turns out, the DSM-IV doesn’t specify. And neither should I.
Reading Katherine’s article was informative. But it really got me thinking. What can we do to lift the stigma? Is it enough to know that I have a healthy, thriving daughter? A daughter who crawls over to me and plants the sloppiest kisses on my cheek. A daughter that I would never have hurt, ever. What can be done to lift the stigma placed on all mental disorders? Education? Getting the word out? For now I will do my part.
My name is Katie and I suffered from PPD and PPA, aka Major Depressive Disorder, single episode in full remission, Anxiety Disorder related to Major Depression. I was previously mentally healthy, with no major risk factors.
It can happen to anyone, at anytime. I pray no one ever has to go through what I did, but if I know of someone who does I will not judge them. I will not for one minute. I will simply listen, and give them a hug. And support them.
~crossposted with permission from Katie at the blog I Thought I Loved You Then
Beautifully stated, Katie!!!!! I am a survivor of PPD and PPA and am also an RN (almost done with my MSN for nurse practitioner). This stigma also exists within the medical community! One would think that health care workers would be more empathetic, but I have found that many are fearful of any diagnosis of a mental illness – "Oh, you are one of those…."
Education and outreach is the key to making this term more mainstream. I am giving an educational powerpoint to local doctors and NPs next month on the topic of PPD/PPA/PPOCD/PPp – it's a start!
Keep up the great work!!
Stigma, you said it. When my husband told his father that I had been diagnosed with PPD, the first worlds out of his mouth were, "is she going to hurt the baby?" It is sad that only the brash 'headlining' extreme cases of PPD make the news. LIke most mental illnesses it is mostly misunderstood by the population at large until it looms on their doorstep.
Education and outreach are the tools we have.
Thanks for sharing Katie! I wish I didn't know exactly what you are referring to…. I wouldn't wish what I went through on my worst enemy…
I am a teacher, and when I said in the main office that I had been diagnosed with PPD and was going to a support group, another veteran teacher took me aside and said I needed to 'be careful where I talked about that because people could judge me'. 🙁