Guest Post: Erika Pearson Krull – Ripples of Postpartum Depression


I met Erika online through Katherine Stone over at Postpartum Progress. We were asked to participate in a Mother’s Day Rally together. From there, we kind of clicked as we both have had a similar experience with one of our children and occasionally lean on each other for support in that department. And then there’s our passionate love of college football. I’m humbled to have Erika writing here today about Postpartum Depression. She addresses the after-effects of PPD with power and eloquence. I hope you enjoy her piece and have a wonderful weekend!

 

Health problems sometimes have lingering effects long after treatments are given. For example, I know personally that once you get bronchitis you have a much better chance of having asthmatic symptoms every time you get an upper respiratory illness or the humidity changes a lot. I never had a problem with this until my daughter shared her bronchitis with me a few years ago. I haven’t gotten bronchitis again, but I can’t get too far away from its affect on my life ever since.

The same seems to be true of postpartum depression for me. Between 2000 and 2003, I had postpartum depression and premenstrual dysphoric disorder (like PMS with depression symptoms) following two of my three pregnancies. I eventually got treatment before my third pregnancy, but I still feel the lingering effects of those two problems at times.

During my periods of depression, I had the typical symptoms – crying, low self-worth, negative self talk, withdrawal, etc. Now I find that my anger can burst forth more easily than it used to. When I might have turned inward during my depression, I now turn outward. That’s not an entirely bad thing because my emotions aren’t bottled up. But it can go too far more quickly than I want to admit. I get mad at the dog, my kids, my husband, myself, and so on.

The bigger problem is that this gets noticeably worse during my premenstrual time. Still. After nearly ten years. And I’m using a birth control pill that has helped control the symptoms. I haven’t been honestly depressed in almost a decade and I yet I can’t escape its long term effect entirely.

My point is that in order to get your best quality of life after dealing with depression, you need to really understand how it can affect you after you’ve handled the major symptoms. The stigma surrounding mental illness can be disheartening and confusing. Get it treated, but maybe don’t talk about it so much after that. Or better yet, just get it fixed and don’t pull anyone into an awkward conversation about it. You don’t want to look too selfish or get too much sympathy. Or be seen as incompetent or untrustworthy. And geez, it’s been years, why aren’t you over that?

Here’s the reality – the sooner you treat it the better. And it’s never too late to get treatment because late is still better than never. I firmly believe I would have fewer problems with my long-term effects if I had gotten treatment within a few months instead of waiting nearly three years. The depression would have had less time to make a deep impression on my mind and body. But still, treatment made a critical difference in my life. I don’t truly know how I’d be living if I had to try digging out on my own.

Here’s the good news! These lingering effects don’t necessarily have to make you miserable all the time. I don’t have many conversations about these issues now. I do speak to my doctor at times when my symptoms needed better management, and I find it very helpful to write articles like this or do some public speaking about postpartum depression. I’m also able to handle those tough emotional moments in the moment and recognize what I need to do from there. I don’t allow myself to make my depression history an excuse, but I do recognize the roots of my emotional issues.

Many many women get through postpartum depression and recover well. But it’s realistic for some recovered women to feel ongoing ripples at times. It doesn’t mean you didn’t do a good job of getting through it or that you are broken as a person. That’s just depression for you. It’s a serious condition and requires treatment like many other health problems.

You probably wouldn’t beat yourself up because you had to use a nebulizer years after getting a bad case of bronchitis. You need to give yourself the same break after dealing with postpartum depression. Find what works for you to handle those emotional moments, the negative self-talk, the excess anger, the regrets, or whatever makes you feel stuck again. Develop good self-care habits like regular meals, frequent exercise, lots of social support, and other emotional outlets. When something comes up, you’ll be well-equipped to handle it.

Take care of your mind and body, learn how to recognize your needs, and keep moving forward each day. By the way, it’s mid-October and that means cold season. I’ll be going all out to keep germs away from my lungs, and to be kind to myself when they sneak in anyway.

Erika Krull is a freelance writer and part-time therapist in central Nebraska. She has been married to her college sweetheart for 17 years, stays busy raising three energetic girls and a bouncy puppy, and is still learns so much every day. She writes for the Family Mental Health on psychcentral.com and does local public speaking events about postpartum depression upon request.

Who’s that girl?


“When you see her, say a prayer and kiss your heart goodbye
She’s trouble, in a word get closer to the fire
Run faster, her laughter burns you up inside
You’re spinning round and round
You can’t get up, you try but you can’t”

 -lyrics, Who’s that Girl, Madonna-

Innocent enough lyrics, right? Of course, given that they’re Madonna lyrics that’s an arguable statement. Yet these lyrics are so very applicable to Postpartum Mood Disorders.

As a mother with Postpartum Mood Disorder, we drag ourselves out of bed in the morning after a lengthy internal argument between “have to, able to, and want to.” We stumble into the bathroom where we catch a glimpse of ourselves in the mirror. Raw. Unkempt. Barely awake. Depressed. Anxious. Angry. Petrified. Unrecognizable. So we hide her. We hide the girl in the mirror behind make-up. Behind a forced smile. We tuck her away in the corners of our mind and pretend to be okay for everyone else.

It works for awhile.

But then the mask begins to crack. Chips fall to the floor. We can’t replace them. The cost is too great. Exhaustion sets in, keeping us from fixing the veneer we have worked so very hard to replace. Our hearts and broken minds spill out into public view. We crumble as the pain of exposure overwhelms us. Frozen with fear we become deer trapped on a country road as vehicles race past us.

Until finally someone stops, gets out, and approaches us with compassion. They hold us and walk us back to ourselves, allowing us to lean on them along the way. As we awake each morning thereafter, the girl in the mirror begins to look a bit more like us. Sure, we still have our raw, unkempt, angry, sad, depressed, exhausted days. But in between those days, we cautiously regain our glow. Our eyes once again transform into a beautiful stained glass window to our soul instead of the broken window to the dark soul of the depression or anxiety which has gripped us for so very long.

But the window to depression or anxiety which exists in our eyes, jutting deep into our souls, will never fully close. It stays open, even if just a centimeter. Each time we falter, fail to live up to our own impossible standards, our mind will scurry to that window to measure the opening, to see if it’s widened. We will check and re-check, not believing original measurements equal to the original. Eventually we walk away somewhat satisfied but never fully believing we are recovered.

Depression and mental illness thrive on doubt. They thrive on suppression, stigma, and questioning of our own abilities whether from others or the internal struggle for sense of self. Even without mental illness, we question ourselves our entire life. Grab onto the positive. Grasp tightly onto balloons of hope when they float by. Marvel at the flame of a beautiful candle when it shines light onto your path. Find your light where you can, when it is offered, and let it flood your world. Don’t hide it behind the darkness in the soul of your depression.

Let go. Allow the light flood into your world until you recognize the girl in the mirror again as beautiful. It’s not that she disappeared. It’s that your perception of her was stolen by Depression, a sly thief. Steal her back.

Reanimating my past


Reanimation

Image via Wikipedia

Some time ago, I blogged about how brushing my hair triggered my PTSD from the birth of my second daughter. Not too long after her birth, I chopped all my hair off. It’s long again and I am finally okay with brushing my hair but still mindful of how long I brush. I make every effort to brush only as long as necessary, forcing myself to put the brush down and walk away.

Today, for the first time in over five years, I am listening to Linkin Park’s Reanimation.

Why is this significant?

This is the album I listened to the day my five year old daughter had surgery for her jaw at just 9 days old. I took the MP3 player into the sleep room at the Children’s Hospital right outside the NICU, curled up, cranked it up as loud as it would go, sinking blissfully down into the rhythm of the pulsating beats and the angst of their screaming voices. Thing is, I sank so far down I did not want to come back. I yearned to stay there, hidden, safe, with their angst. Lost in the darkness. Because there, there I did not have an imperfect newborn. There, I was just a soul moving to the rhythm. Nothing was wrong. I was not angry. I was not sad. I was NUMB. I wanted to be lost forever in the solitude of peace which existed amidst the digital beats, the persistent piano tones and haunting echoes behind the remixed rhythms. My womb, my saviour, my peace. I clung to the MP3 player until my knuckles were stiff, refusing to let go, closing my eyes to sink deep beneath the surface of reality.

But today, I sit here, each song echoing into my ears, my soul, my heart, and I am shaking as I type. Breathing deep through pursed lips and wiping away tears. This is music. This is just beats. Just rhythm. Just voices. This is NOT my daughter’s surgery. This is NOT the pain I felt five years ago. It’s not. Today I am letting all of this wash over me and turning it into the music it’s meant to be, not the hell it used to be for me. Today I am not numb. Today I am feeling. Today I am listening. Today, I’m singing with the words. I’m dancing to the beats. I’m reclaiming the music for joy instead of pain.

Today, I win.

Today, I refuse to let this music trigger me any longer.

It’s taken me five years but I’m finally strong enough to refuse to let this beast control me anymore.

Not easy, but necessary. A step toward the new me. Toward the healed me.

Why am I sharing this with you? To let you know that yes, healing takes time. It’s a process with each step presenting itself as you are ready. If you falter, don’t despair. The step will come. You’ll overpower the step with strength from an unknown place when the time is right. It won’t be easy. But it will be powerful. And once you’ve done it, you’ll look back and see just how far your journey has brought you… and how much strength it has added to your life.

Own it instead of letting it own you.