Friday, October 17, 2014

POSTPARTUM MOOD DISORDER

Women-One in five.  Men-One in ten.   These are the numbers of new mothers and fathers who experience Post Partum Mood Disorder.  No longer described solely in terms of depression or anxiety, Post Partum Mood Disorder is a disorder that describes women and men who are not only depressed or anxious but also moms that experience scary, intrusive and obsessive thoughts and obsessive behaviors (Postpartum OCD), as well as moms that experience frequent panic attacks (Postpartum Panic Disorder).  Some moms experience difficulty managing their anger and feel intense feelings of rage.  Postpartum Mood Disorder also includes moms that experience symptoms in pregnancy  (Antenatal Mood Disorder) and moms that experience mood and anxiety problems related to traumatic births (Postpartum Post Traumatic Stress Disorder).  For a very small number of women, this illness can progress to Postpartum Psychosis which needs immediate medical and psychiatric attention.  The symptoms of PPMD can develop anytime in the first year after birth or after weaning from the breast.

There are many symptoms of Postpartum Mood Disorder and the website, Postpartum Progress, outlines these symptoms quite well.  http://www.postpartumprogress.com/the-symptoms-of-postpartum-depression-anxiety-in-plain-mama-english 

Many moms wonder how Postpartum Mood Disorder and breastfeeding interact with each other.   There is evidence to suggest that breastfeeding protects and/or lowers the risk of postpartum mood symptoms and that weaning early may not be in the mother’s best interests and may not reduce or clear her symptoms. http://www.sscnet.ucla.edu/comm/haselton/unify_uploads/files/Hahn-Holbrook,%20Haselton,%20Dunkel%20Schetter,%20Glynn%20Does%20breastfeeding%20offer%20protection%20against%20postpartum%20depression.pdf  However, early weaning due to PPMD is a personal decision and for some moms due to certain medications or conditions (such as complications from psychosis and medications to treat psychosis or suicidal ideation or behavior), it may be in the interest of her health and safety to wean.  Weaning early should not be taken lightly and should always be discussed with a doctor or IBCLC.

There are several natural ways a mother can help herself with her mood and anxiety symptoms.  A nutritious diet high in protein and sleep as well as any type of physical activity are important first steps.  Disrupted sleep is one of the biggest triggers for PPMD so it’s even more important to rest and find ways to get good sleep with a new baby.  The housework can wait, nap and cuddle with your baby.  Even a walk outside with or without your baby for 30 minutes a day can make a difference.  Deep breathing is the number one way to manage anxiety and progressive muscle relaxation and guided meditation are also very effective ways to treat depression and anxiety.  Practice these techniques before bedtime for 10-20 minutes.  Not only will you gain the practice to be able to use these techniques when you are feeling low but it will also help you fall asleep.  You can find several different scripts and ways to practice these techniques online and guided meditations are available online as well to download to your preferred media.  Journaling, asking for help for household chores and childcare, reducing your caffeine and sugar intake, a daily hot shower, taking care of your hair and body, reading, sex and masturbation (when you’re up to it, of course), yoga and other restorative exercises, and enjoying your interests and pleasurable activities are all great ways to help manage your feelings.   Take a break from childcare and put yourself in timeout.  It’s so important for your well-being and for the well-being of your children.  If you’re feeling overwhelmed or having a particularly bad day or, just pick one to do and it will make a difference.

Some mothers may need further assistance from their primary care physician to address their symptoms, especially if they are worsening or not improving with good lifestyle changes addressed above.  There are several medications that are considered safe for breastfeeding mothers.  Download Lactmed to your phone or call Infantrisk or Mother Risk with your doctor to find a safe option for you.  Medications take time to work (about 4-6 weeks for antidepressants) and sometimes it takes multiple trials of different medications for a mother to get relief because not all medications work for all people.  Some mothers also benefit from seeing a professional counsellor to talk about their feelings and find solutions.

As for dads, they can get postpartum mood disorder too.  Many dads have symptoms related to depression, anger management issues, feel an increase in stress about money or providing for the family, stress in supporting their partner with PPMD, difficulty or refusal to bond with the baby and low sex drive.  Sometimes when mom gets help and feels better, dad starts to suffer.  Look out for each other and keep communicating your needs and encourage dad to get help too.

Finally, remember you are not alone.   Postpartum Mood Disorder can be treated and managed.  You deserve the help and to feel well.   It is a brave mother to admit and seek help.  Check out the links below for further information and Google your state or city for local resources.

www.postpartumprogress.com
http://www.postpartummen.com/
www.infantrisk.com
www.meditainment.com  (to download guided meditations)