{"id":69215,"date":"2016-07-10T17:58:38","date_gmt":"2016-07-10T21:58:38","guid":{"rendered":"http:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/postpartum-progress-postpartum-depression-and-postpartum\/"},"modified":"2016-07-10T17:58:38","modified_gmt":"2016-07-10T21:58:38","slug":"postpartum-progress-postpartum-depression-and-postpartum","status":"publish","type":"post","link":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/progress\/postpartum-progress-postpartum-depression-and-postpartum\/","title":{"rendered":"Postpartum Progress &#8211; postpartum depression and postpartum &#8230;"},"content":{"rendered":"<p><p>      I couldnt leave the house yesterday.    <\/p>\n<p>      Thats really hard to admit. Im a Warrior Mom Ambassador.      I run the Facebook group for our Warrior Mom Conference      attendees. I lead a support group. I help coach women through      pregnancies after a PMAD. I am the strong one, the one you      count on, the one with the resources and the answers and the      shoulder to cry on.    <\/p>\n<p>      Im also a black woman, mother to a black son, daughter to a      black father, sister, friend, cousin, aunt. I grew up hearing      stories of my father registering people to vote across the      South. They were stories of terror in broad daylight and      nights spent driving with no headlights on. I grew up on the      narrative that my parents, and their parents, and everyone      who made me possible had paid a debt so that I could be free,      so that I could be safe in this country.    <\/p>\n<p>      Last year I was       followed and harassed by a police officer here in my home      town. I was pregnant with my second child at the time and had      just made it to what I considered my new normal after      battling postpartum depression and anxiety. I didnt know      then that I also had PTSD. All I knew was that I was      vomiting, sobbing, and shaking in a parking lot and praising      the lord that I was alive.    <\/p>\n<p>      My daughter is eight months old. Ive been so lucky to not      experience any major relapses in my postpartum      depression or anxiety and to have my PTSD      under control. I see a therapist every week. I take my      medication every day. I practice self-care and I reach out      for help when I need it.    <\/p>\n<p>      I have so many privileges: financial, educational,      heterosexual, light skin, in a relationship with a white      partner. And still. Ive spent the last two nights unable to      sleep. First because I couldnt get the voice a four year old      girl trying to comfort her mother out of my head. Then last      night it really felt like the world was falling apart.    <\/p>\n<p>      As I write this we still dont have details on the sniper(s)      in Dallas. I know that one is dead and the others are in      custody. The officers who killed Alton Sterling and Philando      Castile are both on paid administrative leave. They havent      been arrested. I have no reason to believe there will be any      arrests, convictions, or any type of punishment at all for      the deaths of those men. Or for the murders of scores of boys      and girls, men and women of color before them. Or for me if      an officer decides to take my tone of voice, my reaching for      my license, my skin color as a threat.    <\/p>\n<p>      When I say #BlackLivesMatter, it is in desperation and      defiance. I say it because I see no evidence that it is      believed to be true in this country. I say it because after      everything my father went through, after everything his      father, and his, and his went through so that I could live      free I still dont feel safe.    <\/p>\n<p>      I know that I am more fragile than I seem from the outside.      We all know that you cant see postpartum depression or      anxiety. You cant see PTSD. When the panic attacks came at      the thought of leaving the house and taking my son to camp, I      had a choice to make. I chose to be honest with my partner      about how I was feeling. I chose to reach out to my therapist      and let her know I was not okay. I chose to keep my kids home      with me, where I feel safe. We watched Disney movies and      played with the baby, and dumped way too much bubble bath      into the tub. I jumped at every sound and shook when sirens      passed my house. I touched base with my relatives and made      sure that I knew they were all safe. I tried my best not to      get sucked into debates online.    <\/p>\n<p>      This morning I left the house. I drove my son to camp. When I      got home I fell apart. Then I put myself back together and      sat down to start work.    <\/p>\n<p>      I want to be the strong one. The one with the answers, and      the resources and the shoulder to cry on. I want to be an      ambassador, and a moderator, and a coach. I want to be the      strong black woman that I am expected to be.    <\/p>\n<p>      But Im not. Im scared. Im scared that I will never feel      free. Im scared that someone I love will be the next      hashtag. Im scared that I will be the next hashtag. Im      scared that I will forever be shouting #BlackLivesMatter into      the world and it will never, ever be true.    <\/p>\n<\/p>\n<p>      At Postpartum Progress, we believe Black Lives Matter. While      not all readers will initially understand the importance of      this movement or statement, we believe it matters to say this      out loud and up front. We care deeply and equally for every      mom suffering from a PMAD. In light of the traumatic events      of this week, we are especially worried and grieved for women      of color with PMADs and women mothering children of color. We      stand in solidarity with you.    <\/p>\n<p>      We are committed to caring for the most vulnerable members of      our PMAD community because we believe the improved well-being      of those who suffer most due to systemic racism is the      improved well-being of us all.    <\/p>\n<p>      Were a community. When one suffers, we all suffer. Were in      this together. We stand with our moms of color and mothers of      Black children.    <\/p>\n<p>      We understand the unique issues our mothers of color and      those parenting children of color experience while battling      maternal mental illnesses. The heightened worry about your      childs future combined with issues of access to care by      clinicians who look like you and understand the complexities      of mothering while Black make your recovery different and      difficult. We understand and support your desire to speak up,      to go into quiet grieving, or to do what you need to do at      this time. We just want you to be safe, no matter what that      entails.    <\/p>\n<p>      We are thinking of all the pregnant and new moms who are      fighting postpartum depression and anxiety while also living      with the       acculturative stress and trauma of this week and want to      remind you that you are worthy of love, respect, wellness,      and safety. We want you to know that we are here to provide      support and connect you to help, and that we stand with you      and by you. You can email <a href=\"mailto:help@postpartumprogress.org\">help@postpartumprogress.org<\/a>      or send a Private Message to our Facebook page.    <\/p>\n<p>      We see you. We hear you. Our hearts break for and with yours      as you navigate the news as it unfolds. Were holding space      for you in our hearts.    <\/p>\n<p>      Sincerely,      Postpartum Progress Staff    <\/p>\n<p>      [Editors Note: Todays guest post comes from a Warrior      Mom who experienced Postpartum OCD. She shares her journey      with intrusive thoughts so that other moms might feel less      aloneand also so others will understand that side of OCD.      Some thoughts might feel triggering for moms in vulnerable      places, so please only read if you are feeling safe today.      -Jenna]    <\/p>\n<p>      Ive found that no one really understands what OCD is in      general. I hear a lot of things.    <\/p>\n<p>      Oh, so you wash your hands a lot.      Oh, you check the locks and stuff.      Oh, I used to clean the house all the time, too, but I      got over that.    <\/p>\n<p>      Do people who suffer from OCD just wash their hands, check      the locks, clean? NO. They perform rituals and compulsions      like these far more often than the non-sufferer, and theres      always a thought behind itusually an unpleasant onefueling      what they do. Think: Im sure my mom will die if I dont      wash my hands exactly seven times every hour in the same      exact order.    <\/p>\n<p>      Whats more is people really dont know about Pure O      OCD and the intrusive thoughts that plague us. Its      impossible to explain to someone who doesnt have it or get      them.    <\/p>\n<p>      Ill be honest: It sounds ridiculous to even try and say it      out loud to someone. Throw in the fact that theres no      visualcracked bleeding hands arent evident, someone you can      see counting the times they touched the lock to make sure it      is in fact really lockedand you have one big      misunderstanding of this special kind of torture.    <\/p>\n<p>      When I try to explain to a non-sufferer, Ive been told but      thats just a thought, you wont do that, or the opposite,      oh God, so you were like one of those women who wanted to      hurt their kid. So I thought a post about thoughts that were      constantly going through my mind when I suffered from      Postpartum OCD might      shed some insight.    <\/p>\n<p>      When I say constantly, there is no exaggeration. I had      intrusive thoughts and thoughts surrounding them every waking      minute. I had them while I was knee deep in reports for work      that required concentration. I had them while I was having      full blown conversations with someone else. I never not had      them.    <\/p>\n<p>      On a good day I had a 10-15 second break in between.    <\/p>\n<p>      Its amazing how you can be having a running horror movie in      your head at any given time and no one knew or understood      how, since you looked and acted so normal. Its much easier      to talk about the latest episode of Greys Anatomy      than say, Sorry my eating my apple is so loud. I couldnt      cut it up this morning before I came because I was at home      alone with the baby and what if    <\/p>\n<p>      Who I was wasnt normal around was my husband. He received      the full force of my confessing of the intrusive thoughts and      reassurance seeking that I was not crazy or going to act on      my thoughts, because as a person with OCD, you think, why      else would you have them, right?    <\/p>\n<p>      So heres a blip of a very typical night in the mind of my      PPOCD experience.    <\/p>\n<p>      Its 4:30, 4:30, 4:30. Thats only 15 more minutes until hes      home. 15 minutes. Thats not too long. You can do this. You      are fine. 15 minutes.    <\/p>\n<p>      Thats enough time to hurt him.      Oh God what if I hurt him.    <\/p>\n<p>      Who thinks that? Whats wrong with me? What if he comes home      and hes dead? Why would he be dead?    <\/p>\n<p>      Dont be ridiculous. Youre fine. This is just OCD. You are      not your thoughts.    <\/p>\n<p>      Only 14 minutes. Just start dinner. Just start dinner. Man,      it was easier to get dinner ready without a baby around.    <\/p>\n<p>      Does that mean I dont want him? Does that mean I want to get      rid of him? I know how people do that.    <\/p>\n<p>      Oh God, Im going to be one of those people on the news.    <\/p>\n<p>      Stop it. Just stop it. This is only OCD. Of course, it was      easier without kids.    <\/p>\n<p>      Thats the truth. Your therapist told you to look at the      truth. Why isnt that calming me down? I KNOW thats the      truth but I dont believe it. Only 13 minutes. Ill ask him      when he gets here if he thought it was easier without a baby      too.    <\/p>\n<p>      He promised to tell me if I scared him with what I said. What      if Im just good at acting like I have OCD and Im really a      monster.    <\/p>\n<p>      Stop it. Thats your OCD talking. Remember what your      therapist said.    <\/p>\n<p>      Only 12 minutes.    <\/p>\n<p>      What can I make without a knife? I know its in the      dishwasher. What if I grab it and    <\/p>\n<p>      STOP picturing it. STOP.STOP STOP.    <\/p>\n<p>      Noodles. I can make noodles. If hes in the other room, I      wont hurt him.    <\/p>\n<p>      Is he really in the other room. Yes, you see him damn it.      Just stir your stupid noodles. Stir. Stirring.      Stirrrriiiiing. Keep singing that like a song. If you sing it      out loud, it will curb your thoughts.    <\/p>\n<p>      Shit. Its not working. Wait, is he still in the other room?    <\/p>\n<p>      YES, hes home. 4.3.2.1.    <\/p>\n<p>      I swear I put him in the other room while I was cooking so      hes okay. I didnt really want to hurt him. But I dont      know, maybe I did. Why else would I put him so far away? I      also opened the dishwasher just to check but I didnt touch      the knife I swear. I thought it was easier without him but      that doesnt mean I dont want him right? Does that mean I      want to get rid of him? What if he went missing and no one      looked for him because they know Im seeing a therapist. What      if he really was taken and ended up really dying because they      never looked for him. How would I explain this to the police?      They dont know what OCD is. Maybe my doctors would tell      them. What if they really do think Im crazy and havent told      me yet? Oh Jesus, do YOU think Im crazy!? Im so sorry you      have to deal with me.    <\/p>\n<p>      Um. No, youre not crazy. This is OCD. You know that. You      know what your doctors have told you. Yes, it was easier      without him. No that doesnt mean anything other than it was      easier without him. I see were having noodles, again. Do you      need me to unload the dishwasher tonight?    <\/p>\n<p>      And this goes on. And on and on and on and on. All night.    <\/p>\n<p>      I need you to cut up that watermelon. Actually I need you to      take him in the other room while I do it because you can keep      him safe from me.    <\/p>\n<p>      I need you to give him a bath. But I can do the diaper      first. Wait, what if I touch something accidentally when Im      wiping him.    <\/p>\n<p>      I need to work on my OCD workbook the therapist gave me, but      what if someone sees what Im writing? They will take him      from me. I know you said we can just burn it when Im done      but that also gives me bad thoughts. Actually can we just use      the oil furnace while youre not home? Just in case I flip my      shit. I mean I know its OCD but still, what if its not?    <\/p>\n<p>      No matter how many doctors told me the truth, that THIS WAS      OCD and I WAS NOT MY THOUGHTS; no matter how many posts I      read and Google searches I did; no matter how often I heard      EVERYONE has random bizarre thoughts pop in to their head,      they just go in one side and out the other not bothering      them, its just us OCDers that get fixated on them; I had a      very hard time accepting I was not a monster. I kept my      distance from my son because the what ifs plagued me.    <\/p>\n<p>      But after a long battle, I got help.      I got medication that allowed me work on techniques to      control my mind and to go from a run on sentence of thoughts      to having them every 30 seconds.    <\/p>\n<p>      Then every minute.    <\/p>\n<p>      To eventually not even noticing\/reacting to them like the      normal person. I finally believed that this was OCD and      that just because I wasnt familiar with what OCD really was      before this blindsided me, didnt mean it wasnt true and my      actual diagnosis.    <\/p>\n<p>      So next time you say I was SO OCD this weekend and cleaned      out my closet remember how lucky you are that cleaning out      your closet was only a small chunk of your day with a      perfectionist streaknot a horror movie with no commercial      breaks in your mind that is OCD.    <\/p>\n<p>      Chimamanda Adichie calls attention to the danger of a single      story in her TED Talk.    <\/p>\n<p>      Women of color find themselves lost and erased when the      intersection of maternal mental health and minority maternal      mental health is on the table because, among other things,      the strong Black woman trope is at play. Stigma is very much      the product of a single story.    <\/p>\n<p>      Stigma is a mark of disgrace or negative      judgment surrounding a certain circumstance. Stigma      concerning mental illness isnt imagined. The controlling      factor of stigma is shame.    <\/p>\n<p>      Shame is a a statement that assumes that the judgment cast on      a person is because the person is intrinsically flawed.      Stigma and shame work together to keep folks struggling with      mental illness believe they are bad and at fault for their      suffering. This is especially true for women of color.    <\/p>\n<p>      Bren Brown helped the general public by re-igniting the      conversation around shame versus vulnerability. Brown      asserted that becoming shame resistant means being vulnerable      and authentic in our own stories.    <\/p>\n<p>      While I tend to agree with Bren, I also understand that      women of color take much greater risks in their attempts at      engaging authenticity through sharing their most vulnerable      life experiences. Black women are taught to be strong, that      they dont have postpartum      depression or any other mental illness, less they be      perceived as a welfare queen or a trashy baby momma who      had children she couldnt care for in the first place.    <\/p>\n<p>      Generally speaking, people facing diagnosis of mental illness      face significant difficulties around the stigmatization of      being mental health conditions. When we factor in minority      statues, especially multiple overlapping minority identities,      the stigma becomes heavier and far more damaging. This is      what it means when activists and experts reference that      African American and Black women are at the greatest risk in      the maternal mental health discussion.    <\/p>\n<p>      Much of the stigma that many women of color experience is      also built into tropes and archetypes that many women of      color have internalized. For the sake of this discussion, we      can evaluate the archetypes surrounding the Black      female\/femme experience that impact the stigma within      maternal mental health. We can answer the question of why      arent more Black women talking about their mental health      issues by evaluating the stereotypes that confound the      issue.    <\/p>\n<p>      The projection of the strong Black woman is a roadblock to      Black women obtaining care for mental illnesses like PPD.      While empowering the culture of stigma around mental illness,      the strong black woman isnt inclined to tell her      story.      *      Openly suffering from mental illness is something that is      highly tabooed in the cultural relations of Black women      (Schreiber et al). Among researchers of Black womens      experiences with depression, being strong repeatedly emerges      as a key factor in their experiences (Beauboeuf-LaFontant,      You have to Show Strength 35). Because of Black womens      history of subjugation, often Black communities may possess      the idea that due to their long history overcoming racism and      discrimination, which attacked their mental states as      inferior, Black women have the ability to muster through      adversity (Hooks 70).    <\/p>\n<p>      This trope is very unique to Black communities and should be      taken into consideration anytime one wishes to provide      support for Black women who may be suffering with mental      illness. Black women are taught that we have inborn abilities      to face struggle and hardship without showing wear mentally      or physically.    <\/p>\n<p>      While some of the initial construction of this image can be      traced back to rejecting controlling images created by the      white elite to oppress Black women (Hill Collins). The      strong Black woman image is problematic because of its      emphasis on caring for others and attaching the stigma of      failure to any woman who exposes her mental health status      attests that the Black woman is the mule of the world      (Neale Hurston 1937).    <\/p>\n<p>      So we find that it our work to simultaneously put to rest the      strong Black woman myth by creating safe space for Black      women to tell the stories of their mental health struggles.    <\/p>\n<p>      For more posts in this series on Minority Mental Health:    <\/p>\n<\/p>\n<p>      References      Beauboeuf-LaFontant, Tamara. You Have to Show Strength: An      Exploration of Gender, Race, and Depression. Gender &      Society 21.1 (2007): 28-51. Web. 14 Jan. 2013.    <\/p>\n<p>      Hooks, Bell. Sisters of the Yam: Black Women and      Self-Recovery. Boston, MA: South End, 1993. Print.    <\/p>\n<p>      Neale Hurston, Zora. Their Eyes Were Watching God: A Novel.      New York: Perennial Library, 1990. Print.    <\/p>\n<p>      Schreiber, Rita, Phyllis Noerager Stern, and Charmaine      Wilson. Being Strong: How Black West-Indian Canadian Women      Manage Depression and Its Stigma. Journal of Nursing      Scholarship 32.1 (2000): 39-45. Web. 26 Feb. 2013.    <\/p>\n<p>      Did you ever wonder if you were suffering from postpartum      depression because a friend talked to you about their      experience? Did you read a book that reflected your      experiences? If you found a narrative that fit with your      experience, did you have access to health care because you      had a treatment team that believed you?    <\/p>\n<p>      Often times women dealing with postpartum depression or      anxiety will report their difficulties finding a diagnosis      and\/or helpful treatment and support. Everyone is still      working hard to understand PPD and other perinatal mood and      anxiety disorders.    <\/p>\n<p>      As part of this conversation, though, there are two key words      that are often overlooked: Exposure and      access. These two words are important      factors that impact the well-being of protected classes of      people. Protected classes of people often have double the      difficulty when dealing with maternal mental illness, because      in order to obtain help, you have to be exposed to stories      and informationthat reflect your experience, and then      you need access to the processes that allow you to obtain      help.    <\/p>\n<p>      Postpartum depression is a serious, debilitating illness that      affects approximately 10-20% of women.      This statistic, though, is a measure of women who were able      to identify what they were going through. Imagine the      womenfor instance, women of colorwho arent added to this      statistic because they dont have exposure and access to      understand what they are suffering with?    <\/p>\n<p>      A psychiatric study by Katy Backes      Kozhimannil and her colleagues yielded results that      concluded that:    <\/p>\n<p>         there were significant racial-ethnic differences in        depression-related mental health care after delivery.      <\/p>\n<p>      These results outline a stark reality for women of color:      They areless likely to be screened for PPD and less      likely to get treatment and receive follow-up care. The      results also showed that it was more likely for treatment      teams to attribute symptoms of Black and Latin women to other      ailments and not PPD.    <\/p>\n<p>      To make it plain, while many women are never screened, women of color are      bypassed in the screening process even more so, and when they      do display symptoms of PPD, other factors are often blamed.      So these moms wont get the help they really need. This      reality means it is vital for women who are at risk for      perinatal mood disorders to be strong self-advocates.    <\/p>\n<p>      How, the question becomes, can one advocate for something      that you havent been made aware of? If you have been      exposed, how then does one self-create access in a system      that either doesnt offer access to people who look like you      or offers less-effective help or many fewer options?    <\/p>\n<p>      Awareness for postpartum depression is increasing, yet there      are still women who are falling through the cracks due to      systemic oppression and racism. We must care for the most      vulnerable among us. The postpartum depression conversation      should involve early intervention, treatment, and awareness      for ALL women.    <\/p>\n<p>      The study I mentioned above also cited:    <\/p>\n<p>        The differences in initiation and continuation of care        uncovered in this study imply that a disproportionate        number of black women and Latinas who suffer from        postpartum depression do not receive needed services. These        differences represent stark racial-ethnic disparities        potentially related to outreach, detection, service        provision, quality, and processes of postpartum mental        health care. Although suboptimal detection and treatment        rates are not uncommon for this condition or in this        population (7,42,43), these results emphasize that        postpartum depression remains an underrecognized [sic] and        undertreated [sic] condition for all low-income women,        especially for those from racial and ethnic minority        groups.      <\/p>\n<p>      During July, which is Minority      Mental Health Month, Ill be having leading a      conversation here at Postpartum Progress about ways to      improve the conversation as it relates to women of color and      postpartum depression. We will talk about stigma, social      constraints, patient-provider communication, and involving      more women of color in the change agency efforts.    <\/p>\n<p>      Postpartum Progress means progress for ALL women, which means      some difficult and important conversations. I hope youll      join me.    <\/p>\n<\/p>\n<p>      [Founders Note: One of the goals at      Postpartum Progress is to expand our reach and support so      that all women are getting the information and help they      need. As you all know, in general most women with perinatal      mood and anxiety disorders are not getting the right help. It      is also true, though, that women of color get even less      access and have even fewer options than the general      population. Ive been an advocate for more than a decade now      and I know this to be true because I have seen it with my own      eyes. Im thrilled that Jasmine is joining us to share her      experience and knowledge so that we can open our eyes to what      all types of women are experiencing and figure out what we      can do better. -Katherine]    <\/p>\n<p><!-- Auto Generated --><\/p>\n<p>See the article here: <\/p>\n<p><a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.postpartumprogress.com\/\" title=\"Postpartum Progress - postpartum depression and postpartum ...\">Postpartum Progress - postpartum depression and postpartum ...<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p> I couldnt leave the house yesterday.  <a href=\"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/progress\/postpartum-progress-postpartum-depression-and-postpartum\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[187725],"tags":[],"class_list":["post-69215","post","type-post","status-publish","format-standard","hentry","category-progress"],"_links":{"self":[{"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/posts\/69215"}],"collection":[{"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/comments?post=69215"}],"version-history":[{"count":0,"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/posts\/69215\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/media?parent=69215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/categories?post=69215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.euvolution.com\/prometheism-transhumanism-posthumanism\/wp-json\/wp\/v2\/tags?post=69215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}