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Guest Post: Surviving Post-Adoption Depression

April 15, 2013 By

Today is Guest Post Swap Day at the Health Activist Writer’s Month Challenge! I am delighted to have been paired with Becky, who looks at the world of adoption from a different vantage point to me. I am an adoptee, and Becky is the mom of adoptees. In her blog, Lessons from an Infertile Social Worker, she writes about her journey to motherhood and her life as a parent. Today, she shares an aspect of adoption that really needs to be given some attention.

family fall pic

When I think about adoption, there is so much to say; I find it difficult to narrow down the topic.  Do I talk about how we came to the decision that the way our family would grow was through adoption? Do I share my journey to breastfeeding my two sons, both of whom we adopted? Do I discuss open adoption, why we chose it, and the challenges and blessings it has afforded me? Do I educate about proper adoption language? Do I ponder how adoption has changed my parenting philosophies? There are so many possibilities.

In my professional life, I’ve talked with hundreds of pregnant women and new mommies about postpartum depression, the feelings, the red flags, how to recognize it in themselves, how others around them could recognize it and be supportive, what can help, etc… I could assess whether a new mommy was experiencing symptoms, and I could diagnose it. I knew how to talk to her about it, and what resources to point her towards. What I never knew was that it was something I could experience. I’d told women for years that a big part of postpartum depression was their out-of-whack hormones. I knew that I wouldn’t have to deal with that thanks to adoption. I was wrong. I did experience it, even without the hormones to blame.

I can’t imagine any child being more wanted than my son. We tried for years to get pregnant and I was thrilled beyond belief when we were chosen by his birth family. I was thrilled to take him home, to put him in his bed, to cuddle him, to nurse him, to rock him, to read to him… But somewhere along the way things changed. Really, it may be more accurate to say that things didn’t change, at least not how I thought they should and would.

I told moms all the time that “over half of new parents don’t fall head over heels in love with their babies right away. You didn’t experience love at first sight with your partner, so why should you expect it with your baby. It takes a while to get to know one another. It will come in time. Don’t feel guilty if it doesn’t happen immediately, but don’t doubt that it will come”. I never even considered the possibility that I wouldn’t experience that all-consuming love for my baby immediately – I wouldn’t have the hormones going crazy, we were prepared, we were ready, we knew what we were doing, we wanted him so much.

I stayed home with him for about 8-9 weeks after he was born. Though hubby shared nighttime duty with me, I was taking 2 graduate level classes and I was still exhausted. In truth, I was at times a little jealous that hubby got to leave during the day (not to mention got to shower and brush his teeth before 3pm). I was rocking the baby one afternoon – it had been a difficult day for me and the 4 week old – when hubby came in from a great day at work. He leaned over the side of the rocking chair and tenderly said, “I never thought I could love anyone as much as I love you, but I sure love this little guy a lot”. I could see he had tears in his eyes though I couldn’t bring myself to really look at him. Because all that was running through my mind was, “well big deal for you. How wonderful for you to get to feel that way?!!!”. All I said out loud was “yeah”.

I was furious. At the time I thought I was angry with him, but I realize now I was angry with myself. Angry that I didn’t feel that way about our son, the baby I had so longed for, the baby I had waited and prayed about for years. Angry that hubby got to feel that way first.  Angry that I hadn’t yet brushed my teeth that day.

But mostly I felt guilt. Guilt that this child deserved all-encompassing love that I wasn’t sure I could give to him. Guilt that I was angry which surely he could sense. Guilt that by not feeling that intense bond and attachment he would be permanently scarred. Guilt that obviously I wasn’t worthy to be a mother, which was maybe why God hadn’t *let* us get pregnant. Guilt. Dark, ugly guilt.

I don’t know when my love for my son became “big”, though I do remember when I realized that it had. When he was about 4 months old, we both had a nasty stomach virus. He vomited in hubby’s mouth (I know, gross, but I warned hubby not to play rough with a baby who had been puking all day) and I thought, “You show him, kid”. I realized we were a duo then, this adorable baby and I, we had something that was just between the two of us, and it was strong and intense. We had that bond. I hadn’t completely failed.

It took me a long time to recognize myself what I was experiencing after my son was born, and quite a bit longer to admit to it to anyone. I’ve now read research and talked with other parents through adoption and I know I’m not the only one to experience post adoption depression. I still carry some guilt about it, but I realize it’s nothing I can change. I also know I have the most awesome son with whom I now have an intensely strong bond. I know he wasn’t harmed by the natural progression of our relationship. I’m trying to forgive myself, which I know is silly because, as I would tell any of the hundreds of mommies I worked with, it wasn’t my fault.

Post adoption depression is real and it is no more a mother’s fault than postpartum depression. It’s not something to be ashamed of and it isn’t a dirty little secret. And, just like postpartum depression, it’s something we need to talk about so that no one else has to feel guilty or alone.

Filed Under: Adoption, Becky, Depression, Guest Posts, Health Activist Writers Month Challenge, Mental Illness, Post-Adoption Depression Tagged With: , , , , , ,
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Making Peace With A Tough Choice

May 29, 2012 By

I am participating in the 2012 Wordcount Blogathon, which means one post every day for the month of May.

When I went for my six-week postpartum checkup after George was born, my OBGYN raised the question of whether my husband and I were going to have more children. We stared at each other in a perplexed kind of way, shrugged our shoulders and said, “I dunno.”

It was a question that we had honestly given no thought to. George had been an extremely welcome surprise, but he had been a surprise nonetheless. Family planning hadn’t exactly been a key feature in our lives.

When we did talk about it – this topic that we had simply never thought to discuss – we discovered that both of us had always envisaged life with three children. This was good. I thought it was a positive sign that I was with a man who wanted the same number of children as me.

When we decided to try for Baby Number Two, I got very serious about it. I downloaded those free online calendars that tell you what the best dates are to – well, you know. I was going to chart my cycles and keep track of my temperature to tell when I was ovulating.

As it happened, I didn’t need any of that stuff. Just six weeks after we decided we were officially trying to conceive, we got a big fat plus sign on the pregnancy test. Several months after that, James came barreling his way into the world like a cannonball.

Two down, one to go.

By the time we were ready to try for Baby Number Three, though, things had gotten complicated. James was almost two, and George, who was four, had been diagnosed with autism. We were recalibrating our lives after discovering that we were special needs parents, and I was still trying to find my way out of the terrible darkness of postpartum depression.

What if our third child had autism? Would it be fair for us, knowing that we weren’t going to be around forever, to leave James with the responsibility of having two siblings with special needs?

We were so conflicted about whether or not to have another child that we went to see a geneticist. The DNA testing did not confirm a genetic link to autism, but it did not rule it out either. The geneticist turned to the very detailed questionnaires that we had completed. Based on my own developmental history, which was almost identical to George’s, it seemed not only possible but likely that I was on the spectrum myself.

The geneticist advised that in spite of the inconclusive DNA test results, there was reason to believe that George’s autism might be genetically based. We were looking at a 12-15% probability that any other child we had would have autism.

This created a problem. My husband and I found ourselves on opposite sides of the fence. He was very concerned about the 15% probability. I, on the other hand, tried to focus on the other percentage: the 85% probability that the child we had would not have autism.

We flip-flopped back and forth for several months, torturing ourselves with possibilities and what-ifs. We were torn between doing what was right for the kids we already had, and doing what both of us had always wanted. We really could have done with a crystal ball at around that time.

In the end, it was more than George’s autism that made the decision for us. I was already at an age where there’s a higher risk of having a baby with Downs Syndrome. I was finally starting to see a pinprick of light at the end of the postpartum depression tunnel. We had just successfully potty-trained James, and I wasn’t sure that I wanted to start a new two-year cycle of diapering.

Most importantly, I realized that I didn’t need more children. The two that I had were absolutely perfect. When I came home from work at the end of each day and hugged them, I felt complete. I did not feel that there was piece missing – a piece that would be filled by another child.

When I am sitting on the floor in my living room, with one kid on my lap and the other jumping on my back, I know that we made the right choice. I know that my family is whole.

Have you had to wrestle with the question of whether to have more children? What was the deciding factor for you?

(Photo credit: http://www.flickr.com/photos/joehowell/2282930348/. This picture has a creative commons attribution license.)

Filed Under: 2012 Wordcount Blogathon, autism, Choices, family, Genetics, parenting, Siblings, Special Needs Tagged With: , , , , , , , ,
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The Truth About Postpartum Depression

May 16, 2012 By

I am participating in the 2012 Wordcount Blogathon, which means one post every day for the month of May.

I am also part of a Mental Health Month blog party that’s happening today.

When I landed in Canada almost twelve years ago, the news waves were buzzing with an unfolding tragedy. A young woman, caught in the grip of postpartum depression, had launched herself into the path of an oncoming subway train while holding her weeks-old baby daughter. The baby had died instantly, while the mother hung on in hospital, never regaining consciousness, before she died several weeks later.

The public, including, I confess, myself, practically fell over themselves in their haste to judge this woman for killing an innocent child. Like many people, I was operating under the smug self-righteousness of someone who’s “never been there”. I didn’t have children at that time, therefore I had never experienced postpartum depression. Although I was very familiar with regular depression, and had frequently thought self-destructive thoughts, it had never stretched to me being at risk of hurting another person.

As much as people wanted to be judgmental, there was one particular element of this story that bothered me a great deal. The woman had sought help for postpartum depression and not received it. She had reached out, hoping someone would grab her hand and save her from drowning. In the aftermath of the tragedy, no-one was saying, “If only I had known,” but a number of people were saying, “If only I had helped.”

Back then, postpartum depression was not really taken seriously. People associated it with mothers who killed their children, mothers who were dubbed as “monsters”.

I got hit with a hefty dose of reality when postpartum depression settled over me like a heavy, oppressive blanket after the birth of my second child. I realized that I had been so wrong about this condition, and that its manifestations are as unique and varied as the individuals who suffer from it.

The media, being the media, tends to sensationalize tragedy, and tragedy resulting from postpartum depression is no exception. In the absence of other information, other sources of awareness, is it any wonder that the unknowing public would associate postpartum depression with the killing of babies? That’s what the media has taught society, and it’s not exactly a subject that the average person is going to go and Google.

Media treatment of postpartum depression, along with the resulting generalizations that people make about it, are largely responsible for the fact that many women are too ashamed and scared to seek the help they need. I myself did not seek help, and in fact I would never have been treated had my doctor not noticed that something was way off during a visit for a foot complaint.

There is a great deal of stigma surrounding mental illness in general, and postpartum depression in particular takes a big hit of it. The women who fall victim to it are dealing with so much more than depression. They are also feeling intense guilt and the sense of being “abnormal”. I mean, you have this gorgeous new baby who is supposed be a source of great joy and immeasurable love, and the whole thing has turned into a pear-shaped nightmare. The moms also feel fear that is beyond words. They are terrified that during some moment of insanity, they will hurt their children. They want to die just to save their babies from being raised by terrible mothers.

I could quote numbers at you. I could tell you how many women suffer from postpartum depression in Canada, the United States, and internationally. But whatever numbers I gave you would be completely meaningless. They would not include the scores of women who do not seek help, receive a diagnosis, or get treated.

If I was in charge, postpartum depression information would be included in the education packages that are given to new mothers, whether they are having their first, second or tenth child. When the hospitals handed out their leaflets about breastfeeding and developmental milestones, they would also be handing out information sheets about postpartum depression, along with fridge magnets printed with the telephone number of a crisis line.

The new mother’s partner, or some other designated support person, would be educated on the signs of postpartum depression. They would be taught what warning signs to look for, and what to do if they saw them.

If I was in charge, mothers would be regularly screened for postpartum depression for up to two years following the births of their babies – because it can take that long to strike.

There would be public awareness campaigns. The media would devote more attention to postpartum depression as a genuine medical issue to be handled with caring and compassion. They would stop the practice of only giving this condition the time of day in the wake of tragedies.

In my perfect world, women are not blamed for having this debilitating and often life-threatening condition.

They are helped through their times of terrible darkness, and they emerge bright and beautiful, like butterflies from a cocoon, and they enjoy rich, fulfilling lives filled with the laughter of their children.

Filed Under: 2012 Wordcount Blogathon, Medical, Mental Health, Mental Illness, Post-Partum Depression Tagged With: , , , , , , , ,