Post Partum Depression: The denied mental health issue

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Photo Courtesy of thefeministwire.com

Ebony Wilkerson’s story, or rather the many responses to her actions, hit a nerve and was the reason behind a mini rant on Twitter.

You see, I have seen post-partum psychosis up close and in person. In case you did not know, it is not pretty.   I was 12 years old, and that person was my mother. She had just had her sixth child nine months ago. It was a scene from a horror story. I will never forget what it looked or smelled like. I worry that I, too, may suffer from a similar fate. That is why I speak out for those women who do not have a voice to speak for themselves. Post-partum depression is real. It is not made up any more than PMS is made up.

Just what is post-partum depression? According to PubMed Health, post-partum depression is defined as, “Moderate to severe depression in a woman after she has given birth. It may occur soon after delivery or up to a year later. Most of the time, it occurs within the first 3 months after delivery.” Like any other medical condition, if post-partum depression is left untreated, it can last for months or years. That’s where stories like Ebony’s come in at. From all accounts, it seems, that Ebony actually suffered from post-partum psychosis, which is far more severe than post-partum depression.  According to WebMD, post-partum psychosis, “Is a rare, severe, and dangerous form of postpartum depression that can suddenly occur within the first 3 weeks following childbirth. A woman who has post-partum psychosis may feel detached from her baby and other people. Or she may have hallucinations involving smell, touch, sight, or hearing. She may have thoughts not based in reality (delusions), display bizarre behavior, or have urges to kill herself and her child or children.”

There is no question that Ebony needs help. There is no question that, her children need to be removed from her care. There is a question of whether she should be treated like a common criminal. While there are plenty of cases of women killing their children and not being mentally ill, mental illness does exist and should be taken into account. Most like to use the argument that pedophilia is a mental disorder too. What many fail to realize is that, in order to be diagnosed with a paraphilic diagnosis, one must meet certain criteria. As per the DSM-V, the criteria are:

  • feel personal distress about their interest, not merely distress resulting from society’s disapproval;

or

  •  have a sexual desire or behavior that involves another person’s psychological distress, injury, or death, or a desire for sexual behaviors involving unwilling persons or persons unable to give legal consent.

Many do not know this, but, in truth, most people who have atypical sexual interests do not have a mental disorder. Rather, it is a perverse and willing choice that engage in such acts. To compare these people to women who genuinely have psychiatric issues is inhumane.

While my mother did not hurt her children, she hurt herself. Every time I smell a certain smell, I have flashbacks to when she hurt herself. I will never forget that lost look in her eyes. I pray that one day I, too, don’t walk around with that same lost look. Like so many other mental health issues, incarceration is not the answer. Rather, it is the problem. As filled as prisons are today, there is no way that the mentally ill will get the care that they really need. Rather, the deplorable conditions only make the conditions worse. No one wants to have cancer. To think that someone would want to be mentally ill is ignorant beyond words.

Let us not judge, or we shall be judged. If indeed Ebony is not ill, then I say, carry out punishment to the fullest extent of the law. However, let us make sure that’s the case. Shame on those who have disorders such as bipolar or schizophrenia and, because of medication, are functionally judging this woman. Your road is not the same as hers. Shame on society for not accepting that those mental disorders that only affect women are real and not some made-up figment of our imagination. Shame on the government for not doing more. Congrats to the person who decided that they should do more and created this White House Petition. Hopefully, you will do as I did and sign. We owe it to ourselves as women to protect ourselves before our right is taken from us.

If you or someone you know is suffering from post-partum depression/psychosis, please advocate for treatment and contact these sources if you need help:

Words of Wisdom:

In health,

Maliyka

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You got the Baby Blues….

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Let’s talk pregnancy! Now before you start scratching your head and saying hey, isn’t today Mental Health Monday don’t worry. You will see the connection shortly.

So for 10-months you carried your precious bundle of joy. You had a normal, safe delivery and now have a gorgeous baby. You should be happy but you are not. Why? Don’t worry, this does not mean that you are a bad mother. What you are going through is not uncommon. It is what is known as “Baby Blues” and should subside a few weeks after birth. Some telltale signs that you may have the blues include,  anxiety, irritability, and weepiness. Think about it, your body just went through a huge ordeal. For almost a year, you were on hormone overload carrying new life and then poof, you are not carrying that load anymore. Your body is now changing and it has to play catch-up.

Medication is not necessary to treat baby blues. A little TLC should work just fine. Know that it is okay to cry. Hopefully, you have a support system. Your support system should know that you are not crazy. Their main role should be to just listen to you and encourage you.  You should also try to make time for yourself. Yes, you are a new mom and babies don’t care about your schedule. However, this is where your support system should come in. Even if it is only 20 minutes to practice some deep breathing exercises  make sure to make time for you. Not making time for yourself can cause your baby blues to postpartum depression (to be discussed at a later date).

There is no question that women rule the world. After all  we were the fair sex chosen to bring new life into the world. However, with that beautiful blessing sometimes our bodies tells us that we need a break. Baby Blues is one such way. After being pregnant and delivering a baby, you deserve a moment or two to regroup and breathe. Don’t worry you can get right back up and be woman to the rescue.

Today’s prescription: A good cry never hurt anyone. Everyone could benefit from shedding a tear or two. It is the weight of the world being released.

 

In health,

Maliyka is health

 

Depression: Real or not

20121022-104842.jpg Yesterday, I was finally able to catch up with my mother and as usual, our conversation touched on varying topics. One topic was depression. My mother’s belief was that depression really isn’t a mental health issue. Not having an immediate answer I ha to pause before answering. After thinking about it for a few minutes, my response was that for some it really is.

My mother’s statement heavy on my mind still prompted me to do a google search with the criteria, “Is depression really a mental illness.” It is typical with searches like this that at least one conspiracy based search result will pop up. These conspiracy based search results are usually authored by someone who have self-proclaimed themselves as an expert on the subject. They usually lack any formal education in the subject matter. As it happens, the second search result that popped up was a man who believes as my mother does. The difference is that this gentleman is actually a licensed psychologist by the name of, Philip Hickey, Ph.D. According to Dr. Hickey, depression is not a mental illness rather it is an adaptive mechanism which, is natures way of telling the individual to make some life changes. He likens the body’s response to how it would respond if it experienced physical pain [see article].

While I understand both my mother’s and Dr. Hickey’s point of view. I disagree up to a certain point. There are some individually whose depression has really become a form of mental illness. To trivialize their condition as a health professional is crass and unbecoming. These are the individuals who are so depressed that they cannot function normally in society. According to an article on Psychcentral, depression is a mental disorder rather than a disease. This definition is perhaps one of the most important definitions when it comes to depression. When depression is no longer looked at as a disease it becomes understandable when classified as an illness.

The thing is that, everyone at some point has experienced some form of depression. Granted it may not have been to the extreme where clinical intervention is needed never the less it existed. To those people I say that you are not mentally ill, Rather, Dr. Hickey’s definition is quite apropos. Most often, it is the body’s way of saying, “Something must change.” If your depression is more than the occasional bout, it is more than just a moment. If your depressive state is so great that you can no longer function, it is more than a tiny problem [other symptoms]These are the people who the medical profession should be targeting and are targeting.

To the individuals who are more just occasionally depressed know that there is light at the end of the tunnel. Know that you don’t have to snuff out your life to see that light. While I don’t know how it feels to be clinically depressed, I have been depressed a time or two and it was no fun. I didn’t want to be depressed. It happened and it was a dark moment in my life. Luckily, i was able to snap out of it as fast as I sunk into it. I understand that, not everyone has that ability and for you myheart aches. To be in that deep, dark place all of the time I am sure is no picnic. Hopefully, with medical advancements there will be that now elusive happy shot that will prevent depression from taking firm hold. Until then, I say be as happy as you can be. Know that as cliche as it may sound, God will not place a burden on you greater than you can bear. Stay strong. I promise that in the end it will all get better.

Today’s prescription: Don’t allow anyone or anything to put you in such a state where you no longer can function. Giving power over yourself to someone else will lead to self destruction.

In health,
Maliyka is health

Mental Health: A fact of life

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Depression, schizophrenia, paranoid, bi-polar, etc., etc. At one point these words have been said around us possibly even directed towards us. We all know someone who has been labeled with one of these words. That someone might just be you. Regardless of who it may be, the stigma tied to all of these diagnosis is ugly.

Mental illness affects so many people from so many walks of life. It does not see color, ethnicity, finances, gender, etc. Rather it sees people. In the United States, mental health is a huge problem. Public Health folks like myself, are constantly looking at this complex health issue. According to the World Health Organization, “mental illness results in more disability in developed countries than any other group of illnesses, including cancer and heart disease. Other published studies report that about 25% of all U.S. adults have a mental illness and that nearly 50% of U.S. adults will develop at least one mental illness during their lifetime (CDC). Mental illness also places a financial burden on society. In the United States alone, it cost about $300 billion. That was in 2002. With the increasing new diagnosis, I am sure that oat has skyrocketed.

Real talk, mental illness is a disease that one really as no control over. Abstinence won’t prevent it. Money doesn’t stop it from happening. Love has no hold over it. Just as easily as you were sane yesterday, today you could be diagnosed as mentally ill. It is a disease that deserves a high amount of awareness. It is a disease that some communities i.e. African-American need to understand exist within their ranks too.

To the mentally ill, know that you are loved. You are not alone. Someone can help you. If you need help but don’t know where to turn here are some resources:

Mental Health America by State

National Alliance on Mental Illness (NAMI)

Web MD Mental Helpline List

Today’s prescription: take a deep breath and breathe. Try not to stress over the little things. Stress is nothing more than a socially acceptable form of mental illness (Richard Carlson).

In health,
Maliyka is health