I'm new to depression. Please help.
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Yesterday I admitted aloud to my husband that I think I am suffering from depression. This came after a lengthy argument over something trivial. Lately I have been feeling very, very irritated at the littlest things, and I feel like I could tear the world apart. Pertinent information: - I had a son 8 months ago. I had a small bout with depression (I guess), the very first week he was born. From my understanding the first week is hell for anyone who has just had a baby. I leveled off after I got out of the hormonal dark zone approximately 6 weeks after his birth (September 2012). - I stopped breastfeeding at 6 months. My son rejected me outright. I had been struggling up to this point to maintain supply with him and I could never meet his needs without supplementing. While I was breastfeeding, I was on low-e birth control that I believe may have interfered with my milk production. Since I now longer breastfeeding, I am on a new birth control. I have been on it for a little more than a month. When I finally announced that I thought I was depressed, I felt very strange. Like the header says, I am new to depression (at least feeling it this strongly). I was holding my son at the time and he weighs about 20 pounds. As I was holding him, he began to feel like an anvil. He kept getting heavier and heavier. I felt light headed and I began to shake. He's been fussy for the past few days and he has a diaper rash that won't quit, so he was beginning to cry. I thought that I might pass out while I was holding him so I handed him off to my husband who then went to the other room to change his diaper, give him a bottle, etc. We were in the process of making dinner at the time and I was outside by our grill crying enormous tears, but silently. It was the most surreal moment of my life. I felt nothing; completely blank. It was a beautiful day and I didn't care. The sunshine felt cold. As I was crying my silent tears, my husband asked me to flip the chicken on the grill and I did so. It must have been a very odd sight to our neighbors; me flipping chicken while openly weeping. I texted my mom to ask if I could talk to her on the phone later after my son was asleep and when my father was not around to hear. She called me a few hours later and I told her. She was very supportive and agreed, based on what I told her and how I was feeling, that I need to see a doctor. I have made an appointment but the earliest I am able to see my GP is next Tuesday. I feel very ashamed. I have, from what most people can see, a happy life. I am married to an amazing man who is an amazing father. I have a son who is really the easiest and happiest baby on the planet. I have a stable job and income, and I own a home. These things seem to make up the general consensus of happiness. I feel as though I have no right to be depressed. I have all these nice things, right? There are people out there with real problems. I don't feel like I am one of them. I feel like I am losing my connection to my son. I have never dreamt or fantasized about hurting him in any way. Things were great with him up until six months, when we stopped breastfeeding. Now, I don't want to interact with him. I have been great with him up until this. I hold him because I feel like I have to and I want people to see, out in public, that I am a good mom even though I am not. I know that I have been good in the past. I want to be good again. I want to be great again. With all of that said, I'm not sure that I'm truly depressed. Perhaps it's related to my hormones fluctuating with the new birth control and stopping breastfeeding. I have an enormous amount of guilt from quitting breastfeeding, even though it was a battle the entire time and I hated every minute of it. I'm not sure if this is late-onset postpartum depression or anxiety. I've read the symptoms of depression, PPD, and PPA, and I seem to fit them all in one way or another. I don't really know where to go from here, other than waiting to see the doctor, and that seems like a very long way away even though it's a week. I don't really know what's happening to me or where it's going to take me. I'm scared and ashamed. My mom is supportive, but I still feel like she will look at me like some mental patient. I asked her this directly and of course she said that she wouldn't. She said that she would not tell my father and I trust her on that. Sorry if this isn't clear enough. I feel like I'm trapped in a fog. I literally had to leave work today to take out my contacts and wear my glasses because I felt like I couldn't see straight. Is depression supposed to be this literal? TL; DR: I think I'm depressed but I'm not really sure. I agree with nearly everything on symptom lists. Is this related to PPD/A or is it actually depression? Note: I have had one traumatic life event, but it was 17 years ago and I don't think it's relevant.
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Answer:
You don't have to think about this as an either/or scenario. PPD/A could feed into generalized anxiety or depression. Things aren't always so clear cut. Since it is strongly associated with post-pregnancy adjustment, you should be able to talk to your OB/GYN about this as well as your GP for starters. They should either suggest treatment options directly or refer you to a different specialty or both. If either of them do neither, consider finding a new physician. this is something each should take seriously but some do not. And yes, definitely bring this up with the doctor who prescribed your birth control.
ThaBombShelterSmith at Ask.Metafilter.Com Visit the source
Other answers
I feel as though I have no right to be depressed. This thought is demonic. Regardless of how objectively nice one's station in life is, one can suffer depression. It, like any other illness, is not something that is "deserved". To me, you seem diagnosable with some sort of depression. Of course, none of us can diagnose you. Please see the gyn/ob who treated you during your pregnancy about this. He/she can then prescribe a course of treatment or refer you to the appropriate mental health professional.
Tanizaki
As someone with a two-and-a-half year old and an eight month old, my best guess is that this is hormonal, and will probably pass in a few months. Weaning (or attempting to wean) from breastfeeding, even partially, threw me into a HUGE emotional rollercoaster for several weeks at a time (I tried to wean my daughter twice, actually did it the third time, and am partially weaning my son now). Hormonal BC can also mess with that. I'd take a deep breath and assume this was a temporary kind of crazy. BUT, as far as the question: Is this related to PPD/A or is it actually depression? Who cares? (1) PPD IS "actually depression," and (2) the immediate answer to either (temporary but extreme hormonal issues or long-term chronic depression) would be the same: doctor, therapist, support system. Whatever the reason for your emotional state, you still need to address it, and you can totally discuss the hormonal issues with your doctor. Even if it "only" lasts a few weeks or a few months, those will be a pretty miserable few months if you don't have support.
celtalitha
Guys, wow. Really. Just wow. I am so overwhelmed by your support and PMs and virtual hugs. You guys are really the best. I'm happy to report that I have an appointment with my OBGYN at 9:30 tomorrow morning. In the depths of a crying spell that forced me to leave work, I remembered that when I finished my last pack of birth control, I was right in the midst of my first period since giving birth and my doctor instructed me to just start a new pack of the new birth control when I finished the old prescription. My period abruptly stopped. Looking back on that, it should have set off alarm bells but I didn't think anything of it. I am on the dud week (iron pills) of this new pack of birth control and my period is nowhere in sight. I think that's the problem right there. I am going to talk with my OBGYN tomorrow as well as keep my appointment with my GP. My GP is a wonderfully awesome dude who has been my doctor for 18 years and who has come to be a family friend in the time that I've been a patient. Thank you, everyone. I can't thank you enough. A membership to this website is the best $5 dollars I've ever spent.
ThaBombShelterSmith
Speaking as a mom of two who has fought depression her entire life, depression has NOTHING to do with what your life looks like from the outside and a WHOLE HECK OF A LOT to do with your body's chemistry. Post-partum hormone fluctuations, new birth control, cessation of breastfeeding; your body is awash in chemicals right now. And most of the time, at least in my experience, depression is a result of the body's chemical balance going haywire. That's why anti-depressants can help. They help your brain restore its proper wiring and get you back to functioning. Hang in there, take care of yourself and memail me if you need to talk. You are not alone in this.
tigerjade
Depression is a medical condition. Would you be ashamed of an ear infection or allergic reaction? Treat this like an allergic reaction or auto-immune response to the biochemical whiplash of pregnancy, childbirth, breastfeeding, weaning, sleep deprivation, and chemical contraception. Depression is a lot meaner than a rash, though. It'll tell you that you don't need treatment, that you're bad and wrong for needing help and you don't deserve it and you should just, you know, get over it. You just go on and get over that chemical imbalance - after all, if you had a broken leg, you'd just get over that, right? The shame is a symptom, the worthlessness is a symptom, the rage is a symptom. Treat them with the exact same urgency you would a rash or a lump or blood where blood isn't supposed to come from. And yes, depression is that literal. Joint pain or flu-like body aches can be a symptom of depression. Extreme fatigue, including the muscle weakness you describe, is also a symptom. Your brain and your body aren't processing neurotransmitters properly, and that will manifest physically because you need that stuff to make all your parts do what they're supposed to. Do let your OB know, and your pediatrician as well, as either one may be able to get you in sooner. This is a little bit of an emergency. Not that you're going to do something rash, but you are experiencing symptoms that are affecting your ability to function on a day to day basis. That's urgent.
Lyn Never
You are indeed showing all of the classic signs of depression. You have absolutely nothing to be ashamed of. This is your brain chemistry, not something you have chosen - you're not a bad mom and there is a lot of help out there. It sounds, at least right now, that you are not in danger of hurting yourself or anyone else. If this is not true or it changes, take yourself, or have your husband take you to the emergency room. This is NOT a cop out. This is an illness. Sometimes giving everything over to someone else to handle is the best option. It would be optimal if you could get an appointment before next week. Can you possibly call and tell them it is urgent? Not because you are being dramatic, but because this actually is urgent. Please feel free to memail me if you want to reach out to someone. Be very, very gentle with yourself. There are no judgments here.
Sophie1
I feel very ashamed. I have, from what most people can see, a happy life. This is standard with depression. In fact this is partly how I define depression. If you're life sucked and your health was bad and you had no house or money or family you would have a reason to feel bad. The fact that you feel the way you do without cause is what makes me believe you do have what you believe you have. Depression is one of those weird things like love in that if you feel like you are in love most likely you are. If you feel like you are depressed most likely you are. It's one of the few things where I trust a person's self-diagnosis (I am not a doctor). Even if you are not and it's something else entirely I think your course of action is the same. You need some help. There's nothing to be ashamed of.
cjorgensen
The shame and the guilt is PART OF THE DEPRESSION. I felt exactly this same way, that I didn't have the right to be depressed, that it was some horrible moral failing. That's PART of it. The fact that you feel those feelings is strong evidence that you are, indeed, depressed and need to seek treatment.
KathrynT
I feel as though I have no right to be depressed. I realize that when you're depressed it will be very hard to see this, but saying "I feel as though I have no right to be depressed" is like saying "I feel as thought I have no right to have a broken arm." A doctor's visit is definitely in order.
davejay
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