Tag: support group therapy

#PPDMyStory – One Kenyan Mom’s story and how she got help

African mom and baby, postpartum depression

We are starting a new series titled #PPDMyStory where we will be sharing life stories of moms with Postpartum Depression, their motherhood journey and how they are recovering/ recovered. This is in line with our efforts to sensitize the community on maternal mental health and to raise awareness for Postpartum Depression (PPD).

#PPDMyStory

Today’s entry comes from one of the moms who we have had in our support group sessions. She requested anonymity, so we will simply share her story as she did.

You recently had a baby, how was pregnancy?

My pregnancy had few complications. However, I enjoyed the last two trimesters because I did not experience intense morning sickness like I had been experiencing in the first trimester. In the last few weeks, I experienced some intense feelings of physical discomfort and this was made worse when I got really bad news about two weeks before I gave birth.

Read More: 8 things no one tells you about pregnancy

Your baby is 2 years old now, how has the experience been with him?

My experience with the baby has been more blissful than I thought it would have been. Initially I thought that I was never capable of loving this new human being but I have grown to learn what he likes and what he doesn’t. I have also grown to dedicate moments where we spend time together just to bond and appreciate each other’s existence on earth. Being a mother to my son is the most amazing experience ever.

A few months after birth you started feeling that something was off, that it was more than just baby blues. Please share with us about that period.

Getting sad news just two weeks to delivery made me question if I was ready to be a solo parent. It made me question my capabilities and I gradually started to feel like I had let down a small human being who had no idea of what I was going through. I gradually sunk into a state of physical numbness and emotional turmoil, and stopped enjoying activities I used to love like writing or going out with friends.

Waking up was dreadful, and during some moments I would play out thoughts of cutting my existence for good. I felt worthless. My self esteem took a plunge and I could not bring myself to work (as a freelance writer) because the voices in my head were constantly playing out situations that were far-fetched and independent of my reality.

When did you learn that it wasn’t just feeling off, that you had Postpartum Depression?

I came to the realization that these were not baby blues or just feeling off after 9 months of stagnation in my daily life. Things were crushing in my reality. I got to a point I could not effectively handle the bills, all my savings were almost depleted, I was in a constant state of despair, guilt and regret and to top it all I never wanted to live any longer.

Read More: Symptoms of Postpartum Depression

What symptoms did you experience? What did you feel during this time?

Some of the symptoms I experienced include:

  • Feeling helpless and out of control
  • Poor memory
  • Lack of interest in activities I once enjoyed
  • Intense guilt and feelings of regret
  • Weight gain
  • Constant exhaustion but total lack of sleep
  • Constant sadness and moments where I would cry without a distinct reason
  • Anxiety
  • Feeling like I am a bad mother for not being happy and grateful for this new bundle of joy
  • Intrusive thoughts of harming myself and having someone better take care of the baby

How did you get help? What kind of support did you receive?

I was referred to Samoina of PPDKenya by a mutual friend and after a few weeks of direct communication with her, she recommended that I attend some group therapy sessions that were organised for both young moms and dads with signs of PPD. Initially she had recommended that I seek individual counselling sessions but I was a bit hesitant to open up so I eventually felt like the group therapy sessions would help me open up. After attending the group sessions I was subscribed for a series of additional individual sessions with the therapist for about three months and I was accorded thorough emotional and psychological support.

What about your healthcare provider? Was anyone able to pick up your symptoms?

My healthcare provider at the time did not pick any symptoms mainly because when a mother goes to clinic after childbirth the focus is normally on the wellness of the baby. There is also the general assumption that is made, that the mother is okay, while they may not be.

Looking back, what risk factors do you think predisposed you to PPD?

My biggest risk factor that triggered depression was an unsupportive partner. This drained me a lot. In addition, I was constantly exhausted due to lack of good sleep.

Read More: Out of This Life – A Photo Exhibition on Suicide in Kenya

What positive coping mechanisms have worked for you in your recovery journey so far?

Positive self-talk is a winner for sure. I used to love myself before conception but when PPD hit me hard I hated how I looked and even how I felt inside. After therapy, I am able to refute negative thoughts about my being and during moments when I feel overwhelmed, I always remind myself that I am in control (among other positive affirmations). I have grown to embrace meditation as part of my daily routine where I get in touch with my soul and I also get to let go of what no longer serves me.

In addition, I also engage in daily physical exercises which play a big role in breaking tension in moments when I feel otherwise. I journal long-term and short term goals to keep me motivated to work and achieve something tangible. I stick to a distinct schedule which also includes time for me to take naps and a quality time to sleep.  Also, I have gradually revived my spiritual life which was typically dead.

What encouragement would you give to a mom who has PPD, or an expectant woman on how to take care of her mental health during pregnancy?

Post Partum Depression (PPD) is a mental health condition that should not necessarily be a death sentence. As a woman, many factors can predispose one to PPD hence one should be keen to look out for distinct symptoms and at the onset of PPD seek psychotherapy/counselling. In addition, there are various inexpensive ways of seeking professional help as offered through PPDKenya.

What one thing do you wish you knew about PPD before your experience?

I wish that I knew what PPD is, its symptoms and how to protect myself from the trigger factors that initially sent me into a extended period of depression.

Thank you for sharing your experience with us, and with other moms. We hope your journey will encourage a mom who is scared of asking for help. Would you like to share your story on our website? Please get in touch on email: ppdkenya@gmail.com with the subject ‘PPD My Story’

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Risk Factors of Postpartum Depression

Postpartum Depression (PPD) is one of the most common maternal mental illnesses. Research shows that PPD affects 20% of women after child birth, with higher rates in developing countries such as Kenya. In recent years, PPD has received a lot more attention, but the illnesses remain prevalent and untreated for the most part. This is why creating awareness and reducing the stigma of PPD is important. If you missed our last tweetchat on The Baby Blues and PPD, you can read it here.

Risk factors, just as the name suggests, refers to factors that increase the likelihood of a mom developing PPD. That is, what makes it more likely for mom A to get PPD and not mom B. The precise cause of PPD remains unclear, but it is thought to be linked to the sharp drop in hormone levels after childbirth. When this happens, alongside any of the risk factors mentioned below, then it means a mom is more likely to get PPD.

Read More: Symptoms of Postpartum Depression

One of the greatest risk factors for PPD is a history of depression and mental illness. Moms who have suffered depression before, or have lived with a mental illness are more likely to get PPD considering the physical and emotional changes that accompany pregnancy and child birth. Pregnancy depression, also known as antenatal depression, also increases the chances of PPD significantly, particularly in cases where it is left untreated.

Moms struggling with addiction to substance and alcohol abuse are also at a higher risk of PPD. This is because substances and alcohol may cause chemical changes in the brain, thus predisposing moms to the maternal mental illness. What’s more, addictions interfere with a mom’s ability to take care of themselves and the baby, increasing the intensity of the changes around the new mom.

Lack of support and/or prolonged isolation makes it easy for moms to develop Postpartum Depression. Without a solid support system to help a mom cope with the drastic changes following delivery, many new moms feel alone, isolated and often, overwhelmed. This is also the case for moms, especially young moms who get rejected by their families and/or father of their children.

Financial constraints/ lack of a job also increases the risk of PPD, for the simple reason that raising a child requires financial resources. From the cost of delivering to diapers, clinics, formula and everything in between, it is obvious that lack of money makes it harder for moms to adjust and certainly increases the likelihood of them developing PPD.

Read More: 10 things NOT to tell someone who is suicidal (and what you can say instead)

Major life events around the time of pregnancy and childbirth may also contribute to PPD. This is because they cause a major upheaval which adds on to the stress of raising a newborn (which is, in itself a major upheaval). Such life events include, but are not limited to job loss, buying a house, death of a loved one, divorce, relocating to a new town/country and the sudden change from a working mom to staying at home to take care of baby.

Moms who experience breastfeeding challenges are also more likely to get PPD, particularly in a society where there’s immense pressure to breastfeed. While we are cognizant of the amazing benefits of breastfeeding, the truth is that not all moms can do it for a myriad of reasons (from medication to low milk production and terminal illness among others). With societal expectations that all moms should be able to breastfeed, it is little wonder that those who are unable to feel ashamed, and feel like they have failed their babies. This also ties in with the high cost of formula which, in cases of moms with no financial resources, may be out of reach, further increasing the chances of Postpartum Depression. It is important too, to mention that Breastfeeding has great benefits, but moms need to remember too, that is OKAY to supplement with formula.

Pregnancy complications such as Placenta previa, Hyperemesis Gravidarum, Pre-eclampsia among others may lead to a traumatic birth experience which in turn is likely to contribute to PPD in new moms. This is also seen in moms who get multiples (twins, triplets, quadruplets etc), moms who get babies with special needs as well as those who have gotten kids following a miscarriage or infertility treatment.

It is important to remember that these are risk factors, and just because a mom has any of them does not necessarily mean she MUST get PPD. More importantly however, if you show any of these factors, it helps to speak to your doctor, gynae or midwife while still pregnant. This helps you to prepare for the journey, plan ahead and get medical treatment if necessary. Remember, PPD is treatable and you will be okay when you get help.

NOTE: PPDKenya is making a call out for moms with PPD, for those who would love to get therapy in a support group setting. We understand what you are going through and we will link you up with professionals who can help. More details here.

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PPDKenya support group therapy is now underway

Offering hope through PPDKenya support groups

The second weekend of January 2018 will probably remain the highlight of the year (so far) because it ushered in a new chapter for PPDKenya. We (finally) stepped away from the fear of the unknown, and into the heart of where our true passion lies – we held our very first support group therapy meeting! Words do not quite capture the excitement and sense of purpose we felt that day.

Read More: Why is a PPD support group important?

Of the seven who had confirmed, four showed up Continue Reading…

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