Mental Health Day

Yesterday I took a mental health day. I don’t take too many of these since I need to save my leave as much as possible. (You never know when your child is going to get sick!) However, by midday on Sunday I knew I needed some time to myself. I experienced more fits/seizures and mood disturbances over the weekend. One big contributor was the state of our house. It had been neglected for some time, because, well, you know, life… it just happens. It was as if the clutter was assaulting my senses. It compounded my feelings of being overwhelmed and overstimulated. Instead of my home feeling like a place of relaxation and restoration it was making my mood disturbances worse. And it wasn’t just affecting me. It was making Hubs and Baby Boy feel bad, too. We were all just so cranky from it all…

So off to work went Hubs, and off to daycare went Baby Boy. I didn’t let my mama guilt get me on this. If I had gone to work he would have been in daycare anyway. Plus, I can’t seem to ever get any cleaning done with him in tow, and this was as much for him as it was for me. I spent the day cleaning. I started at one end of the house and worked my way to the other end. I even finished all the laundry! I know it seems counter intuitive that cleaning would be good for the mind. No, I don’t enjoy cleaning, especially extended bouts of cleaning, but I needed everything cleared out so that I could be at peace in my own home. (And it worked! When Hubs came home he said it felt like coming home to a new house.) The day at home cleaning also meant I spent a day to just myself, with only my thoughts and my favorite tunes to keep me company. I didn’t have anyone tugging on me or asking me for anything. It was so nice to just be responsible for myself for a little while.

In the afternoon, I went to therapy. I needed it. I was on the verge of tears for probably half my session. We talked about all the things bothering me – the daily struggle to maintain without my meds, pregnancy (both with Baby Boy and my hope for another child), my guilt over my moods affecting Baby Boy, my weight and difficulty with my wardrobe not fitting, my bookkeeping coursework and the feelings of self-doubt with such dense material, the dramas at work, and the sudden lack of time to just hang out with Hubs, to exercise, to get enough sleep or to journal. I fully acknowledged, though, that I’m not as bad off as I was in the fall. It is spring/summer after all. If it was cold and dark out, I would be worse. She validated all of my feelings on these issues but reassured me I’m handling these issues better than I have in the past and that I will get through this.

And today, I went back at work, and am feeling more level headed. A day invested in my mental well being paid off.

Seizures

One thing I haven’t talked about yet is my seizures because they’ve been under control  and I only have one or two a month now. For much of 2017 the seizures were more like panic attacks and I had hope that they wouldn’t be an issue anymore. I have something called PNES – Psychogenic Non Epileptic Seizures. My psychiatrist tells me it’s a conversion disorder; that my brain converts stress and internal conflict into seizures. When they started last summer I was taken to the ER twice in an ambulance and for one of those visits they kept me in the Neuro unit for three days. When they did the video EEG they found out that the seizures weren’t due to a wiring problem in my brain, like in Epilepsy. So the neurologist said it was probably due to postpartum depression and referred me out to a psychiatrist.

At the time I was having several day and it was very distressing to both me and my husband. We were at a loss at what to do and were very worried the impact this would have on our son and the life we have built together. I was so relieved to learn that this is a condition that is supposed to get better with time and therapy. And it did get better. As I said I’m down from several a day to one or two a month.

Last night though I had them on and off for about two hours. Instead of being panic attack like, these were full on flailing and eyes rolling back into my head seizures. They left me feeling weak and exhausted. It meant I had to rely heavily on Hubs since I needed help getting through them and I was unable to care for Baby Boy. I was so grateful Hubs is more than capable of handling dinner for our son. After he was fed Hubs suggested I participate in bedtime routine; that being involved might help get my mind off the seizures. He was right. I needed that family time. Hubs of course stayed with me as I changed Baby Boy into his nighttime diaper and pajamas, but we more or less were able to keep things consistent for the baby. We kept to our tradition and both read him a story.

Once Baby Boy was in bed though, Hubs said it was straight to bed for me. No laundry, no house cleaning, and no homework. He was absolutely right that it was more important that I take care of myself and get a solid night’s rest. We’ve learned that exhaustion makes these seizures worse. I’ve also learned that when I have these, it’s a big clue that I need to do some introspection and get a handle on my stress.

Hubs suggested that maybe coming off my meds played a part in last nights fits. (At home we call these fits since seizures don’t always feel like the right word for this.) It makes sense that if I’m not getting the medications I need to keep an even keel, then my stress levels will go up and I’ll be less equipped to handle them effectively. Related to coming off my meds, I think that planning for pregnancy is playing a part. It’s not from fear of having a baby, but more that (1) I worry about being unmedicated and therefore mood disturbances will occur and affect our home life, and (2) that if I end up needing to take them to control my moods there’s a chance of them causing birth defects and health issues for our baby. I’m also currently trying to complete an online bookkeeping course through our local community college in order to start my own business that will allow me to work from home as our family grows. (I already do a form of bookkeeping in my current job and it’s one of my favorite parts of it, but if I want to be a professional bookkeeper with my own business I need the appropriate training.) Even though I have another five months to complete the course my goal is to complete it by the time I am able to get pregnant so that’s extra stress in my life.

I’m very lucky, though. I have a supportive husband who helps me through both the seizures and the bipolar. I am also still able to drive and work. These fits are highly inconvenient (and definitely embarrassing) and temporarily prevent me from fulfilling me duties at home (and sometimes at work). But knowing that if I keep doing what I’m supposed to do (stay in therapy, continue to work on developing better coping skills, etc) helps me keep things in perspective and remember that this will pass with time.

A Cardigan and the Resulting Mood Disturbance

I fear that the effects of coming off my medications in preparation for pregnancy have started to manifest themselves. If I’m honest, the truth is that I haven’t really been doing the things I’m supposed to do to keep myself mentally healthy. I felt so much like my old self all my new ways of coping with stress and the structuring my days didn’t seem to be needed.

I was wrong.

The catalyst was a stupid cardigan. Since I’m a larger size than I used to be I’m having daily struggles to find something to wear to work. (This is mainly because I refuse to buy another larger size. I vow I will NOT stay this size.) I had an outfit in mind because I knew the pants would fit, but I couldn’t find the cardigan that went with it and it set me off. I spiraled. I’ll spare you the inner dialogue that had me screaming and crying but everything went from a missing cardigan to “I’m so fat and ugly” to “Life is so overwhelming, nothing ever goes right, I fucking hate everything.”  All the while, Hubs is trying to reign me in. He’s telling me how weight is a fixable problem and that I need to get myself to work and not let this instance ruin a whole day.

If you know me, mornings just aren’t my thing. Never have been, and I doubt they ever will be. Needless to say the cardigan went missing when I was already running behind. To top it off Baby Boy could feel my anxiety and it made him anxious in turn. He got clingy and needed extra holding. It’s for him that I feel the worst. He witnessed yet again in his short little lifespan his mother losing control. He even tried to comfort me by gently rubbing my face and arm while I held him. Obviously he had no idea what was wrong but he knew something was wrong with his mommy and it was upsetting him. By the time we eventually made it to daycare he was quiet and sullen. He clung to my neck when I took him in. The daycare lady asked me if he had a good morning, at which I couldn’t hold my tears in and said “No, we’ve all had a very rough morning.”

I didn’t want to, but I pried myself away from Baby Boy and went to work, practically crying the whole way. I legitimately felt that today would be have been a good day for a mental health day since I was stressed to the max before even leaving the house. I was a half hour late when I made it in. I really was in no mood to talk to anyone, but as soon as I got in people were knocking on my door. Then my assistant got sick and had to go home, so the option of leaving early after meeting deadlines was no longer available. Finally before lunch I made it down to see my very good friend on the first floor. (For now on I’ll just refer to her as Care Bear.) She knew right away that I was upset and let me cry in her office and tell her about my morning and how terrible I felt as a mother. As we were talking our dean came in and saw me crying, a side of me he’s never seen. Instead of letting me feel embarrassed, he laid on the encouragement. He doesn’t know anything about my mood disorder but he made a point of enthusiastically telling me that I’m a good mother and an outstanding colleague at work.  So between the dean and Care Bear I got a thorough pep talk and genuinely felt better.

No one may notice from the outside that I struggled with my moods today. I’m grateful the storm has passed, but I’m left with a sense of deep shame. I’m not ashamed that I had a hard morning and or that after 18 months I still haven’t figured out how to get in a good routine with my son. What shames me is that I let my mood negatively affect my family, especially my son. I feel like I took away his right to peace in our home. He shouldn’t be the one to comfort me in times of distress. I should be the one comforting him.

Four Week Fitness Update

My fitness goals for the past four weeks included: walking 15-30 minutes three times a week, drinking water in place of soda (including diet soda), not eating after 7pm, and lose a pound a week.

I met none of those goals. Instead, I gained 7.5 lbs.

Here were some of my strategies and pitfalls.

Walking – The first hurdle to walking is simply going. I tried switching my walks from the evenings after work to during the day as a lunch break. I think this is a good strategy because by the time I get home in the evening, I don’t feel like walking at all. I had a little success with switching to a day walk but I need to make it more consistent. This means bringing a gym bag to work and making this a regular item on my agenda so I actually get this done.

Soda – It’s really hard to say no to diet soda when Hubs keeps it in the fridge all the time. I really need self-discipline for this one. I also need to change this from a negative (no soda!) to a positive (more water!). Instead of just saying no soda I’m making the attainable goal of no soda for 28 days – four weeks.

No eating after 7pm – This should be easier than it is. Baby Boy is done eating by 7pm anyway so once he’s done I really shouldn’t be in the kitchen. This is such an easy one to do.

Emotional Eating – I noticed this past four weeks just how much I was eating my emotions. Whether it’s sadness, stress, or happiness I’m eating. I will be discussing this particular bad habit with my therapist at my next session. I’ve seen what happens when a person eats just because of how they feel and it’s not something I want to continue doing so something I think that will help with that is to go back to counting calories. It will help me stay focused on what I’m putting into my body and help me choose foods that will keep me fueled.

I’m adjusting my fitness goals for the next four weeks: walk 15-30 minutes 3 to 5 times a week, use the rowing machine for 30 minutes 1 to 3 times a week, no soda for 28 days, no eating after 7 pm, and lose a pound a week.

 

 

You’re a Toddler Now

Baby Boy you just turned a year and half. You are so much more than I ever expected. You are an amazing little boy. You have a personality all your own. You can be difficult in your moments of frustration and misunderstanding but you really are such a sweet child. This morning we learned that you definitely out of the lap baby stage. You have gotten so big it is uncomfortable for you to be held. But you still love it. However, we’ve reached that point where it just makes more sense for you to walk for yourself. You still hold onto the vestiges of your babyhood, though. You understand that you can’t have the pacifier at daycare but you still cling to it at home. You can drink out of a sippy cup but refuse to have your milk in anything other than a bottle. And then of course there is Elvis the elephant you drag around. All these little hallmarks of you.

You have started to show us more about who you are. Despite the mess and chaos you create around you, you have an affinity for order and tidiness. You know the doors and drawers are to be closed and you go behind me closing them when I leave them open. You even do this for your wipes. Yesterday  you wanted to help sweep. It’s much to large for you to handle, but you had your own thing going and I could tell you knew what it was supposed to do, that you just had to get bigger to do it. You also want to participate in clean up. You like it when I give you a baby wipe so you can wipe off your food tray when you’re done eating. I don’t know where you got this neat freak streak but I’ll take it.

I so long to hold you and rock you like a little baby. Sometimes you let me. I’m still your number one but you have started to look to your father. You want to hang out with him and for him to roughhouse with you. You love the thrill of being twirled around in the air and then falling onto the couch or the bed. You’re so much tougher than me and you’re still so young.

You come by your willfulness honestly. Your parents are both oldest children too and we understand you have these powerful baby ‘motions. You get so frustrated and you can’t express yourself with words yet so you express your anger with little tantrums. We hope you grow out of this, but also recognize ourselves in you and acknowledge this may be a part of you too.

I love you so much. You’ve been told your whole existence how cute and handsome you are and have been showered with nothing but love. You have yet to ever meet a stranger because you can pull anyone out of their shell with your charm. I see how much you love playing with your friends at daycare and how you have a place of belonging there with the children. You certainly light up any place you go.

As we navigate through toddlerhood know I will always love you. I miss your little baby self but I am also enjoying watching you grow and getting to know the person you are becoming. You are teaching me about life and what really matters. It is because of you that I am becoming a better person. You’re just such a wonderful little spirit.

 

Baby Steps

I saw my psychiatrist yesterday and he has officially deemed to be “stable.” The lithium orotate was exactly what I needed to smooth out my moods. He and I are satisfied enough with the results that I have received his blessing to start tapering off the Latuda so that we can prepare for pregnancy. There isn’t a lot known about the lithium orotate and pregnancy but his opinion is that I shouldn’t be taking it during pregnancy because even though it is a supplement it still contains elemental lithium. Before he sends me to see a maternal fetal specialist he is going to have a panel done to see if the lithium orotate is showing up in my blood. He said if my lithium levels were about 0.2 then we know that it probably isn’t safe to take. He also explained that in Europe, lithium doesn’t have the same taboo during pregnancy than it does here in the US. I’m really hoping that I can continue to take this so that I remain stable. My mood disturbances take a heavy toll on our family life and I’d rather not add that on top of a pregnancy. My personal hunch is that since I had a happy first pregnancy that I’ll have a second happy pregnancy, but I am also a pragmatist and know fully well that circumstances have changed since my first go around. Nevertheless, I am happy that we are now on our way to making a second child a reality.

Baby Boy’s Birth Story

 

Something we women don’t really get to talk about is our birthing experiences. It shouldn’t be this way since it’s one of the single most profound experiences of our lives. We don’t talk about it because it’s not socially acceptable. It’s too gory for public discourse and you definitely aren’t allowed to talk about it with first time moms because you’ll terrify them (as if they aren’t already terrified at the prospect…).

I always knew I wanted to be a mother, but the act of delivering a baby was something I wanted to avoid. When I was nine my mother had me and my sister attend the birth of my youngest sister. To be honest it was too much for me and in retrospect I don’t believe I was mature enough for that experience. While it was effective at preventing a teen pregnancy, I spent the next 20 years dreading childbirth. My hope was that by the time I was pregnant science would find a way for us to grow our children outside our bodies and they could just be incubated. Needless to say, my opinion has very much changed.

When I was 28 I was experiencing all sorts of nasty side effects from Depo-Provera. I wasn’t quite done with school, but Hubs and I decided that it was better for my health to come off the contraception. My last injection was in January 2014 but my menstrual cycle didn’t return until August. Each month I eagerly awaited to find out if I was pregnant. Like women who experience the sadness of infertility I was heartbroken each time my period came. I began to wonder if something was wrong with me. I questioned why other women – ones in my addled brain I felt didn’t necessarily deserve a baby – would get pregnant and I wasn’t. I was mad at God/the universe because I did everything in the order you were supposed to. I didn’t get pregnant as a teen. I got married, we bought a house and we were financially stable all before we even considered pregnancy.

In January 2015, I went to a family reunion and found out that a cousin was pregnant. I was devastated. At home I cried with my whole heart because I wanted a baby more than anything in the world. Little did I know, I was already pregnant. It was just too soon to know. A few weeks later I left work early because I was severely irritable and just felt off. I took a pregnancy test and instead of two pink lines there was one bright pink line and one faint line. Hubs cautioned me from getting too excited yet. He very understandably didn’t want me heartbroken if it turned out to be nothing. But I got very excited. A faint line is a positive no matter how faint. After the second one came back positively positive a few days later I finally had the courage to call the doctor. We were officially pregnant!

I had a beautiful pregnancy. I was sick the first half throwing up and had terrible headaches that required medication, but I was the happiest I had ever been. I loved being pregnant. I loved having a life grow inside me and feel it move. Even before the gender reveal I knew I was having a boy. Apparently, I inherited this intuition from my mother. She said  she too knew what gender she was having before it could be confirmed. I thought I would hate my belly being touched but I actually got to the point where I wondered why wouldn’t everyone want to touch my pregnant belly. I think I really just wanted to share my joy with everyone. My doctor was the best during all this. At my visits he’d say “You’re holding that belly again.” Not only wouldn’t he let me suffer from the headaches, but he knew I wanted to see the baby as often as possible. He had a hand held ultra sound machine that he would pull out during my visits. We would have a good laugh because I would point to the spots on my belly and say where I thought all the baby’s body parts were. I was amazingly accurate.

I finally graduated from college with my Bachelors and my due date neared. About a month out  I started having really strong and powerful Braxton Hicks contractions. It would get so bad that at work I would have a colleague/friend rub my back or would call Hubs to come help. (It was very convenient that at the time we both worked on the same campus.) In the evenings, like clock work the sun would go down and the contractions would get intense. Hubs would draw a warm bath and help me get in – after all I had gotten really huge and could barely see over my belly. He would even sit on the bathroom floor just to keep me company. Then my due date came and went. We talked to the doctor and we decided to induce because it felt like life had been put on hold. Plus I had reached that point that all pregnant women get to, and you’re just done. On top of that, the entire pregnancy I was scared I wouldn’t have my own doctor deliver my baby. I didn’t want a stranger doing this. Since Doc was on call all weekend we knew this was better than waiting around.

We checked into the hospital on a Friday evening. When we were finally taken to the delivery room Hubs asked the nurse, “Is this THE room?” She laughed and said yes. She left to let me change into a hospital gown and I broke down in tears. I was terrified. I was face to face with my biggest fear in life. I had no idea how I was going to get through delivering a baby. Soon they had me hooked up and the Pitocin was going. They suggested I try to sleep, but sometime around midnight my water broke. I had just reached that moment where you were crossing the line from consciousness to sleep when I was wet all over. I screamed, “You’ve gotta get the nurse! It’s going everywhere! Make it stop!” They gently laughed at my sudden panic. We decided previously that since I don’t handle pain well we would request an epidural as soon as real labor began. We had to wait a little bit for the doctor on call to approve its administration. I was scared of a needle going in my back, but I was even more scared of the pain that was coming.

Unfortunately, the epidural didn’t work. They had to re-administer the medication every two to three hours. At one point I told the nurse anesthesiologist, “Kevin, all the women must love you.” He just laughed and said, “sometimes.” I was glad each time he showed up.  I can only imagine how much worse the pain would have been had I chosen an unmedicated birth. I labored for something like twenty six hours. I lost count the number of shift changes we went through. Finally I transitioned into the final stages. It was awful. I was throwing up everywhere, and the pain became excruciating. I pushed and pushed for two hours. Every contraction I imagined myself a mama bear. In the midst of this I remember telling Hubs, “PLEASE DON’T LOOK!” The nurse made a sound of disgust at this but Hubs respected my request and even studied the monitors to know when I would have to push next. He coached me though telling me when the monitors showed the ideal time to push and holding my left leg. (The nurse had the right leg.)

Finally, Doc said I wasn’t progressing. He believed it to be an anatomical issue. He told Hubs we can let her keep pushing but that he really didn’t think I was going to get the baby out on my own. Right away he said, “Do the C-Section.” By this point I was out of my mind with so much pain. I remember yelling, “Please don’t let me die!” I don’t remember much about the next few minutes other than the room suddenly becoming a flurry of prep and I had to sign paperwork. They rolled me to the operating room and once there and on the table I remember asking, “Why am I naked, I don’t know any of you!” One really nice nurse yelled “Get this woman a blanket!” This was the same nurse that a few minutes later let me hug/hold on to her when “Kevin” gave me my spinal. I told him that I had heard that sometimes you could feel tugging and pulling during a c-section and that I wanted none of that, “That’s just not cool, man.” To this day I think that man was sent to be there at my birth. He stayed through the whole operation and talked me through it, keeping me calm.

On Sunday October 18th at 1:14 am the baby was born safely. I didn’t get to hold him immediately like I originally wanted, but Hubs stayed with Baby Boy like we had talked about while pregnant. I told him that no matter what was happening with me I didn’t want him to leave the baby. So, Hubs took it upon himself to make sure there were pictures taken and to make sure the baby was never alone while I was being stitched back up. (As an aside, do you know it takes less time for a doctor to get the baby out, than it does to stitch you back up?) Hubs, bless his heart, had never held a brand new baby and the nurses left him to hold the baby by himself. He later told me that he was so scared he was going to do something wrong and anxiously awaited for me to brought back. After a while I was reunited with my new little family. I finally got to hold my baby for the first time. Thank goodness Hubs was able to think more clearly than I was. By this point I was completely drugged and could only think about holding my baby – it was a very one track mind thing. I’m so grateful that he made sure to record the event. It was literally the happiest moment of my whole life. I had my baby and we both survived.

Unfortunately, things didn’t get better from that point. The happiness was brief. When we were placed in a family room, they took Baby Boy. I ran a fever during my labor so both me and the baby had to have antibiotics. They said they needed to put an IV in the baby for this. Hubs and I were exhausted at this point and trusting they knew best consented. I didn’t know they would take the baby for a long time. He was still gone when Doc came back to check on me. I was completely distraught by this time. He apologized for not warning me that they needed to take the baby but promised to get him back. Well the nurses stalled and stalled. I kept asking and kept being told “soon, just rest.” I asked where he was, and they said the NICU. I asked what happened to him that he needed to be in the NICU that he was healthy when I got to hold him. I was told that the NICU is better at getting baby IVs in. Finally, I snapped and said “How in the hell do you expect me to calm down when you’ve taken my baby away from me?” I got my baby back but was in total shock at what they had done to him. He came back with pin pricks all over his hands and IV tubes coming out of his head. I just cried and there was nothing I could do.

The post delivery hospital experience was just horrible. They wouldn’t let us sleep. They came in and out with lots of unnecessary visits. And they treated Hubs like he wasn’t even there; like he was unimportant part in all this. At one point the nurse left me stuck to an IV unit for more than an hour after the antibiotics course had finished and the hospital wouldn’t let my husband back in without my consent even though he had the obligatory authorizing tag on his shirt. It’s now why I understand why some do home births. We just wanted to celebrate and acknowledge this monumental moment in our lives, but also rest after such a traumatic birthing experience. We got none of that. I begged Doc to let me go home. I made my case that I would be much better off at home by showing him the schedule the nurses had me on. He promised that as long as my last round of blood work came back clear he could discharge me. Even with his approval it took FOREVER to be allowed out of the hospital. The oversight is ridiculous. You can’t just take your baby and go. They lecture you for more than an hour on different aspects of parenting, they escort you in a wheelchair to the pick up station not letting you get up, and they check your car seat and how you buckle your baby in.

It was a Tuesday afternoon and we finally got to breathe a sigh of relief once the hospital was in the rear view mirror.