1 Year Later

As you might know, our little cupcake recently turned 1 year old.  A lot of people have asked me if I can believe a year has flown by…and the question really stumps me.  In a way, Mariah’s precious baby moments have moved too quickly since babies literally grow and develop right before our eyes.  But on the other hand, this has also felt like the longest year of my own life since time can inch by slowly when you’re home with a baby…and since it feels like a lifetime ago that Mariah was a tiny newborn.  Some people describe this parenthood phenomenon through the quote “the days move slowly, but the years move quickly” – I’ve found this to be very true.  And despite some of the long days being challenging, each one had its place in teaching me about the illusion of time.  I’ve come to the conclusion that life can move forward as slowly or as quickly as we let it, so it’s probably a good balance to experience some busy days filled with work and adventure, and some slow days to help us be mindful and present.

Mariah’s development has continued to spiral forward in the last few months.  Around 8 months, Mariah learned how to backtrack down the stairs and also learned how to wave ‘bye’ around the same time – so she often combines the two and takes off when she needs a change of scenery.  Her musical talents flourished at 9 months when she started clapping, ‘singing’ (which she does in a very throaty gaaa noise) and dancing.  At 10 months, Mariah turned her ba-ba-ing into a more defined ‘ba-bye’ and knows to do this while waving when someone is leaving.  This was helpful timing since we started transitioning Mariah into her dayhome at 11 months.  After just a few tough days, she started waving ba-bye to us in the morning and has gradually become more and more comfortable with her loving caregiver and new ‘friends’.  And perhaps just to check it off her milestone list, Mariah literally started walking on her first birthday.  She had been taking a step or two for several weeks, but seemed to prefer the safety of crawling.  I guess she was just waiting until she felt ready since she skipped over the wobbly speed-walking stage and just started walking independently with pretty good control.  Her moves are still a bit zombie-ish at this point, but she gets from a to b.  Unfortunately, ‘b’ has included all the things we would prefer her not to touch.  Every now and then when Ivan and I lose track of her for a minute, we hear a ‘clank, splash, splash’ and sure enough she’s swooshing a facecloth in the toilet bowl with a smile on her face.  Yesterday, I learned that my mom had forgotten a lipstick at our house when Mariah emerged from her bedroom with colourful lips and hands.  And just when you think you can get mad at her – she uses her cute magic to make you crack a smile.  She’s recently started laughing like an adult who is having a serious chuckle – she throws her head back in a whiplash motion and then tucks her chin down to her chest like every situation is the funniest moment she has ever experienced.  Mariah does this in public for cashiers and waitresses who indulge her in the attention she loves…in fact she’s been called a ‘ham’ by two different strangers in the last week!  She loves being a comedian like her dad, and I’m sure once she starts talking, there will be plenty of funny lines coming out of her mouth.

I suppose Mariah’s magical charm might have wiped away our memory of how hard raising a baby is…since Ivan and I have decided to start it all over again.  We are happy to say that we’re 12 weeks pregnant, so Mariah and her new brother or sister will be just a year and a half apart!

Post-Partum Anxiety...and medication

Prior to becoming a mom, I had some knowledge of ‘baby blues’ and post-partum depression…but I had never heard the term ‘post-partum anxiety’.  As it turns out, myself and many women I’ve spoken with say that anxiety can be much stronger than depression, post-partum.  Some women have panic attacks, others obsess over the health of their baby.  I think the sudden loss of control for women, who usually prefer to be ‘in control’, can be very disorienting. 

For me, I found that my underlying anxious nature became more intense for a period of time.  I’ve always been a general worry wart – the type who plans things far in advance, processes situations over and over again, and has trouble making decisions.  All of these tendencies went from being noticeable yet manageable to being so distracting that they finally started to affect my daily functioning.  I had started checking off diagnostic criteria in my head: “excessive worry – check; difficulty controlling the worry – check; feeling restless – check; difficulty concentrating – check; difficulty sleeping – check; irritability – check, check, check!”.  I used to wonder whether my previous level of anxiety would have warranted some medication treatment.  In retrospect, I’m sure it couldn’t have hurt to do a medication trial or two…but in comparison to my anxiety level post-partum, I was finally sure that medications were ‘needed’ (as sure as an indecisive anxious person can be). 

The topic of mental health medication can be a controversial issue, since there is a full spectrum of people who range from being completely for it, to being completely against it.  After my recent pendulum swing toward all things natural, I was really torn about the decision.  I contemplated seeing a naturopath or taking more of the natural & homeopathic medications I was already tinkering with.  But I decided that my anxiety was so strong and my mood so fragile, that I wanted to give medication a try.  So I talked to my family doctor who agreed that I would probably benefit from a low dosage of anti-depressants (which are often also used to treat anxiety).  I had some side effects for a few days, but within weeks I noticed a dramatic increase in my energy, improvements in my mood, and I found it much easier to sleep.  This reaction isn’t common for everyone, since many people have to trial various medications and dosages before finding the right one.  And I made sure to use the medication as just part of a ‘treatment plan’ that worked for me – including therapy, exercise, walks, and of course blogging!

I’m now at the point where I’m weaning myself off the medication since my mood has been stable for a few months.  However, I have no regrets about using them.  It was a very personal decision that not everyone would make…but as many women told me in retrospect – they wish they had tried medication to get back some precious moments with their baby.

Trouble in Paradise

I’m pretty sure the biggest parenthood myth I was ever told is that ‘a baby will bring you and your partner closer together’.  Yes – babies are wonderful, and they can turn a house into a home.  But let me tell you, they are probably one of the most significant stressors a couple’s relationship will ever face.  Ivan and I have both always wanted kids – to the point that we even bought baby items when we were just dating!  So we were probably so busy daydreaming about how a new baby would magically make our lives more enjoyable, that we forgot to mentally prepare for the practical challenges parenthood would bring into a marriage. 

Like many parents say – the moment they leave the hospital (or in our case, the moment our midwives left the house) – they are suddenly faced with the reality that they’re on their own.  Ivan and I have a reasonable amount of experience caring for babies, thanks to our nephews and younger cousins.  However, even with that under our belts, the constant demand for baby care (like nursing, changing diapers, bathing, etc.) in combination with sleep deprivation and maternal hormones can really put a marriage to the test.  I found that my heightened post-partum irritability served as a magnifying glass on our relationship.  If you’ve ever read about the ‘Five Languages of Love’, you will understand that Ivan’s ‘Acts of Service’ (like bringing me tea) and ‘Physical Touch’ (like offering me a massage) were clashing strongly with my need for ‘Words of Affirmation’ (like “I’m so proud of you”).  The mania I was experiencing not only caused me to talk excessively, but to feel hurt whenever Ivan didn’t respond.  So his tendency to mumble, have selective hearing, and difficulty expressing how he feels, suddenly shifted from being barely noticeable to extremely aggravating.  And I’m sure the feeling was mutual since my everyday wife nagging increased drastically and my sensitivity turned every nothing into something.  If Ivan was quiet, I thought he was mad at me; if Ivan talked loudly, I thought he was yelling at me; if Ivan didn’t hear me, I thought he was ignoring me…he truly couldn’t win.

As someone who has always prided herself on having an amazing relationship, I was devastated that things weren’t the same.  I missed my best-friend and almost felt like I was grieving the loss of the couple we used to be.  On top of that, I have to admit that I was starting to feel a hint of jealousy toward my innocent little baby girl since she had quickly captivated Ivan’s attention.  Whenever I heard Ivan calling Mariah ‘the love of his life’ or gazing at her lovingly, I felt even more hurt that our relationship was in a period of lacking that same affection.

After just a couple of weeks, Ivan and I made the wise decision to try some couple therapy.  As a therapist myself, I am a strong advocate that counselling can be helpful in any relationship, no matter how strong or healthy.  All we needed was a few sessions of chatting with someone who could help us put things in perspective.  We learned that our rough patch was very normal and that many people consider the entire first year to be the ‘post-partum adjustment’ since a new mother and her partner are faced with so many new challenges.  Our therapist had us do some much-needed homework to figure out who did which household chores pre-baby and how we would renegotiate now that our schedules had changed.  She also got us to talk about the current issues that were causing us tension like what was fair in terms of balancing nighttime feeding responsibilities--She helped validate that being a new mom is a 24/7 job and that it’s crucial to her physical and emotional health that her partner takes some turns with nighttime duties.

Luckily for Ivan and I, we have slowly returned to having a solid and happy relationship.  We still have the normal fights that every couple does, but I suppose I can finally agree that the challenge of having a new baby eventually brought us closer together…once we survived the storm: )

What goes up must come down

After a few days of uninterrupted post-partum mania, I started to hit some inevitable mood crashes.  Most of my time continued to be spent feeling ecstatic, but since a person can only sustain that for so long, I began to have daily plummets into depressive episodes.  My heightened awareness came along with heightened anxiety, which came along with heightened irritability, which meant that any little thing could throw me into the deep end of a crying spell.  And these weren’t the entertaining ‘mood swings’ you might see on t.v. – in fact they were rather frightening for me to experience and probably equally frightening for Ivan to watch.  The slightest disagreements that wouldn’t have phased me pre-baby, began to turn me into an emotional wreck.  I remember falling to my knees and sobbing desperately – the type of cry I hadn’t experienced since I was a child – the kind where you can barely catch your breath.  Yet, I can’t remember what I was crying about in that moment, so it probably wasn’t all that significant.

Each morning I would awake (after barely sleeping) with a smile on my face and the determination to prove to myself that the ‘baby blues’ were over.  Yet each day, for at least the first couple of weeks, I had at least one crying spell that lasted anywhere from a few minutes to half an hour.  That doesn’t seem like a long time – but while I was trapped in those spells, they seemed like they would never end.  At first I tried hard to fight them off, by running to the bathroom and trying to wash away the tears, but soon realized that these attempts were futile.  My hormones needed an outlet, and rather than trying to suppress them, I needed to express them in a healthy way and then move forward.  Similar to childbirth, I stopped resisting the pain, and started allowing my body and mind to experience these intense emotions, in order to move forward.  This helped me to regain control and remember that the dips were temporary, rather than being paralyzed with the fear that I thought I was ‘going crazy’ in those rough moments.  Being the therapist I am, I even wrote a list of ‘coping strategies’ (including simple tasks like eating, drinking, sleeping, relaxing, seeking support, etc.) since it’s easy to forget about self-care when you’re busy tending to a newborn. 

These first couple of weeks post-partum were definitely the toughest – both because my emotions were so raw and intense; and because I didn’t know when they would improve.  But luckily, the mania started to taper off and the crying spells started to become less regular.  I was hopeful, at that time, that my post-partum emotions would end any day, but have realized that they can often change and evolve for at least a full year.  

Post-partum mood, stage 1: Sheer Manic...

At the moment Mariah was born, I felt a strong dose of adrenalin pumping fiercely through my veins.  I had just gone through 16 hours of labour (most of which were quite manageable, however) and had delivered Mariah naturally – yet I didn’t feel the exhaustion or pain I had anticipated.  Instead, I felt excitement, an extreme sense of alertness, and a strong desire to stay awake and process the miracle I had just experienced.

For the next week or so, this adrenalin rush continued to offer me a natural high that lifted me to a place my emotions had never been.  I was unbelievably happy to have my long-awaited bundle of joy in my arms, and initially I chalked my excitement up to a ‘normal’ reaction to this life-altering experience.  When I wasn’t taking care of Mariah, I spent a lot of time following my mind on a frantic journey that explored rather deep topics such as my beliefs in God and spirituality.  In fact, I remember lying in bed thinking intensely about my new interpretation of God (i.e. that there is an abstract higher force or power that reaches out to us through elements of nature and the life cycle, since I’ve never been one who was satisfied by the idea that God is an actual ‘being’ who oversees us and has the ability to intervene).  Even as I reflect about this in retrospect, I can see how that would have felt like a powerful moment for me, but at that time I saw it as much more than that.  I remember wondering if this was how Buddha felt when he reached ‘enlightenment’ (seriously).  When I tried explaining this to Ivan, his first reaction was to smirk (probably since he was amused by my delusions of grandeur).  And rather than realizing that I sounded a little crazy, I felt shocked and terribly hurt that he wasn’t taking my spiritual revelation seriously.  In my mind I had almost expected him to be in awe of my realizations and in agreement that I had discovered valuable information that the rest of the world would be privileged to know. 

My days were filled with uncontrollable laughter at things that weren’t really all that funny, a sudden urge to ‘nest’ and organize the house (which I had never experienced during pregnancy like some women do), a generalized feeling of urgency to complete all tasks as soon as possible (such as personally replying to dozens of congratulation e-mails), and constant surge of ideas flowing rapidly through my mind.  It was the first time in my life that I had trouble sleeping at night – and I couldn’t even blame it on Mariah since she was a reasonably good sleeper.  My mind was just racing so fast with so many thoughts and ideas that I found it nearly impossible to calm myself down.  And since my frantic thoughts were positive and my mood was better than it had ever been, I didn’t have the slightest insight that this was anything to be concerned about.

However, after a few days of floating high on cloud nine, my husband Ivan had to gently tug me down to discuss the possibility that my emotional state was perhaps a bit beyond the ‘normal’ range.  Until he pointed it out, I hadn’t realized that I was showing some rather out of character behavior such as talking nonstop (not just usual wife chatter, but literally rambling on like a runaway train that couldn’t slow down).  It was a rude awakening to realize that the emotional high I was so thoroughly enjoying, was actually more of a manic state that was somewhat concerning. 

We chatted these mood issues over with one of my midwives at my 5-day in-home check-up and she agreed that it was probably something that needed to be addressed proactively since it would likely result in some sudden mood drops.  She suggested some natural remedies, such as Rescue Remedy Bach Flower, Valerian root tincture, and Coffeea homeopathic medicine, which I found very helpful in stabilizing my mood.

Despite now realizing that my manic days were somewhat unhealthy, I am thankful that I experienced them for several reasons.  First of all, since I work in the field of mental health therapy, it was helpful to experience even a glimpse of what someone with manic depressive (or bipolar) disorder might feel.  I now have a better understanding of why someone with this diagnosis might resist medications (since the manic phase can feel so exhilarating that it’s hard to give up).  Likewise,  my brief experience with this manic state helps me to see ‘mental illness’ in a uniquely positive light.  I can understand why some cultures value community members with these types of characteristics, since they have a skillset that can serve both as survival tools and the foundation for inspirational thinking.  In addition, even though many of my racing thoughts were a bit far-fetched, some of them were pretty intelligent.  In fact, much of the content of this blog is based on pages of scribble notes that I jotted down in between feeds, or wrote for several hours straight when I couldn’t sleep at night.  Okay, so I may have thought I was writing the contents of a best-selling book...but at least the ideas were there : )