2.23.2011

Why I decided to take antidepressants and how they helped


Hubby and I recently returned from a six-day vacation in Miami - well, working vacation for him.   While he was at conferences, I shopped, sat out by the pool, walked on the beach, worked out in the fitness center, and treat of all treats, I slept in! 

Hubby and I spent time together, too. We had wonderful dinners, long talks, and shared time by the pool. We could even be intimate without the fear of anyone walking in on us. It's safe to say that after the couple tough years that we have had, we really reconnected and focused on each other. It was a much needed relaxing week.

And one in which I didn't take a single dose of my Lexapro.

Shortly after my son was diagnosed with terminal cancer, it was strongly suggested to me that I begin taking an antidepressant. At first I resisted. I really didn't think I needed it. Truthfully, I had probably battled some form of depression most of my adolescent and adult life.  Nothing really bad had ever happened to me, but still, I was never very happy.  I considered seeking the help of a therapist, but didn't want to be "medicated," as I felt there was a stigma to that.

Suddenly, I had a reason. Something bad, something horrible, was happening in my life, yet I still resisted  medication. At the urging of Hubby and my sister-in-law, who was going through a medical crisis with her own young son, I reluctantly took the pills that another sister-in-law, a nurse, had gotten for me. They did the trick as far as halting the need to run out of the room every hour to try and control my tears. I could go to my son's doctor appointments and treatments and actually deal with what the doctors were telling me. I could be functional around my other sons and be strong for them. I could answer questions about my son's illness with a little strength and grace.

It actually worked a little too well. I was taking the recommended ten milligrams per day dose, and some days I felt like a zombie, light headed and just going through the motions. Yes, it was helping me to control my emotions, but I couldn't cry even if I wanted to. In addition to the Lexapro, I was also taking Xanax to help quell anxiety.

The months after my son's funeral were, understandably, difficult.  In spite of that, I wanted to stop taking the Lexapro.  I still felt like a zombie, my mind was in a fog, and I was gaining weight (which, when you're already depressed, is, like, the last thing you need to add). I slowly decreased the amount I was taking until I wasn't taking any. I did notice a difference. Not in my weight, but in the fact that I didn't feel like such a zombie any more.

But there was something else.  I noticed a difference in the way I was dealing with my children.  I was snapping at them more readily, flying off the handle over little things, and generally not having much patience. I was also thinking about my late son a lot...and getting sad...a lot.

So I added it back into my regimin, but this time only five milligrams a few times a week (at the okay of my doctor). No zombie feeling, more patience with my kids, and the ability to remember my son with fondness and not paralyzing sadness.

Obviously, the ideal treatment for depression is a combined regimin of exercise, eating well, sleeping enough, and talking about your feelings - in short, taking care of yourself.  As all busy moms know, often our own needs take a back seat to everyone else's in our lives.  It's no excuse, but it does happen.

As I prepared to leave Miami, rested, tanned, well fed, and loved up, I opened my prescription bottle and thought, "OMG, do I really need Lexapro to deal with my own children?"

When I returned home, the answer was clear. No, I need it to deal with my life!

I was greeted by a vomiting three-year-old, a pile of mail, school papers, and forms that needed attention, an empty refrigerator, and several full laundry baskets.  I was finding spots of vomit all over the house that were overlooked by the babysitter. I had committed to make soup for the teachers' dinner on conference night (that night!) which had to be delivered at a set time, but not a set place, so I was running from place to place in the school with a heavy - and hot - crock pot in my hands followed reluctantly by three little boys, one of whom was sick and whiny and cried the whole fifteen minutes of my seven-year-old's subsequent parent-teacher conference. To top it off, Hubby had a work meeting that kept him until long after the boys were bathed and in bed. 

And that was just my first day home!

I collapsed that night. My second day greeted me after a well-rested night. The babysitter was over, and I got in some prenatal yoga and pilates with a trainer at my gym and time to run errands child- and stress- free. I actually sat down to a healthy lunch (that almost never happens!) and felt great the rest of the day.  All without that little five milligrams of Lexapro. Obviously, Day Two was a much better scenario for my mental health.

However, with child #5 on the way, still desperately missing child #1, concerns over my and the baby's health, issues with my other sons, lack of time with Hubby, and so on and so on, I don't know when life is going to get less hectic. I don't know when eating well and sleeping enough and getting exercise and regular intimacy (or even just a simple conversation with Hubby!) are going to become status quo again in my life. I envy women who can balance it all - make taking care of themselves, instead of worrying about the laundry and the vomit, a priority. 

Until such a day comes for me, I will continue with the Lexapro because it's just how I deal with everything that life is throwing at me right now. And when I can "deal," I seem to be a much better mom, wife, and friend.

Read here about why I decided to continue taking antidepressants during pregnancy.









2.10.2011

The Return of Sumo Mom

Jose Gil/Dreamstime

I was in la-la land after I had my first two babies, who were twins. I had quit my job coordinating a master's degree program for teachers at the university to stay home with my boys. I had nothing to do all day but bask in total baby love times two.

Well, not nothing.

There were two babies to feed, pumping to do (for my son with the cleft lip and palate who needed to be bottle fed), bottles to be washed and prepared, laundry, grocery shopping and meals for my husband, who because of his residency, I barely saw. I had to get in tummy time and stories and cuddling for both boys. And naps for me. Very important naps.

Really, not a very difficult lifestyle for a new mom. Really. I was basking in it. After years of dreaming of babies and months of fertility treatments and bed rest, they were finally here; and I was loving it.

Most of the time.

They were born in December, and I live in the Midwest; so we didn't get out much at first. As soon as we could get out (and I figured out how my double stroller worked), I found lots of excuses to do so.  They mostly involved trips to Target, which was about five minutes away. We needed diapers, or I needed nursing pads, or the boys needed new onesies. I would finally get a shower, make myself look presentable, and dress the boys in cute little outfits (NEVER matching because after all, they were fraternal twins who looked completely different.  Plus I think dressing twins exactly alike is wrong, just totally wrong . . . and a little creepy). Once at Target, I would stroll around as long as the boys were happy. Long enough to pump my ego.

I would inevitably run into the "twin gawkers" who would 'ooh' and 'ahh' over the babies and marvel at how I had them out and about at such a young age. I would get questions about my son's unrepaired lip; and then they were really impressed I was handling twins, plus a child with a birth defect.

Then there were the other new moms. I would see these frazzled moms in sweatpants and ponytails with no makeup, pushing a single stroller. They would stop me and say, "You have two? I barely made it out of the house with one! AND I haven't showered in two days!" I'd smile sweetly and walk away feeling smug that I could do it all! Yes, it was my affirmation that I had this mom-thing in the bag!

Fast forward seven years - and two more babies later PLUS a terminal illness AND an unexpected pregnancy . . .

I'm a mess!

I am so tired with this pregnancy I can hardly stand it! I can barely get myself out of bed in the morning to get my seven year old ready for school and his carpool which arrives at 7:35 a.m. If I don't get up at 6:00 a.m. to shower, it really doesn't get done because my five- and three-year-olds are busy and NEEDY! More often than not I am seen in public these days with my hair in a ponytail and wearing yoga pants. My boys are mobile now and they touch everything! Trips to Target these days are not pleasant strolls. They are get in, get out, and get on with it! I receive more dirty looks than admiring compliments and gone is the smug feeling that I am better than any other mom.

After my son died, I went through a period of feeling really bad about myself and my mothering.  I was depressed and pregnant at 40 and too tired to get off the couch most days. I was falling asleep on the couch at night and forgetting to make my son's lunch for school or making sure he had a clean white uniform shirt to wear. I often thought, 'I am failing my sons.'  

What I now know is that I am the same as other moms. There are things which we can all handle and handle well. Then there are the times in life, the situations or events that drag us down, that seem like too much, that make us so crazy we think we will implode. It happens to us all (although we all know women who would never admit that in a million years). The bottom line is that we all do what we can do just to get through the day sometimes, and sometimes we go above and beyond like supermom because we can . . . and it all balances out

And our kids get the gift of seeing us as human.

When my twins were little and just walking  running, they loved to play "chase." This would consist of Hubby or me simply chasing them up and down the hall while they would giggle uncontrollably. When they were about 18 months old, and I was 8 months pregnant with my third, I could not run to save my life. So I became "Sumo Mom." I would squat like a sumo wrestler and lumber along after them making sumo wrestler noises. They loved this new addition to our game!

At 7, 5, and 3, they still love to play chase, and I find that I am Sumo Mom once again. 

Difficult and unexpected things happen in life. It's good to show our children how we handle them, even if it's not in the best way. But what a bonus it is for them when we can make the best of it with humor and love!

image by Jose Gil/dreamstime









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