oakleythoughtso

Six months. Give or take. That's how long it took to convince me that I ought to at least try anti-depressant medication.

What was I afraid of?

Well. Small amounts of the drugs can pass into breast milk and I was worried about the effect these would have on my wee babby. (She was two months old when I was diagnosed with depression.) I later learnt that when the literature says 'small amounts', it really does mean that. According to the studies I've read, only a small proportion actually makes it through to breastmilk. And the baby's system is usually able to deal with that. At least, my baby coped. At introduction, her tummy was unsettled for about 48 hours. After that, I noticed no ill-effects during use, nor when I ceased breastfeeding her four months later, on her first birthday. I did nothing suddenly, and always followed the advice of my GP, maternal and child health nurse, and various other advisors with experience in the area of breastfeeding. [Southern Health  in Melbourne has a phone number you can call to discuss breastfeeding while on medication. Also in Australia, the National Prescribing Service is able to provide over-the-phone information for the cost of a local call.]

I can't give people advice on whether or not it is safe for them to breastfeed while on medication. But I can suggest that you get some good advice, from sources you trust, and find the best compromise for you and your family. And I can beg you not to be as stubborn as I was in thinking that breastfeeding and medication are mutually exclusive. The agonies I went through, thinking that it wasn't an option for me because I so badly wanted to breastfeed my baby, I would happily see others forgo.

Here we see, perhaps, a glimpse of how Post-Natal Depression (PND) is sometimes a little more complicated than some other forms of depression. Ante-Natal Depression (depression during pregnancy) is even more fraught as far as treatments are concerned. But that subject arises much, much later in my story.

What else stopped me from trying out 'happy pills'? Just this: the glib attitude I had that anti-depressants were just plain cheating. Honestly, sometimes I want to rewind and shake some sense into myself. Cheating?! Where did I ever get the idea that using a therapeutic tool was 'cheating', and that I had to tough it out with more 'natural' ways of getting through? Probably from that same place in deluded-brain-land that told me I should never feed my kids in the car, because the crumbs would make a mess.

The plain fact of the matter is, for the first six months of my depression I had no idea how dangerous a condition it can be. Things had to get a lot scarier for me to realise that.


Because I was sleep-deprived, and caring for two kids under two years, I really couldn't think very clearly at all. I didn't realise that the depression was also contributing to the tiredness and the lack of clarity.

But the day I drove home from the library with the girls in the back of the car, and thought about driving in front of a train - that was the day I realised the danger. I was so tired. So despairing. I had tried, like a good mummy, to take the girls to the library and borrow some books. It had been an unmitigated disaster. There were queues, fines, no money to pay them, a screaming baby leaking poo in the pram, a toddler throwing such a tantrum that I was physically struggling to strap her into her seat. It still stands out as The Worst Outing in My History of Motherhood, five years later. Driving home, I just wanted all the struggle and humiliation to end. I did not want to be responsible for these children. I felt that I could not. I was not doing them any good. They were not doing me any good. I wanted to not be here any more. I wanted to drive, very fast, into that train, right there. And my foot actually hesitated over the brake pedal before applying it.

That was my first deathly thought. Not my last. There are many things that have kept me from acting out any of these thoughts. My kids are three of them, and my husband is another. God has held me. Pulled me back. Kept me safe.

Anti-depressants have been a part of that. It took me a few weeks to adjust. There were minor side-effects (an upset stomach, tooth-grinding - but only for the first two days or so). It took the best part of a month to start feeling the effects. But they built steadily after that, reaching full efficacy a couple of months into treatment. I can say, without exaggeration, that anti-depressant medication has made the biggest difference in my treatment. I am embarrassed about that, still. I would like to say that something less clinical was my 'breakthrough'. But I cannot. Biggest difference. Which leads me to think that my depression is heavily brain-chemistry-related.

I'm one of the blessed ones, for whom medication worked, with few side-effects. First time around, my GP hit the nail on the head and prescribed a drug that worked well for me. It just happened that way. I'm glad it did, because having waited six months to start that sort of treatment, I was fairly desperate for something to make the difference. I'd had all sorts of fears lurking around in my head; what if anti-depressants don't do anything? What if they make things worse? (Some anti-depressants can make things worse initially, before they get better.) Have I been hanging out all this time only to find out that drugs don't really make much difference, that this is as good as it's going to get?

Time. You need to take time to get your medication right, with the help of the prescribing doctor. You need to give it time to work. If you manage to get it right, it will make such a difference.

So that's how my journey-on-anties began. And that, too is ongoing.

I'm not cheating. I'm living.

Shame can stop us from talking about things. So can guilt. For people like me, who like to talk about almost everything, this can feel awful. Others wouldn't dream of speaking about things close to their hearts, or buried down deep. Shame is not the same as guilt. [A very good book - John Piper's Battling Unbelief - helped me understand the difference.] Misplaced shame is feeling bad about something when we are not actually at fault. Depression is a prime example. I know I initially felt ashamed to be diagnosed with it.

I've never been one to shy away from talking...about pretty much anything. I'm a legend at oversharing, faux pas, feet-in-my-mouth, socially awkward conversations. Sex? Politics? Religion? Yes, I'll talk about all three, at once if you like, with people I have only just met. Well, I'm not quite that bad. But I'm close to it.

I've been upfront about my depression from the time I came to terms with my diagnosis. (I distinctly remember not being able to ring my parents when it first became a possibility that I had Post-Natal Depression (PND). Instead I sent a text message calling it 'mild PND'. Bollocks. It wasn't mild. But I didn't want to scare them, and I didn't want to be 'weak'.) Once I became sure of the diagnosis, and understood it a bit better, I was unsurprised to hear that many people don't talk about their depression. That was red-rag-to-a-bull for me, and I promptly decided I wasn't going to hide it, minimise it, shy away from talking about it. This presented other issues of course. I do need to be a little bit careful who I unburden myself to. Even writing this blog gives me pause at times. Because depression can be depressing! And awkward. Mental illnesses in general are less well understood by the general populace (as compared with physical conditions). They are more confusing for sufferers too. Because mental illnesses change perception, even of themselves.

I'm emerging from the 'mud' these days. I have a bit more experience, and a bit more distance, and consequently clarity. That's why I can write about it. If you had asked me to write this while I was in the thick of it, you would not have wanted to read it. I kept journals. Their raw contents are not fit for publication. I do intend to share some contents. But not yet. To be honest, they are scary to read. They are not me. They are another me.

Which brings us right back to the quandary of sharing. What to share, how to do it, and with whom? I don't have all the answers. I do know that talking about depression is important. And I do know that others have found it helpful to read about it or to talk about it with fellow sufferers.

There is a growing feeling that the media also needs to play a part in removing the stigma of mental illness. There is a chance that media laws may soon change to allow suicides to be reported as such. Currently, the media refrains from reporting suicide, ostensibly for fear that it will encourage more people to attempt it. But this silence is not actually helping. Suicide is still the leading cause of death for young men in Australia.

A new men's mental health campaign has recently started up here (http://softenthefckup.com.au/). I'm still a fence-sitter about its approach (it won't suit many men). But I applaud the message: men need to unburden themselves of stress and despair rather than bottling it up until they can no longer stand it.

I've been reading a very graphic, moving blog lately which chronicles one young Aussie mum's story. Lori's husband committed suicide after suffering a violent psychosis and she is left with their two very young children. She is an advocate of talking. If you are feeling brave, her blog is here. It is not for the faint-hearted. This woman has guts. What she has been through is hideous, and I'm amazed that she can write about it. But she is helping others by doing so. Her message is: speak.

So I do. So we should. Obviously not out of our experience-zone, but definitely, at times, out of our comfort zones. Because when it comes to depression, there is no sense in blaming, or feeling shame. It is what it is. It is complex, and different for everyone, and it is personal. But recovery can be a community effort. And it starts with knowledge, awareness, and talking.

I have been getting some amazing responses to these posts, mostly via email or facebook. That's fantastic, but if you want to add your comments to the blog, please do!. You can add comments anonymously if you like. This will help people who are reading, because then it's not just oakley-thoughts on the matter.