…And I have seen the dust from institutions,
Finer than flour, alive, more dangerous than silica,
Sift, almost invisible, through long afternoons of tedium,
Dropping a fine film on nails and delicate eyebrows,
Glazing the pale hair, the duplicate grey standard faces.
—Dolor, by Theodore Roethke
"You never pulled out of the PPD," the doctor says and writes a scrawly note for a prescription.
I still the swinging of my bare feet from the examining table and feel the aching emptiness of empty womb, empty breasts, empty emotion. The nothingness, the numbness that has become my constant companion.
Pharmaceuticals. My heart skips a beat. Proof that you have failed.
[NOTE: that thinking is wrong. It's a residual reaction from my years in fundamentalism. We didn't believe there was such a thing as PPD. I was taught that depression was evidence of self-absorption or backslidden spirituality. This was the first time I sought help for something I'd suffered after each of my pregnancies.]
The anguish gurgles up in my throat and I let out a half-strangled cry. The tears erupt down my cheeks. She hands me a tissue and then touches my knee.
"I'm telling you right now," she says. Her eyes are glimmering with…could it be? Tears? "Put the twins in full-time preschool. Get a job. Get out of the house. Otherwise, you won't get better. I don't want to put you on medication. But if taking a rest doesn't help, I will."
I stumble out of her office and into sunshine. I don't feel it.
My days are colorless stills.
I never knew depression could feel like illness, like deep, abiding exhaustion with no end in sight. Like life tasting of pasty sawdust, a sickness I wanted to spit out. But it was in me, over me, all through me.
I carry my depression like a millstone around my neck.
I fill the prescription and I tuck it into my medicine cabinet. Every day I open it up and stare at the little bottle.
I pop the protective seal and weigh the pill in my hand.
My therapist calms me. "If you couldn't see properly," she asks, "would you go get glasses?"
"Yes."
"Your brain is not seeing properly. The medication is like a pair of glasses. It will help."
Still, I wait.
I want to exhaust every other option. I start exercising regularly, eating right and I do the hardest thing I've ever done: place the twins in full-time preschool.
For the first time in 11 years, I'm able to do something other than manage children 24/7.
Like take a nap! And read poetry. I personally think poetry is medicine.
O look, look in the mirror,
O look in your distress;
Life remains a blessing
Although you cannot bless.
–Song by WH Auden
***************three months later***********
I've finally pulled out of the darkness. I'm consistently stable every day. As with all my children, by the time they are 3 years old, I start feeling back to normal.
Yes, it takes me THREE YEARS to recover from childbirth.
Sleep, rest, exercise and the twins in full-time preschool have all worked together to bring me back to myself. The deep shadow has eased back and I'm feeling the sunshine again.
Here's how I know: I don't have to work at feeling positive. I wake up and I'm OK. I have energy. I look forward to what the day will bring. I don't feel like I'm dying anymore.
I'm cooking again. I laugh everyday.
I tend my family and I enjoy them.
I'm hopeful.
But….
I have known the inexorable sadness
and oh, God. I never, never want to know it again.
——————————————————————-
disclaimer: If I hadn't improved by a certain date, I was committed to taking the medication. I improved without medication–thanks in large part to full-time preschool and for the first time in 11 years, getting rest. HOWEVER, this is only my experience and should NOT be taken as advice for anyone else. There is nothing shameful about needing help; ie. medication. There may come a time when I need more help than what is working right now. This is because chemical imbalances in the brain are real. My PPD was relieved by rest, physical help and proper nutrition. This is not the same for everyone. Please know this. There is no judgment here.
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