Katherine’s Story: Healing from Postpartum Depression

Katherine’s Story: Healing from Postpartum Depression

Katherine’s Story: Healing from Postpartum Depression

There is a picture that my husband took on my first Mother’s Day last year. I’m holding my 10 week old daughter. She is a wearing a bib that says “my first mother’s day.” I am wearing a diamond necklace that my husband gave me and my pre-pregnancy jeans. I might even have managed to wash and dry my hair that day. When my husband posted the picture on social media, people said, “You look amazing!!”

What struck me most about the comments was not so much their kindness as their irony. If anyone really knew about the day that picture was taken, they would know it was the lowest day of my life.

Katherine’s Story: Healing from Postpartum Depression

I hadn’t slept more than one hour a day in weeks. I had lost over forty pounds in 10 weeks because I was too anxious and too depressed to eat or drink. The truth was I was dying inside from perpetual, debilitating postpartum anxiety, depression and posttraumatic stress disorder.

The day of my daughter’s one month pediatrician’s visit, everything went perfectly. But when we got home, my daughter slept for a record hour and a half. I tried to give her a bottle at her feeding time, and she wouldn’t take it. She was lethargic and hard to wake. I called my mother frantically. “She’s not okay, something is wrong.” My mother, thinking she was coming over to talk me off the ledge, arrived and agreed, something was not right.

In a matter of the three hours since the wellness visit that my daughter had passed with flying colors, I found myself back at the pediatrician’s office where his exact words to me were: I do not have a good feeling about this. He sent us straight to the emergency room.

The next six days were a blur. They tried multiple times to start a fluid IV and to draw blood, both of which were incredibly challenging as her little body had miniature and dehydrated veins. I was so overwhelmed by the intensity, speed and clinicality of everything that was happening that I shut down. I paced and wept outside the room while my mother stayed by her side.

After several unsuccessful spinal taps to determine if she had meningitis, she was admitted to the hospital. It took three more days for her tests to come back positive for rotavirus.

My girl’s hospitalization was the beginning of the end for me. I could not move past the fact that she had almost died under my care. What if the next time I didn’t catch the signs and symptoms soon enough?

Every day at home following the baby’s hospitalization was worse than the one before. My sleep became more erratic, my appetite less, my mood more unpredictable. All I wanted to do was run away from my life. However, I couldn’t run a simple errand alone without rushing home in a panic that she might be getting sick again.

It became impossible for me to focus. I had panic attacks all day and night. I felt tremendous pressure to make sure that nothing like her illness ever happened to her again. However, this unbearable pressure took such an emotional toll that it drained my will to live.

I was so distraught that I wished I was dead. I didn’t want to kill myself, but my emotional and physical pain was so profound that I desperately wanted someone to end the suffering for me. Some days I imagined lying to my husband. Saying that I was going to run out and do an errand and then I would crash the car. I would injure myself enough that I wouldn’t die, but I would need to be hospitalized for several weeks. Once I was there, I thought, they’ll give me medicine to sleep and someone else can take care of the baby. If I could just get some rest, I wouldn’t feel like this anymore. On really bad days, I imagined wandering out into the middle of the street and letting someone hit me. Wouldn’t it be better for everyone if I was gone?

I finally realized that I needed professional help. I did some research online to see if I met the risk factors for postpartum depression. Much to my dismay, I not only met them, I appeared to be their poster child: depression, sadness, anxiety, panic, difficulty eating and sleeping, a feeling that I was “going crazy” and the most painful of all, a feeling that I should never have become a mother.

I was also demonstrating signs of post-traumatic stress disorder. The flashbacks of my daughter’s hospitalization and the events surrounding it: avoidance of stimuli associated with the event (i.e. my home), hypervigilance, panic attacks, and feeling a sense of detachment from my child haunted each day.

I needed someone to tell me that I could get through this. When I was finally connected with North Shore Child and Family Guidance Center, my life and my daughter’s life was changed forever. I left a message for Vanessa McMullan, supervisor of postpartum and maternal mental health services. She called me back at the exact moment I was trying to place my daughter into her carrier. The baby and I were both crying. Vanessa asked where we were going and if we were okay. I asked if she would call me back in 20 minutes once I got the baby into the car and she did. She insisted that I come in the next day.

When I arrived at the Marks Family Right from the Start Center, I was ashamed to be there. I needed professional help to be happy to be a mother. What a disgrace.

That first meeting, Vanessa asked a lot of questions. I went into details about the baby’s hospitalization. I needed someone to take away some of this pain. Vanessa mentioned the myriad of postpartum support services offered by the Guidance Center and I recall that I actually scoffed when she mentioned the time frame that the typical woman requires to recover from this illness. I did not have that kind of time nor was interested in being there for that long, not to mention, I wasn’t even really that sick.

Meanwhile, Vanessa and I just celebrated our 1 year anniversary.  Over the last 13 months, Vanessa has felt like a friend, a sister and a war buddy. She has never ceased to be the consummate professional. She was there to work through the Mother’s Day meltdown with me, she was there to talk me through the trauma, and the unexpected flashbacks that terrified my husband. She was there to help me transition back to work, this time as a mom. She has fielded my panicked phone calls when I’ve had a down day and feared that I was regressing, reminding me that it’s not a straight path to recovery and that not every day will feel like this.

Additionally, thanks to the Guidance Center’s network of services, Vanessa connected me with their psychiatrist. She too was professional, warm and understanding and alleviated many of my concerns. My work with Vanessa became more effective once the medication was competently managed and was able to help relieve my blinding anxiety and depression.

Last summer, Vanessa put together a support group for moms. She encouraged us to bring our children and gave us a place to normalize all that we’d been experiencing. There are no words to describe what it means to have the feelings that you thought were indicative of your deficiencies mirrored by another individual. It is liberating and healing to see and hear that motherhood is a bumpy road for us all. To have a safe space like the group that Vanessa created was extraordinary and essential to the recovery process.

The problem is that there are not enough programs like the one at the Guidance Center. Plus, the stigma associated with admitting that motherhood is hard and at times depressing is daunting to many women, and so they suffer in silence, sometimes with fatal consequences.

Being here tonight, I am admitting for the first time in public that I am a mother recovering from postpartum depression, anxiety and PTSD. It is singularly the most common complication following childbirth. What is more, it is not a disease that affects individuals. It is a disease that affects families. Had it not been for the compassionate work of Vanessa and her team, I might not have been here at all. The Guidance Center has helped to save my life and has given my daughter back her mother.

I am happy to report that my little girl is 15 months old. She is walking, talking, running, climbing the stairs and terrorizing the dog. She is gorgeous, healthy and the absolute light of my life. I am so grateful to have my life back and I am so grateful that I am able to share it with her confidently as my best, most imperfect self. While my recovery is still a work in progress, the Guidance Center continues to be a safe space for me and my family. A year ago, Vanessa promised that I would feel better one day, and that day is today.

Opinion: Veto of bill hurts efforts to treat depression

Newsday Article Link

Gov. Andrew M. Cuomo made a grave error by vetoing Assembly Bill 7667-B, which would have directed state officials to develop a maternal-depression screening and referral plan, and to provide maternal-depression education.

The Centers for Disease Control and Prevention reports that postpartum depression affects up to 20 percent of mothers within the first year after giving birth. The rate of depression for mothers living in poverty is close to a staggering 50 percent.

Mental health experts agree that constancy of relationship from early childhood is the single best predictor of positive outcomes in later life. Promoting safe and warm relationships with parents and other caregivers is critical to young children’s healthy development and later success in school and beyond.

Leaving screening, education and referral to the discretion of practitioners, as a result of Cuomo’s veto, is a roll of the dice and a step toward destabilizing families, compromising the well-being of newborns, marginalizing mothers with maternal depression and putting their lives at risk. The bill would have widened the safety net.

Andrew Malekoff
Long Beach

Editor’s note: The writer is the director of North Shore Child and Family Guidance Center in Roslyn Heights, which operates the Diane Goldberg Maternal Depression Program in Manhasset.

The Guidance Center’s Work “Beyond Our Walls”

The Guidance Center’s Work “Beyond Our Walls”

By Kathy Rivera, published in Anton Media, May 27, 2022

North Shore Child & Family Guidance Center is known throughout Long Island as the preeminent mental health organization for youth and families, providing individualized, culturally sensitive therapeutic services that serve to bring hope and healing to those experiencing mental health challenges. For nearly 70 years, the Guidance Center has been listening to your needs and concerns, and responding swiftly and compassionately. Since May is Mental Health Awareness Month, we wanted to share with you some important information on our offerings. 

As we told you in our April Anton column, we shifted to a hybrid model of service within days of the pandemic’s beginning, seeing clients both in person and via a secure telehealth platform. 

But if you picture the work of the Guidance Center as taking place only inside our three buildings or via a virtual platform, with a counselor and client sitting in an office or communicating via a smartphone or computer, think again. Many of our innovative programs happen beyond our walls, in places that range from state parks to schools to homes. 

The Guidance Center’s Wilderness Respite Program, now in its 23rd year, provides a unique opportunity for at-risk adolescents to put down their tech devices and participate in hikes and other nature activities that help them gain confidence and make lasting friendships. 

Nature takes a leading role in our two Organic Gardens, located at our main headquarters in Roslyn Heights and our Marks Family Right from the Start 0-3+ Center in Manhasset. By weeding, seeding and tending to the crops, kids blossom as they learn important skills such as self-confidence, cooperation and responsibility.

The Guidance Center also has a Nature Nursery, where our youngest clients use all their senses as they touch pinecones or paint on an outdoor “canvas.”  The textures, sounds and sights help children explore their creative sides and learn skills to help cope with difficult feelings.

In addition to therapy, our Latina Girls Project incorporates monthly outings to places such as theaters, museums and more. These trips boost the teens’ confidence and sense of independence and help them discover the larger world. In 2019, the trips expanded to include outings for boys that also have been a huge success.

Students from 5-21 who’ve had a hard time succeeding in school have a great alternative with our Intensive Support Program (ISP), held at three Nassau County B.O.C.E.S schools. There, they receive academic help and counseling, with therapists on site to help them flourish emotionally and academically.

We also work in Westbury high school and middle school with our Teen Intervene and Too Good for Drugs programs, designed to prevent substance and alcohol use. 

For children and teens who need our help but can’t come to our offices, the Guidance Center provides intensive in-home therapy with our Clinical Care Coordination Team (CCCT). CCCT aims to lessen acute symptoms, restore clients to prior levels of functioning, and build and strengthen natural supports. Through CCCT, our goal is to reduce unnecessary emergency room visits, hospitalizations and residential placements.

Our Coordinated Children’s Services Initiative (CCSI) supports families with the coordination of services in their homes and communities, identifying and accessing resources, providing advocacy and helping children and families gain the skills and tools needed to be self-sufficient.

Through our Family Advocate Program, parents who have been through mental health crises with their own children are trained to offer peer support for families by joining them at special education meetings, offering support groups and providing many other resources. 

In addition, we have enhanced services to the clients in our Diane Goldberg Maternal Depression Program by adding yoga classes and self-care outings.

As you can see, the Guidance Center is always thinking “outside the box,” creating innovative programs that meet the needs of the community and enhance the therapeutic value of all our services. We are here for you!

Bio: Kathy Rivera, LCSW, is the Executive Director/CEO of North Shore Child & Family Guidance Center, Long Island’s leading non-profit children’s mental health organization. To get help for your child or to support the Guidance Center’s lifesaving work, call (516) 626-1971 or visit www.northshorechildguidance.org.

Supporting the Well-being of All Mothers and Babies, By Dr. Nellie Taylor-Walthrust

Supporting the Well-being of All Mothers and Babies, By Dr. Nellie Taylor-Walthrust

At North Shore Child & Family Guidance Center, our mission is to bring hope and healing to children and families experiencing depression, anxiety and other challenges. Although we are a children’s mental health organization, we know that emotional well-being and physical health are inexorably tied, each deeply impacting the other. 

The Guidance Center has several programs that promote the health of mothers and children. One is our Good Beginnings for Babies program, which aims to promote healthier pregnancies that will result in healthier babies and to nurture relationships between parent and child. Good Beginnings for Babies supports teen and young adult mothers prior to the birth of their child and throughout the first year of the child’s life with support, counseling and advocacy.

Through our Diane Goldberg Maternal Depression Program, we provide a rapid response and diagnosis for mothers suffering from postpartum depression and other perinatal mood and anxiety disorders, which are estimated to impact one in seven women.  

As part of our educational and advocacy work, the Guidance Center partnered with Hofstra University’s Public Health Program, School of Health Science and Human Services to create Birth Justice Warriors, an initiative born out of the crippling bias and injustice faced by Black mothers in the United States in general and in Nassau County in particular.

According to the New York State Department of Health, a Black woman is up to four times more likely to die in childbirth than a white mother. In Nassau County, the infant mortality rate per 1,000 live births is 9.4 for Black babies versus the 2.2 reported for white non-Hispanic babies.

Birth Justice Warriors are volunteer advocates from many professions and backgrounds, working with community members, pediatricians, nurses, health care professionals, elected officials, members of faith-based institutions and others to bring education and awareness to this inequality. Ultimately, one of Birth Justice Warriors’ goals is to have legislation written that guarantees that this crucial information is delivered to all women of child-bearing age.

In late January, I joined with Dr. Martine Hackett, my Birth Justice Warrior co-founder and an associate professor in the public health and community health programs at Hofstra, at a press conference held by New York Senator Kirsten Gillibrand. The senator, along with Representative Alma Adams of North Carolina, are the sponsors of the Maternal CARE Act, which would provide funding for evidence-based training programs to reduce bias in maternal health and establish programs to bring health care services to pregnant women and new mothers in an effort to reduce the disproportionate rate of maternal death and other poor health outcomes among Black women and their babies.

In her statement, Gillibrand said the following: “Health equity for Black women can only happen if we recognize and address persistent biases in our health system and do more to ensure women have access to culturally competent, holistic care to reduce preventable maternal mortality.”

Both North Shore Child & Family Guidance Center and Birth Justice Warriors support this important legislation, and we hope that you will join us in spreading the word so that allwomen receive the care they need and deserve.

Dr. Nellie Taylor-Walthrust is the Director of North Shore Child & Family Guidance Center’s Leeds Place and is a co-founder of Birth Justice Warriors, a collaboration of the Guidance Center and Hofstra University. To learn more about Birth Justice Warriors, contact Dr. Walthrust-Taylor at (516) 997-2926, ext. 229, or email NTaylorWalthrust@northshorechildguidance.org.

Gratitude for Hope and Healing, By Kathy Rivera, Executive Director/CEO

Gratitude for Hope and Healing, By Kathy Rivera, Executive Director/CEO

As we settle into the new year, a look back at 2021 brings up mixed emotions.

What a rollercoaster it was! The biggest news story remained the same as in 2020: the COVID-19 pandemic. While the vaccine brought hopes for a return to more familiar times, the pandemic had other plans, and today, we are in the midst of a surge that brings with it more uncertainty. 

Like all of us, kids and teens are emotionally drained from all the ups and downs, but they’ve faced upheaval at a crucial time in their development. The result: In the past 22 months, rates of depression, anxiety and other mental health issues among youth have skyrocketed, and our services have been needed more than ever before. 

Despite the unprecedented challenges, the two words that jump to my mind when reflecting on 2021 are these: Gratitude and hope.

North Shore Child & Family Guidance Center is blessed to have an abundance of dedicated supporters like you who answered the call when we requested donations to support our life-saving work. Your generosity made all of us at the Guidance Center grateful.

And knowing we could count on you—and can continue to count on you—filled us with hope as we bring healing to families across Long Island who are struggling to find their way.

Here is just a small sample of what your donations have meant for the children and families of your community:

  • We gave much-needed bereavement therapy and comfort to children as young as three years old who lost a parent or other loved one to the coronavirus.
  • Through our Douglas S. Feldman Suicide Prevention Project, we treated young people at high risk for suicidal thinking through multiple weekly sessions of individual, group and family therapy, along with a culturally sensitive treatment plan focused on safety strategies, healthy coping skills and relapse prevention.
  • As part of our Diane Goldberg Maternal Depression Program, we provided treatment and support for moms experiencing postpartum depression during a time when hospitals prohibited partners from being present at births, and other birth plans were being interrupted by COVID.

These successes are directly attributable to your care and concern for your community. Because of you, the entire staff at the Guidance Center enters 2022 feeling hopeful and deeply grateful.

Wishing you and yours good health, 

Kathy Rivera
Executive Director/CEO, North Shore Child & Family Guidance Center