My Secret Recipe for the perfect Burnout.

Yes you read that right – it’s not a recipe passed down via generations of familial cooks. It’s not a recipe for the perfect ‘loaf’ though I did try to implement my copywriting skills and include ‘loaf’ in the title, as you can see, it didn’t work!

So what do you add when you’re trying to drive yourself over the proverbial edge?

First, let’s add some flavour and really get this course of self destruction cooking on gas.

Starter – Fuck This Shit

  • To start I like to include a heavy dose of listening to the kids scream from the minute they wake. The youngest starts by demanding milk, the biggest already irritated before her eyes are fully open at the sound of his shrillness.
  • Forget whether or not your took your medication already.
  • Then to ensure full discord is achieved before 8am, add in a few shakes of them both refusing to get dressed or eat their breakfast. Not a morsel passes tightly pressed lips.
  • The starter is almost ready but don’t forget to find PE kit, £1 coin for Christmas jumper day, the Christmas jumper that was dirty last night – sniff test says it’s musty but passable.
  • Drive to the end of the street and realise you’ve forgotten lunch boxes or gloves – insert other casual but necessary items here (such as waterproofs coat) to season.
  • Go home and retrieve forgotten property and return it to school before you’ve even sipped a cup of tea. Remember to order your online shop to stir things up a bit.
  • Shopping makes you hungry so eat a handful of biscuits and fuck the diet right out the window.
  • Finally, to serve garnish with a text message from school telling you PE is tomorrow.

Main course – Straw, Camel and a Broken Back.

  • For the main course, start by going to the park. Then watch one hundred and fifty episodes of Paddington Bear.
  • Yawn for a full thirty minutes because you’re exhausted. Take some painkillers and fight like hell with your toddler to take a nap.
  • Continue fight until you can no longer tolerate the sound of their objections.
  • Stand on a musical toy on your way out of the room to really amp up the frustration.
  • Add a dash of washing, a sprinkle of life admin and a few sneezes. The latter is as a result of tries and tested germ passing between members of your household. A cough to the eyes, a sneeze to the face, etc etc.
  • Squeeze a juice of ‘I have only one hour to get four hours worth of work done’ and stir.
  • Add in your mum popping in with some bits for you and ever so slightly wincing at the state of your house.
  • Then add a cup of the baby getting woken up by the dog barking at the sound of your mum at the door.
  • Finally, to garnish, try for another hour to get the baby back to sleep. Take some painkillers, make another cup of tea you won’t get to drink and pay every single bill and fill out the calendar with forest school dates for the next term. Delicious!

Dessert – Brain Fog, Chronic Pain and Tears.

  • You’ve been looking forward to this all day. It’s your favourite dish. It’s super easy to make. You just hand both of your kids to your husband as he walks through the door at 5.30pm and enjoy.
  • Haha just kidding, first you must do homework with child number 1 whilst child number 2 screams in the background.
  • You’re in pain. You’re exhausted and your husband tuts around you wiping down surfaces and complaining the house is a mess.
  • Pour in a bath, for them, not you, and don’t even think about relaxing because you still haven’t tidied up the toys that are about to boil over and saturate the last of available space in your overcrowded two bedroom terrace.
  • Read three stories, complain about how much more exhausted you are than your husband. Ignore your messages whilst scrolling instagram.
  • Add a kiss goodnight and thirty-five cups of ‘Wake the fuck up’ before morning.

Chef’s tips – for full flavour!

Don’t ask for help, it’s unlikely you’ll get it even though at least five people have said ‘Let me know if you need anything’ they don’t mean it, they aren’t really listening.

Make sure you run out of your medicines on a Friday so you’re fucked for the weekend.

Book a babysitter and be grateful when you have to cancel that it’s because you’re sick and not one (or both) of the kids.

Work until at least ten o’clock every night because it’s the only time you’ll have to do anything without a screaming commentary.

Treat yourself to a takeaway and then wonder where all your money goes and why you haven’t lost your two year old baby weight.

More scrolling comparing yourself to people you’ve never met, online.

If you like things really spicy, let the washing pile up, eat another takeaway instead, and run yourself a bath. Or better still, go to bed when the kids go to bed and enjoy the extra thirty-five minutes of sleep you’ll get.

Bon Appetite!! 👩🏻‍🍳

In all seriousness now – Obviously (I hope it’s obvious) the above text is meant in jest. Nobody should follow this recipe. If anything – please take this as a reminder to TAKE A BREAK. Motherhood is hard. Your children adore you. You’re doing great. 💕

Sometimes mummy forgets.

‘When you say you’re going to do something it takes a really long time sometimes, and sometimes you just forget all together.’

My six year old said to me tonight as we thought up new ways for her to learn her spellings. I spent ages cutting up letters so she could arrange them correctly. The traditional practising aloud was becoming tiresome for her and I could see her frustration. ‘Mummy doesn’t ever mind you getting something wrong, it’s how we learn’ I said to her, face screwed up in confusion at why she’s so upset. I want to prod but not too hard. I want to ask her why her emotional reaction is so major to something so minor. My brain working overtime, wondering whether someone has ever made her feel inferior for making a mistake, hoping that someone has never been me.

‘We still haven’t done my homework, you said we’d do it last night’

I did say that, but last night I was in bed, a migraine attack had me so sick, I couldn’t see, mid-cycle bleeding, cramps, along with feelings of anxiety and guilt all throbbing at my temples. I’d discussed with her how we were going to do her homework, we’d talked it through and even thought of different mediums to use for a collage. Then, like she said, I forgot. I had to work today, her brother up every two hours in the night, I can’t remember the last time I managed to watch a tv show all the way through with my husband without being interrupted by ‘I need a drink’ or ‘Waaah waaah waaaah, cough, cough, cough’ from the baby. The car was in for MOT today. I forgot to check out my online food shop too, and when it didn’t arrive as I expected today at 12 noon, I had a few choice words for the Asda customer service lady. That was until, I realised my error, apologised profusely and cried into a cold cup of tea.

‘You said we were going to put my picture in a frame’

I have no idea which out of the twenty seven pictures she’s drawn this week she’s referring to. I’ve forgotten. I love her artwork, but they’re not always memorable and some of them are awfully samey. I still love them, but not enough to frame each and every one. My hormone addled brain cannot hold on to another memory of felt tip hearts and swirls, or colouring pencil sketches of trees and mermaids.

‘You said I could have a balloon at the food festival, but we didn’t get one’

She’s right, I did say that, not wanting to get it on arrival in case she let go and the six pound foil dolphin flew up into the sky, never to be seen again. I had meant to get it for her before we left, but it was busy, the throng of bodies distracting me, exacerbating the heat from the sun. All of us tired from being amongst so many people. Her brother on his fifth suncream application. A desperate bid to get us all to the car before he woke up and terrorised us with post danger nap screams, on the ride home. I forgot. I just forgot.

And you know what? I feel bad. Of course I do. Every time I forget and she remembers, I feel terrible. But she forgets too. She’s forgotten that mummy took her to Little pink café on Saturday and the food festival Sunday. She’s forgotten that I tuck her in every single night and make sure she has clean clothes and her spellings are done, her books read, her PE kit ready, clothes for forest school too. I make sure she has money for whatever mufty day is occurring this week. That breakfast club is booked, and nanny’s picking her up. I’m also pretty good at whipping up a costume or two for the seemingly constant dress up days and Easter bonnet parades. She forgets to brush her teeth but I remind her. I clean her eyeglasses every night before she goes to sleep, and when she’s finally spent, I creep into her room and make sure she’s tucked in. I stroke her hair back from her face and tell her again (because I’ve already told her 100 times that day) how much I love her. She doesn’t know the impact of a mother’s load. To her it’s promises broken and forgotten moments.

Sometimes I forget things, but I remember a lot too. I remember without fail to remind her just how adored she and her brother are. Every day, of every week, of every year and I’ll continue to do that until it embarrasses her in front of her first crush, I’ll do it when they’re thirty and maybe have their own children to love. I’ll never stop. Because every word I say and every promise I make, is true, and yes I might forget, but when I’m reminded, I try my best to follow through. And our best is all we’ve got, right!?

If you’re a mummy that sometimes forgets and feels bad. Know this, it’s not just you. You’re not doing it wrong, it’s just hard. And if you’re worrying about being a good mum, the chances are, you already are one.

Maternal Mental Health Awareness Week.

MMHAW runs from 2nd-8th May 2022. It’s purpose is to raise awareness for mental illness and mood and anxiety disorders that occur during the perinatal space. The perinatal space is considered to be from pregnancy right up until your child is a year old, but in my personal experience this fluctuates for everyone. Last year during MMHAW, I was pregnant, and in a very dark place. I opted not to get involved in much awareness raising, though it was a decision that I found difficult, because spreading awareness of topics such as this, is so important to me. However, whilst these weeks/days/months are so important, they don’t come without triggers. So I want to let you know, if you’re in the perinatal space, just out of it, or five years postpartum, if spending too much time online is proving triggering for you right now, please take a break. Not feeling able to spread awareness is ok. Joining in for one day is ok. Wanting to get involved in the whole shebang is ok. Having good intentions and then changing your mind? Also ok.

Maternal mental health/illness is complex and the effects are different for everyone. We’re often warned of postnatal depression but maternal mental health is so much bigger than depression alone and definitely doesn’t just occur postnatally. I’ve had two babies and suffered with my mental health with both, throughout pregnancy and during the perinatal space. But the effects of each illness were very different. For example with my daughter I suffered low mood (depression) as more of a prominent symptom. I would want to be away from her a lot and I struggled with bonding and finding my identity as a mother. With my son, anxiety, OCD and the fear of ‘going mad’ was so severe that I ended up having a psychotic episode. I couldn’t be alone with my children for weeks after his birth. I felt as if something bad was going to happen whilst they were in my care.

Have you ever considered the language used in relation to maternal mental illness?

The reason I ask this, is because I have realised as a sufferer and survivor that we are still relatively behind in how we refer to maternal mental illness. Many people still only resonate with the term postnatal depression except we know that postnatal is just one period within the perinatal space. We know that depression is just one of the many perinatal mental illnesses that affect women during this time period.

Other types of maternal mental illness include

  • Maternal Anxiety
  • Maternal OCD
  • Peri and postpartum psychosis
  • Maternal suicide
  • Exacerbation of existing mental health conditions such as bipolar disorder and obsessive compulsive disorder
  • Development of menstrual disorders postnatally

Organisations such as PANDAS often now refer to mental illness that occurs during the perinatal space PMADS which stands for Perinatal Mood and Anxiety Disorders. Others refer to postnatal depression as PND or PPD and some like myself who suffered both depression and anxiety refer to it as PNDA. Perinatal depression and Anxiety. The terminology might not seem overly important, but what is important is the level of understanding and knowledge, that maternal mental illness is not just one symptom, it can often include all of the above at the same time.

I’ve just finished ten months of medical and therapeutic intervention since giving birth to my son in July 2021. I am also medicated for both anxiety and PMDD. Having my children crippled me physically, it shattered my mental health and any equilibrium in my life disappeared. I love my kids, that’s not in question. Though I found growing, birthing, and caring for both of them during the perinatal period, traumatic in the extreme.

What really saddens me when I look back now is that I cried out for help, particularly in my second pregnancy. From just seven weeks pregnant I asked for mental health support. I was told I wasn’t anxious or depressed enough at that time. There was no preventative intervention, nobody to guide me. Particularly as I carried my son during the height of the 2020 pandemic. By the time I was admitted to hospital on the verge of psychosis, the damage had been done. Not only did I need to recover from the trauma of a debilitating pregnancy, I had to do so whilst mentally very unwell and with two children to look after. I still believe that if I had been referred to the perinatal mental health service earlier in my pregnancy my experience would have been very different. You can read more about my experience during my second pregnancy here. Pregnant and chronically ill.

I haven’t shared Kaiser’s birth story, because still to this day, ten months on, after much therapy and support, I find it a harrowing and destabilising time to reflect on. I can talk about it in conversations but I struggle when recalling the details and writing it all down. It causes me pain. And whilst I’ve worked through a whole heap of trauma and accepted my illness, delving into and sharing the true extent of my thoughts is not something I’m completely comfortable with yet.

What I am willing to do is share a quote from the day he was born. A quote that I wrote in the notes on my phone during our first night with Kaiser.

I feel scared of my baby, scared of what the responsibility of being his mum means. I’m missing my other baby, I can’t cope with this one too. Am I a bad mum? I don’t want to be here, in this room with the yellow light and the sound of feet moving and trollies rolling outside of its door. I don’t want to go home either. I just don’t want to be HERE at all.

12.10am 02.07.21

There is a lot of work being done by charitable organisations such as PANDAS as well as The Perinatal Mental Health Partnership to find out what’s causing huge hold ups for people waiting for mental health care during the perinatal period. NHS England are also working on extending the time you can be supported when suffering perinatal mental illness. It’s currently until your child is a year old, however many women find symptoms of mental illness might occur later in the perinatal period and need further or ongoing support.

If you are struggling with your mental health at all please reach out to your GP or one of the organisations listed below. You’re not alone. If you feel like you’re not getting anywhere with your GP ask to see someone else. If you or someone you know is suicidal please visit your nearest A&E department or call your maternity unit immediately. Mental health care is for women during the perinatal period is as essential as physical healthcare.

Confessions of a chronically ill mum #12

Three months I’ve been writing these, and they are basically just a way for me to brain dump, to offload and overshare. However, when I look back to number one, I can also see personal growth. Those confessions I wrote in the first few chapters of COACIM were so much bigger than the ones I’m bringing to you now, and that’s because things have changed.

So what’s been happening? A lot actually. But before I get into it, I have to admit that having Shaun off over Easter for a week was undeniably helpful. This week, I am feeling done in. My joints hurt, I have brain fog, migraine symptoms and generally feel under par. It’s only two weeks since I last felt like this which is proper shit as it means this menstrual cycle, PMDD and Fibro symptoms are massively overlapping, and ergo exacerbated. The last week of the Easter hols was just me and the kids, and surviving that after a week away and all of us contracting norovirus, along with my normal and new symptoms, was pretty tough going.

You know what though, I’m proud of me. I’ve been relentless with this PMD Awareness month stuff, now having raised over £500. I’ve had so much support, mostly from strangers online as per, and those IRL proper mates that show up for you whatever shit you’re spouting about on the gram. I also participated in two instagram lives, one with IAPMD and one with The PMDD Collective; you can check them out below.

LIVE with Brett from IAPMD
LIVE with Emily and Ally from
The PMDD Collective

I’ve finally got childcare sorted for going back to work. Kaiser has had his settling in sessions, he did really well, especially as it’s at two different settings. We’ve been together for such a long while now that I imagined him to be clingier, turns out if you have snacks and give him lots of attention, he’s anyones’

I have a few things going on health wise. Mentally, I’m trying to prepare for being discharged from the perinatal service, and it’ll come as no surprise that one of my confessions is that, I’m terrified. I’m worried of how I will measure up without a team of people supporting me and fighting my corner. Physically I’m still waiting on test results for a second diabetes check, and appointments for my heart issues as well as physio.

I’m due to return to my job in less than a week, so I’ll have to adjust to life back on the 9-5 for those two days. I’ll confess that I’m not looking forward to it. To say that I am would be a lie. In all honesty, it’s nothing to do with work, they’ve been great and supportive. It’s all to do with me! The reality is I don’t know how I’m going to fair as an increasingly disabled person, and mother of two other persons, back in the working world. With our financial situation as it is at the moment though, there is no other viable option and this makes me very stressed indeed. I feel like I am only just coming through my recovery journey of perinatal mental illness and regaining my mobility, whilst still managing an ever increasing list of health problems, and I’d be lying if I said I didn’t think work was going to upset the equilibrium I’ve finally established in my everyday life.

I’ve realised since being involved with IAPMD this month how much I love my advocacy work and I’d really love to be able to keep giving back, writing and making a difference but again, I don’t know how achievable that will be once I’m back doing what I have to, to put food on the table. That said I still really want to expand my blog, upload the fiction I’ve been working on and share that with you all. I also have a new interactive feature coming soon!

Dear Steph is a new agony aunt style feature where I’ll be answering your questions about almost anything! Just for fun. My friend Amy keeps on telling me how wise I am, and during my collaborative work with House21 I was often told I should cameo on their Dear Donna feature! So I thought fuck it, and decided to go for it.

I hope you’ll send in your problems or confessions for me to comment on to divamumsteph@hotmail.com adding Dear Steph in the subject line. It can be 100% anonymous if you so wish. Serious and funny/questions/problems welcome.

There are a few restrictions, mainly because I need to protect myself and make sure I’m offering support to anyone who writes in. (Knowing my luck nobody will -LOL)

Important to note, I’m not a professional so if your topic includes any of the following please seek professional support.

  • Sexual assault
  • Illegal activity
  • Health issues that require a medical opinion or further investigation.

I will happily give my advice, personal opinions and share my experience on mental health and or chronic illness, but if you require specific medical advice please seek support from a qualified practitioner.

I want to hear your most embarrassing moments and comment on them (no judgement here) I want to hear about your relationships, struggles, motherhood woes and workplace dramas. Is your mother in law driving you up the wall? Have you fallen out with your best friend? Maybe your partner is giving you the ick? Or are your kids’ as feral as mine and you need some reassurance that it gets easier? Basically I’m trying to fulfil one of my younger selfs’ dreams of having my own agony aunt column in the back of That’s Life magazine. So do me a solid and send in your woes and faux! Dear Steph will start as soon as your emails come in, and I’ll respond to one a week, once a week, on a Thursday.

Is Elf On The Shelf making you feel like a crap mother?

Apparently, according to the world of social media, the answer for some is yes. But I’m gonna call bullshit on this one and say it’s likely not the elf but the comparison to other mums that’s making you feel inadequate.

Let me explain…. As someone who uses Instagram to share family life, and who chooses to celebrate and share both successes and failures, I am very aware of how seeing things online can impact your mental health.

There are a whole host of topics that could or should be banned from social media. Topics that in my opinion elicit trauma, and if it was up to me I would choose not to read or see the things that trigger me.

Oh wait, for the most part is IS up to me.

I am able to mute, unfollow, ask not to see this again, in order to clean up my news feed.

Hence why I find it just a little bit unnecessary when someone has a rant about how Elf on the Shelf is making mothers (them) feel inadequate.

People who have tidy houses, are hugely successful and look like supermodels make me feel inadequate, but it would take me one hundred years, most likely bitter years, to successfully call out all of these people on their pretentiousness, but why would I want to?

Don’t get me wrong, as a disabled mother on a low income, I know what it’s like to be hard up. I’ve experienced trauma and I know what it’s like to struggle with your mental health. We all have triggers. All of us. But we also need to take stock and stop blaming others for triggering us.

The mum posting her child’s toy elf prancing around on a plastic dinosaur is not doing so to make you feel inadequate.

Realistically, she is probably doing it to make herself feel better, a silent high five to having remembered that Fergus-Frosty-Pants the elf needed to move his matchstick body, to another part of the house after her kids were tucked up in bed.

Similarly, the mum who takes pride in her home and posts pictures of it, is not doing so to make you feel inadequate. She’s sharing something she’s proud of.

I’m not a big fan of sharing hauls, or how many presents my kids get, mainly because I’ve always been brought up not to place too much value on material things, but you know what? If I could afford to do all the things with my kids that I’d like, if I could afford to shower them with gifts that fill rooms, I probably would. Of course we need to educate our children not to place value on how much they receive, I had a conversation just yesterday with my daughter about being grateful for all that she has as opposed to being sad about the things she doesn’t. It started when she sulked walking back from the shop because they didn’t have the Christmas tree biscuits we usually buy to decorate this time of year. We had a good chat about all the lovely things we’ve done and the crafts we’ve made in the run up to Christmas and that sulking about not being able to decorate some chewy gingerbread, kind of pales into insignificance if we compare. We talked about how there will inevitably always be things we want that we can’t have. Things others have that may make us jealous or resentful, but this is part of life. It’s literally something we all, even us as adults (clearly) will experience often. Comparison is the thief of joy and if we focus on what everyone else is doing and allow it to make us feel shit about ourselves, we lose sight of all the great things we have and if I’ve learned anything in the last year (and I like to think I’ve learned a whole lot) it’s that gratitude is not only a healthier way to eradicate the feelings of inadequacy that comes with comparison, it also helps us to feel better about what we have.

I see posts all the time saying ‘it’s ok if you don’t have XYZ this Christmas’ and of course it is, but I’m nonplussed as to when anybody suggested it wasn’t.

I myself am guilty of previously following trends, especially with the kids. Always wanting to make sure my daughter has a birthday party as great those of her peers. Don’t forget the photo ops, balloon arches and all that. However, I’ve learned that actually she’s happy if there is food and dancing, and she doesn’t really give a shit if she has 100 balloons positioned into a giant rainbow at five years old. I’ll add as well that all of these things are available in DIY and don’t cost the earth if you’re prepared to graft yourself.

We’re all human, trying our best, wanting the best for our kids, and it’s hard enough to avoid the never ending guilt that is placed on us as mothers, without turning on each other for moving around a felt elf, two weeks a year.

Just do you. XOXO

All I want for Christmas, is you.

What a year. I can’t believe that just six months ago I felt as though my world had imploded without any real warning. I woke up one day and didn’t feel like me anymore. I was afraid for my sanity, for my mobility, for my family and our future.
I couldn’t see past six hours without having a panic attack let alone six months.
I led in my bed, day in day out for 7 months, unable to walk.
As my son’s due date approached my mental health declined.
I felt consumed by all consuming, claustrophobic, fear. Wracked with perinatal anxiety.
I was broken.
I guess that’s why they call it a breakdown.
But here we are now, a family of four, surviving interminable routine and carnage, poor health and therapy, work and parenthood simultaneously.
Loving each other through it all.
It’s not been easy, it’s been hard getting here, ridiculously fucking hard in fact, but it has paid dividends to keep going.

I’ve got everything I need this Christmas. Genuinely. I feel so content with my family. When I say this I mean content as in they are enough, not content as in getting loads of sleep or life being perfect, unfortunately! Ha! I know how blessed I am, I’ve always known it, but I really feel it this year. After everything we’ve been through I have a desire to keep them close and let them know how much I love them. The only thing I want for the big day is more of that contentment (as well as good health & freedom for all, world peace too, but I’ll refrain from getting too ambitious.)

I am not the same old me I was last Christmas. Granted, I’m still a stressy, messy, bitch with a foul mouth who is always exhausted…. but I am also different. I’m softer round the edges. More vulnerable I guess, if that’s possible, but stronger too. I believe that what doesn’t kill us can leave us with a lot of unhealthy coping mechanisms, and I by no means, have ditched all mine. I haven’t turned into a preacher or someone who promotes their new lifestyle as some big epiphany, desperate for people to follow. But I am interested in change, in finding fun and contentment in new places. That makes me further away from those unhealthy coping mechanisms than I once was and I’m proud of that. I suppose what I’m trying to say is, I’m more open to learning better ways to survive and enjoy the mundane in the everyday.

I’m less inclined to sweat the small stuff whilst simultaneously being more interested in the big stuff.
My tolerance for a lot of things is greater, but less for small talk. I’ve always struggled with chatting aimlessly about the weather and the like, I’m too nosy, too inquisitive, I want to meet people and know them, not skirt around edges with hollow pleasantries. Similarly I’d rather be quizzed on my life than have it glossed over, skipped or ignored. I’m over hanging on to dead end relationships and chasing things that don’t bring me joy. Whether that be friendships that are more effort than fulfilment, or doing things I don’t enjoy anymore, for example forcing myself to be somewhere I don’t want to be. This year I have no desire for big boozy nights feigning Christmas cheer. I mean obviously the pandemic has some impact on those kinda outings, but I honestly think even without the plague, I’d still just want to be snuggled up close with my nearest and dearest.

Transitioning from one child to two has been a lot. I’m already anxious about how I’m going to cope with a baby that hates sleep whilst I’m trying to eat my turkey dinner. However, I’m ok with those kind of anxieties, they’re normal, they make me feel normal, whatever ‘normal’ is.
The biggest change of all for us this year is of course the fact we have an extra person round the tree to love. And love him we do. ❤️🎄

Intrusive thoughts during the perinatal period

Some people when they hear the words intrusive thoughts automatically assume that the person experiencing said thoughts is hearing voices. Some people think OCD, and others believe intrusive thoughts to be a sign that a person is bad, and will act on their thoughts.

So what are intrusive thoughts?

Intrusive thoughts are unwanted and or distressing thoughts that are often reoccurring. They are likely to leave the thinker very upset, distressed, disgusted, confused and ashamed.

It is thought that 1 in 5 women and mothers will suffer perinatal mood and anxiety disorders, and 57% of those will have experienced intrusive thoughts. Mental health professionals are not entirely sure why more women in the perinatal period experience intrusive thoughts, but it’s believed to be related to a variety of hormonal, environmental, and emotional factors. That said it’s a common symptom of PMADS. Typically, the thoughts that occur in the PP (perinatal period) are fears that surround our children, ‘What if I harm the baby?’ But the thoughts don’t always stop at physical harm and can be of any distressing nature, including sexual fears too.

To be clear before you read on, suffering from intrusive thoughts is NOT a reflection on a person’s character, desires or beliefs. The thoughts themselves go against all of our beliefs and natural instincts as mothers and do not align with our values, hence the very word for them being ‘intrusive.’ We don’t want these thoughts, we can’t bear them and it’s the very reason we are left feeling as though they are ruling and ruining our lives.

During pregnancy with my second child, I became overwhelmed with intrusive thoughts; some of them too abhorrent for me to share —though in some ways, I wish I felt I could share them all, then maybe they wouldn’t have consumed my brain! It got so bad that at just shy of 38 weeks I was hospitalised, under psychiatric care, my labour was induced and I was medicated for my mental health.

After my son was born and I was again assessed by a psychiatrist, she told me thoughts that are violent/harmful or as mentioned, occasionally sexual in nature, are the most common types of intrusive thoughts during the perinatal period. I asked her why this was, and she gave me a fantastic analogy.

You have this tiny human to care for. It’s your most important job, above any other. The thoughts that you are having are in direct conflict with your own anxieties about what could happen to your child. The thoughts are the very things you want less than anything in the world to happen.

But how do you know I’m not just a psychopath? I asked.

‘Because psychopaths don’t phone me up hysterical about upsetting thoughts, you pose absolutely no risk to your children. These thoughts are only hurting you.’

At this stage, I felt so out of my mind I didn’t know if I posed a risk to my children. I felt like I couldn’t think straight. But Dr M was adamant in her statistics in relation to harm caused by intrusive thoughts. Athough it didn’t ease the thoughts initially, it helped me to understand I wasn’t alone and other women and new mothers went through this too. She then went on to say (I feel like this is a big one…) the only person you pose a risk to, is yourself with your judgement about the thoughts.

I found that particular line about judgement really interesting because I realised quite quickly that it WAS the judgement that was keeping me in a cycle of constant fight or flight and inciting suicidal ideation. I felt as though my family would be better off without me.

I was overthinking every single thought and if I dared speak out about my thoughts, rather than feel better, I’d worry about other people’s judgement instead. That was until I met the most wonderful community psychiatric nurse. For the purpose of this blog I’m going to refer to him as Neo (He will appreciate the reference.) Neo has changed the way I think about intrusive thoughts, but more importantly, the way I feel toward opening up about them.

Maternal OCD is a mental illness that affects women in the perinatal period and includes intrusive and obsessive thoughts followed by compulsions completed in order to relieve some of the discomfort from the thought.

Ironically for me, my most intrusive thoughts were about convincing myself I had, or was going to develop severe mental illness (the irony isn’t lost on me.) I first believed I was developing psychosis, I was sure I would go on to hear voices telling me to kill or harm my children. This made me feel disassociated often. Despite not actually hearing voices I was convinced they were coming and I would be sat in my bedroom listening for them. I later googled intrusive thoughts which convinced me I was suffering from severe OCD, despite not having any compulsions. Another common thought for me, was passive suicidality, such as thinking I could just walk out in front of a lorry. Or consume all of the insulin in my possession. These thoughts would come to me during calm activities such as crafting or cooking tea.

When I discussed how I was feeling with Neo, he followed the protocol of having me fill out an OCD assessment, and we discovered that yes I was having obsessive and disturbing thoughts, but I didn’t have the compulsions in that were traditional in a person with Obsessive Compulsive Disorder. I’ve since learned not everybody with OCD experiences compulsions.

Looking back I can see the fear of speaking up about the intrusions was what held me back in my recovery and I would then worry that I was constantly reassurance seeking.

The truth was, there was an element to seeking reassurance, but for the most part I was doing what I needed to do, engaging in therapy and opening up in a safe space.

The mind plays tricks on all of us occasionally, and thoughts are the perfect segue into us believing we are not good people and therefore convincing us we’re unworthy of the love and compassion we so desperately NEED to give ourselves, particularly in the early stages postpartum when you wonder if you’re doing anything right.

Once I finally said aloud that one of my biggest fears was I didn’t want to be alone with my baby because I was terrified I would have a psychotic break and harm him whilst he slept. I was only then able to unpack the thought and see it with clarity for what it was, ‘just’ a thought.

If we all talked about our deepest darkest thoughts, we might be less bothered by them, but even today there is so much assumption and stigma attached to thoughts. People believe that if you think something you must feel it. With intrusive thoughts it’s the exact opposite.

The vulnerability of a woman who has just been through childbirth is like no other time in her life, the fear that we feel is immense. I personally (and wrongly) believed if I told the truth about my thoughts in the early stages postpartum, my children would have been taken away and I would have been sectioned.

You don’t have to open up about every thought in order to dismantle their hold on you though, you can put in to practise strategies and use them for all thoughts that cause you distress.

Neo recommended a book for me to read during my recovery and it’s called The Happiness Trap and is written by Australian doctor, Russ Harris.

In the pages of The Happiness Trap, Harris provides tools to defuse yourself from negative thoughts; and the book itself centres very much on acceptance. It took me a while to come round to the idea that I would ever accept distressing thoughts, but the idea is not to engage with them, just to accept them for what they are, random mental events and words.

Dr Russ Harris The Happiness Trap

If you’re suffering from intrusive thoughts in the perinatal period I would urge you to talk to your doctor. I know it’s hard, you may be feeling judged and terrified, but I promise you the road to recovery starts when you learn that you are not alone with in how you feel.

Organisations that can provide support during the perinatal period are:

I won’t say I’m cured, because that would be a lie, but I’m working towards how to better manage intrusive thoughts and not allow them to take over my life.

Included at the bottom of this page is a link to ‘Buy Me A Coffee’ (or book, in my case) please don’t be put off by this! 
Currently, Divamum makes no money, and whilst I love writing, in order to keep growing I have decided to accept donations.
Just to clarify you are in no way obligated to make a donation and at no point will this become mandatory, it’s just there as an optional extra for anyone who would like to and all information is available via the link.

https://www.buymeacoffee.com/Divamumsteph

Please look but do not touch

Please look but do not touch…. Little me thanks you very much.

Late 2016 when my first born baby was not yet six months old, I had an altercation in Tesco with an older lady who, whilst my back was turned for a millisecond, approached my baby and started holding her hand. Pumping her little arm up and down, the lady in question was deeply offended when I asked her not to touch my baby.

Yes you read that right, she was offended.

She looked at me as though I had grown a second head, and shook her own in disbelief.

So why didn’t I want a stranger in the supermarket making hands at my vulnerable little girl? Well, in case it’s unclear the answer is in the question; babies are vulnerable. Our daughter was in NICU for ten days following her birth. She spent some of that time fighting to breathe on her own, this made her even more vulnerable than the average healthy baby, but the truth is ALL babies are vulnerable. Their immune systems are too immature to cope with exposure to certain viruses and germs. Germs that are passed onto them via other humans.

Fast forward 5 years and I’m having the same altercation, except this time, I’m sat having a meal with my family in a country pub. We are all engrossed in conversation, chewing mouthfuls in-between chatter, my son tucked up, snoozing in his carry cot next to the table. A snooze shade lazily thrown over the hood, covering part of his face, when along comes another lady, this time of unidentifiable age, she comes over and lifts the shade on his buggy. Instantly, I pull the pram back.

‘Oh what a beautiful baby’ she says, smiling as if approaching a stranger’s baby and rearranging their sleep space is completely normal.

I should note I’m early in my recovery from acute perinatal panic disorder and invasion of my personal space is indeed a trigger for me. However, that’s not the reason I snatched the buggy away and scowled at the strange woman infiltrating my child’s safe place. The reason, is because it’s unnecessary. It’s intrusive and honestly, I feel strongly about the fact it’s just inappropriate. This one looked at me as if I hadn’t just pulled my child away from her, and proceeded to ask me (whilst I’m in the middle of chewing a mouthful of calamari) ‘Is it, a boy or girl?’ At this point I asked her to step back, offering an explanation that since covid we preferred for strangers not to get too close. The truth is though, it has nothing to do with covid, well maybe a little, but definitely not entirely. The truth is, I don’t want to have to offer an explanation at all as to why I don’t want strangers touching my child. I don’t want the discomfort of having to worry I’m offending someone who’s all up in my kid’s grill. With the new guidelines that masks are no longer mandatory, this woman was freely breathing all over my child and I was trying to enjoy my quickly cooling food.

After realising my distaste for this kind of behaviour with our daughter, our son even has a tag on his pram – the words in bold white lettering

‘Please look, but do not touch, little me thanks you very much.’

Kaiser’s face when someone invades his personal space

I must say that I adore these tags, I love that they are a polite but clear message and usually they are enough of a deterrent, people have a little peek and move on, respecting the tag and it’s meaning. Unfortunately, it doesn’t deter the people that don’t bother to read them.

I love showing off my children, they are after all my biggest and proudest achievement. That said, maybe it’s because I’m not naturally drawn to other people’s kids myself that I find this particular act of feigning adoration and ogling, so…obtuse! I can honestly say I’ve never felt a need to sidle up to a pushchair and stick my face in to have a good gander at it’s occupant. Nor do I feel so inclined to question the parent on the baby’s gender, it amazes me that people still do this. There’s a lot more pressing things going on in the world I’m sure, but germ spreading, I think we can all agree, is a very real concern nowadays and a little more reservation and brushing up on your spatial awareness can go a long way with a baby’s parent.

Sure, comment how beautiful their baby is, everyone wants to hear that (though don’t interrupt their dinner to tell them) but be mindful that some of us are struggling mentally, some of us are struggling with our own physical health and at risk for infection, some of our babies are particularly vulnerable to germs, and all of us and our children, deserve courtesy and respect. If you wouldn’t go up to a beautiful adult and grab their hand (without asking) and tell them how cute they look, if you wouldn’t do this without feeling as if you’re imposing on their dinner, or invading their space – don’t assume it’s any different for their babies. Please.

Tags available to purchase at JillyTotsUk

Reasons not to have a second kid….

Huffing spectacularly in a bid for attention, my five year old turns up the volume on whichever device she’s glued to, whilst readjusting her headphones. Meanwhile the baby, who has just turned two months old, screams as though someone is pouring boiling water on his fluffy brown head (I can confirm this was definitely not the scene.) So shrill are his screams, I can still hear them even when he eventually falls silent, an eternal imprint in my echoic memory.

It’s funny really, because I remember so vividly his sister making the same sounds. The torturous cries of an inconsolable infant, a sure fire way to make you feel as though you are royally failing in the parenting game.

When my husband waltzes in from his 9-5 with a smile on his face ready to greet the family, I am already in tears. A red faced baby thrusts violently in my arms and the five year old looks as though she’s about to pack her shit and leave home. He takes the baby from me whilst the other one needs her tea cooking. Another drawback of levelling the numbers, is you get one kid each to look after. When you only have one to pass between you, the minutes in which the other parent takes over feel like a luxury spa treatment.

Your attention will constantly feel as though it’s paying mind to the wrong child at the wrong time. Because how can you know who needs you more when they both need you for differing reasons at the same time? One needs a hand because she got her head stuck in between the sofa and the wall, and the other has been waiting 30 seconds for their milk and their wails let you know…. It’s 30 seconds too long.

What’s that saying ‘If my first baby behaved like this, I’d never have another one’ I clearly didn’t get that memo. There’s also a saying which promises you never get two children the same, I cough when I hear this one now, but whilst pregnant with my second I prayed to god it was true. Turns out, the joke is on me.

Even the most stoic of mothers (that’s not me by the way) struggle at some point, but if your little gremlin has some digestive issues, colic & reflux mama’s I know you feel my pain. Not even touching on if you yourself are struggling, my chronic illness & relentless anxiety make this mountain a hard slog, that sometimes feels so overwhelming you wonder if you’re actually losing your mind.

So if you’ve read this far, you’ve probably been wondering who the hell writes this stuff and what kind of message am I sending? Where’s my positive outlook? My gratitude, for two healthy children? And you’ll be pleased to know it’s right here:

It’s true your kids will pull you in every direction, make you feel like you just can’t give enough of yourself, they’ll unintentionally make you feel guilty as hell – but they will also make you feel needed, whole, and complete.

They will push every button, overload your senses and make you wish they were born with built in pause and volume control. But, it’s that sensory invasion that will have you laughing until you cry, your heart swelling with pride, and have you sluicing tears of joy when you wave them off for their first day at school! Yay – someone else’s problem for the next ten years. (That was a joke, don’t @me)

The jealously you might notice from your older child will on occasion be replaced with an adorably primal sibling bond. Watching them teach their younger sibling, watching them do everything imaginable to make them smile for the first time -including cannon balls off the sofa- is priceless. Maybe they’ll grow up to hate each other, but maybe they’ll grow up to be the very best of friends, either way you’ll have fun watching them grow.

Your anxiety, will occasionally be replaced with minor worries, like have you got any bread for their packed lunch or the fact you forgot to pick up nappies on your weekly shop. It will of course also be redirected to your kids if they’re not the source already. I can’t promise you a reprieve because I know only too well, mental health doesn’t work like that…. But I can promise you a reason to live, or in the case of this blog, two reasons.

If you’re a chronic pain sufferer like me, you won’t get any relief, but what you will get is distraction. They will keep you so busy some days you’ll unknowingly forget about the pain for a while.

It won’t be easy, it won’t even always be fun, and some days you might wonder what the fuck you have done….. but you’ll never regret it. No matter how hard. For me, these kids have given meaning to a life that lacked direction. They’ve given hope to a pessimist. They’ve brought joy in my darkest moments and they’re my reasons for staying alive.

One last saying: The days are long but the years are short.

In other words – you’ll soon be sipping cocktails and eating tapas in Benidorm whilst your teenage kids are trashing the house in your absence and sleeping till noon.

54 Days postpartum

23.08.21

My daughter was on her way to bed last night when out of nowhere panic hit me full force. My son, lying in the crook of my arm, suddenly started to spit milk out from the sides of his slow flow teat, and I realised, the hand that was holding his bottle was shaking. I felt hot, from the feet up, like a flush, my brain scrambling for grounding thoughts that just couldn’t make their way to the forefront of my mind. It’s coming I thought, knowingly.

My husband comes when I call, and holds me tight. Our son, bewildered at why he’s suddenly had his bottle snatched from his mouth, our daughter, obliviously cleaning her teeth in the bathroom above our heads. Breathe Shaun tells me. Why am I like this???? I sob, trying to catch my breath. You’re not like anything, Steph. It’s a panic attack and it will pass. He reassures me, never letting me go.

It’s been 54 days since I gave birth. Our son will be 8 weeks old on Thursday 26th August.

This isn’t a birth story, because my birth story is too long, the trauma that surrounds my pregnancy will not shrink into an Instagram caption or a rushed blog post. This is a progress report.

When my son Kaiser was born, and during the days preceding, I was in a constant state of panic. I would have moments of calm, but they were fleeting and hard to grab onto. I’ve plateaued at a panic attack approximately once a week now. I know that a large part of their occurrence is directly linked to hormone sensitivity, yet that gives me no control or reassurance regarding their assault on my life.

I’m currently under the care of the most amazing perinatal mental health team, they are some of the best medical professionals I have ever come across in my entire life and I’ve met a few. Sadly this support was massively lacking during my pregnancy – but that is a story I’ve semi already told and one that would take up the duration of the rest of this blog. The point, is that I have some amazing people in my life at the moment helping me heal from acute anxiety, intrusive thoughts and various states of panic. I genuinely don’t believe without their consistent support during the postpartum period, that I would have gotten these bastard attacks down to once a week on my own.

The trouble is, I’m still very much in a state of fight or flight. During the periods of calm, I am logical. In fact I am probably calmer than I’ve ever been in my life and generally laid back (a term probably not often used to describe me as a person) but I can’t stay there, because as quick as I’m calm, a storm cloud opens up the heavens on my head and I am ready to flee the country as though I’m being chased by a hungry tiger.

However, during those moments of calm I have reflected. I have corrected, and I have made changes to my mindset. Living with chronic illnesses as I do, migraine, fibromyalgia, PMDD etc it’s easy to become all consumed by pain and suffering. The shift in my mindset has been that I don’t want to be consumed by this suffering anymore. I know I am going to suffer, bad days, sometimes bad weeks and maybe even bad months, but I don’t want it to consume me. I want change.

My community nurse said to me this week you have to do different to feel different and so I’m doing different. Every day I’m fighting tiny fires of fear. For example, I’m frightened of being alone with my kids in case I have a panic attack, but I’m staying alone with them anyway, because I know if I avoid this fear it will only grow.

I was absolutely distraught about Shaun returning to work after paternity leave, but I knew if he delayed that process I would be as scared, if not more so, when he eventually did.

I’ve been avoiding books and television that might be triggering or that contain storylines of anyone with mental illness, but very slowly I’m reintroducing those things into my life.

I’ve been too afraid to walk or drive anywhere on my own because of how much pain I’m in. What if I get stuck with the kids? And then what if whilst I’m stuck, I panic?

I’ve been too scared to enjoy days out for fear of repercussions on my body, or to go places more than half an hour away from my house in case I panic and need to flee, but slowly I am doing both.

I’m making this sound easy, and yet it’s been the hardest most hellish experience ever, doing things I’m so desperate to avoid goes against the grain. But I’m using these examples to measure my progress, because it’s so easy to feel as though I’m making absolutely no progress at all when anxiety strikes.

I want change. I want my life back. And I have to do different to feel different. I have to be open to the idea there are positive outcomes in life, because if I don’t open myself up to this possibility, I will forever be living half a life.

Pregnancy Timeline

I use writing tools a lot to make sense of feelings, I always find it gives me clarity and as I’ve had very little actual support for my mental health this pregnancy, despite being under the perinatal mental health team, covid restrictions have played a huge part and the fact I can’t attend groups because of lack of mobility. That said, I’m pretty good at managing these phases if I let myself feel them. So I decided pulling out some old tools might help, and here started the pregnancy timeline.

I’ll explain at the end why this was such an important process for me.

4 weeks – Found out I was pregnant had to reduce and abstain from medications that had been keeping me well. Very anxious, unsure and not feeling excited.

5 weeks – withdrawal symptoms, migraine, nausea and vomiting, unable to get routine appointment with GP. Lots of tears.

6 weeks – Hormonal migraines started coming every 3-4 days and increased in severity and duration. Unable to reduce Migraine meds. Mental health sketchy, had to fight to be booked in with the perinatal mental health team.

7 weeks – High temperature, still sick, time off work, negative covid test, later confirmed UTI at emergency GP appt and course of antibiotics

8 weeks – Booking appointment with midwife. high BP and protien still present in urine. More antibiotics. Discussed medication benefit vs risks.

9 weeks- low mood, tearful and anxious. Migraines still severe. Several trips to maternity in the same week to check blood pressure.

10 weeks- pelvic pain present. ? SPD. Fibro flare up. More time off work.

12 Weeks – First scan. No physical abnormalities present with baby. Heart beat strong. Consultant advised go back up migraine medication. Blood thinners prescribed

14 weeks – Pelvic pain increased referred to physio, no appointments because of covid, sent exercises in the post.

16 weeks – Pelvic pain so severe can’t bear any weight, SPD confirmed, back on crutches again. Heard heartbeat at routine appointment.

17 weeks – Unable to drive, can’t do school runs, more time off work. Mood swings, hormonal allergies and itching.

18 weeks – Felt baby move for the first time.

19 weeks – Reactivation of shingles virus causing more pain & long fibro flare up, prescribed antivirals. Permanent exhaustion.

20 weeks – Start using Avulux glasses, migraines decrease and can reduce migraine medication further. praise be. Twenty week scan delayed.

21 weeks – Gender scan. It’s a boy 💙low lying placenta picked up but not mentioned to us. Warned not everything can be seen on a scan but all good so far with baby growth. 28 week scan booked.

22 weeks – crutches becoming unmanageable with fibro – mobility scooter purchased, gaining weight fast.

23 weeks – Spotting after sex. Reduced fetal movement monitoring. Feeling ashamed and embarrassed of my immobility, weight gain rapid.

24 weeks – mobility worsening, mental health struggling as a result. Feel like a shit mum. Social services agreed for adaptations made in the home, grab rails shower seat etc

26 weeks – Glucose tolerance test – came back negative. Praise be

27 weeks – Almost every day spent in bed, midwife doesn’t reply to message for 10 days. phoned doctor in agony and tears begging for pain relief – Shaun having to lift me from bed every morning before he goes to work.

28 weeks – Growth scan confirmed placenta previa – talks of early cesarian birth. Talks of baby needing to stay in hospital post birth. Talks of NICU and breathing difficulties. Must abstain from sex. 36 week scan booked. Consultant okayed using tens machine for pain.

30 weeks – shingles flared up again, back on antivirals, sitting on ice packs, barely moving from bed. Tens machine doesn’t reach nerve pain.

31 weeks – Not long now but still feeling uncertain – not much advice about mobility after birth specifically if needing cesarian birth. Midwife appointment moved for the 3rd time no support re reducing medication further for delivery to avoid withdrawal in the baby.

In 7 months I’ve had approximately 10 good days. That’s not an exaggeration. It’s the truth. I’ve been unable to work, drive, leave the house on my own, cook a meal, take my daughter to the park, walk our dog. In 31 weeks I’ve been told by people who have absolutely nothing to do with my medical care that I’m just depressed, I’ve been told ‘at least the baby is ok’ and I’ve been told to ‘wait and see.’ And to ‘stay positive’

I’ve been hit with statistics, risks, percentages and ‘can cause’ (‘s) at every appointment.

In 31 weeks my husband has gone from being my lover to my carer. My daughter has gone from having a mum who actively participates in her life, to one who just watches. She has spent more time with her Dad and Nanny than anyone else. She has been going to school for 10 hour days because I can’t do the school runs and I can’t care for her alone in my house when her dad isn’t home. I can’t care for myself alone in my house.

I have gained weight like a duck pending foi gras.

I’ve been told not to wish pregnancy away. To enjoy it. I’ve been told that I’ll forget all of my pain once he’s here.

Despite all of this, every single day all I do is think of the baby. All I do is wait and see. All I do is think of my family. I have lived the last 31 weeks in agony and begged for the pain of labour over how I feel daily – at least then I could have some decent pain relief without worrying it’s going to cause my baby long term developmental damage.

So the reason this timeline was helpful is because, actually, despite all of the shit I have dealt with in the last 7 months, I have kept going. I have made decisions for the sake of the baby and my family that have negatively impacted me but have been important in supporting them. I have survived. I have tried, and I have kept going. I have found ways to push on.

My friend told me about a quote the other day that says

Everyone wants to hold the baby, but who holds the mum’

And I have needing holding. I have needed reminding, though even when I have been reminded, I have failed to remind myself.

I have sacrificed a lot in hope, in knowing it’s worth it, in putting other people before myself. I’ve been in agonising pain, I’ve cried and screamed and complained but every single day I’ve still got through it. I’ve had a great support in my close family and friends and I’ve been lucky that people have taken the time to remind me how well I’m doing despite the challenges – but I wrote this to remind myself. It might seem like as long as the baby is ok everything is fine, but that’s so far from the truth when it comes to pregnancy and health. A healthy baby might be the most important thing. But it’s definitely not the only important thing.

And while I’ve been thanking everyone for their help, I’ve been condemning myself for needing help in the first place. I’ve been drilling myself every single day about how useless I am. When actually I’m not useless. I’m not redundant in this journey, I am the journey. And when we come out the other side whatever the outcome looks like, I plan to celebrate the fact that I made it.

Maternal Mental Health Awareness Week

A topic so close to my heart and one that I always feel needs highlighting, but also one that I myself am finding particularly triggering at the moment – if you’ve been following my second pregnancy journey you’ll understand why. If you haven’t I’ll explain in short, that I am finding this pregnancy, similar to the first, in that it’s detrimental to my mental health.

Whilst this time round I don’t feel utter desperation and despair, I do feel hopeless and flat. My physical pain has hugely contributed to my mental health during pregnancy. I am so pleased to see maternal mental health reach such heights with awareness, but I feel it’s important to understand how intrinsically linked our physical and mental well-being is. Something that I feel is often overlooked for women who are pregnant and managing illness and physical challenges as well as poor mental health and low mood.

This will be my only post on maternal mental health this week, and the reason for that is stated above – I’m finding it all a bit triggering. I feel so lucky to have come so far on my journey of regaining my strength and mental stability after the birth of my daughter, but equally I feel a strong pull back to that dark time, right now.

There are a few messages that I often shout about in my need to highlight, and want to again here:

You can dislike pregnancy and still want your baby. You can resent the process and it’s toll on you and your body and still feel a deep connection to the life you’re creating.

You can feel sadness and loss at your sense of self in motherhood and still love your children.

Maternal mental health isn’t just present postnatally. It doesn’t just occur during the process of pregnancy or immediately after. It can strike at any time. It can be dark and all consuming, during phases of exhaustion and sleep deprivation, but it can also be triggered during the quagmire of everyday life. When you feel like the old you has gone missing for a while and the responsibility of caring for others takes it’s toll on you emotionally. It can occur with setbacks and regressions in your child’s life, and sometimes it will pop up at any given time it likes.

Postnatal depression isn’t always intrusive thoughts and hiding from the world. Sometimes it’s high functioning anxiety that actually powers you through the days only to hit you like a tonne of bricks when things seem to be going ok.

Depression and anxiety are not always prompted by birth trauma, or tragedy. It can manifest in many ways, sometimes presenting as irritable or snappy, other times as rage, bouts of tearfulness and friction at home. And sometimes it can creep up on you with a dull flatness, you may not even realise you feel depressed at all until the things you used to look forward to in life start to lose their appeal. The things that used to excite you suddenly don’t anymore and everything just feels a bit grey.

When I was pregnant with my daughter six years ago there was no such thing in my area as a perinatal mental health team. It shows great progress that such teams are now in place across the UK helping women come to terms with difficult emotions during and after pregnancy. It has definitely provided me with some reassurance when going through the process again. The only thing I will say that I feel to still be somewhat lacking and this doesn’t just refer to perinatal mental health but mental health in general, is there still isn’t enough preventative measures in place to support people who have a history of depression but aren’t currently depressed.

When I found out I was pregnant this time my anxiety was in full force but when referred to talking therapies I was deemed to score low on the mood charts and therefore not particularly high risk or in need of additional support. Unfortunately this is all too common when seeking support for mental health. I believe I know myself best and after having come through many bouts of poor mental health I feel I’m the best judge of character to preempt spirals. It’s frustrating when you know you could go either way but the support is only in great supply when you are close to crisis.

I’ve found great support this time in grassroots organisations such as Bluebell Care probably even more so than I have in my midwifery team.

Maternal mental health has been highlighted even more in the last year because of the pandemic and if anything good was to come from that it would be that we’re shining a light on mother’s struggling.

There’s a long way left to go and it’s not easy to be candid on such topics – but one thing I do know is that however you’re feeling, you’re not alone. It takes a great strength to open up about parenting struggles because societal judgement is still placed so heavily on a mother. Speaking up is the first step, becoming aware is the next one.

For more information on maternal mental health support please visit Maternal Mental Health Alliance

Third trimester

You made it.

You’re on the homestretch now.

Is the baby ok…..?

When I was pregnant with my daughter I had chronic migraine from the minute I found out I was expecting. I was diagnosed with SPD at 16 weeks unable to walk and that was extremely painful. I soon became very depressed and ridden with anxiety and intrusive thoughts. By the third trimester I was bedridden and had developed preeclampsia. We were induced later, she was born in withdrawal from antidepressant medication. Her first year was defined by trauma and towards the end when she was recovering, I was being diagnosed with fibromyalgia. As she grows, and continues to thrive I feel like with each flare up I die a little inside.

You’re so strong.

Lot’s of people go through complications and come out of it okay.

Stay positive.

It’s a myth (I believe) that people come away from pregnancy and birth trauma ‘ok’ we all move through trauma very differently, but what your mind is able to process your body fights against and you don’t always fully recover. Trauma and stress have a lasting impact on the physical health of a person.

This week I turned 28 weeks pregnant. Last week I found out I didn’t have gestational diabetes and I cried tears of joy, because I didn’t think I would cope with more complications. But every glimmer of hope is followed by a plummet, a sense of doom. Here we are today and my diagnosis and risk catalogue, continue to grow and the list of complications multiply again. I’ve again suffered migraine from conception, got diagnosed with SPD at 16 weeks, again. My blood pressure has been high. I’ve had a reoccurring shingles infection that isn’t responding well to treatment. My whole body is in a constant flare, I’m in agony, not just occasionally now, all of the time, surviving on the very minimum of pain relief. Some days I can’t move my body at all. This week I turned up for a growth scan only to be told I have a low lying placenta (placenta praevia) they’ll book another scan for 36 weeks but and I quote, ‘if you make it to 36 weeks.’

Don’t have sex – I can’t even move my legs hun let alone spread them.

Don’t do…. (insert anything) here.

You might need a cesarian.

No big deal right? Women have c-sections all of the time. Except it is a big deal for me because my body is already broken and major surgery only hinders it’s recovery further.

But the baby is ok, right?

My baby, the one I’ve been fighting for. My second baby, is currently safely cocooned inside me. But We don’t know if he’s ok, not really. I find it odd that this is the first question people ask when so many babies suffer complications late in pregnancy and post delivery. I also feel like it unintentionally goes towards invalidating my struggle. The baby’s fine so therefore you’re fine, stop moaning. We know he has a 1 in 3 chance of suffering the withdrawal similar to his sister, albeit to different medication. We know he’s at risk of infection because my body isn’t fighting them off well. We know that he is at risk of being born prematurely. We hope that he will come out of this unscathed. I am doing everything I can to ensure that happens, but I am not in control of this situation. So I can’t answer the question with anymore certainty than my doctor can answer me.

As a family we are doing our very best to survive, and surpass the finish line, in one piece. We are trying to stay focused on the outcome of a healthy baby, but we are definitely not okay.

My daughter who can’t wait to meet her brother has no understanding of why her mum is ruining all her fun by not participating in anything. My husband is now my carer, and he’s not getting paid, not even in kind.

I am thirty three years old and I feel like my world has been tipped on its head for the 100th time in my life, except this time I have no control, no way to turn it around. I don’t feel brave or strong. I feel petrified. I feel weak. I feel out of control and I feel bone weary, exhausted! As though cement has been poured into my body by mistake and set overnight.

I don’t like the idea that we must keep calm and carry on, because I don’t feel calm. I’m carrying on regardless, because I have no choice. Not because I’m not broken. Or because I’m coping better than I make out. It’s because carrying on is the only option. There’s a saying that goes, you don’t know how strong you are until strong is your only option.

I hope once our baby arrives we will look back on this time like we look back on that time with his sister and we will be okay. We will have all survived, together. We will be happy, and we will have reasons to laugh. I hope that I will regain some control over my health and days will look brighter again. Hope is my coping mechanism. I hope, because to give that up isn’t an option. You might be wondering why I continue to share all of this information, why I’m not holding out to share better news, and the answer isn’t a simple one either. I write to hear myself think. I write to process my thoughts, and to unburden myself of the doors negative thoughts lock when trapped inside my head.

I’m not a person who believes her suffering trumps someone else’s. I know other people have it worse. I know I may come away from this beating the odds and better, but I don’t share for your attention or your sympathy. I share for my own peace of mind. I share so that when we come out the other side, we can look back and know we survived.

I think I’m failing but my kid still thinks I’m a superhero 🦸🏽‍♀️

It’s no secret that during pregnancy your hormones are all over the shop, one minute you’re chomping on cheese on toast and the next your crying into your cottage pie that your friend drove 25 miles to deliver. It’s a funny old game this growing a human malarkey.

Because my health has been on a steady decline since my daughter was born, this pregnancy though a lot like hers, has been overshadowed with worry and feeling unwell constantly. When I say constantly I mean it. It’s either not being able to walk, migraines, sickness, feeling faint, high blood pressure and the rest, it’s been bad, and not fun. Also those people who said you never get two the same, you were wrong.

That said the guilt of ‘wasting’ days in bed in an attempt to make the next one better and unable to do all of the things I want with my family has had a negative impact on my emotions. Team this with hormones and you have me, an unstable, anxious, dribbling mess.

This week said emotions have been on overdrive and I’ve spent countless hours in tears, I’m surprised there were any left after the first ten or so. My husband has looked at me with puppy dog eyes and a need to fix my broken spirit and my daughter has looked at me with longing and frustration. I haven’t been able to meet their demands, particularly those of the little person. She doesn’t get why mummy is always in bed and at one point I was worried she was going off the idea of having a brother because he’s been making her mum so poorly. It all hit a crescendo on Tuesday when Ciara wanted 5 things at once and I couldn’t even give her the simplest one, which was turn the volume up on the TV. I couldn’t do it because the bastard NowTV remote is a dodgy little fucker and it just would not work. Off she stomped whilst moaning at the dog and calling for her dad to come and fix the problem that mummy was incapable of rectifying.

Once I heard her footsteps on the stairs I burst into a fit of hysterics, threw the remote which bounced off the bed and smashed a photo on the bedroom wall. It wasn’t my finest moment because I couldn’t even roll myself off to pick up the glass before Shaun bursts in asking me WTF I was doing!?

Picture it, 5 month pregnant woman whose legs don’t work, rolling around on the bed with no bra on and crying inconsolably. It’s not a pretty image is it?

I don’t want to do this anymore I wailed, like an actual whale. To his credit, Shaun turns the tv off and shouts down to Ciara that they’re going to watch tele downstairs instead. I didn’t see them again that evening because I cried myself to sleep and woke up at 10pm and waddled into her room to give her a kiss goodnight, something I abhor to miss.

The next day I’m feeling full of shame and still in pain wondering how I’m going to get through the days for the next 4 months. But I needn’t of worried about the rest of the family because like clockwork they traipse in from school and work with smiles and cuddles for me and chat shit about their days as if the previous ones have been erased.

Ciara was pleased that I had finished colouring in her tiger costume with a sharpie for world book day and asked if she could come and snuggle in my bed.

This morning I got up at 7 after being awake from 2am with possibly the worst nerve pain ever. I say this because I can’t treat flare ups in the same way I would when I’m not pregnant ie with heavy drugs. The pain relief I’m taking at the moment just isn’t working to the same effect. Anyway up I get and by ‘up’ I mean sit up in my bed and paint my beautiful daughter’s face and send her off to school with a smile.

It doesn’t matter that I collapsed back in bed after and slept until lunchtime, because she was happy. When she got home she found me asleep in the bath because it’s the only place I don’t feel like my body is on fire and she poked me to tell me about her day. Including poo gate by another kid in class which we all found highly amusing.

I do feel like I’m failing life on the reg at the moment and somedays I can’t get on top of those crazy emotions and pretend I’m bossing it, because I’m not. But what I do know, with absolute clarity is that when it comes to my kids my best is good enough, and the need to be moving all the time and trying harder is born out of my own insecurities, not those of my five year old. She loves me on all of the days, even the really shitty ones. She loves me for all of the things I can do, not all of the things I can’t.

A letter to myself.

I wrote this because I had to make sense of my thoughts as mother and an expectant one, one who is trying to find the strength to be both whilst battling the demons that are chronic illness and mental health.

Reach out they said, so you did, and it didn’t immediately help, and when it didn’t help people stopped reaching in. You are not their responsibility, this is not their fight, and they have their own shit going on. In the middle of a pandemic everyone has their own shit going on, some worse than yours. People can’t take on your shit too. They don’t want to, they shouldn’t have to, so what are you supposed to do now?

You have spoken to your doctor, you’ve got yourself in touch with organisations that can help support your mental health, but your physical health is declining further, your hormones are sending you crazy and you’re in limbo. You’ve requested help, but there’s no magic pill, no imminent cure for your troubles. So what happens next? You’ve written a thousand blogs, almost as many poems, you’ve cried, screamed and forced yourself to calm.

Keeping busy helps, keeping moving, except you can’t do anything because you’re immobile. Stay positive, think happy thoughts, so you try, really hard to do both but your mind is clouded in worry. You wonder sometimes if you have the strength to be the person everyone needs you to be. To get back some of your fire. You’re losing interest in the things that have previously brought you joy, like reading, and writing, you feel blocked. Getting outside is increasingly difficult and because you’re not going anywhere you’re not getting up and ‘ready’ because your whole body is racked with pain you’re not focusing on getting outside, it feels too hard.

You know you need to nourish your body to give your growing baby what it needs but even eating is becoming boring, a chore, you don’t have the ability to stand at a countertop and cook, you can’t be bothered to decide what to have next so takeaway’s are your go to, but they’re distorting the view of what you see in the mirror. Your need for medication increases with your pain and with that comes more guilt because it’s not just about you anymore.

You tried to do ‘yoga’ and got stuck on the floor for an hour with only your four year old home. You tried to shower but you can’t stand so even cleanliness is taking a backseat. You have to depend on your husband to help you in and out of the bath and you feel your self esteem being crushed further, your sense of humour no longer able to gloss over the hard parts with a funny anecdote.

People care, you know that, but they don’t know what to say, so they stop saying anything. You feel like a shit friend because you know your life is consumed by your disability and as much as they can’t take on your burdens you can’t take on theirs either, so thats another stick you can use to beat yourself with. You’re still trying to be everything everyone needs you to be but it’s draining. You feel like your lack of positivity confirms your worst fears – that you can’t be saved.

You feel more connected to strangers you talk to online than anyone you know in real life, because strangers can’t judge you in the same way friends can. They don’t expect you to man up, or try harder because your lack of effort doesn’t impact them.

You spend most days led down trying to find a focus, trying to be better, to do better, to find some joy in anything.

Glimmers of hope come from your loved ones. They carry on loving you despite your struggles and your children carry on depending on you. You know that without them, your life doesn’t mean all that much to you, but to them it’s everything it means everything, you are their everything and so you snatch the glimmers, you pocket them, and you remember that this period in time isn’t forever.

Your life isn’t what it used to be and you grieve it, desperately, sometimes so much that it physically hurts, but you’ve grieved it before and you’re still here, you still have a life. You still have a future. It’s a new version, and not everyone will walk your new journey with you, not because they don’t care (that’s just your brain telling you that) but maybe because they don’t understand and your own acceptance of the things you can’t change takes time.

Learning to live a newer life, a more conscious life, a life that has limitations, isn’t easy. Sometimes the grief will be daily and feel renewed, but someday, in your future you will look back on this time like you’ve looked back on all the other hard times, times you thought you couldn’t live through and you will know that you survived it. You survived it because you put one swollen foot in front of the other, because you held on when you thought there was no hope for you, and you found a way.

You know with certainty, that you have grown. This is a set back, this is not a failure, your health has declined as a result of you trying to do what’s best for your baby.

So Steph, the message is clear, when you really aren’t ok and you feel like you’re alone with your troubles, don’t take it day by day, don’t wait for tomorrow to be better, take it hour by hour, do the things that you feel able, even if that is nothing, because it won’t always be nothing. Each day that you wake up is you doing something. You’re surviving, and when you find a way to survive you can find a way to thrive.

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