May 2016 Moms

How do you know if its PPD or just new mom stress?

My LO is 15 weeks old and Im really struggling being back at work. Ive been back for 3 weeks now, and its gotten harder not easier. I like my job, butv hate being away from my baby. I work midnights 5 nights a week, and I havent been sleeping much. I cant change my shift either. I come home about 4 hours, but I cant stay asleep knowing my baby is awake and thats time I could be spending with him. I want to quit my job, but I dont want to give up the financial security. I am so exhausted, more than Ive ever been. Im unhappy, have little patience with my dh or LO. While on maternity leave, I had loafs of patience with LO. His crying spells didnt bither me, and I was able to calmly rock and soothe him till he calmed down. Earlier tonight, he cried because he was tired and fighting bedtime. I had to give him to my dh to soothe after only a few minutes because I felt angry at LO. I wanted to yell at him to hush. I recognized that I needed to give him to dh, but then I cried because there was no need for me to feel angry. LO doesnt cry much, and I know I have a short fuse when Im tired. I cried because Ivant be the Mommy I want to be while woworking, or be the Mommy LO deserves. I want to be back the way i was on maternity leave. I cried at work yesterday, Ive cried tonight. I dont see it getting better. I have no interest in eating, I dont do things I used to enjoy, like cooking. I dont want to go places, I dont want people coming to my house. I feel like all these things take away the little precious time I have with my LO. Idk if this is PPD, or just normal feelings of stress? Should I make an appt with my OB? What if she says its normal and to go about my life?

Re: How do you know if its PPD or just new mom stress?

  • Sorry for the typos, it wont let me edit the post.
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  • dshannahdshannah member
    edited July 2016
    Doesn't sound like PPD, just totally understandable feelings of being overwhelmed and not getting enough sleep.

    No one could do what you are trying to do with the patience of an angel.

    Sleep! You are missing out on time with your baby, but you are trading it for *quality* time, which all the research says is what really matters.

    And if at all possible, change your work situation. Midnight is a rough time to work around under any circumstances, but esp. when you have kids, whose circadian rhythms shouldn't be messed with.
  • Jenly17Jenly17 member
    edited July 2016
    I would definitely have a conversation with your doctor. The things you're describing sound like classic signs of depression and shouldn't be ignored. You have to take care of, and nurture yourself before you can take care of your baby. Can you have a dialogue with your husband, or a trusted family member about your feelings?

    This is is a thread on page 2 about Ppd/ppa/baby blues. There has been lots of useful information and general support there. I'd encourage you to read, and know that you're not alone!  

    https://forums.thebump.com/discussion/12676524/ppd-baby-blues#latest
  • I think one of the bigger manifestations of PPD is feeling detached from the baby so it doesn't sound like PPD to me, BUT I'm not a doctor.  If u even suspect u have PPD u should check in with ur OB.  
  • Yes! Also talk with your doctor, and def. make that appointment, and check the thread here.

    The reason that I said it did not look like PPD is because there seem to be clear precipitating factors: one of the features of depression is that it appears even when things are going normally, and even when things are going well. 

    Your situation sounds damn near impossible, because of your job and the guilt you feel surrounding your job. You had no feelings of inadequacy or guilt until you went back to work.  So my guess is that a large part of the problem is your work schedule. 

    But it's also the unrealistic expectation that you will be able to be an amazing mother without getting a wink of sleep or taking time to care for yourself.

    You need to be kinder to yourself, and even if nothing changes on the job front you should recognize that you're doing it for your child.  You're providing financial stability as well as modeling both hard work and  how to have a fulfilling career. 

    Being away from your daughter does not make you a bad mom.  One of the great things about the PPD thread on this board is that it emphasizes the fact that you have to  take care of yourself first: you can't be a good mother if you can't recognize yourself  and are running yourself ragged. Taking time to cook and to see friends is, yes, like the job, time away from LO, but it is time well spent which will allow you to make the time you do spend with your daughter higher-quality time.

  • Thank you for the replies! I realize I need to get more sleep, and that I have to take care of myself in order to be a good mom to my son. I agree about the quality vs quantity. Even though its hard to not be with him as much as I want. But I would rather be happier, rested and more patient with my ds than be exhausted and grumpy all the time. I cant change my work schedule (I actually enjoy the night shift, but it was much easier before LO arrived). I am changing my sleep schedule though. My DH goes back to work in 2 weeks, and the original plan was for my cojsin to babysit LO while I sleep, and then I would pick him up in the afternoon. But I know I would want to get him as early as I could, which would cut into my sleep. Instead Im going to stay up with him when I get home in the morning, and my mom is going to pick him up at 2 so I can sleep. I willget 7 hours of sleep this way, and I will get to spend all morning with him. I also feel more comfortable with my mom watching him, because I know she loves him just as much as I do. Im hoping this new schedule will work out better. Im going to give it a week or 2, and see if my mood improves before calling my Dr. I havent had any problems until I went back to work. I didnt have baby blues either after he was born. Im really hoping its just sleep deprivation!
  • @loveymay I would definitely speak with your doctor. I don't think your symptoms sound as serious as PPD but it does sound like you are experiencing some depression being that you mentioned not wanting to take part in activities you once enjoyed, not having an appetite and not wanting to be around people. Also, if your OB tells you it's normal and to go about your life, I would change your doctor ASAP. 


  • @loveymay I would definitely speak with your doctor. I don't think your symptoms sound as serious as PPD but it does sound like you are experiencing some depression being that you mentioned not wanting to take part in activities you once enjoyed, not having an appetite and not wanting to be around people. Also, if your OB tells you it's normal and to go about your life, I would change your doctor ASAP. 


    Agreed- the part about not having an appetite rang alarm bells for me too. I went through a long period of undiagnosed PPA/ OCD with my son and all the foods that I usually loved just didn't taste right, or were totally unappealing. I would eat weird things just because I knew I needed to consume calories, but I took no pleasure in eating. I didn't enjoy being around people either because I just felt like I couldn't remember how to be myself in social situations. I eventually got treatment, but it has taken me having this baby without anxiety to realize just how severe my condition was the first time. It makes me a bit sad to think how much I missed out on with my son's early days and I hope that's not the case for you. Talk to someone sooner rather than later. 
  • It definitely sounds like depression. If it inhibits your ability to function normally it is definitely worth talking to a doctor about it. 

    @dshannah I strongly disagree that there being precipitating factors could
    mean it's not depression. Just because there is a reason for you to feel the way you do doesn't mean it's not a problem. I know you told the OP to still talk to her doctor, but I felt like it needed to be addressed. Many people don't get treated for mental illness because they think when factors change it will get better, but that's not always the case. It often means that treatment will be temporary and not long term, but it certainly can require treatment. There is a lot of stigma with mental illness so I felt like I needed to say something.
    @lalala2004 that's an excellent point. When my mom died it was understandable I was devestated and depressed - but that didn't mean it wasn't concerning and a problem. It didn't actually get any better until I spoke to someone. I think speaking to your doctor - regardless if it's just a rough transition making you sad versus true depression - can only help the situation. 
  • edited July 2016
    Bltbear82 said:
    It definitely sounds like depression. If it inhibits your ability to function normally it is definitely worth talking to a doctor about it. 

    @dshannah I strongly disagree that there being precipitating factors could
    mean it's not depression. Just because there is a reason for you to feel the way you do doesn't mean it's not a problem. I know you told the OP to still talk to her doctor, but I felt like it needed to be addressed. Many people don't get treated for mental illness because they think when factors change it will get better, but that's not always the case. It often means that treatment will be temporary and not long term, but it certainly can require treatment. There is a lot of stigma with mental illness so I felt like I needed to say something.
    @lalala2004 that's an excellent point. When my mom died it was understandable I was devestated and depressed - but that didn't mean it wasn't concerning and a problem. It didn't actually get any better until I spoke to someone. I think speaking to your doctor - regardless if it's just a rough transition making you sad versus true depression - can only help the situation. 
    I am so sorry for your loss. :/
    I had the same loss and it became a special type of hard to navigate after kids. I felt like she should be here to love them as much as I do; she would have been the best grandparent so that adds extra layers. 
  • loveymay said:
    Thank you for the replies! I realize I need to get more sleep, and that I have to take care of myself in order to be a good mom to my son. I agree about the quality vs quantity. Even though its hard to not be with him as much as I want. But I would rather be happier, rested and more patient with my ds than be exhausted and grumpy all the time. I cant change my work schedule (I actually enjoy the night shift, but it was much easier before LO arrived). I am changing my sleep schedule though. My DH goes back to work in 2 weeks, and the original plan was for my cojsin to babysit LO while I sleep, and then I would pick him up in the afternoon. But I know I would want to get him as early as I could, which would cut into my sleep. Instead Im going to stay up with him when I get home in the morning, and my mom is going to pick him up at 2 so I can sleep. I willget 7 hours of sleep this way, and I will get to spend all morning with him. I also feel more comfortable with my mom watching him, because I know she loves him just as much as I do. Im hoping this new schedule will work out better. Im going to give it a week or 2, and see if my mood improves before calling my Dr. I havent had any problems until I went back to work. I didnt have baby blues either after he was born. Im really hoping its just sleep deprivation!
    So sorry you are going through this. I hope that helps and I also hope sleeping more helps as well. 
  • I couldn't say whether it's PPD or not, as I am no professional (I agree with the others about speaking with your doctor about it though), and I haven't had PPD myself, but I do remember dealing with some pretty intense baby blues during those first few weeks. I couldn't eat either, and the sleep deprivation made it hard to enjoy that time. 

    For me, the first step towards feeling better was being able to eat again. I started by keeping on hand a steady supply of Starbucks Mocha Frappucinos and a box of chocolate chip muffins for breakfast. Not the healthiest thing ever, but chocolate was one of the few things that still tasted good, so I was motivated to eat it. Once I'd had breakfast, I was more likely to eat lunch, and same for dinner (I did force myself to have something slightly healthier at those meals, though I kept it to really easy meals to throw in the microwave or something - basically meals that didn't require any actual effort and very little time). After a week or so, I was used to eating regularly again and I was actually craving real food. Being able to eat made a HUGE difference in my moods. Figuring out the sleep deprivation was also a really big part of it. I'm still somewhat deprived now, but it's nowhere near as intense as it was before. 

    Not saying that my solution is your solution, just hoping that maybe in the time until you are able to speak with your doctor, it might help a bit. At least on the food front.  
    Pregnancy Ticker

  • @lalala2004

    Absolutely -- I did not mean to underemphasize seeking professional help: the only reason I realized that my own depression post partum was situational and not PPD was because I was on the phone every other day with my hospital's PPD specialist.

    And just because this doesn't sound like PPD (to me--all the worrying symptoms seemed to be related to a lack of sleep and skewed expectations of what is humanly possible) doesn't mean it isn't something that should be addressed with a medical professional. It just means the treatment would be different.
  • Just an update.

    I went to my Dr last Friday and explained how Ive been feeling. She said it sounded like PPD/PPA. She said there were 3 options, wait and see if it gets better (which she didnt recrecommend since I was fine until Ibwent back to work and started feeling bad), go to counceling (which she said would be hard since its one more thing to squeeze into my schedule, and my schedule is a factor contributing to how Im feeling) or meds. She prescribed zoloft and wants to see me in a month. I also told her that I was starting a new sleeping schedule and getting on a routine. At that point, I was sleeping whenever and not long enough and there was no routine. 

    I took the meds for a few days but it made me super nauseous so I stopped. And honestly since I started my new routine thus past week I have been feeling so much better. Im rested and less stressed. I still hate being away from LO but thats normal. Now I feel stupid for going to the dr about this, but I guess better to be safe than sorry. I think I was just overwhelmed and stressed out, and incredibly sleep deprived. (Plus I just got my period so Im sure pms and hormone fluctuations dont help). Im going to make sure I keep getting enough sleep and hopefully being on a routine will help keep the feeling of being overwhelmed at bay.

  • Glad to hear it has improved!!!
  • The sleep deprivation is a big deal! And I felt so out of whack before my period came, too. As if the hormones after view weren't enough! I'm glad you're feeling better.
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