Wednesday, April 04, 2007

Mother's little helper

I went to our family doc today to discuss my continuing post-partum anxiety. Really, I went to ask for a prescription to replace the 100 mgs of Zoloft I'm taking each morning. Give me drugs. Now give me better drugs.

The anxiety, I explained to her, is better but still there, still a big ball of "aaaaaack" sitting on my chest and in my gut when I rise and shine each morning, still a fuzzy grey filter over the lens I use to view the world, still a soggy blanket draped over my head, still ... you get the idea.

So I asked for something else. And she said no. A friendly but firm no.

Her thinking: The Zoloft has helped alleviate the all-over sadness that was bothering me during the first couple of months home from the hospital. Shifting to a new drug would mean slowly coming off the Z, which could bring the depression back with a vengence. Plus, I'm fully aware of how irrational my anxiety is. I'm worried about feeding TheGirl, will I have enough milk, will I have to dip into the freezer stash, etc. But I know good and well that she's a healthy, happy, huge little thing. (Like mother, like daughter, apparently.) Since I'm so self-aware, my doc says, the best course of treatment is counseling, exercise and time. "You have to train yourself," she said. "We can leave open the possibility of trying another prescription. But I don't think we need to go that way right now."

So instead of a magic pill, I got a little tough love. We'll see how that works.

7 Comments:

Anonymous L-N said...

You know that the effectiveness of Zoloft is about 12 weeks, and you have exceded twelve weeks. You might want to call her back up or go to your OB. When I went to my OB last week, she wanted to put me on Prozac for a while to help with my nasty mood changes once a month. I declined, and decided instead to go back on the pill. Even though I don't think that the pill would help you, she, at least, was willing to prescribe a magic pill.

4:32 PM  
Anonymous L-N said...

PS. There is nothing wrong with being on a prescription for about six months to a year, because that is how long post partum can last. After that I will prescibe tough love too.

4:35 PM  
Blogger Phil said...

A big ball of "aack". Yeepers!

Big hugs to you, dear. The kind that squoosh out all the bad stuff.

9:01 PM  
Blogger Lissajeen said...

The thing is, though, knowing you, you've probably already prescribed yourself some tough love, so if that's not working, I'd think you do have some call to ask for a helping boost. I don't really know, of course, but that's my $.02.

5:55 AM  
Blogger Elke & Audra said...

As you know my mom is a nurse and the one thing she cautioned about was stopping anti-depressants too quickly. So whichever direction you decide to go in I would keep that in mind. Her husband (my step-dad)has taken several different types over the years and sometimes he has found that he will occassionally need to change the dose or medication due to it losing it's effectiveness. His issues are ongoing though and may be treated differently from Post-partum depression. Let us know if there is anything we can do!

10:53 AM  
Blogger V said...

Maybe a new doctor? I am trying to figure out myself if the weltschmertz I feel every day at 4 in the morning is due to ppd or the shock and horror of finding myself awake at that hour. Seriously- contemplating everything from child neglect to immigration then on to contemplating lamentable wardrobe decisions (the many) I have made over the years. Then I start in on myself about all the times I feel like I have been a horse's ass. Time will tell if that's depression or self-absorbed neurosis, I s'pose. I have been there with the drugs crapping out on you. That is not very fun at all. Can she ot give you a lttle Xanax? That might come out in your "mamatini" stuff. Hmmmmm. Surely there must be something they can do to help you!

2:37 PM  
Blogger AnnaRay said...

It's actually getting much better, at least compared to where I was several months ago. I actually appreciate what my doctor said, and I think she's right. And she has left open the door on different meds if I get desperate. She just wants me to try other stuff first.

V, those could be your hormones raging. It's only been a few weeks, right? My uncontrollable weepiness stopped after a couple of weeks, and I think that had more to do with my hormone levels getting back to normal than the Zoloft, which I'd barely started.

And just remember: You're not the only one awake at 4 a.m. We're all part of the clan, nursing mothers, swing shifters and insomniacs.

4:24 PM  

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