The Sunshine Comes

Do not lose hope, please believe that there are thousands of beautiful things waiting for you. Sunshine comes to all who feel rain. -R.M. Drake

After staring at her painted toenails, she finally raised her head to look up at him.  They were standing by the lake on a cloudy Sunday afternoon.  They had just gone for a bite to eat at their favorite Greek restaurant.  All during the meal, she wrestled with herself.  Should I tell him today or wait a while longer?  They had been dating for a while now and things were becoming serious between them.  He had a right to know.  If there was to be any future together, there could be no secrets between them.

“Ishmael, I have something to tell you.”

He looked a bit concerned.  “What is it?” he asked gently.

She took a deep breath.  “I suffer from bi-polar disorder.”  There, she said it.  Her heart pounded as she waited for his response.  Would he act all strange or come up with some excuse and walk away and out of her life?  It had happened before with other guys.  She hoped that he would be different.

An expression of relief came over his face.  “Is that all?” he exclaimed.  “I thought you were going to tell me that it’s over between us.”

She stared at him.  “You mean you don’t mind…?”

He shook his head.  “No.  Mental illness isn’t something to be ashamed of.  And it doesn’t define you.  I look at you and still see the amazing woman I fell in love with a year ago.”

Tears welled in her eyes.  “I was afraid to tell you but you had a right to know.”

He reached out and drew her closer, his thumb caressed her cheek as he rested his forehead against hers.  “You have nothing to be afraid of where I’m concerned, okay?” he assured her.

She nodded, not trusting herself to speak just then.

“I have something I need to ask you,” he said, raising his head.

She looked at him, curious.  “What is it?” she asked.

He didn’t answer right away.  Instead, he got down on one knee, fished out a little black box from his jeans pocket and holding it out for her to see as he opened it to reveal an exquisite diamond and gold ring.  “Nadya, will you marry me?”

Nadya began to cry and in between the sobs, she managed to say, “Yes!”

Grinning broadly, Ishmael slipped it on her finger, kissed it and then got to his feet.  Cupping her face between his hands, he kissed her.

She put her arms around his waist and kissed him back, her heart almost bursting.  At that moment the sun began to shine.

January 30th is Bell Let’s Talk Day when Canadians and people around the globe join the world’s largest conversation about mental health.  The impact has been great. Overall, 87% of Canadians say they are more aware of mental health issues than they were a few years ago. Additionally, 85% think attitudes about mental health have changed for the better and 75% believe the stigma around mental illness has been reduced. The numbers are even more impressive among young people aged 18-24: 88% think attitudes are better and 77% believe stigma has been reduced – BCE

Mental illness is something that affects everyone in some fashion and there always needs to be a conversation.  I have been personally affected by it.  My sister has bipolar disorder as did two deceased cousins.  I knew two co-workers who had it as well.  Those who have it need to know that they have support.

It isn’t something to be ashamed or embarrassed about.  There is awareness and an ongoing conversation.  And most importantly, there is help.

There isn’t anybody out there who doesn’t have a mental health issue, whether it’s depression, anxiety, or how to cope with relationships. Having OCD is not an embarrassment anymore – for me. Just know that there is help and your life could be better if you go out and seek the help.” – Howie Mandel

“What mental health needs is more sunlight, more candor, and more unashamed conversation.” – Glenn Close

“It doesn’t have to take over your life, it doesn’t have to define you as a person, it’s just important that you ask for help. It’s not a sign of weakness.” — Demi Lovato

Sources:  Wikipedia;  Everyday Power

National Native HIV/AIDS Awareness Day

Courtesy:  Indian Country Today

It was just few days ago when I learned that March was designated as Women’s History Month.  Well, today, an identical thing happened to me which prompted me to put this post together in a hurry.  I found out just a few minutes ago that today is National Native HIV/AIDS Awareness Day.  I also discovered that my ignorance of the day is not surprising given that it is a little known observance day.  NNHAAD is a day geared toward drawing attention to and building support for HIV prevention, testing, treatment and care among American Indian, Alaska Native, and Native Hawaiian populations.  Here are some facts, according to the Centers for Disease Control (CDC):

• Among American Indians and Alaska Natives (AI/AN), women account for 29% of the HIV/AIDS diagnoses. 
• For Native Hawaiian and Pacific Islander (NH/PI) populations given a diagnosis, 78% were men, 21% were women, and 1% were children (under 13 years of age) in 2005.
• From 2007 to 2010, new HIV infections among AI/NA populations increased by 8.7% (CDC).

While these percentages may seem low, one must remember to take into account the size of these populations compared to more populous races and ethnicities in the U.S. For example, according to the CDC, in 2005 American Indians and Alaska Natives ranked 3rd in rates of HIV/AIDS diagnosis, following blacks and Hispanics. To put this into numbers, the rate of new HIV/AIDS infections in 2008 per 100,000 persons were:

• 73.7 Black/African American
• 25.0 Hispanic/Latinos
• 22.85 Native Hawaiians and Pacific Islanders 
• 11.9 American Indian and Alaska Native 
• 8.2 Whites
• 7.2 Asians

Given that many of these populations live in rural areas, access to health care services can be difficult. Not to mention other roadblocks to obtaining needed services such as language and cultural barriers. Native communities have some of the shortest survival times after diagnosis of HIV/AIDS of all race and ethnicity groups in the U.S.

The report also showed that Native communities are not accessing the much needed care and attention after being diagnosed with HIV.  I also learned that about 26% are living with HIV and don’t even know it.  So, this means that since they don’t know that they have it, they wouldn’t seek medical help.  On the other hand, those who know that they have it, take steps to protect their health and take action to prevent spreading the virus to others.

Thankfully, there are public services like the IHS (Indian Health Service), an agency whose mission is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.  Our goal is to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people.  The IHS operates within Department of Health and Human Services.

The IHS National HIV/AIDS Program is committed to partnering with communities to create lasting change in the HIV/AIDS epidemic. We provide programs to assist individuals, families, communities, and health care providers to:

• Understand how HIV is spread, and share knowledge about HIV with others
• Get tested for HIV
• Put policies and procedures in place to offer a HIV testing as a routine part of all health care
• Improve access to care, treatment, and prevention services needed by people living with HIV and AIDS

IHS providers throughout the country are offering screening more often, collaborating with communities to increase education, and offering care or referrals where direct care is not available. We can all help to reduce the stigma within our culture and among health care providers regarding HIV/AIDS.

I was shocked to learn that March 20, 2016 was the tenth anniversary of this annual awareness day.  I wonder how many people out there who even know that it exists.  Awareness, education and access are key.  And I applaud the many dedicated organizations that are currently working hard within the Indigenous communities to break down barriers and to promote HIV/AIDS prevention and treatment.   

The theme for 2016 was:  “Hear Indigenous Voices: Uniting the Bold Voices of American Indians/Alaska Natives (AI/AN) and Native Hawaiian/Other Pacific Islanders.” Last year’s was:  theme is “Unity in CommUnity, Stand Strong to Prevent HIV.” On this day, we recognize the impact of HIV/AIDS on American Indian, Alaska Native, and Native Hawaiian communities.  The theme this year is “Unity in CommUNITY: Stand Strong for HIV Prevention.”

It is my hope and prayer that long after this year’s National Native HIV/AIDS Awareness Day passes, that more people will find ways to stand strong for the Native communities.  We have heard the Indigenous voices, stood with them as we recognized that they are impacted by HIV/AIDS and now we must stand strong for prevention.  We have heard the voices, now it is time to be united in the fight to change the tide in this epidemic which discriminates against no one.  The HIV/AIDs is not one group’s or community’s fight but everyone’s fight.

Sources:  Humanitas Global Development; Indian Country Today; Indian Health Service

World Mental Health Day

“The deepest pain I ever felt was denying my own feelings to make everyone else comfortable.”

Today is World Mental Health Day and the theme for this year is Mental health in the workplace.

It is so important for those who are living with mental illness work in environments that are supportive and conducive to their well being and productivity.  We spent more time with our co-workers during the week than we do with our families so it helps when employers and managers put initiatives in place that would promote mental health.  A negative working environment can lead to physical and mental health problems, drive people to abuse substances, alcohol, skip work or perform their jobs poorly.

A friend of mine was working in a negative environment which may have contributed to her relapse.  The last time I saw her, it was obvious that she was not taking her medication.  She suffered from bipolar disorder.  She had personal issues as well which could have also been a contributing factor.  Another woman who used to work in the same department also suffered from mental illness.

You can look at people and not know that they have mental illness until something happens and they have a breakdown.  We can’t tell who is living with depression, anxiety disorders or other mental issues.  There is still a stigma attached to mental health and those suffering with it may not feel comfortable disclosing their struggles.  The platform for them to do so may not be there.  This is why World Health Day is observed on October 10 every year to raise awareness and mobilize efforts in support of better mental health.

What can you do to support mental health in your workplace?  The Mental Health Foundation offers helpful tips for those who have mental illness and for those who work with them.

1. Talk about your feelings

2. Keep active

3. Eat well

4. Drink sensibly

5. Keep in touch

6. Ask for help

7. Take a break

8. Do something you’re good at

9. Accept who you are

10. Care for others

 

You can support a colleague by:

• Asking the person how they are doing.  Be warm and sincere.
• Setting a time and place that is most comfortable for the person.
• Active listening.  Give your undivided attention.
• Managing your own feelings.  You want the person to feel that they can talk to you about anything without fear of judgment.

If your co-worker says that he or she is having suicidal thoughts or you suspect that they are thinking of committing suicide, it is very important that you encourage the person to get help.

You can keep in touch with co-worker who has been away from work by calling or sending cards.  When they return, you could help them to get back into their work routine.  For the co-worker who you see on a day to day basis, you can check up on them informally and find out how they are doing.  You can offer to help them as a mentor or coach or friendly support on an ongoing basis.  You could ask them if there is any way you can support them as they manage their condition such as spotting signs that they may have missed which indicate that they are becoming unwell.

My sister suffers from bipolar disorder.  I will never forget the time when she was having a breakdown and she just clung to me.  I held onto her.  It was heartbreaking. Mental illness affects not only those who have it but those around them.  We have to be there to offer them our love, support and whatever they may need.  We have to be sensitive to what they are going through.

 “We feel alone because due to the illness we have lost loved ones, families, friends, jobs, and it has created broken hearts & shattered dreams. We feel extremely unwanted for something we didn’t ask for and trying so hard to cope with. Believe us, if we could snap our fingers and make it disappear, it would be a wish come true. But that only happens in fairy tales.”

“Those who suffer from mental illness are stronger than you think. We must fight to go work, care for our families, be there for our friends, and act ‘normal’ while battling unimaginable pain.”

“Ignore those who say just get over it. Healing is a process.”

“The only thing more exhausting than having a mental illness is pretending like you don’t.”

“You keep a lot to yourself because it’s difficult to find people who understand.”

“This disease comes with a package: shame. When any other part of your body gets sick, you get sympathy.”

“The strongest people are not those who show strength in front of the world but those who fight and win battles that others do not know anything about.”

Quotes on Mental Health Stigma by Healthy Place

 

Sources:  World Mental Health Organization; Mental Health Foundation; Healthy Place;

Mental Health Crisis in India

More than 50 million people in India suffer from a mental illness.  In 2011, India recorded the highest rate of major depression in the world at 36 per cent.  According to doctors, roughly 10 per cent of India’s population suffers from depression – MGMH

 

Women with mental illness are treated as less than human.  They are dumped, abandoned and abused.  If there are any signs of mental illness, a woman is put in a mental hospital with no chance of getting out.  Men can go back home while women are there for life.  In the following video, we meet a woman whose husband had her institutionalized although she had no history of mental illness.  Here’s a story of a mentally ill woman whose husband built a case against her so that he could get custody of their children after divorcing her.

It is not surprising that women suffer from depression at higher rates than men.  They have to deal with gender inequality, violence, lack of paid employment, lack of education, excessive spousal alcohol use and poverty.  Mothers are blamed for the birth of a female child and many face pressure to have male children.  Women are diagnosed with schizophrenia later in life, oftentimes, following the birth of their children.  The children are often removed from the ill mother’s care and this results in further distress for her. Indian women have higher rates of suicide than women in most developed countries and a higher rate of suicide compared to men in India.  Depression is one of the most common reasons for suicide among Indian women.

Mental health in India carries with it a stigma, especially if the person suffering from mental illness is a woman.  According to MGMH (Movement for Global Mental Health), in rural India, it is common to see people taking their children to temples and faith-healers instead of hospitals and doctors, especially in cases of mental health.  Mental health was something that was talked about in hushed tones.  Thankfully, it is no longer being swept under the rug.  People are coming forward.  Deepika Padukone stunned her fans last year when she admitted that she suffered from anxiety and depression.

At the time the news broke, she was one of the most sought after actresses in Bollywood. It took tremendous courage for her to disclose her illness, especially since people diagnosed with mental illness face discrimination.  Deepika has since launched the Live Love Laugh Foundation to raise awareness about mental health issues and as a result many celebrities were inspired to come out in the open and address the need to talk about mental health.  Varun Dhawan admitted that he was depressed during the making of Badlapur and Honey Singh revealed that he has been undergoing therapy for bipolar disorder.

Sadly, those living with mental illness are victims of a cruel fate.  They are often locked away and stripped of their basic human rights in state-run institutions that are under-staffed. In an article, titled Mentally Ill Suffer a Horrible Fate in India posted on the site for Deutsche Welle (DW), most state run mental hospitals are in deplorable conditions. The National Human Rights Commission (NHRC) reported that out of the 43 government mental hospitals in India, less than half a dozen are in a “livable” condition”.

There are doctors in charge of these hospitals who have no business being there.  “These doctors don’t understand the intricacies of a psychiatric illnesses and the comprehensive care the patients require,” said a psychiatrist working in a state-run mental hospital in Uttar Pradesh.

And in the midst of the crisis of hospitals not providing the conditions and care the patients need, are quack healers who are profiting from this.  According to a study by Dr. Shiv Gautam, former superintendent of Jaipur Mental Hospital, 68 per cent of the mentally ill are taken to faith healers before a psychiatrist.  “The reason, besides superstition, is that most general medicine doctors fail to diagnose psychiatric illness,” Gautam said. “A mentally ill patient displays symptoms which superstitious people believe are paranormal,” he added. “Such patients are tortured, chained and used for extracting money from their families.”  Hema, who was suffering from Schizophrenia was believed to have an evil spirit.  Her family took her to Datar Sharif Dargah where she spent a year locked up.  It wasn’t until her condition deteriorated that she was brought to Dr. Gautam.  In 15 days, she began to improve and a month later she was normal.

In other cases, the mentally ill are subjected to one of these horrific ordeals:  whipping, caning, inhaling burnt chili smoke, having their eyes smeared with chili paste or having their eyes branded with red, hot coins.  There are laws banning this practice, however, many dargahs and temples keep the patients chained.  Some of them spend the rest of their lives like this.  In 2001, 26 patients perished in a fire at a dargah in a coastal village because they couldn’t escape the blaze since they were chained.  What a horrific and senseless tragedy.

Families of mentally ill people opt for dumping them.  This means that they are dumped into an asylum where the conditions are not fit for a human.  When an illegal asylum was raided, they found thirty-five men and six boys living in inhuman conditions.  The stench from their unwashed bodies and the excrement drove neighbors to alert the health department.  Naked and chained inmates were discovered, dumped there by their families after they paid the asylum owner.  Some of these poor souls were found crawling in their excrement, some even consuming it.  On their bodies were marks of torture.  Some had surgical scars on their backs, leading to allegations that the asylum had links to kidney theft.  78 patients had entered the asylum but only 41 were found during the raid.

Other patients are dumped in jungles or forests ranges.  Their families pay lorry drivers to drop them.  Women and children are among these victims and in some cases, the females are raped by the drivers before being dumped.  Social activist Murugan S. who has rescued countless mentally ill people from the streets, cautions us not to judge the families by calling them cruel.  Instead we are to examine what forced them to take such extreme measures.  He believes that system needs to change.

Part of the solution is raising awareness.  The suffering of the mentally ill has been brought to our attention. It is out in the open.  The next thing that needs to be done is to show the superstitious and fearful society that mental illness is nothing to run away from or to be ashamed of.  The person suffering from mental illness needs love, support and most importantly, proper care so that he or she can live a normal life.

The government needs to put something place to ensure that patients are placed in reputable, sanitary facilities that will provide the care that they need and to ban the operation of illegal asylums and the practice of dumping.  Quack healers should be banned from profiting from other people’s suffering.  Husbands should not be allowed to institutionalize their wives if there is no record that they have mental illness.

No one wants to be mentally ill but it is a reality for many people and what they need is to know that they have a platform where they can talk about what is happening with them. Here in Canada, we have Bell Let’s Talk, a wide-reaching, multi-year program designed to break the silence around mental illness and support mental health all across the country. It has done so much to fight the stigma of mental illness and encourage people to get involved in educating themselves and others.

It is my sincere hope and prayer that something will be put in place in India so that attitudes toward mental illness would change and those suffering from it will have a platform where they would not be judged, dumped, abandoned or discriminated but supported and be treated with dignity and open minds.  In the meantime, let’s keep talking and raising awareness.

Talking is the best way to start breaking down the barriers associated with mental illness – Bell, Let’s Talk

 

Sources:  Vice News; Movement of Global Mental Health; Wikipedia; Deutsche Welle

World Leprosy Day

Tens of thousands of people in the world suffer from leprosy, a bacterial infection which affects the skin and destroys nerves.  Since the disease affects the nervous system, the affected areas become numb. People suffering from leprosy cannot feel pain and can easily hurt or injure themselves.  These injuries can become infected and result in tissue loss.  I remember reading about a missionary who put one of his feet in a pan of boiling water and didn’t even feel any pain.  It was then that he realized that he had leprosy.

The stigma that comes from having leprosy can be worse than the disease itself.  People with leprosy are outcasts. Their relatives believe that they are cursed.  Their lives are filled with loneliness and pain. People avoid them.  This happened to Balwant.  He was in his 30s when he discovered that he had leprosy.  He had white patches on his leg that itched and then became numb.  

Leprosy, if left untreated, can cause serious damage and leave a person disfigured.  Balwant and others like him feel ostracized and humiliated.  They are denied access to common wells or prevented from participating in festivals because people are afraid of the risk of contagion.  Family members reject them because they don’t want to catch the disease or be socially rejected because of those affected.  Some people even believe that when a person has leprosy he or she is being punished by the gods for past sins.  So, they avoid those who are affected because they don’t want to the wrath of the gods to fall upon them.

Balwant ended up losing his leg because the disease had progressed severely.  The doctors had to amputate his leg at the knee.  This left him weak and unable to work.  To make matters worse, he couldn’t afford to pay for the medical treatments he needed to treat his high blood pressure and diabetes which he had developed.  All of these things began to take a toll on Balwant and he decided that death was the only way out.  It would relieve him of his suffering, take away his shame and lift the burden that caring for him placed on his family.  He thought of hanging himself but he had no strength in his hands or leg.  He decided that he would jump into the well near his house.

It was at this moment of despair, resignation and hopelessness that God intervened in Balwant’s life.  He sent a Gospel for Asia supported pastor and three Sisters of Compassion, specialized women missionaries to Balwant’s community.  After hearing about Jesus and how compassionate He is, Balwant, moved by this, opened up to the pastor and the missionaries and told them all that he was going through and his plan to end it all.

Pastor Daha and the sisters prayed for Balwant and used God’s Word to encourage him.  They prayed for him for many days and his health began to improve.  He felt a peace that was beyond comprehension–the peace only Jesus can offer.  Balwant began to see his life through God’s eyes–precious.

Pastor Daha and the missionaries visited Balwant and his wife regularly.  They showed the love of Christ through simple acts such as fetching water, chopping vegetables and even trimming Balwant’s nails, something he couldn’t do for himself.  Their care and Jesus’ love made Balwant want to live. “I was emotionally weak and thought to end my life,” he testified, “but I found Jesus in the right time.  I thank God that He loves me.”

Sadly, a few months after Balwant found Jesus, he fell ill with jaundice and died.  He was right.  He found Jesus at the right time and one day he will be among the resurrected dead who will spend eternity with the Lord.  On that glorious day when Jesus returns, Balwant will have a new and incorruptible body (1 Corinthians 15:52-54).

Every year, there are nearly 230,000 new cases of people diagnosed with leprosy. About 60 percent of those cases concern people living in India alone. While leprosy is a curable disease, many men, women and even children find themselves abandoned and scorned because of it. Like Balwant, they live with shame and hopelessness as their constant companions. But God is using His servants to give these precious people hope and new life in Him—and you can help – Gospel for Asia

Pray for those who are living with leprosy.  Their world is filled with so much shame and hopelessness. They are abandoned and scorned by relatives, friends and neighbors.  They are lonely and suffer from physical and emotional pain.  Help Gospel for Asia’s Leprosy ministry to bring love and hope filled life to these people.

Pray that, like Balwant, they will come to know Jesus who loves them and longs to heal them just as He did when He was here on earth.  He healed this man who had leprosy on his hands.  His big smile and perfectly fine hands testify that the Lord is still in the business of healing.  Read about how He also healed Radhika, a 19 year old leprosy patient whose husband left her.

You can help the GFA Leprosy Ministry by praying for:

• the healing of leprosy patients
• the missionaries who are going and sharing the Gospel with the leprosy patients
• more medical personnel to care for and treat the patients
• the children whose parents have leprosy

This year, for World Leprosy Day, let us join Gospel for Asia in raising awareness about the hopelessness and rejection that many leprosy patients face and the hope, love, joy and acceptance they can find in Jesus Christ.

Women and Postpartum Depression

For 1 in 8 women, new motherhood is anything but joyous – Health.com

Postpartum depression is a very real and very serious problem for many mothers. It can happen to a first time mom or a veteran mother. It can occur a few days… or a few months after childbirth – Richard J. Codey

Recently on the news I saw that Drew Barrymore admitted that she suffered from postpartum depression after she had her second daughter.  It was a short-lived experience.  It lasted about six months. She was grateful for the experience because it was a constant reminder to stay present in the moment.  Her motto was, “one thing at a time.”

I have heard quite a bit about postpartum depression but this time I wanted to educate myself about it and my heart was touched by the experiences women go through.  First of all, I want to point out that it’s a real and serious condition.   I was appalled at how women with postpartum depression were treated.  Stigma, disbelief and lack of support from others prevent them from getting the treatment they desperately need.  So, they suffer in silence.  How terrible it is for a woman who has images of her child drowning in the bathtub or being smothered on his burp cloth, fearing for her sanity but is afraid to say anything so she keeps it from her husband for as long as she could. And how sad it is that a woman should feel judged for taking antidepressants for postpartum depression because of the mistaken belief that depressed mothers are self-centered and weak.

Women who have postpartum depression feel a triple whammy of the stigma reserved for people with mental illnesses.  Not only are they brought down by what many expect to be the happiest even in a woman’s life–the birth of a child–but also total honesty about their emotional state could invite scorn or even a visit from social services (Health.com).  

“We’re suffering from an illness that cannot be seen.  We don’t have a fever, swelling, vomiting, or diarrhea.  No open wounds that will not heal–at least not the kind you can see with the naked eyes.  So, many wonder if we’re really sick at all – Katherine Stone

Psychologist Shoshana Bennett, founder and director of Postpartum Assistance for Mothers endured two life-threatening postpartum depressions in the mid-1980s, at the time when help for women in her condition was hard to find.  “I was quite suicidal.  My doctor told me to go and get my nails done,” Bennett recalls.  Can you imagine going to your doctor because you are feeling suicidal and being told to go and get your nails done?  It didn’t help that she had an unsympathetic mother-in-law who, believe it or not, had been a postpartum nurse for years.  The mother-in-law had given birth to five children and had not suffered from baby blues with any of them.  When Bennett’s husband asked his mother what was wrong with his wife, her response was, “She’s spoiled.  It’s not just about her anymore.”

Bennett’s husband was angry, confused and upset with her.  Bennett hated herself and things got worse after her first child was born.   She was 40 pounds overweight and very depressed.  She went to her ob-gyn for help.  When she told him, “If life’s gonna be like this, I don’t wanna be here.”  His response?  He laughed and said that all women go through this.  So, there was Bennett, suffering from postpartum depression, with no support or help.  It was her own experience that motivated her to become a licensed therapist, specializing in postpartum depression so that she could counsel women who are going through what she did.

Sometimes women are given medications with terrible side effects.  Katherine Stone experienced this when the first psychiatrist she went to treated her with four or five medications.  She had to find a practitioner who specialized in the treatment of postpartum mental disorders.  She discovered the hard way that no all psychiatrists are experts in treating postpartum depression. “So many psychiatrists don’t understand the condition, don’t have the tools to treat this, and aren’t trained in varying ways in which women with this disorder need to be cared for,” she says.

It is recommended that you ask your ob-gyn, nurses and social workers if the hospital in which you delivered offers postpartum depression services or sponsors support groups for new moms. Ruta Nonacs, MD, Associate Director of the Center for Women’s Health at Massachusetts General Hospital in Boston, recommends, “Call Postpartum Support International (800-944-4773) to find a support group near you.  I also recommend seeing your family doctor.  They’re treating people with depression all the time and can also help with referral to a therapist.”

How can you tell that you have postpartum depression?  There are three postpartum conditions – baby blues, depression and psychosis.  Here are the symptoms outlined by Mayo Clinic:

Postpartum baby blues symptoms

Signs and symptoms of baby blues — which last only a few days to a week or two after your baby is born — may include:

• Mood swings
• Anxiety
• Sadness
• Irritability
• Feeling overwhelmed
• Crying
• Reduced concentration
• Appetite problems
• Trouble sleeping

Postpartum depression symptoms

Postpartum depression may be mistaken for baby blues at first — but the signs and symptoms are more intense and last longer, eventually interfering with your ability to care for your baby and handle other daily tasks. Symptoms usually develop within the first few weeks after giving birth, but may begin later — up to six months after birth.

Postpartum depression symptoms may include:

• Depressed mood or severe mood swings
• Excessive crying
• Difficulty bonding with your baby
• Withdrawing from family and friends
• Loss of appetite or eating much more than usual
• Inability to sleep (insomnia) or sleeping too much
• Overwhelming fatigue or loss of energy
• Reduced interest and pleasure in activities you used to enjoy
• Intense irritability and anger
• Fear that you’re not a good mother
• Feelings of worthlessness, shame, guilt or inadequacy
• Diminished ability to think clearly, concentrate or make decisions
• Severe anxiety and panic attacks
• Thoughts of harming yourself or your baby
• Recurrent thoughts of death or suicide

Untreated, postpartum depression may last for many months or longer.

Postpartum psychosis

With postpartum psychosis — a rare condition that typically develops within the first week after delivery — the signs and symptoms are even more severe. Signs and symptoms may include:

• Confusion and disorientation
• Obsessive thoughts about your baby
• Hallucinations and delusions
• Sleep disturbances
• Paranoia
• Attempts to harm yourself or your baby

Postpartum psychosis may lead to life-threatening thoughts or behaviors and requires immediate treatment.

For more information such as when to see a doctor, what your options are or how you can help a friend or a loved one, click on this link.

Why do some women suffer from postpartum depression while others don’t?  According to Marcie Ramirez, Middle Tennessee coordinator for Postpartum Support International, “People with a history of mental illness have a high risk, as do people on either end of the age spectrum–young mothers or older mothers.  If you have a history of minor depression, panic attacks, or OCD (Obsessive Compulsive Disorder), you are at a higher risk for postpartum depression.  A mother who experiences a traumatic birth is more likely to develop postpartum depression, as are new mothers who have a history of sexual abuse.  Bipolar disorder is a big indicator for postpartum psychosis, a very serious form of postpartum depression that affects about 1 to 2 out of every 1,000 new moms.”

Other predictors of postpartum depression are:

• marital difficulties
• stressful life events such as financial problems or loss of a job
• childcare stress
• inadequate social support
• having to are for a child with a difficult temperament
• low self-esteem
• unplanned or unwanted pregnancy
• being single
• lower socioeconomic status
• postpartum blues (Babycenter.com)

An article in the Daily Mail says that a woman’s risk of post-natal depression increases if she has a Caesarean section.  According to researchers, women were 48 per cent more likely to experience depression if they had a planned procedure rather than an emergency one.  Some women choose to have a Caesarean because they are afraid to give birth naturally, have had a previous childbirth trauma or want the convenience of a scheduled delivery.

Postpartum depression should be taken seriously.  Women are so overcome with fear and anxiety that they are afraid to be in the same room with their babies.  This affects them being able to bond with their babies which is vital to their development.  Women need to talk about their feelings, no matter how painful they are.  They need the support of their husbands and families.  “A functioning, healthy mom is vital to the family unit, and getting mothers with postpartum depression professional help can ensure that they avoid years of needless depression,” says Ramirez.

Advice for mothers who are experiencing depression is, “do what’s best for yourself so you can do what’s best for your baby” (Health.com).    Ann Dunnwold, PHD, a Dallas-based psychologist who specializes in postpartum depression, says, “The key is to have it on your own terms.  Sometimes the mother-in-law will come over to be with the baby, but what the new mom needs is for her to do the laundry.  To help, everyone needs to ask themselves what the mom really wants.”

There is hope for women suffering from postpartum depression.  The key is finding a health professional who specializes in treating it and who won’t brush you off or make light of it.  There are medications and treatments that can relieve or even reverse postpartum mood disorders. Don’t wait to get help.  Don’t suffer in silence.  Speak up.

If you know a woman who is going through postpartum depression or are married to one, please help out as much as you can.  Make sure that she gets enough sleep and encourage her to speak with her healthcare provider.  Encourage her to get some kind of support.

If you are suffering from postpartum depression, here is a list of postpartum depression support groups.  Perhaps reading stories of mothers going through what you are going may help. You’re not alone.   Help and hope are available for you.

Mature woman gives solace to crying adult daughter

Sources:   http://celebritybabies.people.com/2015/10/21/drew-barrymore-postpartum-depression-people-cover/?xid=rss-topheadlines; Mayo Clinic; Baby Center; Postpartum Depression Progress; Health.com; Daily Mail; Brainy Quotes; Healthscope

In Need of Prayers

In the fear of the LORD there is strong confidence, And His children will have a place of refuge – Proverbs 14:26.

The earthquake in Nepal left more than rubble in its wake.  It left heartbreak, loss and uncertainty.

When I look at Drastaa’s weathered face, I see unimaginable pain and devastation.  I see someone who has suffered a crippling loss.  She lost her only grand-daughter.  The girl was only 16 years old.  She had gone in to the forest to gather firewood when the earthquake struck, killing her.  That day when Drastaa woke up, little did she know that her world would be turned upside down and that she would be facing the future alone.

Her life is like a heap of rubble.  She has no idea how she was going to pick up the pieces and rebuild her life.  The odds are stacked against her.  She’s elderly.  She’s a widow.  She can’t work to support herself.  Life for widows in Nepal is hard and they are victims of discrimination, isolation and rejection.  In addition to the stigma that is attached to widowhood, she had to worry about the spreading of diseases because of the unsanitary conditions and the monsoon season which is typically lasts from mid-June to mid-September.  A monsoon can seriously hamper relief and recovery efforts.

“As one whom his mother comforts, So I will comfort you” (Isaiah 66:13).  Pray that Drastaa will receive this comfort and the help she needs to get back on her feet.  Ask God to reveal Himself to her, letting her know that she is not suffering alone.

Leave your fatherless children, I will preserve them alive; And let your widows trust in Me – Jeremiah 49:11.

When the earth started shaking, Tarana’s husband rushed inside their home to look for their children, unaware that they were safe outside. The house collapsed on him, and Tarana is now widowed, caring for five children on her own – Gospel for Asia

When I read about what happened to Tarana’s husband, it brought tears to my eyes.  I was touched by this family’s tragedy.  In a matter of minutes, Tarana’s had lost her husband–she was a widow and her five children had lost their father.   He had gone into their home, risking his life the save them.

What is going to happen to Tarana and her children?  They are homeless.  Their house was reduced to rubble.  Where could they go?  Who would help them?  How is she going to rebuild their lives?

I encourage you to pray for Tarana and her children.  Pray for their protection against disease and danger.  I read that in the wake of the earthquakes, the UNICEF is working with the Nepalese government to stop child trafficking as the organization feared that there was a surge in the number of cases.  According to Tomoo Hozumi, a UNICEF representative in Nepal, “Loss of livelihoods and worsening living conditions may allow traffickers to easily convince parents to give their children up for what they are made to believe will be a better life.”  The traffickers promise education, meals and a better future but in reality, many of these children end up being “horrendously exploited and abused.”

As a widow with no source of income and raising five children, it is possible that Tarana could be approached by traffickers, promising her a better future for her children.  Pray that God will watch over them.  He is now the Father of these children and He will guard them.  “…He will save the children of the needy” (Psalm 72:4).

Drastaa, Tarana and all of the other survivors need our prayers.   Gospel for Asia offers these suggestions for prayer requests:

• Comfort and hope for those grieving
• Protection from disease and danger
• God’s provision and sustenance for relief teams
• Many to understand Jesus’ love

I applaud the work that GFA Compassion Services teams have been doing.  They “have touched many lives through relief events during the past several weeks. They’ve focused on reaching remote, hard-to-reach villages where many lost homes, possessions, and sometimes loved ones.”

If you feel impressed to reach out to these survivors and you want to find more information on GFA’s relief work in Nepal, please visit http://gfa.org/earthquake/nepal.

Now, my God, I pray, let Your eyes be open and let Your ears be attentive to the prayer made in this place – 2 Chronicles 6:40.

Sources:  Global News; The Weather Network; United Nations News; Gospel for Asia