Baby Medina and the Truth about Postpartum Depression

I've frequently advocated for more sunshine on mood disorders, depression, and mental health (see posts here and here and here and here).  Here's an important post on emotional health among pregnant women and new moms.  From patricaneufeld.wordpress.com

This week’s death of baby Medina, who was allegedly thrown from a parking structure by his mother, is a tragedy. And her husband’s plea that more be done to recognize and treat postpartum depression is courageous and needed. However, as a therapist specializing in women’s emotional health, and especially postpartum depression, it’s important that we recognize that depression around child birth very, very rarely leads to such desperate and tragic acts.

Identifying a baby’s killing with postpartum depression may do more harm than good. It may silence those who suffer rather than helping them talk about their experience. Postpartum depression is the most misunderstood, undiagnosed, and untreated complication of childbirth. One in six women suffer from depression during pregnancy and after childbirth. Until recently, very few physicians screened for this kind of depression. But that’s changing in Fresno. Many of us are working to help women find the resources they need not just to survive depression, but to thrive.

The truth is, mood disorders around childbirth are treatable. If you wonder if you or someone you care about is having emotional difficulty while pregnant or after childbirth, contact: Postpartum Support International at www.postpartum.net, or locally in the Fresno area, contact, www.calmhappysafe.com.

The art of dying

Two people. Two hours apart. Two people face to face with death. The first has decided to forgo cancer treatment. Too much for her weary body. And the chances of improvement are next to nil. Treatment would not do much to slow the disease, and would drastically diminish this person's quality of life. (Note: I'm a real advocate for proper treatment, under proper medical care . . . so don't interpret this as a post advocating avoidance of treatment).

"My friends think I'm giving up," she tells me. "But far from it. I'm taking a different path. I am actively and creatively surrendering to God. I am bringing an inner vitality to my encounter with cancer. People around me may not understand this, but it's what I must do."

Many won't understand. But I do. After two decades of ministry among the dying, I've come to recognize this kind of decision as an act of dignity and self-determination, a witness to a deep and vibrant inner faith experience. And I've witnessed the way it brings new strength and an inner freedom to a person, even when they are outwardly captive.

The second person exemplifies this.

He stopped treatment months ago. He cannot leave his bed. His wife gently feeds him ice chips to bring relief to his parched lips. He's eager for death. It cannot come soon enough. "What would you like God to do for you?" I ask. "Take me . . . soon." There's no fear. No unfinished business. No anxious brooding of the family, trying to hold off death. Just surrender.

"Then I'll pray for you. But if you die soon, don't tell anyone I prayed for you," I tell him. I don't want them to think I have special powers. They might call me Pastor Kevorkian." I wink at the family. He grins.

Dying like this is an art. And it's beautiful.

I'm glad for these two witnesses who, by their art, show me a different path. And it's not passive at all. Rather, at the end of life, here's the most robust, creative encounter with the forces of death I can imagine.

I leave these two visits blessed and mumbling to myself, "Where, O death, is your victory? Where, O death, is your sting?" (1 Corinthians 15.55).

I hope I'll practice this sacred art . . . when the time comes.

Spirituality and parenting older teens

From a note to myself when my sons were in their late teens.  I was struggling as a father to give them the direction they needed while learning to step away and let them find their path.  Never as easy dance!  But parents must learn to adjust parenting approaches as kids develop.  That adjustment requires a spirituality that enables the shifts to take place, an experience of prayerfulness that make releasing our kids possible:

Why do I try to manage the path my sons take? Managing them isn't really about them; it's about me. I'm only projecting my anxiety upon them, fueling their self-doubt, their resentment. Their life is their life, not mine. What they most need is my love, my confidence and wisdom when they ask for it, my presence when they approach me.   So, don't answer questions they're not asking. Don't do for them what they don't want done. Don't suggest what's not on their minds. And don't protect them from their mistakes---even their serious ones. Remember your youth. remember that you've not learned anything worth learning without pain. Tend to your own life, prayerfulness, wholeness---your own path. There's enough work in that alone. Love what is, not what should be, could be, or would be if only . . . .  Crucifiy your illusions, idolatries, ideals. Delight instead in everything here and now. This is life. You have no other.

They know your values. They know what works, even if they're unconscious to it now. Let them fail and put their own practices into play, learning their own values---which may or may not be yours. That is success. But keep pushing and demanding, and you'll not only push them away, you'll cripple them.  Do what you want and need to do. No more. And keep watch over your wounds that can quickly turn to stifling, oppressive demands that make us all into losers.

Crucify idealism

Crucify idealism. Learn to love what is, not what could be, should be, or would be. This is freedom.

The path of unshackled happiness

In wordless prayer, my mind began to carry me away, searching for things that would make me happy.   All things I don't have. All the "shoulds" and "oughts" that hound me with the persistence of a pack of dogs. Then suddenly all this cleared and I saw (or rather, felt) the great hilarity of it all. Happiness broke upon me despite what I don't have. Hilarity, precisely because in not having them---those circumstantial comforts, the conditional supports to happiness, the "good life"---my ego was detached momentarily from needing them.

Just as I began to lament this most recent challenge to all my "scripts" (a personal experience of loss), I became aware of the grace in it all---the charismatic, supernatural action of the Holy Spirit to strip me of anything natural, even good things, that might bring me happiness.

When the ego is stripped of all superficial things that usually bring it happiness or comfort, it's natural to lament the loss and become anxious or despondent. The ego is used to being propped up.

But crisis, loss, and trouble come into our lives and can be experienced or received as grace.  They have the power to strip us of the shackles of our lesser attachments.  Then ours souls can soar free into unrestrained happiness.  We are those who can no longer be separated from God by any-thing.

This is true freedom.