#FeatureFriday: Dyane Leshin-Harwood on POSTPARTUM BIPOLAR

We’re kicking off our new Feature Friday slot with a great friend of ours and a topic that is her particular field of expertise.

DyaneHarwood

BIPOLAR, PERIPARTUM ONSET (POSTPARTUM BIPOLAR): THE IGNORED PERINATAL  MOOD AND ANXIETY DISORDER by Dyane Leshin-Harwood

I live with a form of severe mental illness that few people know about. It’s called postpartum bipolar (PPBD), or bipolar, peripartum onset as listed in the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5, which is used by psychiatrists everywhere to asses their patients.

This perinatal mood and anxiety disorder (PMAD) is often ignored, dismissed, or misunderstood by both the postpartum and bipolar support and advocacy communities. It’s the only form of bipolar disorder that’s triggered by childbirth, and medical professionals often miss the signs of PPBD when it first manifests in women for a variety of significant
reasons.

I was diagnosed with PPBD in October, 2007, six weeks after my second baby was born. Within twenty-four hours of giving birth I was manic, not depressed. I also had postpartum hypergraphia, a rare condition in which one writes compulsively. This type of nonstop writing was depicted eloquently in the bestselling book “The Midnight Disease: The Drive to Write, Writer’s Block and the Creative Brain” by Dr. Alice W. Flaherty, who eventually revealed she had bipolar disorder after her book was published.

When I was hypergraphic, I typed and wrote hundreds of pages while breastfeeding and talking on the phone when I should’ve been focusing on my baby and resting. I wrote so much that I could barely move my writing arm, and had muscle spasms in my upper back and neck.

Despite being manic, writing up a storm and being in physical pain during those postpartum weeks, my mood disorder was undetected by the numerous medical professionals I interacted with on behalf of my baby girl. My postpartum mania was mistaken for a mother’s joy of having a healthy newborn. It’s hard for me now to believe that my obviously bizarre hypergraphia was overlooked, but it was! My poor baby Marilla didn’t gain enough weight because I was writing so much and not breastfeeding her
enough.

While chances of a mother having postpartum bipolar disorder are relatively low (with one’s family history of mental health playing a key role) it’s important to know this peripartum mood disorder can affect any mother. A 2008 United States study  found that 29 out of 1000 women were affected by postpartum bipolar disorder. (Vesga-López O, Blanco C, Keynes K, Olfson, M, Grant BF, Hasin DS).

Here’s what postpartum bipolar/PPBD is not:

PPBD is NOT postpartum depression (PPD or PND) or antenatal (during
pregnancy) depression.

PPBD is NOT postpartum obsessive disorder.

PPBD is NOT postpartum anxiety, postpartum panic, or postpartum
post-traumatic stress disorder/PTSD.

PPBD is NOT postpartum psychosis (PPP).

It’s important to note that postpartum psychosis and postpartum bipolar disorder often manifest together; however, postpartum bipolar disorder is not always accompanied by postpartum psychosis.  To reiterate, the two mental illnesses PPP and PPBD are not always one and the same.

Unfortunately medical experts, websites, and articles often misinform the public about the correct definitions of PPP and PPBD.  Moreover, most of the time postpartum bipolar disorder is omitted from lists of perinatal mood and anxiety disorders (PMAD’s) on high-traffic postpartum mood disorder and bipolar disorder websites, articles, etc.

Once in a blue moon  I’ll locate a newspaper article that not only mentions postpartum bipolar disorder, but it gets the facts right. An 2013 article was published by CTVNews titled “Baby Pinks? Postpartum Euphoria Can Be As Dangerous as Baby Blues“.

This article contains an interview with Maya Hammer, a Toronto based psychotherapist specializing in postpartum mental health. In reference to postpartum mania, Hammer remarked, “In many women, the condition eventually clears up. But for others, it’s the beginning of a long battle with postpartum bipolar disorder.”

Yes, “long battle” is an excellent way to put it. I’ve suffered with postpartum bipolar disorder since 2007 and until there’s a cure, my battle shall continue. I hope in the future there will be more mainstream articles published with such accurate information.

In the DSM-5, long considered to be the “Holy Bible” of psychiatrists, there’s a postpartum onset “specifier” with bipolar disorder. There is nomention of psychosis in the section explaining the postpartum onset of bipolar disorder. Postpartum psychosis has its own section.

I’ve been asked why it’s important to publicize this particular mood disorder. The fact that many psychiatrists aren’t clear about the definition of postpartum bipolar disorder is a major reason why I’m sharing my story. I’m not the only one who has suffered with postpartum bipolar, but I’ve felt that way since I was diagnosed.

While there is currently a great deal of media attention given to postpartum depression, my postpartum mood disorder remains virtually unheard of, and I’m dedicated to bringing attention to this PMAD. There are eight perinatal mood and anxiety disorders: postpartum depression, antenatal depression, postpartum psychosis, postpartum anxiety, postpartum
OCD, postpartum PTSD, postpartum panic disorder, and of course, postpartum bipolar, and every PMAD counts!

It’s imperative that doctors and other caregivers assess women for not only postpartum depression but also hypomanic or manic symptoms following childbirth, and for pregnant women to get comprehensive mental health screening as well.

Everyone who suffers with any kind of chronic, stigmatized illness deserves a chance to find others who share her experience. By connecting with women who understand our mood disorder firsthand, we may not find a magic cure, but we can benefit greatly from support, empathy, and hope. By recognizing the existence of postpartum bipolar disorder, both postpartum and bipolar organizations would not only educate the public but help bring together women who have felt so alone while living with this mental illness.

Women like me.

###

For more information please visit:

Postpartum Support International (PSI) Website:
http://www.postpartum.net/learn-more/bipolar-mood-disorders/

BIO:
Unknown-2Dyane Leshin-Harwood, B.A. is the founder of the Depression and Bipolar Support
Alliance (DBSA) of Santa Cruz County, California. She facilitates free support groups for mothers with mood disorders. Dyane is an active member of the International Society of Bipolar Disorders, The Marcé  Society for Perinatal Mental Health and Postpartum Support International. She is the author of “Birth of a New Brain – Healing from Postpartum Bipolar
Disorder” to be published by Post Hill Press, 2017 with a foreword by Dr. Walker Karraa.  Visit Dyane’s blog at www.proudlybipolar.wordpress.com and on Twitter: @birthofnewbrain

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11 responses to “#FeatureFriday: Dyane Leshin-Harwood on POSTPARTUM BIPOLAR

  1. Thank you so very much for sharing my story! I’m beyond grateful….I plan to reblog this post in a few days, as I just posted this morning and I don’t like to post more than once a day – I think people have too much going on already. ;)

    Once again, thanks from the bottom of my heart for helping me get the word out about bipolar, peripartum/postpartum bipolar! I want to help other moms living with this postpartum mood disorder so they don’t suffer the way I did, and one key way to do this is to educate about the existence of this PMAD and its symptoms.

    You’re helping me to do just that: inform; you’re providing a profound service, especially as not many others have stepped up to help me this way, and I’ll never forget your generosity.

    Thanks for reading – I know this was more of a novella than a blog post; please forgive yours truly! ;)

    Dyane Leshin-Harwood
    @birthofnewbrain
    #EveryPMADCounts #NotJustPPD

    Liked by 4 people

  2. Awesome Dyane! Keep fighting. We need to be educated about the proper definitions AND symptoms. Proud of you for being the voice of reason.

    P.S. Hate the DSM-5. Took hypersexuality out of the revisions because of lack of significant research on a pathetic study done by UCLA. Whatevs. Their aren’t always right. Takes them a while to catch on.

    Liked by 2 people

    • A long overdue thanks for this comment, sweet Jess! And I love that you wrote I could be a “voice of reason” – not lately, ha ha ha!!!! XO Seriously, thanks a million. p.s. that’s ludicrous the DSM-5 took hypersexuality out of the revisions!!!!! WHat????????Truly Crazy!

      Liked by 1 person

  3. Reblogged this on Birth of a New Brain and commented:
    I’m very honored that my story of postpartum bipolar (a.k.a. bipolar, peripartum onset) has been selected as the first “FeatureFriday post for South Africa’s cutting-edge site Our Lived Experience. Thanks to Yvette Hess for thinking of me! :)

    Liked by 1 person

  4. Dane it’s so interesting to read a first hand account of the early manifestations of PPBD. I am a postpartum nurse on a high acuity unit in Canada. I rdcently attended a 1 day conference on antenatal and postnatal disorders in which PPBD featured very prominently. As someone who has bipolar II disorder, I was very pleased that the speaker was really trying to hit the point home that PPD and psychosis are not the only early warning signs to look for after a woman has given birth. And FYI, as PP nurses we are trained to look for these soon as soon as day 1. With the acuity of our unit, our mothers remain with us sometimes for up to 1 week, and it is our responsibility to keep an eye for early warning signs of postpartum disorders. I was pleased to see such an emphasis on PPBP. This was such an excellent article and one that should be sent to Postpartum units nationwide.

    Liked by 3 people

  5. Sorry Dyane, spellcheck changed your name on me in my last comment. Apologies. Spellcheck doesn’t know when to butt out.

    Liked by 2 people

  6. Thanks Dyane for continuing your advocacy on this subject. The better informed on PPBP the healthier relationships between family members and friends will be!!! I as a Speech Pathologist am concerned to be honest about the enormous breakdown of communication between people especially with the use of verbal exchanges. We need to also emphasize TALKING between those who have PPBP or any other problem as well as social media. That is my parting message as I leave my family this Thanksgiving holiday. Mom

    Liked by 1 person

  7. Reblogged this on blahpolar and commented:

    It’s Monday now, but a few days ago a foreigner infiltrated our South African bipolar blog and made it a Fryane Fryday.

    Don’t miss the bit about hypergraphia.

    Liked by 1 person

  8. For a fascinating read about hypergraphia I suggest getting ahold of “The Midnight Disease: The Drive to Write, Writer’s Block and The Creative Brain” by Dr. Alice Flaherty, who is apparently BFF’s with Dr. Kay Redfield Jamison. (Jamison blurbed the book with a glowing endorsement) I’d love to hang out with those two for margaritas….if I could drink margaritas again.

    Liked by 2 people

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