lurkernomore wrote:
> 
> I listened to an interview with Brooke on NPR, and  
> thought it was terribly dull.  ... what Brooke Shields went 
> through didn't seem like much. 

Maybe Brooke Shields is better in print than on the air. Did she
say  during her radio interview that she had considered suicide?
I thought the op-ed piece below was revealing, well-written, 
persuasive and witty. 

 - Patrick Gillam


July 1, 2005
War of Words

By BROOKE SHIELDS
London

I WAS hoping it wouldn't come to this, but after Tom Cruise's interview with 
Matt Lauer on 
the NBC show "Today" last week, I feel compelled to speak not just for myself 
but also for 
the hundreds of thousands of women who have suffered from postpartum 
depression. 
While Mr. Cruise says that Mr. Lauer and I do not "understand the history of 
psychiatry," 
I'm going to take a wild guess and say that Mr. Cruise has never suffered from 
postpartum 
depression.

Postpartum depression is caused by the hormonal shifts that occur after 
childbirth. During 
pregnancy, a woman's level of estrogen and progesterone greatly increases; 
then, in the 
first 24 hours after childbirth, the amount of these hormones rapidly drops to 
normal, 
nonpregnant levels. This change in hormone levels can lead to reactions that 
range from 
restlessness and irritability to feelings of sadness and hopelessness.

I never thought I would have postpartum depression. After two years of trying 
to conceive 
and several attempts at in vitro fertilization, I thought I would be overjoyed 
when my 
daughter, Rowan Francis, was born in the spring of 2003. But instead I felt 
completely 
overwhelmed. This baby was a stranger to me. I didn't know what to do with her. 
I didn't 
feel at all joyful. I attributed feelings of doom to simple fatigue and figured 
that they 
would eventually go away. But they didn't; in fact, they got worse.

I couldn't bear the sound of Rowan crying, and I dreaded the moments my husband 
would 
bring her to me. I wanted her to disappear. I wanted to disappear. At my lowest 
points, I 
thought of swallowing a bottle of pills or jumping out the window of my 
apartment.

I couldn't believe it when my doctor told me that I was suffering from 
postpartum 
depression and gave me a prescription for the antidepressant Paxil. I wasn't 
thrilled to be 
taking drugs. In fact, I prematurely stopped taking them and had a relapse that 
almost led 
me to drive my car into a wall with Rowan in the backseat. But the drugs, along 
with 
weekly therapy sessions, are what saved me - and my family.

Since writing about my experiences with the disease, I have been approached by 
many 
women who have told me their stories and thanked me for opening up about a 
topic that 
is often not discussed because of fear, shame or lack of support and 
information. Experts 
estimate that one in 10 women suffer, usually in silence, with this treatable 
disease. We 
are living in an era of so-called family values, yet because almost all of the 
postnatal focus 
is on the baby, mothers are overlooked and left behind to endure what can be 
very dark 
times.

And comments like those made by Tom Cruise are a disservice to mothers 
everywhere. To 
suggest that I was wrong to take drugs to deal with my depression, and that 
instead I 
should have taken vitamins and exercised shows an utter lack of understanding 
about 
postpartum depression and childbirth in general.

If any good can come of Mr. Cruise's ridiculous rant, let's hope that it gives 
much-needed 
attention to a serious disease. Perhaps now is the time to call on doctors, 
particularly 
obstetricians and pediatricians, to screen for postpartum depression. After 
all, during the 
first three months after childbirth, you see a pediatrician at least three 
times. While 
pediatricians are trained to take care of children, it would make sense for 
them to talk with 
new mothers, ask questions and inform them of the symptoms and treatment should 
they 
show signs of postpartum depression.

In a strange way, it was comforting to me when my obstetrician told me that my 
feelings 
of extreme despair and my suicidal thoughts were directly tied to a biochemical 
shift in my 
body. Once we admit that postpartum is a serious medical condition, then the 
treatment 
becomes more available and socially acceptable. With a doctor's care, I have 
since tapered 
off the medication, but without it, I wouldn't have become the loving parent I 
am today.

So, there you have it. It's not the history of psychiatry, but it is my 
history, personal and 
real.

Brooke Shields, the author of "Down Came the Rain: My Journey Through 
Postpartum 
Depression," is starring in the musical "Chicago" in London.







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