Should I take antidepressants for my grief?

Dear grieving mum,

I’m sorry you’ve found my blog by searching with the keywords ‘antidepressants’ ‘grief’ ‘death of my child’…

I’m truly sorry.

Behind each of my posts, I see parents read my blog searching for the answer to this question because they are looking for some respite from the strain of coping with grief while having to get on with life. Their last hope is that a pill will get them through it.

Back in 2015, I wrote this post about starting antidepressants, something I had tried so hard to avoid. I didn’t see how any pill could help my grief, but I knew the anxiety was consuming me and I needed help.

While I have certainly experienced the benefit of taking medication for anxiety and depression, I’m in two minds about the use of antidepressants for grief (and trauma). They haven’t changed what has happened, or made me feel ‘better’ about it, they haven’t stopped the flashbacks, they didn’t replace talking about it with a trained professional, but they did help me get through the days, they did mute the constant anxious chatter in my mind enough for me to think about other things for a change.

Having had two more children since Abi died, I have dramatically mixed emotions – my heart is torn in two constantly, as I wouldn’t have had my two little ones if Abi was still alive. It’s hard to know that they wouldn’t be here and we wouldn’t be experiencing love and joy all over again if she hadn’t died, but then her death has ‘given’ something wonderful to help us live on without her…

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I’ve continued on antidepressants on and off since first taking them. I was on them most of my last pregnancy and came off for a few months around the birth. I went back on them again about a month after I had my baby (so if you’re pregnant or breastfeeding and worried about taking antidepressants – don’t, my baby is perfectly healthy and very bonny, my own fears about this were unnecessary).

Nine months after giving birth, I am weaning myself off very slowly, my hormones feel more balanced so I feel it worth a try. I now see them as something to help me more with the emotional demands of pregnancy and coping with a newborn rather than my grief. So maybe you’re reading this from a similar perspective, having had a rainbow baby or considering trying again. I think it’s sensible to consider the impact on your physical – and therefore mental – health when you have so much to process and your mind and body will be flooded with hormones.

While the tablets were helpful at giving my mind a break, there is something ‘depressing’ and negative about being on antidepressants! Just knowing I’m on them reminds me that I am grieving, that I can’t cope, that I need help… but being on them has helped get me through some very bleak times and enabled me to get dinner on the table and now work again.

If you can combine pills with some talking therapy (with someone who understands post-natal depression and trauma, not just a chatty counsellor) then it will be much more beneficial. I see the pills as a way to help me open up. While I’ve not done it myself, I have heard that EMDR therapy is good (and supported, in theory, by the NHS).  This is usually performed by a private psychotherapist.

It’s natural to carry a lot of unresolved grief emotion around with you as you distract yourself with new babies, new jobs, new lives… I’ve been there, when I had my son a few weeks after Abi’s first anniversary, I knew the pregnancy was a distraction from the grief, but I needn’t have worried, it came back to get me! I saw a good maternal psychotherapist (privately, as all the GP could offer was a telephone number with a 12-month waiting list), but it was worth the expense.

The therapy gave me the safe space to say out loud all those things I needed to say, to someone who wouldn’t judge me or try to ‘make it better’, who wanted to hear me say the unspeakable. Things like wishing Abi was here rather than my new son, talking about the layers of guilt I felt for loving him and not know what to do with my love for her, for battling with resentment and anger – things no mother ever should have to think about saying. Still, they needed to be said.

Pills won’t ‘cure’ your grief, but they will help you get through therapy to get to a point where you feel more like yourself more of the time than not.

Does this resonate at all? I hope you have an understanding GP. I think if you are asking the question ‘Should I take antidepressants?’ then you already know the answer. Anxiety and depression cannot be shrugged off in a walk around the block or a night out with friends – this is deep and hourly. For your sake and for your family’s, put yourself first and they will only see the benefit, and you will be able to live – and grieve – again.

As you feel a bit better in yourself you will be able to feel more like looking after your physical self too. If you’re not already – take some good vitamins and minerals, keep active, force yourself to try something new. I find that since my loss I’m sensitive to minor deficiencies which only make my anxiety and worries worse, so I take my vits every day, look at ways to get some time to myself and try to keep fit without being obsessive – all things that help develop mental strength.

Your grief is so new, so complex, so personal. It’s okay to be sad and it’s okay to get on with things… It’s about finding a place for all that while giving your children (and your identity as mummy to all your children) the space to ‘be’. Read my blog and see how my mood and grief has changed over the years – sometimes I am bleak and vulnerable, other times I feel more positive and hopeful…  being on meds has certainly helped me get to today without going crazy.

I hope this has been of some help.

Take care.

Kelly x

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A (grieving) mother’s little helper – will antidepressants numb the pain?

I’ve been sitting here staring at the packet for half an hour.

Antidepressants.

These little pills, I know, are offering me the chance to numb my mind for a while from the anxiety and depression that’s taken hold of me. I’ve resisted them for so long that it feels strange to finally be here. As I said in this post, I can’t help feel like I’m failing.

I wonder if I’m really depressed enough to take them. After all, I’m generally okay. I’m not walking the streets in my pyjamas. I don’t feel a black cloud above me all the time. I’m still functioning as I always do, albeit with my mood swinging on a pendulum. I can be switched on one day, enough to write posts like this, but the next I can only stare at the screen blankly, my mind a fog.

But is this enough to start these tablets? I’ve spent over two years avoiding using them. I know this is a last resort for me.

I’ve been here before you see.

Do I really want to go here, again?

The answer is no. I don’t want to go here again, but I feel I must. Continue reading