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Megan Peters

Our Stories Are Our Healing

By Uncategorized

April Charlo grew up on the Flathead Reservation in western Montana, a postcard-perfect landscape of glacial mountains and expansive valleys. When she got pregnant at 38, she thought she’d have a birth rife with traditional elements—nature, a teepee, and songs. Like so many things in life though, birth can’t be planned, and April’s early years of motherhood did not go as she expected either. 

“The second I got pregnant with Chief I was super anxious because I have a friend that lost a baby at 5 months and I didn’t know what I would do mental health-wise if I was to miscarry and have to tell everyone. These stigmas were really ingrained in me early on, that the world doesn’t need to know how I feel around a miscarriage and mental health. I didn’t want to tell anyone [I was pregnant] till I got past the 5-month mark because I didn’t want people to have to feel sorry for me if something went wrong,“ says April. 

When her son Chief was born, she didn’t have the experience she thought she would have. Since she was a teenager, April dreamed of having a baby of her own and was convinced she would be the best parent she could be. It turned out it wasn’t that simple.

“All my friends disappeared. I couldn’t go anywhere. I would put him in his car seat and he would scream. It was just such, such an anxious time. I would go into fight or flight, definitely a dysregulated, hyperarousal state where I would just shut down if I had to go to a store or anything. It was really intense,” says April.

She didn’t realize she was experiencing postpartum depression—a condition affecting up to 20 percent of women in the first weeks after giving birth that is classified as a serious mental health issue. 

“Postpartum depression was completely hidden in my community. At thirteen I went from playing with dolls to not being able to wait to have my own baby. In the [25] years between then and when I had Chief, I thought there was no way that was going to happen to me. I wanted this baby more than anything. More than anyone else who ever wanted their baby,” said April, choked with tears. 

Postpartum depression manifests uniquely in every woman, but common symptoms include depressed mood or mood swings, excessive crying, difficulty bonding with your baby, withdrawing from family and friends, change in appetite, changes in sleep, overwhelming fatigue, reduced interest and pleasure in activities you used to enjoy, intense irritability or anger, hopelessness, feelings of shame or guilt, diminished ability to think clearly, and thoughts of harming yourself or your baby. 

For most women in America, and Native American communities in particular , postpartum depression comes along with a whole lot of stigma. 

“It’s very hidden because it’s very embarrassing. In any culture, how this affects anyone of any color or status—it’s the same. It’s the same fear of being judged or ostracized. It’s the same fear of sharing the intrusive thoughts with anyone beyond yourself. What will that mean? Are they going to take my kids if I share these intrusive thoughts? Postpartum depression doesn’t discriminate,” says April. 

Unlike the “baby blues,” which typically clear up on their own after a few days, postpartum depression can last for anywhere from a few months to several years.

 “I didn’t even know that it was postpartum depression,” says April through tears. “I thought I had some unique condition. It never occurred to me that it was postpartum depression. My brain chemistry had me so locked in tunnel vision of just getting through the day. Maybe tomorrow I’ll kill myself. If I can’t make it through tomorrow, I’ll kill myself and my son. It still shakes me to my core.”

April attributes much of her community’s silent struggle with postpartum depression to the lack of traditional knowledge being handed down—a paradigm that has been pervasive since the colonization of the Americas when boarding schools forced Native children out of their homelands and disrupted their chain of cultural heritage. 

Despite past struggles, the dialogue around Native American prenatal and postpartum care is gaining traction. With more gatherings and conversations happening in public forums than ever before, Native women are finally finding their voices on the issue. 

“Once I told my story it was like story after story after story of ‘I had that.’ It tells me that our community, my peers (older and younger) do not feel safe sharing it. The dialogue has slowly started on social media which is great to see,” says April. 

Postpartum depression is common and while sharing your story can be hard, reaching out for help is important. Unintentional overdose and suicide are the top causes of death in mothers in the first year postpartum and are completely preventable with the proper help. 

Healthy Mothers, Healthy Babies seeks to support all moms of any ethnicity in their journey to finding their way through postpartum mood disorders.

To learn more about April’s story of postpartum depression and ways that you can seek help if you find yourself experiencing symptoms, watch the video above.

Pointing Families to Helena’s Perinatal Support Workers

By Perinatal Mood & Anxiety Disorders

As a direct service provider, you’ve most likely been in a situation where a client sat across the table from you with a complex problem, looking to you for help, and you didn’t have what they needed. It is a terrible feeling, especially when it’s a new mother and she is on the verge of crisis. 

We know it’s tempting to throw a hand out together out of desperation and urgency but, unfortunately, if this process goes awry, it can be damaging and dangerous. Referring an individual suffering from a PMAD to someone who doesn’t understand the nature of these conditions can have disastrous and devastating effects. Think added shame, blame, isolation, and worse. These are complex mental health disorders that require specialized care.

In response, Healthy Mothers Healthy Babies created a framework that communities in Montana can use to create a local resource guide that truly feels like a tool. One that providers and patients/clients can consult with confidence. One that allows the referral process to feel more like the passing of a torch than a shot in the dark.

We are currently piloting this project in Helena. The Maternal Mental Health Task Force of the Early Childhood Coalition will publish the guide and update it annually.

In addition to listing providers and clinicians with specific PMAD training & expertise, the guide will also list: 

  • Support groups led by clinicians and trained peer advocates
  • Local prevention, wellness and support services 
  • National and local warm-lines and support-lines

We are seeking more providers to apply who have experience working with people in the perinatal period!

In order to be included in the guide, which will be in print and online, eligibility requirements are:

  • A minimum of 10 CE hours on the topic of Perinatal Mental Health for healthcare and mental health professionals or 5 CE hours for non-healthcare professionals
  • Minimum of one year in practice with perinatal clients
  • Up-to-date and licensed in your field
  • Additional vetting criteria is available if you don’t meet these requirements, please just ask

If you or the providers you represent meet the qualifications to be listed in this guide, please fill out the below application so that our Resource Guide Committee can review your information. Questions can be asked via email at helena.mt.ecc@gmail.com or by phone at 406-763-6811.