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Living Beyond Postpartum Depression: Help and Hope for the Hurting Mom and Those Around Her Review

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I have lived though several season of depression, sometimes related to chronic illness, other times to infertility or miscarriage, and most recently in the wake of pregnancy and for two years postpartum. Jerusha Clark's book helped me understand the journey in a way no doctor had ever clearly explained to me. Thankfully neither of my postpartum depression (PPD) experiences were as severe as what Jerusha endured (she was hospitalized twice) and I remained a fairly functional mom in a mild-moderate range of illness, but a tool like Living Beyond Postpartum Depression would have been a wonderful resource for me and my family through our storms!
Living Beyond is a fantastic read for anyone considering trying to conceive. It's the kind of book I wish pastors and counselors would have engaged couples read even as they prepare for marriage. Hopefully you will never need the information there, but it is a good tool to have available and information to be aware of even prior to conception - I truly wish I had known about it before we miscarried Noel (we faced 10 losses, but only this 1 plunged me into PPD) or before our living daughter's pregnancy/birth that also took me through PPD (though I didn't have PPD with either or our living sons). A book like this would have armed me with so much helpful information and the understanding that I needed to seek help to avoid putting myself and my family through such heartache.
One thing I greatly appreciate about Jerusha's book was that even though she herself has not faced infertility or pregnancy loss, she does acknowledge both issues, providing facts that are often overlooked in many PPD resources. While she does not address these issues in depth, she shares that, "PPD can afflict women after a miscarriage, stillbirth, or abortion." She also sites sources to explain that because of "exposure to artificial hormones and psychological stressors" that women undergoing infertility treatment "are at a high risk for developing depression. Approximately 25 to 30 percent of women undergoing treatment for fertility are clinically depressed before becoming pregnant and PPD affects a great number of these women after delivery." These were issues I had long-observed in my ministry to women facing infertility and pregnancy loss, but had never seen medically verified, so it was refreshing to find these references in this book.
If you are currently experiencing PPD, I would actually not encourage you to tackle this book on your own, but instead suggest that you ask a loved one (husband, supportive mother, best friend) to read Living Beyond for or with you. Knowing my own personality, I must be honest and say that if I had read it during PPD, while I would have gleaned much helpful information, some portions of the book might have added to my weight of guilt/concern. I do not say this because anything presented us untrue, invalid or even unkind, but because the book is so very honest about the burden PPD places on family members and I tend to be guilt-driven very easily, even when in a healthy frame of mind. Likewise, had I read it after miscarriage, while I would have gained a lot of healing encouragement, the passages about mothering a newborn could have been rather painful to bear.
Having said all that, Living Beyond is still the most extensive and helpful resource I've found for understanding all the various facets and kinds of depression and what can be successfully done to help properly treat the condition. Jerusha does a wonderful job in offering a balanced perspective on the need to care for physical, chemical, emotional, mental and spiritual aspects of PPD. And I definitely need to note that while PPD refers to depression that comes post-pregnancy, many of the principles here are equally applicable to any form of depression, even those not related to the physical/hormonal shifts of pregnancy. I would consider this book valuable reading for all women and married couples along with the husbands (Especially!!!), fathers, brothers, pastors or other men in positions to support women through this journey.

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Posted in: depression, postpartum, pregnancy