I had a baby recently. It’s been a while since I popped one out, so all the hospital stuff was new to me and my postpartum short-term memory.
One BIG thing I noticed was the addition of questions regarding mental health. I not only filled out two questionnaires, I also verbally answered a survey the nurse gave. My obstetrician went over concerns at discharge. Then, two weeks later, the pediatrician’s office (read: at the appointment for the baby) included a typed survey in their New Patient paperwork.
Wonderful, I thought. But, also, Not really helpful.
For anyone who’s fighting the Mental Illness Fight, you know that a simple, typed questionnaire is not sufficient. Theirs included questions like:
How often do you feel hopeless?
Have you cried uncontrollably in the last week?
Have you ever had thoughts of hurting yourself?
Great questions, yes? They’re almost as good as the responses you can choose from: Not very often, Often, Sometimes, No more than usual.
That final phrase is the one I chose most, and one that keeps flitting through my mind: No more than usual.
No, nurses-doctor-pediatrician, I am not experiencing Postpartum Depression. It’s regular, run-of-the-mill Depression for me. Just hand me the baby, and we’ll (hopefully) make it through. Don’t worry -it’s no more than usual…
What’s the solution, then? Should the clinics not bother? Pretend these things don’t exist?
No, of course not.
When I first went to my obstetrician’s office, I saw a few papers taped to the back of the bathroom door. One encouraged women who felt they were in an abusive relationship to get help, and had tear-off phone numbers. Another paper discussed which contraceptives were most effective. The final flier caught my eye first: a bright, informative piece explaining that Postpartum Depression included things like anxiety or OCD or physical ailments as well, and to talk to your doctor if they cropped up.
At the time I saw that paper, I felt touched. I felt like dropping my urine protein test right away and giving the whole office staff a hug for including that information.
Since birthing and experiencing ‘usual’ symptoms, however, I’ve felt each nurse and doctor needs a short lecture. I’d begin with, “Make eye contact with your patient and ask them ‘yes-or-no’ questions.” Like:
Did you feel hopeless in the last week?
Did you cry?
Did you feel like hurting yourself?
Instead of Often, Usual, Never, etc., try a scale from 0-10. Or, try sitting and LISTENING sincerely to the woman’s responses.
Another helpful tip would be to explain what might happen if the answers are alarming. I don’t know about the rest of you, but I don’t need the staff committing me to a psych ward because they don’t understand. I mean, maybe I just need a hug and a nap.
The point is that mental health surveys are a good step in the right direction. With a little tweaking and lot more human interaction, they could even be helpful.
Let’s try it, and help those of us trying to fight mental illness. We might just ‘usual’ly beat it.
©2019 Chelsea Owens