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This past week, the country of Germany mourned the death of footballer Robert Enke. Details were sketchy at first but as they emerged, the portrait of a man so shaken by the dark stigma of depression he felt he had nowhere to escape to but to the arms of death became tragically clear.

In 2003, Enke was first treated for depression. 2006 saw the loss of his natural daughter to a rare heart condition. Yet still he refused treatment even as the son of a sports psychologist, carrying knowledge with him that help was within arms reach. His wife even stepped in to help with transporting him to training. She rallied around him to help him heal as they journeyed forward after the death of their natural born daughter. Eventually they adopted another daughter. The adoption brought with it a common fear faced by many adoptive parents. Enke feared losing custody of their new child, spurring new excuses for Enke to remain silent. He could not bear the thought of losing yet another child.

Post Adoption Depression Syndrome (PADS) is not as uncommon as one would think. It is certainly not uncommon given the history Enke had behind him although any adoptive parent faces the risk of developing PADS after adoption. According “Post Adoption Depression – The Unacknowledged Hazard” by Harriet White McCarthy over at Adoption Article Directory, 65% of parents she polled admitted to experiencing Post Adoption Depression but sadly, only 8% of these same parents had even been told about the possibility of PADS. This leaves an unacceptable 58% gap of uninformed parents.

While not as severe as some of the Postpartum Mood Disorders birth parents may experience, PADS is not something to be ignored either. Contributing factors can be unexpected coping behaviors from children as a result of abandonment or neglect, lack of instant bonding, medical complications, language barriers and lack of not taking enough time to adjust to the adoption. Natural parents may typically take anywhere from two to six weeks to adjust to the birth of a child. Adoptive parents should take the same amount of time to help alleviate the stress of the life change as well as cope with the additional stress of any travel associated with their adoption. It is not natural to expect to pick up your child on a Saturday only to return to work on Monday. Time should be allowed for bonding and family development and in this author’s honest opinion, even more time should be allowed for adoptive parents.

One of the biggest barriers to treatment for Post Adoption Depression Syndrome is the fear of losing custody of the child for which these parents have fought so hard to push through. Essentially these are parents who have literally applied for the job and gone through several hoops while seeking approval. To admit depression is to admit failure – much as if someone were to apply for a job, get the phone call, go into work and realize they were in way over their head. In the corporate world that wouldn’t go over well.

In the footballer’s world, admission of failure either physical or mental is also a big blow. The fans in this sport are harsh and would tear a player apart if he weren’t the perfect picture of both mental and physical strength. Beyond the loss of his first daughter, his previous issues with depression and his fear of losing his second daughter because of his depression, Enke also carried the weight of portraying a perfectly strong man to the world outside his door. Tragically it turned out to be too much for him to handle on his own.

Men are expected to be indestructible pillars of strength and often doubly so once fatherhood zooms into the picture. It is okay to not know what you are doing. It is okay to ask for help. In fact, knowing when to ask for help is a sign of courage.

Enke’s suicide note indicated he had withheld information from his loved ones and caregivers during the last few weeks of his life so he could carry out his plan. If you or a loved one are thinking of suicide, please call a suicide hotline and talk to someone. If you think you may see signs of suicide in a loved one or even in yourself, click here for a list of signs. Remember, not all signs have to be present in order for suicide to be a possibility. Also be particularly watchful as a loved one begins to heal from depression. Often it is when they begin to improve that suicide occurs because they are finally well enough to carry out their plans. It is also important to note here that men are four times more likely to be successful with suicide attempts than women despite making less attempts, according to Dr. Thomas Insel over at Depression: Out of the Shadows Ask an Expert.

Whether it’s a Postpartum Mood Disorder, Post Adoption Depression Syndrome, Paternal Postnatal Depression or just regular depression, remember that there is hope. There is light. There is another way out. You deserve hope. You deserve light. You deserve to live all the days of your life to the fullest. Do not continue to suffer alone. Reach out for help. It’s only a question away.

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The following was originally published by Susan Dowd Stone @ EmpowHer.com. It appears at Postpartum Dads Project with Susan’s permission.

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First, let me thank the thousands of you who are sending in your names to endorse life saving legislation for mothers, infants and families. We are trying to post ASAP. Please join us! Many of you have included personal stories of your own experiences which offer a far more powerful inducement to pass this legislation than anything I could ever write. Among the most frequent comment from mothers and family members is “I wish I had known”

We desperately need the public awareness campaigns, research, treatment and support for postpartum mothers that will be funded by The Melanie Blocker Stokes MOTHERS Act NOW. There is not another moment or life to lose.

Joseph A. Raso sent this account of the tragic loss of his precious daughter to postpartum depression. He asked me to post it or share it wherever I felt it could help pass The Melanie Blocker Stokes MOTHERS Act.

The Best Meal of My Life

I experienced the best meal of my life the other day. That’s saying a lot from a man who is just shy of 60, and has spent his entire life in the restaurant business. Since my 6th birthday, when my parents opened up La Bella’s, a little mom and pop Italian restaurant, I have had the opportunity to travel and enjoy delicious meals prepared by some the world’s finest chefs.

Even after my wife left, and I was faced the prospect of raising two energetic children on peanut butter & jelly sandwiches and Hamburger Helper, I never lost my appetite for fine dining.

In the early 90’s I met my current wife Mary, a beautiful single mom of two. Her parents had passed, so I asked her eldest teenage daughter, Crystal, for permission to take her mom to dinner. It’s funny – looking back now, I can’t tell you what Mary was wearing, but the restaurant was a perfect combination of cozy atmosphere and scrumptious food.

As 2000 rolled around, our kids now grown, Mary and I discovered cruise ships. We realized, if we carefully picked our departure dates, we could cruise for about $200.00 a day with the all important, MEALS INCLUDED!

On a cruise ship, nothing surpasses the experience of a savory dinner of two hours, your meal prepared by top chefs, while enjoying an unhurried conversation with your spouse. A brochure on one of our cruises informed us that, for an extra $25.00, we could have the “Ultimate Dining Experience”. We could not believe our meals could get any tastier but we gave it a try. Words cannot explain the evening. The service was impeccable and the food was to die for. Gazing at Mary across the table with the moon rising behind her made my dinner all the more unforgettable.

We have been on about ten cruises now and I never thought we could top those culinary delights, until the other day, when I experienced the best meal of my life.

Crystal, the oldest of our four children, was always the more serious. She was the one to whom we entrusted our most important papers and house keys when we left town. Crystal gave birth to Hannah in 2003 and baby Max in 2007. When Max was born, things just seemed to bother Crystal more. She seemed to worry about everything. We tried to reassure her, but that was Crystal, the worrier.

On Feb 25, 2008, we got together with her and her husband, Chris, for lunch. Everything seemed fine. On Feb 27, 2008 at 11:45 AM, Mary received a call from the police concerning a family emergency at Crystal’s house. As we raced the few blocks to her house, I feared the worse. Did baby Max, not yet four months old, die from Sudden Infant Death Syndrome? I begged: God please let Max be OK!

As we rounded the corner and their house came into view, there were police cars in the streets and driveway. A detective who was polite, but uninformative, stopped Mary and I from entering the house. As I turned back to the street, I noticed Chris holding baby Max. Knowing that Hannah was in school, I asked him what was going on. With a dazed look in his eyes he told us that Crystal had shot and killed herself.

She had seemed unusually worried the past few days, always fussing about Max, unable to get a good night’s sleep. Attempting to breast feed as long as possible, she was concerned that her milk was drying up. We didn’t notice the symptoms of what we later learned was, Postpartum Depression. We just thought that was Crystal, always worrying.

Over a year has now passed. We have all pulled together and gotten into the routine of helping Chris raise Hannah, his precocious first grade daughter, and Max, a handsome boy of sixteen months. I have volunteered to give Max his 06:00 AM feeding five days a week. This occupied my time and kept my mind off of Crystal. Mary would come over at 07:15 and get Hannah ready for school. In the morning commotion, Chris would wolf down some cereal, and if the kids were up, give them a kiss, and out the door he’d go, grateful for us being there.

It is amazing how we live assumptive lives. Every day, we assume our family will always be there. It’s not that we have taken them for granted it is just that no one ever expects to outlive their own child. I now appreciate the little things in life more. I love Max’s happy giggle every morning as I sing to him while changing his diaper. The joy experienced viewing Hannah’s beautiful sleepy face, when she rolls out of bed is unexplainable.

Mary and I took all four grand kids to a matinee the other day. After the movie, we stopped at Target to get them a snack. “We want the Kids $2.00 Hot Dog & Soda Special,” they yelled. Mary and I sat at a table across from them. As we ate, we enjoyed the view of our grandkids just being kids. I savored every second of hearing them laugh and watching them play as I finished my salad and hot dog. It was the best meal of my life.

Joseph and his family ask that you support The Melanie Blocker Stokes MOTHERS Act.

www.perinatalpro.com

Please note any information found on this blog is not meant to replace that of a qualified professional. We encourage partnership with your physician, psychiatrist, and therapist in the treatment of mood disorder. The information found here is educational and anecdoctal and should be reviewed with a professional prior to implementation.

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