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From NICU Nurse to NICU Mom: Kristina Leos' Journey Through Postpartum Depression
Episode 1122nd November 2024 • How I Ally • Lucinda Koza
00:00:00 00:38:42

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Join us for a heartfelt conversation with Kristina Leos, a NICU nurse turned NICU mom, as she shares her powerful journey through postpartum depression following the birth of her daughter, Victoria. Kristina's unique perspective as both a healthcare professional and a parent highlights the emotional and psychological challenges faced by NICU families. She discusses the groundbreaking medication Zeranolone and her relentless quest for effective treatment, shedding light on the importance of mental health support. Kristina also emphasizes the need for greater awareness and understanding of postpartum depression, especially among NICU parents, and advocates for improved access to mental health care. This inspiring dialogue offers valuable insights for mothers navigating similar experiences and underscores the significance of community and support in the NICU journey.

Kristina Leos, a dedicated NICU nurse from Midlothian, Texas, shares her transformative journey through postpartum depression after the birth of her daughter, Victoria. This episode captures the poignant intersection of her professional and personal experiences, as Kristina navigates the emotional complexities of being both a caregiver and a patient in the NICU. She reflects on the unique challenges that come with leaving your newborn in the care of others, a reality she had previously witnessed from the other side of the incubator. Kristina's narrative is not only a personal account but also a broader commentary on the emotional toll that NICU experiences can take on families, emphasizing the need for greater awareness and understanding of the psychological impacts of such journeys.

As Kristina delves deeper into her mental health struggles, she recounts her relentless search for effective treatment, ultimately leading her to discover Zuranolone—a groundbreaking medication that significantly improved her condition. The episode highlights the importance of proactive mental health care, particularly for NICU mothers who often feel isolated and misunderstood. Kristina's story serves as a testament to the importance of seeking help and being open about mental health, encouraging other mothers facing similar battles to advocate for themselves and prioritize their well-being. Her candid discussion on the stigma surrounding postpartum depression invites listeners to engage in a broader dialogue about maternal mental health.

Moreover, Kristina’s insights into the advancements in NICU technology and the emotional bonds formed among NICU moms reflect her passion for supporting her peers. She advocates for systemic changes to enhance mental health resources for NICU parents, addressing the often-overlooked psychological needs of families in crisis. The episode concludes with a heartfelt message about the power of shared experiences and community support, reminding listeners that they are not alone in their struggles. Kristina's journey is a powerful reminder of the resilience of mothers and the importance of mental health care in the face of adversity.

Takeaways:

  • Kristina's journey illustrates the dual challenge of being a NICU nurse and a NICU mom.
  • Postpartum depression can impact any mother, regardless of previous mental health history or support.
  • The introduction of Zuranolone represents a significant advancement in postpartum depression treatment options.
  • Understanding the emotional toll of NICU experiences is vital for both families and healthcare providers.
  • Mental health resources are crucial for NICU parents, yet access remains a significant barrier.
  • Advocating for maternal mental health can lead to better support systems within healthcare settings.

Transcripts

Cinda Koza:

Cinda Koza.

Cinda Koza:

And this is how I ally.

Cinda Koza:

Welcome to my guest.

Cinda Koza:

If you would please introduce yourself and give us a little backstory.

Christina Laos:

My name is Christina Laos.

Christina Laos:

I live in Midlothian, Texas.

Christina Laos:

It's a suburb 30 minutes south of Dallas.

Christina Laos:

I have three kids.

Christina Laos:

My oldest just turned seven, my middle just turned five, and then I have a one year old and my one year old is named Victoria and she's the one I had pretty significant postpartum depression with.

Christina Laos:

And she's the one that's inspired me to share my story and hopefully help other moms.

Christina Laos:

I'm also a NICU nurse in Dallas and I just have seen it with a lot of moms in my career.

Christina Laos:

I've worked in the NICU for 17 years now and I've seen a lot of moms suffer silently and go through the whole NICU experience.

Christina Laos:

So I feel that as someone who's gone through post form depression and also I was a NICU mom myself this last time and I work with NICU moms, I just felt really inclined to share and hopefully help other moms going through some of the same experiences I did.

Cinda Koza:

I think your story is very unique, although probably more common, much more common than we think, that you were a NICU nurse and then your child was in the NICU and you became a NICU mom.

Christina Laos:

Was.

Cinda Koza:

Did that just blow your mind?

Christina Laos:

At first, yes, for sure.

Christina Laos:

My first two kids were 37 weeks, no NICU, no visits to the NICU.

Christina Laos:

Like nothing with NICU.

Christina Laos:

And so I just naturally assumed my third child would be the exact same.

Christina Laos:

And she was actually my easiest pregnancy.

Christina Laos:

Once I was actually pregnant, I worked up until 33 weeks and then I was actually at work and I started to feel sick and everything happened from there.

Christina Laos:

But yes, it gave me entirely new perspective of a NICU mom and what they go through.

Christina Laos:

And I can now say the hardest thing I've ever done in my life is to leave my baby at the hospital and go home without her.

Christina Laos:

Empty, empty handed.

Christina Laos:

I've told so many moms like, oh, it's okay, we'll take care of your baby.

Christina Laos:

But I didn't truly understand how awful it is leaving the hospital without her.

Cinda Koza:

I have to divulge that I was a NICU mom.

Christina Laos:

Oh, really?

Cinda Koza:

Yes.

Cinda Koza:

I have twins and they were in the NICU for three months.

Christina Laos:

Oh my goodness.

Cinda Koza:

Zoom.

Cinda Koza:

Yes.

Cinda Koza:

They were like, they were almost 29 weeks at home.

Christina Laos:

Yeah.

Christina Laos:

So I'm sure it's hard for you to hear about it too.

Christina Laos:

It's.

Christina Laos:

You just, you really have no idea until you go through it.

Christina Laos:

And I.

Christina Laos:

I felt like I was a terrible nurse for the 17 years before that because I never really understood what the moms went through.

Christina Laos:

And I just remember because in my friends were the ones taking care of my kid.

Christina Laos:

I can't imagine, like, leaving them with foreign people that you've never met before.

Christina Laos:

I've known these girls.

Christina Laos:

They're my second family, and I still had a hard time leaving her.

Cinda Koza:

Did you call a lot?

Cinda Koza:

Like, I remember calling every morning and every.

Cinda Koza:

I would call right when I woke up, and I'm sure they were annoyed with me, but about the nicu?

Christina Laos:

Yeah, we have cameras on our nicu.

Christina Laos:

I don't know if you guys have the same thing.

Christina Laos:

No.

Cinda Koza:

God, I would have loved that.

Christina Laos:

Yeah.

Christina Laos:

So it's actually.

Christina Laos:

There's a pretty big push on getting them.

Christina Laos:

A lot of the Nikki's have them, and I really appreciated that as a nurse.

Christina Laos:

They used to drive me insane because people would call and be like, oh, all I can see is her hand.

Christina Laos:

But as a mom, like, it was my saving grace.

Christina Laos:

I would log on and just see, okay, she's asleep, or okay, she doesn't have any oxygen now.

Christina Laos:

And so I didn't call as much because I had the camera.

Christina Laos:

And one of the perks of being a NICU nurse is I have almost every single person's phone number.

Christina Laos:

So I would just text them and be like, hey, do you have Victoria today?

Christina Laos:

But I did call, and the doctors at my nicu, they always call every parent every day.

Christina Laos:

I know.

Christina Laos:

Which is very unique.

Christina Laos:

I.

Christina Laos:

From what I've heard now.

Christina Laos:

So the doctors would call me and they call everyone, and I just always waited for them to call, so I felt like I was always in the loop.

Cinda Koza:

And this is a bit.

Cinda Koza:

A big hospital in Dallas, right?

Christina Laos:

Yes.

Cinda Koza:

That's incredible.

Christina Laos:

Yeah.

Christina Laos:

Kids, where they.

Christina Laos:

Where are you?

Christina Laos:

Where do you live?

Cinda Koza:

So I'm in New Jersey.

Cinda Koza:

So they were at the Cooperman Barnabas Medical center, which is actually really great.

Cinda Koza:

They have fabulous nicu.

Christina Laos:

Yeah.

Cinda Koza:

But we didn't have Kim Kim.

Cinda Koza:

And the doctors didn't call me every day, but I know that they had a lot of different patients.

Cinda Koza:

My twins were.

Cinda Koza:

Even towards the end of their stay, they were in the same pod, but in different separate things.

Christina Laos:

Yeah.

Christina Laos:

Same poppin.

Christina Laos:

Yeah.

Cinda Koza:

But they had different doctors.

Cinda Koza:

Even they had different doctors.

Cinda Koza:

Yeah.

Christina Laos:

We have teams and we have.

Christina Laos:

If it's twins are always on the same team, the same doctors.

Cinda Koza:

Crazy.

Christina Laos:

Yeah.

Cinda Koza:

Makes.

Cinda Koza:

That makes sense.

Cinda Koza:

Yeah.

Christina Laos:

Yeah.

Christina Laos:

It's interesting how nicu I Feel like it's a, a newish feel compared to most other areas of medicine.

Christina Laos:

Like, 30 years ago, a lot of the babies didn't survive, and now we take 22 weeks and above at my NICU.

Christina Laos:

So it's just, I feel like the neonatology world's constantly changing and even things like cameras and like, some possible.

Christina Laos:

I've heard you can like, chat with the nurses and I think some places you can facetime with the baby if you're a parent.

Christina Laos:

Like, I guess at their hospitals that they get a lot of referrals from other states.

Christina Laos:

So it's just, it's interesting to watch how neonatology is changing over the time.

Cinda Koza:

That's so true.

Cinda Koza:

That's so true.

Cinda Koza:

I feel like.

Christina Laos:

I know.

Cinda Koza:

I feel like I didn't really know what the NICU was until.

Christina Laos:

Yes.

Cinda Koza:

Yeah.

Cinda Koza:

Until it was everything.

Christina Laos:

Yeah.

Christina Laos:

That's what I always say.

Christina Laos:

Like, when they do the tours, they're like, oh, here's antepartum and here's your labor and delivery room.

Christina Laos:

And they go through everything and then they'll literally walk past and be like, this is the nicu.

Christina Laos:

And then it's move on.

Christina Laos:

The NICU is like the hardest part of the entire thing if you do have a NICU stay.

Christina Laos:

And I just, I wish that doctors and society in general, like, actually told parents about the NICU and what to expect and especially if you're pregnant with twins or have a high risk pregnancy or something like that, because I just feel like a lot of most parents are blindsided by the entire experience and you would never expect to see your baby on a ventilator or.

Christina Laos:

It's just so much.

Cinda Koza:

Yes, yes.

Cinda Koza:

It's.

Cinda Koza:

I definitely wasn't prepared for how epic of a journey it was going to be.

Cinda Koza:

And leaving every day, you just feel this, like, hole inside of you.

Cinda Koza:

Literally.

Cinda Koza:

You're like, my babies are not inside me, but they're also not with me.

Christina Laos:

Yes.

Cinda Koza:

Like, where are they?

Cinda Koza:

This happened.

Christina Laos:

Yeah.

Christina Laos:

I have a fresh C section.

Christina Laos:

I have pain.

Christina Laos:

I'm a new mom, but I don't have a baby.

Christina Laos:

It just, it was weird.

Christina Laos:

And I remember I went to my OB appointment, like my two weeks postpartum one, and all the moms were in the waiting room with their babies.

Christina Laos:

And I was like, here I am, a postpartum mom and I don't even have my own baby.

Christina Laos:

And my doctor was running behind and I just was like, I can't sit here any longer.

Christina Laos:

This is just way too much for me to see all these other people.

Christina Laos:

With their babies.

Christina Laos:

And here I am for the same appointment, and my child is back at the hospital, so.

Cinda Koza:

Really?

Christina Laos:

Yeah.

Cinda Koza:

So that must have been torturous for you, that appointment.

Christina Laos:

Yeah.

Christina Laos:

So I ended up coming back the next day.

Christina Laos:

They.

Christina Laos:

The nurse was like, oh, yeah, come back another day.

Christina Laos:

She had some emergencies.

Christina Laos:

So I came back the next day, and there was no one in the waiting.

Christina Laos:

Waiting room, which was much nicer.

Cinda Koza:

Nice.

Cinda Koza:

Yeah.

Christina Laos:

Someone told me, like, the second or third day of when Victoria was in the nicu, and she said, christina, once you're a NICU mom, you'll always be a NICU mom, and you'll forever be changed.

Christina Laos:

And it was.

Christina Laos:

It just has resonated with me so much.

Christina Laos:

Like, it just.

Christina Laos:

Something.

Christina Laos:

My brain has changed, and I just.

Christina Laos:

I feel like Nikki and mom's bond, and we just have a connection that you can't explain unless you've been through it.

Cinda Koza:

That's so true.

Christina Laos:

It's true.

Cinda Koza:

And moms in particular, like, my husband was.

Cinda Koza:

He was working, so I was there much more than he was, but he was still with me for.

Cinda Koza:

Throughout the whole thing.

Cinda Koza:

But it's different.

Christina Laos:

Yes.

Christina Laos:

Men grew very different than women, and their emotions are very different.

Christina Laos:

They don't have the postpartum hormones.

Christina Laos:

It's.

Christina Laos:

It is very different for a man and a woman.

Christina Laos:

Yes.

Cinda Koza:

I think the most profound thing that I would feel other than, like, fear.

Cinda Koza:

Like, fear that they couldn't breathe or that they wouldn't get off oxygen or something like that, the biggest thing I felt was, like, do they know who I am?

Cinda Koza:

Like, do they know that?

Cinda Koza:

Do they have any idea that I'm their mother?

Cinda Koza:

And that just, like, even when I say that now, it.

Cinda Koza:

It.

Cinda Koza:

But, yeah, it kills me.

Christina Laos:

Yeah.

Christina Laos:

It's so hard.

Christina Laos:

Yeah.

Christina Laos:

And I'll, like, I'll hear nurses say, oh, my baby's doing this, or, my baby's doing that.

Christina Laos:

And I guess I never really thought about it until I had Victoria.

Christina Laos:

And I will never say, my baby, oh, my baby's having a dsat, or my baby's doing this, because it's not my baby.

Christina Laos:

It's the mom's baby.

Christina Laos:

And when I hear people say that in front of the moms, it just.

Christina Laos:

It drives me insane because you just don't realize it.

Christina Laos:

But it's not your baby.

Christina Laos:

It's.

Christina Laos:

It's the patient you're taking care of.

Christina Laos:

It's the parents baby.

Cinda Koza:

Wow.

Cinda Koza:

So have you said that to any of your co workers?

Cinda Koza:

Or, like, has that changed?

Cinda Koza:

Has your relationship changed with your coworkers?

Christina Laos:

Yeah.

Christina Laos:

And, like, Just things that people, as nurses, that we would get annoyed about.

Christina Laos:

I've told people, like, listen, guys, like, you can't get annoyed about this.

Christina Laos:

Or like, the camera thing.

Christina Laos:

Like, before I had Victoria, those cameras, like, I knew they were great, but we have parents that call every 10 minutes.

Christina Laos:

Their hand is in the way, or their blankets, this and that.

Christina Laos:

And it does.

Christina Laos:

It takes away from the care of the baby because we'll be doing something with another baby.

Christina Laos:

And then we have to answer the phone to say that we need to move the camera to the left or the right.

Christina Laos:

But now that I've seen the cameras and seen what they've done for me, I tell those nurses, like, yes, I know the cameras are a pain, but they are the best thing that I have.

Christina Laos:

The closest thing I have to having my baby with me is I can be pumping and log on my phone and see my baby and know that she's okay and nothing's happened.

Christina Laos:

I can look and see, does she have a feeding tube?

Christina Laos:

Does she have oxygen?

Christina Laos:

Is she back on the ventilator?

Christina Laos:

Just stuff like that.

Christina Laos:

So I have been very vocal about the NICU experience and my perspective on staff meetings and stuff.

Christina Laos:

And sometimes I feel like my co workers are like, okay, that's enough.

Christina Laos:

We don't want to hear about your experience.

Christina Laos:

But I think it's very important for everyone to know.

Christina Laos:

And I work with a great staff and great unit, and everyone.

Christina Laos:

They do listen to what I have to say.

Christina Laos:

And the doctors, I, some.

Christina Laos:

Some of them have approached me and been like, oh, what do you think about this?

Christina Laos:

And how could we change this?

Christina Laos:

And.

Christina Laos:

And they.

Christina Laos:

And I've heard them talk to parents recently about.

Christina Laos:

Because I blame myself for everything.

Christina Laos:

And I heard them talk and say, this is not your fault.

Christina Laos:

And just the way they talk to parents, I think is just really great.

Cinda Koza:

That's wonderful.

Christina Laos:

Yeah.

Cinda Koza:

So I definitely want to talk about.

Christina Laos:

Questions like postpartum depression and nicu.

Christina Laos:

So it's okay.

Cinda Koza:

Yeah.

Cinda Koza:

I think what really struck me is the.

Cinda Koza:

In your interview, just, I feel like you really painted a picture of depression in itself and just how insidious it is.

Cinda Koza:

And also postpartum depression and then also treatment resistant depression and how you were working with great.

Cinda Koza:

With some very helpful providers, but you also had to do your own sort of research.

Cinda Koza:

Tell me more about treatment resistant postpartum depression and that journey and how vivid is it still in your mind even if you aren't in the middle of it right now?

Cinda Koza:

How close does it feel, if that makes sense.

Christina Laos:

So my journey with it Is another backstory is with my daughter, I had postpartum depression.

Christina Laos:

My oldest.

Christina Laos:

And at 7, and I took Lexapro and just responded well to it.

Christina Laos:

I talked to a therapist like once a month or something.

Christina Laos:

And at that time I thought it was bad post prone depression just being a new mom and stuff.

Christina Laos:

But looking back on it, it was not at all.

Christina Laos:

I just wanted a Lex Pro.

Christina Laos:

And so after I had Victoria, I was on magnesium and I just remember sitting in the hospital bed and I was like, what the heck just happened?

Christina Laos:

Like, I had a baby.

Christina Laos:

It was just this weird feeling and I could just feel like all my hormones crashing.

Christina Laos:

And so I did reach out to my ob gyn's partner and I asked her, I said, I have a history of postpartum depression.

Christina Laos:

After I had my son, my doctor just put me on Lexapro just prophylactically to make sure that I wouldn't get it again.

Christina Laos:

And it was great.

Christina Laos:

And then my next kid, I got on Lexapro after the OB prescribed it, and I would feel like I would get better and then worse and better and worse.

Christina Laos:

And everyone's, you have to wait for your hormones to adjust.

Christina Laos:

You have a baby in the nicu, you're all over the place.

Christina Laos:

And I would get better and then worse.

Christina Laos:

And then I thought when she would go home from the nicu, things would be a lot better because I wouldn't be stressed going between Dallas and Midlothian and having two kids at home and being the nicu.

Christina Laos:

But that's not how it worked.

Christina Laos:

It actually got worse.

Christina Laos:

And so during all this time, I was seeing my obgyn, like basically every week or every other week about the depression.

Christina Laos:

She was really on top of it.

Christina Laos:

And so she prescribed me something else.

Christina Laos:

And we just kept going up and up on the doses.

Christina Laos:

And finally I realized this is beyond an ob gyn's scope.

Christina Laos:

I need to reach out to a psychiatrist, a women's health psychiatrist.

Christina Laos:

So I ended up getting in touch with her.

Christina Laos:

She changed my medications up a little bit, added new stuff.

Christina Laos:

I was on max doses of pretty much everything.

Christina Laos:

And the problem with those traditional SSRIs is it takes two, three, four, five weeks to work.

Christina Laos:

And when you're going through it, like even a whole day seems like so much.

Christina Laos:

And if you're telling me I have to wait for four more weeks, like, that's a lot.

Christina Laos:

And I had her in March of:

Christina Laos:

And she told me, listen, we don't really have Many other options, medication wise.

Christina Laos:

So we can do, like, the shock therapy, the ect.

Christina Laos:

We can do a partial inpatient hospitalization, which just seemed so much.

Christina Laos:

Having kids at home.

Christina Laos:

I knew how hard it was being in the hospital with my baby there.

Christina Laos:

I can't imagine being with three kids at home.

Christina Laos:

And then I could do some infusions of ketamine.

Christina Laos:

Infusions and all that just seemed like so overwhelming to me.

Christina Laos:

And I was like, at that point, like, my baby's 10 months old and I'm not better.

Christina Laos:

Like, I think not getting better or just thinking that I couldn't get better was the hardest because I didn't think I'd ever get out of it.

Christina Laos:

Because with my daughter, my oldest, I could feel a light at the end of the tunnel.

Christina Laos:

But this.

Christina Laos:

I just felt like there was no way, like, I was gonna live my life forever like this.

Christina Laos:

And I.

Christina Laos:

I couldn't.

Christina Laos:

I could not.

Christina Laos:

I knew I couldn't do that for myself or my kids for the rest of my life.

Cinda Koza:

Yeah.

Cinda Koza:

I feel like in my experience with depression, that.

Cinda Koza:

That is the worst.

Cinda Koza:

That's like the tipping point is when you can't see a light at the end of the tunnel.

Christina Laos:

Yes.

Christina Laos:

Yeah.

Cinda Koza:

That is when it's okay.

Cinda Koza:

This is dangerous.

Cinda Koza:

This is.

Cinda Koza:

It's that hopeless feeling.

Christina Laos:

Yes.

Christina Laos:

Yeah.

Christina Laos:

And just, like, telling myself I'm so bad, all this stuff, and, like, I thought I was a bad employee, a bad mom, a bad wife.

Christina Laos:

It's just so weird because looking back on it, I'm like, how could that happen?

Christina Laos:

Like, how could I feel like that?

Christina Laos:

But it's just.

Christina Laos:

It.

Christina Laos:

You don't really understand it.

Christina Laos:

It's like the NICU thing.

Christina Laos:

You don't understand it until you've been through it.

Christina Laos:

And that dark tunnel you get in is so hard.

Cinda Koza:

Yeah.

Christina Laos:

So I had a psychiatrist who was in her residency, so the hospital that I was being seen through, the psychiatry clinic, has a residency program.

Christina Laos:

And so they're psychiatrists, but they are.

Christina Laos:

They talk to you, like, for part of their classes or whatever.

Christina Laos:

So I saw her for a while, and she was really great.

Christina Laos:

At first, I was not a huge fan of her because she was very, like, pushy, and you need to do this, you need to do that.

Christina Laos:

And I was like, I can't.

Christina Laos:

But I have a great respect for her, and I think she's wonderful.

Christina Laos:

And so she really pushed me to do more and to ask for more and my ob GYN as well.

Christina Laos:

She was always willing to help me, which I've heard from a lot of people.

Christina Laos:

In the postpartum support groups that a lot of obgyns will blow people off and be like, yeah, it's just hormones.

Christina Laos:

But luckily I know my OB GYN very well.

Christina Laos:

She's known me for a long time and she was very supportive and she'd have her nurse call and check on me and stuff.

Christina Laos:

And I never felt like if I told her something, she would think badly of me or anything.

Christina Laos:

So I did, with all the extra help, was very helpful.

Christina Laos:

But I had actually heard about this new prescription drug that had come out, the pill form that was the first FDA approved medication for postpartum depression.

Christina Laos:

And I researched it a little bit.

Christina Laos:

I think honestly it showed up on my Facebook feed like back in September when it was approved.

Christina Laos:

And I was just like, I'll like it, whatever.

Christina Laos:

But I didn't really think too much about it.

Christina Laos:

But when I was here at this point where they're like, you can get shock therapy or ketamine or I was like, I'm going to ask my psychiatrist about it.

Christina Laos:

And so I did.

Christina Laos:

And she said she didn't really know much about it.

Christina Laos:

And so she had to reach out to like the drug rep or the drug company or something.

Christina Laos:

And so she did.

Christina Laos:

And she called me back a few days later and she said, I think you'd be a really good candidate for this.

Christina Laos:

I'm not sure how to prescribe it yet.

Christina Laos:

Like, she didn't tell me straight up, but I knew that I was her first patient to take it and probably the first at the clinic because of the lack of knowledge about it, which is fine.

Christina Laos:

It just came on the market, just getting it.

Christina Laos:

And I was really scared about taking it because it was a new medication.

Christina Laos:

I didn't know anyone who had taken it before.

Christina Laos:

Most of the things I know someone that has had something, but not this.

Christina Laos:

And it's the first time I actually read like the entire pamphlet of the side effects and all that kind of stuff.

Christina Laos:

And I read it and it was scary.

Christina Laos:

And I actually was like, I don't know if I should do this, but I knew that there was no other way out and I was willing to try it.

Christina Laos:

And I think all those pamphlets are always scary if you actually read them.

Christina Laos:

But the side effects were nothing compared to even the other medications like the SSRIs.

Christina Laos:

Those don't make you feel that great either.

Christina Laos:

It was great.

Christina Laos:

It.

Christina Laos:

st of:

Christina Laos:

I think I got it like the day after Christmas, but I was like, I'm gonna start it the end of the year.

Christina Laos:

To make:

Christina Laos:

So I started at January 1st, and it took.

Christina Laos:

You take it for two weeks.

Christina Laos:

And I made sure I wasn't working the first five days just because I read, like, it can cause sedation and you can't drive and things like that.

Christina Laos:

And those effects were very minimal.

Christina Laos:

I just took it at night, and I'm glad it made me sleep.

Christina Laos:

Part of depression is getting better is sleeping.

Christina Laos:

And I was a little bit dizzy.

Christina Laos:

But again, like, the effects were so minimal compared to how much it helped.

Christina Laos:

And by the second or third day, I had heard that cliche about the fog lifting, and I was like, whatever.

Christina Laos:

I don't.

Christina Laos:

But it did.

Christina Laos:

Like, I was driving and I was like, oh, my God, this is the fog that people were talking about.

Christina Laos:

Like, I could literally feel it lifting.

Christina Laos:

And each day I just felt better and better, and it was just such a.

Christina Laos:

It, like, changed my outlook on things because, like I said before, I just thought I was going down a dark hole and I never get out of it.

Christina Laos:

And it was the first time since March that I could feel the cloud lifting and feel like, happiness again that I hadn't felt.

Christina Laos:

I never had that joy of having my daughter, who, by the way, was an IVF baby.

Christina Laos:

Like, we wanted her so bad.

Christina Laos:

I went through so many shots and painful procedures and stuff for this child, and I could finally hold her, just feel the love that I never felt before I took that medication.

Christina Laos:

So I.

Christina Laos:

I feel like it's such a lifesaver for me and so many other women out there.

Christina Laos:

And again, I'm in these postpartum support groups on Facebook and stuff, and I'm just so surprised by the lack of knowledge that people have of this.

Christina Laos:

Like, the doctors.

Christina Laos:

Even the doctors will be like, oh, I'm not a candidate, or I need to do this and this.

Christina Laos:

And I'm like, what?

Christina Laos:

I don't know where you guys are getting this stuff from.

Christina Laos:

So I try to tell people, like, there's other things besides SSRIs as well.

Christina Laos:

Have you?

Christina Laos:

Yeah.

Cinda Koza:

That's huge.

Cinda Koza:

That's very important.

Cinda Koza:

I feel like Zoloft is like the.

Cinda Koza:

And I'm not talk.

Cinda Koza:

I'm not talking badly about Zoft, but I feel like that is the one that they're like, postpartum mother Zoloft.

Christina Laos:

Yeah.

Christina Laos:

Yes.

Christina Laos:

And I took that, too.

Christina Laos:

That was one of mine that I took this last time with her.

Cinda Koza:

Yeah.

Christina Laos:

And like, the cytoplasm.

Christina Laos:

Gad, I don't I never felt great on it either.

Christina Laos:

And then getting off of it, like, weaning off those SSRIs, like, the brain zaps.

Christina Laos:

And just.

Christina Laos:

I always felt so gross getting off of them.

Christina Laos:

And I didn't feel like that with the Saran alone.

Cinda Koza:

That's incredible.

Christina Laos:

Yeah.

Christina Laos:

It's just two weeks.

Christina Laos:

Like, it was.

Christina Laos:

And that was another thing I was worried about was, like, pumping.

Christina Laos:

And as a NICU mom, like, one of the only things you can provide is milk.

Christina Laos:

And I was like, man, like, I can't give my baby my milk when I'm on Zara loan.

Christina Laos:

But I just pumped a whole bunch before, and I saved it up and froze it.

Christina Laos:

And so for those two weeks, I gave her frozen milk and he was totally fine.

Christina Laos:

And then I just pumped and saved it for milk baths and stuff like that.

Christina Laos:

And then once I was done with the medication, I pumped a few more days and threw it out and then got back to feeding her the milk.

Christina Laos:

And.

Christina Laos:

Which is two weeks.

Christina Laos:

And it's.

Christina Laos:

You could do anything for two weeks, even formula.

Christina Laos:

Like, I did give her some formula, too.

Christina Laos:

And that's another thing of mine is people that don't produce enough milk.

Christina Laos:

Formula does not kill babies.

Christina Laos:

It's the best thing besides breast milk.

Christina Laos:

All my kids have had formula and they're all survived.

Christina Laos:

Yes.

Cinda Koza:

And yeah.

Christina Laos:

Yeah.

Christina Laos:

I mean, honestly, I think it's nice to not have to, like, be so OCD about milk and stuff while I was on the Zuranolone, because she could.

Christina Laos:

I didn't feel bad giving her formula because I knew I was doing what was best for myself.

Cinda Koza:

Yes.

Cinda Koza:

And for you.

Cinda Koza:

The most important thing for Victoria was for you to be okay.

Christina Laos:

Yeah, yeah.

Cinda Koza:

Because there's something like the number one predictor for a child's well being is the well being of the child's mother.

Cinda Koza:

There are.

Cinda Koza:

I don't know.

Cinda Koza:

I've always heard that.

Cinda Koza:

And so I keep saying it because I really believe it.

Cinda Koza:

Yeah, yeah, yeah.

Christina Laos:

If you look at studies, it's.

Christina Laos:

I think kids with parents who have had depression or anxiety, like, they have, like, low language and low delayed this and delayed that.

Christina Laos:

And that's what I was reading.

Christina Laos:

And I was like, right now I think it's the end of the world if she doesn't get breast milk or whatever.

Christina Laos:

But it's going to affect her so much better.

Christina Laos:

And I could see how it affected my older kids, too.

Christina Laos:

My oldest daughter is very sweet and her teachers would be like, she's not acting good and she's getting in trouble, and it's Just that was not my oldest child, and I knew I needed to change something.

Cinda Koza:

Wow, that's so interesting.

Cinda Koza:

That's so interesting because my twins are my only children.

Christina Laos:

Yeah.

Cinda Koza:

And will be my only children, as far as I can tell.

Cinda Koza:

So I don't know what.

Cinda Koza:

I've never.

Cinda Koza:

I have not had that experience of how things affect the older children.

Cinda Koza:

That is like a whole other huge dimension.

Christina Laos:

Yes.

Christina Laos:

Yeah.

Christina Laos:

Both my kids were very affected, and I just was so shocked that they say healthy mom is healthy baby, and that's so true.

Christina Laos:

And healthy kids as well.

Cinda Koza:

Yeah.

Cinda Koza:

I think it's incredible that you found your own.

Cinda Koza:

Like, you found your own.

Cinda Koza:

Like you saved yourself.

Cinda Koza:

Really.

Cinda Koza:

You found the drug.

Christina Laos:

Yeah.

Cinda Koza:

I think that's pretty incredible.

Christina Laos:

Yeah.

Christina Laos:

I'm a huge researcher.

Christina Laos:

I love research, whatever it's about.

Christina Laos:

And I think I read kind of a side note that I think one in three NICU moms have postpartum depression.

Christina Laos:

The statistics are so high.

Christina Laos:

And that's.

Christina Laos:

Of the people that are reporting it.

Christina Laos:

So I.

Christina Laos:

That's why I love to share my story with people.

Christina Laos:

I'm actually a super private person.

Christina Laos:

I don't think many people at all knew anything that was going on when I was going on, because I was so embarrassed and ashamed.

Christina Laos:

But I just.

Christina Laos:

I'm so shocked by the number of people that don't know much about this medication or postpartum depression.

Christina Laos:

And so that's why I'm willing to share and there's no off questions or off limits of anything, because I think we just need to be open more about it as a society and as moms.

Christina Laos:

And I think especially with social media, you scroll through social media and everyone's kids are, like, dressed perfectly and their houses are perfect.

Christina Laos:

And here I am like, oh, my God, I'm lucky if I take a shower every four days.

Cinda Koza:

And.

Christina Laos:

Yeah.

Christina Laos:

Why?

Christina Laos:

My kids look terrible and my house looks terrible and there's laundry piled up in there.

Christina Laos:

And I just think we just need to be more open as moms about what it's really.

Cinda Koza:

Absolutely.

Cinda Koza:

I couldn't agree more.

Cinda Koza:

That's why I'm so passionate about doing these interviews.

Cinda Koza:

I think it's.

Cinda Koza:

I think women face obstacles when telling their stories anyway, when trying to be heard.

Cinda Koza:

There's already something to fight against as a woman.

Cinda Koza:

And so we just.

Cinda Koza:

We need to hear from each other.

Cinda Koza:

We need to be here for each other.

Cinda Koza:

And the fact that you are a NICU nurse, you have every respect and credential, and it's not.

Cinda Koza:

It's not like hearing about postpartum Depression from just anyone, if that makes sense.

Christina Laos:

Yeah.

Christina Laos:

And just I was super blessed.

Christina Laos:

I had a ton of resources.

Christina Laos:

Like, I could text someone, be like, can you connect me to a psychologist?

Christina Laos:

Or this or that.

Christina Laos:

And so many women don't have those resources.

Christina Laos:

And psychological care is expensive.

Christina Laos:

I don't know many insurances at all that cover psychologists or counseling.

Christina Laos:

My husband works for the federal government, so we have one of the better insurances.

Christina Laos:

And I think they cover six appointments, which six is nothing for mental health.

Christina Laos:

And I know I'm super lucky that I got the six.

Christina Laos:

And like my psychologist I was seeing at first, I think it was like $210 for 45 minutes, which is pretty much the going rate.

Christina Laos:

I feel like she was not overly priced, but you can't afford that.

Christina Laos:

Especially when I had to go for a while.

Christina Laos:

I was doing it twice a week and things were that mad.

Christina Laos:

And so I was like, I'm on maternity leave.

Christina Laos:

I'm getting like half of a paycheck.

Christina Laos:

I'm spending tons of money on this psychology.

Christina Laos:

So I was super lucky that my psychologist did refer me to the resident clinic, where it was only 20 for each appointment, which was a huge lifesaver.

Christina Laos:

I still spent thousands of dollars on therapy, but it was only 20 each time.

Christina Laos:

So I just feel like the access to maternal mental health care is so bad.

Christina Laos:

So bad, so bad.

Christina Laos:

And it's expensive and most people can't afford that.

Christina Laos:

My husband and I both work and we both have decent jobs, and I could definitely not afford $200 for counseling so often.

Cinda Koza:

And not to mention, you have a new child and other children.

Christina Laos:

Yay.

Cinda Koza:

It's hard to justify spending so much money on yourself, even though it is incredibly important when you have children.

Christina Laos:

Yeah, I've.

Cinda Koza:

I have found that for sure.

Christina Laos:

Whilst.

Christina Laos:

Yes.

Christina Laos:

And then, like, hearing the cost of that medication too, I think they.

Christina Laos:

ead it, they said it was like:

Christina Laos:

And I was like, oh, my God, that.

Christina Laos:

On top of the hundreds of dollars I'm spending on therapy.

Christina Laos:

But they have.

Christina Laos:

Sage has a.

Christina Laos:

A savings card or something and it ends up being like, so much cheaper.

Christina Laos:

I ended up paying $0 for that medication, which was cheaper than my copay for the Lexapro or the Zoloft or the Wellbutrin.

Christina Laos:

I took all three of them.

Christina Laos:

now that because when you see:

Cinda Koza:

Yeah, the.

Christina Laos:

I think I paid $30 co pay for the other one.

Cinda Koza:

So that is huge.

Cinda Koza:

That is really important for people to know.

Cinda Koza:

It really has not been that long.

Cinda Koza:

y twins were born in April of:

Christina Laos:

Oh, well.

Christina Laos:

Yeah.

Cinda Koza:

Yeah.

Christina Laos:

Or like a month.

Christina Laos:

I was due April 15th with her, so.

Cinda Koza:

Really?

Christina Laos:

Yeah.

Christina Laos:

When I had her March 8th.

Christina Laos:

So.

Christina Laos:

Yeah.

Christina Laos:

They're around the same age.

Cinda Koza:

Yeah.

Cinda Koza:

So how is she doing?

Christina Laos:

She's doing good now.

Christina Laos:

She's 20 months.

Christina Laos:

No, maybe 20.

Christina Laos:

Yeah, 20 months now.

Christina Laos:

Just the sweetest baby.

Christina Laos:

She's got her own little personality and she lets us know how she feels about stuff.

Christina Laos:

But she just.

Christina Laos:

She's been my easiest child overall, just with the flow.

Christina Laos:

And I.

Christina Laos:

Maybe as a third child, you have to.

Christina Laos:

Because she.

Christina Laos:

Like, with my first, I was like, I'll have to do this nap time at this time and this.

Christina Laos:

At this time.

Christina Laos:

And with this one, I'm like, oh, yeah, I forgot.

Christina Laos:

She didn't have a nap today.

Christina Laos:

So she's.

Christina Laos:

But she has a good personality and she does have a little speech delay, which part of me wonders if it had anything to do with the postwar depression.

Christina Laos:

I'm not sure.

Christina Laos:

But she goes to therapy and she's getting better.

Christina Laos:

So if that's all that came out of it, she's getting better with it.

Christina Laos:

And I'm very thankful that's the least or the most that has happened to her from it because of how long it lasted for me.

Christina Laos:

And sometimes it's so hard to look back at pictures of her first year of life, and I don't remember any of it.

Christina Laos:

And that's one of the biggest things that I usually cry thinking about is like, I miss out on her whole first year of her life.

Christina Laos:

And I just.

Christina Laos:

I feel so much guilt about it.

Christina Laos:

And I wish I would have, you know, taken the medication or gotten better help sooner because you can never get that first year of life back and think you're still fasting.

Christina Laos:

I miss these.

Christina Laos:

I missed all the baby stage and something that we wanted so bad.

Cinda Koza:

Yeah.

Cinda Koza:

But it's.

Cinda Koza:

I'm not.

Cinda Koza:

But because I completely validate how you feel.

Cinda Koza:

It's also not your fault that this Bell Jar I always think of.

Cinda Koza:

Your interview made me think of the Bell Jar by Sylvia Plath just descending and everything is distorted and then it lifts back up and it just was not.

Cinda Koza:

You didn't ask for it.

Christina Laos:

Yeah.

Cinda Koza:

You didn't want.

Cinda Koza:

You didn't say, let's do that.

Christina Laos:

Yeah.

Christina Laos:

Now I just remember, like, messaging my OB GYN because she was her mom had surgery, like, the day I delivered my baby.

Christina Laos:

And so I messaged her, and I was just telling her, like, I'm not feeling right.

Christina Laos:

And she's.

Christina Laos:

We're going to be proactive about this.

Christina Laos:

We're not going to go through the same thing.

Christina Laos:

Let's up the dose.

Christina Laos:

And.

Christina Laos:

And I was so confident about it.

Christina Laos:

And you're talking about.

Christina Laos:

I didn't ask for that.

Christina Laos:

I was thinking, like, we are going to be so good.

Christina Laos:

I'm not going to go through anything.

Christina Laos:

And then, despite everyone's best efforts, it.

Christina Laos:

It happened.

Christina Laos:

And it was so bad.

Cinda Koza:

Yeah, it was so bad.

Cinda Koza:

And it was nobody's fault.

Cinda Koza:

And that's hard.

Cinda Koza:

That's hard.

Cinda Koza:

That's hard to.

Cinda Koza:

That could be hard and comforting because there's no one to blame.

Cinda Koza:

Sometimes it's nice to blame someone.

Christina Laos:

Yeah, that's what I said.

Christina Laos:

It's a true chemical imbalance.

Christina Laos:

Like, it's.

Christina Laos:

It's nothing that you can do.

Christina Laos:

It happens to people that are poor, rich, have the best support system in the world, have no support.

Christina Laos:

I don't know.

Christina Laos:

I know there's risk factors, but doesn't.

Cinda Koza:

Discriminate, especially with postpartum depression, I think.

Cinda Koza:

Yeah.

Cinda Koza:

So I think you're.

Cinda Koza:

I just think you're incredibly brave to have come out the other side and to have done all of that work and to now be telling your story for the benefit of other women.

Cinda Koza:

And that's just.

Cinda Koza:

In my mind, that's the best thing that you can do.

Christina Laos:

Yeah.

Christina Laos:

Yeah, definitely.

Christina Laos:

And just even at my job, I've been advocating for mental health, and we.

Christina Laos:

I think we had a psychologist before, but no one knew about it or something.

Christina Laos:

But now, like, the psychologist is very involved in our unit, and the doctors know about it and the nurses, and I just.

Christina Laos:

I'm very thankful that people are willing to listen and make steps for these parents, especially NICU parents, because the risk is just so high, and it's an experience you can't describe unless you've been through it.

Cinda Koza:

Yes, absolutely.

Cinda Koza:

Thank you so much for joining me on this episode.

Cinda Koza:

And maybe we'll talk again at some point.

Christina Laos:

Yeah, anytime.

Christina Laos:

I'm always willing to talk, and especially as the months go by and just watching everything change.

Cinda Koza:

Yeah.

Cinda Koza:

All right.

Cinda Koza:

Thank you.

Christina Laos:

Yeah, thank you.

Christina Laos:

It's good meeting you in person.

Cinda Koza:

I know it was great.

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