When we picture having a child we think of sleepy cuddles, bonding while feeding, and being an expert at diaper changes. The reality is not always so rosy. Maybe our baby has health struggles, we struggle with mental health postpartum, or, in my case, dysphoria gets in the way.
There are multitude of ways dysphoria can be triggered when caring for your child, depending on how you experience the most dysphoria and what your child care roles are. Personally, I found nursing to cause the most dysphoria, then later, pumping was causing less but was still building up over time, as well as all the sensations in my chest associated with lactation.
I noticed it was getting in the way of being able to bond with my baby the way I wanted to and stopping me from being present in order to notice the small daily changes my baby was making. I couldn’t pay attention to my baby while nursing. I had a spike in dysphoria when holding my baby against my chest. And I was dreading the time I had to spend pumping which made me irritable and easily frustrated.
So I developed a number of strategies to use depending on the situation to decrease the interference of dysphoria. Even if the trigger for your dysphoria is different, I hope these strategies will help you navigate caring for your child in a way that minimizes your dysphoria and maximizes your ability to bond.
BE HONEST
Be honest with yourself, your social supports (partner, doulas, close family or friends), and your medical supports (midwife, doctors, mental health professionals, lactation consultants). As much as we are taught that it is, it is not shameful to feel dysphoria, even when it is triggered by something like caring for your baby or child. The only way to make the situation better for everyone is to be open and honest about it.
This will also help narrow down the trigger. Often, I would be feeling irritable, fatigued, or burnt out and not recognize it as dysphoria related. Then, once my husband and I realized it was likely dysphoria, it still took a bit of conscious awareness to figure out the trigger which for me was nursing. Upon further discussion, observation, and testing, we figured out what would need to be modified to decrease or eliminate the dysphoria. There is no way I would have been able to do all this on my own.
ASK FOR HELP
Sometimes you need someone to take over the dysphoria-triggering task, even if temporarily, to give you a break and build up some reserve. But this isn’t always an option. My husband couldn’t take over lactation for me. So instead of taking over that specific task, even having them offload other tasks can give you more energy to deal with the dysphoria and still have enough left over to bond with your child.
For example, my husband does as many feedings as he can each day as they typically coincide with pumping times. This allows me to pump without the stress of wondering when the baby will wake up and scream for food or delay pumping in order to feed the baby resulting in increased chest discomfort.
FIND OTHER BONDING TIME
If dysphoria gets in the way of bonding with your baby during typical bonding tasks, prioritize bonding at other times. Carve out some play time or snuggle time when it is less likely to trigger dysphoria. Find a snuggle strategy or style of play that is more comfortable for you. I look for the times when the baby is alert and playful and drop what I’m doing to play on the floor, read a book, sing and dance, or go for a walk. This takes time away from other things but getting extra housework or personal stuff done doesn’t make up for the lack of bonding time at the end of the day.
I also found I was missing little changes and new behaviours my baby was doing because I was too busy trying to ignore or deal with the dysphoria. So, on days when I felt particularly dysphoric and disconnected, I would use my journal to write down my own personal challenges and triumphs for that day (to disconnect it from the baby) and some of the new things the baby was doing or a fun moment we shared that day. Just taking the time to think back on the day in order to write it down helped bring those moments into focus through the haze of dysphoria.
ADJUST YOUR CHILD CARE STRATEGY
Sometimes, despite all your efforts to manage it, the dysphoria is too strong or is getting progressively worse. As much as you would like to care for your baby/child in the ‘optimal’ way, that is not always what’s best for you and therefore best for your child. Sometimes we have to compromise on our preferred style of care in order to take care of ourselves and minimize dysphoria.
This could mean using disposable diapers instead of cloth to make diaper changes faster. Or switching to bottle feeding instead of nursing. Or switching to formula and stopping lactation altogether. Or having the baby in the stroller for walks instead of the carrier. Or doing ‘skin-to-skin’ time with the baby lying on your lap instead of your chest. There are always other options.
For us, this meant switching from nursing to pumping and bottle feeding after two weeks. I had the goal of feeding my baby my milk for the first six months but once my supply increased to >75% of my baby’s intake, the amount of sensation from my chest started increasing my dysphoria much faster. So we decided to decrease lactation earlier and slowly switch to formula. This may increase my baby’s gas. This may not be my preferred method of feeding my baby, or what society tells me is best. But it’s what’s best for us.
What I’ve found is that, even though it’s not my preferred method of care, the next-best option that results in less dysphoria feels significantly better and allows me to engage in the care a lot more, resulting in a much better experience for my baby as well. There is no harm in trying different things. You should never rule out options based on preconceived ideas from society. If it’s the best option for you (and still meets your baby’s basic needs), it’s the best option for your baby as well.
What baby/child care tasks trigger your dysphoria? What strategies do you use to deal with it so it doesn’t interfere with bonding with your child? Leave me a comment below or send me an email! The more strategies we share with each other the better!
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