Dear Friend

I know I am living–surviving really–your worst nightmare. You know, the one when your baby dies; when the doctor looks you in the eye and confirms what your gut is already screaming “there is no heartbeat.”  That’s what they say, typically, because saying “your baby is dead” sounds callous, though it is the truth.

But your baby didn’t die. You’re not living the nightmare called child loss. Your baby is snuggled on your chest, bum in the air, drowsy from nursing. Your baby is waking you, like clock-work, at 2:00 am every 24 hours. Your baby is dozing in your wrap while you read a book with your older child.

I couldn’t go to your baby shower. I couldn’t watch you unwrap gifts in your pregnancy glory, listen to the guests ooh and aah over all the tiny clothes. Once you had him, I couldn’t hold him. I don’t want to hold your baby–the last baby I held was my own, the one who never opened her eyes, whose tiny hand never clutched my finger. I cannot listen to you complain about sleepless nights or sore nipples, or returning to work after maternity leave. What I wouldn’t give to have those problems. Instead, I’m on Day 180 of crying.

So even though you’ve done nothing, you’ve done everything. You did what I could not do. You had a baby and you were able to bring your baby home, alive. And that is why our friendship will never be the same again. I did not want to change. I did not choose for my baby to die.

This is just me, surviving.

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The Walking Volcano

I was about a month old, and living near Seattle, when Mount St. Helens erupted on May 18, 1980. In the two months prior to that major eruption, the volcano was active; earthquakes and small eruptions occurred. The mountain was preparing itself for a major explosion.

October has been a difficult month for me, which I didn’t expect. I thought by this time– twenty-five weeks post-delivery–I would be well on my way toward healing. Instead, I feel more discouraged than ever. My anger has become significantly worse and I feel like a walking volcano, ready to erupt. Like Mount St. Helens, I have warning signs, little earthquakes and small explosions happening.

In the checkout line at the grocery store: a sign requesting money for breast cancer research. Boom. What about stillbirth research?

Picking up my anti-depressant prescription refill: tiny pink breast cancer ribbon on the cap. Boom. WHAT ABOUT STILLBIRTH RESEARCH?

At a remembrance walk for infant loss: everyone else with massive teams and me with just my living daughter. Boom. Where are all my friends?

Same remembrance walk: Christian prayer opener. Boom. Eff God.

At a birthday party for my daughter’s classmate: TWO mothers who delivered living babies this past spring. Boom. My baby should be here too.

Infant Loss Awareness Month: My 40-week stillbirth gets lumped in with a 6 week miscarriage. Boom. It’s not comparable.

Reading information about kick-counting and movement monitoring. Boom. I failed my baby. My midwife failed my baby and me.

Knowing my living daughter doesn’t really ‘count’ her sister as a sister.  Boom. Knowing she can’t, it’s not real to her. 

Thinking back to one year ago: nausea, vomiting, misery. Boom. All for nothing. ?

Not talking to friends for weeks because one is pregnant and one has a living baby. Boom. Knowing that our friendships are over because my baby died.

Reliving my entire pregnancy and every decision I made/didn’t make. Boom. Seeing my baby’s urn on my dresser. Boom.

I wonder when/if “the big one” will hit. Will I one day explode? Will I go off the deep end?


How has anger affected your grief process? Have you found healthy ways to manage and process your anger?

CYG Day 25: Indestructible Heart

I once had a job, not long ago, working directly with pregnant and postpartum moms, and their children. Occasionally, my coworker, who frequently combed the obituaries, would bring in to work a tattered clipping for a baby or small child. “One of ours,” she’d say. My coworkers and I would huddle in our meeting space trying to fathom what could have happened. Sometimes, I could identify what likely happened: “Oh, that baby was a 24 weeker,” or “heart defect.” (I followed all the high risk cases). Occasionally, a staff member would offer up that the mother had risk factors for SIDS. Or there had been a house fire or car accident.  Other times we just didn’t have a clue.

I would think (and sometimes say aloud), If my child died, I would die too,* or be admitted to a mental hospital.

But when my child’s heart stopped, mine kept on beating, though the physical ache was real. Checking in to a mental hospital would only separate me from my husband and living daughter; it wouldn’t bring back my baby.

Worldwide, across cultures, people endure unfathomable tragedies. They survive, and they build meaningful and joyful lives despite trauma.  This is resilience. In Option B Sandberg and Grant discuss the three P’s (coined by Martin Sligman) which prevent someone from reclaiming their life after trauma.

Personalization: Self-blame. It’s my fault that my baby died. If only I had paid closer attention to her movements. If only I had sought more ultrasounds.

Pervasiveness: When tragedy infiltrates into every aspect of our life. I failed to keep my baby alive, therefore I’m not a good mom to my living child. I’m not a good wife. I’m not a good employee. I’m not a good friend.

Permanence: Feeling as though the severity of the trauma will never end. I am never going to feel better. For the rest of my living days, I will always be the mother of a dead baby and there is nothing I can do to change that fact.

I am still working on the three Ps. I’m not certain that my heart is truly indestructible. It feels quite shattered, actually.

*When I say I thought I would die, I’m not referring to suicide. I’m referring to the belief that I would stop existing if my child died. If you are contemplating suicide, please know that there is help available. For countries outside the United States, click here.


What do you think about the three P’s? Have you built resilience? Is your heart indestructible?

Therapy: Part 2

With the challenges I faced, I knew I couldn’t be alone in my therapy frustrations. I conducted an informal survey through Facebook, polling 40 women who had experienced pregnancy loss after 20 weeks gestation. (In actuality, 45 women completed the survey but in order to view the last 5 surveys, I would have to “upgrade” my plan for $77, um, no thanks). There were ten questions in total.  I’m not a social scientist and haven’t conducted many surveys or polls so this wasn’t by any means professional or scientific. And of course a 40-person sample size is much too small to make conclusions, so remember, this was, you know, a blog experiment.

The majority of those polled live in the United States, followed by the United Kingdom and Canada; Australia and New Zealand each had one response. The “Other” response was from the Netherlands.

pie-chart (7)

Most of those who responded have counseling as a covered service under their health insurance plan.

pie-chart (2)

Besides grief and trauma, some polled sought counseling from therapists specializing in perinatal loss and marriage (documented under “other”).

pie-chart (5)

Of those polled, 71.8% have seen a counselor; the “other” category comprised four responses: 5 counselors, 6 counselors, “I saw a few one time but didn’t like any of them.” “first meeting this week”.

pie-chart (8)

Sixty-four percent (25 people) of those polled are not currently in counseling.  (The “other” responses were those who are anticipating starting counseling in the very near future).

pie-chart (6)

Of those twenty-five, thirteen people (52%) gave responses related to the difficulty of therapy. Some comments include:

I felt they [the therapist] wouldn’t be able to understand what I was going though and I’m not very good at sharing my thoughts. I also thought they may think I was unsuitable to have another baby.

I found that I was unable to be truthful with my counselor. The one time I saw her, I pretended to be okay and gave all the right answers. I wish I didn’t. I wish that she had pushed me harder rather than just seeming to accept everything I said… I mean, I showed up to talk about my baby’s stillbirth, she should have guessed there was ‘more’ to what I was saying.

I am not yet ready to do some things that I know they [the counselor] will want me to work through. As soon as I feel [that] I am in a spot where I am ready to work through the grief than, I will go.

There were five responses (20%) that pertained to a lack of connection with the therapist. One comment, which unfortunately didn’t surprise me was I couldn’t find one that wasn’t rude or judgmental.” Another mom reports “the counselors that my insurance covered were not specialized for my issues, and mostly were just inept for my emotional/psych needs.” (Again, not surprising).

Three moms were still looking for a counselor, one mom saying, “I don’t know where to start. I don’t know how to find someone. Everyone seems to think I should be moving on already.”

Six moms responded that they are no longer in counseling because they felt their goals were completed. Two of those six were pursuing support elsewhere. Six of the forty polled mentioned other support (either instead of or in addition to) such as in-person support groups, online social media support, family and friends.

I felt like my counselor gave me good advice and tools to work from. As far as actually processing my grief, it was more beneficial for me to speak with trusted mentors and family.

I felt I got what I needed from my counseling experience and I am at a point in my grief that I am able to cope without counseling.

I saw a private counselor within a week of losing my daughter at 38 weeks, but had to relocate 3 months later to an area where that wasn’t available. Private counseling is cost prohibitive long-term so I will be starting with the public women’s mental health team now that I’m back in an area that has that service available.

Two responses related to cost, the one above and this one:

[I] was told by [the] mental health team to wait 4-6 months or pay for private counseling.

Other comments

I have been going to pregnancy and infant loss support groups for the time being and that has been helpful. But not one-on-one counseling yet.

I wish there were more low cost, easily accessible options for quality counseling specific to the grief process as it applies to my stillbirth loss.

I do wish I had sought counseling sooner (I went about 9 months after my loss). I may still seek counseling as I’m still not feeling okay 1 year out.

I struggled with knowing she didn’t truly know how I felt.

The counselors made it so much worse, really so mean.

I’m not sure I would have been able to grieve appropriately if I didn’t have that support. It gave me perspective, direction, and helped me keep moving forward. It helped reduce the guilt and isolation I was feeling.

My counselor helped make my thoughts/feelings validated when at times I thought there was something wrong with me. She also really helped my husband and I learn to communicate better.

Finding therapists that specialize in pregnancy loss was near impossible. I’ve tried several times and have never really had any luck.

How I would have changed my poll

I don’t think it was important to know the week gestation of infant loss (I didn’t even include the graphic); more important, would be to know how far out the mother is from her loss. One question I asked was terrible: “It was easy to find a counselor post-loss” with a 1-5 scale rating (1= strongly disagree, 5=strongly agree). I couldn’t draw any conclusions from these responses. What’s the definition of “easy?” Finding a counselor in general or the right counselor? It was too broad. I think what I was looking for was how people found their counselor or how many counselors did they go through before finding the right counselor. Or maybe if their hospital or ob-gyn/midwife gave them a list of bereavement or perinatal loss counselors.

So much of what these women shared I could really relate to. Basically, as a society, not only are we failing families by not implementing time and money into stillbirth research, but we are failing mothers. We are failing to provide the mental health resources they need in order to move forward (NOT “move on”) and gain the tools needed to function in life. I echo what some of these moms said: finding the right counselor for pregnancy loss is extremely difficult. A grief counselor may not cut it–this is a very different type of grief, often involving trauma. A counselor who specializes in trauma and PTSD may actually be better-suited to help a mom who has experienced a pregnancy loss (but may not have the education and experience to help with the grieving process). There are therapists who specialize in perinatal loss, but they seem to be in larger metropolitan areas–there aren’t any in my rural New England state (that I could find). The fact that there aren’t more therapists specializing in perinatal loss is baffling to me, when we look at the numbers.

In the United States annually:

  • 500,000 pregnancies end before 19 weeks
  • 26,000 pregnancies end after 20 weeks
  • 19,000 babies are born alive but die within the first month

In the United Kingdom, annually

Clearly, there is a need for qualified perinatal loss therapists. So, a family has experienced a devastating pregnancy loss and wants to pursue counseling. How would one go about finding an experienced and knowledgeable therapist? Start here.


Are you a therapist? Do you specialize in perinatal loss counseling? Would you consider specialized training in perinatal loss counseling?

If you have questions about the poll, please feel free to ask!

Therapy: Part 1

In most Western countries, our healthcare focuses on the physical–we comply with the recommendations for annual physical exams, biannual dental cleanings, and yearly eye exams.

But we neglect our mental health. The times I’ve sought counseling were for a specific purpose and usually the event was abrupt, leaving me little time to thoroughly investigate who might be a good “mental health match” for me.

My husband is the one who found our first counselor post-loss. Because he was aware of my history of depression, and concerned about the effect of our baby’s death on our marriage,  he sought recommendations from coworker and found Meryl (not her real name). Meryl has a PhD in clinical psychology from Ohio University. She completed a predoctoral internship at Harvard. (Impressive). Her website maintains that she has been in practice for twenty years and specializes in stress/trauma and PTSD, anxiety and depression, and women’s issues.

Our first session with Meryl was June 8, a bit over 4 weeks post-loss but exactly one month from the death, delivery, and birth of my youngest daughter. (The delay in securing an appointment sooner, having to do with the fact that Meryl practices part-time and also had been on vacation). Meryl had been briefed on the trauma, yet she was clearly uncomfortable with the topic. She wasn’t familiar with the language around pregnancy loss, she never used our baby’s name, and at times, she seemed to be looking my way for direction on how to counsel me.  She couldn’t seem to identify what I needed (and I certainly didn’t know).  Her ideas about helping me ease back to work were ridiculous.  My husband and I met with Meryl twice as a couple and I met with her three times individually, then never called her back. Meryl didn’t bill insurance so we paid upwards of $200 (USD) per counseling session.

Now what?

Several people had recommended that I seek a therapist certified in a type of  treatment called EMDR . I searched on the Psychology Today website and another therapist-search site specific to the state I live in. I found this process to be frustrating. On the Psychology Today website I could filter by town/zip code, insurance, treatment modality (cognitive behavior therapy, EMDR, trauma-focused, hypnotherapy–among others) and issue (grief, depression, trauma and PTSD, women’s issues–among others). I WISH there was one titled “perinatal loss”. Even a quick google search “perinatal loss stillbirth name of state” got me nothing. So I went with trauma/PTSD and grief.

That’s how I found Mindi, my second therapist. Her credentials weren’t as impressive as Meryl’s, but at this point I had little faith in credentials. Mindi is an LCSW with an additional credential in EMDR therapy from Boston University. She has been practicing as a therapist for over ten years. And great news–she did bill my insurance and my copay per session was $6 and some odd-cents (USD).

I had high hopes for Mindi. Our first session was 9 weeks post-loss and it seemed like she was going to be the counselor to help me move through this.  We met for a total of eight sessions, our final session ending a little over 18 weeks post-loss. Five of the eight sessions involved EMDR therapy. And then I felt like I had run out of things to talk about. We’d covered the initial trauma of the loss, my transition to my new job, parenting a living child post-loss, triggers, some coping mechanisms and tools….what else was there? Plus, there were the sad pitying puppy-dog eyes and pouty lip that frequently dawned Mindi’s face when I shared a particularly heart-breaking thought. While the EMDR seemed to help (I think?) initially, I couldn’t foresee myself doing much more of it. (EMDR involves reliving the trauma). So we concluded our counseling with the understanding that I could call for a future appointment if needed. (I won’t call her). (One of the interesting things about Mindi’s location was that her office was upstairs from a bridal boutique. Everytime I went, I wondered if someone seeking counseling post-divorce would find this to be a trigger).

Am I better? Well, I suppose I am better than I was on May 9th. Am I well? Cured? No longer in need of therapy? I don’t know. I still cry daily. But maybe this is how it will be for the rest of my life. The most difficult thing about counseling for me, as an introvert, is expressing myself verbally. This was one clear advantage of the EMDR therapy.  I didn’t need to explain anything to my therapist. She didn’t need to have my life story or know every detail of the trauma. By default, the modality of EMDR took care of it. What would therapy for introverts look like? I think a written journal, email sessions, better yet–here’s the link to my blog–read it and know everything I’m thinking, then help me.

I knew I couldn’t be the only person with this frustration, so I decided to complete an informal poll.


Did you try therapy? What was great? What was awful?

Bella Luna

About a year ago,  my then-3-year-old and I started listening to The Laurie Berkner Band.  One song that I particularly grew to love is entitled Moon Moon Moon. And even though it’s a bit silly (“I have found that it looks just like a pizza pie!”), the harmony is beautiful. We’d be driving home, the moon ‘following’ us, and I would sing to my daughter “Moon, moon, moon, shining bright; Moon, moon, moon, my nightlight; Moon, moon, moon, I can see; Moon, moon, moon, you’re taking care of me.”

Tonight I went outside to take a photo for #CaptureYourGrief2017. I snapped a few photos of the moon. In each one, there is a small white circle. An orb? Or maybe just a dust particle, a reflection, maybe nothing. But maybe, just maybe, it’s something. I want to believe.

#WhatHealsYou


I don’t even have a great prompt. What are your thoughts?

Remember Your Strength 

Capture Your Grief Day 3: Meaningful Mantra

#CaptureYourGrief2017 #WhatHealsYou

My friend, Amanda, gifted me with this gorgeous bracelet, made at Saucy Jewelry. Engraved inside: “Remember Your Strength”. That’s been my mantra since I got it. I wear it everyday. And when things feel too difficult, I touch my bracelet, close my eyes, and tell myself “Remember Your Strength. Corva Florence.”

What’s your mantra? Do you have an ‘anchor’ to ground you?