the only comment I can make about being a SAM is that my daughter's situation was similar to your description. Luckily she had me to watch the babies for free.
I'd like to comment on taking an anti-depressant and/or an antianxiety med. I've taken them off and on since I became a mother. Before that I went to a counselor off and on. When I first realized I was depressed they didn't have a med that didn't make one sleepy.
I recommend trying one. I'm on Celexa now and have taken it in the past. Now I'm also on Celexa and Wellbutrin and take an Elavil when I need it. My depression is most likely the result of genetic factors and being raised by a very depressed mother and parents who fought all the time. My job as a police officer no doubt contributed. Then I added a child and was overwhelmed.
I was able to stop taking any meds until I married and became a step-mom and caretaker of a mother-in-law as well as my teenage daughter. I was new to the area and was missing my close friends. I was getting very little support from anyone. I went back to work and that only made my depression worse. That was when I started Celexa after trying a couple of others. I also found that voluteer work helped. I was on call for crisis intervention.
I divorced and moved back to Portland, which greatly reduced my responsibilities, and stopped the meds. I was relieved to be out of the marriage. I started the meds again when my daughter became a single parent of a high needs baby. We both had difficulty adjusting to shared responsibility.
One doesn't have to take meds forever but one does have to stay with one long enough to know if it's going to help and try another one if it doesn't. I've done this with the aid of a mental health professional and with going to just my gp. My daughter took one prescribed by her gp. She doesn't take an anti-depressent or an anti-anxiety med now. But she does still take a thyroid medication which reminds me to emphasize that often the difficulties that we have are either caused or compounded by hormones.
The advantage of going to a mental health professional is that one also gets to talk and they are good listeners as well as skilled in problem solving. I learned different ways of coping and made some difficult decisions more easily. Fortunately I've always had insurance that helped pay for all of this.
As for talking, other mothers are a good resource, as well as good friends. I suspect that the majority of mothers cope without the meds. I don't know how well they cope, however. Parenting is a difficult job for which we receive no training. Housekeeping can be quite boring and is made much more difficult when you have a baby or two or three at home.
The down side of the meds are that most of them are expensive if you don't have insurance to help. However, the older antianxiety meds or not expensive. Years ago I took Valium, which does have a bad rep, for a short period of time. Now I take Elavil. Yes, they can make you drowsy when you first start but I adjust quickly and they no longer have a negative effect for me. And I only take them when I need them. They work for me, in part, because I'm very aware of the possibility of dependence on them and am able to judge when I need them. I don't take them all the time which is what creates the dependency. I take them, perhaps once or twice a week; sometimes more often. Both my gp and the Psychiatric Nurse practioner, who started me on Elavil, agree that I am taking them in a safe way.
Mothers get anxious because of all the responsibility of mothering, their messed up hormones and their sense of isolation and lack of knowing how to take care of themselves as well as other factors in their lives. I get anxious because I'm closely involved with the care of my grandchildren but have no authority to make decisions about what they need. And I am anxious about dying. I love the life I have now.
The doctor added the Elavil when I had a panic attack while starting an MRI. I first took Valium to get thru the MRI but felt so much better, more relaxed and less anxious, on the few days I took it that I asked about taking it longer. That was 2 years ago. It did take a few months to find the right dose and how often to take it. I did get habituated to taking it and had to increase the dose. But I didn't want to be dependent and so started just taking it once or twice a week. Then I could cut back the dose and it still works.
If I were you I would consider trying meds. But I would also try the great ideas you've received from other mothers. It may take awhile to find the right combination but with a positive I can do this attitude you will find a way to be mostly comfortable with whatever way of life you decide upon.
As an added note but not advice. My granddaughter did go to preschool and she loved it. She received alot of positive feedback which she didn't always get from her mother who was exhausted from work and having relationship difficulties. She also was better prepared for kindergarten. My grandson, who had learning disabilities, needed a smaller less learning centered setting. He went to an in home daycare where the caretaker was taking care of 4-6 babies and/or preschoolers. This worked for him. He preferred to stay at home but this was best for him given his mother's circumstances. Both children received experiences from day care and preschool that they couldn't get at home.
I agree, that if you can find a balance that allows you to feel more in control and more satisfied with your life, that being a SAM has good benefits for your children. I also think that you can benefit from staying at home. There are lots of lessons to be learned and it is satisfying and joyful to not only see your children develop but also know that you and your partner are the ones helping them to grown.
I do know that you have to know how to take care of yourself. You cannot be with your children 24-7 and be happy. Baby sitters, either paid or volunteer, are a necessity for you to keep your sanity. It's wonderful when mothers have spouses that know how to support them. As one mother said, we often have to tell them specifically what we need even if we don't have any children. A babysitter once a week for a date night or time on your own is also helpful for your babies. They benefit from exposure to another personality. And I found having a different care take some of the time helps the child to more easily become more independent in a healthy way. Again it's finding the right balance knowing that you are still the one who is the most important in the life of your baby/child. You are still the one raising your baby/child.
Another idea that I haven't seen as a result of your post is to have a teen watch the baby/child while you stay at home and can observe their interaction and be available if there is a problem. The mother goes to another part of the house and gives herself care. I suspect that being able to take a shower/bath and do other personal routines while not having to consider your children would be quite helpful.