Postpartum Psychosis Awareness Day
What is Postpartum Psychosis?
One to two in 1,000 postpartum women will develop Perinatal Psychosis (PSI, 2020). Perinatal, specifically postpartum psychosis describes an array of symptoms occurring suddenly, often without a previous psychiatric history. Symptoms typically occur within four weeks following delivery and may include delusions, hallucinations, irritability, hyperactivity (one or more of these symptoms), decreased need for sleep, and noticeable mood changes (dysphoria, elation, labile). Postpartum psychosis is a MEDICAL EMERGENCY and immediate treatment is warranted, and appropriate treatment typically leads to a full recovery. Additionally, Postpartum Psychosis may be distinguished by identifying delusions, hallucinations, and/or intrusive thoughts as ego-syntonic, or ego-dystonic.
How is the Risk of Postpartum Psychosis Reduced or Prevented?
Postpartum Psychosis cannot be prevented, though there may be early signs that influence early intervention before symptoms become too severe, and several interventions may reduce the risk of occurrence or severity. The biggest protective factors are sleep, and medication/treatment in those with a history of Bipolar Disorder or previous experiences with Postpartum Psychosis.
How Can Mental Health Providers Support Their Clients with Postpartum Psychosis (Suspected or Confirmed)?
· Attend training, conduct research, and educate themselves on Postpartum Psychosis
· Identify risk factors and early signs, and communicate with these clients
· Help the clients identify their support system and emergency contacts
· Work with the client and their support system to prioritize safety
· Build trust and rapport, and refer out to a perinatal specialist (if you are not one)
· Facilitate and process adjustment following an experience of Postpartum Psychosis (re-establishing relationships and connections, grieving losses, new parenting roles)
· Utilize acceptance and compassion-based interventions, family therapy, trauma work and trauma informed modalities, and help the client plan (relapse prevention) and build confidence
· Continuously support the client’s bonding with their baby
What are Helpful Resources for More Information on Postpartum Psychosis?
· Action on Postpartum Psychosis: https://www.app-network.org/
· Postpartum Support International: www.postpartum.net
· MGH Postpartum Psychosis Project: https://www.mghp3.org/
If you are searching for help with your perinatal mental health, connect with us to get started.
