Word on Health

Word On Postpartum Psychosis

Our grateful thanks to Action on Postpartum Psychosis and young mum Cee Jae for their contribution to our radio report (available to hear again at the bottom of this page) and our podcast, available via our in-profile/podcast page (see link above). 

Postpartum psychosis is a severe but treatable mental health condition that affects women in the days or weeks after giving birth. It’s considered a medical emergency because of the rapid onset and the potential risks to both mother and baby if left untreated. Despite its seriousness, awareness of postpartum psychosis remains low among the public and often even within healthcare settings.

How Common Is It? Postpartum psychosis is rare, affecting around 1 to 2 in every 1,000 new mothers in the UK. While uncommon, it’s one of the most serious postnatal mental health conditions and requires immediate specialist care.

Who’s at Risk? Any woman can develop postpartum psychosis, but certain factors increase the risk:

  • A personal or family history of bipolar disorder or psychosis
  • Having experienced postpartum psychosis after a previous birth
  • A personal history of serious mental illness

However, it can also occur without any prior warning or history of mental health problems.

What Are the Signs and Symptoms? Postpartum psychosis usually develops within the first two weeks after birth, often quite suddenly. Key signs to look out for include:

  • Severe confusion, disorientation, or irrational thoughts
  • Hallucinations (seeing or hearing things that aren’t there)
  • Delusional beliefs, often unusual or paranoid in nature
  • Extreme mood changes, from high energy and euphoria to deep depression or anxiety
  • Restlessness and trouble sleeping, even when the baby is asleep
  • Behaving in a way that’s out of character or concerning to family and friends

If you or someone you know experiences any of these symptoms, it’s vital to seek emergency medical help.

Are Healthcare Professionals Aware of It? Awareness of postpartum psychosis has improved in recent years, but it remains under-recognised compared to other postnatal mental health issues like postnatal depression. A 2021 survey by the charity Action on Postpartum Psychosis (APP) found that only 6% of expectant parents received information about the condition during antenatal classes, and many healthcare professionals report limited confidence in discussing or identifying the illness.

What Are the Treatment Options? Postpartum psychosis is treatable, and most women make a full recovery with the right support. Treatments typically include:

  • Medication (such as antipsychotics and mood stabilisers)
  • Psychological support
  • Mother and Baby Units (MBUs) — specialist inpatient facilities where mothers can receive intensive care while staying with their babies

Early intervention is crucial, as timely treatment can significantly improve outcomes for both mother and baby.

How Available Is Treatment in the UK? Access to specialist Mother and Baby Units (MBUs) varies by region, but there are several dedicated NHS units across the UK. Community perinatal mental health teams also offer crucial support for women experiencing postpartum psychosis and other severe postnatal mental health problems. Increasing awareness and investment in these services has been a growing NHS priority.

Is Recovery Possible? Yes — with the right treatment and support, most women make a full recovery from postpartum psychosis. The duration of recovery can vary, and some women may remain under mental health services for a period after leaving hospital. Peer support, talking therapies, and ongoing care can all play a role in helping women and their families recover and regain confidence.

For more information, advice, and personal stories from those affected by postpartum psychosis, visit the charity Action on Postpartum Psychosis (APP). (https://www.app-network.org/)

Listen to this weeks radio report

All material on this website is provided for your information only and may not be construed as medical advice or instruction. No action or inaction should be taken based solely on the contents of this information; instead, readers should consult appropriate health professionals on any matter relating to their health and well-being.