What to expect from perinatal mental health support for postpartum psychosis

Postpartum psychosis can involve confusion, rapidly changing mood, very little sleep, unusual beliefs, hearing or seeing things others do not, or feeling driven by thoughts that seem real. It can develop quickly after birth and is a medical emergency. A specialist team will assess symptoms, sleep, physical health, medicines, safety and the baby’s care. Treatment may involve hospital care, medicine, help with sleep, psychological support once symptoms settle, and a plan for family involvement. The person may not recognise that they are unwell, so a trusted adult should seek help if concerned.

If this may be happening, contact urgent medical services immediately and do not leave the person alone. Keep the baby with a calm, trusted adult while help is arranged, remove access to anything that could cause harm, and share a clear description of changes in sleep, speech, behaviour and beliefs. Bring medicine information and pregnancy or birth details if available. Do not argue about unusual beliefs or promise secrecy. Follow the specialist plan after assessment, including medicine instructions, sleep support and scheduled reviews.

Seek emergency care now for thoughts or commands about harm, threats to self or the baby, severe agitation, confusion, unsafe behaviour, inability to sleep, or hearing or seeing things others do not. Call emergency services if immediate danger is present. Postpartum psychosis should not wait for a routine appointment or improve-at-home approach.

Ask where assessment will happen, who can stay with the baby, how medicines affect feeding, what warning signs require immediate help, and how follow-up will be coordinated after discharge.