Understanding Postpartum Psychosis

Offering an understanding of postpartum psychosis, this riveting book explains what happens and why during this temporary and dangerous disorder that develops for some women rapidly after childbirth. Most of us are familiar with the baby blues, a passing sadness that strikes 50 to 75 percent of new mothers after delivery. And most of us understand postpartum depression, a sadness post-delivery that lingers for weeks or months for an estimated one in every 10 new mothers. But a more serious form of disorder that strikes up to one in every 500 is postpartum psychosis - triggering severe agitation, confusion, insomnia, hallucinations, delusions, mania, and possible thoughts of suicide or murder. Every year, women in the United States and around the world kill their babies, children, and themselves as a result of this mental illness. Here, author Twomey, an official with Postpartum Support International, gives us insight into the psychological, personal, medical, legal, and historical perspectives on this little-understood mental illness, which is both preventable and treatable. While most women who suffer postpartum psychosis eventually recover without harming anyone, they most often do so in silence. Paranoia is a common symptom, explains Twomey, and that moves women to hide their symptoms from everyone around them. The woman can hence appear normal, but be putting both herself and her baby at risk. We can prevent and treat this, but we need to recognize it by better screening of women postpartum, says Twomey.

This comprehensive reference and text synthesizes a vast body of clinically useful knowledge about women's mental health and health care. Coverage includes women's psychobiology across the life span--sex differences in neurobiology and psychopharmacology and psychiatric aspects of the reproductive cycle--as well as gender-related issues in assessment and treatment of frequently encountered psychiatric disorders. Current findings are presented on sex differences in epidemiology, risk factors, presenting symptoms, treatment options and outcomes, and more. Also addressed are mental health consultation to other medical specialties, developmental and sociocultural considerations in service delivery, and research methodology and health policy concerns.

Biomarkers of Postpartum Psychiatric Disorders provides an up-to-date reference on the current research relating to biomarkers in psychiatric disorders, including major depressive disorder, OCD and bipolar disorder in the immediate postpartum time-period. It is the only reference on the market that synthesizes and interprets available data and reviews clinical phenotypes. Topics cover hormonal contributions, immunology, epigenetics and neuroimaging. While the risk of psychiatric illness during pregnancy appears to be equivalent to the risk at any other time in a woman’s life, the risk in the immediate postpartum time period is dramatically increased, hence the importance of the discussions in this title. Identifies epigenetic, hormonal, immunological and neuroimaging biomarkers Provides biomarkers for depression, OCD and psychosis Includes clinical phenotypes for psychiatric disorders Discusses future research and directions in the field

A New York Times Book Review Editors’ Choice "Inferno is a disturbing and masterfully told memoir, but it’s also an important one that pushes back against powerful taboos. . ." --The New York Times Book Review "Explosive" --Good Morning America "Sublime" --Bookpage (starred review) When Catherine Cho and her husband set off from London to introduce their newborn son to family scattered across the United States, she could not have imagined what lay in store. Before the trip’s end, she develops psychosis, a complete break from reality, which causes her to lose all sense of time and place, including what is real and not real. In desperation, her husband admits her to a nearby psychiatric hospital, where she begins the hard work of rebuilding her identity. In this unwaveringly honest, insightful, and often shocking memoir Catherine reconstructs her sense of self, starting with her childhood as the daughter of Korean immigrants, moving through a traumatic past relationship, and on to the early years of her courtship with and marriage to her husband, James. She masterfully interweaves these parts of her past with a vivid, immediate recounting of the days she spent in the ward. The result is a powerful exploration of psychosis and motherhood, at once intensely personal, yet holding within it a universal experience – of how we love, live and understand ourselves in relation to each other.

This 2019 edition of Beyond the Blues contains the most current pregnancy and postpartum resources for prevention and treatment of mental health challenges for all parents. Updated information and research about medications, as well as complementary and alternative options are included. Direct and compassionate, it is required reading for those suffering before or after the baby is born and for all professionals working with them. “An indispensable guide to understanding and treating prenatal and postpartum depression. This book is a gift not only to healthcare providers but also to family and friends of mothers suffering from these devastating perinatal mood disorders.” —Cheryl Tatano Beck, DNSc, CNM, FAAN Professor, University of Connecticut, School of Nursing Coauthor of Postpartum Depression Screening Scale “In Beyond the Blues, Bennett and Indman offer a compact yet surprisingly comprehensive manual on prenatal and postpartum depression. Readable and practical, they systematically address screening and assessment, finding a therapist, myths about nursing and bonding, and treatment. Interesting and helpful are suggestions for family and friends. For health professionals, there is detailed diagnostic and treatment information. Beyond the Blues is a quick read with an easy-to-handle format. Recommended for consumer health and health sciences collections.” —Library Journal “This book will be of great help for both women and their health care providers, providing information on all aspects of depression in pregnancy and in the post-postpartum, including safety/risk of medication therapy.” —Adrienne Einarson RN Assistant Director, The Motherisk Program, The Hospital for Sick Children, Toronto, Canada “Take prenatal vitamins for the baby, but for the long-term health of the mother, this is a must read for both her and her doctor.” —Timothy A. Leach, M.D., F.A.C.O.G. OB/GYN, San Ramon Regional Medical Center, John Muir Medical Center

Advocating for Women with Postpartum Psychosis takes the reader into the world of one of the most misunderstood mental illnesses. Affecting 1 to 2 out of 1,000 childbearing women a year in the United States, postpartum psychosis creates hallucinations and delusions, which, if untreated, can lead to infanticide and subsequently imprisonment or death for the mother. While other parts in the world, particularly the United Kingdom have more sympathetic laws, in the United States, women with postpartum psychosis are often stigmatized as "baby killers", and face the ultimate penalty. Through this book, though, authors Feingold and Lewis humanize the mother's experience to promote understanding and compassion. Beginning with an overview of the mental health and legal facets surrounding postpartum psychosis, the authors then provide vital resources and tools for mental health practitioners and legal professionals to enact change in their practices and communities. Complete with case studies and the authors' experiences in changing the law in their own state of Illinois, this book is a necessary resource for furthering dialogue and action around maternal mental illness.

Over 90 percent of new mothers will have scary, intrusive thoughts about their baby and themselves. What if I drop him? What if I snap and hurt my baby? Mothering is so hard—I don't know if I really want to do this anymore. Gosh, I'm so terrible for thinking that! Yet for too many mothers, those thoughts remain secret, hidden away in a place of shame that can quickly grow into anxiety, postpartum depression, and even self-harm. But here's the good news: you CAN feel better! Author Karen Kleiman—coauthor of the seminal book This Isn't What I Expected and founder of the acclaimed Postpartum Stress Center—comes to the aid of new mothers everywhere with a groundbreaking new source of hope, compassion, and expert help. Good Moms Have Scary Thoughts is packed with world-class guidance, simple exercises, and nearly 50 stigma-busting cartoons from the viral #speakthesecret campaign that help new moms validate their feelings, share their fears, and start feeling better. Lighthearted yet serious, warm yet not sugary, and perfectly portioned for busy moms with full plates, Good Moms Have Scary Thoughts is the go-to resource for moms, partners, and families everywhere who need help with this difficult period.

'Such a raw, honest and important book' Giovanna Fletcher Like any new mum, Laura Dockrill felt rather overwhelmed after the birth of her son. But a slow recovery, sleep deprivation and anxiety quickly escalated into postpartum psychosis, and she had to spend a fortnight in a psych ward, separated from her family. It was only when Laura began to put her ordeal into words that she began to find herself again, and recovery seemed within reach. This is Laura's raw, honest and life-affirming story of how she made it through one of the most frightening experiences a mother can face. Now, she wants to break down the silence around postnatal mental health, shatter the idealised expectations of perfect motherhood, and show all new struggling parents that they are not alone. 'A book to save a whole generation of women' Adele A pleasure to read...I didn't want to put it down. If anyone is going through a similar experience it will make them feel less alone' Philippa Perry 'A humbingly honest and human war report from the front lines of mothering psychosis and recovery; there is no other book like it' Caitlin Moran 'An incredibly powerful book' Jessie Ware 'This book will give women and their families confidence that the brain and body will heal' Dr Jessica Heron, CEO of Action on Postpartum Psychosis 'An amazing read' Fiona Telford, postpartum psychosis survivor