"I Didn't Feel Like Myself After Birth—And I Didn't Know Why"
Bringing a baby into the world is a life-changing experience. Everyone talks about the sleepless nights and diaper changes, but what if something feels... off? Not just the usual exhaustion or baby blues, but a complete shift in reality—thoughts that don’t feel like your own, moments where the world doesn’t make sense, or an overwhelming sense of fear or paranoia.
This isn’t just ‘new mom stress.’ It could be postpartum psychosis, a serious but often misunderstood condition that needs immediate attention. If you or someone you know is experiencing unusual thoughts or behaviours after birth, this blog will help you understand what’s happening, why it’s happening, and what to do next.
What Is Postpartum Psychosis?
Postpartum psychosis is a rare but severe mental health condition that can develop after childbirth. Unlike postpartum depression or baby blues, which many moms experience to some degree, postpartum psychosis involves extreme shifts in mood, thoughts, and perception of reality.
It usually appears within the first two weeks after delivery, sometimes even within a few days. While it is rare—affecting about 1 to 2 out of every 1,000 births—it is a medical emergency and requires immediate help.
Signs & Symptoms: More Than Just Mood Swings
Postpartum psychosis doesn’t look the same for every mom, but here are some common signs:
- Hallucinations – Seeing, hearing, or feeling things that aren’t there.
- Delusions – Strong beliefs that aren’t based on reality (e.g., thinking the baby is in danger when they’re safe).
- Extreme mood swings – Rapid shifts between euphoria and deep sadness.
- Paranoia or suspicion – Feeling like others are plotting against you or your baby.
- Disorganized thoughts – Having trouble making sense of things or expressing yourself clearly.
- Agitation or restlessness – Feeling extremely anxious, unable to sit still, or pacing constantly.
- Loss of touch with reality – Not recognizing familiar people or places, or feeling disconnected from your surroundings.
- Suicidal thoughts or thoughts of harming the baby – This is an emergency and requires immediate intervention.
If you or a loved one are experiencing any of these symptoms, seek medical attention right away. Postpartum psychosis is treatable, but early intervention is key.
Who Is at Risk?
While postpartum psychosis can happen to anyone, some factors can increase the risk:
- A history of bipolar disorder or schizophrenia
- A previous experience of postpartum psychosis
- A family history of mental illness
- Severe sleep deprivation after childbirth
- Hormonal changes that impact brain chemistry
- Extreme stress or trauma during or after pregnancy
Even if none of these risk factors apply, postpartum psychosis can still occur. It is not the mother’s fault, nor is it something she can control on her own.
Why Does Postpartum Psychosis Happen?
The exact cause is still being studied, but experts believe it’s a combination of hormonal shifts, genetic factors, and brain chemistry changes. Pregnancy and childbirth cause a drastic drop in estrogen and progesterone levels, which can impact mental health. For some women, this shift triggers an extreme response, leading to postpartum psychosis.
Sleep deprivation also plays a big role. New moms barely get a few hours of rest, and the brain struggles to function properly without enough sleep. This can contribute to confusion, paranoia, and mood disturbances.
Recovering from Postpartum Psychosis
With the right treatment and support, recovery is very possible. Most women make a full recovery within a few months, though ongoing mental health care may be needed.
Ways to Support Recovery:
- Prioritize rest – Sleep is essential for healing. Accept help from family and friends.
- Follow your doctor’s advice – Medications and therapy can make a huge difference.
- Join a support group – Talking to other moms who have gone through the same thing can help.
- Practice self-care – Gentle movement, nourishing food, and emotional support all aid recovery.
- Set up a postpartum care plan – Have a team (partner, friends, therapist) to check in on mental health.
Breaking the Stigma: It’s Okay to Talk About This
Postpartum psychosis is not talked about enough, leaving many mothers feeling alone, ashamed, or scared to speak up. But this is not your fault, and you are not alone. Mental health struggles after birth are real, and getting help is a sign of strength—not weakness.
If you know someone who may be experiencing postpartum psychosis, offer support without judgment. Sometimes, just hearing “I’m here for you” can make all the difference.
Final Thoughts: When to Take Action
Postpartum psychosis is rare but serious. If you or someone you know is showing signs, act fast. With the right treatment, recovery is absolutely possible, and every mother deserves to feel safe and supported in her postpartum journey.
Motherhood comes with challenges, but you don’t have to face them alone. Help is available—reach out, speak up, and take care of yourself. You deserve it.
