Navigating the Challenges of PMADS: Focus on Psychosis

Perinatal Mood and Anxiety Disorders (PMADs) are a group of conditions that can affect individuals during pregnancy and the postpartum period. These disorders encompass a range of emotional challenges, including depression, anxiety, and in rare cases, psychosis. Postpartum psychosis is a severe condition that occurs in approximately 1 to 2 of every 1,000 deliveries and is considered a psychiatric emergency due to symptoms like delusions, hallucinations, and extreme mood swings.

The journey through pregnancy and into motherhood is profound and can sometimes be accompanied by unexpected mental health challenges. PMADs are multifactorial and underdiagnosed, often leaving new parents feeling isolated and overwhelmed. It’s crucial to recognize that these conditions are not just about hormonal shifts; they’re complex and require a compassionate, multifaceted approach to care.

This is where the support of a postpartum doula can be invaluable. A postpartum doula provides emotional, physical, and informational support to families during the postpartum period. They are trained to recognize the signs of PMADs and can offer empathic support, education, and resources to parents in need. Doulas can help by normalizing the experience, destigmatizing the conditions, and encouraging self-care and rest, which are critical for recovery. Your doula should be able to help you recognize signs and symptoms of anything abnormal during your recovery–including any PMAD.

For those experiencing PMADs, a postpartum doula can be a part of the care team, working alongside healthcare providers to ensure that the parent receives comprehensive support. They can assist with baby care, offer guidance on feeding and sleeping routines, and provide a listening ear for parents to share their concerns and feelings. By offering practical help and a non-judgmental space, doulas can alleviate some of the stress and allow parents to focus on healing and bonding with their baby. In the case of psychosis, the first step will always be immediate medical care in the hospital setting.

While PMADs can be daunting, with the right support system, including the aid of a postpartum doula, individuals can navigate these challenges and move towards wellness. If you or someone you know is struggling with any PMADs, reach out to healthcare providers and consider the support of a postpartum doula as a valuable resource on the path to recovery. Remember, you are not alone, and help is available. For more information on PMADs and the role of a postpartum doula, visit the Postpartum Health Alliance, Postpartum Support International or the Seleni Institute.

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