Abstract
BackgroundPostpartum psychosis is a rare, yet severe disorder, in which early identification and immediate intervention are crucial. Despite recommendations for psychological input, little is known about the types of psychological intervention reported to be helpful. The aim of this study was to explore the experiences, needs and preferences for psychological intervention from the perspective of women with postpartum psychosis and from the perspective of family members.MethodsThirteen women and eight family members, including partners were interviewed. The data from these semi-structured interviews were audio-recorded, transcribed and inductively analysed using thematic analysis.ResultsTwelve subthemes were identified and then organised around three main themes: 1) Seeking safety and containment, 2) Recognising and responding to the psychological impact and 3) Planning for the future. These themes highlight the temporal element of recovery from postpartum psychosis, because women’s psychological needs and preferences changed over time. Emphasis was initially placed on ensuring safety, followed by a need to connect, process and adjust to their experiences. Additional needs were reported by women and family when planning for the future, including managing the fear of relapse and help to reach a decision about future pregnancies.ConclusionThe results illustrate a range of areas in which psychological intervention could be delivered to facilitate and enhance recovery. Further research is needed to develop meaningful and effective psychological interventions and to investigate the most appropriate timing for this to be offered.
Highlights
Postpartum psychosis is a rare, yet severe disorder, in which early identification and immediate intervention are crucial
To date no study has investigated the range and type of psychological support that has been or could be beneficial for women experiencing postpartum psychosis. This contrasts with the significant evidence base for other perinatal mental health disorders and first episode psychosis in which Cognitive Behavioural Therapy (CBT) and family interventions are recommended to improve coping skills and reduce relapse rates [23,24,25]
Sample In total, twenty-one participants were recruited through Action on Postpartum Psychosis (APP) (n = 20) and an Mother and Baby Unit (MBU) (n = 1)
Summary
Postpartum psychosis is a rare, yet severe disorder, in which early identification and immediate intervention are crucial. The aim of this study was to explore the experiences, needs and preferences for psychological intervention from the perspective of women with postpartum psychosis and from the perspective of family members. Postpartum psychosis is a relatively rare, yet severe mental health disorder affecting between 0.89 and 2.6 in 1000 women following childbirth [1]. Delusions, mania and depression typically present with a sudden onset during the first postpartum week, but an increased risk remains during the first 90 days [2, 3]. As poorly managed episodes of postpartum psychosis can increase the risk of maternal and infant accidents and maternal and first-degree relative suicide [5], early identification and access to acute intervention is crucial [6].
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