On the latest episode of The Expressive Mom Show, I had the pleasure of interviewing Dr. Rowena Winkler. Dr. Rowena Winkler is a Maryland-based Filipino American community theater performer, content creator, and career coach. With a rich astrology, healing, and motherhood background, she has shared her insights on various podcasts and delivered a TEDx talk in April 2022.
In August 2023, Rowena experienced postpartum psychosis following the birth of her son, Robbie. Since then, she has dedicated herself to raising awareness about postpartum mental health, openly discussing her journey to support survivors and help others feel less isolated. Now, let’s discuss postpartum psychosis.
Postpartum Psychosis Is a Rare but Serious Mental Health Condition
According to the Cleveland Clinic, Postpartum psychosis is a rare and severe mental health condition that occurs in about 1 to 2 out of every 1,000 births. Unlike the more common “baby blues” or postpartum depression, postpartum psychosis is a medical emergency requiring immediate attention.
This condition typically develops suddenly within the first few days or weeks after childbirth, and it can have profound effects on both the individual experiencing it and their loved ones. Understanding its symptoms, causes, and treatment options is crucial in supporting those affected.
Symptoms of Postpartum Psychosis
The onset of postpartum psychosis is often abrupt, and the symptoms can be extreme. Key symptoms include:
1. Delusions: False beliefs that are not based on reality, such as believing the baby is possessed or that they have special powers.
2. Hallucinations: Hearing, seeing, or feeling things that are not there. These are often distressing and linked to delusions.
3. Severe mood swings: Extreme highs (mania) and lows (depression), often much more intense than typical postpartum mood changes.
4. Confusion and disorientation: Difficulty thinking, concentrating, or remembering.
5. Paranoia: Unreasonable fear that others are plotting against them.
6. Sleep disturbances: Insomnia or erratic sleep patterns that worsen the symptoms.
7. Impulsive behavior: Acting on sudden urges without considering the consequences, which can include self-harm or harm to the baby.
These symptoms can fluctuate rapidly, and the individual may experience periods of lucidity. However, the potential for danger remains high, and immediate medical intervention is necessary.
Causes and Risk Factors
The exact cause of postpartum psychosis is not fully understood, but it is believed to be triggered by a combination of hormonal changes, genetic predisposition, and environmental stressors.
Women with a personal or family history of bipolar disorder or psychotic episodes are at significantly higher risk. Other factors include a history of postpartum psychosis, sleep deprivation, severe stress, and a complicated or traumatic childbirth.
Hormonal changes after delivery, particularly the dramatic drop in estrogen and progesterone levels, may play a role in triggering the condition. Additionally, the emotional and physical demands of new motherhood, coupled with the pressures of caring for a newborn, can contribute to the onset of psychosis.
Treatment and Support
Postpartum psychosis is a medical emergency, and prompt treatment is critical to ensure the safety of the mother and baby. Treatment often involves a combination of antipsychotic medications, mood stabilizers, and sometimes antidepressants. In severe cases, hospitalization may be required to provide a safe environment and intensive care.
Supportive therapies, such as counseling or psychotherapy, can also help the mother process her experience and develop coping strategies. Family support is crucial; educating loved ones about the condition can foster understanding and provide emotional and practical assistance.
Raising Awareness and Reducing Stigma
Despite its rarity, postpartum psychosis is a condition that demands greater awareness. Healthcare providers, families, and communities must recognize the signs early and respond with empathy and urgency. Reducing the stigma surrounding postpartum mental health can encourage more individuals to seek help without shame or fear.
Sharing stories like Rowena’s, who courageously speaks about her experience, is vital in raising awareness and offering hope to those going through similar struggles. By talking openly about postpartum psychosis, we can create a more supportive environment for mothers, ensuring they do not face this challenging condition alone. Don’t forget to check Rowena’s site at https://www.rowenawinkler.com/.
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