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Postpartum Psychosis: experience & recovery

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by

Naomi Gilbert

on 28 April 2013

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Transcript of Postpartum Psychosis: experience & recovery

Stories provide roots 'Watering' our knowledge Phase 1 Phase 2 Phase 3 Core facts 50% of women experience PP out of the blue - no prior history of mental health problems
Women with bipolar disorder have a 1 in 4 risk of PP
Affects around 1400 women in the UK each year

Hospital treatment is almost always necessary
Mother & Baby Unit is best practice (NICE, 2007) but general psychiatric ward admission is common
Separation from baby can affect recovery outcomes
Most women report taking 1-2 years to feel 'fully recovered'


Further reading http://www.app-network.org/what-is-pp/faq/ Introductions 1) Individually draw a picture of what you know about postpartum psychosis. Discuss in pairs.

2) We'll regroup and feedback

3) An exercise to help us explore key symptoms of PP & differences from PND Postpartum Psychosis Making sense of what has happened Re-connecting with motherhood
Groups with structured activity often preferred (singing, baby massage, swimming etc)
Can be hard work with side-effects of medication
Depression in first year post PP is common

Finding others to identify with
Online PPTalk forum, Twitter @ActionOnPP
APP can offer 1:1 email support
Reflect - is support inclusive? How to find common ground in different stories... Many issues may face women
Going back to work
Considering more children
Dealing with a longer term diagnosis e.g. bipolar
Dealing with relationship breakdown
Ongoing support with attachment/parenting
Wanting to make a difference to services for other families Experience & recovery Aspirations for today
Mum of two girls
Patient-led education
Trustee, Action on Postpartum Psychosis

http://www.app-network.org/ What it might feel like to experience PP

How PP differs from PND, and how it overlaps Session 1 Session 2 Supporting women & families in recovery Naomi Gilbert Supporting the whole family Partners
Information needs in the acute stage - work in progress at APP
Carer's survival guide (Australia) http://bit.ly/127yjTI
Practical support with babycare, bonding
Support with finances - parental leave, sick leave, benefits? (Citizens Advice Bureau)
The Family Action model http://www.family-action.org.uk/

Siblings
The role of a CAF (Common Assessment Framework)
Support could include Children's Centre parenting workers, school nurse, health visitor, class teacher, school counsellor
Young Carers organisations
Using the creative brain - picture books, 'worry squishers', artwork, play
Giving time & space for questions
Older children - RCPsych young carers http://bit.ly/Ye9Xw3


Links & Resources Heron J, Gilbert N et al (2012) Information and support needs during recovery from postpartum psychosis. Archives of Women's Mental Health 15: 155-165

PPTalk forum http://app-network.healthunlocked.com/

Support for dads http://www.fathersreachingout.com/

Royal College of Psychiatrists http://www.rcpsych.ac.uk/expertadvice/problems/postnatalmentalhealth.aspx

Planning during pregnancy for women at higher risk of PP (bipolar diagnosis, previous PP or family history) http://bit.ly/ZOEleM

Understanding psychosis for patients and families http://www.rethink.org/diagnosis-treatment/conditions/psychosis Recovery
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