259. Understanding Postpartum Psychosis with Laudy Burgos

Postpartum psychosis is a serious psychiatric emergency, but it's a topic that is often misunderstood, especially when news coverage focuses on the most tragic cases. In this episode, Allison Egidi talks with Laudy Burgos, a clinical social worker who specializes in perinatal mood disorders and serves in leadership roles with Postpartum Support International. Together, they take a closer look at what postpartum psychosis actually is, how it differs from postpartum depression and anxiety, and what families need to know about recognizing the signs. Laudy explains that postpartum psychosis involves a loss of connection with reality and can include hallucinations, delusions, paranoia, severe confusion, dramatic changes in behavior, agitation, rapid speech, and unusual or impulsive behavior. Symptoms can wax and wane, which can sometimes make the condition difficult for loved ones to recognize. The conversation also covers: How postpartum psychosis differs from postpartum depression and anxiety The signs and symptoms family members and partners should watch for Why a significant change from someone's usual behavior can be an important warning sign How sleep and insomnia can factor into postpartum psychosis The difference between being sleep-deprived because you're caring for a newborn and being unable to sleep even when you have the opportunity Risk factors, including bipolar disorder, a previous experience with postpartum psychosis, and a family history of bipolar disorder or psychosis When postpartum psychosis typically begins after childbirth Why someone experiencing psychosis may not recognize that anything is wrong What partners and loved ones should do if they are concerned Why postpartum psychosis should be treated as a psychiatric emergency What hospitalization and treatment can look like The importance of ongoing support, sleep, therapy, medication management, and family support during recovery Why the tragic cases that make the news do not represent the majority of people who experience postpartum psychosis The importance of talking about postpartum psychosis with both urgency and compassion Resources available through Postpartum Support International and the National Maternal Mental Health Hotline Most importantly, Laudy emphasizes that postpartum psychosis is an illness, not a choice or a reflection of someone's ability to be a good mother. With early detection and appropriate treatment, recovery is possible. Important: Postpartum psychosis is a medical and psychiatric emergency. If you believe someone may be experiencing postpartum psychosis, seek immediate professional help. In the episode, Laudy recommends contacting a psychiatrist who understands this emergency when possible, or going to the nearest emergency room/calling 911 if necessary to get someone to care safely. Resources mentioned in this episode: Postpartum Support International National Maternal Mental Health Hotline: 1-833-TLC-MAMA (1-833-852-6262) Postpartum Support International Helpline: 1-800-944-4773 Connect with Laudy at her website or on LinkedIn Chapter Markers: 00:00 Introduction: Why We're Talking About Postpartum Psychosis 01:47 Meet Laudy Burgos, LCSW 02:55 What Is Postpartum Psychosis? 05:09 Signs and Symptoms to Watch For 08:26 Can Postpartum Psychosis Come and Go? 09:32 When Does Postpartum Psychosis Begin? 11:17 Who Is at Risk for Postpartum Psychosis? 13:04 How Common Is Postpartum Psychosis? 14:56 The Connection Between Sleep and Postpartum Psychosis 16:16 Does Someone Know They're Experiencing Psychosis? 17:38 What Should Loved Ones Do? 19:41 Postpartum Psychosis, News Coverage and Tragedy 22:18 What Does Treatment and Recovery Look Like? 23:46 What Expecting Parents Should Know 24:36 Postpartum Mental Health Resources Click here to listen to the episode on YouTube Wondering if your child is getting enough sleep? 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