Perinatal mental health

Pregnancy and the postpartum period are times of intense biological, psychological and social change. Many women experience psychiatric symptoms — for the first time or as a worsening of a pre-existing condition. This does not mean you are a “bad mother”. It means there is a clinical need that can and should be addressed

How it presents

  • Persistent sadness or severe anxiety during pregnancy or after birth
  • Difficulty bonding with the baby
  • Intense, obsessive-type fears regarding the baby’s health or safety
  • Insomnia beyond what infant care explains
  • Guilt or feelings of worthlessness as a mother
  • Rare but serious: hallucinations or disorganisation (postpartum psychosis — medical emergency)

When to seek help

You do not need to reach the point of being unable to care for your baby or yourself. If symptoms last more than two weeks, or if you recognise that “this is not baby blues”, assessment is necessary. Important: your spouse / partner or a family member often recognises the symptoms before you do. Take seriously what they tell you.

How we approach it at Mindbeing

Perinatal psychiatry requires specialised knowledge: medication choice is shaped by pregnancy and breastfeeding. At Mindbeing, the assessment weighs the benefits and risks of each option based on current evidence and in open discussion with you. Psychotherapy (CBT) is often first-line treatment in mild to moderate presentations. In more severe cases, properly chosen medication is safe and can be life-saving — both for you and for your child.

Postpartum psychosis is rare but is a psychiatric emergency. If hallucinations, delusions or severe disorganisation appear, call 166 immediately or go to a hospital.

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If you recognise yourself or someone close to you in the above, a first session is the most practical next step.

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