Pregnancy & Postpartum Psychosis

With a family history of postpartum depression, Chloe thought she knew what signs and symptoms to look out for when it came to perinatal mental illness. But, as she says, she didn’t know about the ‘opposite side’.

Immediately after birth, Chloe couldn’t sleep, and within five days, she was experiencing a psychotic episode - or what she calls, ‘the crash’. Like clockwork, the same thing happened within five days of her second birth.

In this episode, Tassie mum of two, Chloe, vividly recounts the insomnia, euphoria, mania, hallucinations, and delusions that consumed her early postpartum days, as well as the crippling and juxtaposing depression that unfortunately followed her second episode.

Above all, Chloe takes me on a journey through the aftermath of her experiences: the loneliness she felt, the need to make sense of what happened, discovering her new ‘normal’, fostering support and connections, the trial-and-error that comes with recovery, and all the ways she is determinedly trying to make peace with it all.

This is Chloe’s not-to-be-missed story about the highs and lows (and everything in between) of parenting and surviving postpartum psychosis.

There are SO many parts of Sophie’s story that I want to emphasise. Like how depression made Sophie feel so numb that she didn’t know what to say when a nurse asked her if she loved her daughter. Or like how intrusive thoughts made her feel so scared that she didn’t want to go near her baby. Or like how the symptoms of psychosis made her feel so confused that her husband had to write her detailed instructions to be able to shower. Or like how she panicked, instead of celebrated, when her ‘involuntary’ label was lifted in the MBU. Or, or, or… you see what I mean?!

Among the MANY topics we cover in this heartfelt episode, Sophie and I discuss:

• how sleep and feeding challenges become a fixation

• the ‘stickiness’ of intrusive thoughts

• how self-doubt affects our mental health and parenting

• small acts of kindness that aren’t small at all

• how the difficult decision to undertake TMS was Sophie’s turning point

• …and so much more!

With some tears and laughs along the way, Sophie shares with me the long road to get to where she is now: a PANDA Community Champion, a facilitator of the Circle of Security program, the heart and soul behind AttachED, and most of all, pregnant and ready to welcome baby number two.

I could say so much more, but just listen to this episode - trust me, you won’t regret it.

For over a year, Ariane hid the true severity of her symptoms and tried so hard to portray a choreographed image of the good, responsive mother who kept it all together. Motherhood was the performance of her life… until it wasn't.

The stage makeup and sparkles fell away when her symptoms escalated and she had to be admitted to a general psychiatric hospital. Ariane had to finally step out of the spotlight and allow her psychiatrist to take the lead, but this is when she was able to recover.

In this episode we discuss all the facets of Ariane’s recovery: medication, diagnosis, psychodynamic therapy with her psychiatrist, a hospital admission, art therapy, dancing, embracing the mundanity of recovery, and finding purpose through writing, advocating via the Centre of Perinatal Excellence (COPE), teaching ballet, and publishing her new novel, Because I’m Not Myself, You See.

Part story, part book review, part in-depth discussion about the current state of perinatal mental health and advocacy, and part amused ramblings from two MBU graduates, this is part two of Ariane’s story. Buckle up, it’s going to be quite the ride.

When Ariane became a mother, it wasn’t just the sudden onset of delusions, hallucinations, and severe depression that haunted her early days of parenting. From body image triggers, the pervasive grip of perfectionism, the reluctance to seek help, and the fear of her son being forcibly removed, it was also Ariane’s complex history as a ballet dancer, case worker and registered psychologist that cast a long, dark shadow over her mental health in pregnancy and postpartum.

In this episode, I am joined by none other than Ariane Beeston, author of the newly released memoir Because I’m not Myself, You See, who so vulnerably revisits the ghosts of her past with me and who shares, with incredible insight, the realities of mental ill health as both a patient, former practitioner, and advocate.

This is part one of Ariane’s harrowing, albeit profound, story, that explores her formative years and early motherhood, up until the moment she realised she had to release the control she sought over her past and present in order to welcome recovery in the future.

Please note, this episode discusses suicidal ideation, and briefly mentions suicide and infanticide. Go gently.

After a blissful experience with her first son, it never occurred to Jess that a subsequent pregnancy and postpartum could be any different - until she found out she was pregnant with twins.

From real and perceived health complications, Jess’s mental health rapidly declined with every intrusive thought and compulsion that took over her life. The increased caretaking demands of parenting multiples and a toddler only compounded the feeling that she wasn’t enough for her children. Despite being cared for by the local acute mental health team, Jess started to experience hallucinations and psychosis.

This is one mother’s heart-wrenching story that epitomises the painful realities of experiencing a perinatal mental illness: of your children being both your motivation to get better and your trigger; of wanting to keep your children safe but feeling unsafe in your own body and mind; and of wanting the best for your children but feeling like they’re better off without you.

This is Jess’s story. And it isn’t a story to miss.

After her dream physiological labour and birth, Amelia’s world was turned upside by a sudden postpartum haemorrhage that whisked her away from her husband and daughter.

From the moment she awoke from the surgery, Amelia was consumed by mania and insomnia. Over the next eight weeks, her postpartum psychosis escalated but Amelia was able to hide most of her delusions and hallucinations from her care providers. That is until finally she made the brave call to ask for help and present to her local hospital.

Three years on, Amelia is expecting baby number two and shares openly about all the supports that are in place to protect her mental health this time around - given the 50% chance of recurrence.

Join me as Amelia discusses the overall lack of awareness around postpartum psychosis, her initial misdiagnosis of PTSD, what worked for her and what didn’t, and the incredible support she did eventually receive.

Please note, this episode mentions suicidal ideation. Go gently.

With a background in child development psychology and extensive experience working with thousands of babies, Siobhan was, what she thought, going to be off to a running start in motherhood.

That was until she was confronted by a traumatic birth and intense sleep deprivation at the height of the pandemic lockdowns.

Siobhan’s sense of self was challenged and her first postpartum experience was overshadowed by chronic anxiety and depression. With the development of hallucinations and suicidal ideation, Siobhan’s mental health deteriorated until she became unrecognisable to those who knew and loved her.

In this poignant and relatable episode, Siobhan talks about everything that helped her see the light and gave her confidence to expand her family: from occupational therapy, medication, a social worker, a birth debrief, and formal postpartum planning, to her ultimate outlet, running.

I thank Siobhan from the bottom of my heart for sharing her experience so openly, and I welcome everyone to listen to the incredible insights that this inspirational woman has learnt along the way.

This isn’t an episode to miss. Run, don’t walk!

Please note, this episode discusses suicidal ideation. Go gently.

As a psychologist, Gen was familiar with psychiatric wards, but with no history of mental ill health or any risk factors she certainly never expected to be on the ‘other side’ - admitted as a patient to an acute ward shortly after the birth of her son, Arlo.

Following a relatively smooth pregnancy and delivery, Gen’s early postpartum was fraught with mastitis and the eventual development of sepsis. However, the life-threatening infection was surpassed by the rapid decline in Gen’s mental health, with warping clocks and the belief that she was famous, among many other delusions and hallucinations that unexpectedly took hold.

From pacing the halls of a public psych ward for hours to contributing to the design of one of the new public MBUs in Sydney, this is Gen’s story of overcoming her own internal stigma, advocating for better models of care in mental health wards, and the love of her partner, Lizz, who picked up on the red flags when no one else could.