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With the Lindsay Clancy trial dominating headlines right now, the media is full of sensationalized coverage that instills fear and demonizes birthing individuals in crisis. But sensationalism doesn't save lives; truth, proper medical training, and early intervention do.

In this episode of Quiet Confessions, I'm stepping away from our scheduled series to address the reality of postpartum psychosis (PPP).

I share the crucial differences between intrusive thoughts and psychotic delusions, break down the staggering lack of PMHD training in maternal healthcare, and unpack why criminalizing medical emergencies fails everyone.

If the current news cycle has felt heavy or triggering, this conversation is here to give you facts, validate your feelings, and remind you that you are never alone.

• Resource Links Mentioned in Episode:
  • Postpartum Support International (PSI): postpartum.net
  • National Maternal Mental Health Hotline: Call or text 1-833-TLC-MAMA (1-833-852-6262)
  • Suicide & Crisis Lifeline: Call or text 988
  • Emergency Support: Call 911 or visit your nearest emergency room.

Key Takeaways

• The Reality Behind the Numbers: Postpartum psychosis occurs in 1 to 2 out of every 1,000 births. Extreme tragic outcomes occur in only 2% to 4% of cases, primarily when individuals are undiagnosed, misdiagnosed, or improperly treated.
• Delusions vs. Intrusive Thoughts: Intrusive thoughts are unwanted and jarring, but you recognize them as separate from yourself. Delusions in postpartum psychosis represent a complete break from reality where the belief feels entirely real.
• Systemic Healthcare Failures: OBGYNs, midwives, and PCPs receive almost no required training on PMHDs. A single six-week postpartum checkup is nowhere near enough to monitor birthing individuals.
• Prescription Risks & Rapid Changes: Bouncing between complex psychiatric medications without proper oversight can escalate a crisis rather than resolve it.
• Why Silence is Dangerous: Staying silent out of fear perpetuates shame and keeps parents from seeking help. Open conversations and systemic healthcare reform are what truly save lives.

*Correction: There is excellent PMHD training available through Postpartum Support International, but it is not required when obtaining initial licensure for mental health professionals or medical professionals.

This episode discusses topics that may be triggering for some individuals. Please check the show notes for more information and be mindful of your own mental health and comfort levels.

Visit our Patreon to help support our mission to normalize the conversation and end the stigma surrounding PMADs!

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Special Thanks to Steve Audy for the use of our theme song: Quiet Connection

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