Experts highlight early warning signs and treatment options for postpartum psychosis
Perinatal psychiatrist Dr. Uruj Kamal Haider and mother Kriti Lodha discussed the rarity, risks and early indicators of postpartum psychosis, emphasizing prompt medical care and broader screening.
A high-profile murder trial has brought renewed attention to postpartum psychosis, a rare but serious perinatal mood disorder. Perinatal psychiatrist Dr. Uruj Kamal Haider explained that the condition involves a break from reality, with delusions, hallucinations and confusion that can endanger both mother and infant. She described it as a psychiatric emergency requiring hospitalisation and safe placement for the baby, but noted that most women recover with timely treatment.
"With adequate and prompt treatment, most of these women go on to recover and have wonderful, beautiful lives with their family," Dr. Haider said.
Mother Kriti Lodha recounted her own experience of postpartum psychosis in 2020, triggered by severe sleep deprivation, a traumatic birth and infant feeding difficulties. She called 911 after believing she and her husband were unfit to care for their child, was assessed by an obstetrician and transferred to an inpatient psychiatric unit. Lodha now stresses that the condition is temporary and treatable.
"I think it's important to note that this is temporary. This is treatable. We know the pathways to care," she said.
Dr. Haider warned that the term "postpartum" can be misleading, as perinatal mood and anxiety disorders may begin before conception and last up to a year after birth. While perinatal depression affects about one in seven people, postpartum psychosis occurs in one to two per 1,000 births and carries a 4% risk of infanticide. She urged families to watch for early "pink flags" such as persistent insomnia, fear for the baby’s safety or unusually high energy, rather than waiting for more severe "red flags."
"My message is simple: look for the pink before we ever see the red," Dr. Haider said.
Both speakers highlighted gaps in patient education and healthcare delivery. Lodha noted she had never heard of postpartum psychosis before her episode, and Dr. Haider recommended longer psychiatric assessments and second opinions when care feels insufficient.
"The healthcare system is fractured, but we must acknowledge it and empower families to seek the best care," Dr. Haider said.