04/09/2026
"Six things partners, loved ones, friends, & providers should PAY ATTENTION to when worried about a loved one in postpartum distress:
🩵Don't rely solely on her answer to "How are you?"
Many mothers say "I'm fine" even when struggling. Watch her behavior, not just her words. Have you looked into her eyes when you ask?
🩵Notice what has changed.
Is she withdrawing? Less like herself? More irritable? Overwhelmed? Less interested in things she used to enjoy?
🩵Listen for guilt, shame, or hopelessness.
"I'm a terrible mother," "My baby deserves someone better," "Everyone else is handling this better than I am." Don't dismiss these as normal self-doubt.
🩵Know the difference between intrusive thoughts and psychosis.
Scary, unwanted thoughts about the baby are common in postpartum anxiety and OCD and a mom having them is usually terrified by them, which is why they are treatable and not dangerous. Psychosis is different: it can involve losing touch with reality, and she may or may not recognize the thoughts as wrong. That loss of insight makes it a medical emergency. If she discloses a scary thought, stay calm and help her get support. If you see confusion, delusions, or disconnection from reality, seek immediate medical attention.
🩵Do not confuse functioning with coping.
She may be feeding the baby, working, or taking care of things at home, while privately battling severe anxiety, depression, or OCD, or postpartum psychosis, which is always a medical emergency.
🩵Trust your instincts.
If something feels off, don't ignore it just because she says she's okay. Stay connected, ask again, and help her find professional support."
reposted from