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[quote=Anonymous]I had postpartum psychosis, which didn’t start until 8 months or so after childbirth. In my case, I think it was a reaction to a new medication (on top of existing postpartum depression that I didn’t realize I had because I thought everyone was miserable with a young baby). I didn’t hear voices but I did start getting urges to hurt myself that I’d never felt before or since.

Based on my experience, just want to encourage you to trust your own instincts on what you might need and on whether or not this become an emergency. Unfortunately anything more than a prescription but short of hospitalization may require proactive effort on your part to find the thing that fits. Even though as many as 15% of new mothers develop PPD, there’s no smooth system to get people evaluated or treated. Hopefully your doctor will do it for you after today’s appointment. If not, do you have a loved one or close friend who might take on the calling-around if it’s one task too many for you right now?

I don’t recommend the ER unless it’s a true emergency or you really don’t know how else to get care. That system is set up to avoid potential harms at all cost, so once you’re in it, you’re no longer considered the expert on whether you’re safe. It’s a godsend for someone who needs inpatient treatment and needs it now, but it turned into a source of unnecessary trauma for me.

The good news is, if this IS postpartum psychosis, finding that out means you can make changes to your mental health care that hopefully will bring you back to more happiness and better functioning in the months going forward. Good luck!

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