The film “Tully” has sparked considerable discussion regarding its depiction of a mother’s emotional struggles following the birth of her third child. Reactions to the movie are varied, but one consensus is clear: postpartum mental health concerns often lack the attention they deserve. “Tully” sheds light on these serious issues with a level of honesty that is both raw and unsettling.
While the film does not explicitly label the main character, Anna’s, mental health challenges, many experts believe she displays several symptoms indicative of postpartum psychosis—a rare yet highly severe postpartum mood disorder. Without revealing too much of the plot, it’s evident that Anna is grappling with mania, hallucinations, suicidal thoughts, and impulsive behaviors that are symptomatic of this condition.
In my research on postpartum psychosis, I found it surprising that there is significantly less information available about it compared to other postpartum mood disorders, such as postpartum depression, anxiety, and OCD. This discrepancy is partly due to the rarity of postpartum psychosis, which affects about 1-2 out of every 1,000 women after giving birth, while postpartum depression is more prevalent, impacting 10-13% of new mothers.
Despite its rarity, the numbers translate to thousands of affected women each year. The seriousness of postpartum psychosis cannot be overstated; when symptoms arise, it is classified as a “psychiatric emergency” by the American Family Physician. Women experiencing this disorder pose risks not only to themselves but also to their infants, necessitating immediate treatment. As highlighted in the Journal of Women’s Health, the combination of acute psychosis and impaired insight can lead to dire consequences for both mother and child, making prompt identification and intervention crucial.
Another alarming aspect of postpartum psychosis is that mothers often lack the ability to self-diagnose due to their mental state and the stigma surrounding psychiatric conditions. Therefore, it is vital for friends and family to recognize the signs and symptoms of this disorder.
Postpartum psychosis typically manifests quite suddenly, often within 2-4 weeks after childbirth, although symptoms can emerge even sooner. The Journal of Women’s Health describes the onset as rapid, noting that mothers may develop paranoid or grandiose delusions, mood swings, confusion, and disorganized behavior within just a few days after delivery.
Understanding the specific symptoms of postpartum psychosis is essential for distinguishing it from other mood disorders. The Royal Colleges of Psychiatrists in the U.K. asserts that postpartum psychosis is a more severe condition, characterized by rapid mood changes and symptoms of both mania and depression. Common indicators include heightened mood, extreme fatigue, agitation, confusion, uncontrolled thoughts, paranoia, hallucinations, and delusions—such as believing that one’s baby is possessed or that they have won the lottery.
These symptoms complicate a mother’s ability to care for her infant, which is why this disorder is considered a medical emergency. Untreated postpartum psychosis carries a 4% risk of infanticide and a 5% risk of maternal suicide, making awareness and swift action imperative.
Fortunately, effective treatment options are available, typically involving hospitalization, psychiatric medications, and ongoing follow-up care. With appropriate treatment, most mothers can expect to make a full recovery, although the process can take 6 to 12 months or longer. The most severe symptoms usually last between 2 to 12 weeks.
Support from medical professionals, as well as family and friends, is crucial for mothers who have experienced postpartum psychosis. The stigma surrounding mental health issues can lead to feelings of shame, making it essential for these mothers to understand that their condition does not reflect their worth as a parent and that recovery is possible.
It is our collective responsibility to support mothers facing postpartum mood disorders by listening, learning, and acting with compassion. Knowledge of the signs and symptoms is vital, enabling loved ones to help those in need find the necessary support and treatment.
One notable aspect missing from “Tully” was the provision of resources for mothers dealing with postpartum mental health crises. If you or someone you know is facing a mental health emergency, seek immediate assistance. For those struggling with suicidal thoughts, there are numerous support resources available online. Additionally, if you suspect you or a loved one may be experiencing postpartum psychosis, you can find valuable resources at Postpartum Support International.
In summary, postpartum psychosis is a serious mental health condition that requires immediate attention and support. Awareness and education about this disorder are crucial for ensuring the safety and well-being of mothers and their children.