Third instalment of Women’s Winter Webinars series focuses on maternal mental health with Action on Postpartum Psychosis

This month, the National Centre for Mental Health hosted the third installment of our Women’s Winter Webinars series, focused on understanding postpartum psychosis.

Leading this session was Professor Arianna Di Florio, joined by Cardiff University researcher Jessica Yang and NCMH Director Professor Ian Jones, as well as Dr Sally Wilson from Action on Postpartum Psychosis (APP).

Over fifty attendees joined the webinar to hear from panellists on the latest in postpartum psychosis, including an interesting question and answer session.

Defining postpartum psychosis

Professor Di Florio began by providing some brief context as to how postpartum psychosis is understood in clinical terms, which at present has not been defined in diagnostic manuals used by psychiatrists.

“This [lack of clarity] hinders research as well as clinical treatment as we don’t know what exactly what we’re dealing with.”

What has been identified in postpartum psychosis research so far is a specific relationship between bipolar disorder and childbirth.

However, Professor Di Florio continued that the boundaries between diagnoses in psychiatry are often blurred and that psychosis is a symptom of many different psychiatric disorders, not just postpartum psychosis.

“If postpartum psychosis is to be included as a separate classification, we need to establish some biology to ground them as such.”

To try to disentangle the relationship between bipolar disorder and postpartum psychosis, Professor Di Florio and her team of researchers at Cardiff University used an existing data set from the Bipolar Disorder Research Network (BDRN) to run a genetic study comparing postpartum psychosis in women with bipolar versus. women who have no previous history of mental illness.

Whilst postpartum psychosis is still a rare occurrence in the general population, affecting less than 1% of women, women who already have a diagnosis of bipolar disorder are more at risk of experiencing postpartum psychosis, equating to around 20%.

Professor Di Florio shared more results of this study using the largest data set of postpartum psychosis from the BDRN.

Watch the webinar

Addressing the gaps in postpartum psychosis knowledge and support

Dr Sally Wilson, the National Training Coordinator for APP, shared findings from the various research studies undertaken by the charity in recent years which has identified a need for more evidence-based information about postpartum psychosis and more recovery support.

Dr Wilson said: “Our work has focused on understanding the experiences of postpartum psychosis and what the information and support needs are for people and families going through this.”

Through this research, APP has written several information guides developed with clinicians and has developed support guides for partners and grandparents who have also been affected by postpartum psychosis.

“One third of women said that they might not be here today without APP’s support.”

Postpartum psychosis in diverse communities

APP have also identified barriers in accessible care for postpartum psychosis in women from Black and Asian communities, where stigma and cultural pressures were cited as barriers to sufficient care.

These findings have led to the establishment of the APP Diverse Communities Outreach project which includes peer support groups for Muslim women and further training for health professionals.

Dr Wilson continued to share more results from APP’s research which also highlighted further insight into recovery and the improvement of care provided.

Postpartum psychosis across the cultures around the world

Jessica Yang, a Researcher at the Centre for Neuropsychiatric Genetics and Genomics at Cardiff University presented the findings from a public involvement consortium looking into postpartum psychosis in the UK, Malawi, and India.

“Most of what we do know about postpartum psychosis is from evidence gathered in Western societies, despite postpartum psychosis impacting women all over the world,” she said.

Working with the International Postpartum Psychosis Consortium, Cardiff University researchers have worked with colleagues in Malawi and India to run discussion groups which include people with lived experience, family and friends, and healthcare professionals.

These discussions have allowed researchers to explore how postpartum psychosis is viewed and approached across cultures by identifying how different presentations and labels are used to describe an episode.

In the UK public involvement group, researchers have noticed a confusion between postpartum psychosis and postpartum depression, as well as anxiety and postpartum obsessive-compulsive disorder (OCD), which can be associated with the heightened* stigma surrounding the disorder.

“One of the main barriers we also discovered was the fear of social services taking away children.”

Jessica shared further findings from this UK group, which included an acknowledgment that medication is a process of trial and error and that the research being conducted into postpartum psychosis needs to translated into clinical terms for healthcare professionals through training.

Cross-cultural aspects of postpartum psychosis

When comparing these discussions from groups in Malawi and India, Jessica explained some similarities, such as common symptoms of postpartum psychosis and the severe impact of an episode.

However, differences also included non-medical approaches to treatment such as the use of traditional and spiritual healers as well as labels used which related more to symptoms rather than the whole diagnosis.

Jessica concluded: “The take home message of this is that although postpartum psychosis does seem to present similarly across cultures […] there are important cultural factors that need to be considered for future research.”

Getting involved in mental health research

NCMH Director Professor Ian Jones highlighted the vital role the public play in mental health research by discussing the Mums and Mental Health study at the NCMH.

“There’s a lot we’ve learnt about postpartum psychosis already through research, but there’s so much more we still need to find out.”

Professor Jones highlighted further questions surrounding postpartum psychosis such what causes postpartum psychosis, as well as the best therapies which help women to get better.

“Most importantly, we wouldn’t be able to continue our research without the invaluable help of women with lived experience of postpartum psychosis.”

Help us make a difference by taking part in our research today

Read more

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  66. softly stepping delight in thecamp fire which escapes analysis.Enumerate all its charms and stillthere is something missing in your catalogu”Anyone who has witnessed a real camp fire and participated in its funas well as seriousness will never forget it.cosplay lingerie

  67. ランジェリー エロHindi po ba ang lalong magaling ay bigyang calacasanang bahagui ng catawang may sakit at bawasan ng caunti ang cabangisanng gamot?Cung pahinain ang capangyarihan ng Guardia Civil ay ilalagay namannapanganib ang capanatagan ng mga bayan.?Ang capanatagan ng mga bayan!ang biglang sinabi ni Elias ngboong capaitan.

  68. …..?Manggagaya!ang putol ni ang talumpatìng iyan ay saPang?ulo ng? ating Liceo!“Sa tawag ng? inyóng paghahalal”ang patuloy ni Tadeo na walangkatigatigatig“na pagpunan ang kakulang?ang iniwan sa aking….pagiisip (at itinuro ang kaniyang tiyan) ng? isang dakilang lalakidahil sa kaniyang banal na aral at kaniyang mg?a kagagawan at mg?apanukala na karapatdapat na magkaroon ng? kauntì pang alaala,anóang masasabì sa inyó ng? isang gaya ko na may malaking gutom sadahilang hindi nananghalì?”?Narito ang isang liig,エッチ コスプレ

  69. エッチ コスプレj’entrais l’embrasser; Fran?oise faisait infuserson thé; si ma tante se sentait agitée,elle demandait a la placesa tisane et c’était moi qui étais chargé de faire tomber du sac depharmacie dans une assiette la quantité de tilleul qu’il fallaitmettre ensuite dans l’eau bouillante.

  70. aboutgiving the last blow to the Christian superstition–He intends to takeshipping here for Holland or Hamburgh,エロ 人形for it is a matter of greatindifference to him at what part of the continent he first lands.

  71. there can be a certain measure of control embedded in the subordinate rol The fact that sexual submission sites for straight males are even more popular than domination sites indicates that flipping to the other side may offer its own satisfaction precisely because it’s such a stark variant.For instance,ラブドール エロ

  72. ラブドールespecially for sexual minority couples. One study examined same-sex couples and compared them to mixed-sex couples; they found that the duration of each sexual event was far longer for same-sex female couples than for any other group and that may play a role in higher sexual satisfaction.

  73. The link between alcohol and drug dependence and frequent sex with multiple partners is stronger for women than men.エロ ラブドールThe mental health consequences of having multiple sex partners were long thought to include greater rates of anxiety and depression.

  74. ,Tis split, toothat I feel, the jagged edge galls me my brain seems to beat against the solid metal, steel skull,mine, the sort that needs no helmet in the most brain-battering fight!Dry heat upon my brow? Oh! time wa when as the sunrise nobly spurredme, so the sunset soothed.No mor This lovely light,オナホ フィギュア

  75. 人形 エロtiger-yellow complexionpeculiar to some of the aboriginal natives of the Manillaa racenotorious for a certain diabolism of subtilty,and by some honest whitemariners supposed to be the paid spies and secret confidential agentson the water of the devil,

  76. not by forming long-term pair-bonded relationships (“marriages”) in which to raise and invest in children,ラブドールbut by having a large number of extrapair copulations with otherwise mated women and cuckolding their mates.

  77. Teachingthen ceases to be an educative process for the teacher.women’s lingerie​At most helearns simply to improve his existing technique; he does not get newpoints of view; he fails to experience any intellectual companionshiHence both teaching and learning tend to become conventional andmechanical with all the nervous strain on both sides therein implied.

  78. y de tenerla y estimar a las mugeres más que todos le vino la cauallerosa opinion en que se auentaja a las demas naciones: porque el ingenioso Italiano disimula el alaba su dama con versos; si la alcan?a,ラブドール 通販luego la incierra (_sic_) y la tiene como cautiua; si desespera de alcan?arla,

  79. whle Cssy lay nthe hammock swung between the verandah posts and Valancy sat dly onthe step her hands clasped over her knee and wondered dreamly fshe were really Valancy Strlng and f t were only three weeks snceshe had left the ugly old house on Elm StreeThe barrens lay before her n a whte moon splendour,ラブドール 高級where dozens oflttle rabbts frsked.

  80. オナホ フィギュアThis incident threw the whole family intoconfusion.My sister scolded the constable for presuming to enter thelodgings of a gentleman on such an err without having first askeand obtained permissio her maid was frightened into fit and Liddyshed tears of compassion for the unfortunate Clinker,

  81. セックス ドールThe poor old lady was doubtless indignant at the thought thather noble-born mistress should have to perform even so slight a task asthe arranging of her own desk unaided.[*182]In the daimiōs’ houses there was little of the culture or wit thatgraced the more aristocratic seclusion of Kyōto,

  82. ラブドールla plupart des sens de la nature: elle transforme tellement touteschoses qu’à peine les anciens sens peuvent-ils servir à l’ame qui neper?oit par eux que de trompeuses apparences; la foi lui montre lesréalités.L’?il lui montre un pauvre,

  83. ラブドール エロ?Qué triste lenguaje en quienacaba de salir de los brazos de su amada!: ??O mezquino yo! quánto mees agradable de mi natural la solitud e silencio e escuridad.No sé silo causa que me vino a la memoria la traycion que fize en me despartirde aquella se?ora que tanto amo,

  84. 大型 オナホcommonplace men and who amidst frequent failures andin the midst of many temptations are making the name of Christian standfor a certain kind of life and a certain standard of virtue quite aboveand beyond the lives and standards of their countrymen.It is largelybecause of them that a Christian public opinion is growing up amongnon-Christian Japanese.

  85. just aschance directed.What sort of a monster Bath will become in a few yearwith those growing excrescence may be easily conceived: but the wantof beauty and proportion is not the worst effect of these new mansionthey are built so slight,えろ 人形

  86. pero por mucho tiempo _no pudoverificarse ninguna representación en público_ No dice claro si de la_Celestina_ ó de cualquier otra pieza (Tomo 195 y 201De este modo se escribía en Francia sobre nuestras cosas hace mediosiglo.ラブドール エロ?Cuánto camino se ha andado desde entonces y cuántos hispanistasde verdad han surgido![185] _Obras de Leandro Fernández de Moratín_,

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