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Immediate danger or signs of postpartum psychosis
Hallucinations, delusions, severe confusion, mania or immediate safety concerns after birth need emergency assessment. Arrange for a trusted adult to remain with and care for mother and baby.
Call 911Or go to an emergency department. Do not wait for an app, an email reply or a two-week symptom threshold.
A suicide or mental-health crisis
Call or text 988US crisis support. For immediate danger, use 911.
Talk to someone who understands postpartum
1-833-852-6262The National Maternal Mental Health Hotline is free and available 24/7 by call or text. Families can call, too.
Ongoing symptoms or trouble coping
Contact your obstetric, primary-care or mental-health team. Persistent or worsening symptoms and inability to sleep despite opportunity deserve attention. You do not need to manage this alone.
Find established support through Postpartum Support International ↗Unwanted thoughts are not the same as intent
Frightening intrusive thoughts with preserved insight are different from an intention to act or loss of touch with reality. A qualified clinician should help assess the distinction. Seek urgent help when safety is uncertain.
Outside the US, use local emergency and crisis services. NHS information about postpartum psychosis explains the emergency distinction. These organizations do not endorse Brighter Postpartum.