Health

I had electroshock therapy to overcome postpartum psychosis – I thought I had died and gone to hell

A mother had electroshock therapy to overcome postpartum psychosis so severe she ‘thought she had died and gone to hell’.

Kayleigh Avery, 38, from Sunderland, Tyne and Wear, first experienced the condition – which affects a person’s sense of reality, causing hallucinations, delusions or paranoia – after the birth of her daughter, Daisy, now 10.

It left her unable to sleep and totally consumed by fear that she wouldn’t be able to look after her baby.

Her anxiety escalated to the point where she couldn’t feed the tot – panicking she would do something wrong.

She also grew suspicious of her midwife – thinking they would take her baby away for being a ‘bad mum’.

Kayleigh Avery, 38, from Sunderland, Tyne and Wear, had electroshock therapy to overcome postpartum psychosis so severe she 'thought she had died and gone to hell' (pictured with baby Daisy)

Kayleigh Avery, 38, from Sunderland, Tyne and Wear, had electroshock therapy to overcome postpartum psychosis so severe she ‘thought she had died and gone to hell’ (pictured with baby Daisy)

Kayleigh was assessed by a mental health team who decided to section her – admitting her to the specialist Beadnell Mother and Baby Unit at St George’s Park in Morpeth, Northumberland.

She was able to overcome the illness after taking medication but it struck again after the birth of her second child, Jasmine, now five.

This time she had to undergo electroshock therapy – which involves sending an electric current through the brain and is used to relieve severe symptoms of some mental health problems.

Kayleigh says she was ‘saved’ both times by her local mother and baby unit. She has now fully recovered from the ordeal but is so tormented by her ordeal she’s vowed not to have any more children.

Kayleigh, who works in customer service, said: ‘It all happened so suddenly both times. I started to distrust my family – like they weren’t my real family. It was horrible and made me not want to have more children.’

Postpartum psychosis affects around one in 1,000 mothers, and is deemed a ‘medical emergency’, according to the NHS.

In June 2014, after giving birth to her first daughter, Daisy, Kayleigh’s mental health took an unexpected turn.

She said: ‘When we left the hospital, things started to get strange, I started making loads of lists and had sudden bursts of energy, but then I would panic that I was doing something wrong.’

Kayleigh first experienced the condition - which affects a person's sense of reality, causing hallucinations, delusions or paranoia - after the birth of her daughter, Daisy, now 10 (right)

Kayleigh first experienced the condition – which affects a person’s sense of reality, causing hallucinations, delusions or paranoia – after the birth of her daughter, Daisy, now 10 (right) 

Kayleigh posed for a snap with her husband Dave, Daisy, and baby Jasmine in hospital

Kayleigh posed for a snap with her husband Dave, Daisy, and baby Jasmine in hospital 

In June 2014, after giving birth to her first daughter, Daisy, Kayleigh's mental health took an unexpected turn

In June 2014, after giving birth to her first daughter, Daisy, Kayleigh’s mental health took an unexpected turn

Kayleigh was assessed by a mental health team who decided to section her - admitting her to the specialist Beadnell Mother and Baby Unit at St George's Park in Morpeth, Northumberland

Kayleigh was assessed by a mental health team who decided to section her – admitting her to the specialist Beadnell Mother and Baby Unit at St George’s Park in Morpeth, Northumberland

But it wasn’t long before her behaviour changed again. She said: ‘I stopped moving and talking, went into a catatonic state, I thought I had actually died and ended up in hell, it was horrible.’

Kayleigh was assessed by the mental health team who decided to section her – admitting her to the specialist Beadnell Mother and Baby Unit at St George’s Park in Morpeth, Northumberland.

Kayleigh’s time in the mother and baby unit was ‘a blur’ and she was given heavy medication to try and calm her down.

‘I don’t remember a lot after I was sectioned,’ she said. Kayleigh was given medication to try bring her out of psychosis.

She was able to stay with her baby – which is seen as especially important when mothers are going through postpartum psychosis.

Kayleigh was supported by psychiatrists and gradually able to spend more time at home. In total she was at the unit for six weeks – and never separated from Daisy.

‘With the help of the medication, staff, and nurses, I was able to get well again,’ she said.

Two weeks after giving birth Kayleigh felt fine, but she says she was then suddenly was hit by a wave of psychosis

Two weeks after giving birth Kayleigh felt fine, but she says she was then suddenly was hit by a wave of psychosis

Kayleigh had to receive electroconvulsive therapy (ECT) - where the brain is shocked by an electric current to relieve psychosis symptoms. She spent another six weeks in the mother and baby unit

Kayleigh had to receive electroconvulsive therapy (ECT) – where the brain is shocked by an electric current to relieve psychosis symptoms. She spent another six weeks in the mother and baby unit

Kayleigh recently completed a 27-mile charity walk from Sunderland to the mother and baby unit in Morpeth, along with husband Dave, raising over £1,000 for Action on Postpartum Psychosis

Kayleigh recently completed a 27-mile charity walk from Sunderland to the mother and baby unit in Morpeth, along with husband Dave, raising over £1,000 for Action on Postpartum Psychosis

Kayleigh with husband Dave, Daisy, and Jasmine after the 27-mile charity walk from Sunderland to the mother and baby unit in Morpeth

Kayleigh with husband Dave, Daisy, and Jasmine after the 27-mile charity walk from Sunderland to the mother and baby unit in Morpeth

Both Daisy and Jasmine are now both 'happy and healthy' little girls and Kayleigh has made a full recovery

Both Daisy and Jasmine are now both ‘happy and healthy’ little girls and Kayleigh has made a full recovery 

What is electroconvulsive therapy (ECT)? 

ECT – where an electric current is passed through the brain via electrodes held against the sides of the head – was first developed in the 1930s.

Before 1950, it was performed with muscle relaxants to stop convulsions, rather than a general anaesthetic, meaning nurses often had to restrain patients.

The voltage used was far higher than used today, as doctors now have sophisticated technology to base the electric current on a patients’ natural brain waves.

Official guidance from The National Institute For Health and Care Excellence (NICE) recommends the treatment for patients suffering severe depression and mania, where all other treatments have failed.

The majority of patients – almost two thirds – consent to ECT. Doctors can give it without consent, but only if the person is detained under the Mental Health Act – which means they are deemed as lacking capacity to make sound decisions.

Two specialist psychiatrists approve and then perform the procedure. Patients are typically given six to 12 sessions of therapy, usually over a few weeks.

Studies show that, a month after a course of ECT, up to 80 per cent of patients say their symptoms have improved, although scientists still aren’t exactly sure how it works.

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Four years later however, in 2018, Kayleigh gave birth to her second daughter, Jasmine, now five.

She was warned by her consultant that there was a 50/50 chance of the psychosis returning.

Kayleigh put plans in place in case it happened again – with medication ready and a reserved spot at the same ward.

Two weeks after giving birth Kayleigh felt fine, but she says she was then suddenly was hit by a wave of psychosis.

‘One minute I felt fine, then I felt strange,’ Kayleigh said. Within hours, she was in a catatonic state again – though this time episode was worse.

Kayleigh had to receive electroconvulsive therapy (ECT) – where the brain is shocked by an electric current to relieve psychosis symptoms.

Advocates say ECT ‘resets’ the brain, and studies suggest it can help stave off severe depression where all other options have failed: in the UK alone it is given around 20,000 times a year to patients. And some psychiatrists argue that, in fact, ECT isn’t offered often enough. 

She spent another six weeks in the mother and baby unit. Thankfully she made a full recovery, but the two horror experiences ended her plans to expand her family.

Kayleigh now works to raise awareness of postpartum psychosis – which she says is very different to the much more common postnatal depression.

‘It’s a medical emergency, If a mother doesn’t get treatment, it can escalate quickly’, Kayleigh said.

‘If anyone reads this, even a husband, raise the alarm if you notice something is wrong.’

Both Daisy and Jasmine are now both ‘happy and healthy’ little girls and Kayleigh has made a full recovery.

Kayleigh recently completed a 27-mile charity walk from Sunderland to the mother and baby unit in Morpeth, along with husband Dave, raising over £1,000 for Action on Postpartum Psychosis.

Kayleigh said: ‘If there hadn’t been a bed, I could have been placed anywhere, and something very bad could have happened.’

WHAT IS POSTPARTUM PSYCHOSIS?

Postpartum psychosis is a serious mental health illness that can cause new mothers to experience hallucinations and delusions.

It affects around one-to-two in every 1,000 births, according to Postpartum Support International.

PP is different from the ‘baby blues’, which many mothers experience while they struggle to cope with the stress and hormonal changes that come with having children.

It is also different from postnatal depression, which affects one in 10 women to some extent. This can cause feelings of helplessness, as well as a loss of interest in the baby and crying frequently. 

PP’s symptoms usually start within the first two weeks. Some include:

  • Manic mood
  • Depression 
  • Loss of inhibitions
  • Feeling paranoid or afraid
  • Restlessness
  • Confusion
  • Acting out of character

Its cause is unclear. Women are thought to be more at risk if they have:

  • A family history of mental illness, particularly PP
  • Bipolar disorder or schizophrenia
  • A traumatic birth or pregnancy
  • Suffered from PP in the past 

Ideally, patients should be put on a specialist psychiatric unit, called a mother and baby unit (MBU), where they can still be with their child. They may be admitted to a general psychiatric ward until a MBU becomes available. 

Antidepressants may be prescribed to ease symptoms, as well as anti-psychotics and mood stabilisers, like lithium. 

Psychological therapy, like cognitive behavioural therapy (CBT), may help patients manage how they think and act.

In rare cases, electroconvulsive therapy can help with severe depression or mania.

Most women with PP make a full recovery if treated correctly. 

Severe symptoms tend to last between two and 12 weeks. However, it can take a year or more for women to recover.

A PP episode can be followed by a period of depression, anxiety and low confidence. Some women then struggle to bond with their baby or feel like they missed out.

These feelings can usually be overcome with the help of a mental health support team.

Around half of women who have PP suffer again in future pregnancies.  Those who are at high risk should receive specialist care from a psychiatrist while they are expecting. 

Source: NHS 

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