Before you read on

If you have not slept at all and do not feel tired, if you are confused or things feel unreal, if you believe something about the baby that people around you say is not true, if you are seeing or hearing things others do not, or if you have thoughts of ending your life or of harming the baby, do not wait and do not finish this course. This can be postpartum psychosis. It is rare, it is not depression, it usually begins in the first two weeks, and it is a medical emergency. Someone should stay with you and the baby. Contact emergency services or your local crisis line now. The standard is assessment by a mental health service straight away, and in the UK the guidance names four hours.

Lesson 1 of 6

Three things, one name

Almost everything a new mother gets told about her mood comes under one phrase. The baby blues. It is used for a bad afternoon and it is used for something that needs a doctor, which means it explains nothing.

Underneath the phrase there are three different states. They start at different times, they last for different lengths, and they need completely different things from you.

The first is the low, weepy, overwhelmed stretch that usually begins around the third to the fifth day and settles on its own within about a fortnight. The second is low mood that is still there after those two weeks and is getting in the way of your life. The third is a different category altogether, it is rare, and lesson one is where it belongs rather than lesson six.

The week nobody prepared you for · Inshirah