
By Karen Wachenheim, Postpartum Assist Worldwide Board of Administrators and Postpartum Psychosis Activity Drive Member | 2024 Ilyene Barsky Memorial Award Recipient
Nationwide Suicide Prevention Month | Maternal Suicide Consciousness Week | World Suicide Prevention Day
I need to begin off by sharing somewhat about Cindy Wachenheim, my husband’s sister, who we misplaced 12 years in the past to postpartum psychosis.

Cindy was a tremendous girl.
She was tremendous good. In truth, she scored completely on her LSAT earlier than learning to turn out to be a lawyer.
On prime of this, she was form, caring, and pleasant. Cindy would take the prepare or bus from NYC to Albany and befriend – and know the whole life story of – the particular person she was sitting subsequent to. That’s the kind of particular person she was.
Cindy was an optimist, all the time seeing and hoping for one of the best in any scenario. Even when her father acquired Stage 4 lung most cancers, she regarded into discovering any and each doable trial or medicine to assist him, with the hopes that he could be cured.
She was very near us as a household. Cindy would electronic mail our household group at the very least twice per week. She all the time knew when any of us or our children had appointments, and he or she could be the one to examine in earlier than and after.
I need to share all this so you’d know what her baseline was like earlier than postpartum psychosis struck.
What was apparent to us after her son was born was that at about 4 months postpartum, Cindy started to fret.
She despatched us a video clip of my nephew someday, saying she thought his arm was doing one thing “humorous.” We couldn’t see something unsuitable, however we figured perhaps there was extra happening with him that wasn’t captured within the video that she might see, however we couldn’t.
She then started to obsess that one thing was significantly unsuitable together with her child: she began Googling issues and thought quite a lot of issues have been unsuitable with him.
Cindy started to imagine he was brain-damaged as a result of he had fallen and hit his head on the ground a few occasions. Over the subsequent few months, she took him to completely different specialists to examine, and so they all got here again with the identical response – that her child was regular and wholesome. However reasonably than believing what every of them instructed her, she grew to become increasingly satisfied that her son was brain-damaged.
We seen that Cindy wasn’t behaving like her common self: she began turning into upset, anxious, and withdrawn.
She barely communicated with us, which was positively not like her. Once we expressed concern that she was depressed, she agreed that she was depressed however felt it was for good purpose – as a result of her son was brain-damaged, and since it was her fault.
Cindy additionally began behaving oddly and saying unusual issues. Over the past Thanksgiving she visited with us, which was when her son was about six months previous, we seen she wouldn’t put the newborn down for even a second, however on the similar time we seen that she appeared oddly indifferent from him. She seemed to be in a foggy mind-set and appeared to be appearing paranoid.
It was actually disturbing. We had a number of conversations when she would even say, “I do know everybody thinks I’m loopy, however I actually imagine my son is brain-damaged and perhaps he would have been higher off to not have been born.”
What was not apparent to us was that what all of us thought have been worries have been truly delusions.
Once I say “us,” I imply her household, the pediatrician, her OB, and the therapist she was seeing (who wasn’t a perinatal specialist). We didn’t know that when somebody is so satisfied that one thing is true, though there isn’t a proof or proof on the contrary, that could be a delusion.
The truth that she stored believing her son was brain-damaged though a number of specialists instructed her that was not the case was proof that she was delusional and never a mother who was experiencing regular mother worries.
It additionally wasn’t apparent that her unusual or uncommon behaviour was doubtless her responding to her delusions, or perhaps even due to issues she may need been seeing or listening to. However we are going to by no means know.
If we had recognized these items again then, we might have gotten her the fitting assist from a perinatal specialist and even had her hospitalized.
That’s the reason sharing tales like these is so vital. I hope we are able to proceed to teach the general public and produce consciousness so others don’t have to undergo what our household did.
Cindy’s story can be featured in a March 2025 article on the PSI weblog, An Open Letter to Media About Coverage of Postpartum Tragedies.
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