07/30/2026
With recent attention on postpartum mental health, this is an important time to understand the differences between postpartum OCD and postpartum psychosis.
While both can occur during the postpartum period, they are different conditions that require different approaches to care.
One of the defining features of postpartum OCD is the presence of intrusive thoughts that are unwanted, distressing, and inconsistent with a person's values. People experiencing postpartum OCD may engage in compulsions or avoidance to reduce their anxiety, prevent harm, or reduce uncertainty.
In contrast, postpartum psychosis involves symptoms such as hallucinations, delusions, and a loss of touch with reality. It is a medical emergency that requires immediate evaluation and treatment.
Understanding these differences helps reduce stigma, supports accurate diagnosis, and connects people with the care they need.
If you've experienced unwanted intrusive thoughts during pregnancy or after having a baby, you're not alone. Having intrusive thoughts does not mean you want to act on them, and effective treatment is available. If you need support, help is available.
The Postpartum Support International (PSI) HelpLine provides information, resources, and support:
👉 Call: 1-800-944-4773 ( #1 Español, #2 English)
👉 Text in English: "Help" to 800-944-4773
👉 Texto en Español: 971-203-7773
Learn more about perinatal OCD and find additional resources at www.iocdf.org/perinatal