Postpartum psychosis

Urgent help

If you feel you may harm yourself or the baby, have an intention or plan to do so, lose contact with reality, hear or see things others do not, or feel severely confused, seek emergency help now. If safe, ask someone to stay with you. Call your local emergency number or go to an emergency department. In Bulgaria and the EU, call 112.

Immediate danger - Bulgaria112 - Emergency servicesFor Bulgaria and the EU. Elsewhere, use your local emergency number.

Emergency psychiatric care - Sofia, BulgariaCall: +359 2 981 00 06Prof. N. Shipkovenski Mental Health Centre - 24-hour assistance for Sofia59 Ekzarh Yosif Street, Sofia, Bulgaria

These contacts are for people in Bulgaria, regardless of which language they use on this site. Ask the service directly about support in English. Outside Bulgaria, contact emergency services and crisis helplines where you are. Find a helpline by country. This directory cannot send emergency help.

Contact details checked: 19.09.2026 · Official contact details (Bulgarian) · Service coverage (Bulgarian)

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Do not wait for symptoms to pass

Suspected postpartum psychosis needs urgent medical assessment the same day. Do not leave the woman alone with the baby. If there is immediate danger, call local emergency services or go to the nearest emergency department.

Possible signs

The person may not realise that she is unwell. Loved ones should seek help even if she cannot do so herself.

Severe confusion or disorientation.
Hearing, seeing or sensing things that other people do not.
Beliefs or suspicions that do not reflect reality.
Unusually high energy, very fast speech or racing thoughts.
Rapidly changing, very high or very low mood.
Extreme restlessness or almost no sleep.

Sources

NICE CG192 - Antenatal and postnatal mental health

NHS - Postpartum psychosis

Access to care and referral routes vary by country. Contact an appropriate local health professional.