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Postpartum Psychosis and Terri Moulton Horman

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Dr. Michelle Golland:Kaine Horman and Desiree Young, Kyron Horman's parents, are now reporting they are concerned that Terri Horman may be suffering from postpartum depression or psychosis. They believe Terri's emotional state changed after the birth of Kiara (who is now 19 months old). Terri's behavior seemed to become more erratic, and even though she never expressed her depression to Kaine, it seems she was venting often to her girlfriends.

Terri Moulton Horman

Postpartum depression is a serious problem affecting one out of twenty new moms. The symptoms include frequent crying, difficulty bonding with the child and mood and sleep disturbances. Postpartum psychosis is not nearly as common -- only affecting one out of a thousand new moms -- but it can be deadly. When the mother begins to lose touch with reality and starts expressing bizarre thinking patterns or strange ideas, you may be dealing with psychosis.

The case of Andrea Yates, who killed her five young children in June 2001 by drowning them in the bathtub in her home, is an example of severe postpartum depression and psychosis. There is also the case of new mom Otty Sanchez, who decapitated her child and consumed some of his body parts last year. (She had apparently tried to kill herself, too.) In the week prior, she had broken up with the baby's father. Her family has reported that she had been diagnosed with schizophrenia earlier in life and that she suffered from postpartum psychosis after the birth of her son.

We do not know if Terri Moulton Horman did anything to Kyron, but what we do know is that she failed two polygraphs regarding his disappearance. Also, Terri allegedly attempted to hire someone to kill Kaine. There was enough evidence of danger that Kaine Horman was able to get a restraining order for himself and their daughter.

What is clear is that the parents of Kyron are desperate to find their son and believe that Terri Horman is somehow involved.

Signs of postpartum psychosis:

  • Hallucinations
  • Delusions
  • Illogical thoughts
  • Refusing to eat
  • Insomnia
  • Extreme feelings of anxiety and agitation
  • Periods of delirium or mania
  • Suicidal or homicidal thoughts

Who is at risk?
Women who have been diagnosed with psychosis, bipolar disorder or schizophrenia are at greater risk. Also, women with a family history of any of the above disorders have a higher risk. If a woman has had a past incident of postpartum psychosis, she is between 20 and 50 percent more likely to have another incident with her future pregnancies.

Causes of postpartum psychosis
There are a variety of factors that contribute to postpartum psychosis. The most important one is the mother's changing hormones after delivery of her child. Other issues seem to be lack of social and emotional support. A mother's low self-esteem, financial issues and major life changes (such as moving or starting a new job) may also increase chances of a psychotic break.

Treatment
There should be a multi-disciplinary response to postpartum psychosis. Antipsychotic medication is typically used, as well as antidepressants and anti-anxiety medication. This disorder must be treated as a medical emergency and given immediate attention by the father and the extended family. The mother may need to be hospitalized and/or separated from the child during the most critical time. The mother should also receive traditional talk therapy and possibly join a support group to deal with the emotional fallout from the postpartum psychotic episode. With effective and quick treatment, most women recover from their disorder.

Do YOU think Terri Moulton Horman could have suffered from postpartum depression or postpartum psychosis? Comment below.


next: Kid's 'Finicky' Eating: Food Phase or Eating Disorder?
15 comments so far | Post a comment now
informed July 13, 2010, 8:39 AM

This article is great. The one thing I would add here is that the actual incidence of postpartum psychosis is 1 in 500.

jvmfan July 13, 2010, 11:20 AM

As someone who lived with a red-headed step mother, I believed Terry was guilty from the start.Tonight there are some interviews on the show “Issues” that will definitely expose more of this story. It just keeps getting worse!! Issues has been doing a great job covering this.

MizzPaw July 13, 2010, 2:14 PM

Yes. Apparent involved mother, taking care of her health before baby, becomes seriously out of shape and acts bizarrely after baby’s birth? Been there. But I received psychiatric help. Did Terri take advantage of her husband’s health insurance to get treatment? If not did anyone try to steer her toward medical attention for her depression?

Laura July 13, 2010, 5:04 PM

I am absolutely sick to death of all these excuses. Personally, I think we should wait for all the facts to come in before we start speculating about what “disease” may have caused her to do it. Maybe she is suffering from the after effects of steroid use, maybe shes into drugs, maybe she’s just a stone cold evil person. Why do we always have to try to find some medical cause?

Kat July 16, 2010, 10:39 PM

What about the body building. How does steroid use affect one with postpartum depression? She may have done the body thing naturally, but what if she didn’t?

Kat July 16, 2010, 10:45 PM

Sorry, did not see Laura’s post b4 I posted.

Mental illness affects 1 in 4 homes. We don’t have to try to find a medical reason, we just have to learn to accept that many people have brain disorders.

How scientific (facts) is it to say someone is ‘just evil’. She is no more evil than you or I.

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