Dr. Julia Nardi-Riddle
speaker
100 appearances
1 recordings
1 series
first heard Aug 2026
last heard 6 Aug
Dr. Julia Nardi-Riddle’s voice in public audio — every appearance, attributed to the second.
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Appearances
And when you realized it was really quiet, what did you do?
My name is Julia Nardi-Riddle.
I am a physician, a reproductive psychiatrist here at the University of North Carolina in the Center for Women's Mood Disorders.
I both am a practicing clinician in clinical care as well as a clinical researcher and educator.
What do you sort of focus on?
As a reproductive psychiatrist, I focus on everything related to the female reproductive system and mental illness, mental wellness.
So that includes menstrual cycle-related disorders, disorders related to pregnancy and the postpartum, and perimenopause.
So it is very, very different than historically when we talk about the baby blues, which is not a disorder.
The baby blues is sort of a transition of all the changes that happens in the first few weeks, and the majority of women experience that for a few days.
Then, as you mentioned, postpartum depression, which our current rates put it at about 15%, so kind of 1 to 2 in 10 women, whereas postpartum psychosis is a very rare disorder.
The incidence of postpartum psychosis seems to be right now estimated at about
one to two in a thousand.
So it's very, very rare.
In the vast majority of cases, it is considered an affective disorder.
Affective means like a mood disorder.
And in the majority of those cases, 50 to 80%, it seems to be related to bipolar disorder, but not always.
There's a subset that is only in the postpartum.
So what it is, postpartum psychosis, it's kind of a misnomer because it's not a classic psychotic illness like schizophrenia.
It's more of a delirious mania or a severe depression with psychotic symptoms.
It's less common that it's just the psychotic symptoms like delusions without concurrent mood symptoms, either elevated, right?
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