Urgent helpUrgent helpMental health and safety

Mania, psychosis or loss of contact with reality

Hallucinations, fixed false beliefs, severe confusion, extreme agitation or days with almost no sleep and escalating energy need urgent psychiatric and maternity assessment.

Direct guidance

What to know or do

Use emergency help now, stay with a trusted person if safe and do not drive. Tell responders about pregnancy, medicines, recent sleep and any risk of harm; do not stop psychiatric medicine abruptly without medical direction.

What changes the answer

  • How long the change has lasted and how it affects sleep, eating, self-care and safety
  • Past diagnoses, trauma, treatment response, medicines and relapse warning signs
  • Privacy, practical support, coercion, immediate danger and who can stay with you

Urgent help

When to get individual help

Use urgent maternity or emergency care now. This guide cannot determine the cause or confirm that it is safe to wait.

Open urgent warning signs