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It is important that we understand the experiences of women, to develop effective interventions during this critical period. The aim of this systematic review was to conduct a metasynthesis of qualitative research exploring women\u2019s experiences of postpartum psychosis and factors involved in recovery from the perspective of women and family members. A comprehensive literature search of five databases was conducted and the findings were appraised and synthesised, following a thematic synthesis approach. Fifteen studies, capturing the views of 103 women and 42 family members, met the inclusion criteria. Four main themes incorporating 13 subthemes were identified following synthesis: (1) <jats:italic>Experiencing the unspeakable<\/jats:italic>, (2) <jats:italic>Loss and disruption<\/jats:italic>, (3) <jats:italic>Realigning old self and new self<\/jats:italic> and the integrative theme of (4) <jats:italic>Social context.<\/jats:italic> The findings offer new insight into the unique experience of postpartum psychosis and demonstrate that recovery does not follow a linear path. To improve clinical outcomes, a more integrative and individualised approach is needed which incorporates long-term psychological and psychosocial support, and considers the needs of the family. Further areas for staff training, service development and future research are highlighted.<\/jats:p>","DOI":"10.1007\/s00737-020-01025-z","type":"journal-article","created":{"date-parts":[[2020,2,4]],"date-time":"2020-02-04T23:02:33Z","timestamp":1580857353000},"page":"597-612","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Recovery from postpartum psychosis: a systematic review and metasynthesis of women\u2019s and families\u2019 experiences"],"prefix":"10.1007","volume":"23","author":[{"given":"R.","family":"Forde","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Peters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Wittkowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,2,4]]},"reference":[{"key":"1025_CR1","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1007\/s00737-013-0357-8","volume":"16","author":"JL Alhusen","year":"2013","unstructured":"Alhusen JL, Hayat MJ, Gross D (2013) A longitudinal study of maternal attachment and infant developmental outcomes. 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