I experienced PNA after my oldest was very poorly, as soon as I closed my eyes I had visions of her dying so I went weeks without sleep. Care where we lived in London was very poor, but my parents came and collected me and baby and we stayed with them, I was suicidal and my husband was scared that if he went to work he would come back and find me dead, I needed constant supervision. I begged to be admitted to a mother abd baby unit but they said I wasn't severe enough. However, I got excellent care in the area my parents were in, and improved quite quickly with the right meds.
For 2 years I was adamant that I couldn't have a 2nd baby, the thought of all that hapenning again terrified me. But I met with my psychologist and local mental health midwife and we made a really robust plan of support, and we had a 2nd 3.5 years after the first, and I got pnd very mildly, but had quick access to support in place.
I was suicidal with my first, I didn't want to die, but just couldn't keep living with such internal pain, and if my parents hadn't come and scooped us up, I don't know if I would be here today.