I'm sorry. It was a little quiet there with the translation.
Your question was about how mental health conditions can impact parents when they desire to get pregnant and then as they're parenting.
I have one story that comes to my mind. I worked as a psychiatric genetic counsellor for a while. I saw a woman who has bipolar disorder and who was very aware of all the risks involved in getting pregnant. She was very concerned about her own mental health, knowing that there is a higher risk for postpartum psychosis, for example, when you have bipolar disorder.
She was saying that she really wanted to be a parent but was worried about the pregnancy piece. She also saw that she might be disadvantaged in out-of-country adoption and that they wouldn't allow it with the medications she was taking. Within the country, she wondered if somebody would choose to make an adoption plan with her, knowing her history. She was also worried about the risk of passing on the genetic vulnerability of bipolar disorder to children.
We talked about it a lot. In the end, I wrote a letter in support of her having fertility treatments and having a donor egg. She felt better about removing some of that increased genetic vulnerability to pass that along. Then she had a really strong support team, with psychiatrists and other allied health professionals to support her. She did very well in postpartum.
I think it depends. This was a very well-informed woman. Others maybe don't have the same kind of insight, awareness and connections. Therefore, it would be really good to have additional supports in that area.
It can impact your capacity to engage in parenting, obviously. If you're experiencing depression, for example, everything is harder, but parenting is one of those things that are harder.