A few days before Nohea gave birth to her second baby, in 2016, the now 40-year-old from Texas had a strong sense of foreboding. She’d struggled through severe postpartum depression (PPD) with her first child and felt palpable dread when she realised it was also happening with her second. “I had enough awareness to know that I couldn’t do this again—not to my partner, my son, or myself.” She tried talk therapy, but it didn’t help her properly process her emotions.