Got me wondering how us Catholics do it.
We have YUGE families.
Don't recall hearing about anyone in my Church strangling their 10 kids.......
By the time there are ten kids, the older ones are taking a big part of the burden. I do specifically remember two Catholic ladies (and I'm NOT bashing Catholics) who ended up having to "go away to rest" after the third or fourth baby. As kids, we heard the whispers....and we obviously knew thst suddenly, "Aunt Mary" (or grandma) was staying at the house to keep things going so Dad could work. But it wasn't until years later we understood what stuff like "sanitarium" and "shock therapy" meant...
Most of the Catholic women in our neighborhood developed a sudden need for a hysterectomy after the 4th or 5th baby. There wasn't anything *physical* wrong. But they all went to the same OB practice, and the doctors were very understanding and accommodating when a overwhelmed woman would break down and cry, saying she didn't know how she was going to keep up with everything, and how terrified she was that she'd get pregnant again.
I heard more about this because my parents were the only agnostic in the neighborhood, and Mom ended up being a shoulder to cry on at the regular morning coffee klatches (apparently, with a bit of high proof "attitude helper" added many mornings). I suspect it was partly because she was completely non-judgemental about them sobbing about a new pregnancy.
The Amish in our community were and are absolutely hard-core against ANY "family planning". The average family size in that community is 10 kids...I knew several families who had 14, and a couple (where the man had remarried after the death of the first wife) with 17 and 19.
No matter how broke they were, even as young couples just starting out, they *always* found a way to pay a "hired girl" (usually a mid-teens sister of one of the couple) to live with them for the first month (at least) after a baby was born. Mom was expected to physically rest...staying in bed with the baby at least the first week.
In the hardest years (when there was 3 or 4 kids not old enough for school), the hired girl might stay for 6 months.
AND, in the families we were closest to, Dad took an active role, even though he was working 14-16 hours a day on the farm or running the shop that supported him. He might cook breakfast while the hired girl was changing diapers and getting little ones dressed. Or he'd take the older ones (who could walk) out to the barn with him for a couple hours.
The sweetest story I remember was our closest neighbor... they had had 5 boys in a row (there were two older girls), and Emma was absolutely convinced this new one was also going to be a boy. Well, surprise! She had twin girls. And Daniel, her husband, stayed up all night cutting, pleating and sewing two tiny Kapps for the little ones, so they would have proper head covers!
He shyly showed one to me, obviously very proud of himself for managing...I doubt he'd ever run the treadle sewing machine before, unless it was to adjust it for his wife.
But even with that level of support, I know of three major "nervous breakdowns" in the community... one a man, whose wife had three sets of twins in 3 years. The third set had just come home after 6 months in the ICU...they had weighed 1# 12 oz and 2#1oz at birth.
And he just broke down....became catatonic, refused to eat or communicate. He spent about 6 months in the local psychiatric hospital.
The other two were women, both under 6 months postpartum, with several other little ones at home. I don't know what symptoms they displayed (they weren't close neighbors like the poor dad of 7 kids under the age of 5!), but they also needed several months of rest and treatment.
My point being, mental breakdowns can happen to anyone. And the hormones of pregnancy and the first postpartum year can truly be crazy making.
But, in one last reference to the OP...putting someone on a dozen psychiatric meds is NOT a "fix"!
Summerthyme