“Sometimes My Mind Just Goes Out. I Cannot Do Anything for My Child:” Reflections From Mothers With Bipolar Disorder on Shared Book Reading

The maternal phase is often characterized by significant psychological transitions, which may be intensified in mothers with bipolar disorder (BD). The variability in maternal mood associated with BD can adversely affect parenting practices and may influence child developmental outcomes. Shared book reading (SBR) has been proven beneficial in increasing mother–child bonding and enhancing the child's socio-emotional, language, and cognitive skills. This study aims to understand the perspectives and practices of mothers with BD toward SBR. Sixteen mothers diagnosed with bipolar disorder were interviewed using a semi-structured interview to analyze their perspectives and practices on SBR. These maternal interviews were transcribed and analyzed using an inductive-reflexive thematic approach. Five key themes emerged: (1) “They won't understand”: Mothers' perception of family support; (2) “Sometimes my mind just goes out”: Internal disruptions to engagement; (3) “Now it's mainly mobile and all”: Living in a digital bubble; (4) Storytelling: A pathway to connection; and (5) Seeking intimacy through shared book reading. The results indicated that maternal interactions and engagement with their child were negatively influenced by their mental health. These mothers' struggles with BD deeply affected bonding and relationship building with their children. Findings inform how to tailor SBR programs for mothers with BD. Trial Registration: Clinical Trials Registry of India: CTRI/2023/11/059630.