Postpartum Psychosis

Postpartum Psychosis Can be Prevented in Women at High Risk

It is well-established that women with a history of bipolar disorder or postpartum psychosis are at extremely high risk of postpartum psychiatric illness. Several studies have indicated that lithium prophylaxis can dramatically reduce the risk of postpartum relapse; however, the studies have varied in terms of the timing of prophylaxis, with some initiating treatment during pregnancy and others initiating treatment immediately after delivery.  A recent study published in the American Journal of Psychiatry gives more information on the clinical management of these high risk populations.