IntroductionGiven the profound life changing event that having a child represents, women are at an increased risk of developing psychiatric illness during the postpartum period. Although postpartum depression and psychosis have been widely studied, postpartum onset obsessive compulsive-disorder (OCD) seems to be an overlooked condition, remaining many times undiagnosed and untreated.Objectives/AimsThis work aims to review the prevalence, clinical features and characteristics of postpartum onset OCD.MethodsA review of relevant literature was conducted alongside online database research (PubMed and Medscape).ResultsIn postpartum onset OCD obsessions are typically related to the baby and include: fear of intentionally or accidentally harm the newborn, fear of contamination, obsessions of symmetry/exactness, aggression and religiousness. These intrusive and obsessional thoughts, especially aggressive obsessions, create great distress and fear on acting on them.To relieve the anxiety common compulsions include: avoiding taking care of the baby, repetitive and ritualistic washing, checking, ordering, counting, reassurance seeking, and praying.The lifetime prevalence of OCD in general population is about 2 – 3%, however the prevalence of postpartum onset OCD is not known.ConclusionsFurther investigation is necessary to clarify the epidemiology, risk factors, and clinical course of postpartum OCD. Is it crucial to reassure parents that these intrusive thoughts are frequent, and do not translate any unconscious desires.These symptoms should be screened appropriately and identified in the early postpartum period, in order to reduce the associated distress, family dysfunction, and the negative impact in the mother-infant bonding.

IntroductionSuicide behaviors (suicide acts and suicide attempts) are a major concern for clinicians treating patients with psychiatric disorders. Among them, patients with bipolar disorder (BD) have the highest prevalence of suicide behaviors, accounting for up to one-quarter of all completed suicides. Additionally, suicide remains the leading cause of avoidable death in patients with BD.AimsThis work aims to review the main risk factors for suicide behaviors in patients with BD.MethodsThe MEDLINE/Pubmed database was searched using the keywords “bipolar disorder” with: “suicide”; “suicide attempt”; and “suicide risk factors”. Articles published in the last 10 years were considered.ResultsIt is estimated that 25% to 50% of patients with BD will attempt suicide at least once in their lifetime and, that 10% to 15% will die. The risk factors for suicide behaviors in patients with BD have been widely studied and their knowledge is crucial for identifying patients at risk.The main risk factors include previous suicide attempts, family history of suicide and hopelessness. Other risk factors have also been identified: depressive polarity of first mood episode; rapid cycling; increasing severity of affective episodes; depressive polarity of the latest mood episode; mixed affective states; early age of onset; and comorbid anxiety disorders, substance use disorders and cluster B personality disorders.ConclusionsPrevention of suicide behaviors is crucial when treating patients with BD. Therefore, the knowledge of these risk factors is of extreme importance in order to promptly identify patients at risk and adopt the proper preventive therapeutic interventions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Objectives: To describe a case report of a patient who had been diagnosed Behavioral Variant Frontotemporal Dementia (bvFTD) in our department, and literature review. Methodology: Internet-based literature search using PubMed, Google Scholar and UpToDate databases. The search terms included were: "Frontotemporal Dementia", "Behavioral Variant Frontotemporal Dementia", 'Frontotemporal Lobar Degeneration". Results: 52 years-old female patient without previous psychiatric history. 2 years before the psychiatric interview is described a progressive change of behavior, including apathy, inertia, dependency of her husband to perform domestic work, decreased social engagement and emotional detachment. About 2 weeks before the clinical interview, and with associated urinary complaints, it is referred cleaning rituals causing significant distress and interfering seriously with daily life, hypochondriacal concerns surrounding the urinary complaints, food restriction and food fads, and mental rigidity. Finally, 1 week before the interview, paranoid delusions and intensification of the impulsive behavior with verbal and physical aggression to strangers and her husband. Discussion: Frontotemporal dementia (FTD) is the second most common young-onset dementia and is clinically characterised by disturbances in behavior, personality, executive functions and/or language. FTD represents a heterogeneous group of different clinical syndromes. The bvFTD is the most common presentation of FTD, with progressive change in personality and behavior. The common differential diagnoses to take into consideration are the psychiatric disorders: depression, obsessive-compulsive disorder and bipolar disorders. The diagnosis is made primarily on the basis of clinical features. Pharmacologic and nonpharmacologic therapy is aimed to control behavioral symptoms', once there's no effective disease modifying treatment.

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