Postpartum Psychosis

Friedman, Susan Hatters; Reed, E.; Ross, Nina

doi:10.1007/s11920-022-01406-4

Cited by 23 publications

(43 citation statements)

References 47 publications

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“…The etiopathology of this increased risk is likely due to a combination of biological, psychological, and social factors. These factors include both well-established ones such as genetics, decreasing estrogen level, and sleep deprivation (Di Florio et al , 2013), as well as those with more mixed evidence including maternal stress, immune system dysfunction, and inflammation (Friedman et al , 2023). Ms. B demonstrated several of these features, the most important being her history of bipolar disorder in a first-degree relative.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors and treatment of postpartum mania: a representative case

Constantino,

LaSala,

Bhattacharya

et al. 2023

International Clinical Psychopharmacology

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Postpartum mania and psychosis puts both the person giving birth and their child at significant risk, so predicting its onset and determining effective treatment is crucial. Here, a representative case is presented of a patient started on an antidepressant during her pregnancy who suffered a postpartum manic episode with psychosis. The case describes many of the risk factors and treatment issues faced by clinicians when caring for patients with these symptoms in the postpartum period. Subsequent discussion provides guidance for clinicians to help predict postpartum mania and reviews factors that may increase the risk of its onset. The evidence for psychiatric treatment is also reviewed to both prevent and treat postpartum mania and psychosis.

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Section: Discussionmentioning

confidence: 99%

Predictive factors and treatment of postpartum mania: a representative case

Constantino,

LaSala,

Bhattacharya

et al. 2023

International Clinical Psychopharmacology

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show abstract

“…They may not have a detailed care plan or established relationships with providers or therapists at that time. Women and families must be adequately supported after discharge from a psychiatric facility to prevent maternal suicide and infanticide (Friedman et al, 2023). Some women are out-patient for a week or longer after release.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Growth after Postpartum Psychosis

Beck,

Twomey

2023

McN: The American Journal of Maternal/Child Nursing

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Purpose: To explore positive changes in women's beliefs, emotions, and behaviors following their struggles with postpartum psychosis. Study Design and Methods: This is a descriptive qualitative study of women who experienced posttraumatic growth after postpartum psychosis. We recruited participants from postings on three Facebook groups. Participants sent their stories of posttraumatic growth after postpartum psychosis via email attachment. We used the following five domains from Tedeschi and Calhoun's (2004) posttraumatic growth model to guide our deductive content analysis: Relating to Others, Personal Strength, Appreciation of Life, New Possibilities, and Spiritual and Existential Change. Results: Thirteen women participated. Relating to Others was the posttraumatic growth domain most often described by the participants followed in order of frequency by Personal Strength, Appreciation of Life, New Possibilities, and Spiritual and Existential Change. Partners and family members' support was instrumental in recovery from postpartum psychosis. Clinical Implications: When considering the total sample, participants experienced all five domains of posttraumatic growth after postpartum psychosis though not every individual experienced growth in all five domains. Interventions can be tailored to meet the needs of women depending on which phase of recovery from postpartum psychosis women are in, acute, early recovery, or advanced recovery. Advanced recovery is the most appropriate phase to discuss the possibility of posttraumatic growth with women. Such discussion should be done with caution and sensitivity as not all women experience positive growth, and it can be harmful to frame this in a way that indicates or encourages expectation.

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“…Table 3 3,4,7,18,22,23 (page 18) describes the importance of understanding the motives for child murder by a parent in order to conceptualize appropriate prevention. Prevention efforts for 1 type of child murder will not necessarily help prevent murders that occur due to the other motives.…”

Section: Focusing On Preventionmentioning

confidence: 99%

“…27 Psychiatrists need to feel comfortable asking mothers about their coping skills, their suicidal thoughts, and their filicidal thoughts. 14,23,28 Screening and treatment of mental illness is critical. Postpartum psychosis is…”

Section: Focusing On Preventionmentioning

confidence: 99%

“…well-known to pose an elevated risk of filicide and suicide. 23 Obsessive-compulsive disorder may cause a parent to ruminate over ego-dystonic child harm but should be treated and the risk conceptualized very differently than in postpartum psychosis. 23,29 Screening for postpartum depression and appropriate treatment of depression during pregnancy and the postpartum period decrease risk.…”

Section: Child Murder By Parentsmentioning

confidence: 99%

See 1 more Smart Citation

Child murder by parents: Toward prevention

Friedman¹

2023

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Postpartum Psychosis

Cited by 23 publications

References 47 publications

Predictive factors and treatment of postpartum mania: a representative case

Predictive factors and treatment of postpartum mania: a representative case

Posttraumatic Growth after Postpartum Psychosis

Child murder by parents: Toward prevention

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