FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 359:509-515 July 31, 2008 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text PowerPoint Slide Set CME Exam Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

Dr. Alexia E. Koukopoulos (Psychiatry): A 35-year-old woman was admitted to the inpatient psychiatry service of this hospital 5 days after the birth of her first child because of confusion, agitation, and delusions. The patient had been well until approximately 2 years earlier, when insomnia, auditory hallucinations, and disorientation, followed by severe depression and suicidal ideation, developed. After two inpatient psychiatric admissions, a diagnosis of bipolar disorder was made. The patient's symptoms were controlled with lithium, 900 mg at bedtime, and citalopram, 40 mg per day, for the next 9 months. One year before admission, she was seen in consultation . . . [Full Text of this Article]

Differential Diagnosis

Dr. Anne D. Emmerich's Diagnosis

Discussion of Management

Bipolar Disorder during Pregnancy

Postpartum Bipolar Disorder and Psychosis

Diagnosis

Source Information

From the Department of Psychiatry, Massachusetts General Hospital, and the Department of Psychiatry, Harvard Medical School.

This article has been cited by other articles:

• Elkin, A., Gilburt, H., Slade, M., Lloyd-Evans, B., Gregoire, A., Johnson, S., Howard, L. M. (2009). A National Survey of Psychiatric Mother and Baby Units in England. Psychiatr. Serv. 60: 629-633 [Abstract] [Full Text]