Abstract
This case report alerts the psychiatric clinician to consider nonpsychiatric etiologies of psychosis appearing during the postpartum period besides postpartum psychosis. The case includes a description of the patient's psychiatric presentation, admission to the inpatient psychiatric unit with subsequent transfer to the medicine department including neuroimaging and neurological consultation. The patient had a remission of psychosis after only two and half days of antipsychotic medication administration. Positive findings on the MRI suggested a demyelinating disease and a 4-month follow up MRI continued to be positive. The etiology was presumed to be a demyelinating disease. In conclusion, psychiatrists need to be alert to include nonpsychiatric pathologies in the differential diagnosis when a patient presents with psychosis in the postpartum period.
Original language | English (US) |
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Pages (from-to) | 91-96 |
Number of pages | 6 |
Journal | Psychiatric Quarterly |
Volume | 85 |
Issue number | 1 |
DOIs | |
State | Published - Mar 2014 |
Externally published | Yes |
Keywords
- Demyelinating diseases
- Multiple sclerosis
- Postpartum psychosis
- Psychiatric misdiagnosis
- Psychosis
- Psychosomatic medicine
ASJC Scopus subject areas
- Psychiatry and Mental health