What Is Postpartum Psychosis?
8. Treatment and Management
Most cases will require hospital admission. Some of the medications that may be prescribed are antipsychotics, benzodiazepines, and mood stabilizers. The choice of treatment will depend on existing conditions, tolerance of medication, response to previous treatments, ability to cooperate, and if the patient is breastfeeding.
Lithium is an important medication but is strongly discouraged for mothers who are breastfeeding. Valproic acid and carbamazepine are drugs that can be prescribed for breastfeeding mothers. The most acceptable atypical antipsychotics include quetiapine and olanzapine. Possible options are risperidone, haloperidol, and chlorpromazine. Electroconvulsive therapy (ECT) have been found to yield rapid improvement in symptoms. However, it can be challenging for patients to accept this treatment option. Having a regular sleep pattern and engagement of family members in the treatment plan is crucial for patients. Separation from the infant may be necessary in the beginning.
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