Bipolar disorder and maternity
Introduction Bipolar disorder can be a severe psychiatric disorder. The combined prevalence of bipolar I, bipolar II, and unspecified bipolar disorders according to DSM-IV is 1.8%. Mean age at first affective episode has been estimated to 20 years among out-patients in the United States (2). Objec...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822022258/type/journal_article |
| _version_ | 1797616570741030912 |
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| author | M. Palomo Monge M.V. López Rodrigo C. García Montero A. Osca Oliver M.F. Tascón Guerra M. Pérez Fominaya V. Ros Font |
| author_facet | M. Palomo Monge M.V. López Rodrigo C. García Montero A. Osca Oliver M.F. Tascón Guerra M. Pérez Fominaya V. Ros Font |
| author_sort | M. Palomo Monge |
| collection | DOAJ |
| description |
Introduction
Bipolar disorder can be a severe psychiatric disorder. The combined prevalence of bipolar I, bipolar II, and unspecified bipolar disorders according to DSM-IV is 1.8%. Mean age at first affective episode has been estimated to 20 years among out-patients in the United States (2).
Objectives
We present the case of a 40-year-old patient, diagnosed with type I bipolar disorder. In her story, multiple admissions are recorded for both manic and depressive episodes. The patient showed a desire to be a mother and multiple therapeutic interventions were performed, de-escalation of stabilizers until she was withdrawn, which triggered generally manic episodes that required hospital admission.
Methods
Given the controversy in the decision to maintain or not drug treatment during pregnancy and the lack of clear criteria, in this case it was decided to try to gradually withdraw the treatment, which triggered several serious relapses. It was then decided to maintain the treatment at lower doses than usual or complete withdrawal, which in all cases precipitated relapses. Finally the patient reconsidered her wishes and abandoned the possibility of pregnancy.
Results
Bipolar I Disorder
Conclusions
Although most studies have found similar lifetime prevalence rates of bipolar disorder between men and women, gender differences may be evident in the impact of reproductive life events on affected women. In addition to the controversy regarding the decision to maintain or not treatment during pregnancy, there is also the certainty that childbirth can be the specific trigger for a manic or hypomanic episode.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:43:02Z |
| format | Article |
| id | doaj.art-4a266bfd47004d5f97001bd33fdcf40d |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:43:02Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-4a266bfd47004d5f97001bd33fdcf40d2023-11-17T05:08:08ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S858S85910.1192/j.eurpsy.2022.2225Bipolar disorder and maternityM. Palomo Monge0M.V. López Rodrigo1C. García Montero2A. Osca Oliver3M.F. Tascón Guerra4M. Pérez Fominaya5V. Ros Font6Hospital Nuestra Señora del Prado, Psiquiatria, Talavera de la Reina, SpainHospital Nuestra Señora del Prado, Psiquiatría, Talavera de la Reina, SpainHospital Provincial de Ávila, Servicio De Psiquiatría, Ávila, SpainHospital Nuestra Señora del Prado, Psiquiatría, Talavera de la Reina, SpainHospital Nuestra Señora del Prado, Psiquiatria, Talavera de la Reina, SpainHospital Nuestra Señora del Prado, Psiquiatria, Talavera de la Reina, SpainHospital Nuestra Señora del Prado, Psiquiatria, Talavera de la Reina, Spain Introduction Bipolar disorder can be a severe psychiatric disorder. The combined prevalence of bipolar I, bipolar II, and unspecified bipolar disorders according to DSM-IV is 1.8%. Mean age at first affective episode has been estimated to 20 years among out-patients in the United States (2). Objectives We present the case of a 40-year-old patient, diagnosed with type I bipolar disorder. In her story, multiple admissions are recorded for both manic and depressive episodes. The patient showed a desire to be a mother and multiple therapeutic interventions were performed, de-escalation of stabilizers until she was withdrawn, which triggered generally manic episodes that required hospital admission. Methods Given the controversy in the decision to maintain or not drug treatment during pregnancy and the lack of clear criteria, in this case it was decided to try to gradually withdraw the treatment, which triggered several serious relapses. It was then decided to maintain the treatment at lower doses than usual or complete withdrawal, which in all cases precipitated relapses. Finally the patient reconsidered her wishes and abandoned the possibility of pregnancy. Results Bipolar I Disorder Conclusions Although most studies have found similar lifetime prevalence rates of bipolar disorder between men and women, gender differences may be evident in the impact of reproductive life events on affected women. In addition to the controversy regarding the decision to maintain or not treatment during pregnancy, there is also the certainty that childbirth can be the specific trigger for a manic or hypomanic episode. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822022258/type/journal_articlePregnancybipolar disorderwoman and mental healthmaternity |
| spellingShingle | M. Palomo Monge M.V. López Rodrigo C. García Montero A. Osca Oliver M.F. Tascón Guerra M. Pérez Fominaya V. Ros Font Bipolar disorder and maternity European Psychiatry Pregnancy bipolar disorder woman and mental health maternity |
| title | Bipolar disorder and maternity |
| title_full | Bipolar disorder and maternity |
| title_fullStr | Bipolar disorder and maternity |
| title_full_unstemmed | Bipolar disorder and maternity |
| title_short | Bipolar disorder and maternity |
| title_sort | bipolar disorder and maternity |
| topic | Pregnancy bipolar disorder woman and mental health maternity |
| url | https://www.cambridge.org/core/product/identifier/S0924933822022258/type/journal_article |
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