Psychiatric Quarterly

, Volume 85, Issue 1, pp 91–96

Confounding Psychosis in the Postpartum Period

  • Jack Castro
  • Stephen Billick
  • Anne Kleiman
  • Maria Chiechi
  • Mohamed Al-Rashdan
Original Paper

DOI: 10.1007/s11126-013-9271-5

Cite this article as:
Castro, J., Billick, S., Kleiman, A. et al. Psychiatr Q (2014) 85: 91. doi:10.1007/s11126-013-9271-5

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.

Keywords

Psychosomatic medicinePsychiatric misdiagnosisPostpartum psychosisMultiple sclerosisDemyelinating diseasesPsychosis

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Jack Castro
    • 1
    • 2
    • 3
  • Stephen Billick
    • 2
  • Anne Kleiman
    • 1
    • 2
  • Maria Chiechi
    • 1
    • 2
  • Mohamed Al-Rashdan
    • 1
    • 2
  1. 1.Metropolitan Hospital CenterNew YorkUSA
  2. 2.New York Medical CollegeNew YorkUSA
  3. 3.New YorkUSA