Short communication

Archives of Women's Mental Health

, Volume 11, Issue 1, pp 75-78

Is the perimenopause a time of increased risk of recurrence in women with a history of bipolar affective postpartum psychosis? A case series

  • E. Robertson BlackmoreAffiliated withDepartment of Psychiatry, University of Rochester Medical Center
  • , N. CraddockAffiliated withDepartment of Psychological Medicine, Cardiff University
  • , J. WaltersAffiliated withDepartment of Psychological Medicine, Cardiff University
  • , I. JonesAffiliated withDepartment of Psychological Medicine, Cardiff University Email author 

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Summary

There is increasing awareness of the influence of female reproductive life events on the course of bipolar disorder. Here, we describe the case histories of 5 women diagnosed with postpartum psychosis who subsequently experienced major mood disorders in relation to the perimenopause. This case series suggests that (a) the perimenopause may be a time of increased risk for women who experienced postpartum bipolar episodes and (b) periods of hormonal change represent a major trigger for bipolar episodes in some women.

Keywords: Bipolar disorder; menopause; relapse; postpartum psychosis; perimenopause