Is the perimenopause a time of increased risk of recurrence in women with a history of bipolar affective postpartum psychosis? A case series
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- Robertson Blackmore, E., Craddock, N., Walters, J. et al. Arch Womens Ment Health (2008) 11: 75. doi:10.1007/s00737-008-0215-2
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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.