Short Communication

Archives of Women's Mental Health

, Volume 14, Issue 1, pp 67-69

Open Access This content is freely available online to anyone, anywhere at any time.

DSM-V: modifying the postpartum-onset specifier to include hypomania

  • Verinder SharmaAffiliated withDepartment of Psychiatry, University of Western OntarioDepartment of Obstetrics and Gynecology, University of Western OntarioPerinatal Clinic, St. Joseph’s Health Care Email author 
  • , Vivien K. BurtAffiliated withDepartment of Psychiatry, Geffen School of Medicine at UCLAWomen’s Life Center, Resnick Neuropsychiatric Hospital at UCLA

Abstract

By failing to include it under the rubric of the postpartum-onset specifier, Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR has ignored the clinical reality that childbirth is a potent trigger of hypomania. Given the serious and occasionally tragic consequences of misdiagnosis of bipolar II depression as unipolar depression in the postpartum period, it is argued that DSM-V should consider modifying the postpartum-onset specifier to include episodes of hypomania.

Keywords

Hypomania Childbirth Classification Bipolar disorder