Postpartum bipolar disorder II: A case report

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Jelena Stojanov ,

Jelena Stojanov

University of Nis , Niš , Serbia

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Olivera Žikić ,

Olivera Žikić

University of Nis , Niš , Serbia

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Miodrag Stanković

Miodrag Stanković

Klinički centar Niš , Niš , Serbia

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Abstract

Introduction. The postpartum period is considered a period of increased risk of developing bipolar affective disorder (BDII) type II. According to the available data, postpartum BDII is a highly neglected area of observation, with negative consequences for mothers, offspring, and the family as a whole. Case report. The paper describes the case of a patient with symptoms of a depressive episode of atypical features following childbirth. The patient had one mild postpartum depression episode and multiple previously detected hypomania-like episodes. Postpartum depression and bipolar affective disorder were detected in the family history. Escitalopram 20 mg in combination with Lamotrigine 200 mg was prescribed. There were no detected side effects to the prescribed therapeutic dose, and there have been no relapses so far. Conclusion. During pregnancy and postpartum, women should be screened for BDII. Based on the experience from the presented case, the combination of escitalopram and lamotrigine has shown promising results and complies with all recommended BDII treatment guidelines.

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