Objective: Psychosis or mania after childbirth is a psychiatric emergency with risk for suicide and infanticide.
Method: The authors reviewed the epidemiologic and genetic research and physiological postpartum triggers (endocrine, immunological, circadian) of psychosis. They also summarized all systematic reviews and synthesized the sparse clinical studies to provide diagnostic recommendations, treatment options, and strategies for prevention.
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The participant will compare and evaluate various treatment strategies for women with acute psychiatric symptoms following childbirth.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Duration: 1 hour
Begin Date: December 1, 2016
End Date: November 30, 2018
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive credit.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Title: Postpartum Psychosis: Madness, Mania, and Melancholia in Motherhood
Authors: Veerle Bergink, M.D., Ph.D., Natalie Rasgon, M.D., Ph.D., Katherine L. Wisner, M.D., M.S.
Affiliations: From the Erasmus Medical Center, Department of Psychiatry, Rotterdam, the Netherlands (V.B.); the Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, Calif. (N.R.); and the Department of Psychiatry and Behavioral Sciences and Obstetrics and Gynecology, Northwestern University, Chicago (K.L.W.).
Disclosures: Dr. Bergink is supported by the Netherlands Organisation for Scientific Research (NWO, clinical fellow and VENI incentive). Dr. Rasgon has received grant or research support from and/or has served as a consultant to and/or received lecture honoraria from the American Diabetes Association, Corcept Therapeutics, Magceutics, Piramal Group, Shire, and Sunovion. Dr. Wisner served as a consultant to Quinn Emanuel Urquhart and Sullivan, LLP, who represent Pfizer, and the Department of Psychiatry at Northwestern University received contractual fees for her consultation services.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP) ; Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
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