Tratamiento de la Postpartum Psychosis

 Hospital admission

Hospital admission is frequently required, particularly during the initial phase of treatment, to:

• Start treatment in a controlled and closely monitored environment.
• Ensure the safety of both the mother and the baby.

Where adequate support is available at home and there is no identified risk to the mother or baby, alternatives such as home-based treatment or partial hospitalisation (day hospital care) may be considered.

Pharmacological treatment

Treatment is tailored to the individual and may include:

• Antipsychotic medication: to treat psychotic symptoms and disorganised thinking.
• Mood stabilisers: such as lithium.
• Benzodiazepines: sometimes used as a short-term additional treatment for anxiety, insomnia and agitation.

If the mother wishes to breastfeed, the potential benefits and risks of continuing breastfeeding while taking medication will be carefully considered. The decision should be made on an individual basis, through shared and informed decision-making.

Electroconvulsive therapy (ECT)

• It is an effective and safe treatment, although it is not usually used as a first-line treatment.
• It may be considered in severe or treatment-resistant cases, or when a rapid response is needed.

Restoring sleep

Restoring adequate sleep is an important part of treatment, as lack of sleep can worsen symptoms and make recovery more difficult. Medication and practical measures to promote rest are often used together to help ensure an adequate rest, particularly at night.

Psychological and family support

• Psychoeducation for the mother and her family.
• Discharge planning and close follow-up after discharge.