A 34yo woman presents 3 weeks after childbirth. She has had very low mood and has been suffering from lack of sleep


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A 34yo woman presents 3 weeks after childbirth. She has had very low mood and has been

suffering from lack of sleep. She also has thought of harming her little baby. What is the most

appropriate management for this pt?

a. ECT

b. CBT

c. IV haloperidol

d. Paroxetine

e. Amitryptiline

Ans. The key is A. ECT. This is wrong key! Correct key is C. IV haloperidol. [Dx is postpartum psychosis. Patient.info, Wikipedia says antipsychotic and if needed additional mood stabilizer may be used as 1st line. NHS says antidepressant, antipsychotic and mood stabilizer (any one or in combination) as 1st line treatment. As antipsychotic has given priority likely correct answer is C. IV haloperidol. 2nd line is CBT, and last resort is ECT].