QuestionSBA
QuestionChoice
Bipolar disorder is a condition characterised by phases of elevated mood (mania/hypomania) and phases of depression. Given that this patient has no previous psychiatric history, and that her symptoms started soon after childbirth, a diagnosis of postpartum psychosis is more likely than bipolar disorder.
10002285
d
Bipolar disorder
QuestionChoice
Postnatal post-traumatic stress disorder (PTSD) is occasionally seen after particularly traumatic births, such as prolonged labour or emergency deliveries. This can lead to mothers re-experiencing flashbacks of the traumatic birth process, as well as symptoms of postnatal depression. However, postnatal PTSD rarely leads to hallucinations or psychosis, unlike postpartum psychosis.
10002286
e
Postnatal post-traumatic stress disorder
QuestionChoice
Baby blues are typically characterised by irritability, mood changes and anxiety in the first week following childbirth. However, it does not present with hallucinations or delusions.
10002284
c
Baby blues
QuestionChoice
Postpartum psychosis is a serious mental health illness which can develop in mothers usually within the first 2 weeks after giving birth. It is characterised by hallucinations, delusions, confusion and spontaneous changes in mood. It is important to recognise and treat postpartum psychosis as soon as possible, as there may be a risk to both the mother and the child.
10002282
a
Postpartum psychosis
QuestionChoice
Postnatal depression is another condition which may develop in parents following the birth of a child. It is typically characterised by persistent low mood, anhedonia, lack of energy and difficulty sleeping in the weeks or months following labour.
10002283
b
Postnatal depression
Concept
Chapter
2693
4028
Postpartum psychosis
Topic
173
Psychiatry
13003
A 30-year-old female on the obstetrics ward is feeling confused after giving birth nearly a week ago. She complains of hearing the other patients on the ward talking about her behind her back, even though all of them deny this. She also accuses the nursing staff of attempting to steal her child. The patient has no previous psychiatric history.

What is the most likely diagnosis?
a