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Case Reports in Psychiatry
Volume 2018, Article ID 8262043, 5 pages
https://doi.org/10.1155/2018/8262043
Case Report

What Can Happen When Postpartum Anxiety Progresses to Psychosis? A Case Study

1Eating Recovery Center/Insight in Chicago, 333 North Michigan Ave, Suite 1900, Chicago, IL 60601, USA
2Department of Psychiatry, University of Illinois at Chicago, 921 S. Wood, Chicago, IL 60612, USA

Correspondence should be addressed to Vesna Pirec; moc.thgisnicre@cerip.ansev

Received 25 March 2017; Accepted 12 October 2017; Published 20 February 2018

Academic Editor: Erik Jönsson

Copyright © 2018 Vesna Pirec. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This case report describes a primipara without documented psychiatric history prior to complicated delivery. Onset of severe insomnia and anxiety was right after childbirth but not treated. Obsessive thinking pattern became more prominent. The patient became depressed and sought psychiatric help four months after delivery. Insomnia was then treated pharmacologically. Anxiety and depression persisted, suicidal ideation emerged, and the patient became confused, indecisive, overwhelmed, and delusional regarding her child’s health. Medications for depression and anxiety were started six months postpartum yet were ineffective. The patient’s obsessions gradually became fully psychotic and she committed an altruistic infanticide eight months postpartum. Psychiatric hospitalization occurred, followed by a long course of mental, physical, legal, and social rehabilitation. She was minimally responsive to psychopharmacological treatment, which appeared to be partly related to her hormonal dysregulation. Several months into the treatment she gradually started improving and returned to baseline two years later. The Illinois court found the patient not guilty to murder by reason of Insanity.