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DSM-V: modifying the postpartum-onset specifier to include hypomania.

Verinder Sharma¹, Vivien K Burt

¹Department of Psychiatry, University of Western Ontario, London, Ontario, Canada. vsharma@uwo.ca

Archives of Women'S Mental Health

|September 28, 2010

Summary

This summary is machine-generated.

Childbirth can trigger hypomania, a manic episode. The Diagnostic and Statistical Manual of Mental Disorders (DSM) should include hypomania in its postpartum-onset specifier to prevent misdiagnosis of bipolar II depression.

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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants

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Published on: June 13, 2021

Area of Science:

Psychiatry
Mental Health
Reproductive Psychiatry

Background:

The Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR lacks a specifier for postpartum-onset hypomania.
Childbirth is a known potent trigger for hypomanic episodes.

Purpose of the Study:

To highlight the clinical reality of childbirth as a trigger for hypomania.
To advocate for the inclusion of hypomania in the DSM-V postpartum-onset specifier.

Main Methods:

Review of clinical observations and diagnostic criteria.
Analysis of the consequences of misdiagnosing bipolar II depression as unipolar depression in the postpartum period.

Main Results:

The current DSM-IV-TR specifier overlooks hypomania as a postpartum condition.
Misdiagnosis of bipolar II depression as unipolar depression can occur in the postpartum period.

Conclusions:

The DSM-V should modify the postpartum-onset specifier to encompass hypomanic episodes.
Including hypomania would improve diagnostic accuracy and patient outcomes in postpartum mental health.