Postpartum catatonia treated with electroconvulsive therapy: a case report

Angela Katherine Strain1, Samantha Meltzer-Brody, Elizabeth Bullard

  • 1University of North Carolina Chapel Hill, NC 27599-7160, USA. astrain@unch.unc.edu

Catatonia is a rare syndrome that occurs in mood and psychotic disorders, and general medical conditions. Postpartum depression affects 10%-15% of women within 6 months after delivery. Postpartum psychosis affects 0.1%-0.5% of women within weeks after delivery, though it can occur within hours; it carries risk for suicide and infanticide. There is limited evidence available to guide treatment. We review a case of postpartum psychosis that presented with catatonia and was resistant to medications, but responded to electroconvulsive therapy.