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Postpartum psychosis in a woman with Graves' disease: a case report
Ajit Bhalchandra Dahale1, Prabha S Chandra1, Linda Sherine1
1Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (NIMHANS) Bangalore-560029, India.
Objective:
Thyroid dysfunction is common during pregnancy and the postpartum period and is known to cause psychiatric disturbances. A woman with Graves' disease and psychosis in the postpartum period is described.
Methods:
A 22-year-old woman with Graves' disease developed fluctuating orientation, catatonia, delusions of persecution and auditory hallucinations 3 days following childbirth.
Results:
The report discusses the clinical presentation. Treatment of both conditions led to the resolution of symptoms.
Conclusion:
Graves' disease with postpartum psychosis may present with delirium, catatonia and prominent auditory hallucinations and responds well to a combination of psychotropic and antithyroid drugs. Thyroid dysfunction should be assessed for and managed adequately in postpartum psychosis.
