Premenstrual syndrome, premenstrual dysphoric disorder, and premenstrual exacerbation of another disorder.
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Female↗
Biomedical subjects
Diana L Dell
Publications and source records attributed to Diana L Dell.
Suicide in pregnancy.
BACKGROUND: Pregnant women with bipolar disorder often elicit conflicts between maternal and fetal considerations. CASE: A 26-year-old primigravida at 12 weeks' gestation presented for emergency psychiatric evaluation after discontinuing psychotropic medications when starting prenatal care. She developed worsening depression and was suicidal. She was admitted to an inpatient psychiatric unit, medication was reinitiated, and she appeared to stabilize well enough to be followed as an outpatient. Two days after discharge, she shot herself in the left chest, resulting in her death and that of her fetus. CONCLUSION: When choosing to maintain or discontinue mood stabilizers during pregnancy, decisions are best made by the use of a risk-benefit model that takes into account the health and well-being of both mother and fetus.
Adult↗
Dementia presenting as postpartum depression.
BACKGROUND: Other conditions that can mimic postpartum depression are rare but must be considered. CASE: A 37-year-old woman developed mood symptoms as well as progressive hyperphagia, hypersexuality, disinhibition, and impairment of judgment after delivery of her third child. She was unresponsive to multiple treatments for depression and was evaluated for frontal lobe syndromes. CONCLUSION: Frontotemporal dementia, formerly known as Pick disease, is a primary degenerative dementia for which no cause is clearly established. Family history or genetic abnormalities are found in about 50% of cases. The diagnosis is frequently missed or delayed, as in this case, because it occurs in a younger age group, presents with unusual signs and symptoms, and is far less prevalent than Alzheimer disease.
Adult↗