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Postpartum psychosis — RCPSC EM MCQ

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HardPsychiatric emergenciesPostpartum psychosisRCPSC EM

CTAS 2. A 32-year-old, 9 days postpartum, is brought by her partner for insomnia, paranoia, and voices saying the baby is cursed. She appears disorganized and has not eaten for 2 days. She denies substance use and vitals are normal. What is the most appropriate disposition?

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Correct answer: E — Urgent psychiatric admission with infant-safety planning

Postpartum psychosis is a psychiatric emergency with risk to mother and infant, requiring urgent specialist care and safety planning.

Reference: Canadian Psychiatric Association perinatal mental health resources