Pharmacological treatments for postpartum psychosis typically involve the use of antipsychotic medications, which are considered first-line treatment, especially in severe cases NICE CG192.
In addition, mood stabilisers such as lithium may be used, but with caution due to potential risks during breastfeeding and pregnancy NICE CG192.
Electroconvulsive therapy (ECT) is also considered for severe cases, particularly when rapid response is needed or medication is contraindicated NICE CG192.
Pharmacological treatments for postpartum depression generally include antidepressants, primarily selective serotonin reuptake inhibitors (SSRIs), which are preferred due to their safety profile and efficacy NICE CG192.
Psychotropic medication should be chosen with consideration of the lowest risk profile for the woman, fetus, and baby, and dosages should be carefully adjusted NICE CG192.
In summary, postpartum psychosis treatment emphasizes antipsychotics and mood stabilisers, whereas postpartum depression primarily involves antidepressants, with treatment tailored to the severity and individual circumstances NICE CG192.