Table 1.  Important principles in the treatment of postpartum psychiatric illness

1.   Rule-out organic causes (e.g. Sheehan’s syndrome, thyrotoxicosis within one month postpartum and hypothyroidism 3-5 months postpartum)

2.   Use early detection and aggressive management (including a low threshold for hospitalization)

3.   Medicate severe symptoms with the smallest effective dose

4.   Alter treatment strategy as necessary at different stages of the illness

5.   Provide close follow-up


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published 2000