Professional and Linguistic Assessments Board (PLAB) Practice Exam

What is the recommended treatment for postpartum psychosis?

1. Antidepressants and ECT

2. Antipsychotics only

3. Cognitive Behavioral Therapy

4. Psychotherapy alone

The correct answer is: Antidepressants and ECT

The recommended treatment for postpartum psychosis includes the use of antipsychotics, which can provide rapid stabilization of acute symptoms. In this context, the combination of antidepressants and electroconvulsive therapy (ECT) can also play a vital role, particularly in severe cases where the patient's condition is critical or unresponsive to other treatments. Postpartum psychosis is a serious mental health condition that can manifest within the first few weeks after childbirth, involving symptoms such as hallucinations, delusions, and significant mood disturbances. The urgency of these symptoms often necessitates a swift intervention to ensure the safety of both the mother and the infant. Antipsychotics are commonly the first line of defense in such cases, as they can effectively manage psychotic symptoms. The addition of antidepressants may be warranted when there are indications of a co-occurring depressive disorder, amplifying the need for a comprehensive approach. In severe instances or when rapid sedation is needed, ECT may be utilized due to its efficacy in producing quick results in treatment-resistant situations. This treatment strategy emphasizes the acute nature of postpartum psychosis and the need for a robust therapeutic approach to address both the psychological and pharmacological aspects of the disorder. Other options like psychotherapy on its own may not address the