What are the recommended pharmacological treatments for postpartum psychosis, and how do they differ from those for postpartum depression?

Pharmacological treatments for postpartum psychosis typically involve the use of antipsychotic medications, which are considered first-line treatment, especially in severe cases ¹.

In addition, mood stabilisers such as lithium may be used, but with caution due to potential risks during breastfeeding and pregnancy ¹.

Electroconvulsive therapy (ECT) is also considered for severe cases, particularly when rapid response is needed or medication is contraindicated ¹.

Pharmacological treatments for postpartum depression generally include antidepressants, primarily selective serotonin reuptake inhibitors (SSRIs), which are preferred due to their safety profile and efficacy ¹.

Psychotropic medication should be chosen with consideration of the lowest risk profile for the woman, fetus, and baby, and dosages should be carefully adjusted ¹.

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 ¹.