How do family beliefs overshadow the management of postpartum delirious mania? A rare case report of adolescent postpartum delirious mania

Abstract

Delirious mania (D.M.), which is described as an advancement of delirium in a patient with acute mania, is related to the high morbidity and mortality rate. Despite the high occurrence of delirium (15-20%) in bipolar disorder, D.M. is frequently misdiagnosed. D.M. is not classified as a DSM diagnosis, and no treatment guidelines exist. This case report presents a rare case report of an adolescent Postpartum Delirious Mania. Also, we will discuss how family beliefs overshadow Postpartum Delirious Mania treatment. Patients with postpartum psychosis or mania achieved favorable treatment outcomes using a structured treatment algorithm during the acute phase of the illness. After remission, maintenance with lithium appears to be highly protective against relapse. Inpatient psychiatric treatment is required to protect the mother's and baby's safety. Emphasize are needed on sleep hygiene and a consistent feeding schedule. In practical practice, this frequently entails the discontinuation of nursing. Lactation inhibitors should be avoided at all costs. Based on observations from our case, family beliefs overshadow the management of postpartum delirious mania. we propose the importance of psychoeducation, especially for the family and the caregivers are essential for the patient's health.