Treatment of postpartum psychosis in breastfeeding females.

Mrs. M is a 36-year-old female, 2 weeks postpartum, with a past medical history of depression and migraines.She presented to the emergency room with her husband, and upon examination, she was found to have tangential speech, psychomotor agitation, and delusions that her neighbor was planning to kill her child.Her husband states that this started about a week ago.All labs were within normal limits (ie, thyroid stimulating hormone [TSH], vitamin D, vitamin B12, folate, comprehensive metabolic panel, complete blood count, lipid panel, hemoglobin A1c) except the following: blood glucose 76 mg/dL (normal: 80-120 mg/dL) and serum creatinine 1.7 mg/dL (normal: 0.6-1.2mg/dL).The urine drug screen was negative.Given physical presentation, Mrs. M is diagnosed with postpartum psychosis (PPP).After Mrs. M is admitted, her husband states that she has been breastfeeding and would like to continue to breastfeed as they are unable to afford formula.