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Spring 2024 | VOL. 22, NO. 2
Autism Across the Lifespan
CURRENT ISSUE
pp.147-262
Winter 2024 | VOL. 22, NO. 1
Reproductive Psychiatry: Postpartum Depression is Only the Tip of the Iceberg
pp.1-142

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Volume 22, Issue 1

Reproductive Psychiatry: Postpartum Depression is Only the Tip of the Iceberg

January 2024

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From the Guest Editor

January 2024

Reproductive Psychiatry: Postpartum Depression is Only the Tip of the Iceberg

C. Neill Epperson, M.D.,
Sarah Nagle-Yang, M.D.,
Andrew M. Novick, M.D., Ph.D.

Pages:1–2
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230029

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Reviews

January 2024

Striking the Balance: Bipolar Disorder in the Perinatal Period

Caitlin Hasser, M.D.,
Maithri Ameresekere, M.D., M.Sc.,
Christina Girgis, M.D.,
Jacquelyn Knapp, M.D.,
Riva Shah, M.D.

Pages:3–15
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230020

Abstract
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The authors reviewed the literature, published between 2018 and 2023, on treating bipolar disorder in the perinatal period in order to summarize current treatment perspectives. Mood episodes occur during pregnancy and there are high rates of both initial ...

January 2024

Review of the Assessment and Management of Perinatal Mood and Anxiety Disorders

Sarah J. Weingarten, M.D., and
Lauren M. Osborne, M.D.

Pages:16–24
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230023

Abstract
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Perinatal mood and anxiety disorders (PMADs) are the most common complication of childbirth. When poorly controlled, they are associated with worse obstetric outcomes, such as higher rates of preterm birth and unplanned cesarean delivery. They are also ...

January 2024

The Psychiatrist’s Role in Treating Perinatal Opioid Use Disorder and Reducing Maternal Mortality

Sara M. Witcraft, Ph.D.,
Claire Johnson, B.A.,
Constance Guille, M.D., M.S.C.R.

Pages:25–34
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230018

Abstract
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Drug overdose is a leading cause of maternal mortality. Psychiatrists can play a critical role in reducing these deaths by delivering effective evidence-based treatments for perinatal opioid use disorder (POUD), including the use of buprenorphine. ...

January 2024

An Overview for the General Psychiatrist Evaluating Patients With Obstetric and Neonatal Complications and Perinatal Loss

Priya Gopalan, M.D.,
Meredith L. Spada, M.D., M.Ed.,
Neeta Shenai, M.D.,
Isabella Kratzer, M.D.,
Nona Nichols, M.D.,
Shelly Kucherer, M.D.,
Shinnyi Chou, M.D., Ph.D.,
Elizabeth Hovis, M.D.,
Stacy Beck, M.D.,
Jody Glance, M.D.

Pages:35–43
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230021

Abstract
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When neonatal and obstetrical complications occur, the identification and management of mood and anxiety disorders become complex with an ever-expanding array of psychiatric needs that include the management of grief- and trauma-related disorders. With ...

January 2024

Postpartum Psychosis: A Preventable Psychiatric Emergency

Ramanpreet Toor, M.D.,
Michelle Wiese, M.D.,
Carmen Croicu, M.D.,
Amritha Bhat, M.D., M.P.H.

Pages:44–52
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230025

Abstract
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Postpartum psychosis is the most severe psychiatric disorder associated with childbirth. Although rare, it is considered a psychiatric emergency that warrants immediate medical attention and inpatient care to ensure safety, complete diagnostic evaluation, ...

January 2024

Bridging the Gap: Integrating Awareness of Polycystic Ovary Syndrome Into Mental Health Practice

Lindsay R. Standeven, M.D.,
Annie Ho, B.S.,
Liisa Hantsoo, Ph.D.

Pages:53–62
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230024

Abstract
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Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among women of reproductive age. Individuals with PCOS report reduced quality of life compared with those without PCOS, with possible contributing factors including infertility, ...

Ask the Expert

January 2024

Hormones as Psychotropic Interventions in Females

C. Neill Epperson, M.D.

Pages:63–66
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230031

First Page
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Ethics Commentary

January 2024

Ethical and Legal Aspects of Women’s Mental Health

Jacob M. Appel, M.D., J.D.

Pages:67–71
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230019

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Communication Commentary

January 2024

Putting Politics Aside: Supporting Pregnant Women Who Have Experienced Sexual Violence

Dorothy E. Stubbe, M.D.

Pages:72–76
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.20230030

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Bibliography

January 2024

Reproductive Psychiatry: Postpartum Depression is Only the Tip of the Iceberg

Pages:77–78
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.23021027

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Abstracts

January 2024

Reproductive Psychiatry: Postpartum Depression is Only the Tip of the Iceberg

Pages:79–80
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.23021029

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Influential Publications

January 2024

Management of Premenstrual Dysphoric Disorder: A Scoping Review

Sara V. Carlini,
Teresa Lanza di Scalea,
Stephanie Trentacoste McNally,
Janice Lester,
Kristina M. Deligiannidis

Pages:81–96
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.23021035

Abstract
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Premenstrual dysphoric disorder (PMDD) and premenstrual syndrome (PMS) refer to physical, cognitive, or affective symptoms that arise in the late luteal phase and remit with menses. The present work is a clinically focused scoping review of the last ...

January 2024

Natural vs. Surgical Postmenopause and Psychological Symptoms Confound the Effect of Menopause on Executive Functioning Domains of Cognitive Experience

Chloe E. Page,
Brianna Soreth,
Christina A. Metcalf,
Rachel L. Johnson,
Korrina A. Duffy,
Mary D. Sammel,
James Loughead,
C. Neill Epperson

Pages:97–108
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.23021034

Abstract
Full text
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Objective:The menopause transition is associated with difficulties in executive function. However, it is unclear whether these difficulties persist past perimenopause. This study investigated whether potential confounders, including natural vs. surgical ...

January 2024

Depression in Polycystic Ovary Syndrome: Focusing on Pathogenesis and Treatment

Liwei Xing,
Jinlong Xu,
Yuanyuan Wei,
Yang Chen,
Haina Zhuang,
Wei Tang,
Shun Yu,
Junbao Zhang,
Guochen Yin,
Ruirui Wang,
Rong Zhao,
Dongdong Qin

Pages:109–119
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.23021032

Abstract
Full text
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Preview Abstract

Polycystic ovary syndrome (PCOS) is one of the most prevalent gynecological endocrine conditions affecting reproductive women. It can feature a variety of symptoms, such as obesity, insulin resistance, skin conditions, and infertility. Women with PCOS are ...

January 2024

Management of Lithium Dosing Around Delivery: An Observational Study

Nina M. Molenaar,
Eline M. P. Poels,
Thalia Robakis,
Richard Wesseloo,
Veerle Bergink

Pages:120–125
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.23021031

Abstract
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Objectives:Recommendations on lithium dosing around delivery vary, with several guidelines suggesting that lithium should be discontinued prior to delivery. We aimed to evaluate the validity of these recommendations by investigating 1) maternal lithium ...

January 2024

Opioid Use Disorder Documented at Delivery Hospitalization—United States, 1999–2014

Sarah C. Haight, M.P.H.,
Jean Y. Ko, Ph.D.,
Van T. Tong, M.P.H.,
Michele K. Bohm, M.P.H.,
William M. Callaghan, M.D.

Pages:126–130
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.23021030

First Page
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January 2024

Postpartum Psychosis: A Proposed Treatment Algorithm

Chaitra Jairaj,
Gertrude Seneviratne,
Veerle Bergink,
Iris E. Sommer,
Paola Dazzan

Pages:131–142
Published Online:16 January 2024

https://doi.org/10.1176/appi.focus.23021033

Abstract
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Background:Postpartum psychosis (PPP) is a psychiatric emergency that generally warrants acute inpatient care. PPP is marked by the sudden onset of affective and psychotic symptoms with a rapid deterioration in mental state. Evidence suggests that PPP is ...

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