"Postpartum Psychosis" Dr. Fieve: "Postpartum psychosis, can be very serious. A lot of times you get a woman who has a history of bipolar in the family, and she may have never had a bipolar episode up until 25, but she also might have had depression in college not knowing what it was; suddenly she has her first baby, and boom she either goes into a manic state, psychotic, or into profound depression. And this is a high risk time for a girl that has a family history or a past history of bipolar disorder. The first baby is a high risk time. I've just had this recently with a patient, and I watched this patient very, very closely during the pregnancy, and right afterwards, we delivered the baby, and got her right back on lithium again, to prevent any postpartum psychosis."