A 35-year-old woman was admitted to the psychiatry service 5 days after the birth of her first child because of confusion, agitation, and delusions. A diagnosis of bipolar disorder had been made 2 years earlier, which was treated with lithium and citalopram. She discontinued her medications to become pregnant and had stated that if a relapse occurred, she should not be given medications that would prevent her from breast-feeding her infant.
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Viguera et al. (2008) studied this question.
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