Diagnosis and treatment of postpartum obsessions and compulsions that involve infant harm
Open accessAbstract
Obsessive-compulsive symptoms in the postpartum period often include intrusive thoughts of harming the infant and rituals that result in avoidance of the baby. The differential diagnosis of women who develop these symptoms includes postpartum major mood disorders, obsessive-compulsive disorder, and psychosis with infanticidal thoughts. The treatment of the most common diagnoses, mood disorders and obsessive-compulsive disorder, includes serotonergic drugs, psychoeducation to help the patient understand that she is highly unlikely to harm her infant, and exposure with response prevention therapy. This intervention involves exposure of the patient to the feared situations, which are usually related to infant care, while simultaneously preventing the compulsive rituals.
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Women with OCD but without psychosis or severe personality disorder are not at increased risk of aggressive harm to their infants.
“Women with OCD without psychosis or severe personality disorder have no increased risk of aggressive harm to their infants [21,43,45].”
From Perinatal mental illness: Definition, description and aetiology (2014) · cites this paper as [43]
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Cites
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Perinatal mental illness: Definition, description and aetiology
O'Hara, M. W., & Wisner, K. L. (2014) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2013.09.002 · Cited by 986 · see citing works
Self-citation
- Authors
- Hudak, R., & Wisner, K. L.
- Affiliations
- University of Pittsburgh (US)
- ORCID
- Wisner, Katherine L.
- Venue
- American Journal of Psychiatry
- Published
- 2012-04
- Volume
- 169
- Issue
- 4
- Pages
- 360-363
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- PMC
- PMC7081835
- OpenAlex
- W2122515127
- Cited by
- 95
- References
- 15
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 2 · 2020: 3 · 2018: 3 · 2017: 56 · 2015: 9 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH060335)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- postpartum obsessive-compulsive disorder, postpartum psychosis, serotonergic drugs, psychoeducation, exposure and response prevention, differential diagnosis, maternal mental health
- MeSH terms
- Adult, Female, Humans, Implosive Therapy, Infant, Obsessive-Compulsive Disorder, Pregnancy, Pregnancy Complications, Psychotic Disorders, Mood Disorders, Postpartum Period
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