title: Postpartum psychosis in a woman with Graves' disease: a case report.
abstract: OBJECTIVE
  Thyroid dysfunction is common during pregnancy and the postpartum period and is known to cause psychiatric disturbances. A woman with Graves' disease and psychosis in the postpartum period is described.
  
  
  METHODS
  A 22-year-old woman with Graves' disease developed fluctuating orientation, catatonia, delusions of persecution and auditory hallucinations 3 days following childbirth.
  
  
  RESULTS
  The report discusses the clinical presentation. Treatment of both conditions led to the resolution of symptoms.
  
  
  CONCLUSIONS
  Graves' disease with postpartum psychosis may present with delirium, catatonia and prominent auditory hallucinations and responds well to a combination of psychotropic and antithyroid drugs. Thyroid dysfunction should be assessed for and managed adequately in postpartum psychosis.
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (NIMHANS) Bangalore-560029, India.
authors.forename: Ajit Bhalchandra
authors.initials: AB
authors.lastname: Dahale
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (NIMHANS) Bangalore-560029, India. Electronic address: prabhasch@gmail.com.
authors.forename: Prabha S
authors.initials: PS
authors.lastname: Chandra
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (NIMHANS) Bangalore-560029, India.
authors.forename: Linda
authors.initials: L
authors.lastname: Sherine
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (NIMHANS) Bangalore-560029, India.
authors.forename: Harish
authors.initials: H
authors.lastname: Thippeswamy
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (NIMHANS) Bangalore-560029, India.
authors.forename: Geetha
authors.initials: G
authors.lastname: Desai
authors.affiliation: Department of Psychiatric Social Work, National Institute of Mental Health and, Neuro Sciences (NIMHANS) Bangalore-560029, India.
authors.forename: Dharma
authors.initials: D
authors.lastname: Reddy
mesh_terms: D000328:Adult; D005260:Female; D006111:Graves Disease / Q000175:diagnosis / Q000503:physiopathology*; D006801:Humans; D011618:Psychotic Disorders / Q000175:diagnosis / Q000503:physiopathology*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000503:physiopathology*; D055815:Young Adult
keywords: Catatonia; Graves' disease; Hyperthyroidism; Postpartum psychosis; Psychosis