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Case report, 2013

Can psychotic episodes happen in a pattern linked to the menstrual cycle?

Yes. Psychotic episodes linked to menstruation may remit between cycles and become much less common after menopause.

Early or limited evidence 1 woman with recurring psychotic episodes related to menstruation

What they did

Doctors reviewed 57 hospitalizations of one woman between 1977 and 2012. They looked for patterns in when her psychotic episodes occurred.

What they found

The woman had recurring psychotic episodes linked to her menstrual cycle. She received various treatments including electroconvulsive therapy and antipsychotic medications, but none prevented episodes from recurring until after menopause, when the frequency dramatically decreased.

What it means for you

Some women with chronic mental illness may have psychotic episodes that follow a menstrual pattern. Doctors treating women with many psychiatric hospitalizations should look for this pattern. The main limits are this describes only one case and the condition is not formally recognized in official diagnostic systems.

57

hospitalizations between 1977 and 2012

About the study

Original title
1649 – Possible Menstrual Psychosis: a Case Report
Authors
M.G. Puiu, Mihnea Costin Manea, A.M. Iordan et al.
Journal
European Psychiatry
Year
2013
Study design
Case report
What was tested
Various psychiatric treatments including electroconvulsive therapy and antipsychotic medications

Topics