Question

Obstetrician requests urgent psych office consult for 24 y/o pt in 2nd trimester of first pregnancy who is acting bizarre. Pt is manic w/o psychosis. Has previous episodes of mania and is dx'd with bipolar I. Was on lithium, but dc'd when planning pregnancy. Best recommendation:

Answer 1

The best recommendation is to resume treatment with mood stabilizers under medical supervision.

Step-by-step explanation:

The best recommendation for the 24-year-old pregnant woman who is currently in her second trimester of her first pregnancy and experiencing manic symptoms without psychosis is to resume treatment with mood stabilizers under medical supervision. As she has a prior diagnosis of bipolar I disorder and had been taking lithium before planning her pregnancy, it is important to address the manic symptoms to ensure the well-being of both the mother and the fetus. With close monitoring by both the obstetrician and the psychiatric healthcare provider, the woman can work together with them to find a medication that is safe and effective during pregnancy.