# Psychotic Onset During the Second Trimester of Pregnancy: A Case Report and Review of the Literature

## TL;DR

A pregnant woman developed psychosis during her second trimester, highlighting the risks of bipolar disorder during pregnancy.

## Contribution

This case report adds to the understanding of bipolar disorder onset during pregnancy and its management.

## Key findings

- A 29-year-old woman with bipolar disorder experienced a psychotic episode during her second trimester.
- Pharmacological treatment and close monitoring led to symptom remission postpartum.
- The case underscores the vulnerability of women with bipolar disorder during pregnancy.

## Abstract

The manuscript presents a case of a 29-year-old pregnant woman who developed a severe psychotic episode during the second trimester of her pregnancy. Bipolar disorder (BD) is a serious mood disorder of uncertain etiology marked by significant and long-lasting fluctuations in mood. It is a major cause of disability worldwide, with a higher rate of progression and frequency in women. Pregnancy represents a vulnerable period for women with BD, as hormonal and psychological changes can trigger severe mood episodes. Pharmacological treatment was given, and her pregnancy was closely monitored. A cesarean section was performed at 36 weeks, and postpartum medication adjustments were made. At six months follow-up, the patient showed signs of symptom remission, though she required subsequent psychiatric care.