The period of time after childbirth is, by far, the time of life of the woman in which the incidence of psychosis is the highest. Numerous cultural, psychological, and biological stressors converge around motherhood. Clinical aspects of the various forms of puerperal psychosis, and a specific and well-defined clinical picture (the �classical puerperal psychosis� described in the ancient texts), are addressed. The emergence of this disease has important prognostic implications. The absence of standardized classification criteria for puerperal psychosis has meant that, in many studies, it has been considered almost exclusively as one of the major psychiatric syndromes, such as bipolar disorder. At present, a biological paradigm in explaining these disorders seems to prevail, although numerous scientific data support the idea that this disorder should be considered from a complex and dimensional perspective.
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