Professional and Linguistic Assessments Board (PLAB) Practice Exam

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The use of ECT in treating postpartum psychosis primarily aims to address what?

Mood stabilization
Severe agitation
Suicidal ideation
Psychotic features

The correct answer is: Psychotic features

The primary aim of using electroconvulsive therapy (ECT) in treating postpartum psychosis is to address the psychotic features associated with the condition. Postpartum psychosis is characterized by severe symptoms that include delusions, hallucinations, and disorganized thinking, which can significantly impair a person's ability to function and can pose risks to both the mother and the infant. ECT is particularly effective in rapidly alleviating these severe symptoms, especially when a patient is experiencing acute psychosis. While mood stabilization, severe agitation, and suicidal ideation are important considerations in the overall treatment of postpartum depression and psychosis, the immediate and most critical indication for ECT in this context is the management of psychotic features. Addressing these symptoms swiftly is crucial, as they can lead to dangerous situations and pose serious risks, especially in the postpartum period. Hence, the focus on treating the psychotic aspects of the disorder with ECT is vital for ensuring the safety and well-being of both the mother and her child.