Treatment
It is essential that the diagnosis is firmly established by precise dating of episodes and the menses. Two cycles of prospective daily ratings (recommended for the diagnosis of menstrual mood disorder) is not sufficient for menstrual psychosis. It is also important to obtain a gynaecological opinion, because correction of abnormal menstruation may be important in treatment.
Standard tranquillizing drugs or electroconvulsive treatment may be effective in the acute episode, but are ineffective in arresting the cyclical illness. This, with its pattern of monthly relapses, offers an opportunity for single patient sequential trials. Many unconventional treatments have been tried and claimed to be effective. At present, the most promising appear to be thyroid and clomiphene.
Read more about this topic: Menstrual Psychosis
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