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Most women who have postpartum depression do not have psychotic features. The risk of postpartum episodes with psychotic features is particularly increased for women with a pre existing mood disturbance (especially bipolar I disorder), a previous psychotic episode, and those with a family history of bipolar disorders. There can be some rare but extreme events associated with postpartum depression with psychotic features.1Major Depressive Episode SymptomsA person who suffers from a major depressive episode must either have a depressed mood or a loss of interest or pleasure in daily activities consistently for at least a 2 week period.

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