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Furthermore, the management of treatment in this phase must consider the importance of this period in women´s lives.I.M.S., 41 years of age, BD since 2007, had two manic episodes with psychotic symptoms: one of which was treated during a hospital admission; both were treated treated with lithium and olanzapine.In 2010, while receiving lithium carbonate 900 mg as maintenance treatment, the patient discovered that she was pregnant, and she began to decrease her medication on her own.During follow-up, she expressed her desire to be treated without medication, despite the explanation of the risks involved. Therefore, we began weekly 30 to 40-minute follow-up sessions focused on listening and support. The first fetal ultrasonograph (USG) was performed at the 16

Lithium use during the first trimester of pregnancy followed by discontinuation, close follow-up and therapy focused on listening and support