Known psychiatric conditions can coexist with pregnancy. Other psychia
tric disorders possibly result from the physiologic changes of pregnan
cy. In emergent cases, organic disease processes should be considered
prior to psychotropic intervention. Although some psychiatric conditio
ns cannot be cured, appropriate selection of therapy could facilitate
successful pregnancy outcome. Pregnancy does not impart immunity from
suicide or domestic violence. Physicians providing care for pregnant w
omen should understand the need for screening for physical abuse.