This poignant quote depicts the difficult and painful struggle that women with bipolar disorder (BD) face when contemplating motherhood. Generally a life-long condition beginning in late adolescence and early adulthood, most women with BD will experience this illness during their child-bearing years (Viguera et al., 2002a). For treating physicians, the event of pregnancy in a women with BD creates a challenging clinical dilemma. Essential to successful treatment is an understanding of the two ways this condition is manifested during childbearing. Firstly, women with a known history of BD are particularly vulnerable during pregnancy and the postpartum. The second manifestation of this condition is that of new onset BD in the postpartum; the adverse effects of puerperal psychosis are well documented.