Couvade syndrome is a phenomenon that an expectant father waiting for childbirth experiences during his wife's pregnancy or postpartum periods in the form of somatic or psychological complaints. In rare cases, this syndrome may lead to the psychotic dimensions. In the present report, we have introduced a patient who had severe depression with psychotic feature, fallowing his wife's being hospitalized for childbirth. The content of his delusions was related to the childbirth and his wife's pregnancy. As regards to the occurrence of a psychotic depression syndrome, our diagnosis was psychotic couvades syndrome. Its very rare occurrence was the reason of presentation. Being admitted in the hospital, the patient was given haloperidol and amitiptyline. Then he was discharged after a successful recovery. Although this syndrome is very rare, more attention should be paid to the family mental health with much more emphasis on every member of family during the mother's pregnancy or postpartum periods.
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