Vivien Burt, Professor Emeritus of Psychiatry at UCLA and a leading expert on lithium management in pregnancy, discusses critical strategies for treating expectant mothers with bipolar disorder. She explains how lithium levels fluctuate during pregnancy and the importance of careful monitoring. The conversation includes practical dosing recommendations and considerations for postpartum care, ensuring both mother and baby remain healthy throughout this journey. A real case study illustrates the challenges and solutions in managing these complex cases.