postnatal depression with psychosis

Question 1

task

Answer 1

575

Question 2

opening ststement

Answer 2

hi katchy i amdr stefan one of the doctors here, it is very nice to meet you, i can see from the notes you have been not getting any good rest and exhausted i am so sorry to hear that.

Question 3

hx

Answer 3

1.Pregnancy,
when, how, any complications, are you breast feeding
2.Support
ask about marriage and support
3.how are things with the baby?
is he healthy, feeding, any concerns
feels concerned nd questions adequacy of her being a good mother.
4.How is your mood?
ask about self harm and others.
-now she tells the whole story,
5.appetite and sleep?
6.SADMA
7.SOCIAL
8.Past pregnancies

Question 4

dx

Answer 4

severe postnatal depression with premrpbid anxiety and obsession

Question 5

mx

Answer 5

-immediate hospitalisation
-if necessary involing powers of mental health legislation
-hogh risk for suicedide and infanticide
IN HOSPITAL MX
-anxiolytics, antipsychotics, antidepressants commneced
-ECT with lithium tr of choice
-mother and baby unit ideal : but very few
-mother admitted alone in unit>
-breastfeeding terminated>dopamine agonist given dec breast enlargemnt>
-supervised visits daily with baby and family
-prognosis very good
-recurrence likely future postpartum or not
-lithium carbonate prophylaxis