- mind and being home
- signs and symptoms
- conditions and disorders
- mental health assessment
- psychotherapy
- psychotropics
Mind & Being Links
Postpartum Psychosis
- causes and risk factors
- signs, symptoms, and diagnosis
- pathophysiology
- treatments
- consequences and course
- the patient
- health care team
- community involvement
- resources and references
Peaks within 3 weeks of delivery up to 3 months.
Rate of 1-2/1000 deliveries across cultures
Not a diagnosis in itself, but rather a symptom
Causes and Risk Factors
Post-partum depression
Drugs
Risk factors
- past history of affective disorders
- etc
Signs, Symptoms, and Diagnosis
- extreme restlessness
- confusion and disorientation
- insomnia
- delusional thinking
- hallucinations
Often identified by partner or family for increasingly bizarre behaviour.
"she's listening to something else that you're not hearing" Dr Patty Pierce
CBC, B12, TSH
Pathophysiology
Treatments
Hospitalize for safety
No breastfeeding
Antipsychotics, +/- mood stabilizer
involve partner and offer marital therapy
With supervision, gradually increase visitations with baby
contraception
Consequences and Course
Untreated psychosis has a suicide/infanticide risk of ~4%
The Patient
Health Care Team
Community Involvement