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Hadia Koomary
Joined: 15 Sep 2008
Posts: 123
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 Posted: Mon Sep 22, 2008 7:02 pm Post subject: Psychiatry |
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 Lady gave a birth 4 days ago, now she feel low, no previous personal or family history, she don't want to take care of the newborn baby.
after 5 days from delivery, the lady suffer from sever anxiety and she hear orders and respond to them, but have no thoughts of harming the baby or herself.
most appropriate management option :
-reassurance
-interpersonal therapy
- SSRIs
-antipsychotic and to psychiatric unit
-assessment by psychiatrist. |
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farha
Century Club
Joined: 18 May 2007
Posts: 175
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| Posted: Sun Sep 28, 2008 5:53 am Post subject: psychatry |
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1
I think INTERPERSONL THERPY
2 for no 2 it is REASSURENCE AS SHE IS HAVING ANXIETY WHICH COULD BE BECUSE OF NEW RESPONSIBILITY OF BABY and there is no family or personal history of psychatric disorder
PLEASE CORRECT ME |
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Hadia Koomary
Joined: 15 Sep 2008
Posts: 123
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| Posted: Mon Sep 29, 2008 4:08 pm Post subject: |
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| I will agree about the first, but i think the second case is pshychosis, so I'm rounding between the last 2 items. |
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cpeedahsa
Century Club
Joined: 21 Apr 2007
Posts: 927
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| Posted: Tue Sep 30, 2008 10:31 pm Post subject: Re: Psychiatry |
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| Hadia Koomary wrote: | Lady gave a birth 4 days ago, now she feel low, no previous personal or family history, she don't want to take care of the newborn baby.
most appropriate management option :
-reassurance
-interpersonal therapy
- SSRIs
-antipsychotic and to psychiatric unit
-assessment by psychiatrist. |
This fits into the category of postpartum depression.
The key point is :she does not want to take care of the newborn baby .
The answer/option would be interpersonal therapy. If that does not help then the second option is SSRI
In postpartum blues symptoms do not interfere with a mother's ability to function and to care for her child |
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cpeedahsa
Century Club
Joined: 21 Apr 2007
Posts: 927
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| Posted: Tue Sep 30, 2008 10:34 pm Post subject: Re: Psychiatry |
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| Hadia Koomary wrote: | after 5 days from delivery, the lady suffer from sever anxiety and she hear orders and respond to them, but have no thoughts of harming the baby or herself.
most appropriate management option :
-reassurance
-interpersonal therapy
- SSRIs
-antipsychotic and to psychiatric unit
-assessment by psychiatrist. |
This lady is having dramatic onset of auditory hallucinations | Quote: | | she hear orders and respond to them |
. Fits into the category of psychosis. It is an emergency and needs inpatient treatment
Answer is antipsychotic and to psychiatric unit |
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EMAK
Century Club
Joined: 26 Nov 2006
Posts: 581
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| Posted: Sun Mar 01, 2009 10:19 pm Post subject: |
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The first case could me [ Maternal blue], reassurance can be attempted as there is no other risk factor.
The second agree with cpeedasha as the symptoms start acute after Day 5. |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Mon Mar 02, 2009 12:43 pm Post subject: |
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Good to see you back EMAK  |
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 1050
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| Posted: Fri Mar 13, 2009 3:54 pm Post subject: |
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hi Emak,
where have you been?
r
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
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EMAK
Century Club
Joined: 26 Nov 2006
Posts: 581
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| Posted: Thu Mar 19, 2009 6:20 am Post subject: |
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Hello Miss Raj,
How r u ?
Thanks for asking.
EMAK. |
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salihabduallah
Century Club
Joined: 04 Sep 2007
Posts: 185
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| Posted: Sun Jul 18, 2010 10:35 am Post subject: |
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so for the first scenario, shall we go with [ reassurance ] ? or with [ INTERPERSONL THERAPY] ?
Nick, can u give us any idea pls ?
thx. |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Mon Jul 19, 2010 6:40 am Post subject: |
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| Read what the others have said .... you cannot reassure a woman who 'does not want to look after her own baby'! |
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