Puerperal psychosis and rape - psychiatric emergencies, Biology

Puerperal Psychosis:

Child birth can precipitate schizophrenia, depression and mania. Management:  it  depends on  the nature of the symptoms. Danger  to  self and othcrs (including infant) must be evaluated and  proper precautions must be  taken.

Rape:

All may not report of  rape. Conversely a person may  report being delusional or vindictive but has not been sexually abused Silent rape reactions may  be characterized by  loss of  appetite, sleep disturbance,  anxiety and sometimes agoraphobia.  In  case  of  rape  by  a stranger there is a real fear  of  violence and death  as well as of  contracting a STD or being pregnant. 

Management:

Encourage mental ventilation. Use social support, reinforcement of healthy  traits and encouragement  to return  to the previous level of  functioning as rapidly as possible. Thorough physical examination and legal counsel  is  required. If  victim is woman all alternatives to pregnancy should be offered. If  victim has contracted V.D,  appropriate  antibiotics are provided.  

Posted Date: 10/27/2012 3:01:34 AM | Location : United States







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