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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.
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