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Possible treatment for post natal psychosis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   Hi erm Ive been diagnosed with postnatal psychosis and its been nearly two years now and Ive tried now three different antipsychotics and I am still experiencing delusions and paranoia
Doctor :  
User :   could there be more to this than the doctors are letting on?
User :   I was taken seriously as a private patient but since going NHS I don't seem to be taken seriously
Doctor :  
May i know your age?
User :   yes I am 21
Doctor :   Since when are you having the symptoms?

User :   about three weeks after the birth of my child so arounf the beginning of Feb 2008
Doctor :  
Are you any medications now?
User :   I had depression rather badly which I left untreated for around three years before I had my daughter and one day in which I attacked my partner under the stance that he was plotting to hurt me with imaginary people which I thought were in the room after this day I felt paranoid for around a week then it all went bar the deppression
User :   I am on Quetiapine and changing to Respiredone
Doctor :  
Are the medicines not helping you now?
User :   Erm I feel rather out of it but very edgy, I have been on Questiapine before and have still gotten ill whilst on it
User :   sorry Quetiapine
Doctor :   Ok

Doctor :  
I shall explain to you.
User :   Ok
Doctor :  
The exact reason post natal psychosis develops is not known.
User :   ok
Doctor :  
There are various theories.
Doctor :   Since the cause is only theoritical finding the reason why you got this does not serve the purpose.
Doctor :  
Hence more importance is given to treating the symptoms.
Doctor :  
The treatment of the condition is mainly of two varieties
Doctor :  
1. cognitive treatment
Doctor :  
2. medical treatment.
Doctor :  
You are on a good medicines.
Doctor :  
Continue those as advised by the doctors.
Doctor :   Cogntive treatment is more important
User :   ok i am aware of both socaial and genetic arguments for its cause, I am just wondering if in my case it is normal for it to go on for such a long time and why I have been told I could possibly have Borderline personality disorder or Schitophrenia while under private health care and all of a sudden it is nothing but postnatal psychosis i will continue to take my meds but i want to know why it isnt going and if there is a possibility that it may be something else?
User :   I have been refused CBT
Doctor :  
These symptoms can some times last for a period of 3 months
Doctor :  
to a year.
User :   well its going on two years now
User :   on and off
Doctor :  
depending on the regularity of treatment.
User :   i have taken my medicines religiously
Doctor :  
and it has to be supported by good cognitive treatment as well
Doctor :  
Which i think is lacking in your case.
User :   I was on 600mg of Quetiapine for ages and I still got ill, so is there a possibilirt it may be something else?
Doctor :   Well the treatment for any kind of psychosis is the same.

Doctor :  
I mean the same kind of medicines.
Doctor :   the dose of the medicine is also good.
User :   I know but I can be prepared to have this long term rather than living in the hope that 'it will get better' its really for my own peice of mind
Doctor :   may i know the symptoms you are facing now.
Doctor :  
That way i will be able to guide you better.
Doctor :  
Have the treatment you are on has not helped even a little?
User :   yes the belief that aliens are shutting down the world at night almost freezing everyone and taking me whilst I am shut down and analysing me and that a plane will crash into my house and kill me
User :   yes the medicines have helped quite a bit but I still do get ill
Doctor :  
Do you have any other behavioural symptoms like the one you had mentioned before?
User :   erm Im not quite sure what you are asking?
User :   I become withdrawn and quite antisocial and sometimes don't sleep and other times sleep continuously
Doctor :   You had mentioned that you had once attacked your partner.

User :   yes, erm I havent really attacked anyone else, just avoided people on the stance that they dont understand
Doctor :   Has those kind of symptoms reducing?

Doctor :  
If it is yes,
User :   erm it depends i was ill recently while on abilify and i didnt sleep well for about three weeks
Doctor :  
Then i think the treatment is helping you.
User :   that was about two months ago I had to come home off of holiday as I was so ill
User :   but when Im well Im really well
Doctor :  
I see it is reducing your voilent symptoms.
User :   i still have bad mood swings but they are reducing recently
Doctor :  
Now you need more professional rehabilitation, counselling and proper cognitive treatment.
User :   I am having counselling I have a CPN and i have a psychiatrist and I see a doctor
Doctor :  
Have you visited any rehabilitation centre?
Doctor :  
These must be done seriously.
Doctor :  
I believe it is better you visit a rehabilitation centres.
User :   they are proffesional environments but i dont feel what i say is valued, how do I attend one here in the UK?
Doctor :  
There you can come across group of people who have had the same kind of experience.
User :   Ok but do you think it is going to go?
Doctor :   Also important is knowing about the people who have had similar episodes.
Doctor :  
You can learn a lot from these people by their way of finding solutions
Doctor :   Yes.
User :   yes I do see other people with mental health problems but none with postnatal psychosis as there are too few patients available as I have been told
Doctor :  
I believe it will definitively help you.
User :   Ok how long can this condition go on for?
Doctor :  
As i told you,
Doctor :  
if not treated properly it can go for years.
Doctor :  
The treatment has to be complete.
User :   But im on the correct medication and have been refused CBT so what can I do to help myself?
Doctor :   Is there any specific reason why CBT has been refused?

User :   Erm apparantly it isnt neccessary for my condition
Doctor :   I feel it might help you.

User :   OK, so how can I get approved for this?
Doctor :  
You can either go through your pschiatrist.
User :   shes the one who refused it
Doctor :  
Or you can find one rehab centre yourself nearby your place through the net.
User :   are you sure there are any rehab centres in the UK?
Doctor :  
Do you stay alone or with family?
User :   stay alone when OK but with family when ill
Doctor :  
I will help you in this.
User :   OK thank you
Doctor :  
Let me check through b.
Doctor :  
NHS has one rehab centre.
User :   OK
Doctor :  
I will give you the link
User :   thank you
Doctor :  
I will be sending you the link shortly.
User :   ok
Doctor :  
Please fill the feed back form that i send now in the mean time.
User :   done
User :   hello is the link there?

Doctor :
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