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Suggest Treatment For Puerperal Psychosis

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Posted on Tue, 21 Jun 2016
Question: Hi,

I have been blessed with a baby boy last month. Post delivery my wife, has developed difficulty in speaking and feels that she has a rolling tounge and feels very concious about her face movements including tounge and mouth.
She has been taking very less sleep last one month ( 2-3 hours average ) and that too with breaks. We have another daughter ( 8 yrs ), whom she is taking care of which keeps her busy during the day. At night she is taking care of the son as he keeps awake during nights.
doctor
Answered by Dr. Sonia Raina (2 hours later)
Brief Answer:
Post partum psychosis, requires consultation

Detailed Answer:
Hello, greetings!
Thanks for posting your query on hcm.
I have gone through your query and I feel that this may be related to post partum psychosis. Post partum psychosis affects 1 in 1000 females after delivery. Please visit her doctor and discuss about this condition.

Post partum psychosis requires family support. You must take her to a psychiatrist for counselling.
She needs to start on antidepressants and antipsychotics which will help her. As these are prescription drugs, you will need to consult your psychiatrist.

I hope this helps you. If you have any further doubts/ queries you may get back to me.
Regards,
Dr. Sonia
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sonia Raina (3 hours later)
Hi Dr,

I checked about post partum psychosis on internet ( no other source as such by now ) and currently could not see any such symptoms as stated in the articles. The patient ( my wife ) is not under any depresssion and there is no change in any behaviour. Please let me know if we can speak on this.

Regards,
XXXX
doctor
Answered by Dr. Sonia Raina (7 minutes later)
Brief Answer:
clinical observation necessary....

Detailed Answer:
Hello, greetings!

I am sorry if my previous reply offended you. I did not mean your wife is suffering with psychosis. Post partum psychosis present with wide range of symptoms. Given that her symptoms developed almost immediately after delivery and these delusions (feeling of rolling tongue; facial movements) appearance, I will keep post partum psychological illness as a possibility. Off course I will insist she visits her gynecologist and discuss her symptoms; the earliest, the better.

Any neurological disturbance immediately following delivery has to be investigated and thus, I feel its mandatory for you to seek help. I am available for further discussion.

Regards,
Dr. Sonia
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Sonia Raina

General & Family Physician

Practicing since :2013

Answered : 182 Questions

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Suggest Treatment For Puerperal Psychosis

Brief Answer: Post partum psychosis, requires consultation Detailed Answer: Hello, greetings! Thanks for posting your query on hcm. I have gone through your query and I feel that this may be related to post partum psychosis. Post partum psychosis affects 1 in 1000 females after delivery. Please visit her doctor and discuss about this condition. Post partum psychosis requires family support. You must take her to a psychiatrist for counselling. She needs to start on antidepressants and antipsychotics which will help her. As these are prescription drugs, you will need to consult your psychiatrist. I hope this helps you. If you have any further doubts/ queries you may get back to me. Regards, Dr. Sonia