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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Mentally Retarded, Stopped Taking Medicines. Suggest?

Dear sir, my wife is mentally retarded after 2nd delivery of baby girl , 1st one is boy of 4 years. After delevry my mother expired on 19th march 2012 after one month of delevery. from that day my wife get shocked & now she feeling that every one of relatives haarace her for making realize her responcibilies & plans against her. I vising psychiatrist in Kolhapur. She takes tablets around 10 to 15 day & suddenly she stops for current 4 days. Pls suggests.
Tue, 29 May 2012
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Psychiatrist 's  Response
Hi Atul,
Welcome to Healthcare Magic and thanks for your question...

Firstly, I would like to make a correction... I think you mean that your wife is having a mental health problem, and not 'mentally retarded'. You have mentioned that her psychological problems started after her 2nd delivery. Now, nearly half the mothers can develop mild emotional changes and problems following delivery, which are temporary and self-limiting. But a small percentage of them can go on to develop more serious and persistent problems which require treatment. I think your wife may be suffering from a post-partum depression or psychosis.

Having false beliefs, unrealistic fears and suspicions may be indicative of a post-partum psychosis. Moreover, she has also had to deal with a major stressor due to the death of your mother, which may have been a precipitating factor for developing her psychiatric problem. It is good that you have taken her to a psychiatrist for help. However, it is also very important to continue medication regularly, because it is both essential for recovery and for preventing relapse of symptoms.

I think you should take up the responsibility of ensuring that she takes medication everyday, because when people are going through psychiatric problems, they often don't feel that medication is necessary or going to help them. If she is refusing medication completely or being very unco-operative, then you should discuss further options with your psychiatrist.

All the best.

- Dr. Jonas Sundarakumar
Consultant Psychiatrist
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Mentally Retarded, Stopped Taking Medicines. Suggest?

Hi Atul, Welcome to Healthcare Magic and thanks for your question... Firstly, I would like to make a correction... I think you mean that your wife is having a mental health problem, and not mentally retarded . You have mentioned that her psychological problems started after her 2nd delivery. Now, nearly half the mothers can develop mild emotional changes and problems following delivery, which are temporary and self-limiting. But a small percentage of them can go on to develop more serious and persistent problems which require treatment. I think your wife may be suffering from a post-partum depression or psychosis. Having false beliefs, unrealistic fears and suspicions may be indicative of a post-partum psychosis. Moreover, she has also had to deal with a major stressor due to the death of your mother, which may have been a precipitating factor for developing her psychiatric problem. It is good that you have taken her to a psychiatrist for help. However, it is also very important to continue medication regularly, because it is both essential for recovery and for preventing relapse of symptoms. I think you should take up the responsibility of ensuring that she takes medication everyday, because when people are going through psychiatric problems, they often don t feel that medication is necessary or going to help them. If she is refusing medication completely or being very unco-operative, then you should discuss further options with your psychiatrist. All the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist