psychosis post-partum is a psychopathology severe that it affects a pregnant woman on the 1000 and after that she gave birth. The factors that are associated with puerperal psychosis are different: first birth, previous mental disorders, some familiarà psychiatric disorders of personalityà, on the biological factors.
In first-time mothers the risk of a puerperal psychosis è più high, even if the disorder you can; repeat in subsequent pregnancies. The presence of psychiatric disorders, especially depressive in the history is a predictive factor.
The symptoms manifests itself within the first 2-3 weeks of the birth, and hospitalization is frequently necessary and immediate, usually occurs within the first month.
The framework is a composite as coexist the symptoms così said ‘affective‘ (excitement, depression, or a mixture of the two called the mixed) with the thought disorders: delirium, hallucinations, perplessità, inconsistency, disorganization evident in the behavior, disorientation, and mental confusion.
defines the delirium one was very particular in which there are convictions, absurd, bizarre, and threatening with respect to the child or to the attachment figures, it is not about doubts or fears, but to certainty about the truth irrefutable. l the contents of this may be più typically the depressive and relate to the life and health of the child, which the mother believes is compromised often to blame.
Or the delusions may be ‘incongruous’ that is not linked to depression: there is può, for example, you feel watched, controlled, persecuted – somebody has put bugs in the house – someone (perhaps the mother-in-law, or an organization of espionage) wants to kidnap your child, or beliefs that the child has been “switched” with another not his, or a delirium of negation of the existence of the son and of the maternityà or of his own life.
In this condition, the risk of infanticide and/or suicide is high.
thereò you may accompany perceptions, very strange (e.g. a smell of incense or cadaveric, or a particular smell that emanates from your body, often the voices are threatening, judgemental, or that indicate tasks mysterious you should bring it to term, etc…).
everything is often accompanied by a state of confusion oniroide, the loss of the instincts, vital, exacerbating all of the characteristics of the depression that we talked about (feelings of guilt become very più serious, and completely unrealistic, shame becomes a feeling of indegnità, the feelings of worthlessness become serious and the autoaccuse threatening, motor inhibition and you can toggle to a strong agitation, which canò also lead to trouble dangerous for their health and that of your child).
The duration of the disease is indicated currently around two months. The prognosis is generally good, even if they have a tendency to recur. The effects take on the characteristics of the earlier crisis.
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The depressive disorder, post-partum, the symptoms
post partum Depression: what to do, what care
postpartum Depression: risk factors
post partum Depression: therapy, psychiatric evaluation and hospitalization
The health in pregnancy
February 6, 2017