QuestionSBA
QuestionChoice
Whilst cognitive behavioural therapy can be beneficial in post-partum psychosis, there is an urgent threat to the mother and baby and as such, they must be admitted.
10007243
c
Schedule an appointment for the patient to see a psychiatrist for intense cognitive behavioural therapy
QuestionChoice
This is postpartum psychosis, a rare but serious psychiatric disorder that can occur in the first few weeks after delivery. Women with postpartum psychosis may experience hallucinations, delusions, disorientation, and rapid mood swings. They may be at risk for self-harm, harm to others, or suicide. Given the severity of the patient's symptoms and the potential risks to herself and others, the best course of action is to admit the patient to a mother and baby unit for close observation and treatment.
10007241
a
Organise admission to mother and baby unit
QuestionChoice
Separating the mother and baby is associated with adverse outcomes for postpartum psychosis. They should remain together in a mother and baby unit.
10007242
b
Admit the mother to the local psychiatric unit
QuestionChoice
This is not an appropriate referral to the district nurse. An in-patient setting is necessary to mitigate the risks to the mother and baby. Antipsychotic treatment may be given under close supervision at the mother and baby unit.
10007244
d
Refer to the district nurse to deliver IM olanzapine
QuestionChoice
This does not mitigate the risks both to the patient and to the baby. Admission to the mother and baby unit is more suitable.
10007245
e
Organise a social worker visit 4 times a day for 1 month
Concept
Chapter
2693
4028
Postpartum psychosis
Topic
173
Psychiatry
13995
A 29-year-old woman presents to the GP with her partner, 3 weeks after delivering their first baby. The partner is concerned that she has been behaving strangely in recent days, and last night found her wandering the streets at night 'looking for bears'.

The patient reports hearing a voice that she believes belongs to the devil. More recently, she has also expressed the belief that the baby is not her own, but has been implanted by the neighbour as part of a plot to harm her.

She was previously fit and well, with no past medical or psychiatric history.

Which of the following is the most appropriate management?
a