Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant Woman

Abstract Introductions: Pregnancy is a stressor to women, in terms of biological as well as psychological. For individuals who previously received medication for schizophrenia in the past, it can be a triggering factor for the relapse of the illness. Here we describe a case of a pregnant woman who e...

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Main Authors: Karen Delicia Setiobudi, Soetjipto Soetjipto, Era Catur Prasetya
Format: Article
Language:English
Published: Universitas Airlangga 2023-05-01
Series:Jurnal Psikiatri Surabaya
Subjects:
Online Access:https://e-journal.unair.ac.id/JPS/article/view/34707
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author Karen Delicia Setiobudi
Soetjipto Soetjipto
Era Catur Prasetya
author_facet Karen Delicia Setiobudi
Soetjipto Soetjipto
Era Catur Prasetya
author_sort Karen Delicia Setiobudi
collection DOAJ
description Abstract Introductions: Pregnancy is a stressor to women, in terms of biological as well as psychological. For individuals who previously received medication for schizophrenia in the past, it can be a triggering factor for the relapse of the illness. Here we describe a case of a pregnant woman who experiences a relapse in pregnancy. Case: The patient was a 40-year-old pregnant woman, brought to the emergency room after attacking her father by stabbing her father’s head with a knife. She was suspicious of her dad’s gaze at her. She was hostile towards healthcare workers when being examined. For her pregnancy, consultation with the Obstetric and Gynaecology department had been done to ensure that she and her baby were taken care of while being treated in the psychiatry ward. Discussions: The patient was diagnosed as having paranoid schizophrenia recurrent episodes. There was no complication found in her pregnancy, and she was scheduled for Sectio Caesarean as she was not mentally fit to do vaginal delivery. The psychiatric approach to the patient was atypical antipsychotic along with supportive psychotherapy. Psychoeducation and family therapy were also done to ensure that the patient’s family understand the illness and the importance of compliance with the medication. Conclusions: Pregnancy is one of the factors that lead to the relapse of schizophrenia in patients with a history of mental illness. Holistic treatment is needed to treat the patient to prevent the relapse of the illness.
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spelling doaj.art-a3550b03bbd44eb180302b0e6ae195322023-10-16T03:04:27ZengUniversitas AirlanggaJurnal Psikiatri Surabaya2355-24092716-358X2023-05-01121778310.20473/jps.v12i1.3470728475Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant WomanKaren Delicia Setiobudi0Soetjipto Soetjipto1Era Catur Prasetya2Department of Psychiatry, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital Surabaya, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital Surabaya, IndonesiaUniversitas Muhammadiyah Surabaya, IndonesiaAbstract Introductions: Pregnancy is a stressor to women, in terms of biological as well as psychological. For individuals who previously received medication for schizophrenia in the past, it can be a triggering factor for the relapse of the illness. Here we describe a case of a pregnant woman who experiences a relapse in pregnancy. Case: The patient was a 40-year-old pregnant woman, brought to the emergency room after attacking her father by stabbing her father’s head with a knife. She was suspicious of her dad’s gaze at her. She was hostile towards healthcare workers when being examined. For her pregnancy, consultation with the Obstetric and Gynaecology department had been done to ensure that she and her baby were taken care of while being treated in the psychiatry ward. Discussions: The patient was diagnosed as having paranoid schizophrenia recurrent episodes. There was no complication found in her pregnancy, and she was scheduled for Sectio Caesarean as she was not mentally fit to do vaginal delivery. The psychiatric approach to the patient was atypical antipsychotic along with supportive psychotherapy. Psychoeducation and family therapy were also done to ensure that the patient’s family understand the illness and the importance of compliance with the medication. Conclusions: Pregnancy is one of the factors that lead to the relapse of schizophrenia in patients with a history of mental illness. Holistic treatment is needed to treat the patient to prevent the relapse of the illness.https://e-journal.unair.ac.id/JPS/article/view/34707pregnancymental illnessschizophrenia paranoidtreatment compliance.
spellingShingle Karen Delicia Setiobudi
Soetjipto Soetjipto
Era Catur Prasetya
Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant Woman
Jurnal Psikiatri Surabaya
pregnancy
mental illness
schizophrenia paranoid
treatment compliance.
title Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant Woman
title_full Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant Woman
title_fullStr Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant Woman
title_full_unstemmed Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant Woman
title_short Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant Woman
title_sort case of recurrent episode of schizoprenia paranoid in pregnant woman
topic pregnancy
mental illness
schizophrenia paranoid
treatment compliance.
url https://e-journal.unair.ac.id/JPS/article/view/34707
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