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Doctor insights on: What Happens If Someone Has A Psychotic Episode During Labor

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What happens if someone has a psychotic episode during labor?

What happens if someone has a psychotic episode during labor?

Labor & Psychosis: This is a very serious situation, requiring urgent psychiatric consult. I'm assuming this patient has not been in treatment for psychosis previously, and this is an acute episode. Drug screens & other labs to eval the cause. Restraints could be needed. Also IV Haldol (haloperidol) may be helpful -- titrating this carefully & working w/nursing staff & obgyn physicians. Will probably need inpatient care. ...Read more

Dr. Donald Jacobson
360 doctors shared insights

Psychotic (Definition)

Psychotic disorders (such as schizophrenia) are major mental disorders that cause abnormal thinking. Psychotic people lose touch with reality and have symptoms of delusions and hallucinations. Delusions are false beliefs, such as thinking that a TV is sending you personal messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that ...Read more


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How long does someone have to hear and see things before it's considered a psychotic episode?

How long does someone have to hear and see things before it's considered a psychotic episode?

Minutes: Fleeting thoughts of hearing one's name called or isolated episodes of thinking you hear or see something may be normal. Anything else is a symptom of abnormal brain activity. Psychosis is a formal thought disorder which includes hallucinations, delusions, and disorganized thought patterns. Hallucinations can be caused by many things. Talk to your doctor. ...Read more

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Do those who have schizophrenia remember everything that happened after they've had a psychotic episode?

Do those who have schizophrenia remember everything that happened after they've had a psychotic episode?

It depends: Every person is different. While many people tend to forget some parts of their thinking and behavior during a psychotic episode while remembering others, there are also some individuals experiencing dissociation that may not remember anything. Memory can also be negatively affected by medications used to control the episode. ...Read more

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What can cause a psychotic episode?

What can cause a psychotic episode?

Many causes: There are many possible causes for psychotic episodes. These days, drug intoxication and withdrawal are exceedingly common. Also bipolar disorder with mania; schizophrenia; psychotic depression; brief reactive psychosis; delirium (not just due to drugs); etc. Consultation with a psychiatrist can help narrow it down. ...Read more

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For how long after a psychotic episode should an antipsychotic be prescribed?

For how long after a psychotic episode should an antipsychotic be prescribed?

Depends on problem: From my experience, how long an antipsychotic is prescribed after a psychotic episode depends upon the nature of the psychotic episode and the underlying illness. If the illness is one that has had recurrent psychotic episodes, then the antipsychotic should probably be continued indefinitely. It is possible that the combination of duloxetine and Prozac (fluoxetine) has triggered a manic episode, in which case discontinuing those medications might allow for discontinuation of the antipsychotic. So therefore important to talk with your doctor about this. ...Read more

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What does a psychotic episode look like?

What does a psychotic episode look like?

Confused: Patients appear confused, upset and fearful because they have lost the ability to correctly perceive their environment. They hear and see things that aren't there. ...Read more

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Is having a "breakdown" the same as having a psychotic episode?

Breakdown: That word is not a medical term so it can mean almost anything. ...Read more

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I had a drug induced psychotic episode in march 2013. I have since recovered but can't concentrate. Is methylphenidate suitable for me?

I had a drug induced psychotic episode in march 2013. I have since recovered but can't concentrate. Is methylphenidate suitable for me?

Careful, now: If you had a "drug induced psychotic episode" less than a year ago, i would be observing carefully for any other issues. People with an innate tendency to psychosis are more likely to have these responses. You've also listed citalopram and Abilify (aripiprazole) as current medications. I would not be keen on adding stimulants to you at all, but would review your current medications ; effects more carefully. ...Read more

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Will stopping geodon (ziprasidone) kick off a psychotic episode? I seem to think geodon (ziprasidone) is the most dangerous of antipsychotics because it makes one more psychotic?

Will stopping geodon (ziprasidone) kick off a psychotic episode? I seem to think geodon (ziprasidone) is the most dangerous of antipsychotics because it makes one more psychotic?

It could: Depending on what kind of illness you have, stopping Geodon (ziprasidone) could risk a psychotic episode. I'm not sure why you think Geodon (ziprasidone) is the most dangerous of antipsychotics, or that it makes one more psychotic. Like other antipsychotics, at high enough dose it can cause restlessness/akathisia -- which sometimes may feel like a psychosis, but isn't. Please discuss these concerns w/your own psychiatrist. ...Read more

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Could people experiencing a psychotic episode realize they are are having one?

Could people experiencing a psychotic episode realize they are are having one?

Sometimes: Depends the level of progression of the psychosis. 4 some period of time (esp. as an episode is coming on, or as an episode is beginning to resolve w/ treatment) some patients may have insight into the fact the the auditory hallucinations they hear (for ex.) are symptoms of illness & not real, though they *feel* and sound real. Other patients do not have insight = they don't believe they're ill ...Read more

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I had a psychotic episode. Crying and laughing uncontrollably. I had cannabis. What do I do?

I had a psychotic episode. Crying and laughing uncontrollably. I had cannabis. What do I do?

Speak w psychiatrist: If any symptoms persist you should see a psychiatrist immediately, It is possible that the cannabis precipitated the episode. Even if you are fine now you might want to speak with a psychiatrist about what led you to using the the drug.Different people will have different responses to various forms of marijuana ...Read more

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Can i take seroquel (quetiapine) as a prn as im feeling a manic psychotic episode coming on. If i can what dosage until i see my psych.

Can i take seroquel (quetiapine) as a prn as im feeling a manic psychotic episode coming on. If i can what dosage until i see my psych.

Whoah! Call doc STAT: Seroquel (quetiapine) isn't a prn med & a patient shouldn't be self-medicating for mania. If you've been previously prescribed it & your providers are operating on the assumption you've reached a steady-state blood level, that's an issue too. Go to ER or contact on-call doc immediately if your mania is/was debilitating, especially if you've become psychotic in the past. Meantime, no alcohol/illicit drugs! ...Read more

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I had a short psychotic episode. What are the chances of having another? I do not suffer from psychosis or any mental disorders. The diagnosis was made after the doctors could not find a medical reason for the quick onset of psychotic features with halluc

I had a short psychotic episode. What are the chances of having another? I do not suffer from psychosis or any mental disorders. The diagnosis was made after the doctors could not find a medical reason for the quick onset of psychotic features with halluc

Impossible to predic: Without a diagnosis as to why it occurred it is impossible to predict if it would reoccur. I have seen this occur from sleep apnea which was overlooked. If you temporarily lose oxygen to your brain by not breathing enough at night or during a nap it can easily happen. I know because it happened to me. It is often overlooked. Have that looked into. Otherwise view it as a temporary glitch. ...Read more

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My ex-husband had a severe psychotic episode and was in-patient for over a week at a psych hospital last year, having "suicidal ideation, hallucinations, etc..." but eventually released. Is it very likely that he may have another episode..Eventually, he s

My ex-husband had a severe psychotic episode and was in-patient for over a week at a psych hospital last year, having "suicidal ideation, hallucinations, etc..." but eventually released. Is it very likely that he may have another episode..Eventually, he s

Relapse: The likelihood of relapse is dependent on many things including original onset of symptoms, family history, medical adherence, low emotional volatility in his relationships with friends and family. Things that can help prevent relapse is taking medications consistently, learning comunication and social skills, daily structure with physical activity, refrain from use of mood altering substances. ...Read more

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Family+busby wants me hospital.Bipolar hubby thinks rapid cycling also psychotic episode. Not eating either. What r some forms of psychosis so i know?

Family+busby wants me hospital.Bipolar hubby thinks rapid cycling also psychotic episode. Not eating either. What r some forms of psychosis so i know?

Bipolar Disorder: Bipolar i d/o can certainly have psychotic symptoms such as paranoia, hallucinations, delusions of grandiosity, etc. Schizoaffective d/o can also have psychotic symptoms which continue after the mood episode (depression or mania) settles down. Your medicine list includes amphetamine -- and this can induce a psychosis of its own. Your illness may skew your perceptions, so listen to family here. ...Read more

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Any hope for a lasting relationship with a bipolar woman? A year ago i met a wonderful woman. We're in our early 60s. She told me she is bipolar and had a psychotic episode in her early 30s that required hospitalization. She's been through years of therap

Any hope for a lasting relationship with a bipolar woman? A year ago i met a wonderful woman. We're in our early 60s. She told me she is bipolar and had a psychotic episode in her early 30s that required hospitalization. She's been through years of therap

You should be fine: yes, many bipolar people marry and stay married. If they stay on medicine and /or seek therapy for their health you are in good shape. Any illness like Bipolar is on a spectrum and cases need to be evaluated case by case. Give it time and trust your intuition. Be aware and take any precautions like knowing her doctor if that is helpful or works. ...Read more

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Had psychotic episode in march 2013, put on resperidone, recovered. Had post-psychotic depression, took citalopram, recovered but concentration is bad?

Had psychotic episode in march 2013, put on resperidone, recovered. Had post-psychotic depression, took citalopram, recovered but concentration is bad?

Symptoms: I'm glad you had some positive response to your medications, but it sounds like something's amiss now? Are you still on your medications? Your info indicates you're now on ability and citalopram. Did your concentration change with the change to abilify (aripiprazole)? I hope you'll inform your physician of this -- some adjustments may be needed. Best wishes, . ...Read more

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What kind of pain medication can you use during labor?

What kind of pain medication can you use during labor?

It depends...: Fentanyl, remifentanyl, nitrous, Demerol (meperidine hydrochloride) are just a fee of the medications given intravenously by the rn's during labor. Self medication during labor is usually discouraged. As far as getting medications in the back (epidural), it is mostly local anesthetics that are not narcotics. ...Read more

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Why is the lithotomy position used during labor/delivery?

Why is the lithotomy position used during labor/delivery?

Practicality: Easiest position for the MD to render assistance to the mother or child should a problem arise with the delivery.
Beats squatting in a Rice Patty :) ...Read more

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Can midwives give you pills during labor?

Can midwives give you pills during labor?

Probably: In most states, certified nurse midwives are independent practitioners with the ability to write prescriptions. They are very well trained. Lay midwives are not licensed and are unable to prescribe medications. Best wishes! ...Read more

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Why do doctors recommend an IV during labor and delivery?

Why do doctors recommend an IV during labor and delivery?

Hydration: Many patients aren't able to take enough fluids orally during labor because they may be nauseated and they can become dehydrated. Iv fluids can prevent dehydration. Additionally, they provide access to administer any medications that may be necessary in labor such as antibiotics or pain meds. Finally, if a cesarean section becomes necessary, the IV allows the anesthesiologist to have access. ...Read more

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Is fentanyl ok to give during labor? What are the side affects on the baby?

Is fentanyl ok to give during labor? What are the side affects on the baby?

Fentanyl: i would not be a fan of using fentanyl during labor. It is a short acting narcotic and can cause respiratory depression if the newborn is born before the effects wearing off. It is used, but not commonly. ...Read more

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What are the risks during labor and delivery caused by von willebrands disease?

MINIMAL RISK OF BLEE: In a study with close follow up and detailed guidelines of management of delivery, produced very very low rate of immediate and late bleeding.Desmopressin was effective and safein preventing significant bleeding at delivery in most of the patients. ...Read more

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Is their such a thing as getting too much epidural during labor and what are the side effects of it?

Leg numbness,weaknes: Epidural to relieve contraction related pain is effective in managing pain during labor! however, sometimes, you can get temporary paralysis of your lower extremities that may resolve with discontinuation of your epidural.
You often get fluids prior to getting an epidural because it often causes hypo-tension, or drop in bp, that may affect circulation to your baby. So your OB doc watches u closel. ...Read more

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I was given an overdose of magnesium during labor.Could that cause behavioral problems with my child?

Clear with your OB: Magnesium sulfate is given for a reason durung labor/delivery, when mom is experiencing symptoms that could hurt her and the baby that are not her fault, nor the doctor's. I suspect there was a nicu crew there to tend to any initial, transient low muscle tone or neurological depression in your baby. There should be no long-term effects from the magnesium. Ask your OB about your experience. ...Read more

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Is a catheter nessesary during labor if you get an epidural or other pain releif?Do you have to get one?

Is a catheter nessesary during labor if you get an epidural or other pain releif?Do you have to get one?

No: You do not "need" one, but with an epidural, or other forms of pain relief, you may not have the urge to void, thus, your bladder needs to be emptied either way. Typically, for good or bad, laboring patients are given lots of fluid during labor, exacerbating the problem. ...Read more

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What causes a woman to not dilate during labor? And can regular sex jus before her due date alleviate that?

What causes a woman to not dilate during labor? And can regular sex jus before her due date alleviate that?

No dilation: Sex can cause release of hormones that can cause contractions and help bring on labor - as can manipulation of the nipples (probably safer and more comfortable) Every woman handles labor differently - it is true labor - if so - failure to progress (no dilation) may require the OB to intervene -
hope that helps ...Read more

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What is it like to have intrathecal method for pain management during labor?

Great!: Intrathecal block is also called a spinal block. Typically an Anesthesiologist would insert an epidural catheter to give medication around your spine (in the epidural space) and decrease the pain of labor. A spinal block is done at the same time and the medication is injected directly around the spine (rather than the surrounding epidural space). This provides almost immediate relief. ...Read more

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How will I know when to push during labor?

How will I know when to push during labor?

CALL YOUR OB !!!: And you hospital should offer child birth classes and if u do not want to labor acog says you can have an elective c-section ! as long as you have been told of the pros and cons and risks ! I do elective csections on my pts if they request it and have no contraindications, child birth classes will teach u how to push and the labor room nurses will show u ! ...Read more