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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

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Dr. Donald Jacobson
355 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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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