Asunto(s)
Instituciones de Atención Ambulatoria/organización & administración , Internado y Residencia/organización & administración , Trastornos Mentales/tratamiento farmacológico , Servicios de Salud Mental/organización & administración , Psiquiatría/educación , Adulto , Curriculum , Humanos , Organización y Administración , Proyectos PilotoRESUMEN
Postpartum psychosis is one of the most severe manifestations of postpartum mental illness. A psychiatric emergency, the prompt recognition and treatment of postpartum psychosis is essential in insuring maternal and infant well-being and safety. Here, we review the literature on the phenomenology of postpartum psychosis and the prevalence of use, safety, and efficacy of electroconvulsive therapy as a treatment. Studies were searched using CINAHL, EMBASE, MEDLINE, PsycINFO, and PubMed databases. Based on our review, we argue that for some patients, electroconvulsive therapy should be the treatment of choice.
Asunto(s)
Depresión Posparto/terapia , Terapia Electroconvulsiva , Adulto , Antidepresivos/efectos adversos , Antidepresivos/uso terapéutico , Lactancia Materna , Depresión Posparto/tratamiento farmacológico , Depresión Posparto/psicología , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Terapia Electroconvulsiva/efectos adversos , Femenino , Humanos , Embarazo , Trastornos Psicóticos/etiología , Trastornos Psicóticos/psicologíaRESUMEN
Alzheimer's disease is by far the most common degenerative dementia, followed by dementia caused by cerebrovascular disease, Lewy body dementia, and frontotemporal dementia. These dementia subtypes have more overlapping signs and symptoms than defining ones. However, accurate diagnosis is important as each subtype has unique prognostic and treatment considerations. Key elements of the history, physical exam and diagnostic tests useful in deferential diagnosis of dementia sub-types are reviewed here.
