Today we will discussing the importance of taking psychiatric history from pregnant women, side effects of antipsychotics in pregnant women, dangers of so called “technotherapy”, A story on importance of Cognitive Behavioral Therapy and more!
Family history of psychiatric disorders, especially bipolar disorder, is an important risk factor for postpartum psychiatric disorders. To assist in identification of women at risk for postpartum psychiatric disorders, questions related to female and male first-degree relatives with bipolar disorder are of the highest importance and should be added to routine clinical screening guidelines to improve prediction of risk.
Compared with women who discontinued use of an atypical antipsychotic medication before the start of pregnancy, women who continued treatment with olanzapine or quetiapine had an increased risk of gestational diabetes that may be explained by the metabolic effects associated with these two drugs.
Beneath the optimistic rhetoric of this new wave of ‘techno-therapy’ there is plenty to worry about: applications frequently lack expert medical oversight, few are supported by reliable studies gauging their effectiveness or even basic safety, and many have been found to leak or actively sell users’ sensitive health data to third parties.
From basic science to clinical practice, we now see the logic behind ‘It is what it is’: these words are not escapist, but instead part of the sophisticated way in which the mind operates. In many ways, these words can reflect the essence.
Making treatment recommendations and engaging in Shared Decision Making (SDM)requires that physicians differentiate their personal values from their patient’s because patients appreciate and experience risks and benefits of treatments differently than physicians. Providing clinical recommendations without adequate SDM could leave physicians subject to cognitive bias based on their personal values.