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Laura, Legislation and regulations to consider, Therapies, partner,…
Laura
Risks
Suicide/ Filicide Possibility of harm to self or harm to others, her husband has expressed concern for her and child's safety
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Physical Health
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Breastfeeding
specialist expert advice on the risks and benefits of psychotropic medication during pregnancy and breastfeeding
new mother - Pelvic floor muscles, continence, bowel movements
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Screening Tools
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MDT collaboration
Care planning
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Diagnosis
Anxiety, depression, bipolar, schizophrenia, personality disorder
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Therapies
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Group activities, Arts, music, writing
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partner
Couples counselling
Crisis support Aware, Samaritans
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Antipsychotics
Olanzapine or quetiapine acceptable for breastfeeding.
Chlorpromazine, haloperidol, risperidone and zuclopenthixol possible for breastfeeding under medical supervision
Mood stabilisers Valproate, Carbamazepine
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Medication
Antidepressants: tricyclic (TCA), selective serotonin reuptake inhibitor (SSRI) or (serotonin-) noradrenaline reuptake inhibitor [(S)NRI]
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Delusions – thoughts or beliefs that she and her baby are not safe, installation of security cameras at home
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Paranoia, anxiety, overwhelming feelings of inability to care for child, poor self care, restlessness, lack of sleep.
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evidence of manic mood, low mood / rapidly changing mood.
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check for complaints of tender breasts, mastitis, or infected nipples
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