Patient was admitted to the closed psychiatric ward in late-stage pregnancy following a suicide attempt and presentation of acute psychotic symptoms, including severe paranoid and delusional beliefs concerning the fetus, accompanied by a high risk of self-harm.
Course of Hospitalization
At the time of admission, the patient presented in a severely disturbed mental state, characterized by agitation, emotional instability, and fixed delusional thinking. She required close supervision and pharmacological intervention.
Throughout the course of hospitalization, the patient received intensive psychiatric treatment, including antipsychotic medication and supportive care.
A gradual and sustained improvement in mental state was observed:
Resolution of acute psychotic symptoms
Stabilization of mood and behavior
Increased cooperation with medical staff
Partial restoration of insight
Obstetric Course
During hospitalization, the patient gave birth to a live infant. Due to her psychiatric condition at the time, caregiving responsibility was transferred to the child’s father.
The child has remained in the father’s care in a stable environment since birth.
Mental Status at Discharge
At the time of discharge, the patient is:
Calm and cooperative
Oriented and coherent in thought and speech
Free of active delusions or hallucinations
Demonstrating improved, though still partial, insight
No current suicidal ideation reported.
Diagnosis
Acute psychotic disorder associated with pregnancy (peripartum psychosis), currently in remission under treatment
Treatment and Recommendations
Medication:
Continuation of prescribed antipsychotic treatment is essential. Compliance is critical to maintaining stability.
Follow Up Care:
Regular outpatient psychiatric follow-up is required, with close monitoring of mental state and treatment adherence.
Living Situation:
Patient is discharged to reside with the child’s father and infant. The home environment has been assessed as stable and supportive.
Supervision:
Family members have been instructed to observe for any signs of relapse, including:
