Multidisciplinary Approach to Managing an Obstetrical Patient with Delusional Denial of Pregnancy

Lende, Michelle; Freeman, Emily; Hoq, Rakin; Cottrell, Connie; Savitski, Jennifer

doi:10.3928/00485713-20191007-01

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Exceptions, of course, exist. Delusions of pregnancy [17] and delusional denial of pregnancy [18] are women's delusions, although, because DD is a condition of relatively older age, reproductive themes are less prominent here than in other psychoses. Koro, a delusion that one's genitals are shrinking seen mostly in Asian countries [19], is, by contrast, the prototype of a specifically male delusion.…”

Section: Differential Treatment Of Men and Women With Ddmentioning

confidence: 98%

Addressing Delusions in Women and Men with Delusional Disorder: Key Points for Clinical Management

González-Rodríguez

Seeman

2020

IJERPH

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Delusional disorders (DD) are difficult conditions for health professionals to treat successfully. They are also difficult for family members to bear. The aim of this narrative review is to select from the clinical literature the psychosocial interventions that appear to work best for these conditions and to see whether similar strategies can be modeled or taught to family members so that tensions at home are reduced. Because the content of men’s and women’s delusions sometimes differ, it has been suggested that optimal interventions for the two sexes may also differ. This review explores three areas: (a) specific treatments for men and women; (b) recommended psychological approaches by health professionals, especially in early encounters with patients with DD; and (c) recommended psychoeducation for families. Findings are that there is no evidence for differentiated psychosocial treatment for men and women with delusional disorder. What is recommended in the literature is to empathically elicit the details of the content of delusions, to address the accompanying emotions rather than the logic of the presented argument, to teach self-soothing techniques, and to monitor behavior with respect to its safety. These recommendations have only been validated in individual patients and families. More rigorous clinical trials need to be conducted.

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Section: Differential Treatment Of Men and Women With Ddmentioning

confidence: 98%

Addressing Delusions in Women and Men with Delusional Disorder: Key Points for Clinical Management

González-Rodríguez

Seeman

2020

IJERPH

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“…In delusional denial, the signs and symptoms associated with pregnancy are acknowledged but attributed to factors other than pregnancy, despite medical evidence of a fetus. The denial sometimes continues even after the child is born, with the mother adamantly stating that the child is not hers [68,69]. Continued delusional denial of pregnancy despite antipsychotic treatment may necessitate involuntary hospitalization, as well as curtailment and potential termination of parental rights.…”

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confidence: 99%

Grappling with Issues of Motherhood for Women with Schizophrenia

Seeman

2023

Healthcare

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Despite the fact that most persons with schizophrenia find steady employment difficult to sustain, many women with this diagnosis embrace and fulfill the most difficult task of all—motherhood. The aim of this paper is to specify the challenges of motherhood in this population and review the treatment strategies needed to keep mothers and children safe, protecting health and fostering growth. The review addresses concerns that had been brought to the author’s earlier attention during her clinical involvement with an outpatient clinic for women with psychosis. It is, thus, a non-systematic, narrative review of topic areas subjectively assessed as essential to “good enough” mothering in the context of schizophrenia. Questions explored are the stigma against motherhood in this population, mothers’ painful choices, issues of contraception, abortion, child custody, foster care and kin placement of children, the effects of antipsychotics, specific perinatal delusional syndromes, and, finally, the availability of parental support. This review is intended for clinicians. Recommendations are that care providers work collaboratively with mothers, take note of their strengths as well as their failings, offer a wide array of family services, monitor households closely for safety and for treatment adherence, appreciating the many challenges women with schizophrenia face daily.

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Multidisciplinary Approach to Managing an Obstetrical Patient with Delusional Denial of Pregnancy

Cited by 2 publications

References 10 publications

Addressing Delusions in Women and Men with Delusional Disorder: Key Points for Clinical Management

Addressing Delusions in Women and Men with Delusional Disorder: Key Points for Clinical Management

Grappling with Issues of Motherhood for Women with Schizophrenia

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