Differentiation of these states ...

The division of these states contributes to the detection of asthenic facade to reduce the vital tone, feeling somatopsychic changed, the depressive response, communication slowness of action and reaction is not to increase the threshold of response to external stimuli, which is typical for states of stupefaction, and with ideomotor retardation, the presence of diurnal variation, diffuse anxiety, a sense of the vital prognosis. Pregnancy Fault on the background of existing psychotic symptoms in schizophrenic patients tend to have no significant influence on clinical disease, which corresponds to the usual stereotype of the morbid process. In some cases in the last trimester may, however, a sharp aggravation of symptoms of the attack, which is characterized up to this long-standing subacute. It should be noted that the prenatal and childbirth in patients with schizophrenia in cases of prolonged poor pregnancy usually occur with few complications. Were significantly more pregnancy complications observed in patients with a more favorable course of episodic process. In connection with the development of a number of cases of psychotic disorders in pregnancy raises the question of indications for an interruption. It is obvious that it is necessary to solve a strictly individual. The only absolute indication for psychiatric production of artificial abortion are only those that pose a threat to life of the mother and fetus: eclampsia and status epilepticus. In other cases it is necessary to take into account numerous factors that predict deterioration in mental status due to pregnancy and childbirth. Adequate preventive measures can allow a pregnancy to term even if the woman suffered a psychosis in one of the phases of the generation period. In these cases, we recommend protection against pregnancy for 34 years after suffering a psychosis. At the same time, repeated (more than two), psychosis associated with childbirth, may serve as a basis for contraception. It should also recommend protection against pregnancy in case of unfavorable schizophrenic process with frequent exacerbations, protracted and severe personality changes, despite the fact that the psychosis of pregnancy are well kurabelnymi. The use of psychotropic drugs during pregnancy are discussed at the outset of their application in psychiatry and do not become less relevant. It is believed that up to 8090% of pregnant women take drugs, with 10% 35% use psychotropic drugs. Safety problems of drugs, including psychotropic, funds in the gestational period has different aspects: on the one hand, takes into account the risk of their pathogenic effects on the fetus, on the other hand the severity of pathological disorders in the future mother to warrant the use of them. The general rule here is to use drugs only when the risk of complications for mother or fetus when not using the medication outweighs the risk of side effects.