Post Partum Psychosis
Could Postpartum Psychosis Symptoms Explain The Capitol Hill Shooting?
Veering from the topic being discussed but this seems relevant.
I don't know what can be done about the many variations of mental illness.
As far as driving a car erratically around the WH and Capitol--I would expect that the highest levels of security/defense are applied. Hypervigiliance--that is part of life today.
Someone with expertise commented last night that this woman had received adequate/good care for her issues but with the types of medication prescribed there were risks inherent. I believe she was taking rispodral?--used with schizophrenia and bi polar disorder--mood stabilizer and lexapro--antidepressant. Either or both of these drugs 'might' have the capability of increasing, agitating other issues. I just don't think we have advanced far enough to know all that is necessary.
That's about all I have to say. There may be 'someone' to blame or something--at this point I can only feel sadness that anyone suffers from such an affliction. If you are hearing voices ==I don't suppose it would be possible to think coherently--pick up the phone and notify a doctor or family member.
I have treated many cases of psychosis and mania. There are only a few instances in which the meds exacerbate a problem. If a person is in the manic phase of bipolar disorder, an SSRI like Lexapro without a concomitant mood stabilizer, which Risperdal is not, the person will become psychotic within 6 months of starting the drug. Too many OBGYNs treat mental illness. They simply don't have the expertise to treat major mental illnesses. Most of them do not know that an SSRI without a mood stabilizer in a manic is a dangerous drug to give. If she had true post partum psychosis, the Risperdal was appropriate, but likely not high enough. We don't really know if she was manic or not, but if she was a mood stabilizer like Depakote or Lithium would should have been given BEFORE an SSRI was started.
I practiced in psychiatry for 25 years, 17 or so years of that as an NP. I took Advanced Psychopharmacology at Vanderbilt and Advanced General Pharmacology at UAH. Most doctors do not get an advanced course in psychopharmacology, they only get general pharm and learn in practice. I was very successful in the treatment of patients, it was the Advanced Psychopharm that made the difference.
I thought she had been hospitalized--several times and assumed that psychiatrists prescribed these meds. But, yes--as you explained--there are factors to consider.
Did this woman provide correct feedback to the healthcare providers? Was she capable of accurately describing symptoms--and so on--as I am certain that you know.
It might have been Dr. Drew--someone mentioned that some patients ? while experiencing mania?/hearing voices--are aware that 'something is wrong' and then become reluctant to tell others the exact nature of the problem.
What would it take to diagnose more precisely--some sort of brain scans--I am asking because I do not know. Whatever it would take--it would involve $$$$$$$$$ and that will always be a problem.
eta: another article reports that she sustained a significant head injury from a fall down some steps. So there's that, too.