Psychiatrists and Special Population Essay

3236 Words 13 Pages
Psychiatrists often encounters patients who are in special situations such as pregnancy, extreme of ages and/or medically ill. These situations cause deviation from the normal physiological process of the body and renders the group vulnerable to adverse drug effect. Therefore it is crucial for the clinicians to have fair knowledge about appropriate medication selection and dosing while treating these special populations.
Psychiatric illness during pregnancy is not an uncommon scenario. A large meta-analysis reported that up to 18% of women experience depressed mood during pregnancy with nearly 13% having an episode that would meet the Diagnostic and Statistical Manual-Fourth Edition (DSM-IV) diagnostic criteria for a major depressive disorder. Furthermore, postpartum depression affects 10-22% of adult women and up to 26% of adolescent mother. The prevalence of general anxiety disorder has been estimated at 8.5% in pregnancy, but there is little research on the impact on pregnancy outcomes. Evidence indicate women with bipolar disorder are vulnerable to high rate of recurrence without continued treatment. Three retrospective studies reported 45-52%bipolar disorder recurrence rate during pregnancy. Pregnant women with posttraumatic stress disorder (PTSD) has a higher rate of preterm delivery. Approximately 1-6% of women experience postpartum post-traumatic stress disorder (PTSD) following childbirth. Most of the psychotropic medication outcome studies…