This case is selected from Dr. Lilac Dr. online consultation.A pregnant mother is troubled by depression and needs to consult a doctor regularly.In a consultation, the patient mentioned that she was currently very painful and even wanted to commit suicide. The doctor comforted her and gave corresponding suggestions to see if it would be helpful to you.
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*Note: According to the relevant national drug publicity and promotion regulations, the case screenshot of the case is coded for coding the name of the Chinese medicine commodity; if the medication is needed, please consult a professional doctor.
patient
Hello doctor, I am 37 weeks of pregnancy now, and I have had depression and sleep disorders. I took Xilu Pulan, Flui Nichel, and Sisi, and stopped the drug two years ago.
Nowadays, insomnia and anxiety, sleep less than 6 hours, and poor sleep quality, always dreaming about the bad things that happened before, such as campus bullying, workplace bullying, hypocrisy of three knives on both sides of the mother -in -law, and so on.There is also migraine on the right side of tinnitus.
After entering the middle of pregnancy, my suicide tendency and the idea of killing the fetus are increasing.But whenever I am ready for suicide and sleeping pills, my child keeps kicking me and watching my husband who works hard for the little family. I feel soft again and spend every day in entanglement and anxiety.
Do Dr. Liu have antidepressants that can be eaten during pregnancy?I can’t resist it anymore.
Deputy Chief Physician of Liu Xiaofeng Psychiatric Psychology Department
Xi’an Mental Health Center
Editor’s Note: The answers here are more detailed, and you can use it up and down to view it up and down
Hello, I saw your information and distressed you.
According to the current status, the drugs that can currently use are Xili Pulan and Squlin, while Flui Niusi and Sisi are not recommended to be used during pregnancy.
I suggest that you can try Squlin and Xili Pulan.As far as the effect of anti -depression is concerned, Xilu Pulan may be better.Shequlin has a certain sedative effect. If your sleep is not good, you can give priority to trying Squlin, a piece (50 mg) before going to bed every day to observe whether it is effective.
Although the instructions are not recommended to use these drugs during pregnancy, your current situation is really too dangerous. After measuring the advantages and disadvantages, you can use it in the short term.
Note that only these two drugs can be tried, and the others such as Paloseine are not recommended.
Drugs are just one aspect. I suggest you try not to be alone in this time, it is best to have a family or friend to accompany you.
Although the thirty -seven weeks are in the third trimester, if you can exercise, try to take a walk every day and take a little movement for a while.If you don’t want to go out, you can watch some interesting and happy TV series in your physical permission, or do some hand -woven and passing time.
There are more activities during the day. Don’t lie in bed, and sleep at night can be slightly better.When pregnant mothers enter the third trimester, the body will be uncomfortable due to the oppression of the fetus.When you sleep, you can arrange the earplugs, eye masks, and pregnant women’s pillows, so that you can lie more comfortably.
*Note: In the article, the guidelines for medication are only for this consultation example. Please consult a doctor for the use of prescription drugs.
patient
Thank you doctor!
At the beginning of September, I suddenly felt a lot of good mental state. I bought a lot of baby products, small clothes, cribs, and strollers. I also made a lot of moon cakes for my family and friends.Although the sleep quality was not good at that time, I felt full of energy every day.
After the Mid -Autumn Festival, my emotions suddenly lowered, and I started to be sad and anxious. Doctors, will my state be a two -phase emotional disorder?
Deputy Chief Physician of Liu Xiaofeng Psychiatric Psychology Department
Xi’an Mental Health Center
Editor’s Note: The answers here are more detailed, and you can use it up and down to view it up and down
Hello, I saw your information.
During the time period you said, did you feel that the brain’s response speed is particularly fast. I feel that I am smart and can do a lot of big things?Will there be a lot of words, very excited, not sleeping without sleep, do you want to buy a lot of things?In addition, do you feel very close to the opposite sex?
I will list a few questions, you try to answer to confirm your current state.If there are bipolar disorders, the drugs mentioned earlier should be used carefully.
In the past or in the near future, did you feel if there was no obvious reason:
1. The mood is particularly good, the brain turns fast, just like a computer. I feel that I am smarter than anyone. I feel that I can be a star and a leader;
2. Do n’t feel tired to work, even if you sleep for 2 to 3 hours a day, you are not sleepy;
3. I don’t stop talking, others can’t interrupt at all;
4. Take the initiative to deal with others, love dressing, love to spend money, enthusiasm, help others, like to go shopping, and often give them to others to spend money out of control;
5. Like to associate with the opposite sex.
How many times if there is the above situation?How many days each time?
*Note: In the article, the guidelines for medication are only for this consultation example. Please consult a doctor for the use of prescription drugs.
patient
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Since I encountered workplace bullying, I have been a little social fear, trying to escape the unnecessary social network as much as possible, and I have always wanted to live in the forest.
Starting from the end of August, mental excitement continued to the end of the Mid -Autumn Festival.I sleep for three or four hours a day, and I don’t feel tired. I made more than 100 moon cakes by myself a day. I feel that I am super powerful. I bought a lot of moon cake molds, messy materials and moon cake boxes.The materials are full.
The baby used a lot of things, and the light milk powder bought several types, all of which were big jars.The diapers also bought several brands. I bought a lot of NB code, and there were many baby supplies that could not be used.After returning to God, I am annoyed and blame myself, but I don’t want to move. I don’t even have the motivation to eat and drink water, let alone deal with the return of return.
I think I am useless, like a waste, it will spend money.When I thought of these, I couldn’t help but want to cry, want to hit myself, and want to disappear to reduce the guilt. I really don’t understand what I am. What is the meaning of my alive? I deny myself every day.
Deputy Chief Physician of Liu Xiaofeng Psychiatric Psychology Department
Xi’an Mental Health Center
