Osarumen Nicole Doghor, Faith O Nomamiukor, Efe Okotcha, Edore Onigu-Otite
{"title":"Addressing Crises in Teenage Pregnancy","authors":"Osarumen Nicole Doghor, Faith O Nomamiukor, Efe Okotcha, Edore Onigu-Otite","doi":"10.2174/2210676609666190531102808","DOIUrl":null,"url":null,"abstract":"\n\nAdolescent pregnancy is a major public health concern with medical,\npsychiatric, and social implications. Within this population, there is an elevated rate of\nco-occurring psychiatric conditions including mood disorders, anxiety disorders, suicidality,\nand substance use. However, little is known about the assessment and treatment of adolescent\npregnancy within the context of these co-occurring psychiatric conditions, particularly\nin an emergency situation.\n\n\n\nThis article utilizes a case report to illustrate the challenges faced in consultative\npsychiatry in the assessment and treatment of a pregnant suicidal youth with a complex psychosocial\nhistory. Topics addressed include: 1) The role of childhood trauma and suicidality\nin adolescent pregnancy 2) A consideration of the risks and benefits of treating adolescents\nwith psychotropics during pregnancy.\n\n\n\nA literature search was performed with the key words of adolescent, pregnancy,\nchild sexual abuse and psychiatric illness. In addition, expert opinions of a reproductive psychiatrist\nand a psychiatrist who had specialized in addiction and adolescents were enlisted on\nkey aspects of the case formulation and treatment.\n\n\n\nSeveral studies were found that focused on depression, substance abuse and trauma\nin adolescent pregnancy. There were more studies that looked at psychopharmacological\ntreatment in adult pregnant women and a few that focused on adolescents.\n\n\n\nAddressing the crisis of psychiatric illness in adolescent pregnancy requires a\nthorough approach in understanding the severity of the illness and the contribution of child\nabuse and suicidality. Psychotherapeutic interventions are most certainly always necessary\nand beneficial when dealing with this population. Deciding when to start and maintain medication\nduring pregnancy should be individualized, with considerations of the risks of untreated\nillness and of medication exposure.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/2210676609666190531102808","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 2
Abstract
Adolescent pregnancy is a major public health concern with medical,
psychiatric, and social implications. Within this population, there is an elevated rate of
co-occurring psychiatric conditions including mood disorders, anxiety disorders, suicidality,
and substance use. However, little is known about the assessment and treatment of adolescent
pregnancy within the context of these co-occurring psychiatric conditions, particularly
in an emergency situation.
This article utilizes a case report to illustrate the challenges faced in consultative
psychiatry in the assessment and treatment of a pregnant suicidal youth with a complex psychosocial
history. Topics addressed include: 1) The role of childhood trauma and suicidality
in adolescent pregnancy 2) A consideration of the risks and benefits of treating adolescents
with psychotropics during pregnancy.
A literature search was performed with the key words of adolescent, pregnancy,
child sexual abuse and psychiatric illness. In addition, expert opinions of a reproductive psychiatrist
and a psychiatrist who had specialized in addiction and adolescents were enlisted on
key aspects of the case formulation and treatment.
Several studies were found that focused on depression, substance abuse and trauma
in adolescent pregnancy. There were more studies that looked at psychopharmacological
treatment in adult pregnant women and a few that focused on adolescents.
Addressing the crisis of psychiatric illness in adolescent pregnancy requires a
thorough approach in understanding the severity of the illness and the contribution of child
abuse and suicidality. Psychotherapeutic interventions are most certainly always necessary
and beneficial when dealing with this population. Deciding when to start and maintain medication
during pregnancy should be individualized, with considerations of the risks of untreated
illness and of medication exposure.
期刊介绍:
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.