Zela's Case Study - Postpartum Psychosis (DSM-IV-TR)
Postpartum Piety Zela is a 30-year-old high-school teacher living in Lagos, Nigeria. She is married and has five children. The birth of her last child was complicated by hemorrhage and sepsis, and she was still hospitalized in the gynecology ward 3 weeks after delivery when her gynecologist requested a psychiatric consultation. Zela was agitated and seemed to be in a daze. She said to the psychiatrist, "I am a sinner. I have to die. My time is past. I can not be a good Christian again. I need to be reborn. Jesus Christ should help me. He is not helping me." A diagnosis of Postpartum Psychosis was made An antipsychotic drug, chlorpromazine, was prescribed, and Zela was soon well enough to go home. Three weeks later, she was readmitted, this time to the psychiatric ward, claiming that she had had a "vision of the spirits" and was "wrestling with the spirits." Her relatives reported that at home she had been fasting and keeping vigil" through the nights...