{"id":592,"date":"2021-02-16T11:58:53","date_gmt":"2021-02-16T11:58:53","guid":{"rendered":"http:\/\/134.122.102.56\/SAND\/uk\/?post_type=professionals&#038;p=592"},"modified":"2022-01-28T12:52:32","modified_gmt":"2022-01-28T12:52:32","slug":"schizophrenia","status":"publish","type":"professionals","link":"https:\/\/path-perinatal.eu\/uk\/professionals\/schizophrenia\/","title":{"rendered":"Schizophrenia"},"content":{"rendered":"\n<section id=\"gm9c5b138\" class=\"wp-block-gutentor-m3 section-gm9c5b138 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gfd801f\" class=\"wp-block-gutentor-e1 section-gfd801f gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Schizophrenia is characterised by distortions of thinking and perception, and affects that are inappropriate or blunted. Clear consciousness and intellectual capacity are usually maintained although certain cognitive deficits may evolve in the course of time.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g0ea8ab\" class=\"wp-block-gutentor-e1 section-g0ea8ab gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Psychopathological features of schizophrenia include thought echo, thought insertion or withdrawal, thought broadcasting, delusional perception and delusions of control, influence or passivity, hallucinatory voices commenting or discussing the patient in the third person, thought disorders and negative symptoms.<sup>1<\/sup><\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g106fe3\" class=\"wp-block-gutentor-e1 section-g106fe3 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">The course of schizophrenic disorders can be either continuous, or episodic with progressive or stable deficit, or there can be one or more episodes with complete or incomplete remission.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g8fadb9\" class=\"wp-block-gutentor-e1 section-g8fadb9 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Symptoms of schizophrenia\u202finclude:<\/p><\/div><\/div>\n\n\n\n<div id=\"section-gbbaba3\" class=\"wp-block-gutentor-e7 section-gbbaba3 gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">a lack of interest in things<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">feeling disconnected<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-2\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">difficulty concentrating<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-3\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">avoidance<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-4\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">hallucinations, such as hearing voices or seeing things others don&#8217;t<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-5\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">delusions (strong beliefs that others don&#8217;t share), including paranoid delusions<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-6\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">disorganised thinking and speech<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gma21c697\" class=\"wp-block-gutentor-m3 section-gma21c697 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gf42121\" class=\"wp-block-gutentor-e1 section-gf42121 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Women with severe mental illness (which includes Schizophrenia) who give birth, have about a 30% risk of relapse in the first three months postpartum. A study has found that the risk is significantly increased in women with a relapse during pregnancy or with two or more relapses in the two years before pregnancy.<sup>2<\/sup><\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g4e8ec3\" class=\"wp-block-gutentor-e1 section-g4e8ec3 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">In planning care for women with schizophrenia, health professionals involved should take into account the complexity of the condition and the challenges of living with severe mental illness. Where available, involve specialist perinatal mental health services.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g45887a\" class=\"wp-block-gutentor-e1 section-g45887a gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">The woman&#8217;s ability to parent may be affected by cognitive and negative symptoms, thus needing additional support with parenting and referral to social services, if warranted. If the woman harbours delusions involving the foetus or infant, a thorough risk assessment, safeguarding considerations and urgent referral to specialist services is necessary.<\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gmce8efa7\" class=\"wp-block-gutentor-m3 section-gmce8efa7 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g8e05ac\" class=\"wp-block-gutentor-e1 section-g8e05ac gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Antenatal care<\/strong>:<\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g8fbca0\" class=\"wp-block-gutentor-e7 section-g8fbca0 gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Monitor for early signs of relapse, particularly if medications are discontinued<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Engage women and their families on psychoeducation on relapse indicators, early warning signs of relapse, lifestyle changes that can prevent relapse and maintain wellbeing<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-2\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Monitor for weight gain and gestational diabetes due to use of psychotropics<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-3\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Refer women to specialist perinatal service<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-4\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Consider adult and children\u2019s safeguarding issues.<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gmb745c4e\" class=\"wp-block-gutentor-m3 section-gmb745c4e gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g12ea1e\" class=\"wp-block-gutentor-e1 section-g12ea1e gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Postnatal care<\/strong>:<\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-ge7b04b\" class=\"wp-block-gutentor-e7 section-ge7b04b gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Support the woman to bond with their baby, if bonding has been compromised<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Practical help and support may be necessary to ensure wellbeing of mother and care of baby<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-2\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Careful monitoring by midwife, health visitor, perinatal team for signs of relapse<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-3\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">If relapse occurs, admission to a mother and baby unit may be warranted<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm840acb8\" class=\"wp-block-gutentor-m3 section-gm840acb8 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g2ba39d\" class=\"wp-block-gutentor-e1 section-g2ba39d gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Psychosocial and psychological therapies<\/strong>:<\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-ge30325\" class=\"wp-block-gutentor-e7 section-ge30325 gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Psychoeducation and supportive therapy that includes partner\/close family members<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Psychological therapies may be offered as per the need<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm03ccc7d\" class=\"wp-block-gutentor-m3 section-gm03ccc7d gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g6d1511\" class=\"wp-block-gutentor-e1 section-g6d1511 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Pharmacological treatments<\/strong>:<\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g3bef9f\" class=\"wp-block-gutentor-e7 section-g3bef9f gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Discussions about treatment options during preconception period\/pregnancy is vital to avoid relapse.<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">This may require involvement of a specialist perinatal psychiatrist.<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm9d18a3d\" class=\"wp-block-gutentor-m3 section-gm9d18a3d gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g620af1\" class=\"wp-block-gutentor-e1 section-g620af1 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Resources<\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g1d9c87\" class=\"wp-block-gutentor-e1 section-g1d9c87 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\"><a href=\"https:\/\/www.rcpsych.ac.uk\/mental-health\/problems-disorders\/schizophrenia\" data-type=\"URL\" data-id=\"https:\/\/www.rcpsych.ac.uk\/mental-health\/problems-disorders\/schizophrenia\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">RCPysch patient information leaflet on Schizophrenia<\/span><\/a><\/p><\/div><\/div>\n\n\n\n<section id=\"gme78e8db\" class=\"wp-block-gutentor-m3 section-gme78e8db gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gaa9152\" class=\"wp-block-gutentor-e1 section-gaa9152 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\"><strong>Training for healthcare professionals: <\/strong><br><br>Watch our videos showing an example GP appointment with a patient who has experienced previous psychosis. <\/p><\/div><\/div>\n\n\n\n<section id=\"gmaf6cdb2\" class=\"wp-block-gutentor-m4 section-gmaf6cdb2 gutentor-module gutentor-advanced-columns gutentor-equal-column-height\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\"><div class=\"grid-row\">\n<div id=\"col-gm20667f\" class=\"wp-block-gutentor-m4-col col-gm20667f gutentor-single-column  grid-lg-2 grid-md-12 grid-12 centre\"><div id=\"section-gm20667f\" class=\"section-gm20667f gutentor-col-wrap\">\n<section id=\"gm514cac6\" class=\"wp-block-gutentor-m3 section-gm514cac6 gutentor-module gutentor-container-cover centre\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\">\n<section id=\"gm76d8176\" class=\"wp-block-gutentor-m4 section-gm76d8176 gutentor-module gutentor-advanced-columns\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\"><div class=\"grid-row gutentor-rm-row-space-d gutentor-rm-row-space-t gutentor-rm-row-space\">\n<div id=\"col-gmd28d41\" class=\"wp-block-gutentor-m4-col col-gmd28d41 gutentor-single-column  grid-lg-1 grid-md-1 grid-1 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gmd28d41\" class=\"section-gmd28d41 gutentor-col-wrap\"><\/div><\/div>\n\n\n\n<div id=\"col-gmafdd62\" class=\"wp-block-gutentor-m4-col col-gmafdd62 gutentor-single-column  grid-lg-10 grid-md-10 grid-10 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gmafdd62\" class=\"section-gmafdd62 gutentor-col-wrap\">\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Previous psychosis - first GP appointment\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/ptQy0ceeSVg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n\n\n\n<div id=\"col-gm339cbf\" class=\"wp-block-gutentor-m4-col col-gm339cbf gutentor-single-column  grid-lg-1 grid-md-1 grid-1 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gm339cbf\" class=\"section-gm339cbf gutentor-col-wrap\"><\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/section>\n<\/div><\/div>\n\n\n\n<div id=\"col-gmd10b71\" class=\"wp-block-gutentor-m4-col col-gmd10b71 gutentor-single-column  grid-lg-10 grid-md-12 grid-12 centre\"><div id=\"section-gmd10b71\" class=\"section-gmd10b71 gutentor-col-wrap\">\n<section id=\"gm2579e28\" class=\"wp-block-gutentor-m3 section-gm2579e28 gutentor-module gutentor-container-cover centre\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\">\n<section id=\"gma3a52cb\" class=\"wp-block-gutentor-m4 section-gma3a52cb gutentor-module gutentor-advanced-columns\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\"><div class=\"grid-row gutentor-rm-row-space-d gutentor-rm-row-space-t gutentor-rm-row-space\">\n<div id=\"col-gmfeafb4\" class=\"wp-block-gutentor-m4-col col-gmfeafb4 gutentor-single-column  grid-lg-1 grid-md-1 grid-1 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gmfeafb4\" class=\"section-gmfeafb4 gutentor-col-wrap\"><\/div><\/div>\n\n\n\n<div id=\"col-gme21bba\" class=\"wp-block-gutentor-m4-col col-gme21bba gutentor-single-column  grid-lg-10 grid-md-10 grid-10 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gme21bba\" class=\"section-gme21bba gutentor-col-wrap\">\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Previous psychosis - GP follow up appointment\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/ASTk5NoqQb0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n\n\n\n<div id=\"col-gmde4f59\" class=\"wp-block-gutentor-m4-col col-gmde4f59 gutentor-single-column  grid-lg-1 grid-md-1 grid-1 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gmde4f59\" class=\"section-gmde4f59 gutentor-col-wrap\"><\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/section>\n<\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/section>\n<\/div><\/section>\n\n\n\n<section id=\"gmdf9f185\" class=\"wp-block-gutentor-m3 section-gmdf9f185 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gad6ed4\" class=\"wp-block-gutentor-e1 section-gad6ed4 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong><strong>References<\/strong><\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-background has-white-background-color has-white-color is-style-default\" \/>\n\n\n\n<div id=\"section-gc580b4\" class=\"wp-block-gutentor-e1 section-gc580b4 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">1. World Health Organization (WHO). The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organization, 1993.<br><br>2. Clare L. Taylor, Robert J. Stewart, Louise M. Howard, Relapse in the first three months postpartum in women with history of serious mental illness, Schizophrenia Research, 2019.<\/p><\/div><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"parent":0,"template":"","class_list":["post-592","professionals","type-professionals","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/professionals\/592","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/professionals"}],"about":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/types\/professionals"}],"wp:attachment":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/media?parent=592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}