Can your ob prescribe antidepressants

Use the relationship that you have established with this patient to the best of your ability. Make sure that you have explained fully, and in language she can easily comprehend, the reasons she needs to stay for treatment. Sometimes the reason makes sense e.

Other reasons may be related to psychosis, addiction, lack of sleep in the hospital, or a desire to smoke, drink, or use drugs. Can you convince her to postpone her decision until morning, when her physician will be available?

It is important to document in the medical record your explanations and her reasoning. Can she coherently verbalize an understanding of the consequences of her decision to leave, including the risks and implications to herself and the fetus? If she is able to do these things, and you find her thought processing and reasoning to be lucid, then she may have the capacity to leave against medical advice.

Keep in mind that rational persons do have the right, constitutionally, to refuse treatment, even if doing so will lead to morbidity. The attorney may recommend that the patient sign a letter stating that she recognizes the maternal and fetal risks of leaving. Skip to main content. Clinical Review. Does your OB patient have a psychiatric complaint? And can you manage it? The hospital staff scrupulously removed Jessica's clothes and flip-flops, in case she was hiding weapons or drugs, but allowed her to keep Kira's diaper bag.

The nurses demanded that Jessica's husband Scott find childcare for their older daughter and drive to the hospital because they couldn't be responsible for Kira, but then suggested that he run out to McDonald's to pick up dinner. However, the Sacramento Police Department confirmed in an email that they responded to a call by the office on January 18 and provided assistance.

While Jessica was triaged in the ER, had blood and urine taken, and waited for hours in a hospital room watched by a security guard, Jessica forced herself to stay calm. As day turned to night, Jessica was evaluated by a social worker, who saw no evidence that she was unstable, unfit to parent, suicidal, or a danger her children, and determined that a psychiatric hold was unnecessary. Around p. This is when Jessica's calm began to crack. I was like, 'This is it? The ER doctor doesn't prescribe anything?

This is the end of your job for real? Use these resources. In disbelief, Jessica pressed for answers. Why are you expecting me to advocate for myself if I have postpartum depression? They could have taken my kids away. I was outraged. Jessica, Scott, and Kira left the hospital at 12 a.

Jessica believes that at no time during this hour ordeal was she ever seen by a doctor, a claim the hospital disputes. Gary Zavoral, a spokesman for Sutter Medical Center, doubts Jessica's claim that she was never seen by a doctor while she was there.

Zavoral writes in an email that "every patient on a behavioral health hold is seen by a care provider M. Although, Sutter Women's Ambulatory Services Coordinator, Jacqueline Masullo, who runs the group says attendance is low, due to the fact that PPD itself can be "a barrier to accessing care.

For Jessica, the fact that she might have PPD wasn't that alarming. In fact, it was not only Jessica's obstetrician who may have failed. Her story is a catalog of health care failures that may actually have begun much earlier. Jessica's story may actually begin on the day she gave birth. Jessica describes this experience as devastating.

I couldn't hold her or pick her up. We couldn't do skin-to-skin. I couldn't nurse her. Sacramento's Sutter Medical Center where Jessica was admitted on January 18 was the same hospital where she had given birth four months earlier, the same one where she had waited, anxiously watching her baby who was covered in medical equipment.

Professionals who do not prescribe medications and offer only talk therapy include psychologists , social workers, and licensed professional counselors. The severity of your symptoms, your preferences, the presence of other illnesses or personality problems, and your medical history are just some of the factors that affect treatment choices. Cost is also a factor in mental health care Psychiatrists can charge hundreds of dollars per hour; psychologists and other mental health professionals generally charge less.

Before starting therapy, be sure to agree on fees and check to see if your insurance plan covers mental health treatment. Patients often see one specialist for talk therapy and a medical doctor or nurse for prescription medication.