Female is a 39-year old married woman, who was having increasing difficulty co-ordinating house and caring for her children. She believed despite evidence to the contrary that her husband was unfaithful in their marriage. She had suffered an acute psychotic breakdown following her first pregnancy when she was aged 28. She also suffered another relapse six years later, though the precipitating factor was not known.

She had received care on in-patient basis on both occasions at another psychiatric facility in the country. During interview, her husband complained that for over 4 years, her belief about his unfaithfulness had led to embarrassing situations in which she had physically attacked relatives, clients  accusing them of either conniving with her husband to destroy her marriage or of being his sexual partner. How to proceed Further, Her Husband complaints the he now has to face…