Perinatal Mental Health Certification
questions and answers
Risk Factors for Perinatal Psychosis - ANSWER>>1st baby; stopping mood
stabilizer; obstetric complications; perinatal/neonatal loss; previous
bipolar/psychosis; family history; sleep deprivation
3 Biggest fears of panic disorder - ANSWER>>dying; losing control; going crazy
Maternal Mortality Rate (all women) - ANSWER>>1,200/year or 14.4/1,000
Maternal Mortality Rate (black women) - ANSWER>>43.5/1,000
Prevalence of PP PTSD - ANSWER>>9%
% of bipolar symptoms that relapse without medications - ANSWER>>70%
Prevalence of PP Psychosis - ANSWER>>1-2/1,000
Prevalence of PPD in Fathers - ANSWER>>10%
Prevalence of PP Anxiety - ANSWER>>8-20%
Prevalence of prenatal anxiety - ANSWER>>15%
Prevalence of PP depression - ANSWER>>21%
Prevalence of PP panic disorder - ANSWER>>11%
Prevalence of PP OCD - ANSWER>>11%
,PP PTSD Themes - ANSWER>>1) lack of caring 2) poor communication 3) feeling
powerless 4) do ends justify means
Maternal Mortality - ANSWER>>1,200 with complications that are fatal; 60,000
complications that are near fatal
PP Psychosis Clinical Features (onset) - ANSWER>><2 weeks PP
PP Psychosis Clinical Features (cognition) - ANSWER>>decreased concentration,
decreased sensations, disorientation
PP Psychosis Clinical Features (behavioral) - ANSWER>>agitated, hyperactive,
distant, aloof, decreased self care
PP Psychosis Clinical Features (Mood) - ANSWER>>labile, elated, and dysphoric
PP Psychosis Clinical Features (Speech) - ANSWER>>Rambling
Psychotic Thoughts - ANSWER>>delusions, ego-syntonic thoughts
OCD Thoughts - ANSWER>>Parents don't want to harm baby, no
delusions/hallucinations, parents have taken steps to protect baby
DSM-5 Criteria for PTSD - ANSWER>>qualify for four categories
1) stressor
2)Intrusions
3)Avoidance
4)Negativity in cognition/mood
5)arousal
Causes of Birth Trauma - ANSWER>>Emergency C-section, pre-eclampsia, PP
hemorrhage, NICU stay, prematurity, still birth, 3rd/4th degree tears,
hyperemesis, fetal anomaly, shoulder dystocia
, DSM-5 Criteria for OCD (obsessions) - ANSWER>>Recurrent and persistent
thoughts/urges/impulses that are intrusive/unwanted; individual attempts to
ignore or suppress thoughts/urges/impulses
DSM-5 Criteria for OCD (compulsions) - ANSWER>>repetitive behaviors that
individuals feel driven to do; aimed at preventing or reducing anxiety
Common perinatal OCD Presentations - ANSWER>>41% deliberate harm
29% contamination
18% accidental harm
6% ordering/arranging
3% religious
3% checking
DSM-5 Criteria for Major Depression - ANSWER>>5+ symptoms present during 2
week period
depressed mood; loss of interest/joy/pleasure; significant weight change/appetite
change; psychomotor agitation; fatigue/loss energy; poor concentration; feeling
worthless; excessive guilt; recurrent death thoughts/SI
DSM-5 Criteria for Anxiety - ANSWER>>excessive anxiety or worrying; difficulty
controlling ones worry (rumination); agitation/irritability; restlessness; poor
concentration; easily fatigued; increased somatic symptoms
DSM-5 Criteria for Panic Disorder - ANSWER>>Episodes of intense
fear/discomfort; SOB/CP/Dizziness; hot/cold flashes; increase in HR;
Restlessness/agitation; excessive worry/fear; persistent fear "going crazy"; often
no trigger
Screening completed by PCP's - ANSWER>>46%
When do symptoms spike for fathers? - ANSWER>>3-6M
questions and answers
Risk Factors for Perinatal Psychosis - ANSWER>>1st baby; stopping mood
stabilizer; obstetric complications; perinatal/neonatal loss; previous
bipolar/psychosis; family history; sleep deprivation
3 Biggest fears of panic disorder - ANSWER>>dying; losing control; going crazy
Maternal Mortality Rate (all women) - ANSWER>>1,200/year or 14.4/1,000
Maternal Mortality Rate (black women) - ANSWER>>43.5/1,000
Prevalence of PP PTSD - ANSWER>>9%
% of bipolar symptoms that relapse without medications - ANSWER>>70%
Prevalence of PP Psychosis - ANSWER>>1-2/1,000
Prevalence of PPD in Fathers - ANSWER>>10%
Prevalence of PP Anxiety - ANSWER>>8-20%
Prevalence of prenatal anxiety - ANSWER>>15%
Prevalence of PP depression - ANSWER>>21%
Prevalence of PP panic disorder - ANSWER>>11%
Prevalence of PP OCD - ANSWER>>11%
,PP PTSD Themes - ANSWER>>1) lack of caring 2) poor communication 3) feeling
powerless 4) do ends justify means
Maternal Mortality - ANSWER>>1,200 with complications that are fatal; 60,000
complications that are near fatal
PP Psychosis Clinical Features (onset) - ANSWER>><2 weeks PP
PP Psychosis Clinical Features (cognition) - ANSWER>>decreased concentration,
decreased sensations, disorientation
PP Psychosis Clinical Features (behavioral) - ANSWER>>agitated, hyperactive,
distant, aloof, decreased self care
PP Psychosis Clinical Features (Mood) - ANSWER>>labile, elated, and dysphoric
PP Psychosis Clinical Features (Speech) - ANSWER>>Rambling
Psychotic Thoughts - ANSWER>>delusions, ego-syntonic thoughts
OCD Thoughts - ANSWER>>Parents don't want to harm baby, no
delusions/hallucinations, parents have taken steps to protect baby
DSM-5 Criteria for PTSD - ANSWER>>qualify for four categories
1) stressor
2)Intrusions
3)Avoidance
4)Negativity in cognition/mood
5)arousal
Causes of Birth Trauma - ANSWER>>Emergency C-section, pre-eclampsia, PP
hemorrhage, NICU stay, prematurity, still birth, 3rd/4th degree tears,
hyperemesis, fetal anomaly, shoulder dystocia
, DSM-5 Criteria for OCD (obsessions) - ANSWER>>Recurrent and persistent
thoughts/urges/impulses that are intrusive/unwanted; individual attempts to
ignore or suppress thoughts/urges/impulses
DSM-5 Criteria for OCD (compulsions) - ANSWER>>repetitive behaviors that
individuals feel driven to do; aimed at preventing or reducing anxiety
Common perinatal OCD Presentations - ANSWER>>41% deliberate harm
29% contamination
18% accidental harm
6% ordering/arranging
3% religious
3% checking
DSM-5 Criteria for Major Depression - ANSWER>>5+ symptoms present during 2
week period
depressed mood; loss of interest/joy/pleasure; significant weight change/appetite
change; psychomotor agitation; fatigue/loss energy; poor concentration; feeling
worthless; excessive guilt; recurrent death thoughts/SI
DSM-5 Criteria for Anxiety - ANSWER>>excessive anxiety or worrying; difficulty
controlling ones worry (rumination); agitation/irritability; restlessness; poor
concentration; easily fatigued; increased somatic symptoms
DSM-5 Criteria for Panic Disorder - ANSWER>>Episodes of intense
fear/discomfort; SOB/CP/Dizziness; hot/cold flashes; increase in HR;
Restlessness/agitation; excessive worry/fear; persistent fear "going crazy"; often
no trigger
Screening completed by PCP's - ANSWER>>46%
When do symptoms spike for fathers? - ANSWER>>3-6M
