Perinatal Mental Health Exam with
accurate and verified questions covering
mood and anxiety disorders during
pregnancy and postpartum, screening
tools, risk factors, treatment modalities,
interdisciplinary care, and ethical
considerations.
Theories of etiology - ANSWER>>biological sensitivities to hormone
changes (sleep), genetic vulnerability (prior diagnosis), psychological
(identity), social/environmental (poor social support/racism)
Baby Blues - ANSWER>>Affects 60-80% new mothers. Due to hormone
changes and sleep deprivation. lasts 2 days to 2 weeks. Tearful, labile
affect, reactivity, exhaustion BUT predominately happy, self-esteem
remains unchanged. Resolves without intervention. Recommend self care
strategies.
Hypomania - ANSWER>>A mild manic state in which the individual seems
infectiously merry, extremely talkative, charming, and tireless. up to 4 days
in length
mania - ANSWER>>a mood disorder marked by a hyperactive, wildly
optimistic state-function is impaired. can last 7 days
prevalence of first diagnosis of bipolar disorder postpartum -
ANSWER>>50%
,Risk factors for postpartum psychosis - ANSWER>>History of bipolar or
psychotic disorder, first pregnancy, family history, recent discontinuation of
psychotropic medication
Postpartum psychosis symptoms - ANSWER>>onset-2 weeks postpartum,
poor concentration, disorientation, agitation, aloof, lack of self care,
elated/labile mood, rambling speech, thought broadcasting/delusion of
grandiosity, disorganized thoughts, flight of ideas, hallucinations
reducing risk of postpartum psychosis - ANSWER>>stay on bipolar
medication, treat immediately in women with history of psychosis and
bipolar, good sleep is essential
Evidence based risk factors for PMADS - ANSWER>>previous PMADS (family
history, personal history, symptoms during pregnancy), history of
mood/anxiety disorders (personal or family history of depression, anxiety,
OCD, eating disorders, bipolar disorders), significant mood reactions of
hormonal changes (puberty, PMS, hormonal birth control)
More evidence based risk factors for PMADS - ANSWER>>endocrine
dysfunction (diabetes, thyroid imbalance, fertility challenges), social factors
(IPV, low support, financial stress, racism), high stress parenting (military
families, adolescent parents, parents of multiples, single parents)
Exacerbating factors of postpartum depression - ANSWER>>pain, lack of
sleep, abrupt discontinuing of breast feeding, childcare stress, relationship
stress, losses, history of childhood sexual abuse, complicated pregnancy,
, health changes in baby or parents, temperament of baby, climate stressors:
seasonal depression or mania, perfectionism/high expectations, unresolved
grief or attachment with mother, returning to work
Substance Use in Pregnancy - ANSWER>>5.4% all women use illicit drugs
during pregnancy, 14.6% of adolescent moms
Alcohol use in pregnancy - ANSWER>>8.5% of women drank within last
month, most during first trimester (17.9%)
Postpartum substance abuse - ANSWER>>40-49% report alcohol use, 4.5-
8.5% report marijuana use
Risks for single parents - ANSWER>>twice as likely to report depressive and
anxious symptoms over partnered parents.
How to determine is it blues or depression - ANSWER>>severity, intensity,
duration of symptoms
Prevalence of postpartum anxiety - ANSWER>>8-20%
Prevalence of prenatal anxiety - ANSWER>>15%
Prevalence of postpartum depression - ANSWER>>21%
Prevalence of postpartum panic disorder - ANSWER>>11%
Prevalence of postpartum OCD - ANSWER>>11%
accurate and verified questions covering
mood and anxiety disorders during
pregnancy and postpartum, screening
tools, risk factors, treatment modalities,
interdisciplinary care, and ethical
considerations.
Theories of etiology - ANSWER>>biological sensitivities to hormone
changes (sleep), genetic vulnerability (prior diagnosis), psychological
(identity), social/environmental (poor social support/racism)
Baby Blues - ANSWER>>Affects 60-80% new mothers. Due to hormone
changes and sleep deprivation. lasts 2 days to 2 weeks. Tearful, labile
affect, reactivity, exhaustion BUT predominately happy, self-esteem
remains unchanged. Resolves without intervention. Recommend self care
strategies.
Hypomania - ANSWER>>A mild manic state in which the individual seems
infectiously merry, extremely talkative, charming, and tireless. up to 4 days
in length
mania - ANSWER>>a mood disorder marked by a hyperactive, wildly
optimistic state-function is impaired. can last 7 days
prevalence of first diagnosis of bipolar disorder postpartum -
ANSWER>>50%
,Risk factors for postpartum psychosis - ANSWER>>History of bipolar or
psychotic disorder, first pregnancy, family history, recent discontinuation of
psychotropic medication
Postpartum psychosis symptoms - ANSWER>>onset-2 weeks postpartum,
poor concentration, disorientation, agitation, aloof, lack of self care,
elated/labile mood, rambling speech, thought broadcasting/delusion of
grandiosity, disorganized thoughts, flight of ideas, hallucinations
reducing risk of postpartum psychosis - ANSWER>>stay on bipolar
medication, treat immediately in women with history of psychosis and
bipolar, good sleep is essential
Evidence based risk factors for PMADS - ANSWER>>previous PMADS (family
history, personal history, symptoms during pregnancy), history of
mood/anxiety disorders (personal or family history of depression, anxiety,
OCD, eating disorders, bipolar disorders), significant mood reactions of
hormonal changes (puberty, PMS, hormonal birth control)
More evidence based risk factors for PMADS - ANSWER>>endocrine
dysfunction (diabetes, thyroid imbalance, fertility challenges), social factors
(IPV, low support, financial stress, racism), high stress parenting (military
families, adolescent parents, parents of multiples, single parents)
Exacerbating factors of postpartum depression - ANSWER>>pain, lack of
sleep, abrupt discontinuing of breast feeding, childcare stress, relationship
stress, losses, history of childhood sexual abuse, complicated pregnancy,
, health changes in baby or parents, temperament of baby, climate stressors:
seasonal depression or mania, perfectionism/high expectations, unresolved
grief or attachment with mother, returning to work
Substance Use in Pregnancy - ANSWER>>5.4% all women use illicit drugs
during pregnancy, 14.6% of adolescent moms
Alcohol use in pregnancy - ANSWER>>8.5% of women drank within last
month, most during first trimester (17.9%)
Postpartum substance abuse - ANSWER>>40-49% report alcohol use, 4.5-
8.5% report marijuana use
Risks for single parents - ANSWER>>twice as likely to report depressive and
anxious symptoms over partnered parents.
How to determine is it blues or depression - ANSWER>>severity, intensity,
duration of symptoms
Prevalence of postpartum anxiety - ANSWER>>8-20%
Prevalence of prenatal anxiety - ANSWER>>15%
Prevalence of postpartum depression - ANSWER>>21%
Prevalence of postpartum panic disorder - ANSWER>>11%
Prevalence of postpartum OCD - ANSWER>>11%
