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Exam (elaborations)

PMH-C Exam Questions & Answers 100% Correct!!

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  • Course
  • PMH-C
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  • PMH-C

Military Stressors - ANSWERRecent/upcoming deployment Potential lack of emotional support from partner Fear for welfare or self or partner Living without partner Single parenting Concerns about childcare Inadequate support: Location away from friends and family Possibility of no establis...

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  • August 9, 2024
  • 44
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PMH-C
  • PMH-C
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PMH-C Exam Questions & Answers 100%
Correct!!

Military Stressors - ANSWERRecent/upcoming deployment

Potential lack of emotional support from partner

Fear for welfare or self or partner

Living without partner

Single parenting

Concerns about childcare



Inadequate support:

Location away from friends and family

Possibility of no established relationships with recent move

Lack of providers who understand military culture

Lack of providers for beneficiaries

Lack of providers who accept insurance

Lack of peer support due to "army strong" mentality

Lack of disclosure to others due to "small town"

Lack of ability to provide peer support due to own needs

Focus often on active duty member's psychological issuesv



Jane Honikman - ANSWERFounder of PSI



What year was PSI established? - ANSWER1987



Louis Victor Marce - ANSWERFrench psychiatrist who wrote first treatise on puerperal (about six
weeks after childbirth) mental illness



James A. Hamilton - ANSWERFather of Postpartum Psychiatric Illness

Wrote book: Postpartum Psychiatric Problems

,Founded the Marce Society

Advocate of research, treatment and social support movement



DAD - ANSWERDepression After Delivery (USA)



APNI - ANSWERAssociation for Post Natal Illness (England)



PANDA - ANSWERPost and Ante Natal Depression Association (Australia)



Postpartum Education for Parents - ANSWERPostpartum Education for Parents (USA)



Most important part of mental health for women, children, and families - ANSWERSocial support



How many countries does PSI have members in? - ANSWEROver 40 countries



What percentage of women will experience postpartum depression? - ANSWER21%



What percentage of pregnant woman will experience moderate to severe symptoms of depression
and/or anxiety? - ANSWER20%



What percentage of pregnant women with psychiatric diagnosis were treated? - ANSWERLess than
86%



What percentage of women on antidepressants were symptomatic due to suboptimal treatment? -
ANSWEROver 50%



The perinatal period - ANSWERThe entire time frame from pregnancy through the first year after
giving birth



PMAD - ANSWERPerinatal Mood (depression and bipolar) Anxiety (GAD, panic, OCD, PTSD) Disorders



What percentage of pregnancies are unplanned? - ANSWER50%

,PMDD - ANSWERPremenstrual dysphoric disorder

Sensitive to hormonal changes

Risk factor for PMAD



What disorders classify as a PMAD? - ANSWERDepression

Anxiety and Panic disorder

OCD

PTSD

Perinatal Bipolar

Psychosis



Perinatal depression - ANSWERMost under diagnosed obstetric complication in America



Increased costs of medical care

Inappropriate medical care

Child abuse and neglect

Discontinuation of breastfeeding

Family dysfunction

Adversely affects early brain development



40% of cases are detected and diagnosed

60% receive treatment



Prevalence for Prenatal anxiety - ANSWER15.8%



Prevalence for postpartum anxiety - ANSWER8% - 20%



PMADs in Fathers - ANSWER1 in 10 men will get anxiety/depression

, Fathers with higher ACE scores reported more pregnancy-related anxiety than did fathers with lower
scores at all time points



Reported more depressive feelings during pregnancy



9.2% had depression prenatally



Maternal depression increased the risk of paternal depression



- Initial high after birth may give way to depression

- Masked male depression (substance use, irritable, aggressive)

- Distancing

- Distractions and habits



Medication - ANSWER50-75% relapse (depression and anxiety) after discontinuing medication while
pregnant



Over 40% resume medication during pregnancy



The benefit out weights the risk when on medication during pregnancy



Normal Pregnancy symptoms - ANSWERMood is labile, teary

Self esteem is normal

Sleep: bladder or heartburn may awaken. Can fall asleep

No suicidal ideology

Energy: may tire, rest restores

Pleasure: joy and anticipation (appropriate worry)

Appetite: increases



Depression Symptoms - ANSWERMood: persistent gloom

Low self-esteem, guilt

Sleep: early a.m. awakening

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