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PMH-C Exam (180 terms) with Complete Questions & Answers.
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PMH-C Exam (180 terms) with Complete Questions & Answers.PMH-C Exam (180 terms) with Complete Questions & Answers.
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PMH-C Exam (180 terms) with Complete Questions &Answers.
Military Stressors - ANS Recent/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 issues
Jane Hickman - ANS Founder of PSI
What year was PSI established? - ANS 1987
Louis Victor Marci - ANS French psychiatrist who wrote first treatise on puerperal (about
six weeks after childbirth) mental illness
James A. Hamilton - ANS Father of Postpartum Psychiatric Illness
Wrote book: Postpartum Psychiatric Problems
Founded the Marci Society
Advocate of research, treatment and social support movement
DAD - ANS Depression after Delivery (USA)
APNI - ANS Association for Post Natal Illness (England)
PANDA - ANS Post and Ante Natal Depression Association (Australia)
Postpartum Education for Parents - ANS Postpartum Education for Parents (USA)
Most important part of mental health for women, children, and families - ANS Social
support
How many countries does PSI have members in? - ANS Over 40 countries
,What percentage of women will experience postpartum depression? - ANS 21%
What percentage of pregnant woman will experience moderate to severe symptoms of
depression and/or anxiety? - ANS 20%
What percentage of pregnant women with psychiatric diagnosis were treated? - ANS
Less than 86%
What percentage of women on antidepressants were symptomatic due to suboptimal
treatment? - ANS Over 50%
The perinatal period - ANS The entire time frame from pregnancy through the first year
after giving birth
PMAD - ANS Perinatal Mood (depression and bipolar) Anxiety (GAD, panic, OCD,
PTSD) Disorders
What percentage of pregnancies are unplanned? - ANS 50%
PMDD - ANS Premenstrual dysphonic disorder
Sensitive to hormonal changes
Risk factor for PMAD
What disorders classify as a PMAD? - ANS Depression
Anxiety and Panic disorder
OCD
PTSD
Perinatal Bipolar
Psychosis
Perinatal depression - ANS Most 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 - ANS 15.8%
Prevalence for postpartum anxiety - ANS 8% - 20%
,PMADs in Fathers - ANS 1 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 - ANS 50-75% 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 - ANS Mood 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 - ANS Mood: persistent gloom
Low self-esteem, guilt
Sleep: early a.m. awakening
Suicidal thoughts, plans, or intentions
Energy: rest does not restore
Fatigue
Anhedonia
Poor appetite
Sadness, crying
Guilt and shame
Hopeless and helplessness
Overwhelm
Lack of feelings toward baby
Isolation
, "This doesn't feel like me"
Worthlessness
Mood swings
Inability to care for self and family
Baby blues - ANS -NOT a mild form of clinical depression
- Affects 60-80% of new moms
- Mild
- Lasts no more than 2 days to 2 weeks
- Predominant mood is happiness
- Common to have tearfulness, liability, reactivity
- Peaks 3-5 days after delivery
- Present in diverse cultures
- Unrelated to stress or psychiatric history
- Acute sleep deprivation
-Different in from PPD in length and severity
- Symptoms: mood swings, anxiety, sadness, irritability, crying, decreased
concentration, trouble sleeping
-Very common to feel this way, hormones have to readjust
-Every mother experiences some type of baby blues, it's normal
Blues or Depression? - ANS Severity
Timing
Duration
Anxiety Symptoms - ANS Agitated, irritable
Inability to sit still
Excessive concern about the baby's or her own health
High alert
Appetite changes
Sleep disturbances
Constant worry
Racing thoughts
Shortness of breath
Heart palpitations
Panic Symptoms - ANS Episodes of extreme anxiety
Shortness of breath, chest pain, sensation of choking or smothering, dizziness
Hot or cold flashes, trembling, rapid heart rate, numbness or tingling
Restlessness, agitation, irritability
Excessive worry or fear
Panic may wake her up
Peaks at 2 minutes
Gets better after 10 minutes
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