Exam (elaborations)
Perinatal Mental Health Certification: Questions With Complete Solutions (Pass!)
- Course
- Institution
Perinatal Mental Health Certification: Questions With Complete Solutions (Pass!)
[Show more]
Content preview
Perinatal Mental Health Certification: Questions WithComplete Solutions (Pass!)
Theories of PMAD Etiology: Biology Right Ans - Sensitives to Hormone
changes (increases of estrogen, progesterone, onset of oxytocin and prolactin
at birth)
Evidence Based Risk Factors - Biological Right Ans - -Endocrine
Dysfunction (diabetes, hx of thyroid imbalance, fertility challenges, PMDD,
PCOS)
-Significant mood reactions to hormonal changes (puberty, PMS, hormonal
birth control; abrupt discontinuation of breast feeding; physical pain or
inflammation)
-Lack of sleep
Theories of PMAD Etiology: Psychosocial Right Ans - -Vulnerability (sleep,
genetic predisposition)
-Psychological (relationship with own mother-estranged, death; ambivalence
to parenthood, self-image/perfectionism)
-Social/environmental (hx of trauma, poor social support,
institutional/structural racism)
Evidence Based Risk Factors - Psychosocial Right Ans - Psychiatric Hx
-Family or personal hx of previous PMADs
-Family or personal hx of depression, anxiety, OCD, eating disorder, bipolar
disorder, etc
-Hx of childhood sexual abuse
Psychosocial: Exacerbating Risk Factors for PMADs Right Ans - -Inadequate
partner/social support
-Interpersonal violence
-Other relationship stress
-Financial stressors/poverty
-Childcare stressors
-Recent loss or move
-Barriers to care; institutional racism
-Climate stressors: seasonal depression or mania
-Complications in pregnancy, birth, or breastfeeding
,-Health challenges in baby or parents
-Temperament of baby
-Returning to work
-Unresolved grief and/or loss
Normal Pregnancy symptoms Right 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
Abnormal Pregnancy Symptoms (Depression) Right Ans - -Mood: gloom,
irritable, agitation, rage
-Low self-esteem, guilt
-Sleep: difficulty initiating and/or sustaining sleep
-Suicidal thoughts, plans, or intentions
-Energy: rest does not restore; fatigue
-Anhedonia: no joy from things previously enjoyed
-Dysregulated appetite
Baby Blues Right Ans - -Symptoms: tearfulness, lability, reactivity, and
exhaustion
-Predominantly happy; self-esteem remains unchanged
-Lasts between 2 to 14 days after birth; usually peaks 3-5 days after delivery
-Due to the hormone fluctuation at the time of the birth and acute sleep
deprivation
-Resolves on it's own
Prevalence of Baby Blues Right Ans - Affects 60-80% of new moms
universally
Determination of Baby Blues or Depression Right Ans - -Severity/Intensity
-Timing/Onset
-Duration/Chronicity
Not Baby Blues if persists after than 2 weeks postpartum
,Prevalence of Prenatal Anxiety Right Ans - 15.8%
Prevalence of Postpartum Anxiety Right Ans - 8-20%
Prevalence of Anxiety for New Dads Right Ans - -4.1 - 16% during prenatal
period
-2.4 - 18% during the postnatal period
DSM-5 GAD Right Ans - 3 or more symptoms:
-Excessive anxiety and worry (usually about the baby, could also be about
one's health)
-Difficulty controlling one's worry (ruminating, persistent thoughts)
-Agitation, irritability, can escalate to rage (then spiral to guilt/shame); "what
kind of mom would do that?"
-there is usually a trigger to the thought spiral or symptom onset
-restlessness, inability to sit still, feeling on edge
-poor concentration
-sleep disturbance
-increased somatic symptoms
DSM-5 Panic Disorder Right Ans - Must have 4 or more symptoms:
-episodes of intense fear or discomfort reaching a peak within 10 minutes
-shortness of breath, chest pain, sensations of choking or smothering,
dizziness
-hot or cold flashes, trembling, rapid heart rate, numbness, or tingling
sensations
-restlessness, agitation, or irritability
-Excessive worry or fear
-Persistent fear of "going crazy", losing control, or having a future panic attack
-often no identifiable trigger to the thought spiral or symptom onset
3 greatest fears during a panic attack Right Ans - 1. Dying
2. Going crazy
3. Losing control
Prevalence of Postpartum Panic Disorder Right Ans - 11%
, DSM-5 OCD: Obsessions Right Ans - -Recurrent and persistent thoughts,
urges, or impulses that are intrusive and unwanted and cause marked anxiety
or distress
-Individual attempts to ignore or suppress thoughts, urges, or images or to
neutralize them with some other thought or action
DSM-5 OCD: Compulsions Right Ans - -Repetitive behaviors that the
individual feels driven to perform in response to the obsession
-Behaviors or mental acts are aimed at preventing or reducing anxiety or
distress
Cycle of OCD Right Ans -
Prevalence of Perinatal OCD Right Ans - -Perinatal women 1.5-2x greater
risk for OCD onset than general pop
-32% OCD onset during perinatal period
-65% comorbid depression
Ego-dystonic Right Ans - thoughts, impulses, and behaviors that are felt to
be distressing, unacceptable, or inconsistent with one's self concept
Characteristics of OCD Perinatally Right Ans - -Intrusive, repetitive
thoughts, usually of harm coming to the baby (ego-dystonic thoughts)
-Caught in a spiral of "what if" thinking
-Tremendous guilt and shame
-Horrified by these thoughts
-Hypervigilance
-Mothers engage in behaviors to avoid harm or minimize triggers
Common Presentations of Perinatal OCD Right Ans - -41% Fears of
Deliberate Harm
-29% Contamination
-18% Accidental Harm
-6% Ordering/Arranging
-3% Religious
-3% Checking
Exposure & Response Prevention (ERP) Right Ans - - "Gold Standard" for
treatment of OCD
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studycafe. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now