Perinatal Mental Health Exam with accurate and verified

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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. Designed for professionals seeking certification in perinatal mental health.

What is trauma? DSM - ANSWER-The stressor (criteria A) -directly experiences the traumatic event. Witnesses it in person.Indirect exposure (providers), causes clinically significant distress and impairment in function not of a result of another medical problem, Med or substance use.

• subcategories of PTSD - ANSWER-Symptoms that follow last

more than 1 month after event

• Intrusion
• Avoidance
• Negativity in cognitions and mood
• Arousal
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Explain intrusion - ANSWER-Flashblacks, nightmares, somatic complaints, distressing memories, physical reactivity

Explain avoidance - ANSWER-Constricted emotions, social withdrawal, denial, apathy, avoidance, emotional numbing

Explain negativity in cognitions and mood - ANSWER-Guilt, depression, irritable, hopeless, negative thoughts, persistent sense of blame, decreased pleasure

Explain arousal - ANSWER-Sleep disturbance, poor concentration, hyper vigilance, aggression

PTSD prevalence - ANSWER-Approximately 4% in community setting and 18% in high risk groups.

Can happen due to birth trauma. Actual or threatened serious injury or death to mother or infant.

Examples of potentially traumatic birth events - ANSWER- Emergency c section Postpartum hemorrhage 2 / 4

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Prematurity Nicu admission Severe pre eclampsia HG Traumatic vaginal birth Fetal anomaly dx in pregnancy Long labor Failed epidural

How many women per year die in childbirth? - ANSWER-1,200 women

And racial disparities exist! Highest in black women (43 per 100,000) vs 12 per 100,000 in white women

What is a maternal near miss? - ANSWER-A maternal near miss is an event where an individual nearly dies due to pregnancy or childbirth related complications. The events are unexpected and the survivor feels alone.

Difference between bipolar 1 and 2 - ANSWER-Bipolar 1:

maniac and severe depression-swings between these two 3 / 4

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Bipolar 2: less severe mania (hypo mania) and severe depression

Bipolar 1 DSM criteria - ANSWER-At least one lifetime episode of mania

-elevated mood symptoms: euphoria, decreased sleep need,

racing thoughts, increased productivity, increased energy

-hypo mania episodes: 4 days in length, improved functioning

-mania episodes: severe symptoms, impaired function, 7 days in

length, requires hospitalization or psychotic symptoms (hallucination, paranoia, disorganized thoughts)

What percent of women present as depressed? - ANSWER-60% of those with bipolar 1 present as depressed initially

50% of women with bipolar are first diagnosed in the postpartum period!

Bipolar is a huge risk for psychosis!

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