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PSI Chapter 1 Perinatal Mental Health Disorders (PSI Blueprint - 13-)
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PSI Chapter 1 Perinatal Mental Health Disorders (PSI Blueprint - 13-)
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PSI Chapter 1 Perinatal Mental HealthDisorders (PSI Blueprint - 13%)
Perinatal - Answer: - Conception through the first year after giving birth
Normal perinatal emotional, cognitive, and behavioral changes: - Answer: - Focus on baby/forming
attachment
- Sleep deprivation
- Loss of freedom, control, and self esteem
- Hormonal changes
- Birth not going as expected
- Learning new skills
- Role transitions
- Dreams and expectations
- Facing fears and feelings
- Renegotiating responsibilities and relationships
- Relying on support systems
- Insecurities about parenting abilities
- Establishing feeding practices
- Physical healing from labor/delivery
- Feelings of loss
Prevalence of prenatal anxiety and postnatal anxiety - Answer: - Prenatal = 15.9%
- Postnatal = 8-20%
Features of GAD - Answer: - Excessive anxiety/worry and difficulty in controlling worry
- Agitation/irritability
- Relentlessness/feeling on edge
- Poor concentration
, - Easily fatigued/sleep disturbance
- Increased somatic symptoms
What is the prevalence of panic disorder? - Answer: - 11%
Features of panic disorder - Answer: - Eiposdes of intense fear/discomfort reaching a peak within
minutes
- Shortness of breath/chest pain/sensations of choking or smothering/dizziness
- Hold/cold flashes/trembling/rapid heart rate/numbness/tingling sensations
- Restlessness/irritability/agitation
- Often no identifiable trigger
With panic disorder, is there often an identifiable trigger? - Answer: - No
What are the 3 greatest fears arising from a panic disorder: - Answer: 1. Dying
2. Going crazy
3. Losing control
Perinatal pregnancy symptoms - Answer: - Mood is labile/teary
- Unchanged self esteem
- Sleep disturbed by bladder or heartburn
- Can fall back to sleep
- No SI, SIB, intent, or plan
- Energy vacillates between tired and restored
- Pleasure including joy, anticipation, along with appropriate worry
- Increased appetite
Perinatal Depression symptoms - Answer: - Mood, gloom, irritability, agitation, rage
- Low self esteem/guilt
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