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PMH-C Study Materials Section 1 Perinatal Mental Health Disorders (13-) Questions and Complete Solutions Graded A+ $14.49
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PMH-C Study Materials Section 1 Perinatal Mental Health Disorders (13-) Questions and Complete Solutions Graded A+

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PMH-C Study Materials Section 1 Perinatal Mental Health Disorders (13-) Questions and Complete Solutions Graded A+

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  • 31 de diciembre de 2024
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PMH-C Study Materials Section 1 Perinatal
Mental Health Disorders (13%) Questions
and Complete Solutions Graded A+
PP Psychosis Sxs - Answer: Onset - within 2 weeks PP

Cognitive - poor concentration, impaired sensorium, disorientation

Behavioral - agitated, hyperactive, emotionally distant, aloof, lack of self-care

Mood - elated, labile, dysphoric or less often depressed

Speech - rambling

Thought Content - thought broadcasting, ideas of reference, infant being harmed/killed, persecutory,
jealousy, paranoia, being controlled, delusions of grandiosity

Thought Process - disorganized, flight of ideas

Perceptions - hallucinations, commanding auditory, organic (visual, olfactory, tactile



Perinatal Psychosis - Risk Factors - Answer: 1st Baby

Discontinue mood stabilizer

OB complications

Perinatal or neonatal loss

Previous Bipolar, psychosis, or PP psychosis

Family hx of Bipolar or PP Psychosis

Sleep Deprivation



Perinatal Psychosis - Prevalence - Answer: 1-2/1,000 women will develop

Of those affected:

- 5% die by SUI

-4.5% commit infanticide

- 50% of 1st time mom's who experience psychosis have had 0 previous hospitalizations

- usually onset 2 weeks after giving birth

, Bipolar Risk - Answer: -Type I or Type II Bipolar D/O = High Risk

-Psychosis - 20-30% of women with Bipolar

-45-52% with bipolar experienced a relapse or an exacerbation of sxs during pregnancy

-70% of women with Bipolar relapsed within 1st 6 mos PP



Perinatal Bipolar Prevalence Rates - Answer: -22.6% of women screened positive for PP depression had a
Bipolar D/O

-over 69% misdiagnosed with unipolar depression

-over 30% suffer 10+ years with incorrect diagnosis

50% of women with Bipolar are first diagnosed in the PP period



Ego-syntonic thoughts - Answer: Parent thinks these thoughts are reasonable and/or feels tempted to
act on them.



Ego-dystonic thoughts - Answer: Intrusive, goes against what they believe.

They recognize as such



Perinatal OCD - Answer: Intrusive, repetitive thoughts, usually of harm coming to baby.

"what if" thinking

Tremendous guilt and shame

Horrified by these thoughts

Hypervigilance

Mother engage in behaviors to avoid harm or minimize triggers



Perinatal OCD: Prevalence - Answer: -Perinatal women 1.5-2X greater risk

-32% onset in perinatal period

-Severe ___ remains largely unchanged across preg and PP period

-65% have co-morbid depression

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