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PMH-C Perinatal Mental Health Certification Exam Prep 2026/2027 | Complete Study Guide | Practice Questions, Answer Explanations & PSI Certification Review

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PMH-C Perinatal Mental Health Certification Exam Prep 2026/2027 | Complete Study Guide | Practice Questions, Answer Explanations & PSI Certification Review

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PMH-C Perinatal Mental Health
Certification Exam Prep 2026/2027 |
Complete Study Guide | Practice
Questions, Answer Explanations & PSI
Certification Review


Theories of etiology
biological sensitivities to hormone changes (sleep), genetic vulnerability (prior diagnosis),
psychological (identity), social/environmental (poor social support/racism)




Baby Blues

Affects 60-80% new mothers. Due to hormone changes and sleep deprivation. lasts 2 days to 2
weeks. Tearful, labile affect, reactivity, exhaustion BUT predominately happy, self-esteem
remains unchanged. Resolves without intervention. Recommend self care strategies.




How to determine is it blues or depression

severity, intensity, duration of symptoms




Prevalence of postpartum anxiety
8-20%

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Prevalence of prenatal anxiety

15%




Prevalence of postpartum depression

21%




Prevalence of postpartum panic disorder

11%




Prevalence of postpartum OCD

11%




Prevalence of postpartum PTSD

9%




Percentage of bipolar symptoms that relapse w/o meds

70%




Prevalence of postpartum psychosis

1-2 out of 1,000

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Prevalence of PPD in fathers

10%




Prevalence psychosis in women with known bipolar disorder

20-30%




Traits of OCD

recognizes that thoughts are unhealthy, extreme anxiety related to thoughts/images, concerned
about "snapping". parent does not want to harm the baby, thoughts are frightening.




Traits of psychosis

does not recognize actions/thoughts are unhealthy, may seem to have less anxiety when
indulging in thoughts/behaviors, no insight about distortion of thoughts, parent has delusional
beliefs about the baby, thoughts of harming the baby are ego-syntonic




Traits of PTSD

intrusive thoughts (flashbacks), avoidance, negative cognitions and mood, arousal (sleep
disturbance, poor concentration, aggression, hyper vigilance)




maternal mortality-all women

1,200 a year or 14.4 per 100,000

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