PMH-C Exam Questions With 100% Correct Answers.

PMH-C Exam Questions With 100% Correct Answers. Military Stressors - answerRecent/upcoming deployment Potential lack of emotional support from partner Fear for welfare or self or partner Living without partner Single parenting Concerns about childcare Inadequate support: Location away from friends and family Possibility of no established relationships with recent move Lack of providers who understand military culture Lack of providers for beneficiaries Lack of providers who accept insurance Lack of peer support due to "army strong" mentality Lack of disclosure to others due to "small town" Lack of ability to provide peer support due to own needs Focus often on active duty member's psychological issuesv Jane Honikman - answerFounder of PSI What year was PSI established? - answer1987 Louis Victor Marce - answerFrench psychiatrist who wrote first treatise on puerperal (about six weeks after childbirth) mental illness James A. Hamilton - answerFather of Postpartum Psychiatric Illness Wrote book: Postpartum Psychiatric Problems Founded the Marce Society Advocate of research, treatment and social support movement DAD - answerDepression After Delivery (USA) APNI - answerAssociation for Post Natal Illness (England) PANDA - answerPost and Ante Natal Depression Association (Australia) Postpartum Education for Parents - answerPostpartum Education for Parents (USA) Most important part of mental health for women, children, and families - answerSocial support How many countries does PSI have members in? - answerOver 40 countries What percentage of women will experience postpartum depression? - answer21% What percentage of pregnant woman will experience moderate to severe symptoms of depression and/or anxiety? - answer20% What percentage of pregnant women with psychiatric diagnosis were treated? - answerLess than 86% What percentage of women on antidepressants were symptomatic due to suboptimal treatment? - answerOver 50% The perinatal period - answerThe entire time frame from pregnancy through the first year after giving birth PMAD - answerPerinatal Mood (depression and bipolar) Anxiety (GAD, panic, OCD, PTSD) Disorders What percentage of pregnancies are unplanned? - answer50% PMDD - answerPremenstrual dysphoric disorder Sensitive to hormonal changes Risk factor for PMAD What disorders classify as a PMAD? - answerDepression Anxiety and Panic disorder OCD PTSD Perinatal Bipolar Psychosis Perinatal depression - answerMost under diagnosed obstetric complication in America Increased costs of medical care Inappropriate medical care Child abuse and neglect Discontinuation of breastfeeding Family dysfunction Adversely affects early brain development 40% of cases are detected and diagnosed 60% receive treatment Prevalence for Prenatal anxiety - answer15.8% Prevalence for postpartum anxiety - answer8% - 20% PMADs in Fathers - answer1 in 10 men will get anxiety/depression Fathers with higher ACE scores reported more pregnancy-related anxiety than did fathers with lower scores at all time points Reported more depressive feelings during pregnancy 9.2% had depression prenatally Maternal depression increased the risk of paternal depression - Initial high after birth may give way to depression - Masked male depression (substance use, irritable, aggressive) - Distancing - Distractions and habits Medication - answer50-75% relapse (depression and anxiety) after discontinuing medication while pregnant Over 40% resume medication during pregnancy The benefit out weights the risk when on medication during pregnancy Normal Pregnancy symptoms - answerMood 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 Depression Symptoms - answerMood: persistent gloom Low self-esteem, guilt Sleep: early a.m. awakening Suicidal thoughts, plans, or intentions Energy: rest does not restore Fatigue Anhedonia Poor appetite Sadness, crying Guilt and shame Hopeless and helplessness Overwhelm Lack of feelings toward