PMH-C Exam Questions With 100% Correct Answers.

PMH-C Exam Questions With 100% Correct Answers. Perinatal Period - answerconception through the first year after giving birth. Antenatal - answerTerm meaning "During Pregnancy" Postpartum/Postnatal - answerThe first year after giving birth Disorders - answerGet in the way of daily functioning. Every year, how many infants are born to mothers who are depressed? - answer400,000, making perinatal depression the most under diagnosed obstetric complication in America. What is the prevalence of PMAD's for women? - answer1 out of 5-7 women. What is the prevalence of PMAD's for men? - answer1 out of 10 men. What is the cost of untreated PMAD's? - answer$14.2 Billion annually How many pregnancies are unplanned? - answer~50% What are the PMAD etiologies (causes)? - answerBiological Sensitivity to hormonal changes (sleep deprivation), Vulnerability (such as genetic disposition), psychological (relationship with own mother, ambivalence to parenthood, self-image/perfectionism), Social/environmental (hx of trauma, poor social support, institutional racism). In what ways does culture influence whether PMAD's are recognized? - answerThere are diverse ways that mothers conceptualize and explain their symptoms culturally. They may not feel they are safe to express their symptoms. May be expressed in somatic (eg. stomach pains or appetite changes) or affective ways (moods, feelings). Why is there variability in prevalence rates of PMAD's? - answerCultural context, screening inventories, cutoffs used on objective measures, timing of screening and onset of symptoms, relationship between the subject and the researcher. What is the strongest predictor for paternal (fathers) depression. - answerMaternal depression When do father's depressive symptoms spike? - answerBetween 3-6 months postpartum What is "masked" male depression? - answerRather than sadnes, men may increase substance use, be more irritable, aggressive or hostile. May "check out", self isolate. Possible factors for partner depression. - answerFeeling burdened/trapped, financial burdens, feeling left out, missing sexual relationship, sleep deprivation, isolation and loneliness, poor social support network. Is this pregnancy emotions or depression? Mood is labile (frequently changes), teary. - answerPregnancy Is this pregnancy emotions or depression? Mood is gloom, irritable, agitation, or rage - answerDepression Is this pregnancy emotions or depression? Self esteem is low. Guilt. - answerDepression (In pregnancy, self esteem is unchanged) Is this pregnancy emotions or depression? Difficulty initiating and/or sustaining sleep. - answerDepression (Having to urinate frequently or having heartburn are symptoms of pregnancy). Is this pregnancy or depression? Fatigue, rest does not restore. - answerDepression (May be tired during pregnancy but rest restores.) Is this pregnancy or depression? Anhedonia - answerDepression. Anhedonia is the inability to feel pleasure. Is this pregnancy or depression? Dysregulation of appetite - answerDepression How many new mothers are universally affected by the Baby Blues? - answer60-80% Hormone fluctuation at the time of birth and acute sleep deprivation can lead to what common situation or non-disorder? - answerbaby blues How long do the baby blues last? - answer2 days to 2 weeks after birth When do baby blues typically peak? - answeron day 3-5 after delivery. What are the symptoms of baby blues? - answertearfulness, lability, reactivity, and exhaustion. Unrelated to stress or prior psychiatric hx. When making a determination between baby blues and major depression, what should be considered? - answerseverity/intensity, timing/onset, duration/chronicity Under the DSM-5, what code can we use for postpartum depression? - answerMajor Unipolar Depression (with peripartum onset) For the DSM-5 code of Major Unipolar Depression (with peripartum onset), 5 or more symptoms must be present with the same 2-week period: - answerDepressed mood most of the day nearly every day. Loss of interest, joy or pleasure (anhedonia). Significant wt or appetite changes. Sleep disturbances. Psychomotor agitation/retardation. Fatigue/loss of energy. Poor concentration/focus/indecisiveness. Feelings of worthlessness. Excessive/inappropriate guilt. Recurrent thoughts of death/suicidal thoughts. Signs of Generalized Anxiety Disorder - answerExcessive anxiety/worry. Difficulty controlling one's worry. Agitation/Irritability. Restlessness. Poor concentration. Easily fatigues/sleep disturbances. Increased somatic symptoms. What is the prevalence for prenatal anxiety? - answer15.8% What is the prevalence estimates for postpartum anxiety symptoms? - answer8%-20% Panic Disorder symptoms? - answerEpisodes of intense fear or discomfort reaching a peak within minutes. SOB, chest pain, dizziness, feeling of choking. Hot/Cold flashes. Restlessness, rapid heart beat, numbness/tingling sensations. Excessive worry/fear. Feeling as though "going crazy", losing control, or having a future attack. Often no identifiable trigger. What are the 3 greatest fears of a panic disorder? - answerFear of dying, fear of losing control, fear of going crazy. What term describes recurrent and persistent thoughts, or impulses that are intrusive and unwanted and cause marked anxiety or distress? Individuals tend to attempt to try to ignore or suppress the thoughts, urges, or images or to neutralize them with some other thought or action. - answerObsessions What term describes repetitive behaviors that the individual feels driven to perform in response to the obsession. Behaviors or mental acts are aimed at preventing or reducing anxiety or distress. - answerCompulsions Perinatal women are at a _____ greater risk for OCD onset than the general population. - answer1.5-2X ___% had OCD onset in the perinatal period. - answer32% Severe OCD remains largely unchanged across___ - answerpregnancy and the postpartum period. 65% have co-morbid depression along with what? - answerPerinatal OCD ego-dystonic thoughts - answerThoughts or impulses and behaviors that are felt to be distressing, unacceptable, or inconsistent with one's self concept. Is this perinatal OCD or Perinatal Psychosis? Parent recognizes thoughts/images are unhealthy. - answerPerinatal OCD Is this perinatal OCD or Perinatal Psychosis? Parent has extreme anxiety related to thoughts/images. - answerPerinatal OCD