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PMH-C Exam : This or That With
Complete answers
Pregnancy Emotions or Depression?: Mood is labile/ frequently changes, teary. -
✔✔Pregnancy emotions
Pregnancy Emotions or Depression?: Mood is gloomy, irritable, agitation, or rage -
✔✔Depression
Pregnancy Emotions or Depression?: Self-esteem is low + guilt. - ✔✔Depression (In
pregnancy, self-esteem is unchanged)
Pregnancy Emotions or Depression?: Difficulty initiating and/or sustaining sleep. -
✔✔Depression (Having to urinate frequently or having heartburn are symptoms of
pregnancy)
Pregnancy Emotions or Depression?: Fatigue, not restored by rest. - ✔✔Depression
(May be tired during pregnancy but usually rest restores.)
Pregnancy Emotions or Depression?: Anhedonia/ the inability to feel pleasure. -
✔✔Depression
Pregnancy Emotions or Depression?: Dysregulation of appetite - ✔✔Depression
Katelyn Whitman© 2025, All Rights Reserved.
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When making a determination between baby blues and major depression, what should
be considered? - ✔✔severity/intensity, timing/onset, duration/chronicity
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: - ✔✔Depressed 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 - ✔✔Excessive anxiety/worry.
Difficulty controlling one's worry.
Agitation/Irritability.
Restlessness + poor concentration.
Easily fatigues/sleep disturbances.
Katelyn Whitman© 2025, All Rights Reserved.
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Increased somatic symptoms.
Panic Disorder symptoms? - ✔✔Episodes of intense fear or discomfort peaks within
minutes.
SOB, chest pain, dizziness, choking feeling.
Hot/Cold flashes.
Restlessness, rapid heartbeat, numbness/tingling sensations.
Excessive worry/fear.
Feeling as though "going crazy", losing control, or having a future attack.
Often no identifiable trigger.
Perinatal OCD or Perinatal Psychosis?: Parent recognizes thoughts/images are
unhealthy. - ✔✔Perinatal OCD
Perinatal OCD or Perinatal Psychosis?: Parent has extreme anxiety related to
thoughts/images. - ✔✔Perinatal OCD
Perinatal OCD or Perinatal Psychosis?: Parent is overly concerned about "becoming
crazy" or "snapping". - ✔✔Perinatal OCD.
Perinatal OCD or Perinatal Psychosis?: Parent does not recognize actions/thoughts are
unhealthy. - ✔✔Perinatal Psychosis
Katelyn Whitman© 2025, All Rights Reserved.
PMH-C Exam : This or That With
Complete answers
Pregnancy Emotions or Depression?: Mood is labile/ frequently changes, teary. -
✔✔Pregnancy emotions
Pregnancy Emotions or Depression?: Mood is gloomy, irritable, agitation, or rage -
✔✔Depression
Pregnancy Emotions or Depression?: Self-esteem is low + guilt. - ✔✔Depression (In
pregnancy, self-esteem is unchanged)
Pregnancy Emotions or Depression?: Difficulty initiating and/or sustaining sleep. -
✔✔Depression (Having to urinate frequently or having heartburn are symptoms of
pregnancy)
Pregnancy Emotions or Depression?: Fatigue, not restored by rest. - ✔✔Depression
(May be tired during pregnancy but usually rest restores.)
Pregnancy Emotions or Depression?: Anhedonia/ the inability to feel pleasure. -
✔✔Depression
Pregnancy Emotions or Depression?: Dysregulation of appetite - ✔✔Depression
Katelyn Whitman© 2025, All Rights Reserved.
,2|Page
When making a determination between baby blues and major depression, what should
be considered? - ✔✔severity/intensity, timing/onset, duration/chronicity
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: - ✔✔Depressed 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 - ✔✔Excessive anxiety/worry.
Difficulty controlling one's worry.
Agitation/Irritability.
Restlessness + poor concentration.
Easily fatigues/sleep disturbances.
Katelyn Whitman© 2025, All Rights Reserved.
, 3|Page
Increased somatic symptoms.
Panic Disorder symptoms? - ✔✔Episodes of intense fear or discomfort peaks within
minutes.
SOB, chest pain, dizziness, choking feeling.
Hot/Cold flashes.
Restlessness, rapid heartbeat, numbness/tingling sensations.
Excessive worry/fear.
Feeling as though "going crazy", losing control, or having a future attack.
Often no identifiable trigger.
Perinatal OCD or Perinatal Psychosis?: Parent recognizes thoughts/images are
unhealthy. - ✔✔Perinatal OCD
Perinatal OCD or Perinatal Psychosis?: Parent has extreme anxiety related to
thoughts/images. - ✔✔Perinatal OCD
Perinatal OCD or Perinatal Psychosis?: Parent is overly concerned about "becoming
crazy" or "snapping". - ✔✔Perinatal OCD.
Perinatal OCD or Perinatal Psychosis?: Parent does not recognize actions/thoughts are
unhealthy. - ✔✔Perinatal Psychosis
Katelyn Whitman© 2025, All Rights Reserved.
