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PMH-C Exam Prep: Master Psychiatry and Mental Health

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PMH-C Exam Prep: Master Psychiatry and Mental Health

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PMH-C Exam Prep: Master Psychiatry and Mental
Health




Mission of PSI

The global network of individuals and organizations dedicated to increase awareness of mental health
related to childbearing.

When was and by who was PSI founded

1987 by Jane Honikman

Father of Medicine

Hippocrates 460BC

Louis Victor Marce'

French Psychiatrist who wrote the first treatise on puerperal mental illness in 1858.

What were some early classification of PMADs

Postpartum fever, agitation, paralysis, and sensory deficits

Marce' Society

An organization that focuses on research and works closely with PSI

James A. Hamilton, MD, PhD

(1907-1977)
20th century's father of postpartum psychiatric illness.
Author of Landmark book Postpartum Psychiatric Problems
Founder of Marce' Society (1980)
Advocate of research, treatment, and social support movement

What year did the DSM include specifiers

1994

Who said, "The support groups represent the most significant and useful aspect of the renaissance in
the recognition and treatment of postpartum illness."

,James Hamilton, MD, PhD- 2nd annual PSI Conference Princeton, NJ June 24, 1988

Which social support group leaders formed PSI in 1987?

Association for Post Natal Illness (APNI), England
Depression After Delivery (DAD), USA
Pacific Post Partum Support Society, Vancouver, British Columbia, Canada
Post and Ante Natal Depression Association (PANDA), Melbourne, Australia
Postpartum Education for Parents (PEP), Santa Barbara, CA, USA

PSI Statement on Social Support

"Social Support is essential to assure the mental health of women, children and their families during
pregnancy and the postpartum period."

How many counties does PSI have members?

Over 40 countries

PSI Facts

Only worldwide organization representing the support groups that play a significant role in the
prevention and treatment of maternal mental illness.

PSI unites the professionals and social support groups with the consumers who uses our member's
expertise.

What is PSI's mission?

"To promote awareness, prevention and treatment of maternal mental health issues related to
childbearing in every community worldwide.

What are PSI's Objectives?

Perinatal Mental Health Awareness
Support to all families
Collaboration and partnerships
Public Policy and Advocacy
Education and training

PSI Components

PSI Social Support Network of trained volunteers around the world offering support and local resources
Toll free helpline 800-944-4773 offers support to women and families, in English and Spanish
Online support groups
Chat with Experts- Toll free telephone support service facilitated by PSI expert member

According to PSI, What are the needs of Childbearing women?

1. A companion or advocate to provide support during pregnancy, birth, and the first year of
postpartum.

, 2. Supportive professionals who are knowledgeable about mental health and will access help for a
patient with a mood disorder.
3. Having a time and place to talk about pregnancy, the birth, and the continuing postpartum
experience.

Why are PMADs important?

Tragic Consequences affecting society:
Relationship problems/divorce
Disability/unemployment
Child neglect and abuse
Developmental delays/behavioral problems
Infanticide/Homicide/Suicide

How many women experience PPD?

Up to 21%

How many experience depression/anxiety during pregnancy?

20%

What is the Perinatal period?

The entire time frame from pregnancy through the first year after giving birth.

In PMAD, What are the mood disorders?

Depression and bipolar disorder

In PMAD, what are the anxiety disorders?

GAD, panic, OCD, and PTSD

What are common psychological and physical changes during the postpartum period?

Focus on baby/forming attachment
Fatigue/sleep deprivation
Loss of freedom, control, and self-esteem
Hormonal changes
Birth not going as expected
Learning new skills
Role transitions
Dreams and expectations
Facing fears and feelings
Renegotiating responsibilities and relationships
Relying on support systems
Insecurities about parenting abilities
Establishing feeding practices
Physical healing from labor/delivery
Feelings of loss

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