PSI Chapter 1: Perinatal Mental
Health Disorders (PSI Blueprint -
13%) CORRECTLY SOLVED
2024!!
A
VI
TU
Perinatal - ANSWER - Conception through the first year after giving birth
Normal perinatal emotional, cognitive, and behavioral changes: - ANSWER - Focus
on baby/forming attachment
- Sleep deprivation
IS
- Loss of freedom, control, and self esteem
- Hormonal changes
- Birth not going as expected
M
- Learning new skills
- Role transitions
O
- Dreams and expectations
- Facing fears and feelings
- Renegotiating responsibilities and relationships
A
- Relying on support systems
- Insecurities about parenting abilities
N
- Establishing feeding practices
- Physical healing from labor/delivery
JP
- Feelings of loss
Prevalence of prenatal anxiety and postnatal anxiety - ANSWER - Prenatal = 15.9%
- Postnatal = 8-20%
Features of GAD - ANSWER - Excessive anxiety/worry and difficulty in controlling
worry
- Agitation/irritability
- Relentlessness/feeling on edge
- Poor concentration
, - Easily fatigued/sleep disturbance
- Increased somatic symptoms
What is the prevalence of panic disorder? - ANSWER - 11%
Features of panic disorder - ANSWER - Eiposdes of intense fear/discomfort
reaching a peak within minutes
- Shortness of breath/chest pain/sensations of choking or smothering/dizziness
- Hold/cold flashes/trembling/rapid heart rate/numbness/tingling sensations
A
- Restlessness/irritability/agitation
- Often no identifiable trigger
VI
With panic disorder, is there often an identifiable trigger? - ANSWER - No
TU
What are the 3 greatest fears arising from a panic disorder: - ANSWER 1. Dying
2. Going crazy
3. Losing control
Perinatal pregnancy symptoms - ANSWER - Mood is labile/teary
IS
- Unchanged self esteem
- Sleep disturbed by bladder or heartburn
- Can fall back to sleep
M
- No SI, SIB, intent, or plan
- Energy vacillates between tired and restored
O
- Pleasure including joy, anticipation, along with appropriate worry
- Increased appetite
A
Perinatal Depression symptoms - ANSWER - Mood, gloom, irritability, agitation,
rage
N
- Low self esteem/guilt
- Difficulty falling and staying asleep
JP
- Suicidal thoughts, plans, intentions
- Energy does not restore; fatigue
- Anhedonia
- Dysregulating appetite
Is baby blues considered a PMAD? - ANSWER - No. It is hormone fluctuations at
birth can cause acute sleep deprivation
Health Disorders (PSI Blueprint -
13%) CORRECTLY SOLVED
2024!!
A
VI
TU
Perinatal - ANSWER - Conception through the first year after giving birth
Normal perinatal emotional, cognitive, and behavioral changes: - ANSWER - Focus
on baby/forming attachment
- Sleep deprivation
IS
- Loss of freedom, control, and self esteem
- Hormonal changes
- Birth not going as expected
M
- Learning new skills
- Role transitions
O
- Dreams and expectations
- Facing fears and feelings
- Renegotiating responsibilities and relationships
A
- Relying on support systems
- Insecurities about parenting abilities
N
- Establishing feeding practices
- Physical healing from labor/delivery
JP
- Feelings of loss
Prevalence of prenatal anxiety and postnatal anxiety - ANSWER - Prenatal = 15.9%
- Postnatal = 8-20%
Features of GAD - ANSWER - Excessive anxiety/worry and difficulty in controlling
worry
- Agitation/irritability
- Relentlessness/feeling on edge
- Poor concentration
, - Easily fatigued/sleep disturbance
- Increased somatic symptoms
What is the prevalence of panic disorder? - ANSWER - 11%
Features of panic disorder - ANSWER - Eiposdes of intense fear/discomfort
reaching a peak within minutes
- Shortness of breath/chest pain/sensations of choking or smothering/dizziness
- Hold/cold flashes/trembling/rapid heart rate/numbness/tingling sensations
A
- Restlessness/irritability/agitation
- Often no identifiable trigger
VI
With panic disorder, is there often an identifiable trigger? - ANSWER - No
TU
What are the 3 greatest fears arising from a panic disorder: - ANSWER 1. Dying
2. Going crazy
3. Losing control
Perinatal pregnancy symptoms - ANSWER - Mood is labile/teary
IS
- Unchanged self esteem
- Sleep disturbed by bladder or heartburn
- Can fall back to sleep
M
- No SI, SIB, intent, or plan
- Energy vacillates between tired and restored
O
- Pleasure including joy, anticipation, along with appropriate worry
- Increased appetite
A
Perinatal Depression symptoms - ANSWER - Mood, gloom, irritability, agitation,
rage
N
- Low self esteem/guilt
- Difficulty falling and staying asleep
JP
- Suicidal thoughts, plans, intentions
- Energy does not restore; fatigue
- Anhedonia
- Dysregulating appetite
Is baby blues considered a PMAD? - ANSWER - No. It is hormone fluctuations at
birth can cause acute sleep deprivation
