PSI Chapter 1: Perinatal Mental Health Disorders
Questions with Verified Answers
Perinatal Ans✔✔-- Conception through the first year after giving birth
Normal perinatal emotional, cognitive, and behavioral changes: Ans✔✔--
Focus on baby/forming attachment
- 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
Prevalence of prenatal anxiety and postnatal anxiety Ans✔✔-- Prenatal =
15.9%
- Postnatal = 8-20%
,Features of GAD Ans✔✔-- 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? Ans✔✔-- 11%
Features of panic disorder Ans✔✔-- 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
- Restlessness/irritability/agitation
- Often no identifiable trigger
With panic disorder, is there often an identifiable trigger? Ans✔✔-- No
What are the 3 greatest fears arising from a panic disorder: Ans✔✔-1.
Dying
2. Going crazy
, 3. Losing control
Perinatal pregnancy symptoms Ans✔✔-- Mood is labile/teary
- Unchanged self esteem
- Sleep disturbed by bladder or heartburn
- Can fall back to sleep
- No SI, SIB, intent, or plan
- Energy vacillates between tired and restored
- Pleasure including joy, anticipation, along with appropriate worry
- Increased appetite
Perinatal Depression symptoms Ans✔✔-- Mood, gloom, irritability,
agitation, rage
- Low self esteem/guilt
- Difficulty falling and staying asleep
- Suicidal thoughts, plans, intentions
- Energy does not restore; fatigue
- Anhedonia
- Dysregulating appetite
Is baby blues considered a PMAD? Ans✔✔-- No. It is hormone
fluctuations at birth can cause acute sleep deprivation
Questions with Verified Answers
Perinatal Ans✔✔-- Conception through the first year after giving birth
Normal perinatal emotional, cognitive, and behavioral changes: Ans✔✔--
Focus on baby/forming attachment
- 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
Prevalence of prenatal anxiety and postnatal anxiety Ans✔✔-- Prenatal =
15.9%
- Postnatal = 8-20%
,Features of GAD Ans✔✔-- 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? Ans✔✔-- 11%
Features of panic disorder Ans✔✔-- 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
- Restlessness/irritability/agitation
- Often no identifiable trigger
With panic disorder, is there often an identifiable trigger? Ans✔✔-- No
What are the 3 greatest fears arising from a panic disorder: Ans✔✔-1.
Dying
2. Going crazy
, 3. Losing control
Perinatal pregnancy symptoms Ans✔✔-- Mood is labile/teary
- Unchanged self esteem
- Sleep disturbed by bladder or heartburn
- Can fall back to sleep
- No SI, SIB, intent, or plan
- Energy vacillates between tired and restored
- Pleasure including joy, anticipation, along with appropriate worry
- Increased appetite
Perinatal Depression symptoms Ans✔✔-- Mood, gloom, irritability,
agitation, rage
- Low self esteem/guilt
- Difficulty falling and staying asleep
- Suicidal thoughts, plans, intentions
- Energy does not restore; fatigue
- Anhedonia
- Dysregulating appetite
Is baby blues considered a PMAD? Ans✔✔-- No. It is hormone
fluctuations at birth can cause acute sleep deprivation
