PMH-C Study Materials Section 1 Perinatal
Mental Health Disorders (13%) Questions
and Complete Solutions Graded A+
PP Psychosis Sxs - Answer: Onset - within 2 weeks PP
Cognitive - poor concentration, impaired sensorium, disorientation
Behavioral - agitated, hyperactive, emotionally distant, aloof, lack of self-care
Mood - elated, labile, dysphoric or less often depressed
Speech - rambling
Thought Content - thought broadcasting, ideas of reference, infant being harmed/killed, persecutory,
jealousy, paranoia, being controlled, delusions of grandiosity
Thought Process - disorganized, flight of ideas
Perceptions - hallucinations, commanding auditory, organic (visual, olfactory, tactile
Perinatal Psychosis - Risk Factors - Answer: 1st Baby
Discontinue mood stabilizer
OB complications
Perinatal or neonatal loss
Previous Bipolar, psychosis, or PP psychosis
Family hx of Bipolar or PP Psychosis
Sleep Deprivation
Perinatal Psychosis - Prevalence - Answer: 1-2/1,000 women will develop
Of those affected:
- 5% die by SUI
-4.5% commit infanticide
- 50% of 1st time mom's who experience psychosis have had 0 previous hospitalizations
- usually onset 2 weeks after giving birth
, Bipolar Risk - Answer: -Type I or Type II Bipolar D/O = High Risk
-Psychosis - 20-30% of women with Bipolar
-45-52% with bipolar experienced a relapse or an exacerbation of sxs during pregnancy
-70% of women with Bipolar relapsed within 1st 6 mos PP
Perinatal Bipolar Prevalence Rates - Answer: -22.6% of women screened positive for PP depression had a
Bipolar D/O
-over 69% misdiagnosed with unipolar depression
-over 30% suffer 10+ years with incorrect diagnosis
50% of women with Bipolar are first diagnosed in the PP period
Ego-syntonic thoughts - Answer: Parent thinks these thoughts are reasonable and/or feels tempted to
act on them.
Ego-dystonic thoughts - Answer: Intrusive, goes against what they believe.
They recognize as such
Perinatal OCD - Answer: Intrusive, repetitive thoughts, usually of harm coming to baby.
"what if" thinking
Tremendous guilt and shame
Horrified by these thoughts
Hypervigilance
Mother engage in behaviors to avoid harm or minimize triggers
Perinatal OCD: Prevalence - Answer: -Perinatal women 1.5-2X greater risk
-32% onset in perinatal period
-Severe ___ remains largely unchanged across preg and PP period
-65% have co-morbid depression
Mental Health Disorders (13%) Questions
and Complete Solutions Graded A+
PP Psychosis Sxs - Answer: Onset - within 2 weeks PP
Cognitive - poor concentration, impaired sensorium, disorientation
Behavioral - agitated, hyperactive, emotionally distant, aloof, lack of self-care
Mood - elated, labile, dysphoric or less often depressed
Speech - rambling
Thought Content - thought broadcasting, ideas of reference, infant being harmed/killed, persecutory,
jealousy, paranoia, being controlled, delusions of grandiosity
Thought Process - disorganized, flight of ideas
Perceptions - hallucinations, commanding auditory, organic (visual, olfactory, tactile
Perinatal Psychosis - Risk Factors - Answer: 1st Baby
Discontinue mood stabilizer
OB complications
Perinatal or neonatal loss
Previous Bipolar, psychosis, or PP psychosis
Family hx of Bipolar or PP Psychosis
Sleep Deprivation
Perinatal Psychosis - Prevalence - Answer: 1-2/1,000 women will develop
Of those affected:
- 5% die by SUI
-4.5% commit infanticide
- 50% of 1st time mom's who experience psychosis have had 0 previous hospitalizations
- usually onset 2 weeks after giving birth
, Bipolar Risk - Answer: -Type I or Type II Bipolar D/O = High Risk
-Psychosis - 20-30% of women with Bipolar
-45-52% with bipolar experienced a relapse or an exacerbation of sxs during pregnancy
-70% of women with Bipolar relapsed within 1st 6 mos PP
Perinatal Bipolar Prevalence Rates - Answer: -22.6% of women screened positive for PP depression had a
Bipolar D/O
-over 69% misdiagnosed with unipolar depression
-over 30% suffer 10+ years with incorrect diagnosis
50% of women with Bipolar are first diagnosed in the PP period
Ego-syntonic thoughts - Answer: Parent thinks these thoughts are reasonable and/or feels tempted to
act on them.
Ego-dystonic thoughts - Answer: Intrusive, goes against what they believe.
They recognize as such
Perinatal OCD - Answer: Intrusive, repetitive thoughts, usually of harm coming to baby.
"what if" thinking
Tremendous guilt and shame
Horrified by these thoughts
Hypervigilance
Mother engage in behaviors to avoid harm or minimize triggers
Perinatal OCD: Prevalence - Answer: -Perinatal women 1.5-2X greater risk
-32% onset in perinatal period
-Severe ___ remains largely unchanged across preg and PP period
-65% have co-morbid depression
