PSI PERINATAL LATEST
MENTAL HEALTH
CERTIFICATION
EXAM
probiotics - ANSWERS-microbiome-gut-brain axis role in mental
health. som have shown benefit in reducing depression and anxiety,
benefit in reducing colic in infants and symptoms of PPD
placental encapsulation - ANSWERS-no evidence of iron benefits, no
different in postpartum mood, bonding, or fatigue, no improvement in
mood, energy, lactation, or plasma vitamin B12 levels
epigenetic adaptation - ANSWERS-biological mechanism through
which our environment of relationships, physical, chemical, and built
environments, and early nutrition cause the physiological adaptations
and disruptions that can influence a lifetime of well-being.
medications for depression/anxiety - ANSWERS-SSRI (selective
serotonin reuptake inhibitor)
Sertraline (SSRI) - ANSWERS-Zoloft
starting dose 25 mg 50-200mg range
END OF
PAGE
1
, PSI PERINATAL LATEST
MENTAL HEALTH
CERTIFICATION
EXAM
most commonly prescribed during pregnancy and postpartum
Citalopram (SSRI) - ANSWERS-Celexa
starting dose 5 mg 20-40mg range
Escitalopram (SSRI) - ANSWERS-Lexapro
starting dose 5mg range 10-20mg
works a little faster
not as activating for some moms
Paroxitine (SSRI) - ANSWERS-Paxil
starting dose 10 mg range 20-40mg
short half life
noticeable withdrawal effects if missed dose
Fluoxitine (SSRI) - ANSWERS-Prozac
END OF
PAGE
2
, PSI PERINATAL LATEST
MENTAL HEALTH
CERTIFICATION
EXAM
starting dose 10 mg range 20-80mg
longest half life
minimal withdrawal effect if missed dose
SNRI - ANSWERS-serotonin norepinephrine reuptake inhibitor
Duloxetine (SNRI) - ANSWERS-Cymbalta
little safety data on use in pregnancy and lactation
Venlafaxine (SNRI) - ANSWERS-Effexor
start dose 25 mg range 75-300mg
short half life
most safety data for pregnancy/lactation in SNRI class
Desvenlafaxine (SNRI) - ANSWERS-Pristiq
END OF
PAGE
3
, PSI PERINATAL LATEST
MENTAL HEALTH
CERTIFICATION
EXAM
bupropion - ANSWERS-Wellbutrin
augmentation for partial response to SSRI
Mirtazapine (Remeron) - ANSWERS-Atypical antidepressant: Can also
be used as sleep aid
and for hyperemesis gravidarum
Vortiozetine - ANSWERS-trintellix- new medication, don't start in
pregnancy/postpartum, but don't stop is already stable
tricyclic antidepressants-definition - ANSWERS-3rd line. only consider
after failing multiple SSRI and SNRIs
Anxiolytics - ANSWERS-Drugs that alleviate the symptoms of anxiety.
Buspirone (Buspar) non-benzo anxiolytics - ANSWERS-Antianxiety
END OF
PAGE
4
MENTAL HEALTH
CERTIFICATION
EXAM
probiotics - ANSWERS-microbiome-gut-brain axis role in mental
health. som have shown benefit in reducing depression and anxiety,
benefit in reducing colic in infants and symptoms of PPD
placental encapsulation - ANSWERS-no evidence of iron benefits, no
different in postpartum mood, bonding, or fatigue, no improvement in
mood, energy, lactation, or plasma vitamin B12 levels
epigenetic adaptation - ANSWERS-biological mechanism through
which our environment of relationships, physical, chemical, and built
environments, and early nutrition cause the physiological adaptations
and disruptions that can influence a lifetime of well-being.
medications for depression/anxiety - ANSWERS-SSRI (selective
serotonin reuptake inhibitor)
Sertraline (SSRI) - ANSWERS-Zoloft
starting dose 25 mg 50-200mg range
END OF
PAGE
1
, PSI PERINATAL LATEST
MENTAL HEALTH
CERTIFICATION
EXAM
most commonly prescribed during pregnancy and postpartum
Citalopram (SSRI) - ANSWERS-Celexa
starting dose 5 mg 20-40mg range
Escitalopram (SSRI) - ANSWERS-Lexapro
starting dose 5mg range 10-20mg
works a little faster
not as activating for some moms
Paroxitine (SSRI) - ANSWERS-Paxil
starting dose 10 mg range 20-40mg
short half life
noticeable withdrawal effects if missed dose
Fluoxitine (SSRI) - ANSWERS-Prozac
END OF
PAGE
2
, PSI PERINATAL LATEST
MENTAL HEALTH
CERTIFICATION
EXAM
starting dose 10 mg range 20-80mg
longest half life
minimal withdrawal effect if missed dose
SNRI - ANSWERS-serotonin norepinephrine reuptake inhibitor
Duloxetine (SNRI) - ANSWERS-Cymbalta
little safety data on use in pregnancy and lactation
Venlafaxine (SNRI) - ANSWERS-Effexor
start dose 25 mg range 75-300mg
short half life
most safety data for pregnancy/lactation in SNRI class
Desvenlafaxine (SNRI) - ANSWERS-Pristiq
END OF
PAGE
3
, PSI PERINATAL LATEST
MENTAL HEALTH
CERTIFICATION
EXAM
bupropion - ANSWERS-Wellbutrin
augmentation for partial response to SSRI
Mirtazapine (Remeron) - ANSWERS-Atypical antidepressant: Can also
be used as sleep aid
and for hyperemesis gravidarum
Vortiozetine - ANSWERS-trintellix- new medication, don't start in
pregnancy/postpartum, but don't stop is already stable
tricyclic antidepressants-definition - ANSWERS-3rd line. only consider
after failing multiple SSRI and SNRIs
Anxiolytics - ANSWERS-Drugs that alleviate the symptoms of anxiety.
Buspirone (Buspar) non-benzo anxiolytics - ANSWERS-Antianxiety
END OF
PAGE
4
