PMH-C Exam SCRIPT 2026/2027 QUESTIONS
WITH ANSWERS RATED A+
• Jane Honikman -✓✓ Founder of PSI
• What year was PSI established? -✓✓ 1987
• Louis Victor Marce -✓✓ French psychiatrist who wrote first treatise on puerperal
(about six weeks after childbirth) mental illness
• James A. Hamilton -✓✓ Father of Postpartum Psychiatric Illness
Wrote book: Postpartum Psychiatric Problems
Founded the Marce Society
Advocate of research, treatment and social support movement
• DAD -✓✓ Depression After Delivery (USA)
• APNI -✓✓ Association for Post Natal Illness (England)
• PANDA -✓✓ Post and Ante Natal Depression Association (Australia)
• Postpartum Education for Parents -✓✓ Postpartum Education for Parents (USA)
• Most important part of mental health for women, children, and families -✓✓
Social support
,• How many countries does PSI have members in? -✓✓ Over 40 countries
• What percentage of women will experience postpartum depression? -✓✓ 21%
• What percentage of pregnant woman will experience moderate to severe
symptoms of depression and/or anxiety? -✓✓ 20%
• What percentage of pregnant women with psychiatric diagnosis were treated? -
✓✓ Less than 86%
• What percentage of women on antidepressants were symptomatic due to
suboptimal treatment? -✓✓ Over 50%
• The perinatal period -✓✓ The entire time frame from pregnancy through the first
year after giving birth
• PMAD -✓✓ Perinatal Mood (depression and bipolar) Anxiety (GAD, panic,
OCD, PTSD) Disorders
• What percentage of pregnancies are unplanned? -✓✓ 50%
• PMDD -✓✓ Premenstrual dysphoric disorder
Sensitive to hormonal changes
Risk factor for PMAD
• What disorders classify as a PMAD? -✓✓ Depression
,Anxiety and Panic disorder
OCD
PTSD
Perinatal Bipolar
Psychosis
• Perinatal depression -✓✓ Most under diagnosed obstetric complication in
America
Increased costs of medical care
Inappropriate medical care
Child abuse and neglect
Discontinuation of breastfeeding
Family dysfunction
Adversely affects early brain development
40% of cases are detected and diagnosed
60% receive treatment
• Prevalence for Prenatal anxiety -✓✓ 15.8%
• Prevalence for postpartum anxiety -✓✓ 8% - 20%
• PMADs in Fathers -✓✓ 1 in 10 men will get anxiety/depression
, Fathers with higher ACE scores reported more pregnancy-related anxiety than did
fathers with lower scores at all time points
Reported more depressive feelings during pregnancy
9.2% had depression prenatally
Maternal depression increased the risk of paternal depression
- Initial high after birth may give way to depression
- Masked male depression (substance use, irritable, aggressive)
- Distancing
- Distractions and habits
• Medication -✓✓ 50-75% relapse (depression and anxiety) after discontinuing
medication while pregnant
Over 40% resume medication during pregnancy
The benefit out weights the risk when on medication during pregnancy
• Normal Pregnancy symptoms -✓✓ Mood is labile, teary
Self esteem is normal
Sleep: bladder or heartburn may awaken. Can fall asleep
No suicidal ideology
Energy: may tire, rest restores
WITH ANSWERS RATED A+
• Jane Honikman -✓✓ Founder of PSI
• What year was PSI established? -✓✓ 1987
• Louis Victor Marce -✓✓ French psychiatrist who wrote first treatise on puerperal
(about six weeks after childbirth) mental illness
• James A. Hamilton -✓✓ Father of Postpartum Psychiatric Illness
Wrote book: Postpartum Psychiatric Problems
Founded the Marce Society
Advocate of research, treatment and social support movement
• DAD -✓✓ Depression After Delivery (USA)
• APNI -✓✓ Association for Post Natal Illness (England)
• PANDA -✓✓ Post and Ante Natal Depression Association (Australia)
• Postpartum Education for Parents -✓✓ Postpartum Education for Parents (USA)
• Most important part of mental health for women, children, and families -✓✓
Social support
,• How many countries does PSI have members in? -✓✓ Over 40 countries
• What percentage of women will experience postpartum depression? -✓✓ 21%
• What percentage of pregnant woman will experience moderate to severe
symptoms of depression and/or anxiety? -✓✓ 20%
• What percentage of pregnant women with psychiatric diagnosis were treated? -
✓✓ Less than 86%
• What percentage of women on antidepressants were symptomatic due to
suboptimal treatment? -✓✓ Over 50%
• The perinatal period -✓✓ The entire time frame from pregnancy through the first
year after giving birth
• PMAD -✓✓ Perinatal Mood (depression and bipolar) Anxiety (GAD, panic,
OCD, PTSD) Disorders
• What percentage of pregnancies are unplanned? -✓✓ 50%
• PMDD -✓✓ Premenstrual dysphoric disorder
Sensitive to hormonal changes
Risk factor for PMAD
• What disorders classify as a PMAD? -✓✓ Depression
,Anxiety and Panic disorder
OCD
PTSD
Perinatal Bipolar
Psychosis
• Perinatal depression -✓✓ Most under diagnosed obstetric complication in
America
Increased costs of medical care
Inappropriate medical care
Child abuse and neglect
Discontinuation of breastfeeding
Family dysfunction
Adversely affects early brain development
40% of cases are detected and diagnosed
60% receive treatment
• Prevalence for Prenatal anxiety -✓✓ 15.8%
• Prevalence for postpartum anxiety -✓✓ 8% - 20%
• PMADs in Fathers -✓✓ 1 in 10 men will get anxiety/depression
, Fathers with higher ACE scores reported more pregnancy-related anxiety than did
fathers with lower scores at all time points
Reported more depressive feelings during pregnancy
9.2% had depression prenatally
Maternal depression increased the risk of paternal depression
- Initial high after birth may give way to depression
- Masked male depression (substance use, irritable, aggressive)
- Distancing
- Distractions and habits
• Medication -✓✓ 50-75% relapse (depression and anxiety) after discontinuing
medication while pregnant
Over 40% resume medication during pregnancy
The benefit out weights the risk when on medication during pregnancy
• Normal Pregnancy symptoms -✓✓ Mood is labile, teary
Self esteem is normal
Sleep: bladder or heartburn may awaken. Can fall asleep
No suicidal ideology
Energy: may tire, rest restores
