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Prevalence psychosis in women with
1 Prevalence of postpartum anxiety 2
known bipolar disorder
3 Escitalopram (SSRI) 4 Infant Mental Health
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biological sensitivities to hormone changes (sleep),
genetic vulnerability (prior diagnosis), psychological
Theories of etiology
(identity), social/environmental (poor social
support/racism)
Affects 60-80% new mothers. Due to hormone
changes and sleep deprivation. lasts 2 days to 2
weeks. Tearful, labile affect, reactivity, exhaustion BUT
Baby Blues
predominately happy, self-esteem remains
unchanged. Resolves without intervention.
Recommend self care strategies.
How to determine is it severity, intensity, duration of symptoms
blues or depression
Prevalence of postpartum 8-20%
anxiety
Prevalence of prenatal 15%
anxiety
Prevalence of postpartum 21%
depression
Prevalence of postpartum 11%
panic disorder
Prevalence of postpartum 11%
OCD
Prevalence of postpartum 9%
PTSD
Percentage of bipolar 70%
symptoms that relapse
w/o meds
Prevalence of postpartum 1-2 out of 1,000
psychosis
, Prevalence of PPD in 10%
fathers
Prevalence psychosis in 20-30%
women with known
bipolar disorder
recognizes that thoughts are unhealthy, extreme
anxiety related to thoughts/images, concerned about
Traits of OCD
"snapping". parent does not want to harm the baby,
thoughts are frightening.
does not recognize actions/thoughts are unhealthy,
may seem to have less anxiety when indulging in
Traits of psychosis thoughts/behaviors, no insight about distortion of
thoughts, parent has delusional beliefs about the
baby, thoughts of harming the baby are ego-syntonic
intrusive thoughts (flashbacks), avoidance, negative
Traits of PTSD cognitions and mood, arousal (sleep disturbance,
poor concentration, aggression, hyper vigilance)
maternal mortality-all 1,200 a year or 14.4 per 100,000
women
maternal mortality-black 43.5 per 100,000
women
a type of bipolar disorder marked by at least one
Bipolar 1 Disorder
lifetime full manic and major depressive episodes
A mild manic state in which the individual seems
Hypomania infectiously merry, extremely talkative, charming, and
tireless. up to 4 days in length
a mood disorder marked by a hyperactive, wildly
mania
optimistic state-function is impaired. can last 7 days
prevalence of first 50%
diagnosis of bipolar
disorder postpartum