Test 4- Case Studies Flashcards
occurs in 50-85% of women
labile mood, tearful, beings immediately after the birth to less than 14 days post delivery
no treatment unless severely ill
Postpartum Blues
10-15% of women
labile mood, tearful, sleep disturbance, last longer than 14 days post delivery
treat with counseling and medication
Postpartum Depression
0.1-0.2% of women
highly agitated, extreme mood swings, severe changes in sleep, hallucinations, delusions, suicidal ideation, egosyntonic
MAJOR and RAPID LOSS OF FUNCTIONING
Postpartum Psychosis
greater than 90% of parents
MC symptoms are obsessive thoughts, excessive worrying, and intrusive memories of birth
treat with reassurance and support groups
Perinatal Anxiety
thoughts that cause extreme distress
fear of acting on these thoughts or avoidance behavior
egodystonic
treat with counseling and medication
OCD
Bipolar Disorder is a diagnosis that is made over…..
a period of time
People that respond ______ to antidepressants are more likely to have BD
quickly
People with a history of _________ are more likely to have bipolar than unipolar depression
legal issues
When you aren’t sure about a psych patient, what should you have them complete?
a MDQ (Mood Disorder Questionnaire)
a score of 7 or higher on the questionnaire is an automatic diagnosis of bipolar disorder
TRUE/FALSE
Bipolar Disorder patients should ONLY be taking an antidepressant
FALSE
antidepressants alone will increase the likelihood of the BD patent cycling into mania
Most BD patients do well on Lamictal and Trileptal
TRUE
TRUE/FALSE
As long as a patient with bipolar disorder is taking a mood stabilizer, it is usually safe to add on an antidepressant if needed
TRUE
What can be given to a BD patient in addition to a mood stabilizer?
antipsychotic (helps with mania symptoms)
