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Psychiatry > Women's Mental Health > Flashcards

Women's Mental Health Flashcards

1
Q

What is Women’s mental health?

A

Mental Health issues specific to women

Reproductive health
- Pregnancy/postnatal
- Menstrual related disorders
-Menopause
- Infertility

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2
Q

Why Women’s Mental Health?

A
  • Distinct area
  • Unique problems
  • Integrated approach
  • Children
  • Family
  • Socio-economic factors
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3
Q

Perinatal disorders

A
  • Pregnancy and postpartum
  • Mood disorders
  • Anxiety Disorders
  • Psychosis
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4
Q

Normal Mood changes in pregnancy

A
  • Labile mood common, normal
  • A certain degree of heightened anxiety – normal
  • Post delivery – baby blues 3 -5 days
  • resolves spontaneously
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5
Q

What is abnormal?

A
  • Persistent changes in mood
  • Incapacitating anxiety
  • Inability to function
  • Numbing, inability to feel
  • Suicidal, homicidal thoughts
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6
Q

How common are perinatal mood disorders?

A

Perinatal mood disorders are common, affecting 1 in 10 women.

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7
Q

What is the usual mood associated with perinatal mood disorders?

A

The usual mood associated with perinatal mood disorders is depressed mood.

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8
Q

When do perinatal mood disorders often start?

A

Perinatal mood disorders often start during pregnancy, with 21% of pregnant women affected.

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9
Q

Do perinatal mood disorders continue after pregnancy?

A

Yes, they often carry on into the postpartum period.

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10
Q

What are the consequences of perinatal mood disorders for the mother and child?

A

For the child: Poorer growth and development.

Attachment?: There may be issues with emotional attachment

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11
Q

Is perinatal anxiety common?

A

Perinatal anxiety may be more common than depression.

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12
Q

When does perinatal anxiety often start?

A

Perinatal anxiety often starts during pregnancy.

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13
Q

What is the biggest risk factor for perinatal depression?

A

Perinatal anxiety is the biggest risk factor for depression.

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14
Q

What concerns are common in women with perinatal anxiety?

A

Women with perinatal anxiety often have concerns around the baby.

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15
Q

What condition is associated with postpartum anxiety?

A

Postpartum Obsessive-Compulsive Disorder (OCD) is associated with postpartum anxiety.

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16
Q

How common is postpartum psychosis?

A

Postpartum psychosis is rare, affecting less than 1% of women.

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17
Q

What type of psychosis is most often seen in postpartum psychosis?

A

Postpartum psychosis most often manifests as affective psychosis.

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18
Q

How serious is postpartum psychosis for the mother and baby?

A

It is very serious; the mother is at high risk to herself and the baby.

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19
Q

What are common symptoms of postpartum psychosis?

A

Common symptoms include labile mood, restlessness, and agitation.

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20
Q

What delusions are associated with postpartum psychosis?

A

Delusions around the child are common, and the mother may be homicidal toward the child.

21
Q

What is the importance of recognizing postpartum psychosis?

A

It is crucial to recognize and treat postpartum psychosis promptly.

22
Q

Who is at risk of postpartum psychosis

A
  • Previous Psych Illness
  • History of Illness in current pregnancy/past pregnancy
  • Unwanted child
  • Poor social support
  • Substance use
23
Q

How to treat postpartum psychosis

A
  • Recognise cases
  • Screen women
  • Assess risk to mum and baby
  • Refer
  • Psychiatrist
  • Clinic – advice on baby, feeding
  • Support groups
  • Mobilise social support
  • Destigmatise
24
Q

Medication for postpartum psychosis

A
  • Generally SSRI’s and TCA’s safe in pregnancy and breastfeeding
  • Antipsychotics – reasonably safe
  • Mood stabilisers – teratogenic risk
  • ECT – option
  • Ideally prescribe in conjunction with psychiatrist
25
Q

Breastfeeding

A
  • MOST WOMEN ON MEDS CAN BREASTFEED!!!!!
  • Risk of child dying from diarrhoea, respiratory disease, malnutrition higher than medication side effects
  • Case by case basis
26
Q

What is infanticide?

A

Infanticide is when a mother kills her child.

27
Q

What are the categories of infanticide?

A
  • Neonaticide
  • young women
  • Unwanted pregnancy
  • Denial of pregnancy
  • Abuse
  • Socioeconomic reasons
  • Mentally ill
28
Q

What is a common characteristic of mothers who commit infanticide due to mental illness?

A
  • Almost always psychotic
  • Delusion around children
  • May be part of suicide attempt
29
Q

How should threats of infanticide by a mentally ill mother be treated?

A

Such threats should be taken very seriously.

30
Q

What should be assessed in women at risk of infanticide?

A

It is important to ask about:

  • Mental illness
  • Poor social support
  • Unwanted pregnancy
31
Q

What is Premenstrual Dysphoric Disorder (PMDD)?

A

PMDD is characterized by serious and severe mood changes linked to the luteal phase of the menstrual cycle.

32
Q

When do the symptoms of PMDD resolve?

A

The symptoms resolve with the onset of menses.

33
Q

What is important to remember about PMDD?

A

It is important to be aware that PMDD exists and can significantly impact a woman’s mental health.

34
Q

What are the treatment options for PMDD?

A

Treatment options include:

  • Hormonal therapy
  • Intermittent use of SSRIs (Selective Serotonin Reuptake Inhibitors)
35
Q

How is menopause categorized?

A

Menopause is a normal event in a woman’s life.

36
Q

What mood-related symptoms can occur during menopause?

A

Women may experience mood swings and mood lability.

37
Q

Are memory problems associated with menopause?

A

Yes, memory problems can occur during menopause.

38
Q

What factors contribute to symptoms during menopause?

A

Both hormonal and psychological factors contribute to menopausal symptoms.

39
Q

How does menopause affect the risk of depression?

A

Menopause is a time of increased risk of depression.

40
Q

What treatment options are available for mood symptoms during menopause?

A

SSRIs (Selective Serotonin Reuptake Inhibitors) can be used to manage mood symptoms.

41
Q

What is a common physical symptom of menopause?

A

Hot flushes (or hot flashes) are a common symptom.

42
Q

How is infertility considered in terms of stress?

A

Infertility is a severe stressor.

43
Q

What is another stressor related to infertility?

A

The process of fertility treatment itself is also a significant stressor.

44
Q

What impact does infertility have on self-image

A

Infertility can cause problems with self-image.

45
Q

How can infertility affect marital relationships?

A

Infertility can lead to marital conflict.

46
Q

What type of loss might be experienced due to infertility?

A

Infertility can involve a sense of loss, including loss of potential children and disrupted life plans.

47
Q

What mental health issues are associated with infertility?

A

Anxiety and mood disorders are commonly associated with infertility.

48
Q

What are some psychodynamic issues related to infertility?

A

Psychodynamic issues related to infertility may include unresolved psychological conflicts and distress.

49
Q

How can medication be involved in infertility?

A

Medication may be used to address both the physiological aspects of infertility and the associated mental health issues.

Psychiatry (6 decks)

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