Women's Mental Health

Question 1

Types of perinatal disorders

Answer 1

• pregnancy and postpartum
• mood disorders
• anxiety disorders
• psychosis

Question 2

Normal mood changes in pregnancy

Answer 2

• labile mood
• heightened anxiety
• baby blues 3-5 days

Question 3

Abnormal mood changes in pregnancy

Answer 3

• persistent changes in mood
• incapacitating anxiety
• inability to function
• numbing, inability to feel
• suicidal, homicidal thoughts

Question 4

Who is at risk for perinatal problems?

Answer 4

• previous psych illness
• history of illness in pregnancy
• unwanted child
• poor social support
• substance use

Question 5

How to treat psych issues in pregnancy

Answer 5

• recognise case
• screen women
• assess risk to mum and baby
• refer
• mobilise social support
• destigmatise

Question 6

Medications for psych issues in pregnancy

Answer 6

• SSRI’s and TCA’s are safe
• antipsychotics - reasonably safe
• mood stabilisers = teratogenic
• ECT

Question 7

Categories of infanticide

Answer 7

• neonaticide (young, unwanted, denial)
• abuse
• socioeconomic reasons
• mentally ill

Question 8

Describe premenstrual dysphoric disorder

Answer 8

• serious and severe mood changes linked to luteal phase

- resolves with onset of menses