Women's Mental Health Flashcards
What percent of women experience “baby blues”
30-70%
what is the most common sexual dysfunction d/o in women
Orgasmic d/o
which mood stabilizer should NOT be taken while breastfeeding
lithium and valproic acid
safest mood stabilizer to take while pregnant
lamotrigine
in the absence of prenatal androgens how does a genetically male fetus develop?
phenotypic female (being female is the default state)
main defect associated with carbamazapine during pregnancy
NTD
which category of risk are benzos classified under during pregnancy
D
are SSRI/SNRIs teratogenic
the only one with evidence is paroxetine for cardiac anomalies
are SGAs tertogenic
no clear evidence of this
the greatest risk of post partum depression is seen in a woman with…
a hx of post partum psychosis (70% vs 30% for unipolar depression and 50% for bipolar)
percentage of women with post partum depression
10-15%
percentage of women with post partum psychosis
0.1-0.2%
what is the subsequent risk of post partum psychosis after one episode
50%
Four effects of cocaine use by mom on fetus
- tachycardia 2. genitourinary deficits. 3. cognitive deficits 4. small/premature
what should happen with a woman’s Li dose during pregnancy
increased dosing in 3rd trimester (with weekly monitoring of serum levels) and a taper near time of delivery
first line tx of PMDD
SSRI
what is first line tx for mil-mod MDD in pregnancy
CBT or IPT
what is second line tx for mild-mod MDD in pregnancy
citalopram, escital, sert
average time of onset of post partum psychosis
1-4 w post partum
what is estrogens effect on lamotrigine
decreases lamotrigine’s levels
what time frame does the peripartum specifier cover
during pregnancy and in the 4 weeks post partum
what non-med approach has the most evidence to limit risk of post partum psychosis
limit sleep disruptions
what is the impact of carbamazepine on OCPs
can decrease their levels
what should a patient do if they are pregnant on clozapine
continue during pregnancy but stop if breastfeeding (could cause agranulocytosis in baby)
most common side effect of SSRI use in pregnancy
neonatal adaptation syndrome
best tx for perimenopausal depression (with accompanying menopausal sx)
desvenlafaxine
