Women's Mental Health

Question 1

What percent of women experience “baby blues”

Answer 1

30-70%

Question 2

what is the most common sexual dysfunction d/o in women

Answer 2

Orgasmic d/o

Question 3

which mood stabilizer should NOT be taken while breastfeeding

Answer 3

lithium and valproic acid

Question 4

safest mood stabilizer to take while pregnant

Answer 4

lamotrigine

Question 5

in the absence of prenatal androgens how does a genetically male fetus develop?

Answer 5

phenotypic female (being female is the default state)

Question 6

main defect associated with carbamazapine during pregnancy

Answer 6

NTD

Question 7

which category of risk are benzos classified under during pregnancy

Answer 7

D

Question 8

are SSRI/SNRIs teratogenic

Answer 8

the only one with evidence is paroxetine for cardiac anomalies

Question 9

are SGAs tertogenic

Answer 9

no clear evidence of this

Question 10

the greatest risk of post partum depression is seen in a woman with…

Answer 10

a hx of post partum psychosis (70% vs 30% for unipolar depression and 50% for bipolar)

Question 11

percentage of women with post partum depression

Answer 11

10-15%

Question 12

percentage of women with post partum psychosis

Answer 12

0.1-0.2%

Question 13

what is the subsequent risk of post partum psychosis after one episode

Answer 13

50%

Question 14

Four effects of cocaine use by mom on fetus

Answer 14

1. tachycardia 2. genitourinary deficits. 3. cognitive deficits 4. small/premature

Question 15

what should happen with a woman’s Li dose during pregnancy

Answer 15

increased dosing in 3rd trimester (with weekly monitoring of serum levels) and a taper near time of delivery

Question 16

first line tx of PMDD

Answer 16

SSRI

Question 17

what is first line tx for mil-mod MDD in pregnancy

Answer 17

CBT or IPT

Question 18

what is second line tx for mild-mod MDD in pregnancy

Answer 18

citalopram, escital, sert

Question 19

average time of onset of post partum psychosis

Answer 19

1-4 w post partum

Question 20

what is estrogens effect on lamotrigine

Answer 20

decreases lamotrigine’s levels

Question 21

what time frame does the peripartum specifier cover

Answer 21

during pregnancy and in the 4 weeks post partum

Question 22

what non-med approach has the most evidence to limit risk of post partum psychosis

Answer 22

limit sleep disruptions

Question 23

what is the impact of carbamazepine on OCPs

Answer 23

can decrease their levels

Question 24

what should a patient do if they are pregnant on clozapine

Answer 24

continue during pregnancy but stop if breastfeeding (could cause agranulocytosis in baby)

Question 25

most common side effect of SSRI use in pregnancy

Answer 25

neonatal adaptation syndrome

Question 26

best tx for perimenopausal depression (with accompanying menopausal sx)

Answer 26

desvenlafaxine