Flashcards in Post-partum and childhood MH Deck (26):
What is the definition of the post-partum period?
One hour following the delivery of the placenta through the first six weeks of the infant's life.
What is the definition of the perinatal period?
Conception to the end of the post-natal first year.
List some post-partum MH disorders
- Post-partum mood disorders (PP blues, PP depression, PP psychosis)
- PP PTSD
- PP anxiety
What is the incidence of PP blues?
50 - 85%
Describe the onset and offset of PP blues.
Within the first week; symptoms typically peak on the 4th or 5th day after delivery and may last a few hours or days, then spontaneously remitting within two weeks of delivery.
What symptoms are characteristic of PP blues?
Affective instability, flutuating mood, tearfulness, irritability, anxiety.
What is the incidence of PP depression?
10 - 15%
Describe the onset of PP depression.
Usually insidious, within first three months
What symptoms are characteristic of PP depression?
Depressed mood, tearfulness, irritability, loss of interest in usual activities, excessive anxiety, loss of appetite, fatigue, insomnia, often express ambivalent/negative feelings towards their infant, express doubts/concerns about ability to care for their children. Suicide ideation frequently reported, though suicide rates are low.
What is the incidence of PP psychosis?
0.1 - 0.2%
Describe the onset of PP psychosis.
Dramatic, within first two weeks. Incidence peaks immediately following first childbirth.
What symptoms are characteristic of PP psychosis?
Loss of contact with reality, agitation and irritability, depressed or elated mood, delusions, hallucinations, disorganised behaviour. High risk of infanticide and suicide.
Describe the rx for PP psychosis.
Antipsychotic rx and hospital admission if she is a danger to herself/others.
Almost ____% of PP psychosis cases are women without previous psychiatric hospitalisations.
What are some risk factors for PP PTSD?
- Pregnancy with complications prior to delivery
- Prolonged labour
- Severe pain during childbirth
- Feeling a loss of control during delivery
What can be affected by PP PTSD?
- Mother's ability to breastfeed
- Parent-child bonding
What are some presentations of PP anxiety?
- Generalised anxiety
- Panic disorder
- Obsessions/thoughts of harming/smothering their child (these are ego-dystonic), distressing the woman who then go out of their way to ensure safety of the child
MH issues may arise in children if any types of development are unusual for a variety of causes; name three types of development.
Cognitive, moral, and psychosocial.
What is the definition of attachment in the context of attachment theory?
The enduring emotional bond uniting one person with another, developed during an infant's first year of life.
What is a central aspect of social and emotional development?
What do children need in times of separation from parents to continue feeling secure?
Patience, comfort, consistency, and continuation of regular routines.
List the types of attachment.
- Secure attachment
- Ambivalent-insecure attachment
- Avoidant-insecure attachment
- Disorganised-insecure attachment
Trauma in childhood can impact emotional regulation and may lead to what two consequences?
Heightened stress response and maladaptive development.
What are the most common disorders in infancy presenting to MH services?
- Sleep/feeding/eating disorders
- Pervasive developmental disorders
- Relationship problems or developmental disordesr
- Anxiety disorders or separation anxiety
- Motor skills disorders
List disorders usually first dx in childhood.
- Attention deficit disorder (ADD)
- Attention-deficit hyperactivity disorder (ADHD)
- Oppositional defiant disorder (ODD)
- Conduct disorder (CD)