Postpartum Psychosis and Bipolar Disorder
|
|
- Camilla Lewis
- 6 years ago
- Views:
Transcription
1 Postpartum Psychosis and Bipolar Disorder Professor Ian Jones April
2 Bipolar Disorder DEPRESSION Low mood Loss of enjoyment MANIA Elevated mood Irritability Fatigue Psychomotor retardation Insomnia Loss of appetite / weight Poor concentration Hopelessness Suicidality Goal directed activity Psychomotor agitation Reduced need for sleep Racing thoughts / speech Distractible Inflated self esteem Increased libido
3 A Spectrum of Affective Disorders Depression Mania Normal fluctuation Unipolar Depression Bipolar II Bipolar I
4 Sex differences in Bipolar disorder Women with BP disorder have: More rapid cycling More seasonal pattern More (longer) depressive episodes More mixed and dsysphoric mania More BP II More comorbidity with medical disorders - particularly thyroid disease, migraine, obesity, and anxiety disorders Less substance abuse Less completed suicide later onset Reproductive life events Menarche Menstrual cycle Menopause (reviewed in DiFloria and Jones, 2011)
5 Pregnancy and Childbirth
6 Psychiatric disorder and childbirth - concept with a long history A young woman in child-bed not well purged after birth and delivery, fell into a great delirium suddenly without any disease afore going. She was angry most with her best friends, husband and mother, but she spoke many things religiously.. Felix Plater 1602 The beautiful wife of Carcinator, who always enjoyed the best of health, was many times attacked by melancholia after childbirth and remained insane for a month, but recovered with treatment Jao Rodrigues de Castelo Branco 1551
7 Important today
8 What mood episodes occur following childbirth? Blues 50% or more Onset: days 2-5 Duration: a few days Symptoms: mood lability Treatment: self limiting Postnatal depression 10-15% Onset: few days 6 months Duration: weeks months years Symptoms: typical symptoms of depression Treatment: antidepressants psychotherapy (CBT)
9 What mood episodes occur following childbirth? Postpartum / puerperal psychosis 1 in 1000 around 50% first episodes Onset: first two weeks typical Duration: weeks months Symptoms: severe affective psychosis, mood symptoms, mixed, perplexity. Rapidly progressing and changing picture, kaleidoscopic Treatment: - psychiatric emergency, medication, admission
10 The importance of the concept of Postpartum Episodes Cause great personal suffering for women Wide ranging influences including on relationships with partner and children Possible long term consequences for the social and cognitive development of the child Reduce stigma Important in the political fight for services for women at this time May help us understand the aetiology of mood disorders
11 What have we learnt about postpartum triggering?
12 The BDRN Study N = 6007 Bipolar UK (prev. MDF) NHS services Other
13 Admissions per week pre_10 pre_10 pre_96w pre_92w pre_88w pre_84w pre_80w pre_76w pre_72w pre_68w pre_64w pre_60w pre_56w pre_52w pre_48w pre_44w Pregnan pre_36w pre_32w pre_28w pre_24w pre_20w pre_16w pre_12w pre_8w pre_4w Childbirth post_4w post_8w post_12w post_16w post_20w post_24w post_28w post_32w post_36w post_40w post_44w post_48w post_52w post_56w post_60w post_64w post_68w post_72w post_76w post_80w post_84w post_88w post_92w post_96w post_10 post_10 Langan Martin et al, BMJ Open, in press 1. The postpartum is a period of high risk
14 Admissions per week pre_10 pre_10 pre_96w pre_92w pre_88w pre_84w pre_80w pre_76w pre_72w pre_68w pre_64w pre_60w pre_56w pre_52w pre_48w pre_44w Pregnan pre_36w pre_32w pre_28w pre_24w pre_20w pre_16w pre_12w pre_8w pre_4w Childbirth post_4w post_8w post_12w post_16w post_20w post_24w post_28w post_32w post_36w post_40w post_44w post_48w post_52w post_56w post_60w post_64w post_68w post_72w post_76w post_80w post_84w post_88w post_92w post_96w post_10 post_10 Langan Martin et al, BMJ Open, 2016
15 Severe postpartum episodes have a rapid onset following delivery Heron, et al 2007
16 % Remaining Stable Is this due to stopping 0 medication? Pregnancy (Weeks 1 40) (n=59) Nonpregnant Pregnant (n=42) Weeks at Risk Off Lithium Postpartum (Weeks 41 64) Nonpregnant Postpartum (n=20) (n=25) Viguera AC. Am J Psychiatry. 2000;157:
17 Di Florio et al, JAMA Psychiatry Specific relationship with bipolar..very high risk in women with previous PP Munk-Olsen et al, Arch Gen Psych, 2012 Robertson, Jones and Craddock, 2005
18 Is the risk across all psychiatric illness? Munk -Olsen et al 2006
19 High risk for women with bipolar disorder Munk-Olsen et al 2009
20 BPI BPII MDD N Narrow Mania / Mixed / affective psychosis (6 weeks) 33.3% 9.1% 0.3% Intermediate Plus Depression (6 weeks) Broad Any perinatal episode (pregnancy or within 6 months) 55.5% 40.1% 47.1% 69.4% 69.0% 67.4% Di Florio et al, JAMA Psychiatry, 2013
21 For each pregnancy
22 Risk not increased across the bipolar spectrum
23 Women with a previous PP are at very high risk Robertson, Jones and Craddock, BJPsych 2005
24 Bipolar I disorder (929 women, 1780 pregnancies) Di Florio et al, Bipolar Disorders Different causal factors important for PP and PND Di Florio et al, Bipolar Disorders 2015
25 Childbirth most potent trigger Di Florio et al, Bipolar Disorders 2015
26 What are the triggers? Bio-psycho-social Stress significant life event Specific issues in transition to parenthood - CSA Sleep disruption Hormonal changes sex steroids Thyroid HPA axis Immunological factors
27 Parity strongly associated with risk of PP Bipolar I disorder (929 women, 1780 pregnancies). Di Florio et al, JAD 2015
28 but not for Postpartum Depression Bipolar I disorder (929 women, 1780 pregnancies) Di Florio et al, JAD 2015
29 Pre-eclampsia Inadequate placentation Abnormal release of aniogenic and antiangiogenic factors Systemic illness with CNS effects Disruption of the blood brain barrier Psychosis not merely postictal Association with mood symptoms
30 Link to pre-eclampsia James Reid. Journal of Psychological Medicine: 1848
31 Is sleep loss an important trigger?
32 Sleep loss associated with PP but not PND no PND/PP no PND/PP % PND * χ2 = 7.312, P=.004, OR=2.02, 95% CI = PND PP YES * PP NO * High Mood Usually Triggered by Sleep Loss (n = 527) Lewis et al, submitted
33 ..But. childhood sexual abuse associated with PND NO ABUSE (N=480) (78%) ABUSE (N=134) (22%) NO SEXUAL ABUSE (N=525) (85%) SEXUAL ABUSE (N=89) (15%) PP 157 (81%) 38 (19%) 168 (86%) 27 (14%) PND 106 (72%) 42 (28%) 118 (80%) 30 (20%) * p-value <0.05 Perry, DiFlorio et al, submitted
34 4. Postpartum triggering an important clue to aetiology
35 Postpartum Psychosis - Are genetic factors involved? My family has a grand tradition, after a woman gives birth, she goes mad."
36 Vulnerability to postpartum episodes is familial Chi-square = p = (N= 27) (N= 125) Jones and Craddock, Am J Psych 2001
37
38 Genetic Analysis of PP women GWAS data Gene OR [95% CI] p-value 0.62 [ ] 6.59E-06 FAM20B [ ] 6.80E-06 SATB [ ] 6.28E-06 no gene [ ] 3.85E-06 MRDS1/OFCC [ ] 4.29E-06 ARHGAP [ ] 9.62E-06 PLXNA [ ] 5.90E-06 PLXNA [ ] 9.73E-06 no gene [ ] 2.39E-06 near PPAPOC1A [ ] 9.91E-06 PCSK [ ] 6.57E-07 no gene
39
40 5. Pregnancy raises difficult Issues in management
41 Summary and conclusions Childbirth an important trigger for mood episodes Specific relationship with bipolar disorder Important clinically but also an important clue for research Different factors associated with PP and PND
42
. there are known knowns; there are things we know we know. We also know there are known unknowns; that is to say we know there are some things we do
. there are known knowns; there are things we know we know. We also know there are known unknowns; that is to say we know there are some things we do not know. But there are also unknown unknowns - the
More informationWomen s Mental Health
Women s Mental Health Linda S. Mullen, MD Director, Women s Mental Health Assistant Professor of Clinical Psychiatry in OB/GYN Columbia University & NewYork Presbyterian Hospital Departments of Psychiatry
More informationJonathan Haverkampf BIPOLAR DISORDR BIPOLAR DISORDER. Dr. Jonathan Haverkampf, M.D.
BIPOLAR DISORDER Dr., M.D. Abstract - Bipolar disorder is a condition affecting an individual s affective states (mood). The different flavors of bipolar disorder have in common that there are alterations
More informationDepression Management
Depression Management Ulka Agarwal, M.D. Adjunct Psychiatrist Pine Rest Christian Mental Health Disclosures The presenter and all planners of this education activity do not have a financial/arrangement
More informationInternational Childbirth Education Association. Postpartum Doula Program
International Childbirth Education Association Postpartum Doula Program Part 3: Postpartum Emotions Objective: Describe the range of possible postpartum emotions. List two factors that affect postpartum
More informationBipolar Disorder 4/6/2014. Bipolar Disorder. Symptoms of Depression. Mania. Depression
Bipolar Disorder J. H. Atkinson, M.D. Professor of Psychiatry HIV Neurobehavioral Research Programs University of California, San Diego KETHEA, Athens Slides courtesy of John Kelsoe, M.D. Bipolar Disorder
More informationMood Disorders for Care Coordinators
Mood Disorders for Care Coordinators David A Harrison, MD, PhD Assistant Professor, Dept of Psychiatry & Behavioral Sciences University of Washington School of Medicine Introduction 1 of 3 Mood disorders
More informationMargaret Oates Maternal Mental Health and Liaison Mental Health
Margaret Oates 26.02.16 Maternal Mental Health and Liaison Mental Health Most acute hospitals have Maternity Units Most maternity units do not have specific specialised perinatal mental health services
More informationAMPS : A Quick, Effective Approach To The Primary Care Psychiatric Interview
AMPS : A Quick, Effective Approach To The Primary Care Psychiatric Interview February 7, 2012 Robert McCarron, D.O. Assosicate Clinical Professor Internal Medicine / Psychiatry / Pain Medicine UC Davis,
More informationAction on Postpartum Psychosis. Postpartum Psychosis. Fiona Putnam (APP)
Action on Postpartum Psychosis Postpartum Psychosis Fiona Putnam Action on Postpartum Psychosis (APP) www.app-network.org My Story Sickness High Blood Pressure Baby under the 3 rd centile C-section at
More informationMental health and motherhood. Why is this important? Are we doing enough? What more could we do?
Mental health and motherhood Why is this important? Are we doing enough? What more could we do? Why is this important? Why is this important? Why is this important? Why is this important? Confidential
More informationPostpartum Depression
Mental Health Across the Lifespan Initiative Postpartum Depression A Public-Private Partnership between the National Institutes of Health and Delta Sigma Theta Sorority, Inc. A New Arrival What words can
More informationSupplementary Online Content
Supplementary Online Content Di Florio A, Forty L, Gordon-Smith K, Heron J, Jones L, Craddock N, Jones I. Perinatal episodes across the mood disorder spectrum. Arch Gen Psychiatry. Published online December
More informationMood Disorders Workshop Dr Andrew Howie / Dr Tony Fernando Psychological Medicine Faculty of Medical and Health Sciences University of Auckland
Mood Disorders Workshop 2010 Dr Andrew Howie / Dr Tony Fernando Psychological Medicine Faculty of Medical and Health Sciences University of Auckland Goals To learn about the clinical presentation of mood
More informationScreening for. perinatal depression. ACOG CO No. 757, Nov 2018 Kristen Giefer, PGY-2
Screening for perinatal depression ACOG CO No. 757, Nov 2018 Kristen Giefer, PGY-2 Introduction Prevalence of perinatal depression is a significant cost to individuals, children, families and the community
More informationContemporary Psychiatric-Mental Health Nursing Third Edition. Introduction. Introduction 9/10/ % of US suffers from Mood Disorders
Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 17 Mood Disorders Introduction 12% of US suffers from Mood Disorders MD are a group of psychiatric DO characterized by physical, emotional
More informationThe burden of mental disorders, such as depression and anxiety, fall disproportionately on women of childbearing and childrearing age.
The burden of mental disorders, such as depression and anxiety, fall disproportionately on women of childbearing and childrearing age. Psychiatric Clinics of North America, 2007 Rates of severe mental
More informationForty-Eighth Annual Teaching Conference Pediatrics for the Practitioner -UT Health Science Center San Antonio School of Medicine June 10-12, 2011
Adelaide Robb, MD Associate Professor Psychiatry and Pediatrics Source Advisory Board Disclosure Speaker s Bureau Bristol Myers Squibb Yes Yes Yes Epocrates Research Contract Royalties Yes Stock Janssen
More informationAffective Disorders.
Affective Disorders http://www.bristol.ac.uk/medicalschool/hippocrates/psychethics/ Affective Disorders Depression Mania / Hypomania Bipolar mood disorder Recurrent depression Persistent mood disorders
More informationMood Disorders-Major Depression
Mood Disorders Paula Gibbs, MD Assistant Professor Department of Psychiatry Medical Director of 5West Med-Psych University of Utah Hospitals and Clinics Mood Disorders-Major Depression Key Points for Major
More informationPrimary Care: Referring to Psychiatry
Primary Care: Referring to Psychiatry Carol Capitano, PhD, APRN-BC Assistant Professor, Clinical Educator University of New Mexico College of Nursing University of New Mexico Psychiatric Center Objectives
More informationWhen the Bough Breaks
Avoiding Crisis and the Loss of Life by Recognizing and Treating Angela Burling RN MSN Chris Raines MSN RN APRN-BC When the Bough Breaks Angela s Story Raines and Burling 1 A rare but devastatingcondition,
More informationBIPOLAR. DISORDER What you need to know BECAUSE...CARING COMES NATURALLY TO US
BIPOLAR DISORDER What you need to know BECAUSE...CARING COMES NATURALLY TO US What is Bipolar Disorder Bipolar disorder is a mental illness that causes unusual swings in mood, energy and activity levels,
More informationAngst og depresjon under graviditet og postpartum: et epidemiologisk perspektiv
Angst og depresjon under graviditet og postpartum: et epidemiologisk perspektiv Malin Eberhard-Gran, professor MD, PhD Norwegian Institute of Public Health og Akershus University Hospital Mood and anxiety
More informationChapter 7 - Mood Disorders
Chapter 7 - Mood Disorders I. DEPRESSION A. Description Symptoms: 5+ constant over 2 weeks - sadness/depressed mood - guilt/remorse/worthlessness - suicidal thoughts - anhedonia (lack of pleasure) - fatigue/lethargy
More informationClass Objectives 10/19/2009. Chapter 5 Mood Disorders. Depressive Disorders. What are Unipolar Mood Disorders?
Chapter 5 Mood Disorders Class Objectives Depressive Disorders What are Mood Disorders? What is Major Depressive Disorder? What is Post Partum Disorder? What are Unipolar Mood Disorders? What is Mania?
More informationPsychosis, Mood, and Personality: A Clinical Perspective
Psychosis, Mood, and Personality: A Clinical Perspective John R. Chamberlain, M.D. Assistant Director, Psychiatry and the Law Program Assistant Clinical Professor University of California San Francisco
More informationA NEW MOTHER S. emotions. Your guide to understanding maternal mental health
A NEW MOTHER S emotions Your guide to understanding maternal mental health It is not your fault It is treatable Understanding Maternal Mental Health Life with a new baby is not always easy and the adjustment
More informationMen's and Women's Perceptions of Women's Postpartum Depression Symptoms
Men's and Women's Perceptions of Women's Postpartum Depression Symptoms Catherine Habel MSc, MSc(A)(c), Nancy Feeley RN, PhD, Barbara Hayton MD, Linda Bell RN, PhD, Phyllis Zelkowitz EdD International
More informationMood Disorders. Gross deviation in mood
Mood Disorders Gross deviation in mood Depression u Affective: Depressed mood (kids-irritability), or anhedonia for 2 weeks minimum. u Cognitive: worthlessness/ guilt, hopelessness, indecisiveness/ concentration,
More informationDifferentiating Unipolar vs Bipolar Depression in Children
Differentiating Unipolar vs Bipolar Depression in Children Mai Uchida, M.D. Director, Center for Early Identification and Prevention of Pediatric Depression Massachusetts General Hospital Assistant Professor
More informationAntidepressants. Professor Ian Jones May /WalesMentalHealth
Antidepressants Professor Ian Jones May 2017 www.ncmh.info @ncmh_wales /WalesMentalHealth 029 2074 4392 info@ncmh.info We identified 19 740 pregnancies exposed to an antidepressant at some point during
More informationDepressive, Bipolar and Related Disorders
Depressive, Bipolar and Related Disorders Robert Kelly, MD Assistant Professor of Psychiatry Weill Cornell Medical College White Plains, New York Lecture available at www.robertkelly.us Financial Conflicts
More informationMajor Depression Major Depression
Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 17 Mood Disorders Major Depression Major Depression Characterized by a change in several aspects of a person s life and emotional state
More informationBipolar Disorder WHAT IS BIPOLAR DISORDER DIFFERENT TYPES OF BIPOLAR DISORDER CAUSES OF BIPOLAR DISORDER WHO GETS BIPOLAR DISORDER?
INFORMATION SHEET Bipolar Disorder WHAT IS BIPOLAR DISORDER Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes extreme changes in mood, energy and the ability to
More informationModule Objectives 10/28/2009. Chapter 6 Mood Disorders. Depressive Disorders. What are Unipolar Mood Disorders?
Chapter 6 Mood Disorders Module Objectives Depressive Disorders What are Mood Disorders? What is Major Depressive Disorder? What is Post Partum Disorder? What are Unipolar Mood Disorders? What is Mania?
More informationIt's Cycling, Not Polarity Understanding and Diagnosing the Bipolar Spectrum
It's Cycling, Not Polarity Understanding and Diagnosing the Bipolar Spectrum Session 4022: American Psychiatric Nurses Association National Conference, Louisville, KY Andrew Penn, RN, MS, NP, CNS Psychiatric
More informationPSYCH 235 Introduction to Abnormal Psychology. Agenda/Overview. Mood Disorders. Chapter 11 Mood/Bipolar and Related disorders & Suicide
PSYCH 235 Introduction to Abnormal Psychology Chapter 11 Mood/Bipolar and Related disorders & Suicide 1 Agenda/Overview Mood disorders Major depression Persistent Depressive Disorder (Dysthymia) Bipolar
More informationBipolar Disorder. Bipolar Disorder is a mental illness which consists of mood swings ranging from
Bipolar Disorder Introduction Bipolar Disorder is a mental illness which consists of mood swings ranging from the lowest imaginable form of depression to the highest levels of mania. Because of this Bipolar
More informationMood Disorders. Dr. Vidumini De Silva
Mood Disorders Dr. Vidumini De Silva Depression - Lowering of mood Mania - Heightening of mood Depressive Disorder Overview Introduction Clinical Features Aetiology Course and prognosis What s your management
More informationYour journal: how can it help you?
Journal Your journal: how can it help you? By monitoring your mood along with other symptoms like sleep, you and your treatment team will be better able to follow the evolution of your symptoms and therefore
More informationDepression with Postpartum Onset (Postpartum Depression) Web Resources Reviewed by Rachael Thompson
Depression with Postpartum Onset (Postpartum Depression) Web Resources Reviewed by Rachael Thompson Women s Mental Health website (N.D.). Postpartum Depression. http://www.womensmentalhealth.org/specialty-clinics/postpartum-psychiatricdisorders/?gclid=cmhqvun7xpocfq-5fqodtexy3q
More informationDepressive and Bipolar Disorders
Depressive and Bipolar Disorders Symptoms Associated with Depressive and Bipolar Disorders Characteristics of mood symptoms Affects a person s well being, school, work, or social functioning Continues
More informationMental Illness Through Menopause
Mental Illness Through Menopause Susan Hatters Friedman, MD Associate Professor of Psychological Medicine University of Auckland Mental Illness: Depression Bipolar Schizophrenia PTSD & Anxiety Comorbidity
More informationPrenatal and Post Partum Depression is Not Just a Mood. This is Serious Stuff.
Prenatal and Post Partum Depression is Not Just a Mood. This is Serious Stuff. Deborah McMahan, MD Health Commissioner Prenatal and Infant Care Network November 28, 2016 Agenda Prevalence of mental illness
More informationPerinatal Mood and. Anxiety Disorders 4/13/2018. Contact Information. What are we talking about when we say PMAD?
Perinatal Mood and Anxiety Disorders Contact Information Sonja Bohannon-Thacker, MSW, LCSW, CCTP sonja.bohannonthacker@cabarrushealth.org What are we talking about when we say PMAD? Depression Anxiety
More informationAdverse childhood life events and postpartum psychosis in bipolar disorder
Adverse childhood life events and postpartum psychosis in bipolar disorder Perry, A. 1, Gordon-Smith, K. 1, Di Florio, A. 2, Forty, L. 2, Craddock, N. 2, Jones, L. 1, and Jones, I. 2 1 Department of Psychological
More informationAiming for recovery for patients with severe or persistent depression a view from secondary care. Chrisvan Koen
Aiming for recovery for patients with severe or persistent depression a view from secondary care Chrisvan Koen Kent and Medway NHS and Social care Partnership trust Persistent depressive disorder F34 Persistent
More informationUnderstanding Depression
Understanding Depression What causes Depression? Family History Having family members who have depression may increase a person s risk Deficiencies of certain chemicals in the brain may lead to depression
More informationBipolar disorder. Paz García-Portilla
Bipolar disorder Paz García-Portilla BD I: Epidemiology Life-time prevalence 1% (0.7 1.8%) 30% with diagnosis and without treatment, or with erroneous diagnosis (major unipolar depression, borderline PD)
More informationClinical Description. 2 Weeks or More. more than just feeling down. more than just feeling sad about something.
Major Depressive Disorder more than just feeling down. more than just feeling sad about something. A person, for no apparent reason, experiences two or more weeks of depressive moods. Includes feelings
More informationDisclosures. Objectives. Talk Overview 11/28/2016. Advanced Perinatal Pharamcology
Advanced Perinatal Pharamcology Disclosures Legal consultant to Astra Zeneca, Eli Lilly, Johnson and Johnson Research Support from NIMH, Stanley Medical Research Foundation, SAGE Jennifer L. Payne, M.D.
More informationBRAIN STIMULATION AN ALTERNATIVE TO DRUG THERAPY IN MATERNAL DEPRESSION?
BRAIN STIMULATION AN ALTERNATIVE TO DRUG THERAPY IN MATERNAL DEPRESSION? Kira Stein, MD Medical Director West Coast Life Center Sherman Oaks, California CA Maternal Mental Health Initiative - 2013 2013
More informationMOOD (AFFECTIVE) DISORDERS and ANXIETY DISORDERS
MOOD (AFFECTIVE) DISORDERS and ANXIETY DISORDERS Shelley Klipp AS91 Spring 2010 TIP 42 Pages 226-231 and 369-379 DSM IV-TR APA 2000 Co-Occurring Substance Abuse and Mental Disorders by John Smith Types
More informationPostnatal Depression, Risk Factors, Assessment, Identification & Treatments
Postnatal Depression, Risk Factors, Assessment, Identification & Treatments Dr Patricia Leahy-Warren, PhD, MSc (Research), HDipPHN, BSc, RPHN, RM, RGN Presentation at the Emotional Wellbeing Education
More informationAging with Bipolar Disorder. Neha Jain, MD, FAPA Assistant Professor of Psychiatry, UConn Health
Aging with Bipolar Disorder Neha Jain, MD, FAPA Assistant Professor of Psychiatry, UConn Health Objectives Define bipolar disorder in the elderly Review comorbidities How does it differ from bipolar in
More informationDIAN KUANG 馬 萬. Giovanni Maciocia
DIAN KUANG 癫狂 馬 萬 Giovanni Maciocia 里 BIPOLAR DISORDER (MANIC-DEPRESSION) DIAN Qi and Phlegm stagnating Heart and Spleen deficiency with Phlegm Qi deficiency with Phlegm KUANG Phlegm-Fire harassing upwards
More informationA new Anatomy of Melancholy: rethinking depression and resilience
A new Anatomy of Melancholy: rethinking depression and resilience Prof Declan McLoughlin Dept of Psychiatry & Trinity College Institute of Neuroscience Trinity College Dublin St Patrick s University Hospital
More informationBipolar and Affective Disorders. Harleen Johal
+ Bipolar and Affective Disorders Harleen Johal hkj1g11@soton.ac.uk + Affective (mood) disorders n Depression n Bipolar disorder n Anxiety n Treatment + Depression: Definition n Pervasiveand persistent
More informationThe transition to parenthood, mood changes, postnatal depression and post traumatic stress disorder
The transition to parenthood, mood changes, postnatal depression and post traumatic stress disorder A Parent Information Leaflet Contents The transition to parenthood 3 What are the Baby Blues? 3 What
More informationPostpartum Depression
Clinical Medicine: Depression Postpartum Depression JMAJ 44(8): 354 358, 2001 Yoshiko MIYAOKA Department of Psychiatry, Tokyo Musashino Hospital Abstract: Both maternity blues and postpartum depression
More informationDepression During and After Pregnancy
Depression During and After Pregnancy Q: What is depression? A: Depression is more than just feeling blue or down in the dumps for a few days. It s a serious illness that involves the brain. With depression,
More informationBipolar disorder is also sometimes called manic depression, bipolar affective disorder or bipolar mood disorder.
Bipolar Disorder What is bipolar disorder? Bipolar disorder is also sometimes called manic depression, bipolar affective disorder or bipolar mood disorder. Bipolar disorder is an illness in which there
More informationPrimary Care Tool for Assessment of Depression during Pregnancy and Postpartum
HRSA-UIC Assessment of Depression Perinatal during Pregnancy Project: and Postpartum Primary Care Tool for Assessment of Depression during Pregnancy and Postpartum te to health care provider: This tool
More informationPresented by Bevan Gibson Southern IL Professional Development Center -Part of the Illinois Community College Board Service Center Network
Bipolar Disorder: What It Means to You and Your Classroom Presented by Bevan Gibson Southern IL Professional Development Center -Part of the Illinois Community College Board Service Center Network Introduction
More informationCASE 5 - Toy & Klamen CASE FILES: Psychiatry
CASE 5 - Toy & Klamen CASE FILES: Psychiatry A 14-year-old boy is brought to the emergency department after being found in the basement of his home by his parents during the middle of a school day. The
More informationMood swings in young people
Mood swings in young people Bipolar I & II Disorders are uncommon before puberty; Mood Dysregulation (MD) is very common before puberty Are they the same problem? What are the beginnings of bipolar? What
More informationPSYCHIATRIC CO-MORBIDITY STEVE SUGDEN MD MPH
PSYCHIATRIC CO-MORBIDITY STEVE SUGDEN MD MPH OVERVIEW: PSYCHIATRIC DISORDERS Mood Disorders Anxiety Disorders Psychotic Disorders Personality Disorders PTSD Eating Disorders EXAMPLE What is the diagnosis?
More informationDepression in Primary Care. Robert Brasted, MD Associate Medical Director Behavioral Health Services PeaceHealth Oregon West Network
Depression in Primary Care Robert Brasted, MD Associate Medical Director Behavioral Health Services PeaceHealth Oregon West Network Overview Diagnosis, DSM5 Disorders Differential Diagnosis Comorbidities
More informationClass Objectives. Depressive Disorders 10/7/2013. Chapter 7. Depressive Disorders. Next Class:
Chapter 7 Class Objectives Depressive Disorders - Major Depressive Disorder - Persistent Depressive Disorder - Disruptive Mood Dysregulation Disorder - Premenstrual Dysphoric Disorder (PMDD) Next Class:
More informationPerinatal Mental Health
Perinatal Mental Health Dr. Tara Lawn Consultant Psychiatrist Sasha Singh Modern Matron Dr Sarah Jones ST5 Perinatal Mental Health at E9 City & Hackney Centre for Mental Health What is Perinatal Psychiatry?
More informationAre All Older Adults Depressed? Common Mental Health Disorders in Older Adults
Are All Older Adults Depressed? Common Mental Health Disorders in Older Adults Cherie Simpson, PhD, APRN, CNS-BC Myth vs Fact All old people get depressed. Depression in late life is more enduring and
More informationName:, Sex:, Age: Ethnicity, Race. Date of Birth:, address: Address:, City: State:, County,, Zip: Telephone numbers: Home: ( ),Work: ( )
Adult Patient Information Name:, Sex:, Age: Ethnicity, Race Date of Birth:, Email address: Address:, City: State:, County,, Zip: Telephone numbers: Home: ( ),Work: ( ) Cell: ( ) Referral by: Person to
More informationScreening for Depression and Suicide
Screening for Depression and Suicide Christa Smith, PsyD Western Interstate Commission for Higher Education Boulder, Colorado 10/2/2008 Background My background A word about language Today stopics Why
More informationDSM5: How to Understand It and How to Help
DSM5: How to Understand It and How to Help Introduction: The DSM5 is a foreign language! Three Questions: I. The first was, What the key assumptions made to determine the organization of the DSM5? A. Mental
More informationComorbidity of Substance Use Disorders and Psychiatric Conditions-2
Comorbidity of Substance Use Disorders and Psychiatric Conditions-2 J. H. Atkinson, M.D. Professor of Psychiatry HIV Neurobehavioral Research Programs University of California, San Diego KETHEA, Athens,
More informationHealthyPlace s Introductory Guide to Bipolar Disorder. By Natasha Tracy
HealthyPlace s Introductory Guide to Bipolar Disorder By Natasha Tracy 1 Index Introduction Chapter One Bipolar Disorder Basics Chapter Two Bipolar Disorder Diagnosis Chapter Three Treatment of Bipolar
More informationPostpartum Depression Helping You Cope. Willamette Valley Medical Center Birthing Center
Postpartum Depression Helping You Cope Willamette Valley Medical Center Birthing Center 2 transitioning to new parenthood No amount of research and practice can completely prepare you for being a new parent.
More informationRunning head: DEPRESSIVE DISORDERS 1
Running head: DEPRESSIVE DISORDERS 1 Depressive Disorders: DSM-5 Name: Institution: DEPRESSIVE DISORDERS 2 Abstract The 2013 update to DSM-5 saw revisions of the psychiatric nomenclature, diagnostic criteria,
More informationDEPRESSION. There are a couple of kinds, or forms. The most common are major depression and dysthymic disorder.
DEPRESSION OBJECTIVES: At the end of this class, you will be able to: 1.list and describe several kinds of depression, 2.discuss the signs of depression, and 3.relate the treatment of depression. INTRODUCTION
More informationGeriatric Depression; Not a Normal Part of Growing Older. Cherie Warriner, LCSW
1 Geriatric Depression; Not a Normal Part of Growing Older Cherie Warriner, LCSW What is Depression? While it is normal to feel sad or blue on occasion, these feelings are often transient. Depression is
More informationManaging Pain. in Marfan Syndrome. Traci J. Speed, MD PhD Assistant Professor, Department of Psychiatry and Behavioral Sciences
Managing Pain in Marfan Syndrome Traci J. Speed, MD PhD Assistant Professor, Department of Psychiatry and Behavioral Sciences No financial disclosures Objectives Define pain Discuss the role of comorbid
More informationPerinatal Mood Disorders: An Interdisciplinary Training Video. Facilitator s Guide, Pre-test and Post-test
Perinatal Mood Disorders: An Interdisciplinary Training Video Facilitator s Guide, Pre-test and Post-test 2013 INTRODUCTION Perinatal mood disorders (PMD) have been described as one of the most common
More informationAdvances in Care for Pregnant and Postpartum Women With Mental Illness
F Mental Illness FMF-Toronto November 15, 2018 Advances in Care for Pregnant and Postpartum Women With Mental Illness Simone Vigod, MD, MSc, FRCPC Psychiatry, Women s College Hospital William Watson, MD,
More informationSeparating Your Rhythms from the Blues: Normal Moods and Seasonal Depression. Sadness or Depression?
Separating Your Rhythms from the Blues: Normal Moods and Seasonal Depression Sadness or Depression? 1 About 10% of the US population experience some form of Seasonal Affective Disorder (SAD) but only one
More informationHilary Planden October 27, 2011
Hilary Planden October 27, 2011 The what, who and why of postpartum depression Artistic methodology for expressing phenomenological experiences Implications of research for nursing practice What is Postpartum
More informationEating Disorders Detection and Treatment. Scott Crow, M.D. Professor of Psychiatry University of Minnesota Chief Research Officer The Emily Program
Eating Disorders Detection and Treatment Scott Crow, M.D. Professor of Psychiatry University of Minnesota Chief Research Officer The Emily Program Obesity Trends* Among U.S. Adults BRFSS, 1990, 1995, 2005
More information35-year-old woman with Hx of BPII Dx; currently separated from husband; has 1 child
Stephen M. Strakowski, MD Chart Review: Bipolar Disorder PATIENT INFO 35 Age: Female Sex: 35-year-old woman with Hx of BPII Dx; currently separated from husband; has 1 child Background: SI and hospitalization
More informationPostpartum Depression
Postpartum Depression Rick Pessagno, DNP, PMHNP/CS APRN, Moorestown, NJ Ruth Topsy Staten, PhD, PMHNP/CS APRN, Fort Knox, KY The views presented in the presentations are the views of the presenters and
More informationAdult Health History Form Preferred Name: 1
Adult Health History Form Preferred Name: 1 Your answers on this form will help your health care provider get an accurate history of your medical concerns and conditions. If you are uncomfortable with
More informationCaring for the Mind: Managing Depression and Anxiety. Highlights from 2017 ONS Congress
Caring for the Mind: Managing Depression and Anxiety Highlights from 2017 ONS Congress Mood and Anxiety Disorders: Symptoms of mood disorders Non-reactive mood, worthlessness, guilt, loss of interest,
More informationPostpartum Depression. Deborah Kim, M.D. Assistant Professor Department of Psychiatry
Postpartum Depression Deborah Kim, M.D. Assistant Professor Department of Psychiatry drkim@upenn.edu Objectives Describe the difference between baby blues and postpartum depression (PPD) Describe the prevalence
More informationTreating Childhood Depression in Pediatrics. Martha U. Barnard, Ph.D. University of Kansas Medical Center Pediatrics/Behavioral Sciences
Treating Childhood Depression in Pediatrics Martha U. Barnard, Ph.D. University of Kansas Medical Center Pediatrics/Behavioral Sciences Objectives The learner will: Describe the signs and symptoms of childhood
More informationBipolar Disorders. Disclosure Statement. I have no financial disclosures or conflicts of interest
Bipolar Disorders Ahsan Naseem, MD Diplomate American Board of Psychiatry and Neurology Adult and Geriatric Psychiatry Medical Director Bryan Heartland Psychiatry Bryan Physician Network Partner Cheney
More informationMental Health Series for Perinatal Prescribers. Perinatal Depression
Mental Health Series for Perinatal Prescribers Perinatal Depression Perinatal Depression Timing of symptoms Maternal depression is present before or during pregnancy at least 60% of the time DSM-5 and
More informationDepression in Adolescents PREMA MANJUNATH, MD CHILD AND ADOLESCENT PSYCHIATRIST
Depression in Adolescents PREMA MANJUNATH, MD CHILD AND ADOLESCENT PSYCHIATRIST Francis Bacon Children sweeten labors, but they make misfortunes bitter. They increase the cares of life, but they mitigate
More informationCollaborative Treatment of Depression in Adolescence
Collaborative Treatment of Depression in Adolescence HEATHER SHAFI, M.D. PEDIATRICARE ASSOCIATES & JENNIFER ABRAMSON, M.D. PPC HUB PSYCHIATRIST There Are No Disclosures Funder & Partners Case Presentation
More informationUsing the DSM-5 in the Differential Diagnosis of Depression
Using the DSM-5 in the Differential Diagnosis of Depression Wayne Bentham, MD Clinical Assistant Professor Department of Psychiatry and Behavioral Sciences University of Washington School of Medicine Depressive
More informationNOVEL INDICATIONS: Experiences from a Study in MDD with Mixed Features (Mixed Depression)
NOVEL INDICATIONS: Experiences from a Study in MDD with Mixed Features (Mixed Depression) 11 APRIL 2013 Josephine Cucchiaro, PhD Vice President Clinical Operations & Project Management Sunovion Pharmaceuticals
More informationJames F. Paulson, Ph.D. Associate Professor of Psychology, Old Dominion University Pediatric Psychologist, Children s Hospital of The King s
James F. Paulson, Ph.D. Associate Professor of Psychology, Old Dominion University Pediatric Psychologist, Children s Hospital of The King s Daughters Common terms Antenatal Postnatal Postpartum Perinatal
More information