Mental Health Series for Perinatal Prescribers. Perinatal Depression
|
|
- Clara Pope
- 5 years ago
- Views:
Transcription
1 Mental Health Series for Perinatal Prescribers Perinatal Depression
2 Perinatal Depression
3 Timing of symptoms Maternal depression is present before or during pregnancy at least 60% of the time DSM-5 and ICD 10 reflect this change Perinatal onset
4 Fetal Programming Entringer, Buss, Wadhwa (2015) Psychoneuroendocrinology
5 Risks of untreated perinatal mental illness on offspring Obstetric / neonatal complications Miscarriage Birth defects Preeclampsia Preterm birth Low birth weight Operative deliveries NICU admissions Sudden infant death syndrome Childhood Behavioral complications Poor infant self-regulation Insecure attachment Developmental delays Attention deficit hyperactivity disorder Anxiety disorders Conduct disorders
6 EPDS Screening Scores 10 are suggestive of depression Scores 13 (postpartum) and 15 (antenatal) confer greater specificity for a major depressive episode Screening has no value unless services are available Gibson et al (2009) Acta Psychiatr Scand
7 Antenatal Mood symptoms Demographics Incidence of 8-13%, 20-25% in minority and low SES populations Anxiety/depression comorbidity 50% Past or current abuse is an important risk factor Phenomenology Health related anxiety, worst case scenarios regarding birth Exacerbated if history of miscarriage/ adverse perinatal outcome Wenzel et al 2005; Ross et al 2006; Meltzer-Brody et al 2013
8 Antenatal depression relapse Specialty perinatal psychiatric clinics (n=201) 70% of women who maintain their antidepressant remain well 30 % of women who discontinue antidepressants remain well Obstetric clinics (n=778) 80% remained well in pregnancy or postpartum irrespective of antidepressant use in pregnancy IMPORTANT RISK FACTORS for relapse Depression in the 6 months prior to conception Lifetime history of 4 or more depressive episodes Duration of depressive illness over one s life Comorbid psychiatric disorders Cohen et al (2006) JAMA ; Yonkers et al (2011) Epidemiology
9 These don t treat everything! Motivate behavioral change
10 Postpartum Depression One out of 7 new mothers 14.5% Prevalence as high as 60% in adolescents and inner city mothers Over 4 million American women give birth annually 500,000 women will suffer postpartum depression annually Risk factors: Prior history of depression, Prior history of PPD, antenatal depression or anxiety, Family history, limited social support, marital discord, premature or medically complicated birth
11 Phenomenology Anxiety, worry, overwhelmed GAD is more common in postpartum women than the general population Thoughts racing Brain won t shut off Insomnia Panic symptoms OCD Obsessions (irrational) of harm befalling loved ones, harming infant Compulsions Checking repeatedly on infant won t let child out of my sight Breastfeeding/pumping schedule Preventing contact with germs Self blame Inadequate mother Suboptimal delivery/medical complications Marrs et al (2009) J Aff Disorders
12 Prevention of postpartum depression Wisner et al (2004) Am J Psychiatry
13 Antidepressant selection 3. If at max tolerated dose with some improvement, combination treatment 4. Develop plan for follow-up with behavioral health 1. Treat to remission 2. Maintain dose to which patient remits for 6-12 months 3. Develop plan for follow-up with PCP or OB Byatt: MCPAP for moms toolkit
14 Dosing across pregnancy Sit et al (2008) J Clin Psych
15 Insomnia Diphenhydramine(Benadryl, Unisom) 25-50mg Antihistamines Doxylamine (Unisom) mg First line treatments Hydoxyzine pamoate (Vistaril) mg Triazolopyridine antidepressant Trazodone (Desyrel) mg Second line treatments Benzodiazepines Tricyclic antidepressant Uncategorized antidepressant Lorazepam (Ativan) mg Atypical antipsychotic Amitriptyline (Elavil) mg Mirtazapine (7.5 30mg) Seroquel ( mg) Doxepin (Silenor) 3, 6, 10, 25mg Nortriptyline (Pamelor) mg Behavioral Approaches
16 Bipolar disorder Lower prevalence of ~ 1-5% in general population Mania, hypomania, mixed symptoms Probes Postpartum highs Cumulative lack of sleep and not tired Exceptionally high productivity Physically restless and/or highly energized Rapid thoughts and pressured speech Aggressive, impatience, irritability that is different from baseline Activities with high potential for adverse consequences (substance use, sexual promiscuity, excessing spending, speeding car) Ask about family history of bipolar and severe postpartum illness History of worsening mood on antidepressants
17 Screening for bipolar disorder Mood Disorder Questionnaire Is Your Depressed Patient Bipolar? Kaye NS, JABFM
18 Perinatal Prescribers can break the Cycle of Depression Screen for and treat depression Early infant intervention Depressed Mom Offspring at disadvantage Screen for depression Treat depression Motivate behavioral change Support systems/safe environ Reproductive planning
19 Thanks for your attention!
Maternal Mental Health: Risk Factors, Ramifications, and Roles. Anna Glezer MD UCSF Assistant Clinical Professor Founder, Mind Body Pregnancy
Maternal Mental Health: Risk Factors, Ramifications, and Roles Anna Glezer MD UCSF Assistant Clinical Professor Founder, Mind Body Pregnancy Disclosures None Objectives for Today Review major maternal
More information%, # Southern Medical Association July / 01/ /7 23 #, 2 3
Southern Medical Association July 2011 Robert A. Bashford, M.D., Professor Associate Dean for Admissions University of North Carolina Professor of Psychiatry and OB-GYN!" #! $ %&'(%&) $ * &+ %&, ' ) #
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 informationPromoting Maternal Mental Health During and After Pregnancy
Promoting Maternal Mental Health During and After Pregnancy Nancy Byatt, DO, MS, MBA, FAPM Medical Director, MCPAP for Moms Marcy Ravech, MSW Program Director, MCPAP for Moms 4 MCPAP For Moms 1 in 7 women
More informationMental Health Series for Perinatal Prescribers. Severe postpartum syndromes
Mental Health Series for Perinatal Prescribers Severe postpartum syndromes 2 Maternal Filicides Acutely psychotic - 24% Depression Altruistic - 56% to relieve suffering associated with suicide 80% due
More informationObjectives. Mother-Infant Communication. Depression. Disclosures of Potential Conflicts. Why Is Perinatal Mental Health Important?
The Integrated Child and Adolescent Psychiatrist: Perinatal Mental Health Care to Improve Maternal-Infant Outcomes Disclosures of Potential Conflicts Source Research Funding Advisor/ Consultant Employee
More information5/24/ Maria H. Elswick, MD. Maternal Wellness Program Physician Lead
Maria H. Elswick, MD Maternal Wellness Program - Physician Lead Department of Obstetrics & Gynecology Kaiser Permanente San Diego Maria H. Elswick, MD Maternal Wellness Program Physician Lead Department
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 informationPSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS
PSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS Abbey Kruper, Psy.D. Assistant Professor Department of Obstetrics & Gynecology Medical College of Wisconsin OBJECTIVES 1. Overview of perinatal anxiety
More information4/3/2017 WHAT IS ANXIETY & WHY DOES IT MATTER? PSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS OBJECTIVES. 1. Overview of perinatal anxiety
PSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS Abbey Kruper, Psy.D. Assistant Professor Department of Obstetrics & Gynecology Medical College of Wisconsin OBJECTIVES 1. Overview of perinatal anxiety
More informationSCREENING FOR ANXIETY IN BC: IS THE EPDS ENOUGH?
SCREENING FOR ANXIETY IN BC: IS THE EPDS ENOUGH? NICHOLE FAIRBROTHER, PH.D. R.PSYCH. ASSISTANT PROFESSOR UBC DEPARTMENT OF PSYCHIATRY ISLAND MEDICAL PROGRAM TEAM & FUNDING TEAM FUNDING Nichole Fairbrother
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 informationEVALUATING PERINATAL MOOD DISORDERS. For Healthcare Providers
EVALUATING PERINATAL MOOD DISORDERS For Healthcare Providers Nothing to disclose Educational Objectives Understand Perinatal Mood Disorders Describe appropriate screening procedures for perinatal mood
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 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 informationMental Health Series for Perinatal Prescribers. Pharmacotherapy for depression and anxiety
Mental Health Series for Perinatal Prescribers Pharmacotherapy for depression and anxiety Non-medication Treatments Psychosocial support Prenatal education, Doula support, La Leche League, Mom s groups,
More informationPerinatal Mental Health Certification Blueprint (2018)
Perinatal Mental Health Certification Blueprint (2018) 1. Perinatal Mental Health Disorders (13%) 1.1 Normal perinatal emotional, cognitive, and behavior changes (e.g. blues) 1.1.1 Normal developmental/adjustment
More informationPerinatal Mood and Anxiety Disorders Cort A. Pedersen, M.D. UNC Department of Psychiatry
Perinatal Mood and Anxiety Disorders Cort A. Pedersen, M.D. UNC Department of Psychiatry Prevalence of Perinatal Depressive and Anxiety Disorders Depression: approximately 14% within the first 2-3 months
More informationPsychiatric Illness. In the medical arena psychiatry is a fairly recent field A challenging field Numerous diagnosis
Psychiatric Illness In the medical arena psychiatry is a fairly recent field A challenging field Numerous diagnosis 12,000,000 children infants through 18 y/o nation wide 5,000,000 suffer severely Serious
More informationPostpartum Depression Screening
Postpartum Depression Screening October 13, 2018 Deborah CowleyMD Psychiatrist Perinatal Consultant University of Washington Disclosures Perinatal Psychiatry Consultation Line/PAL for Moms UW Perinatal
More informationPromoting Maternal Mental Health During and After Pregnancy
Promoting Maternal Mental Health During and After Pregnancy Leena Mittal, MD, FAPM Associate Medical Director, MCPAP for Moms Director, Reproductive Psychiatry Consultation, Brigham and Women s Hospital
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 informationMaternal Mental Health:
Maternal Mental Health: Impact, Identification, and Intervention Ashley Blackmon Jones, MD Associate Professor of Clinical Psychiatry Adjunct Associate Professor of Clinical Obstetrics and Gynecology April
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 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 informationMental Health Nursing: Mood Disorders. By Mary B. Knutson, RN, MS, FCP
Mental Health Nursing: Mood Disorders By Mary B. Knutson, RN, MS, FCP A Definition of Mood Prolonged emotional state that influences the person s whole personality and life functioning Adaptive Functions
More informationAdvocating for people with mental health needs and developmental disability GLOSSARY
Advocating for people with mental health needs and developmental disability GLOSSARY Accrued deficits: The delays or lack of development in emotional, social, academic, or behavioral skills that a child
More informationPOSTPARTUM MOOD DISORDERS Identification and Treatment Cheryl Carroll CNM, PMHNP Psych Retreat Greensboro, NC
POSTPARTUM MOOD DISORDERS Identification and Treatment Cheryl Carroll CNM, PMHNP 2017 Psych Retreat Greensboro, NC Postpartum Depression DSM 5 Major Depressive Disorder Diagnostic Criteria specifer: with
More informationThe chance for many generations: reversing the spiral
Dr Alain Gregoire The chance for many generations: reversing the spiral Dr Alain Gregoire, DRCOG, MRCPsych Consultant/Hon. Senior Lecturer in Perinatal Psychiatry, Southampton Member of NICE APMH Guideline
More informationPSYCHIATRIC COMPLICATIONS OF PREGNANCY REX GENTRY, MD
PSYCHIATRIC COMPLICATIONS OF PREGNANCY REX GENTRY, MD OVERVIEW MISINFORMATION FROM DOCTORS BUY A DRESS, YOU LL FEEL BETTER MUCH NEEDS TO BE LEARNED YET MUCH IS NOW KNOWN COMMON YET GENERALLY UNTTREATED
More informationPost Partum Depression. Dr. Bev Young Department of Psychiatry, Mount Sinai Hospital
Post Partum Depression Dr. Bev Young Department of Psychiatry, Mount Sinai Hospital Outline of Presentation Postpartum Mood Disorders Postpartum Blues Postpartum Depression Postpartum Psychosis Meds during
More informationEmergent Issues Affecting Early Intervention/ Early Childhood. Workforce Development for Inclusion in Early Childhood November 4, 2017 Washington, DC
Emergent Issues Affecting Early Intervention/ Early Childhood Workforce Development for Inclusion in Early Childhood November 4, 2017 Washington, DC Conversation Points Changing Demographics Emergent Trends
More informationPsychiatry for GPs Perinatal Mental Health
Psychiatry for GPs Perinatal Mental Health Dr Michael Yousif, Consultant in Psychological Medicine, OUH NHSFT Perinatal mental health for GPs Diagnosing Prescribing 2 Perinatal mental health for GPs Is
More informationTreatment Options for Bipolar Disorder Contents
Keeping Your Balance Treatment Options for Bipolar Disorder Contents Medication Treatment for Bipolar Disorder 2 Page Medication Record 5 Psychosocial Treatments for Bipolar Disorder 6 Module Summary 8
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 informationAntidepressant Medication Therapy in Primary Care July 25, 2013
New York State Collaborative Care Initiative Antidepressant Medication Therapy in Primary Care July 25, 2013 http://uwaims.org Presenter Building on 25 years of Research and Practice in Integrated Mental
More informationPerinatal depression and anxiety Women s Mental Health Symposium UCT Department of Psychiatry and Mental Health Simone Honikman
Perinatal depression and anxiety Women s Mental Health Symposium UCT Department of Psychiatry and Mental Health Simone Honikman www.pmhp.za.org Outline Common perinatal mental disorders (depression & anxiety)
More informationMaternal Depression: Prevalence, Implications, Diagnosis, and Current Treatment Options
Maternal Depression: Prevalence, Implications, Diagnosis, and Current Treatment Options Sarah E. (Betsy) Bledsoe-Mansori PhD, MPhil, MSW Assistant Professor Cathy Nguyen UNC School of Social Work Presented
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 information6/22/2012. Co-morbidity - when two or more conditions occur together. The two conditions may or may not be causally related.
Autism Spectrum Disorders and Co-existing Mental Health Issues By Dr. Karen Berkman Objective To present an overview of common psychiatric conditions that occur in persons with autism spectrum disorders
More informationPHYSICIAN REFERENCE ANTIDEPRESSANT DOSING GUIDELINES
PHYSICIAN REFERENCE ANTIDEPRESSANT DOSING GUIDELINES Table of Contents Print TABLE OF CONTENTS Drug Page Number Anafranil... 2 Asendin... 4 Celexa... 4 Cymbalta... 6 Desyrel... 8 Effexor...10 Elavil...14
More informationAntidepressant Medication Strategies We ve Come a Long Way or Have We? Who Writes Prescriptions for Psychotropic Medications. Biological Psychiatry
Antidepressant Medication Strategies We ve Come a Long Way or Have We? Joe Wegmann, PD, LCSW The PharmaTherapist Joe@ThePharmaTherapist.com 504.587.9798 www.pharmatherapist.com Are you receiving our free
More informationPediatric Psychopharmacology
Pediatric Psychopharmacology General issues to consider. Pharmacokinetic differences Availability of Clinical Data Psychiatric Disorders can be common in childhood. Early intervention may prevent disorders
More informationReport Information from ProQuest
Report Information from ProQuest 17 May 2015 07:36 17 May 2015 ProQuest Table of contents 1. Antidepressants in pregnancy... 1 17 May 2015 ii ProQuest Document 1 of 1 Antidepressants in pregnancy Author:
More informationPsychiatric Treatment of the Concussed Athlete
Psychiatric Treatment of the Concussed Athlete Eastern Athletic Trainers Association January 11 th, 2015 Alexander S. Strauss, MD Centra, P.C. E-MAIL: DRSTRAUSS@ALEXSTRAUSSMD.COM Evidence Mounts Linking
More information10 INDEX Acknowledgements, i
INDEX 10 INDEX Acknowledgements, i Acute Care, Admissions to, 3.83 Discharge Planning, 3.86 Involuntary Admission Criteria, 3.84 List of Designated Provincial and Regional Mental Health Facilities, 3.83
More informationReview: Psychosocial assessment and theories of development from N141 and Psych 101
Unit III Theory and Practice of Psychiatric Nursing REQUIRED READINGS AND ACTIVITIES Related Activities Assignments Review: Psychosocial assessment and theories of development from N141 and Psych 101 Anxiety,
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 informationDepression in Pregnancy and the Postpartum Period
Depression in Pregnancy and the Postpartum Period Sarah Gopman, MD Assistant Professor Maternal and Child Health Grand Rounds Dept. of Family and Community Medicine University of New Mexico April 4, 2012
More informationPerinatal Depression For GA22
For GA22 Who WIC Participants Why WIC Time 5-10 minutes Setup Chairs in clusters of 2 or 3. White board and pens Objectives By the end of this session, participants will: Identify the importance of attachment
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 informationParental Depression: The Elephant in the room with us
Parental Depression: The Elephant in the room with us Ardis Olson, MD Dartmouth Medical School UPIQ Screening for Maternal Depression Learning Collaborative September 15, 2006 Ardis.Olson@dartmouth.edu
More informationHarnessing the Power of Social Media: Investigating the Genetics of Post-Partum Depression using the Apple ResearchKit
Harnessing the Power of Social Media: Investigating the Genetics of Post-Partum Depression using the Apple ResearchKit Samantha Meltzer-Brody, M.D. M.P.H. Associate Professor and Associate Chair Director,
More informationMaternal Mental Health Coalition Meeting #3: Path to Wellness
Maternal Mental Health Coalition Meeting #3: Path to Wellness Local / hospital logo Goal of The Coalition COMPREHENSIVE MATERNAL MENTAL HEALTH CARE Conception to baby s 1 st birthday EDUCATION / SCREENING
More informationA-Z of Mental Health Problems
Mental health problems can cover a broad range of disorders, but the common characteristic is that they all affect the affected person s personality, thought processes or social interactions. They can
More informationDepression in Pregnancy
TREATING THE MOTHER PROTECTING THE UNBORN A MOTHERISK Educational Program The content of this program reflects the expression of a consensus on emerging clinical and scientific advances as of the date
More informationInsomnia: Updates in Medical Management. Michael Newnam M.D.
Insomnia: Updates in Medical Management Michael Newnam M.D. Sleep Neurobiology Delicate balance of excitatory and inhibitory neurotransmitters that control the switch between wakefulness and sleep Circadian
More informationAnxiety Disorders. Fear & Anxiety. Anxiety Disorder? 26/5/2014. J. H. Atkinson, M.D. Fear. Anxiety. An anxiety disorder is present when
Anxiety s J. H. Atkinson, M.D. HIV Neurobehavioral Research Center University of California, San Diego Department of Psychiatry & Veterans Affairs Healthcare System, San Diego Materials courtesy of Dr.
More informationPerinatal Mental Health: Prescribing Guidance for Trust Prescribers and GPs
Perinatal Mental Health: Prescribing Guidance for Trust Prescribers and GPs (Version 3 January 2015) Principal Author: Dr Jenny Cooke Consultant Psychiatrist, Brighton & Hove Perinatal Mental Health Service
More informationPsychopathology Psychopathy (con t) Psychopathy Characteristics High impulsivity Thrill seeking Low empathy Low anxiety What is the common factor? Callous Self-Centeredness N M P Dr. Robert Hare
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 informationThe child-parent relationship is core to a child s development
M. C O N N I E A L M E I D A, P H D The child-parent relationship is core to a child s development ATTACHMENT The central theme of attachment theory is that mothers / fathers who are available and responsive
More informationMaternal Mental Health and a Transition to Parenthood. Training for childbirth educators on Maternal Mental Health by Diana Lynn Barnes Psy.
Maternal Mental Health and a Transition to Parenthood Training for childbirth educators on Maternal Mental Health by Diana Lynn Barnes Psy.D LMFT Diana Lynn Barnes, Psy.D Diana Lynn Barnes, Psy.D, LMFT
More informationOhio Psychotropic Medication Quality Improvement Collaborative. Minds Matter. Toolkit. for You and Your Family. This is the property of
Minds Matter Ohio Psychotropic Medication Quality Improvement Collaborative Minds Matter Toolkit for You and Your Family This is the property of About Minds Matter Minds Matter is a project to help teens,
More informationPsychological Definition of a Mental Disorder
Mental Illness Disclaimer Please do not start diagnosing yourself, friends, family, or school mates. This section will provide common traits of certain Mental Illnesses, it will not enable you to make
More informationTHE HOSPITAL FOR SICK CHILDREN DEPARTMENT OF PSYCHIATRY PARENT INTERVIEW FOR CHILD SYMPTOMS (P. I. C. S.
A Child s Name or ID: Date: 2013 THE HOSPITAL FOR SICK CHILDREN DEPARTMENT OF PSYCHIATRY PARENT INTERVIEW FOR CHILD SYMPTOMS (P. I. C. S. - 6) Revised for DSM-III - R (1989) and DSM-IV (1995, 2008) GENERAL
More informationDISEASES AND DISORDERS
DISEASES AND DISORDERS 13. The mood (affective) disorders 99 14. The psychotic disorders: schizophrenia 105 15. The anxiety and somatoform disorders 111 16. Dementia and delirium 117 17. Alcohol and substance-related
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 informationPregnancy. General Principles of Prescribing in Pregnancy (The Maudsley, 12 th Edition)
Pregnancy General Principles of Prescribing in Pregnancy (The Maudsley, 12 th Edition) In all women of child bearing potential Always discuss the possibility of pregnancy; half of all pregnancies are unplanned
More informationCANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE
1 CANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE The Health Effects of Cannabis and Cannabinoids. The Current State of Evidence and Recommendations
More informationPostpartum Mood Disorders
Postpartum Mood Disorders Marlene P. Freeman, M.D. Associate Professor of Psychiatry, Harvard Medical School Associate Director, Perinatal and Reproductive Psychiatry Medical Director, CTNI Massachusetts
More informationMedications for Anxiety & Behavior in Williams Syndrome. Disclosure of Potential Conflicts. None 9/22/2016. Evaluation
Medications for Anxiety & Behavior in Williams Syndrome Christopher J. McDougle, M.D. Director, Lurie Center for Autism Professor of Psychiatry and Pediatrics Massachusetts General Hospital and MassGeneral
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 informationMedications and Children Disorders
Mental Health Comprehensive Services Providing Family Stability and Developing Life Coping Skills Medications and Children Disorders Psychiatric medications can be an effective part of the treatment for
More informationChild/ Adolescent Questionnaire
Oconee Center for Behavioral Health 1360 Caduceus Way Building 400, Suite 102 Tel 706-286-8442 Fax 706-310-6907 Child/ Adolescent Questionnaire Patient s Name: Date of Birth: / / Patient s Birthplace:
More informationANXIETY: FAST FACTS AND SKILLS FOR THE PRIMARY CARE PHYSICIAN
UW PACC Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences ANXIETY: FAST FACTS AND SKILLS FOR THE PRIMARY CARE PHYSICIAN RYAN KIMMEL, MD MEDICAL DIRECTOR HOSPITAL
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 informationDefining Mental Disorders. Judy Bass, MPH, PhD Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
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 informationDepression and Anxiety. What is Depression? What is Depression? By Christopher Okiishi, MD Spring Not just being sad A syndrome of symptoms
Depression and Anxiety By Christopher Okiishi, MD Spring 2016 What is Depression? Not just being sad A syndrome of symptoms Depressed mood Sleep disturbance Decreased interest in usual activities (anhedonia)
More informationMood Disorders and Addictions: A shared biology?
Mood Disorders and Addictions: A shared biology? Dr. Paul Stokes Clinical Senior Lecturer, Centre for Affective Disorders, Department of Psychological Medicine Disclosures No relevant disclosures: No paid
More informationPrepared by: Elizabeth Vicens-Fernandez, LMHC, Ph.D.
Prepared by: Elizabeth Vicens-Fernandez, LMHC, Ph.D. Sources: National Institute of Mental Health (NIMH), the National Alliance on Mental Illness (NAMI), and from the American Psychological Association
More informationBrief Notes on the Mental Health of Children and Adolescents
Brief Notes on the Mental Health of Children and Adolescents The future of our country depends on the mental health and strength of our young people. However, many children have mental health problems
More informationAnswer Key for Case Studies. Grading for each case study. All Case Studies
Answer Key for Case Studies Grading for each case study All Case Studies *give 5 points for listing at least four accurate symptoms of the disorder *give 3 points for listing 2 symptoms of the disorder
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 informationBaby Pediatric Symptom Checklist (BPSC) Scoring Guide
Baby Pediatric Symptom Checklist (BPSC) Scoring Guide Scoring Instructions: 1. Determine the BPSC total score by assigning a 0 for each not at all response, a 1 for each somewhat response, and a 2 for
More informationMixing and Matching: Layering Medications as Family Physicians
Mixing and Matching: Layering Medications as Family Physicians Family Medicine Forum Vancouver, B.C. November 9-12, 2016. Jon Davine, CCFP, FRCP(C) McMaster University Objectives Discuss different examples
More informationIdentification and Treatment of Bipolar Disorder in Pregnancy and Postpartum. Stephanie Berg, M.D. Ashley Blackmon Jones, M.D.
Identification and Treatment of Bipolar Disorder in Pregnancy and Postpartum Stephanie Berg, M.D. Ashley Blackmon Jones, M.D. Disclosures Dr. Berg No disclosures Dr. Jones Principal Investigator Alpha
More information8/24/2015 ADDICTION AND PREGNANCY. Fear ADDICTION & PREGNANCY ADDICTION & PREGNANCY ADDICTION & PREGNANCY ADDICTION & PREGNANCY ADDICTION & PREGNANCY
ADDICTION AND PREGNANCY L y n é e B r o w n, M A, C D P & D o n n a L i v i n g s t o n, R N A D A P T E D F R O M J i m W a l s h, M D Objectives: Recognize common fears and myths associated with substance
More informationMedication management of anxiety & depression. Dr Katie Simpson GP Mental health lead East Berks CCG
Medication management of anxiety & depression Dr Katie impson GP Mental health lead East Berks CCG NICE guidelines for Anxiety tepped Care RIs and NRIs in Anxiety disorders RI ertraline Citalopram Fluoxetine
More informationAnxiety Disorders- OCD. Peter Giacobbe MD FRCPC L. Ravindran MD FRCPC
Anxiety Disorders- OCD Peter Giacobbe MD FRCPC L. Ravindran MD FRCPC Anxiety Disorders - Epidemiology Anxiety disorders are the most common class of mental disorders Estimated lifetime prevalence rates
More informationDiana Lynn Barnes, PsyD MFT The Center for Postpartum Health
Diana Lynn Barnes, PsyD MFT The Center for Postpartum Health Course Parameters Dispelling the myths of motherhood Dx and Tx issues Using case material, emphasis on: identifying risk factors, addressing
More informationDepression PROTOCOL 3
PROTOCOL 3 Depression Kimberly Yonkers 1,2,3 1 Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA 2 Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University
More informationTreatment of Anxiety (without benzos)
Treatment of Anxiety (without benzos) Alison C. Lynch MD MS Clinical Professor Departments of Psychiatry and Family Medicine University of Iowa Health Care None Disclosures Overview/objectives Review common
More informationGuidance for Preconception Care of Women with Depression and Anxiety Disorders Posted July 09, 2010
Before, Between & Beyond Pregnancy The National Preconception Curriculum and Resources Guide for Clinicians Guidance for Preconception Care of Women with Depression and Anxiety Disorders Posted July 09,
More informationPolicy Statement January 2009
Policy Statement January 2009 Access to Quality Care for Maternal Depression: Meeting the Challenge Maternal depression (also known as perinatal depression) is a significant public health concern affecting
More informationADRC Dementia Care Training. Module 10: Supporting People with Serious Mental Illness and Dementia: Bipolar Disorders, Dementia, and Delirium
ADRC Dementia Care Training Module 10: Supporting People with Serious Mental Illness and Dementia: Bipolar Disorders, Dementia, and Delirium 1 Federal definition: Ages 18 and older Serious Mental Illness
More informationThursday, May 5, :00 a.m. Eastern
Thursday, May 5, 2016 11:00 a.m. Eastern Dial In: 888.863.0985 Conference ID: 84799148 Slide 1 Speakers Tiffany A. Moore Simas, MD, MPH, MEd, FACOG Lead Obstetric Liaison, MCPAP for Moms Joy McCann Professor
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 information11/12/2017. How effective are treatments of psychiatric disorders in children and adolescents?
How effective are treatments of psychiatric disorders in children and adolescents? Benedetto Vitiello, M.D. Pavia, November 22, 2017 1 Disclosure Benedetto Vitiello, M.D. Professor of Child and Adolescent
More information