Maternal Mental Illness

Size: px
Start display at page:

Download "Maternal Mental Illness"

Transcription

1 Maternal Mental Illness Antenatal and postnatal depression Dr Andrew Mayers Maternal Mental Illness Overview What is maternal mental illness? Consequences for child and the mother Effect on relationship between them Types of illness Antenatal depression Antenatal anxiety Postnatal depression We will look at these illnesses in this session Serious illnesses (later session) Postpartum psychosis Maternal OCD 2 Who am I? What am I doing here? First worked in Hampshire perinatal MH unit in 2003 Co-ordinated research programme Now associated with Dorset MBU in Bournemouth Formerly, Director of PANDAS National pre- and postnatal mental illness charity Member of Maternal Mental Health Alliance Member of Perinatal Mental Health Partnership Commissioned by NHS in Hampshire and IOW to train health profs Presented at CPHVA conference, York (Oct 2013) For more information: Follow me on 3 1

2 Postnatal period Correlation between antenatal mental distress and postnatal maternal distress and antenatal attachment and postnatal attachment...prevention!! Change/transition Psychological distress (anxiety, stress, low mood) Stress, daily hassles of bring up an infant, change in identity, relationship changes, loss of control 4 Impact on developing child Significant intellectual deficits found in children (aged 4) whose mothers had suffered with depression (Cogill, et al., 1986) Postnatal depression may be associated with later difficulties in child s adjustment-problems when starting school Anxiety in girls; conduct problems in boys Affects child s social and emotional development Ability to form relationships Depression in fathers associated with emotional and behavioural outcomes in children aged 3½ years Increased risk of conduct problems in boys Effects remain after controlling for maternal postnatal depression (Ramchandani et al., 2005) 5 Impact of postnatal depression PND associated with several negative outcomes Increased marital stress Disturbances in child s emotional and cognitive development (Cogill, et al., 1986) Children of dep mums more likely to be associated with: Insecure attachment Eating difficulties Sleep disturbance Being overly clinging PND affects mum s ability to cope with care of baby See Murray, et al.,

3 Impact of maternal sensitivity 7 The importance of attachment Why is attachment important between mother and infant? Early mother infant bond may have sig. impact on developing infant (e.g. Bowlby, 1953; Ainsworth, 1993) Infant s internal working model (IWM) is very important Expectations about themselves in relation to others Model of self and of other If infant s carer attends positively and responds to needs Infant has positive IWM: High self-worth, availability of others, resolution of crises Infant s carer inconsistent response and attention Infant s has negative IWM: Low or ambivalent self-worth, unavailable others, crises not resolved 8 What can health visitors do? Health visitors CAN play a crucial role in identifying mental health difficulties Spotting signs and risk factors Early intervention Signposting to relevant services For the well-being of mother AND the developing infant Important to: Acknowledge distress Offer an empathic response Assess risk But WHAT are we looking for? 9 3

4 Antenatal depression At any one time during pregnancy one in every ten women will be depressed and around one in every thirty will be depressed in pregnancy and the postnatal period Dr Vivette Glover Symptoms Chronic anxiety Guilt Incessant crying Lack of energy Relationship worries Worrying their partner may leave once the baby is born Conflict with parents Isolation Fear to seek help 10 Causes of antenatal depression Physical Body changes! Weight gain (only clothes that fit are tatty or were previous used for painting ), swollen breasts, dizziness and nausea, bladder issues, exhaustion, heart rate, blood pressure, swollen ankles/wrists... Hormonal changes Nausea morning sickness For some mums-to-be these experiences (and/or perception of them) worse than for others 11 Causes of antenatal/postnatal depression Emotional causes Mood swings First-time mum experience Change of identity Previous pregnancy difficulties Complications, difficult labour, miscarriage, stillbirth Chronic anxiety Especially new mums NEVER dismiss anxiety - EMPATHISE 12 4

5 Causes of antenatal depression Social causes Antenatal depression is NOT new (despite only being recognised relatively recently) Mums just did not have chance to talk about it then Family support Families often lived closer together than they do now Work and finance Greater pressure for mum to work in modern age Expectations Media perceptions of perfect nursery/bedroom Pressure to live to societal standard Good enough mum NOTE: Majority of cases of antenatal depression disappear at birth BUT - one third of these mums develop postnatal depression 13 Post-natal depression (PND) Baby blues (see O Hara, 2009) Two to four days after birth (quite normal but not PND) Emotional/liable to burst into tears, for no apparent reason Difficult sleeping (even when baby permits) Loss of appetite Feeling anxious, sad, or guilty Questioning maternal skills Effects up to 75% of mums May relate to changes in post-birth hormone levels Or could be related to being in hospital Key is that this doesn't last long usually only a few days If it persists it may develop into PND 14 PND: DSM-5 diagnosis PND needs same DSM-5 diagnosis as major depressive disorder But relates specifically to the peripartum period Pregnancy and/or within 4 weeks of birth Five (or more) of (but at least one of symptom 1 or 2) 1. Depressed mood (for most of day, nearly every day ) 2. Markedly diminished interest in all/almost all activities 3. Significant weight loss (not dieting) or decease/increase appetite 4. Insomnia or hypersomnia 5. Psychomotor agitation/retardation (observable) 6. Fatigue or loss of energy 7. Feelings of worthlessness or excessive/inappropriate guilt 8. Diminished ability to think/concentrate or indecisiveness 9. Recurrent thoughts of death suicidal ideation/attempt/plan 15 5

6 PND: Features Additional features may also indicate presence Sense of inadequacy, inability to cope Feeling guilty Being unusually irritable Which makes the guilt worse Being hostile/indifferent to husband/partner/baby Losing interest in sex Panic attacks Excessive unwarranted anxiety Such as being alone in the house Obsessive fears about the baby's health or wellbeing 16 PND: Prevalence PND affects about 10% of new mums Compare to baby blues (25-75%) Although DSM-5 states must be within 4 weeks of birth Most clinicians/researchers extend this to several months Vulnerable mums usually referred in perinatal period During pregnancy up until baby is 1 year Can come on gradually or all of a sudden Can range from being relatively mild to very hard-hitting About 50% PND women afraid to tell health professionals about it Scared it will lead to social services taking child away Or that they would be seen as bad mothers See O Hara (2009) for good overview of PND 17 PND: Causes Causes of PND uncertain But there are a number of known risk factors (Kim, et al. 2008) Having had depression before Especially PND Not having a supportive partner Having a premature or sick baby Having lost your own mother as child Having had several recent life stresses Bereavement, unemployment, housing or money problems Poor sleep (see later) 18 6

7 PND: Causes Some additional risk factors for PND Shock of becoming a mother Women often unprepared for physical impact of childbirth Plus new and daunting skills to learn New full time responsibility Helpless human being who cannot communicate Other than cry (distressing in itself) Some mums get anxious when they don t hear crying! Lie awake listening out Loss of freedom and independence Exhaustion and fatigue 19 PND: Causes Hormones Oestrogen and progesterone affect emotions Levels of progesterone are very high during pregnancy PND maybe due to sudden drop progesterone after birth In one study women given progesterone to try prevent PND But it had the reverse effect and got worse Oestrogen treatment via patch can be helpful Otherwise, hormones not a major influence Diet Lack of certain nutrients during pregnancy may cause PND Omega 3 oils (found in oily fish, seeds and nuts) Magnesium (leafy green vegetables and seeds) Zinc (seeds and nuts) 20 PND Treatment Antidepressants Huge amount of evidence of benefit in treating depression First line choice in most adults BUT it is not that simple in PND Some antidepressants serious side effects and interaction Consider this if mum is breastfeeding Some antidepressants are not safe for infants 21 7

8 Medication for PND what is safe? Tricyclic antidepressants Lower known risks than other antidepressants But more dangerous in overdose SSRIs (after 20 weeks) greater risk hypertension in neonate Fluoxetine fewer known risks of SSRIs Paroxetine (in 1 st trimester) some risk foetal heart defects Venlafaxine some risk high blood pressure (at high doses) Most antidepressants pass into the breast milk Imipramine, nortryptiline and sertraline - at relatively low levels Citalopram and fluoxetine - at relatively high levels 22 PND Treatment Counselling and talking therapies (CBT etc.) very effective Group or individual care BUT rare - can take time to get into a programme We need more Perinatal Mental Health teams! Self-help strategies Counselling (listening visits) Brief cognitive behavioural therapy Interpersonal psychotherapy 23 Whooley questions During the past month 1. Have you often been bothered by feeling down, depressed or hopeless? 2. Have you often been bothered by having little interest or pleasure in doing things? Consider a third question: Is this something you feel you need or want help with? 24 8

9 What we have learned We have examined several aspects of maternal mental illness What is maternal mental illness? Types of illness Antenatal depression Antenatal anxiety Postnatal depression 25 Exercise Group task Are Whooley questions enough? What are the risk factors? What signs should we watch out for? Why are mums reluctant to tell us about mental health problems? How far should we pursue this? 26 9

Postnatal anxiety and depression

Postnatal anxiety and depression What Dads and Mums need to know Postnatal anxiety and depression What Dads and Mums need to know 1 Postnatal anxiety and depression Feelings and emotions after birth Having a baby can be an exciting time,

More information

The 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 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 information

A NEW MOTHER S. emotions. Your guide to understanding maternal mental health

A 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 information

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 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

What is a Perinatal mental illness Depression Anxiety Risk Factors What PANDAS does

What is a Perinatal mental illness Depression Anxiety Risk Factors What PANDAS does Mental Health What is a Perinatal mental illness Depression Anxiety Risk Factors What PANDAS does Perinatal Mental Illnesses occur during pregnancy, or after the birth of a child. PANDAS supports those

More information

Depression During and After Pregnancy

Depression 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 information

Postnatal Depression, Risk Factors, Assessment, Identification & Treatments

Postnatal 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 information

Northumbria Healthcare NHS Foundation Trust. Emotional changes in pregnancy and after childbirth. Issued by the Maternity Department

Northumbria Healthcare NHS Foundation Trust. Emotional changes in pregnancy and after childbirth. Issued by the Maternity Department Northumbria Healthcare NHS Foundation Trust Emotional changes in pregnancy and after childbirth Issued by the Maternity Department How can pregnancy affect my mental health? Women can experience problems

More information

International Childbirth Education Association. Postpartum Doula Program

International 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 information

UW MEDICINE PATIENT EDUCATION. Baby Blues and More DRAFT. Knowing About This in Advance Can Help

UW MEDICINE PATIENT EDUCATION. Baby Blues and More DRAFT. Knowing About This in Advance Can Help UW MEDICINE PATIENT EDUCATION Baby Blues and More Recognizing and coping with postpartum mood disorders Some women have baby blues or more serious postpartum mood disorders. It helps to know about these

More information

UW MEDICINE PATIENT EDUCATION. Baby Blues and More. Postpartum mood disorders DRAFT. Emotional Changes After Giving Birth

UW MEDICINE PATIENT EDUCATION. Baby Blues and More. Postpartum mood disorders DRAFT. Emotional Changes After Giving Birth UW MEDICINE PATIENT EDUCATION Baby Blues and More Postpartum mood disorders Some new mothers have baby blues or more serious postpartum mood disorders. This chapter gives ideas for things you can do to

More information

Pathway to wellness. What is perinatal anxiety and depression? Post & Ante Natal Depression Support & Information Inc.

Pathway to wellness.   What is perinatal anxiety and depression? Post & Ante Natal Depression Support & Information Inc. Post & Ante Natal Depression Support & Information Inc. What is perinatal anxiety and depression? Pathway to wellness 9am 4pm Monday to Friday (02) 6288 1936 services@pandsi.org www.pandsi.org Address

More information

AN OVERVIEW OF ANXIETY

AN OVERVIEW OF ANXIETY AN OVERVIEW OF ANXIETY Fear and anxiety are a normal part of life. Normal anxiety keeps us alert. Intervention is required when fear and anxiety becomes overwhelming intruding on a persons quality of life.

More information

Recovering from a difficult birth.

Recovering from a difficult birth. NHS Fife Department of Psychology Recovering from a difficult birth. Help Yourself @ moodcafe.co.uk Recovering from a difficult birth This leaflet aims to give you information about recovering from a difficult

More information

DEPRESSION. There are a couple of kinds, or forms. The most common are major depression and dysthymic disorder.

DEPRESSION. 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 information

Recovering from a difficult birth

Recovering from a difficult birth Fife Clinical Psychology Department Recovering from a difficult birth Reviewed: June 2010 1 Recovering from a difficult birth This leaflet aims to give you information about recovering from a difficult

More information

5/24/ Maria H. Elswick, MD. Maternal Wellness Program Physician Lead

5/24/ 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 information

Maternal 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. 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 information

Understanding Perinatal Mood Disorders (PMD)

Understanding Perinatal Mood Disorders (PMD) Understanding Perinatal Mood Disorders (PMD) Postpartum Depression and Beyond Northwestern Medicine Central DuPage Hospital 25 North Winfield Road Winfield, Illinois 60190 630.933.1600 Northwestern Medicine

More information

Depression: what you should know

Depression: what you should know Depression: what you should know If you think you, or someone you know, might be suffering from depression, read on. What is depression? Depression is an illness characterized by persistent sadness and

More information

There are different types of depression. This information is about major depression. It's also called clinical depression.

There are different types of depression. This information is about major depression. It's also called clinical depression. Patient information from the BMJ Group Depression in adults Depression is not the same as feeling a bit low. Depression is an illness that can affect how you feel and behave for weeks or months at a time.

More information

Handout 3: Mood Disorders

Handout 3: Mood Disorders Handout 3: Mood Disorders Mood disorders are called affective (emotional) disorders. There are two categories of mood disorders: Depressive Disorders Bipolar Affective Disorders Depressive Disorders Minor

More information

Perinatal Depression For GA22

Perinatal 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 information

Session outline. Introduction to depression Assessment of depression Management of depression Follow-up Review

Session outline. Introduction to depression Assessment of depression Management of depression Follow-up Review Depression 1 Session outline Introduction to depression Assessment of depression Management of depression Follow-up Review 2 Activity 1: Person s story followed by group discussion Present the first person

More information

Coping with a difficult birth experience and where to get help

Coping with a difficult birth experience and where to get help Coping with a difficult birth experience and where to get help I had flashbacks of the final delivery for weeks afterwards and couldn t stop thinking about it I blame myself for not having a good birth,

More information

Postpartum Depression

Postpartum 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 information

The 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. 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 information

Baby Blues and More. Patient Education Page 31. Recognizing and coping with postpartum mood disorders

Baby Blues and More. Patient Education Page 31. Recognizing and coping with postpartum mood disorders Patient Education Page 31 Caring for Yourself and Your New Baby Baby Blues and More Recognizing and coping with postpartum mood disorders Some women experience the baby blues or more serious postpartum

More information

Hilary Planden October 27, 2011

Hilary 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 information

EVALUATING PERINATAL MOOD DISORDERS. For Healthcare Providers

EVALUATING 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 information

Postpartum Depression Helping You Cope. Willamette Valley Medical Center Birthing Center

Postpartum 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 information

Infant Parent Relationships: Strength-based Early Intervention Approaches

Infant Parent Relationships: Strength-based Early Intervention Approaches Infant Parent Relationships: Strength-based Early Intervention Approaches Foundations of Infant Mental Health Central California Children s Institute December 6, 2012 Deborrah Bremond, Ph.D., MPH Defining

More information

depression and anxiety in later life clinical challenges and creative research

depression and anxiety in later life clinical challenges and creative research 2 nd Annual MARC Symposium Critical Themes in Ageing Melbourne, 10 th August 2018 depression and anxiety in later life clinical challenges and creative research Nicola T Lautenschlager, MD, FRANZCP Professor

More information

Developing services and pathways for parent & infant mental health

Developing services and pathways for parent & infant mental health Developing services and pathways for parent & infant mental health Sally Hogg Mums and Babies in Mind #MABIM @salhogg A coalition of over 80 national professional and patient organisations committed to

More information

Depression During and After Pregnancy

Depression During and After Pregnancy A Resource for Women, Their Families, and Friends I have trouble eating and sleeping. I feel lonely, sad, and don t have the energy to get things done. Sometimes I don t even want to hold my baby. If this

More information

A-Z of Mental Health Problems

A-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 information

Maternal Depression: Prevalence, Implications, Diagnosis, and Current Treatment Options

Maternal 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 information

Depression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment

Depression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment Depression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment Jamie E. Pardini, PhD Sports Medicine and Concussion Specialists Banner University Medical Center-Phoenix University

More information

UW MEDICINE PATIENT EDUCATION. Baby Blues and More. Knowing About This in Advance Can Help

UW MEDICINE PATIENT EDUCATION. Baby Blues and More. Knowing About This in Advance Can Help UW MEDICINE PATIENT EDUCATION Baby Blues and More Recognizing and coping with postpartum mood disorders Some women have baby blues or more serious postpartum mood disorders. It helps to know about these

More information

Specialist Perinatal Mental Health Service (SPMHS)

Specialist Perinatal Mental Health Service (SPMHS) Specialist Perinatal Mental Health Service (SPMHS) INFORMATION FOR FAMILIES AND CARERS 2 Specialist Perinatal Mental Health Service (SPMHS) WELCOME The Specialist Perinatal Mental Health Service (SPMHS)

More information

Prenatal 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. 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 information

Perinatal Mood and. Anxiety Disorders 4/13/2018. Contact Information. What are we talking about when we say PMAD?

Perinatal 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 information

Mood, Emotions and MS

Mood, Emotions and MS Mood, Emotions and MS Catherine Condon Clinical Neuropsychologist Integrated Psychology Living Well with MS Living a full and meaning-filled life Social connection Valued activity Healthy exercise Healthy

More information

Perinatal 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 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 information

Dr. Catherine Mancini and Laura Mishko

Dr. Catherine Mancini and Laura Mishko Dr. Catherine Mancini and Laura Mishko Interviewing Depression, with case study Screening When it needs treatment Anxiety, with case study Screening When it needs treatment Observation Asking questions

More information

Primary Care Tool for Assessment of Depression during Pregnancy and Postpartum

Primary 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 information

Depression in Pregnancy

Depression 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 information

Depression Workshop 26 January 2007

Depression Workshop 26 January 2007 Depression Workshop 26 January 2007 Leslie G Walker Professor of Cancer Rehabilitation Donald M Sharp Senior Lecturer in Behavioural Oncology Mary B Walker Senior Clinical and Research Nurse Specialist

More information

Depression. Northumberland, Tyne and Wear NHS Trust (Revised Jan 2002) An Information Leaflet

Depression. Northumberland, Tyne and Wear NHS Trust (Revised Jan 2002) An Information Leaflet Depression Northumberland, Tyne and Wear NHS Trust (Revised Jan 2002) An Information Leaflet practical ldren 1 7XR isle, d n. ocial These are the thoughts of two people who are depressed: I feel so alone,

More information

Welcome to Parenthood

Welcome to Parenthood Welcome to Parenthood Welcome to Parenthood The arrival of a new baby brings joy along with challenges. Pregnancy and early parenting are unique experiences, often filled with mixed emotions. Gidget Foundation

More information

Emotions After Giving Birth

Emotions After Giving Birth UW MEDICINE PATIENT EDUCATION Emotions After Giving Birth Baby blues and postpartum mood disorders Some women have baby blues or more serious mood disorders after having a baby. This handout gives ideas

More information

Parental Depression: The Elephant in the room with us

Parental 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 information

University Counselling Service

University Counselling Service Bereavement The death of someone close can be devastating. There are no right or wrong reactions to death, the way you grieve will be unique to you. How you grieve will depend on many factors including

More information

Depression. Content. Depression is common. Depression Facts. Depression kills. Depression attacks young people

Depression. Content. Depression is common. Depression Facts. Depression kills. Depression attacks young people Content Depression Dr. Anna Lam Associate Consultant Department of Psychiatry, Queen Mary Hospital Honorary Clinical Assistant Professor Li Ka Shing Faculty of Medicine, The University of Hong Kong 1.

More information

MOOD (AFFECTIVE) DISORDERS and ANXIETY DISORDERS

MOOD (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 information

Prepared by: Elizabeth Vicens-Fernandez, LMHC, Ph.D.

Prepared 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 information

A Guide to Postnatal Depression

A Guide to Postnatal Depression Postnatal Depression About 1 in 10 mothers develop postnatal depression. Support and understanding from family, friends, and sometimes from a professional such as a health visitor can help you to recover.

More information

Module Objectives 10/28/2009. Chapter 6 Mood Disorders. Depressive Disorders. What are Unipolar Mood Disorders?

Module 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 information

Premenstrual Syndrome

Premenstrual Syndrome page 1 Premenstrual Syndrome Q: What is premenstrual syndrome (PMS)? A: Premenstrual syndrome (PMS) is a group of symptoms linked to the menstrual cycle. PMS symptoms occur in the week or two weeks before

More information

Women s Mental Health

Women 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 information

PSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS

PSYCHOLOGICAL 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 information

4/3/2017 WHAT IS ANXIETY & WHY DOES IT MATTER? PSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS OBJECTIVES. 1. Overview of perinatal anxiety

4/3/2017 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 information

Peer Support / Social Activities Overview and Application Form

Peer Support / Social Activities Overview and Application Form Peer Support / Social Activities Overview and Application Form What is Peer Support? Peer support is when people use their own experiences to help each other. What happens during peer support sessions

More information

Some Common Mental Disorders in Young People Module 3B

Some Common Mental Disorders in Young People Module 3B Some Common Mental Disorders in Young People Module 3B MENTAL ILLNESS AND TEENS About 70% of all mental illnesses can be diagnosed before 25 years of age When they start, most mental illnesses are mild

More information

Talking to someone who might be suicidal

Talking to someone who might be suicidal Talking to someone who might be suicidal To some it s a tea bag. To others it s a lifeline... Support the Zero Suicide Alliance campaign. Help us tackle the stigma that stops so many from asking for help.

More information

What Australians know about perinatal depression and anxiety

What Australians know about perinatal depression and anxiety What Australians know about perinatal depression and anxiety beyondblue Perinatal Monitor 2009 July 2010 For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 1 Background In

More information

A N I N T R O D U C T I O N T O S T R E S S, A N X I E T Y A N D D E P R E S S I O N F O R M A N A G E R S K A T H C H E E R

A N I N T R O D U C T I O N T O S T R E S S, A N X I E T Y A N D D E P R E S S I O N F O R M A N A G E R S K A T H C H E E R A N I N T R O D U C T I O N T O S T R E S S, A N X I E T Y A N D D E P R E S S I O N F O R M A N A G E R S K A T H C H E E R Learning Outcomes Mental health facts and figures Greater understanding of stress,

More information

QR Codes. For Booklets and Brochures On Mental Illnesses In Alphabetical Order. Local Chambersburg Counseling Services Websites In Alphabetical Order

QR Codes. For Booklets and Brochures On Mental Illnesses In Alphabetical Order. Local Chambersburg Counseling Services Websites In Alphabetical Order Mental Health Association of Franklin and Fulton Counties 478 Grant St., Chambersburg, PA 17201 717-264-4301 - www.mhaff.org Programs Direct Services - Peer to Peer Services - Helpline - DBSA Support Group

More information

Are All Older Adults Depressed? Common Mental Health Disorders in Older Adults

Are 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 information

Class #2: ACTIVITIES AND MY MOOD

Class #2: ACTIVITIES AND MY MOOD Class # Class #: ACTIVITIES AND MY MOOD CLASS OUTLINE I. Announcements & Agenda II. III. IV. General Review Personal Project Review Relaxation Exercise V. New Material VI. Personal Project I. Any Announcements?

More information

Appendix 4B - Guidance for the use of Pharmacological Agents for the Treatment of Depression in Adults (18 years and over)

Appendix 4B - Guidance for the use of Pharmacological Agents for the Treatment of Depression in Adults (18 years and over) Appendix 4B - Guidance for the use of Pharmacological Agents for the Treatment of Depression in Adults (18 years and over) Introduction / Background Treatment comes after diagnosis Diagnosis is based on

More information

*Mental health awareness

*Mental health awareness *Mental health awareness for employers Presented by: Lisa Ellis lellis@acas.org.uk Quiz How many people will suffer from a mental health problem at some point in their lives? a) 1 in 7 b) 1 in 5 c) 1 in

More information

Post Partum Depression. Dr. Bev Young Department of Psychiatry, Mount Sinai Hospital

Post 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 information

James 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 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

Recognizing and Discussing Depression: Cultural Differences

Recognizing and Discussing Depression: Cultural Differences Recognizing and Discussing Depression: Cultural Differences Presented By: Dennis A. Davis, Ph.D. Agenda This presentation will focus on recognizing patients who might be experiencing depression Practitioner

More information

Postnatal Depression. Easy read information

Postnatal Depression. Easy read information Postnatal Depression Easy read information A member of staff or a carer can support you to read this booklet. They will be able to answer any questions that you have. 2 About this leaflet This leaflet

More information

DEVELOPING A POSTPARTUM CARE PLAN

DEVELOPING A POSTPARTUM CARE PLAN DEVELOPING A POSTPARTUM CARE PLAN The postpartum period can be surprisingly difficult and is often neglected. Without adequate rest and support, postpartum depression is more likely to develop and breastfeeding

More information

PERINATAL MENTAL HEALTH PATHWAY FOR BUCKINGHAMSHIRE

PERINATAL MENTAL HEALTH PATHWAY FOR BUCKINGHAMSHIRE PERINATAL MENTAL HEALTH PATHWAY FOR BUCKINGHAMSHIRE Developed in accordance with NICE Guideline 192 (2014) and to be used in conjunction with local policies April 2016 Version 1 For Review April 2017 Commisioned

More information

Understanding Depression

Understanding 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 information

Report Information from ProQuest

Report 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 information

Postnatal depression. Postnatal depression is common

Postnatal depression. Postnatal depression is common Postnatal depression Depressive symptoms in the postnatal period represent a range of clinical conditions of varying severity from simple baby blues to postnatal depression (which may range from mild to

More information

Recovery From Depression

Recovery From Depression Recovery From Depression Optimising Primary Care Management Dr Andrew Smithers Mental Health and LD Lead Coventry & Rugby CCG CLINICAL TRIALS EXCELLENCE THE PHYSICIAN - LED NETWORK Introduction Primarily

More information

Understanding Psychiatry & Mental Illness

Understanding Psychiatry & Mental Illness Understanding Psychiatry & Steve Ellen Mental Illness MB, BS. M.Med. MD. FRANZCP Head, Consultation, Liaison & Emergency Psychiatry, Alfred Health. Associate Professor, Monash Alfred Psychiatry Research

More information

Mood disorders during pregnancy and after the birth of your baby

Mood disorders during pregnancy and after the birth of your baby Mood disorders during pregnancy and after the birth of your baby A booklet for women and their families Scottish guidelines Scottish Intercollegiate Guidelines Network ISBN 978 1 909103 60 3 First published

More information

Postpartum Adjustment

Postpartum Adjustment Postpartum Adjustment After giving birth, it is normal to cry for no apparent reason, to feel anxious, frightened and sad. Baby Blues affect approximately 80% of new mothers, many of whom feel sad, overwhelmed

More information

Pastoral Care with the Depressed. an open and informative conversation about depression and the practice of offering hope

Pastoral Care with the Depressed. an open and informative conversation about depression and the practice of offering hope Pastoral Care with the Depressed an open and informative conversation about depression and the practice of offering hope Saturday 23 rd June 2018 10:50 12:20 A workshop held at the Team Training Day offered

More information

Perinatal Depression Treatment and prevention. Dr. Maldonado

Perinatal Depression Treatment and prevention. Dr. Maldonado Perinatal Depression Treatment and prevention Dr. Maldonado What is postnatal depression? Is it truly a unique disorder? Are there specific features? Is there a higher frequency in the puerperium? Are

More information

Women, Mental Health, and HIV

Women, Mental Health, and HIV Women, Mental Health, and HIV Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject What is Mental Health? Refers to emotional, psychological, social

More information

Postpartum Depression (PPD) Women s Health Connecticut Practice Guideline

Postpartum Depression (PPD) Women s Health Connecticut Practice Guideline Postpartum Depression (PPD) Women s Health Connecticut Practice Guideline Definitions Baby Blues Very common, affects about 70-85% of new mothers. Also know as postpartum blues, usually start within three

More information

Anxiety and panic attacks

Anxiety and panic attacks Anxiety and panic attacks Information for individuals, partners and families NCMH National Centre for Mental Health Anxiety and panic attacks It is normal to feel anxious or worried in situations that

More information

DBSA Survey Center Depression Experiences and Treatments Survey

DBSA Survey Center Depression Experiences and Treatments Survey Summary Report: May, 2017 BACKGROUND DBSA s was developed to identify experiences and challenges faced by individuals with depression, including what people are looking for in terms of treatment, their

More information

Depression in Women Etiology & Management Strategies Diana E. Ramos, MD,MPH

Depression in Women Etiology & Management Strategies Diana E. Ramos, MD,MPH Depression in Women Etiology & Management Strategies Diana E. Ramos, MD,MPH Associate Clinical Professor, Keck University of Southern California Medical Director, Reproductive Health, Los Angeles County

More information

Perinatal mental health experiences of women and health professionals

Perinatal mental health experiences of women and health professionals Perinatal mental health experiences of women and health professionals Terminology Antenatal Depression Maternal OCD Anxiety Postnatal Depression PTSD Puerperal Psychosis Bipolar disorder Who did we speak

More information

Maternal Mental Health: The Basics and Beyond Sarah Hightower, LPC Postpartum Support International

Maternal Mental Health: The Basics and Beyond Sarah Hightower, LPC Postpartum Support International Maternal Mental Health: The Basics and Beyond Sarah Hightower, LPC Postpartum Support International Universal Message You are not alone You are not to blame With Help, you will be well. Keep up with us:

More information

Perinatal 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 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 information

Diana Lynn Barnes, PsyD MFT The Center for Postpartum Health

Diana 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 information

The Revised Treatment Manual for the Brief Behavioral Activation Treatment for Depression (BATD-R) Pre - Session

The Revised Treatment Manual for the Brief Behavioral Activation Treatment for Depression (BATD-R) Pre - Session The Revised Treatment Manual for the Brief Behavioral Activation Treatment for Depression (BATD-R) Pre-Session Key Elements: 1. Discussion of Depression Pre - Session 2. Introduction to Treatment Rationale

More information

Refugee Health Assignment by ธนย จ ตน ป งเส ง

Refugee Health Assignment by ธนย จ ตน ป งเส ง Refugee Health Assignment by ธนย จ ตน ป งเส ง You are the coordinator of an international nutrition program in refugee camps, including a refugee camp in Tanzania. Most of the refugees in this camp have

More information

Supporting Graduate Student Health and Wellness

Supporting Graduate Student Health and Wellness Supporting Graduate Student Health and Wellness Mona Shattell, PhD, RN, FAAN Chair and Professor Department of Community, Systems, and Mental Health Nursing Rush University/Rush University Medical Center

More information