Ch 22: Maternal Mood Conditions

PP mania characteristics (4)

elevated presentation:

- irritable

- restlessness

- hyperactive speech

- confusipn

PP melancholia characteristics (3)

hypoactive presentation:

- depressed

- immobility

- inable to care for oneself or baby

types of PP mental health conditions (5)

- PP blues

- PP depression

- PP anxiety

- PTSD

- PP psychosis

clinical strategies to dx early PP mental health conditions (3)

- screening using validated tool during & post pregnancy

- earlier PP visits for high risk

- normal mental health concerns -> talk abt openly

PP depression

affects pt & partners & worsens over time

depression in partners

presents as anger or sadness & most commonly during 3-6 months PP

PP anxiety symptoms (3)

- excessive worrying

- intrusive thoughts

- physical symptoms

PP anxiety dx

often underdx due to failure in screenings & awareness

PTSD symptoms (3)

- reliving trauma/flashbacks

- negative & irritable

- dissociative eps

PP psychosis

rare & onset can be abrupt -> considered an emergency

PP psychosis risk factors (3)

- previous hx of mental illness

- first baby

- drastic hormone changes

PP psychosis symptoms (4)

- hallucinations

- delusions

- insomnia

- mood shifts

PP psychosis management (3)

- adm to psych unit

- antipsychotics or mood stabilizers

- electroconvulsive therapy (ECT)

when do PP blues usually start and resolve?

starts 2-3 days PP and usually resolves after 2 weeks

PP blues

pt experiences emotional liability but does not affect parents ability to care for infant