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Postpartum Anxiety & Mood Disorders

Published on Nov 18, 2015

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PRESENTATION OUTLINE

Postpartum Anxiety & Mood Disorders

Recognizing the signs and partnering with women

Introduction:

Why this topic matters
Babies' emotional development is profoundly impacted by the mother.

Personalities are being formed.

Accessing needed help makes a huge difference.



**No blame, no shame**
AWARENESS


What's normal vs. clinical? Acknowledging what's real.

(How do you differentiate?)
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Risk Factors

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Causes and Components

  • Biological - hormones, neurotransmitters, temperament
  • Situational (isolation, lack of support)
  • Attachment pattern from own upbringing!
  • Cultural pressure to be happy, competitiveness
  • (Counter-cultural) child-centeredness to a fault

Types, Prevalence & Statistics

PPD - 15-20% of women who have babies

PPA - 10-15% (includes PPOCD, PTSD, Panic Disorder, GAD)

Overlap does occur
Under-reporting (stigma, lack of recognition)

PPP - much less common (

Post-Partum Depression (7-15%)

  • Depressed mood much of the day, most days
  • Diminished pleasure and interest in most activities
  • Significant changes in appetite and/or sleep
  • Fatigue/loss of energy
  • Feelings of worthlessness or excessive guilt

Untitled Slide

  • Diminished ability to think, concentrate, make decisions
  • Recurrent thoughts of death or suicidal ideation
  • Inability to bond with baby
  • DYSTHYMIC DISORDER
  • ADJUSTMENT DISORDER

A word on bipolar disorders

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Post-partum Anxiety Disorders

  • TYPES: overall 10-15% GAD, Panic disorder, OCD (5%), PTSD, phobias
  • Body signs - increased heart rate, sore stomach, tight chest and throat, shallow breathing
  • Mind - racing thoughts, intrusive unmanageable worry thoughts, obsessing
  • Behavioral - avoidance of certain situations, checking, over-controlling
  • Milk supply often impacted

Post-partum Psychotic Disorder

  • Usually women with bipolar disorders
  • Other risk factors (family or personal history, severe stress, trauma)
  • Disorganized thought process, mood is labile or dysphoric
  • Hallucinations may be present (visual, auditory)
  • Suicide 5% Infanticide 4%

Role of Sleep

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Prevention

  • Consult with psychiatrist if risk factors present.
  • Plan ahead to meet sleep, nutrition, & support needs
  • Shore up the relationship!

What helps?

  • Honest communication about emotional state
  • Holistic self-care
  • If not severe, try non-medical interventions first

Treatment

  • Therapy
  • Support groups*
  • Medication consult

LEAP! A Strategy for communicating concern

  • L - Listen without judgment
  • E - Empathize
  • A - Agree
  • P - Partner

Boundaries

Good practice, good modeling for client

Emergencies

  • When risk factors are present, have a plan
  • Supportive people, coping skills, pleasurable activities
  • Mobile crisis for a psychiatric emergency 513-584-5700

Questions & Discussion

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