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Postpartum Anxiety & Mood Disorders
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Published on Nov 18, 2015
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1.
Postpartum Anxiety & Mood Disorders
Recognizing the signs and partnering with women
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seyed mostafa zamani
2.
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
3.
What's normal vs. clinical? Acknowledging what's real.
(How do you differentiate?)
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illusionwaltz
4.
Risk Factors
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openDemocracy
5.
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
6.
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 (
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bionicteaching
7.
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
8.
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
9.
A word on bipolar disorders
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failing_angel
10.
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
11.
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%
12.
Role of Sleep
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dalbera
13.
Prevention
Consult with psychiatrist if risk factors present.
Plan ahead to meet sleep, nutrition, & support needs
Shore up the relationship!
14.
What helps?
Honest communication about emotional state
Holistic self-care
If not severe, try non-medical interventions first
15.
Treatment
Therapy
Support groups*
Medication consult
16.
LEAP! A Strategy for communicating concern
L - Listen without judgment
E - Empathize
A - Agree
P - Partner
17.
Boundaries
Good practice, good modeling for client
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Peter aka anemoneprojectors
18.
Emergencies
When risk factors are present, have a plan
Supportive people, coping skills, pleasurable activities
Mobile crisis for a psychiatric emergency 513-584-5700
19.
Questions & Discussion
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Oberazzi
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