This text provides background on the history of perinatal psychiatry, and discusses future directions in the field. It clearly defines perinatal mood and anxiety disorders (PMADs), which are the most common complication of pregnancy. When left untreated, PMADs are morbid and devastating for both the patient and their entire family. It reviews gold standard recommendations for the treatment of PMADs, including evidence-based psychotherapies, as well as risk-benefit analysis of psychotropic medication use in pregnancy and lactation. Additionally, common presentations of depression, anxiety, and trauma in pregnancy and postpartum women, as well as mania, psychosis, suicidal and homicidal thoughts are reviewed.
Women’s Mood Disorders: A Clinician’s Guide to Perinatal Psychiatry highlights special considerations in pregnancy, including teenage pregnancies, hyperemesis gravidum, eating disorders, substance abuse disorders, as well as infertility, miscarriageand loss. The text concludes with outlining the importance of collaborative care in providing gold standard treatment of perinatal women and review documentation and legal considerations. This handbook will help educate and train future psychiatrists and OBGYNs in feeling confident and comfortable assessing and treating pregnant women who suffer from PMADs.
Tabela de Conteúdo
Background of History of Perinatal Psychiatry.- Perinatal Mood and Anxiety Disorders (PMADs): Overview & Etiology.- The Perinatal Psychiatric Interview.- Approach to Perinatal Psychiatry: General Strategies. Risk of Untreated Symptoms of PMADs in Pregnancy.- Risk of Untreated Symptoms of PMADs in Breastfeeding Women.- Risk of Medication exposures in Pregnancy and lactation.- Special Considerations: Teenage Pregnancies, Hyperemesis Gravidum, IVF, Miscarriages and Loss.- Anxious Patients.- Depressed Patients.- Manic Patients.- Psychotic Patients.- Substance Use Disorders in Pregnancy and Lactation.- Eating Disorders in Pregnancy and Lactation.- Trauma Disorders in Pregnancy and Lactation.- Psychotherapy Treatment Options for PMADs.- Care of the Suicidal Patient: Pregnancy and Postpartum.- Care of the Homicidal Patient: Pregnancy and Postpartum.- Importance of Collaborative Care with OBGYN and Pediatrics.- Documentation Considerations.
Sobre o autor
Elizabeth Cox, MD
The University of North Carolina at Chapel Hill
Department of Psychiatry Center for Women’s Mood Disorders
Chapel Hill, NC 27514
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