4/4/2019 Perinatal Mood & Anxiety Disorders: From Recognition to Recovery HILARY WALLER, MS, LPC Director of Programming
[email protected] The Postpartum Stress Center • postpartumstress.com ©The Postpartum Stress Center, LLC Who are you? What do you bring to this work? Why is training important? Trigger Disclaimer & We’re only scratching the surface ©The Postpartum Stress Center, LLC 2 Learning Objectives Recognize & describe how and why mood disorders in the perinatal period are unique. Differentiate between “normal” perinatal experiences and clinically relevant symptoms. Identify best practices for screening, evidence-based therapeutic interventions, self help/ social supports, and interview strategies that optimally position patient for recovery. Discuss impact of special circumstances on therapeutic process and treatment planning. ©The Postpartum Stress Center, LLC 3 1 4/4/2019 “SOUNDS LIKE IT’S TIME FOR SOME FORMULA” ©The Postpartum Stress Center, LLC 4 What was missed? • Psychoeducation • Medical Evaluation • Psychosocial Consequences for a healthy mother: Termination of psychotherapy ©The Postpartum Stress Center, LLC Consequences of missed DX • Pregnancy: Poor prenatal self care, Increased risk for Postpartum mood and anxiety disorders • Long-term effects on child development. (Peindl, Wisner, & Hanusa, 2004; Weissman, Wickramaratne, Nomura, Warner, Pilowsky, Verdeli, 2006) • Chronicity • Increased risk for recurrence of PMAD • Impaired maternal attachment • Marital and social distress 6 ©The Postpartum Stress Center, LLC 2 4/4/2019 MASQUERADE Women with postpartum depression who told everyone they were “fine” while struggling with thoughts of self- harm ©The Postpartum Stress Center, LLC 7 1 in 7 women are suffering from a PMAD in the postpartum period ©The Postpartum Stress Center, LLC 8 If you do not ask every single pregnant and postpartum woman if she is having thoughts of hurting herself, you have no idea whether she is suicidal or not.