Screening is an important tool to identify those who need help. This is a collection of screening tools that can be used with new parents to identify symptoms of Perinatal Mood Disorders.
Professional Development resources contain both information to increase knowledge surrounding Perinatal Mood Disorders and professional development organizations, groups and training opportunities.
People with Perinatal Depression might experience feelings of anger, sadness, irritability, guilt, lack of interest in the baby, changes in eating and sleeping habits, trouble concentrating, thoughts of hopelessness and sometimes even thoughts of harming the baby or themselves.
Tool: Edinburgh Post Partum Depression Scale
People with Perinatal Anxiety may experience extreme worries and fears, often over the health and safety of the baby. Some people have panic attacks and might feel shortness of breath, chest pain, dizziness, a feeling of losing control, and numbness and tingling.
Tool: Perinatal Anxiety Screening Scale
Perinatal OCD can have repetitive, upsetting and unwanted thoughts or mental images (obsessions), and sometimes they need to do certain things over and over (compulsions) to reduce the anxiety caused by those thoughts. These parents find these thoughts very scary and unusual and are very unlikely to ever act on them.
Tool: Yale-Brown Obsessive Compulsive Scale
These steps provide a general guideline for actions to be taken when a perinatal client presents with thoughts that are scaring her. Please proceed with careful attention to her affective response to her thoughts.
Tool: Perinatal Scary Thoughts Action Algorithm
Approximately 9% of mothers develop symptoms of perinatal PTSD. Perinatal PTSD can be caused by; a traumatic or frightening childbirth, trauma surrounding miscarriage or stillbirth, fears for their life or the life of the baby during pregnancy or past life traumas. Symptoms may include flashbacks of the trauma, feelings of anxiety when experiencing reminders of the trauma, avoidance of reminders, hyper-vigilence (about safety of self or baby), anger, irritability or dissociation.
Tools: Primary Care PTSD Screen for DSM-5
or click here for the The Perinatal Post Traumatic Stress Disorder Questionnaire
Grief is a natural reaction to miscarriage, termination, stillbirth or neonatal loss. For some people, feelings of loss are debilitating and don't improve even after time passes. This is known as complicated grief. In complicated grief, painful emotions are so long lasting and severe that there is trouble recovering from the loss and resuming life, including problems connecting with children or fear/anxiety/hopelessness about becoming pregnant again.
Tool: Brief Grief Questionnarie
The 'Baby-Blues' happen in 80% of new moms. They happen in the first two weeks after birth and are characterized by tearfulness, being emotional and moments of feeling overwhelmed. The predominant mood is happiness. Unless they are causing distress, the "Baby Blues" are normal and do not require treatment. However, if the dominant mood is not happiness or they last more than 2 weeks, a perinatal mood disorder should be investigated.
Screening for risk factors of developing a Perinatal Mood Disorder can begin in pregnancy.
The intention is to help raise awareness of the factors that can potentially cause vulnerability to perinatal depression. This knowledge can help so that support networks can be mobilized and resources can be accessed.
Tool: Post Partum Distress Risk Assessment during Pregnancy
The Canadian Counsellors and Psychotherapy Association is recruiting members for a Maternal Mental Health Chapter. To join, contact Andreea Andrei, the Member Services Coordinator.
This group was created to connect perinatal mental health professionals around the globe. Whether you're a support group leader, nurse, physician, midwife, doula, therapist, psychologist or psychiatrist.
This group is for both experienced and beginning mental health professionals who currently work with, or would like to learn more about working with maternal mental health and related concerns.
The PPSS offers a 12-hr post-graduate training. Significant attention is placed on deepening your understanding of the influences and dynamics that impact perinatal women, understanding and applying your own experiences or perceptions of motherhood and how best you can utilize yourself in the perinatal recovery process.
The Seleni Institute offers trainings to both Mental Health Professionals and Medical Professionals.
They offer a 20 minute Online PMDs Screening Training for Health Care Providers and
The Maternal Mental Health Intensive is for Mental Health Professionals, focusing on Perinatal Mood & Anxiety Disorders and Perinatal Grief & Loss. It is also offered in an Online format.
Maternal Mental Health NOW is offers a self-paced online certification training on perinatal mood and anxiety disorders, including depression and anxiety during pregnancy, postpartum depression and anxiety, OCD, and postpartum psychosis. The online program offers 12 hours of pre-recorded video lectures, personal stories, interactive quizzes, and supplementary reading material.
This podcast focuses on the Maternal Mental Health struggles related to becoming pregnant, being pregnant, birth and early parenthood. So, the podcast provides real life stories of moms, dads and family an we will talk with experts, leaders and advocates in the field of maternal mental health and maternal health.
The PSI Georgia Chapter conducts Facebook Live Episodes every other Tuesday at 9pm. Episodes feature a series of maternal mental health experts who will discuss a variety of topics around common issues and concerns during motherhood. They hope you can join and participate in these important conversations.
These webinars occur quarterly and are designed for providers, administrators and public health employees, although everyone is welcome. There is no cost to participate and webinars are archived on the linked page so you can view them at any time.
Giving NICU professionals the tools and techniques to help them support families who are in crisis can help foster positive and trusting relationships between staff and the families in their care. The NICU Heroes podcast was created exclusively for NICU professionals, so they can better understand, support, and nurture the entire NICU family.
Psychiatric Medications in Lactation - Informing Clinical Practice Read it now.
Check for medications during lactation here:
National Perinatal Mental Health Guidelines - from COPE Australia Read it now
Psychotherapy for Pregnancy Loss - From the 2017 issue of the American Psychological Association. Read it Now.
Anger - Study shows that Anger is an often-overlooked sign of Perinatal Mood Disorders
Read the Study
No evidence for mothers monitoring fetal movements - Study showing it does not decrease mortality (other studies show it can increase anxiety in mothers)
Read the study
The Seleni Instute has a substancial library of articles from infertility and miscarriage to anxiety during pregnancy, we offer expert insight and realistic advice from women who have been there.
The Traumatic Birth Prevention & Resource Guide. The goal is to begin a conversation that explains the components of traumatic birth, increases awareness, and promotes prevention. Through multiple professional perspectives, our hope is to begin to shed light on the symptoms, risk factors, treatment and prevention of traumatic birth.
This toolkit is an easy-to-use resource geared toward any health care provider or caregiver that interacts with new moms and moms-to-be. With over 100 pages are full of tips and advice on the risk factors, symptoms, prevention, screening, intervention and treatment of perinatal depression and related mood disorders, the toolkit also provides handouts that providers can distribute to patients.
Eating Disorders in pregnancy and the perinatal period - a 5 minute you tube video with tips on how to help
Infant Sleep Development - Newest research study to help moms and babies get the sleep they need
Exercise - Some studies indicate as little as 2 minutes of exercise can be benificial
Dysphoric Milk Ejection Reflex - is a condition affecting lactating women that is characterized by an abrupt dysphoria, or negative emotions, that occur just before milk release and continuing not more than a few minutes.
Countless studies have established the efficacy of cognitive behavioral therapy (CBT) for many manifestations of depression and anxiety. In Cognitive Behavioral Therapy for Perinatal Distress, Wenzel and Kleiman discuss the benefits of CBT for pregnant and postpartum women who suffer from emotional distress. The myths of CBT as rigid and intrusive are shattered as the authors describe its flexible application for perinatal women. This text teaches practitioners how to successfully integrate CBT structure and strategy into a supportive approach in working with this population. The examples used in the book will be familiar to postpartum specialists, making this an easily comprehensive and useful resource.
First conceptualized by D.W. Winnicott, holding in this book refers to a therapist’s capacity to respond to postpartum distress in a way that facilitates an immediate and successful therapeutic alliance. Readers will learn how to contain high levels of agitation, fear, and panic in a way that cultivates trust and the early stages of connectedness. Also addressed through vignettes are personality types that make holding difficult, styles of ineffective holding, and how to modify holding techniques to accommodate the individual woman. A must-read for postpartum professionals, the techniques learned in this book will help clients achieve meaningful and enduring recovery.
Other Kleiman books include - This Isn't What I Expected: Overcoming PostPartum Depression
- Dropping the Baby and Other Scary Thoughts
- The PostPartum Husband: Practical Solutions for living with PPD
- Therapy and the Postpartum Woman: Notes on Healing PPD for clinicians and the women who seek their help
- Tokens of Affection: Reclaiming your marriage after PPD
Written by a Licensed Clinical Social Worker after she recovered from her own experience with a Perinatal Mood & Anxiety Disorder, this curriculum equips facilitators to create a support group for mothers on the path to emotional wellness. While all parents need support, this curriculum is designed specifically for mothers experiencing a Perinatal Mood & Anxiety Disorder, such Postpartum Depression or Postpartum Anxiety. Steeped in practical Cognitive Behavioral Therapy and the deep wisdom of Mindfulness, facilitators can feel confident that support group attendees will learn concrete tools each week. Whether you are a licensed mental health clinician, a nurse, a doula, a midwife, a lactation consultant, a grandparent, a clergy member, or a parent who has fully recovered from a Perinatal Mood & Anxiety Disorder, you are qualified to create a support group with an evidence-based curriculum as a guide. Most importantly, you will give mothers hope that they are not alone, and with treatment, they will be well.
This book teaches concerned, caring individuals how to help people struggling with pregnancy and/or postpartum depression (PPD) in person, over the phone and by email. In this revised edition, you’ll learn how to respond to all sorts of people: distraught women, upset husbands and partners, anxious relatives, and those just seeking information about PPD. Written by an internationally recognized PPD activist and personal survivor, the book addresses key steps to recovery such as education, communication, and nonjudgmental support--as well as common question and misconceptions about PPD. In 1987 she founded Postpartum Support International (PSI) to represent self-help/support groups worldwide working to prevent the negative emotional reactions to childbearing. Both she and PSI empower and encourage interested individuals to create new support groups, as well as support existing ones.
Jane has also written the PostPartum Action Manual (a facilitators guide for a 4 hour workshop) and Community Support for New Families (A guide to organizing a PPD support network)
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