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PPD - Postpartum Depression: Diagnosis & Treatment Post Test

Psychologist, Ohio MFT and Counselor Post Test:
Only Psychologists, Ohio MFT's and Ohio Counselors taking this course for credit need to complete these additional questions below to be in compliance with their Boards. requirements. If you are not a psychologist, Ohio MFT or Ohio Counselor please return to the original Answer Booklet. You do not need to complete the additional questions below.

Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Please note every section does not have an additional question below. Some sections may have more than one question.


1.1 What are five characteristics of high level of excitability?
1.2 What are characteristics of extreme anxiety?
1.3 Under ‘Predisposition’, what are five characteristics that certain women at great risk possess?
2.1 What are many women, who had a stimulating professional life before becoming mothers, afraid of when having a baby?
2.2 Under the Icing on the Cake technique, what action is like the icing on the cake that may not always be realistic to expect?
3.1 What are a few gestures suggested in the ‘Easing the Father’s Fears’ technique?
3.2 What are two roles the father may do for his wife and his baby?
4.1 What is a child in great risk of developing when he/she is brought into an environment filled with rage, fear, and tension?
5.1 Why do marital disharmony and abuse increase the risk for depression?
6.1 How is the depression that is sometimes associated with unplanned pregnancy described?
7.1 What happens to pregnant women when depression overtakes them and their judgment is impaired?
8.1 For clients who are agoraphobic, how may a panic attack be triggered?
8.2 How are the symptoms of depression different from the symptoms of panic?
8.3 What is agoraphobia?
9.1 What does ‘Ghosts in the Nursery’ refer to?
9.2 Under ‘Untreated Anxiety’, how is ‘Postnatal Anxiety’ described?
10.1 What two characteristics define compulsion?
10.2 What are themes of obsession?
10.3 According to DSM, what four characteristics define obsession?
11.1 What can trigger flashbacks, nightmares, sleeplessness, hyper-vigilance, and panic attacks without the clients even being aware?
12.1 If left untreated, what can anorexia lead to?
12.2 What does the third type of eating disorder, termed as ‘eating disorder not otherwise specified,’ involve?
13.1 What are symptoms of postpartum psychosis on both the pregnant mother and the child?

A. Inexplicable panic attacks, physical reactions, such as palpitations, hot flashes, trembling, dizziness, excessive sweating, numbness, and tingling in the hands and feet, or even an impression of suffocation
B. Inability to sleep, frenetic activity that can lead to collapse, irritability, confused language, and difficulty in concentrating or reasoning properly
C. Losing touch with the outside world, or of becoming ‘boring’ by staying cooped up at home with a baby
D. (1) Previous psychological troubles; (2) postnatal depression after a previous childbirth; (3) heredity, such as a mother, aunt or sister having postnatal depression; (4) a bad experience during fertility treatments; (5) a difficult pregnancy
E. Trying to talk about something other than the baby, agreeing to go out once in a while without the baby and planning a weekend getaway in the future
F. Eliciting an apology
G. Serious psychological problems
H. The father may challenge the baby, often providing stronger sensations and emotion through the way in which he plays and communicates. Second, the father can provide a source of affection, support, and recognition for the mother.
I. As the function of a life interrupted or simply derailed
J. Because most women in these situations are unwilling or unable to share their pain or have no one to whom they can turn for support
K. By being in the place or situation that is feared or the anticipation of having to be in such a place or situation
L. They don’t know how or where to ask for help, and so they do the only thing they know to alleviate the pain
M. The fear and avoidance of places where escape or assistance might be difficult or embarrassing
N. Symptoms of panic do not creep up silently
O. A frequent occurrence, it often overlaps with symptoms of depression, and it also increases the likelihood of postpartum depression
P. Adverse childhood experiences by the mother that have not been explored or resolved and which may therefore trigger severe anxiety with relation to impending motherhood
Q. Concerns about or fear of contamination, aggression or violence, symmetry, sex, religion, and death or illness
R. Repetitive behaviors, and the behaviors or mental acts aimed at preventing or reducing stress
S. When women undergo pelvic exams as well as examinations of other intimate parts of their body
T. Persistent thoughts, impulses or images, which are intrusive and inappropriate, causing marked anxiety; thoughts, impulses or images that are not simply excessive worries about real-life problems; the person who attempts to ignore, suppress, or neutralize the thoughts with some other thought or action; and the person recognizes obsessive thoughts to be a product of his or her own mind.
U. Periodic bingeing without compensatory purging
V. Acute instability of mood, often hypomania, disorganized behavior, and, most seriously perhaps, hallucinations or delusions, usually revolving around the infant
W. Severe nutritional deficiency, insomnia, loss of bone density, mood changes, fatigue, and even ultimately death as the body’s systems begin to break down from lack of nourishment

Course Content Manual Questions The answer to Question 24 is found in Section 24 of the Course Content. The Answer to Question 25 is found in Section 25 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question

Please note every section does not have an additional question below. Some sections may have more than one question.


15.1 What advice does Meyer give mothers who plan to breastfeed through ‘psychotic episodes’?
16.1 According to Miller et al., what are traits of anger and patterns of negative anger expression been linked conclusively to?
17.1 What is “baby blues”?
18.1 What do many women experience during childbirth particularly when they have had an assisted vaginal delivery?
19.1 What percent of women develop major depression within a year of giving birth?
20.1 According to Howard, what percentage of women get PPD?
21.1 According to Downy et al., children of mothers with depression have an increased risk for what?
22.1 What does E.P.D.S stand for?
23.1 What is the most common mood disturbance after childbirth that affects nearly 50% of new mothers?
24.1 According to Levy, what percentage of women experience some degree of emotional ‘letdown’ following childbirth?
25.1 When is high-risk pregnancy diagnosed?

A. Elevated blood pressure and coronary heart disease
B. ‘Get enough sleep, eat a balanced diet, get some kind of exercise every day, do something just for yourself, and take time off work.’
C. Tearing or episiotomy and perineal pain
D. An extremely common condition that occurs in up to 80 percent of mothers following delivery and usually subsides within a few weeks as hormone levels stabilize.
E. 10-20%
F. Estimated 12%
G. Edinburgh Postnatal Depression Scale
H. For maladjustment and other negative outcomes in their psychosocial development
I. When there is a significant possibility of fetal anomaly, fetal death, or a serious health risk for the unborn
J. 50-80%
K. Baby blues

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