Treatment Interventions Flashcards
7 cards from real PMH-C practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Treatment Interventions flashcards as text
Which psychotherapy is considered a first-line evidence-based treatment for postpartum depression?
Answer: Cognitive-behavioral therapy (CBT)
CBT is a first-line evidence-based treatment for postpartum depression, targeting negative thought patterns and behaviors.
A mother with perinatal OCD is avoiding bathing her newborn due to intrusive harm thoughts. The MOST appropriate evidence-based treatment approach is:
Answer: Exposure and Response Prevention (ERP)
ERP is the gold-standard behavioral treatment for OCD, including perinatal OCD, by systematically reducing avoidance behaviors.
When prescribing an SSRI to a breastfeeding mother with severe postpartum depression, which medication has the most safety data and is generally preferred?
Answer: Sertraline
Sertraline has the most robust safety data in breastfeeding, with low infant plasma levels and no reported adverse events.
Interpersonal Therapy (IPT) for perinatal depression primarily focuses on:
Answer: Role transitions, grief, and interpersonal disputes
IPT addresses role transitions (e.g., becoming a mother), grief, and interpersonal conflicts that contribute to perinatal depression.
A pregnant woman with severe depression refuses medication due to teratogen concerns. The most appropriate alternative somatic treatment to consider is:
Answer: Electroconvulsive therapy (ECT)
ECT is safe in pregnancy and is indicated for severe, treatment-resistant depression when medication refusal or risk is prohibitive.
Which of the following best describes the role of peer support in perinatal mental health treatment?
Answer: It reduces isolation and shame while complementing professional care
Peer support reduces stigma, social isolation, and shame and works best as an adjunct to, not replacement for, professional treatment.
Brexanolone (Zulresso) is distinct from traditional antidepressants because it:
Answer: Acts as a GABA-A receptor positive allosteric modulator targeting allopregnanolone pathways
Brexanolone is a synthetic analog of allopregnanolone that modulates GABA-A receptors, addressing the neurobiological mechanism specific to postpartum depression.