PMH-C Treatment Interventions 2

Question 1

Which psychotherapy is considered a first-line evidence-based treatment for postpartum depression?

Accepted Answer

Cognitive-behavioral therapy (CBT)

Answer

CBT is a first-line evidence-based treatment for postpartum depression, targeting negative thought patterns and behaviors.

Question 2

A mother with perinatal OCD is avoiding bathing her newborn due to intrusive harm thoughts. The MOST appropriate evidence-based treatment approach is:

Accepted Answer

Exposure and Response Prevention (ERP)

Answer

ERP is the gold-standard behavioral treatment for OCD, including perinatal OCD, by systematically reducing avoidance behaviors.

Question 3

When prescribing an SSRI to a breastfeeding mother with severe postpartum depression, which medication has the most safety data and is generally preferred?

Accepted Answer

Sertraline

Answer

Sertraline has the most robust safety data in breastfeeding, with low infant plasma levels and no reported adverse events.

Question 4

Interpersonal Therapy (IPT) for perinatal depression primarily focuses on:

Accepted Answer

Role transitions, grief, and interpersonal disputes

Answer

IPT addresses role transitions (e.g., becoming a mother), grief, and interpersonal conflicts that contribute to perinatal depression.

Question 5

A pregnant woman with severe depression refuses medication due to teratogen concerns. The most appropriate alternative somatic treatment to consider is:

Accepted Answer

Electroconvulsive therapy (ECT)

Answer

ECT is safe in pregnancy and is indicated for severe, treatment-resistant depression when medication refusal or risk is prohibitive.

(PMH-C) Perinatal Mental Health Certification Practice Test

(PMH-C) Perinatal Mental Health Certification Practice Test

PMH-C Treatment Interventions 2