PSI Perinatal Mental Health Certification Exam Updated For 2026 With 100% Solutions

PSI Perinatal Mental Health Certification Exam Updated For 2026 With 100% Solutions
Theories of etiology biological sensitivities to hormone changes (sleep), genetic vulnerability (prior
diagnosis), psychological (identity), social/environmental (poor social support/racism)
Baby Blues
Affects 60-80% new mothers. Due to hormone changes and sleep deprivation. lasts 2
days to 2 weeks. Tearful, labile affect, reactivity, exhaustion BUT predominately happy,
self-esteem remains unchanged. Resolves without intervention. Recommend self care
strategies.
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How to determine is it blues or depression
severity, intensity, duration of symptoms
Prevalence of postpartum anxiety
8-20%
Prevalence of prenatal anxiety
15%
Prevalence of postpartum depression
21%
Prevalence of postpartum panic disorder
11%
Prevalence of postpartum OCD
11%
Prevalence of postpartum PTSD
9%
Percentage of bipolar symptoms that relapse w/o meds
70%
Prevalence of postpartum psychosis
1-2 out of 1,000
Prevalence of PPD in fathers
10%
Prevalence psychosis in women with known bipolar disorder
20-30%
Traits of OCD
recognizes that thoughts are unhealthy, extreme anxiety related to thoughts/images,
concerned about "snapping". parent does not want to harm the baby, thoughts are
frightening.
Traits of psychosis
does not recognize actions/thoughts are unhealthy, may seem to have less anxiety
when indulging in thoughts/behaviors, no insight about distortion of thoughts, parent has
delusional beliefs about the baby, thoughts of harming the baby are ego-syntonic
Traits of PTSD
intrusive thoughts (flashbacks), avoidance, negative cognitions and mood, arousal
(sleep disturbance, poor concentration, aggression, hyper vigilance)
maternal mortality-all women
1,200 a year or 14.4 per 100,000
maternal mortality-black women
43.5 per 100,000
Bipolar 1 Disorder
a type of bipolar disorder marked by at least one lifetime full manic and major
depressive episodes
Hypomania
A mild manic state in which the individual seems infectiously merry, extremely talkative,
charming, and tireless. up to 4 days in length
mania
a mood disorder marked by a hyperactive, wildly optimistic state-function is impaired.
can last 7 days
prevalence of first diagnosis of bipolar disorder postpartum
50%
Risk factors for postpartum psychosis
History of bipolar or psychotic disorder, first pregnancy, family history, recent
discontinuation of psychotropic medication
Postpartum psychosis symptoms
onset-2 weeks postpartum, poor concentration, disorientation, agitation, aloof, lack of
self care, elated/labile mood, rambling speech, thought broadcasting/delusion of
grandiosity, disorganized thoughts, flight of ideas, hallucinations
reducing risk of postpartum psychosis
stay on bipolar medication, treat immediately in women with history of psychosis and
bipolar, good sleep is essential
Evidence based risk factors for PMADS
previous PMADS (family history, personal history, symptoms during pregnancy), history
of mood/anxiety disorders (personal or family history of depression, anxiety, OCD,
eating disorders, bipolar disorders), significant mood reactions of hormonal changes
(puberty, PMS, hormonal birth control)
More evidence based risk factors for PMADS
endocrine dysfunction (diabetes, thyroid imbalance, fertility challenges), social factors
(IPV, low support, financial stress, racism), high stress parenting (military families,
adolescent parents, parents of multiples, single parents)
Exacerbating factors of postpartum depression

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