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Postpartum Support International PMHC Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Cultural and Diversity Considerations | 8% | - Cultural beliefs and practices - Disparities in access and care - LGBTQ+ and marginalized populations |
| Risk Factors and Etiology | 10% | - Trauma and history of mental illness - Biological and hormonal factors - Psychosocial and environmental factors |
| Screening, Assessment and Diagnosis | 12% | - Clinical interview and assessment methods - Differential diagnosis and comorbidity - Validated screening tools |
| Family and Partner Support | 7% | - Support systems and community resources - Impact on partners and family - Involving family in treatment |
| Psychopharmacology | 9% | - Risks vs benefits of treatment - Breastfeeding and medication use - Medication safety in pregnancy and postpartum |
| Prevention and Early Intervention | 5% | - Early identification and intervention - Universal and targeted prevention |
| Care Coordination and Systems of Care | 6% | - Public health and policy - Interprofessional collaboration - Referral pathways and care transitions |
| Recovery and Wellness | 5% | - Self-care and provider wellness - Relapse prevention and maintenance |
| Evidence-Based Psychotherapy Approaches | 9% | - Trauma-informed care - Interventions for specific disorders - CBT, IPT, psychodynamic therapies |
| Perinatal Mental Health Disorders | 14% | - Differentiate typical vs atypical presentations - Typical emotional, cognitive, behavioral changes - Diagnostic criteria and classification |
| Special Populations and Circumstances | 8% | - Pregnancy loss, infertility, perinatal grief - Substance use and co-occurring conditions - High-risk pregnancies and complications |
| Legal, Ethical and Professional Issues | 7% | - Confidentiality and informed consent - Scope of practice and boundaries - Mandatory reporting and liability |
Postpartum Support International Perinatal Mental Health Certification Sample Questions:
1. 88. Prenatal massage has been shown to:
A) increase incidences of prematurity and low birth weight
B) decrease estrogen levels in pregnant women
C) increase prenatal complications.
D) reduce depression and anxiety
2. 51. Which symptoms are included under the diagnostic criteria for PPD?
A) Hallucinations, delusions, low mood
B) Sleep disturbance appetite changes, hallucinations
C) Appetite changes, low mood, delusions
D) Low mood, fatigue, sleep disturbance
3. 86. You are working in an outpatient pediatric care setting and encounter a new mother who screens positive for depression and reports symptoms consistent with a depressive episode of moderate severity You provide her with counseling referrals but she says she does not have time to attend counseling and intends to use a self- guided web-based intervention instead. Which of the following statements represents your BEST response?
A) Assess the mother to be certain there are no active symptoms of suicidally, mania or psychosis, ask her to identify the web-based intervention she intends to use, advise her to call you if her symptoms worsen, and document these steps
B) Inform the mother that web-based interventions are unproven and may do more harm than good: advise her that you cannot support her in this decision, and document your concerns
C) Tell the mother she should only use a web-based intervention in conjunction with counseling/therapy, offer to help her set up an initial appointment with a therapist before she leaves your office, and document your concerns.
D) Seek a psychiatric consultation based on concerns that this mother may be delusional for thinking her symptoms can be helped by a self-guided web-based intervention and document your rationale for seeking consultation.
4. 46. Perinatal Obsessive-Compulsive Disorder (OCD):
A) is often co-morbid with depression
B) involves re-experiencing traumatic events.
C) is associated with the "baby blues".
D) results in postpartum psychosis.
5. 45. Which of these factors has been found to have the MOST impact on whether screening for perinatal depression improves materna mental health?
A) Screening at least once every trimester of pregnancy and once within six weeks postpartum
B) Using the Edinburgh Postnatal Depression Scale (EPDS) rather than other screening tools
C) Selecting women to screen who have known risk factors for perinatal depression
D) Developing a systematic follow-up of all positive screens with assessment and access to treatment
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: D |



