Mental health articles

OF mental health care and mentally ill

June, 2016

ASSESSMENT, FORMULATION AND INTERVENTION

ASSESSMENT, FORMULATION AND INTERVENTION Women, couples or families suffering psychological difficulties in the ante-natal period will be seen in a range of inpatient and outpatient settings in obstetric, psychiatric and community-based services. They may be assessed by a variety of medical and allied health clinicians, referred from a variety of sources with the range of […]

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Experience of trauma during labour and delivery

Experience of trauma during labour and delivery When labour and delivery are experienced as traumatic this can affect the initial interaction between mother and infant, particularly if the baby becomes associated with trauma and pain in the mother’s mind. Women with a past history of trauma or abuse are at risk of having these feelings […]

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Past psychiatric or psychological difficulties

Past psychiatric or psychological difficulties A history of mental illness or ongoing personal difficulties increases the risk of a recurrence of these problems during the ante- and post-partum period. This is due to the interaction of physical, hormonal, psychological and social factors involved in the process of transition to becoming a parent. At this time […]

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Social isolation and/or adversity

Social isolation and/or adversity Because pregnancy is a time of increased emotional vulnerability, and preparing to parent an infant has multiple practical and emotional consequences, lack of social and emotional support increase the risk of post-partum psychological difficulties and therefore can affect the infant. Many women parent in isolation, some by choice, others by circumstance. […]

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PREVIOUS HISTORY OF ABUSE

PREVIOUS HISTORY OF ABUSE How we were parented affects how we are as parents (van IJzendoorn, 1992). If the experience of being parented was abusive or inadequate, there may be difficulties in adjusting to parenthood and parenting. All expectant and new parents reconsider their experience of being parented and growing up in their family of […]

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Current or unresolved conflict, trauma and loss

Current or unresolved conflict, trauma and loss There are implications for the infant–parent relationship if trauma and loss for the parent are not adequately resolved. This can include current circumstances, for example, intimate relationships characterised by conflict and violence or bereavement during pregnancy. Unresolved childhood or adolescent trauma or ongoing conflict with family members can […]

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Past obstetric trauma or loss

Past obstetric trauma or loss This includes previous miscarriage, termination, adoption or stillbirth, a history of traumatic labour and delivery, infants born with a disability or deformity, and, for some couples, prolonged infertility prior to conception. The loss of a baby, a miscarriage, abortion or infant relinquished for adoption or removed by child-protection services may […]

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Risk factors for psychological disturbance during pregnancy and birth

Risk factors for psychological disturbance during pregnancy and birth Women experiencing mental health or relationship problems increasingly are identified during routine ante-natal screening. Ideally, this enables referral for appropriate assessment and intervention. A range of screening tools and processes have been developed to suit the needs of obstetric services. Questions about past psychiatric history, and […]

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Effect of ante-natal mental health problems

Effect of ante-natal mental health problems Stressful life events in the ante-natal period affect parental physical and mental well-being. This can impact on foetal and therefore infant development and mental health in a number of ways. There are the possible effects of maternal mental health on obstetric outcomes, and potentially on the neurobiological development of […]

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Interpersonal changes in child development

Just as each expectant parent experiences psychological and emotional changes and challenges during pregnancy, so intimate relationships also undergo a transition in preparation for the baby’s arrival. The ability of a couple, their extended family and social network to adjust affects the amount of support the new parent receives. Lack of support from a partner […]

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