Exam Code: PMHC
Exam Name: Perinatal Mental Health Certification
Certification Provider: Postpartum Support International
Corresponding Certification: PSI-PMHC
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Postpartum Support International PMHC Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Screening, Assessment and Diagnosis12%- Differential diagnosis and comorbidity
- Clinical interview and assessment methods
- Validated screening tools
Topic 2: Psychopharmacology9%- Risks vs benefits of treatment
- Medication safety in pregnancy and postpartum
- Breastfeeding and medication use
Topic 3: Prevention and Early Intervention5%- Universal and targeted prevention
- Early identification and intervention
Topic 4: Recovery and Wellness5%- Self-care and provider wellness
- Relapse prevention and maintenance
Topic 5: Evidence-Based Psychotherapy Approaches9%- CBT, IPT, psychodynamic therapies
- Interventions for specific disorders
- Trauma-informed care
Topic 6: Perinatal Mental Health Disorders14%- Differentiate typical vs atypical presentations
- Typical emotional, cognitive, behavioral changes
- Diagnostic criteria and classification
Topic 7: Special Populations and Circumstances8%- Pregnancy loss, infertility, perinatal grief
- High-risk pregnancies and complications
- Substance use and co-occurring conditions
Topic 8: Care Coordination and Systems of Care6%- Interprofessional collaboration
- Public health and policy
- Referral pathways and care transitions
Topic 9: Risk Factors and Etiology10%- Trauma and history of mental illness
- Psychosocial and environmental factors
- Biological and hormonal factors
Topic 10: Legal, Ethical and Professional Issues7%- Mandatory reporting and liability
- Scope of practice and boundaries
- Confidentiality and informed consent
Topic 11: Family and Partner Support7%- Impact on partners and family
- Support systems and community resources
- Involving family in treatment
Topic 12: Cultural and Diversity Considerations8%- Cultural beliefs and practices
- Disparities in access and care
- LGBTQ+ and marginalized populations

Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 61. Case Study
Aliya is currently pregnant with her second child at 25 weeks gestation Her first child is 20 months old. She is coming to you to help her decide if what she is experiencing is normal for pregnancy or if she is having symptoms of a perinatal mood disorder. During her interview, she describes poor sleep, increased tearfulness, low energy, and irritability. She states that her first child sleeps well and is not interrupting her sleep, and that she is not waking up due to increased urination or physical discomforts of pregnancy. She reports that she has not ever been as tearful as she is now, including during her previous postpartum period She states that she has been tested by her obstetrician (OB) care provider for anemia and thyroid dysfunction and her lab results were normal. She is noticing that her irritability is affecting her relationship with her partner She worries that she is
"pushing him away:" even though he is trying to be supportive.
Question: In the scenario. Aliya is describing increased tearfulness. Her symptoms occur daily for the last two weeks and are affecting her functioning. In addition to depressed mood, what other symptom would she need in order to meet the criteria of DSM-5 diagnosis of Major Depressive Disorder, with peripartum onset?

A) Suicidal ideation
B) Anhedonia
C) Excessive guilt
D) Psychomotor retardation


2. 65. Motherhood can include some emotional vulnerability and periods of distress that are expected and can be tolerated. Which of the following are outside of normal expectations for a new mother?

A) Wanting to limit visitors
B) Fantasies of having her old life back
C) Persistent feelings of sadness
D) Repeatedly forgetting where she puts things


3. 98. Helplines provide support in what capacity?

A) Crisis intervention and case management
B) Social support and connection to resources
C) Medication management
D) Assessment and diagnosis


4. 99. Which of the following is a normal change during pregnancy?

A) Water retention decreases
B) Respiratory rate decreases
C) Blood pressure remains constant
D) Plasma volume increases


5. 101. Which of the following collaborative care models focuses on adjusting the treatment intensity to the severity and presentation of postpartum depression?

A) Stepped care
B) Motivational interviewing
C) Screen and refer
D) Integrative care


Solutions:

Question # 1
Answer: B
Question # 2
Answer: C
Question # 3
Answer: B
Question # 4
Answer: D
Question # 5
Answer: A

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