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Psychiatric Update on Reproductive Mood Disorders
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Video Summary
Dr. Kimberly Yonkers and Dr. Gina Civella delivered a comprehensive presentation on reproductive mood disorders. Dr. Yonkers, renowned for her work on mood and substance use disorders in women, began with the complexities of Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD). She emphasized that while many consider PMS a joke, for those affected, it involves significant distress and impairment. PMDD, in particular, presents severe symptoms like mood swings, irritability, and depression, which can occur cyclically, often needing specific treatments.<br /><br />Effective treatments for PMDD include serotonin reuptake inhibitors (SRIs), which can be intermittent or continuous, and select contraceptives. She also touched on novel treatments like compounds developed to modulate neurosteroids, which are being explored for their effectiveness in PMDD.<br /><br />Dr. Yonkers also discussed perinatal mood disorders, shedding light on the prevalence and treatment challenges of depression during pregnancy. She reviewed the risks associated with antidepressant use during pregnancy, which are generally non-teratogenic but require careful consideration regarding preterm birth and neonatal adaptation.<br /><br />Dr. Civella covered menopausal mood disorders, focusing on vasomotor symptoms, sleep disturbances, and depression during the menopausal transition. Hormone therapy remains the most effective treatment for vasomotor symptoms, but non-hormonal options like SRIs and newer medications are available. She emphasized the overlap in treating mood and vasomotor symptoms during menopause, with SSRIs being a cornerstone for mood symptoms.<br /><br />The session concluded with an engaging Q&A, discussing various treatments' nuances and implications for reproductive mood disorders, emphasizing the importance of personalized treatment plans.
Keywords
reproductive mood disorders
Premenstrual Syndrome
Premenstrual Dysphoric Disorder
serotonin reuptake inhibitors
neurosteroids
perinatal mood disorders
depression during pregnancy
antidepressant use
menopausal mood disorders
vasomotor symptoms
hormone therapy
personalized treatment plans
Dr. Kimberly Yonkers
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