Clinical Approaches for Reproductive Psychiatry
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Expires on Sep 30, 2025
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Non-Member: $27.50
Medical Student: $0.00
Resident Fellow Member: $0.00
Credit Offered
1.5 CME Credits
1.5 COP Credits

Available: 10/01/2022 - 09/30/2023


There is no cost to participate in this activity or to earn CME credit. APA is making this activity available to its members as a benefit of APA membership. For ABPN diplomates, access to this program was supported through funding from the American Board of Psychiatry and Neurology (ABPN).

Reproductive Psychiatry focuses on treatment of psychiatric disorders in women during the reproductive years, particularly during times of hormonal change. These include the premenstrual and perimenopausal time-periods, pregnancy and postpartum. The management of psychiatric disorders during times of hormonal change complicates standard psychiatric clinical care, but can be managed with particular treatment approaches. This symposium will present clinical treatment approaches specific to times of reproductive change including for Premenstrual Dysphoric Disorder, during pregnancy and lactation and during perimenopause. Each speaker is an attending in the Johns Hopkins Women’s Mood Disorders Center and considered an expert in Reproductive Psychiatry. Each speaker will include a case example and outline the difficulties of clinical care during each reproductive stage and emphasize ways to approach treatment successfully. Audience members will gain a greater understanding of how to approach psychiatric treatment planning for women during reproductive life events and times of hormonal change. The following topics will be addressed: 1) PMDD: Premenstrual Dysphoric Disorder (PMDD) occurs in about 5 percent of menstruating women, but it is underrecognized and often misdiagnosed or undertreated. This talk will describe accurate diagnosis of PMDD, and present data on evidence-based treatment options. 2) Psychiatric Management during Pregnancy: This talk will discuss the limitations of the safety literature and present a general approach to developing a treatment plan for patients with psychiatric illness during pregnancy. 3) Psychiatric Treatment Postpartum: The postpartum period is a time a great vulnerability to mood and anxiety disorders, with the likelihood of first-time hospitalization in the postpartum increased as much as 23 times above the rate at other times. Management of these disorders is complicated by lactation and the needs of newborn care, but can be carried out safely with a reliance on the best evidence-based treatments. 4) Psychiatric Issues during Perimenopause: The perimenopausal period can last up to 10 years for some woman.

**This content was captured at the 2021 APA Annual Meeting and may reference information from various sources and terminology from previous editions of the DSM.

Learning Objectives

  • Identify two treatments for Premenstrual Dysphoric Disorder.
  • Describe a general approach to designing a psychiatric medication plan for pregnancy.
  • Name two mood stabilizing medications that can be used during lactation.
  • Define the terms ‘perimenopause” and “menopause.”

Target Audience

Psychiatrists, Residents/Fellows

Estimated Time to Complete

Estimated Duration: 90 minutes
Begin Date: October 1, 2022
End Date: October 1, 2025

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this enduring CME activity for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Program Presenters

  • Jennifer Payne, MD, UVA Health. Reports no financial relationships with commercial interests.
  • Liisa Hantsoo, MD, Johns Hopkins Women's Mood Disorders Center. Reports no financial relationships with commercial interests.
  • Lauren Osborne, MD, Johns Hopkins. Reports no financial relationships with commercial interests.
  • Lindsay Standeven, Reproductive Psychiatrist and Assistant Professor at Johns Hopkins Hospital. Reports no financial relationships with commercial interests.

Program Planners

  • Jacqueline Maus Feldman, M.D., Chairperson, Scientific Program Committee, Reports no financial relationships with commercial interests.
  • Robert O. Cotes, M.D., Vice-Chairperson, Scientific Program Committee, Reports no financial relationships with commercial interests. 
  • Uchenna Okeye, M.D., Vice-Chairperson, Scientific Program Committee, Reports no financial relationships with commercial interests. 
  • Katie Putnam, Membership Development Manager, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Ally Brown, Former Associate Director, Online Learning, American Psychiatric Association. Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

  • The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
  • Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
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  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
  • Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

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