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
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Technical Requirements
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- The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
- Internet Explorer 11+
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Optimal System Configuration:
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