https://stxoe.slack.com/files/UHUQNPM7D/F04MBUBMXGF/t058b_preview_of_dropping_the_baby_intro__los__and_posttest.pdf?origin_team=TDVG34YQ1&origin_channel=Dropping the Baby and Other Scary ThoughtsC02AMM64N1J
Dropping the Baby and Other Scary Thoughts
Course Summary
The birth of a new baby brings joy to many parents, but it can also cause unexpected
emotions and thoughts. This is particularly true in mothers, who may experience anxiety,
depression, and/or emotional distress during pregnancy and postpartum. Mental health
providers can support patients struggling through the perinatal period by helping them to
understand their “scary thoughts” (a term used to describe the upsetting thinking that can
interfere with the wellbeing of a new mother), normalizing their experience, and assessing
the severity of their distress. Dropping the Baby and Other Scary Thoughts, 2nd Edition
provides essential information that both the client and the treating therapist can use when
dealing with intrusive, negative, and unwanted thoughts. The purpose of this intermediate
level course is to prepare psychologists, social workers, marriage and family therapists,
and counselor to support perinatal women experiencing “scary thoughts.”
Clinicians can use the information presented in this learning material to identify
clients experiencing perinatal distress and determine appropriate treatment options that
reflect the needs of those clients. It also helps providers recognize not only professional
treatment options, but also self-help strategies that may reduce negative feelings in the
clients they are supporting. Other topics covered include the role of support systems and
support considerations for diverse parents and clients from different cultural contexts.
Upon completion of this course, providers will be able to screen and assess for perinatal
anxiety and depression as well as recommend and support with interventions intended to
improve anxiety and depressive symptoms in perinatal women.
Learning Objectives
1) Identify the different presentations of anxiety and depressive disorders in perinatal
mothers.
2) Describe the nature, prevalence, and effects of “scary thoughts” in perinatal women.
3) Discuss factors that may increase a woman’s vulnerability to experiencing “scary
thoughts” during the postpartum period.
4) Recognize the symptoms of anxiety-related and depressive psychiatric disorders that
may present in perinatal mothers.
5) Explain the cognitive, societal, and symptomatic barriers that may deter a woman from
disclosing her perinatal distress.
6) Describe screening practices that mental health providers can use when providing
support to perinatal mothers.
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7) Discuss responses, self-help strategies, and nonprofessional interventions that may
help improve anxiety and depressive symptoms in perinatal women.
8) Identify elements of the cognitive model and strategies that may help perinatal patients
reduce distressing thoughts and emotions.
9) Discuss the concept of acceptance as a means to reduce suffering among perinatal
women in distress.
10) Describe psychotherapy and medication interventions available to treat perinatal
women seeking professional support.
11) Differentiate the mechanisms of practical, emotional, and psychosocial support
systems beneficial to the physical and psychological health of perinatal women.
12) Recognize how family roles, life experiences, and cultural contexts may influence the
development and presentation of perinatal anxiety and depression in parents.
13) Identify strategies that are recommended to perinatal women trying to cope with and
break the cycle of “scary thoughts”.
Chapter 1: A Mother’s Anxiety
1) Anxiety that interferes with normal functioning
is common in all new mothers and will quickly pass.
indicates lack of social support.
requires professional attention.
is easily identified by healthcare providers.
2) The term “scary thoughts” refers to
persecution delusions.
negative affect.
upsetting thinking that can interfere with the wellbeing of a new mother.
splitting thinking that can cause suicidal ideation in perinatal mothers.
3) The period of pregnancy and the first year following delivery is known as the
post-partum period.
perinatal period.
prenatal period.
antenatal period.
4) The process of repeatedly and excessively thinking about the causes, meaning, and
consequences of distress is known as
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reflection.
rumination.
meditation.
deliberation.
5) Thoughts, preoccupations, images, or impulses that are intrusive, persistent,
recurrent, and difficult to control are defined as
obsessive thoughts.
regression.
depressive thoughts.
anhedonia.
6) The factor that determines whether a thought is troublesome or not is the
content of the thought.
frequency of the thought.
individual’s level of distress and meaning attached to the thought.
situation in which the thought occurs and length of the thought.
7) Behaviors that are performed over and over in an attempt to find relief from
intrusive thoughts are defined as
obsessions.
manifestations.
ruminations.
compulsions.
8) The act of interpreting subtle, harmless physical sensations as a sign of danger or
impending doom is referred to as
fatalistic determinism.
catastrophic misinterpretation.
histrionic behavior.
cognitive dissonance.
Chapter 2: A Closer Look
9) Which statement regarding “scary thoughts” is accurate?
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Experiencing unwanted, invasive, “scary thoughts” is common among new
parents.
The presence of “scary thoughts” indicates a parent is more likely to harm their
child.
Ignoring and suppressing “scary thoughts” will assist in making them disappear.
Individuals with no mental health history are unlikely to experience “scary
thoughts.”
10) Which is true of individuals with a history of anxiety, depression, or
perfectionism?
They have a decreased risk of experiencing “scary thoughts.”
They have a risk of experiencing “scary thoughts” equal to those with no mental
health history.
They have more extreme “scary thoughts” than those with no mental health
history.
They have an increased risk of experiencing “scary thoughts.”
11) According to Abramowitz and colleagues (2006), what percent of new mothers
experience obsessive thoughts about their baby at some point following their
baby’s birth?
25%
40%
66%
91%
12) People who report worrying about things for at least 50% of the time often meet
the criteria for
obsessive-compulsive disorder.
generalized anxiety disorder.
major depressive disorder.
social anxiety disorder.
13) When a “scary thought” is ego-dystonic, it is
in conflict with one’s belief in who they are and it creates piercing anxiety.
in conflict with one’s belief in who they are and the thoughts are psychotic.
a warning sign that a perinatal women may act on her scary thoughts.
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a warning sign that a perinatal women may abandon her baby.
14) When high levels of distress accompany “scary thoughts”, mothers typically
are more responsive to their infant’s cues and as a result experience more stress.
attempt to reduce anxiety and overthinking by overprotecting their baby.
engage in avoidance behaviors or rituals in an effort to control their thoughts.
have postpartum depression and are likely to withdrawal from their families.
15) There is substantial evidence that “scary thoughts” produce harsh parenting
conduct.
True
False
Chapter 3: Why Am I Having Scary Thoughts?
16) “Scary thoughts” emerge from a complex system that involves genetics, biology,
thinking styles, and
type of birth.
environmental stressors.
marital status.
age.
17) According to Hettema and colleagues (2001) and Levinson (2006), the likelihood
of inheriting psychiatric disorders like major depression, generalized anxiety
disorder, and panic disorder is roughly
10%.
30–50%.
65–75%
90%.
18) Having a family member with a mental health disorder increases the likelihood of
an individual developing a disorder by
4–6 times.
10–12 times.
18–20 times.
28–30 times.
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19) The likelihood of anxiety and depression increases when receptor sites in the brain
are damaged or the brain does not have enough of the neurotransmitter
oxytocin.
serotonin.
dopamine.
cortisol.
20) The hormone that facilitates maternal attachment to the newborn and increases
activity in the fear center of the brain is
oxytocin.
serotonin.
dopamine.
cortisol.
21) Psychiatric problems and “scary thoughts” are more likely to develop
after first pregnancies.
after successive pregnancies.
during pregnancy.
before pregnancy.
22) Which hormone, known to be elevated during pregnancy, can have downstream
effects on serotonin and dopamine levels and contribute to the potential to
experience “scary thoughts”?
Progesterone
Estrogen
Cortisol
Prolactin
23) A thinking style that makes women vulnerable to excessive worry and involves an
individual second guessing themselves and spending excessive time researching
answers to their worries is termed
poor problem orientation.
inaccurate beliefs.
intolerance of uncertainty.
verbal what-if process.
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24) Although the thinking style of cognitive avoidance may help people avoid
uncomfortable images of potential catastrophes in the short-term, it also
increases the strength and intensity of distressing worries in the long-term.
decreases the frequency and intensity of distressing worries in the long-term.
makes people resistant to seeking help in managing their anxiety.
provides relief from distressing mental images and intense anxiety.
25) The thinking style associated with especially high levels of distress across the
postpartum period and that is described as the inability to stop thinking about and
focusing on a mental state is known as
contemplating.
reflecting.
brooding.
expounding.
26) Which client statement indicates the likelihood of anxiety sensitivity and a
vulnerability to catastrophic misinterpretations?
“I’m in so much pain all of the time and distracting myself isn’t helping.”
“My heart pounds when I think about labor so I’ve been practicing breathing
exercises daily.”
“My heart pounds and I sweat when I think about labor. I know I will end up
having a heart attack.”
“The baby’s cries are so loud they give me headaches. I’m exhausted and
irritable.”
27) The vulnerability factors listed in a biopsychosocial model that are most likely to
increase a woman’s chances of experiencing “scary thoughts” are
depression, breastfeeding, and perfectionism.
new house, first baby, and hardworking.
anemic, bottle feeding, and religious.
immigrant, twins, and anxious.
Chapter 4: How Do You Know If You Need Help?
28) In which case would professional help be encouraged for a mother experiencing
anxiety?
The person is a first-time mother.
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The symptoms have persisted for more than 1 month.
The person is having difficulty performing normal activities.
The person is responsible for caring for multiple family members.
29) The distinguishing feature of generalized anxiety disorder is
prior trauma.
intrusive urges.
excessive worry.
obsessions and compulsions.
30) Many women with generalized anxiety disorder also struggle with
psychosis.
depression.
bipolar disorder.
anorexia nervosa.
31) An individual experiencing extreme emotional or behavioral distress or
impairment in functioning within three months of a recognizable stressor may be
diagnosed as having
bipolar disorder.
behavioral disorder.
adjustment disorder.
generalized anxiety disorder.
32) Major depressive disorder can be diagnosed when an individual displays a
depressed mood and experiences emotional distress, the loss of pleasure,
hopelessness, disturbed sleeping and eating, and suicidal thoughts for at least
1 week.
2 weeks.
1 month.
2 months.
33) Major depressive disorder (MDD) and the “baby blues” are different because
“baby blues” subside on their own and require no intervention, while MDD does
require intervention.
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only MDD often results in poor sleep and exhaustion.
women with “baby blues” have difficulty concentrating but concentration isn’t
affected by MDD.
only MDD emerges within the first two to three weeks after childbirth.
34) Which statement is true regarding perinatal depression?
Women with perinatal depression are usually unable to care for their babies.
Women with perinatal depression may appear clinically and physically healthy.
Perinatal depression is easily diagnosed by healthcare providers.
Perinatal depression is experienced by all first-time mothers.
35) The category of “scary thought” most closely linked with depression is
rumination.
worry.
intrusive thoughts.
obsessive thinking.
36) Which statement is true regarding obsessive compulsive disorder (OCD) in
perinatal women?
Both obsessions and compulsions must exist to meet the criteria for a diagnosis of
OCD.
Counting and hoarding behaviors are most frequently observed in postpartum
women.
Contamination obsessions and cleaning compulsions are more common in
postpartum onset OCD.
The majority of obsessive thoughts experienced during the perinatal period
pertain to the new baby.
37) A women's perception that medical staff did not support during labor and that her
life was put in danger meets the DSM's definition of a traumatic event.
True
False
38) A new mother may have agoraphobia if she
avoids the grocery store during popular times because she fears getting sick.
limits her driving because she is fearful about getting into a car accident.
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believes that her shortness of breath is due to lung disease.
stays home at all times to avoid having a panic attack in public.
39) The primary difference between suicidal intent and suicidal ideation is that
someone with suicidal intent
often has a suicide plan.
withdraws from others.
spends more time thinking about dying.
experiences ongoing feelings of hopelessness.
40) Women who experience psychotic thoughts
feel a great deal of alarm and distress.
believe that their thoughts make logical sense.
think and behave like themselves despite the thoughts.
show signs of distress because of the bizarre thinking.
Chapter 5: Barriers to Relief
41) One reason it is sometimes difficult for healthcare professionals to know which
experiences during the perinatal period are of concern is that
women often have trouble identifying their symptoms during this perinatal period.
women may exaggerate symptoms during the perinatal period due to hormone
shifts.
many of the symptoms of anxiety and depression are considered normal
experiences during the perinatal period.
many healthcare providers are poorly informed about what experiences are
considered normal during this period.
42) Women report that one reasons they are hesitant to reveal their “scary thoughts” is
because they
fear others will minimize or dismiss their experience.
do not want to be prescribed antidepressant medication.
believe that their thoughts are typical of what other perinatal women experience.
worry that saying the thought out loud makes it more likely to become a reality.
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43) Postpartum women are apprehensive about being diagnosed as mentally ill and
describe being diagnosed with depression as worse than being labeled as a bad
mother.
True
False
44) An informal questionnaire at The Postpartum Stress Center found that perinatal
women first admitted their postpartum distress to their
partners and/or mothers.
obstetrician and/or pediatrician.
closest friend.
primary care provider.
45) Women are least likely to disclose postpartum distress to the
obstetrician.
pediatrician.
primary care provider.
lactation consultant.
46) There is a general tendency for women to recoil from social support when they
feel judged or stigmatized.
are first-time or single mothers.
are criticized by their partners and/or mothers.
feel like other’s problems are bigger than their own.
47) One of the negative consequences of utilizing the internet and social media as
resources for parental support is the
decreased reliance on face-to-face support.
increased expectation to ignore negative feelings attached to motherhood.
risk of intensifying feelings of isolation.
over-normalizing of symptoms that require professional support.
48) The question that best illustrates the ultimate deterrent perinatal women experience
as they consider disclosure of their “scary thoughts” is
“Will anyone believe what I am telling them?”
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“What if something bad happens as a result of my disclosure?”
“Can I overcome these thoughts on my own?”
“Do I deserve to receive help when I am such a bad mother?”
49) Healthcare providers can be a barrier to mothers receiving mental health care when
they
ask poorly worded questions about mental health.
conduct routine depression screens on all patients.
refer patients who express significant distress to mental health experts.
ask follow-up questions when women respond tentatively to screening questions.
Chapter 6: Screening for Scary Thoughts
50) It is recommended that the initial intervention for assessing a mother’s mental
health be conducted
during the phone intake.
via an online questionnaire.
via a mailed paper-based survey.
6 months post-partum.
51) To establish trust with defensive clients during assessment, the provider should
reassure the client and ask yes and no questions.
ask the client complete a questionnaire instead of having a conversation.
ask the client if they would like to come back when they feel more like talking.
reassure the client and explain that full disclosure provides a complete clinical
picture.
52) Universal screenings that ask each perinatal person if she is having thoughts that
scare her are likely to
increase the occurrence of suicidal thoughts.
replace the need for specialized mental health screenings.
improve detection of perinatal distress.
yield fewer disclosures than observations made by the clinician during routine
visits.
53) A 31-item questionnaire that can assess for the presence and severity of anxiety
symptoms in perinatal women is the
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Edinburgh Postnatal Depression Scale.
Postpartum Checklist.
Postpartum Depression Screening Scale.
Perinatal Anxiety Screening Scale.
54) The pediatrician is considered the optimal care provider to monitor for perinatal
distress in women because
pediatricians have more training related to mental health screening.
mothers tend to keep pediatrician appointments but may delay their own care.
pediatricians are able to spend more time with patients than other care providers.
mothers report having a greater level of trust in pediatricians than their other care
providers.
55) If a couple is being treated by a mental health provider together, it is recommended
that both parents be screened for perinatal anxiety-related and depressive disorders
because the emergence of significant perinatal distress is possible for both.
True
False
56) Which of the following best describes a difficulty most healthcare providers
experience regarding perinatal screening?
Healthcare providers feel that they have inadequate time and insufficient training
to screen effectively.
Healthcare providers cannot prioritize the issue of perinatal distress because it is
not as important as other patient issues.
Healthcare providers struggle to get perinatal woman to participate in the
screening process.
Healthcare providers avoid screening because they don’t know what to do if
perinatal distress is detected.
57) When conducting a mental health screen, the healthcare provider should use a tone
that
is lighthearted and upbeat.
conveys sympathy and pity.
is warm but unemotional.
is impersonal and cool.
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58) After asking perinatal women if they are having thoughts that scare them, the
healthcare provider should
avoid clarifying the question so the mother can interpret what she thinks is meant.
let the mother know that it is normal for healthcare professionals to ask questions
about emotional health.
ask the mother what she thinks she can do to prevent the “scary thoughts”.
validate the common occurrence of “scary thoughts” whether or not the mother
discloses distress.
59) A universal, 1-question screening question that healthcare providers should ask
their perinatal woman patients is
“How are you feeling about being a mom?”
“Are you struggling to care for your baby?”
“Are you having thoughts that are scaring you?”
“Do you receive emotional support at home?”
Chapter 7: Things You Can Do to Feel Better
60) Which statement regarding denial is accurate?
Denial is always a maladaptive coping mechanism that is unable to diminish the
intensity of “scary thoughts”.
Denial provides long-term reprieve from unpleasant thoughts and feelings when
done deliberately.
Denial is self-sabotaging because it interferes with the management of “scary
thoughts”.
Denial is a useful tool in eliminating “scary thoughts” because it allows
adjustment time.
61) Redirecting thoughts away from “scary thoughts” or distressing feelings toward
something else is referred to as
denial.
avoidance.
distraction.
circumvention.
62) The acronym S.E.L.F. represents which elements of self-care?
sex, entertainment, love, fun
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spirituality, exercise, love, family
socialize, examine, laugh, facilitate
sleep, exercise, laugh, food
63) Self-care practices such as breathing and relaxation exercises, which research
shows calm the body and quiet the mind, should be performed
three times per week.
10 to 20 minutes per day.
one hour per day.
5 minutes of every waking hour each day.
64) Which nonprofessional intervention may produce antidepressant effects and is
considered a favorable option for perinatal women in distress?
Controlled breathing
Light therapy
Omega-3 fatty acids
Progressive muscle relaxation
Chapter 8: Can You Really Change How You Think?
65) The cognitive model describes how
primitive forces drive humans to grow, change, and develop their personal
potential.
thoughts and perceptions influence the way people feel and behave.
systemic structures and the sociocultural context maintain mental illness.
the unconscious mind, childhood experiences, and interpersonal relationships
impact behavior.
66) Automatic thoughts are different from beliefs because automatic thoughts
arise in particular situations and are more easily modified than beliefs.
are hardwired in the brain and harder to change than beliefs.
are understood and processed as core truth or knowledge.
produce appropriate emotional reactions despite the situation.
67) If a patient notices a negative change in their mood during a given situation, the
first and most central question they can ask themself is,
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“What behavior and/or person caused me to feel that way?”
“What evidence supports the way that I felt in that situation?”
“What is it costing me to allow this negative mood to take over?”
“What thought was running through my mind in that situation?”
68) Coping cards are useful in reducing the intensity of negative emotions and can
serve as an alternative to the “Scary Thought” log when time is tight.
True
False
69) An alternative way to enhance cognitive flexibility is to repeat a single word that
summarizes a “scary thought” over and over again until it loses its original
meaning, which is a process known as
proactive interference.
internal possession.
cognitive defusion.
cognitive experimentation.
Chapter 9: Working Toward Acceptance
70) Acceptance is the choice to
face reality even if it feels uncomfortable or scary.
abandon hope that change will occur.
be okay with the way things are.
focus only on the positive aspects of a situation.
71) Acceptance is an important step to reduce suffering among perinatal women in
distress because it
allows for better self-control of “scary thoughts”.
identifies thoughts that need to change to overcome distress.
reduces the amount of “scary thoughts” that occur.
sets in motion appropriate responses to distress.
72) One of the first ways to start developing acceptance is by focusing attention on the
present moment and rejecting the temptation to critique the past or worry about the
future, which is otherwise known as practicing
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emotionless consciousness.
attentive meditation.
mindfulness.
relaxation.
73) One way to implement radical acceptance as a distress tolerance skill is to
mentally picture an ideal reality.
actively work to suppress “scary thoughts.”
ignore feelings of disappointment, sadness, or grief.
relax the body and mind to facilitate a greater openness for acceptance.
74) Willingness is an important part of acceptance because it
involves recognizing the reality of a situation and effectively solving problems.
gives a person the choice to be a spectator on the side-lines when action is needed.
maintains connection with one’s surroundings when action is not an option.
involves watching life more closely and allowing whatever will be to be.
75) Which is one of the Six Points for managing anxiety?
When fear comes on, shift focus to something positive.
When possible, isolate from others until fear passes.
Make a list of activities unable to be completed during periods of fear.
Rate the level of fear on a scale of 0 to 10 when it occurs and see how it varies.
Chapter 10: Professional Treatment Options
76) An active, listening-based therapy that uses approaches such as empathy, praise,
advice, clarification, confrontation, and interpretation to engage with the client is
acceptance and commitment therapy.
cognitive behavioral therapy.
supportive psychotherapy.
dialectical behavior therapy.
77) Exposure, a cognitive behavioral strategy sometimes used to address “scary
thoughts”, is believed to work through inhibitory learning—a process by which
habitual subjection to distressing thoughts blocks emotional response.
new information is learned that blocks the original fear.
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the mind and body learns to adjust to the source of anxiety.
the mind and body learn how to draw more balanced conclusions.
78) What treatment approach is particularly suitable for addressing perinatal distress
because of its recognition that biological, environmental, affective, and social
factors interact and may lead to problematic behavior, thoughts, and mood?
Acceptance and commitment therapy
Cognitive behavioral therapy
Supportive psychotherapy
Dialectical behavior therapy.
79) A therapy that reduces depressive symptoms and was found to reduce anxiety
when delivered during the postpartum period is
interpersonal psychotherapy.
group psychotherapy.
acceptance and commitment therapy.
dialectical behavior therapy.
80) Which statement regarding selective serotonin reuptake inhibitors (SSRIs) is true?
SSRIs have no side effects.
SSRIs recycle neurotransmitters, allowing more time for them to work.
SSRIs are effective for depression but not for anxiety.
SSRIs should be not be used by women who are breastfeeding.
81) A patient must follow strict dietary restrictions and be aware of multiple drug-drug
interactions when taking
benzodiazepines.
tricyclic antidepressants.
monoamine oxidase inhibitors (MAOIs).
selective serotonin reuptake inhibitors (SSRIs).
82) Which statement regarding benzodiazepines is accurate?
Benzodiazepines have no risk of tolerance or dependence.
Benzodiazepines take four to six weeks to exert a full effect.
Benzodiazepines may cause drowsiness and short-term memory impairment.
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Benzodiazepines may be purchased over-the-counter.
83) A noninvasive procedure that uses magnetic fields to stimulate nerve cells in the
brain to improve symptoms of depression is called
electroconvulsive therapy.
neural implantation.
transcranial magnetic stimulation.
lobotomy treatment.
Chapter 11: How Others Can Help
84) Information, programs, or groups that help promote healthy attitudes and skills are
examples of
emotional support.
psychosocial support.
practical support.
affirmational support.
85) The two skills associated with high-functioning marriages are
intimacy and self-awareness.
communication and conflict resolution.
financial management and organization.
humility and accommodation.
86) The greatest act of support a friend or family member can give to someone
struggling with “scary thoughts” is
accepting how the person in distress is feeling and what they may say.
avoiding discussing the “scary thoughts” with the person in distress.
helping the person in distress find professional support immediately.
reassuring the person in distress that everything will work out.
87) Which statement most indicates an increased risk of suicidal behavior and the need
for professional support?
“I just want to run away.”
“I want to go to sleep and not wake up.”
“I’m tired of crying all the time.”
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“Motherhood is not at all what I expected.”
88) When therapists treat perinatal women struggling with “scary thoughts”, some of
the ways they can maximize a woman’s connection to the therapeutic process are
by being clear about their expertise in this area, responding with confidence in
their ability to provide help, and
being firm with clients about their need for treatment.
praising clients for all the things they are doing right.
encouraging clients to not talk specifically about their “scary thoughts”.
informing clients that they likely will feel better by talking about the “scary
thoughts”.
Chapter 12: Recognizing the Needs of Diverse Parents
89) Which of the following statements is a flag that a nongestational parent is
experiencing disentitlement?
“I don't know what to do about my wife being anxious and depressed.”
“I go to the gym a lot because it helps me better handle being a new parent.”
“I should not feel depressed and anxious about the baby, but I do.”
“I am frustrated that my wife is depressed because I am helping her so much.”
90) Approximately what percentage of adoptive mothers have reported clinically
significant depressive symptoms at some point during the first postadoption year?
1–5%
13–28%
45–53%
75–86%
91) Which statement is true regarding the presentation of anxiety and depression in
men experiencing paternal postnatal depression?
Men are less likely than women to engage in alcohol and substance use and abuse.
Men tend to experience more anger, avoidance, and impulsive behavior than
women.
Men are more likely than women to seek professional intervention for depressive
disorders.
Men are less likely than women to feel abandoned by current medical and social
paradigms.
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92) Some of the factors that contribute to the increased risk of postpartum depressive
symptoms among Black, Latina, and Hispanic women (as compared to White
women) include increased incidence of domestic violence, history of trauma, high
rates of poverty, and living
without the baby’s father.
with unsupportive family members.
in unsafe neighborhoods.
far away from treatment providers.
93) New mothers who participate in non-Western collectivist cultural practices, such
as resting and avoiding their usual housework duties for extended periods of time
after childbirth, experience perinatal distress at significantly reduced rates as
compared to mothers in Western culture.
True
False
Chapter 13: Your Personal Treatment Plan
94) Once upsetting thoughts are recognized, the next step in breaking the cycle of
“scary thoughts” is
listing and categorizing the thoughts.
identifying who is to blame for the thoughts.
using cognitive strategies to respond differently to thoughts.
starting a “scary thought” log to help with acceptance of the thoughts.
95) In the eight steps to breaking the cycle of “scary thoughts,” after acknowledging
the thoughts, identifying the thoughts, and identifying vulnerabilities, the next step
is
letting go of distressing thoughts and letting in positivity.
selecting appropriate self-help interventions and treatments.
identifying barriers to disclosing the thoughts to others.
determining whether professional help would be of value.
96) Rating the level of distress, taking several breaths, and noticing fluctuations in
distress level are all strategies for
identifying barriers to normalcy.
practicing acceptance of distressing thoughts.
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augmenting a self-care regime.
avoiding pitfalls of distressing thought