Psychological Interventions & Treatment Strategies Flashcards

When using problem-solving therapy (PST) with a postpartum patient overwhelmed by new parenthood demands, the clinician focuses on:

Answer: Teaching a structured process to identify problems, generate solutions, and evaluate outcomes

PST teaches a structured, step-by-step approach to defining problems, brainstorming solutions, and evaluating the effectiveness of chosen strategies.

A perinatal clinician is working with a patient who experienced sexual trauma and now has significant anxiety about labor and delivery. Which approach addresses both the trauma history and birth-specific fears?

Answer: Trauma-informed birth preparation integrating EMDR or trauma-focused CBT

Trauma-informed birth preparation that integrates EMDR or trauma-focused CBT addresses both the underlying trauma and birth-specific anxieties.

Which of the following best describes the primary goal of Dyadic Developmental Psychotherapy (DDP) in the perinatal context?

Answer: Improving the quality of parent-child attachment through joint therapeutic work

DDP focuses on healing disrupted attachment by working therapeutically with both the parent and child together to improve their relational quality.

A mother with postpartum psychosis has been stabilized on medication. Which psychological intervention is most appropriate as she transitions to outpatient care?

Answer: Psychoeducation, relapse prevention planning, and family support

After stabilization, psychoeducation about the illness, relapse prevention planning, and involving family supports are appropriate psychological interventions.

Behavioral activation, a key component of CBT for perinatal depression, primarily works by:

Answer: Increasing engagement in meaningful activities to improve mood

Behavioral activation combats the withdrawal and inactivity of depression by systematically scheduling and increasing engagement in rewarding activities.

Which format of psychotherapy delivery has shown effectiveness for postpartum depression and can improve access for mothers with young infants?

Answer: Telephone-delivered or internet-based CBT

Telephone-delivered and internet-based CBT have demonstrated effectiveness for postpartum depression and significantly improve access for mothers who face barriers to in-person care.

In treating a pregnant woman with generalized anxiety disorder, the perinatal clinician would modify standard CBT by:

Answer: Adapting worry themes to pregnancy-specific concerns and adjusting pacing for fatigue

Standard CBT is adapted for pregnant patients by addressing pregnancy-specific worry themes and adjusting session pacing to accommodate physical symptoms like fatigue.