Advanced Evaluation & Management of Psychiatric Illness in Reproductive-Age Women
Developed by an experienced nurse-midwife and women’s/perinatal psychiatry specialist — for midwifery clinicians!
This training is an exploration of the advanced skill set necessary for midwifery clinicians to recognize and treat anxiety and depression in women with confidence and competence. The diagnostic process for psychiatric disorders is broken down into discrete steps, and common DSM-V terminology and diagnoses will become more familiar. Additionally, a depth review of serious psychiatric presentations will hone the clinician's ability to construct a comprehensive "differential.” Finally, we will explore the full complement of treatment options for common psychiatric complaints and discuss the unique ethical and clinical challenges inherent in prescribing for preconception, pregnant, and breastfeeding women. Upon completion, learners will take a quiz and receive a CE certificate that attests to their advanced knowledge. Learners will also return to their practice setting with presentation slides, references, and valuable clinical tools available for download.
Feedback from our students...
"I just want to share a personal experience: literally about 4 hrs after I finished this session [Session 4 on recognizing bipolar and psychotic disorders in women], I received a call from a patient's spouse who was concerned that his partner was suffering from postpartum psychosis. After some initial phone triage, I agreed with him and ended up on the phone with this couple for about 15 minutes offering guidance, reassurance, and then making a plan to proceed to the emergency room. I was able to follow up with this patient when she was discharged a few days later and she is doing well so far...but I just want to offer deep thanks for the work you do. This session was incredibly helpful, along with the videos in it, allowing me a glimpse into my patient's experience that I wouldn't have otherwise had. She has expressed gratitude for the care I provided (which really was minimal), and I credit this e-course for a stronger sense of confidence in my ability to deftly manage crisis situations like this."
~ Nurse-Midwife in Portland
"I loved this course!! I feel much better prepared to care for my patients. Thank you Adria for your thoughtful presentation of this information."
~ Nurse-Midwife in Northampton, MA
"I can't say enough how helpful this presentation was. I work in El Paso, TX in an area that has very few mental health resources and where providers are very hesitant to treat pregnant and breastfeeding women at all with medications. This presentation gave me more confidence to practice to my full scope and to go out and look for mental health providers who I may collaborate with in the future. This presentation made me proud to be a midwife and APRN."
~ Nurse-Midwife in El Paso, TX
- Review various female hormone-mood connections related to PMS, Premenstrual Dysphoric Disorder, infertility treatment, pregnancy, birth, the postpartum transition and breastfeeding, and menopause.
- Improve screening and assessment techniques, and become more comfortable with diagnostic criteria for many common psychiatric disorders.
- Become familiar with common bio-psycho-social contributors to psychiatric illness in women.
- Explore ethical dilemmas and informed consent issues related to prescribing medications for preconception, pregnant, and postpartum women.
- Utilize evidence-based treatment strategies for selecting and implementing medical and non-medical treatments for common depressive and anxious disorders. Free, web-based tools will be introduced to assist clinicians in treatment planning.
- Identify strategies for ruling out bipolar and psychotic disorders, and become familiar with treatment goals and strategies for women with bipolar and/or psychotic disorders during pregnancy and the postpartum year in order to recognize deterioration and support management by psychiatric clinicians.
- Understand how the midwifery scope of practice encompasses the provision of primary care services such as mental health screening, assessment, diagnosis, treatment and referral.
Continuing Education Credit
The American College of Nurse Midwives (A.C.N.M.) has approved this program for 7.0 contact hours or 0.7 CEUs, including 2.5 hours of pharmacology content.
Individual Sessions Within Training
- Session I: Hormones, Mood, & Pregnancy – An Overview (45 minutes)
- Session II: Assessment & Diagnosis of Common Psychiatric Symptoms in Women (76 minutes)
- Session III: Recognition of Bipolar & Psychotic Disorders in Reproductive-Age Women (31 minutes)
- Session IV: Effective Strategies for Treating Depression and Anxiety in Women (93 minutes, Rx=40 minutes)
- Session V: Maternal Psychiatric Treatment: Informed Consent, Ethics, & Pharmacology (31 minutes, Rx = 31 minutes)
- Session VI: Antidepressant Safety for Pregnant & Breastfeeding Women (61 minutes, Rx = 61 minutes)
- Session VII: Treatment Goals & Strategies for Reproductive-Age Women with Bipolar and Psychotic Disorders (36 minutes, Rx = 21 minutes)
How This Course Works
- This course has been designed for online viewing on a computer, tablet, or even your smartphone.
- It includes 7 hours of online videos that have been optimized for online streaming. However, if you have limited access to internet bandwidth, we have also provided a set of lower-bandwidth audio-only files and downloadable session slides.
- Once you register for the course you will have immediate and ongoing access to course videos and downloadable materials for 21 days. This allows you to learn at your own pace, when it's convenient for you!
- To get the most from this course, plan to spend about 60 to 90 minutes for 7 of these 21 days watching session videos & taking notes, studying appendix items and familiarizing yourself with recommended web-based tools
- Please download and save all PDF files (slide deck, appendices, resources, etc.) during your 21 day course access period, so that you will have them for reference materials after your course enrollment period has ended.
- After you have finished reviewing all course materials, you will take an online test to verify mastery of the course content. You may take the online test more than once during your 21 day access period if necessary. After receiving a passing grade of 80% you will be able to download your continuing education certificate.
Supported, in part, with an award from the
American College of Nurse-Midwives Foundation’s
W. Newton Long Award
7-hour web-based, on-demand video training price: $250 USD
Upon payment registrants will receive log-in information that allows access to videos, presentation slides and hand-outs for 21 days. Enjoy!
*Special rates are available for students, academic institutions, and organizations interested in hosting trainings for large groups.
To make inquiries, email firstname.lastname@example.org or call 971-220-8338.
Who should take this training?
- Midwives in clinical, academic and leadership positions
- Students and midwives seeking to distinguish themselves in a competitive job market
- Any primary care, pediatric, & obstetric providers who care for reproductive-age women
What makes this training critical now?
Across their lifetime, more than 20% of women suffer from depression and/or anxiety. An additional several percent are profoundly impacted by less common illnesses such as bipolar and psychotic disorders. Midwives who practice to the full extent of their scope by recognizing and treating common psychiatric complaints, and referring women to specialists as needed, have opportunities to impact mental health outcomes and general vitality within their patient populations. Since poor psychiatric outcomes impact marginalized women the most, addressing mental health complaints improves health disparities among the most vulnerable.
Fortunately, formal guidance from national and professional organizations exists to encourage all clinicians caring for women to screen, assess, diagnose, and effectively treat or refer women for psychiatric symptoms in order to target obstetric, pediatric, and general health-related outcomes immediately.
Click on the links below to read recommendations that set current standards of care:
- 2016 U.S. Preventive Services Task Force Depression Screening Recommendations Include Pregnant and Postpartum Women
- Alliance for Innovation on Maternal Health (AIM) Patient Safety Bundle– Maternal Mental Health: Depression and Anxiety
- American College of Nurse-Midwives Position Paper: Depression in Women
- American Congress of Obstetricians and Gynecologists Committee Opinion: Screening for Perinatal Depression
Adria Goodness, MN, CNM, PMHNP-BC is a Psychiatric Nurse Practitioner and Certified Nurse-Midwife in Portland, Oregon. She received both her Masters in Midwifery and her post-master’s certificate in Psychiatric Mental Health Nursing at Oregon Health & Science University. From 2003 to 2013, Adria provided full-scope obstetric, gynecologic and primary care to women, adolescents, and families as a Nurse-Midwife. In 2011, she transitioned into her private psychiatric practice, which draws from midwifery philosophy in striving to create a health care experience that "respects human dignity, individuality and diversity among groups.”
Adria focuses her psychiatric practice on the care of women as a Reproductive Psychiatry specialist. She is Affiliate Faculty at Oregon Health & Science University and a consultant to organizations and individual clinicians seeking integration of specialty women’s mental health care into general psychiatric, primary care, and OB/GYN settings. Her greatest passion is bridging the knowledge gap between the fields that address women’s physical health and those that focus on mental wellbeing.