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Women's Mental Health Throughout the Lifespan

Women's Psychiatry, or psychiatric care directed at treating mental health conditions specific to women, is often overlooked as a discipline. However, issues relating to menstruation, contraception, pregnancy, postpartum, and menopause require special consideration of how hormonal fluctuations affect neurochemistry, specifically the relationship between abrupt shifts in hormone levels and proclivity toward depression and anxiety. 

In this workshop, we will discuss periods of vulnerability to mood and anxiety disorders as they relate to changes in reproductive hormones, mainly estrogen and progesterone. We will discuss the epidemiology, neuroendocrinology, diagnostic considerations, and impact of mood and anxiety disorders related to the perimenstrual dysphoric disorder, contraception use, postpartum, and menopause. I will introduce clinical cases at the beginning of each didactic module. Participants will work together to conceptualize the cases based on the information presented and their unique clinical perspectives.

 https://nefesh.org/workshops/MentalHealth12/view

Women's Mental Health Throughout the Lifespan

Previously Recorded
$59.99 Cost For Member: 39.99 Esther Rollhaus, MD

Women's Psychiatry, or psychiatric care directed at treating mental health conditions specific to women, is often overlooked as a discipline. However, issues relating to menstruation, contraception, pregnancy, postpartum, and menopause require special consideration of how hormonal fluctuations affect neurochemistry, specifically the relationship between abrupt shifts in hormone levels and proclivity toward depression and anxiety. 

In this workshop, we will discuss periods of vulnerability to mood and anxiety disorders as they relate to changes in reproductive hormones, mainly estrogen and progesterone. We will discuss the epidemiology, neuroendocrinology, diagnostic considerations, and impact of mood and anxiety disorders related to the perimenstrual dysphoric disorder, contraception use, postpartum, and menopause. I will introduce clinical cases at the beginning of each didactic module. Participants will work together to conceptualize the cases based on the information presented and their unique clinical perspectives.

About the Presenter

Dr. Esther Rollhaus is a child, adolescent, and adult psychiatrist in private practice located in Riverdale, NY, and serving New York, New Jersey, Connecticut, and Pennsylvania via telehealth. She has particular interests in pregnancy and postpartum mental health, attention deficit hyperactivity disorder, and anxiety disorders. A graduate of Stern College for Women, Esther received her medical degree from the Icahn School of Medicine. She completed an adult psychiatry residency and a child and adolescent psychiatry fellowship at Montefiore Medical Center.

This workshop Offers 3 Continuing Education Credits
This webinar is recorded and will not grant live credits.

Learning Objectives:

  1. Identify the effects on estrogen and progesterone on mood and anxiety disorders in women.
  2. Identify the symptoms and diagnostic consideration for perimenstrual dysphoric disorder.
  3. Identify special considerations for treatment of women with postpartum and perimenopausal mood and anxiety symptoms.

Agenda:

Women’s Mental Health Throughout the Lifespan

Trainer: Esther Rollhaus, MD

  1. (15 minutes) The Case for Women’s Psychiatry: Why Psychiatrists and Therapists Need to know about Women-specific mental health issues  
  2. (10 minutes) Epidemiology of Mood and Anxiety Disorders in Women
    • Expression of Psychiatric Illness by Sex
    • Depression Rates by Sex
    • Anxiety Rates by Sex
  3. (20 minutes) Mood and Anxiety Disorders for Women
    • Periods of Increased Vulnerability
    • Abrupt fluctuations of reproductive hormones: menstruation, birth control, pregnancy, postpartum, perimenopause
    • Why? 
      1. The biopsychosocial formulation for increased mood and anxiety disorders around hormonal fluctuations
      2. Estrogen’s effects on serotonin, dopamine, and norepinephrine; neuroprotective and neurotrophic effects
      3. Progesterone’s effect on GABA and HPA axis
      4. Oxytocin
      5. Luteinizing hormone and follicle-stimulating hormone
    • The menstrual cycle- hormonal fluctuations
  4. (15 minutes) Menstruation- Perimenstrual dysphoric disorder (PMDD)
    • Introduction to PMDD Case
    • Epidemiology
    • Symptoms- How do we diagnose?
    • Hormonal physiology
    • Risk factors
    • Course and impact of PMDD
    • Treatment options for PMDD
      1. SSRIs
      2. Oral contraceptives
      3. Non-pharmacological treatments

(20 minutes) PMDD Case Discussion

  1. (20 minutes) Postpartum mood and anxiety disorders (PMADs)
    • Introduction to PMADs case
    • Epidemiology
    • Symptoms
    • Hormonal physiology
    • Risk factors
    • Course and impact of postpartum depression and anxiety
    • Treatment options
      1. Non-pharmacological treatment options
      2. SSRIs
      3. Brexanolone
    • Breastfeeding
    • Sleep management

          2. (20 minutes) PMADs case discussion

          3. (20 minutes) Perimenopause- Mood and Anxiety Disorders

    • Introduction to perimenopause case
    • Epidemiology
    • Symptoms
    • Hormonal physiology
    • Risk factors
    • Course and impact for mood and anxiety disorders in perimenopause
    • Treatment options
      1. Non-pharmacological treatment options
      2. SSRIs
      3. Hormone therapy

(20 minutes) Mood and Anxiety Disorders in Perimenopause case discussion

  1. Review and recap (20 minutes)

 

This presentation is open to:
  • Social Workers
  • Professional Counselors
  • Therapists
  • Psychologists
  • Licensed Mental Health Practitioners
  • Medical Doctors and Other Health Professionals
  • Other professionals interacting with populations engaged in mental health based services
Course Level: introductory
Level of Clinician: beginner
  • New practitioners who wish to gain enhanced insight surrounding the topic
  • Experienced practitioners who seek to increase and expand fundamental knowledge surrounding the subject matter
  • Advanced practitioners seeking to review concepts and reinforce practice skills and/or access additional consultation
  • Managers seeking to broaden micro and/or macro perspectives

Participants will receive their certificate electronically upon completion of the webinar and course evaluation form.

Disability Access - If you require ADA accommodations, please contact our office 30 days or more before the event. We cannot ensure accommodations without adequate prior notification. Please Note: Licensing Boards change regulations often, and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling. The grievance policy for trainings provided by the NEFESH INTERNATIONAL is available here Satisfactory Completion Participants must have paid the tuition fee, logged in and out each day, attended the entire workshop, and completed an evaluation to receive a certificate (If this is a pre-recorded program, a post-test with a passing grade of 80% to receive a certificate.) Failure to log in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available. Certificates are available after satisfactory course completion by clicking here.
There is no conflict of interest or commercial support for this program.
  • NEFESH International, Inc. is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0116.
  • NEFESH International is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0046
  • NEFESH International is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for Mental Health Counselor #MHC-0082
  • NEFESH International is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0048.
  • CE You! is an approved sponsor of the Maryland Board of Social Work Examiners for continuing education credits for licensed social workers in Maryland.
    CE You! maintains responsibility for this program.
Refund Policy: Full Refund until 48 hours before scheduled date.
48 hours before: full refund less $5.00 processing fee. After event no refund will be given.
*exclusions apply for reasonable need and cause.