PsychEd Episode 44: Reproductive Psychiatry with Dr. Tuong Vi Nguyen

PsychEd: educational psychiatry podcast

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers perinatal psychiatry with Dr. Tuong Vi Nguyen, Assistant Professor, Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University and Scientist, RI-MUHC, Brain Repair and Integrative Neuroscience (BRaIN) Program, Centre for Outcomes Research and Evaluation.

The learning objectives for this episode are as follows:

By the end of this episode, you should be able to…

1. Define the field of reproductive psychiatry
2. Discuss the possible neurobiological pathways impacting mood and cognition during the reproductive cycle of women.
3. Discuss the influence of sociocultural gender roles on psychopathology.
4. List the DSM-V diagnostic criteria of premenstrual dysphoric disorder.
5. Recall the epidemiology of premenstrual dysphoric disorder.
6. Describe the steps in the diagnostic evaluation for premenstrual dysphoric disorder.
7. List lifestyle and psychopharmacologic interventions for premenstrual dysphoric disorder.
8. Discuss common mental health concerns during the perimenopausal period.

Guest: Dr. Tuong Vi Nguyen

Hosts: Nima Nahiddi (PGY4), Audrey Le (PGY1), and Arielle Geist (PGY2)

Audio editing by: Audrey Le

Show notes by: Arielle Geist

Interview content:

• Introduction - 00:00
• Learning objectives - 01:00
• Defining the field of perinatal psychiatry - 01:50
• Discussing neurobiological pathways impacting mood and cognition during the reproductive cycle - 02:47
• The influence of sociocultural gender roles on psychopathology -05:28
• DSM-V criteria of premenstrual dysphoric disorder - 11:18
• Epidemiology of premenstrual dysphoric disorder - 13:40
• Diagnostic evaluation of premenstrual dysphoric disorder - 14:38
• Management of premenstrual dysphoric disorder
• Pharmacologic - 17:45
• Lifestyle - 24:15
• Perimenopausal period - 24:45
• Closing comments - 31:39

Resources:

• Brzezinski, A., Brzezinski-Sinai, N.A., & Seeman, M.V. (2017). Treating schizophrenia during menopause. Menopause, 24(5), 582-588. doi: 10.1097/GME.0000000000000772.
• Epperson, C.N., Steiner, M., Hartlage, A., Eriksson, E., Schmidt, P.J., Jones, I., & Yonkers, K.A. (2012). Premenstrual dysphoric disorder: evidence for a new category for DSM-5. The American Journal of Psychiatry, 169(5), 465-475. DOI: 10.1176/appi.ajp.2012.11081302
• Marsh, W.K., Gershenson, B., & Rothschild, A.J. (2015). Symptom severity of bipolar disorder during the menopausal transition. International Journal of Bipolar Disorders, 3(1), 35. DOI: 10.1186/s40345-015-0035-z
• Soares, C.N., Almeida, O.P., Joffe, H., & Cohen, L.S. (2001). Efficacy of estradiol for the treatment of depressive disorders in perimenopausal women a double-blind, randomized, placebo-controlled trial. Archives of General Psychiatry, 58(6), 529-534. doi:10.1001/archpsyc.58.6.529
• Weber, M.T., Maki, P.M., & McDermott, M.P. (2013). Cognition and mood in perimenopause: A systematic review and meta-analysis. The Journal of Steroid Biochemistry and Molecular Biology, 142, 90-98. https://doi.org/10.1016/j.jsbmb.2013.06.001

References:

• Kornstein S.G., & Clayton, A.H. (2004). Sex differenes in neuroendocrine and neurotransmitter systems. In Women’s mental health: A comprehensive textbook (pp.3-30). Guilford Press.
• Chrisler, J. C., & Johnston-Robledo, I. (2002). Raging hormones?: Feminist perspectives on premenstrual syndrome and postpartum depression. In M. Ballou & L. S. Brown (Eds.), Rethinking mental health and disorder: Feminist perspectives (pp. 174–197). Guilford Press.
• American Psychiatric Association. (2013). Depressive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.

CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association.

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