Peri- and postmenopausal women frequently complain of insomnia or poor sleep quality. Sleep disturbance is often attributed to nocturnal hot flashes; however, many menopausal women may have a primary sleep disorder, such as sleep apnea or restless leg syndrome. Various pharmacologic and nonpharmacologic options are available for the treatment of menopause-related insomnia. The findings […]
Tag Archives | CBT
As we move toward universal screening for perinatal depression, one of our most significant challenges will be to evaluate and deliver care to the women who are identified as being depressed. It is discouraging to note that recommendations regarding screening have not necessarily resulted in increased rates of treatment in women with perinatal depression. […]
Peri- and postmenopausal women frequently complain of insomnia or poor sleep quality. Sleep disturbance is often attributed to nocturnal hot flashes. While nocturnal hot flushes may be the cause of sleep disruption in many peri- and postmenopausal women, many of these women have an underlying primary sleep disorder, like restless leg syndrome or sleep apnea. […]
Australian researchers have developed a cognitive behavioural therapy (CBT) treatment intervention for antenatal depression and anxiety. Beating the Blues Before Birth, to be delivered as individual therapy, was adapted from a 12-session group intervention for postpartum depression previously developed by Milgrom and colleagues (Milgrom et al. 1999, 2005). Interestingly, this intervention was modified for individual […]
About 10% to 15% of women experience clinically significant depressive symptoms during pregnancy. Many studies have shown exposure to maternal depression and anxiety during pregnancy may be associated with various outcomes in the child, including delays in cognitive and motor development, altered infant temperament and behavioural stress reactivity. Depression during pregnancy has also been associated […]
Cognitive-behavioral therapy (CBT) is an effective treatment for mood and anxiety disorders and has been shown to be effective for the treatment of postpartum depression (PPD). However, not all women have access to CBT-savvy therapists. In addition, it is often difficult for new mothers to travel outside of the home for regular appointments. A recent […]
Cognitive-behavioral therapy (CBT) is well-established as a treatment for anxiety disorders; however, few studies have examined the efficacy of CBT specifically tailored to address perinatal anxiety. A recent pilot study has explored the use of a group CBT intervention. The group included 10 pregnant or postpartum women who were recruited from a hospital setting and […]
Anxiety symptoms are relatively common during pregnancy but typically undiagnosed and undertreated. A recent study of 2793 women observed that 9.5% of women meet criteria for generalized anxiety disorder (GAD) at some point during their pregnancy. The highest rates of GAD were observed in the first trimester (7%). Only 2% of women met criteria for GAD in the second trimester, and 3% in the third trimester.
Cognitive Behavioral Therapy or CBT is a type of psychotherapy that has been shown to be effective for the treatment of depression, anxiety, and sleep problems. Recently, several randomized controlled trials have demonstrated that CBT is effective for managing vasomotor symptoms in menopausal women.
Although postpartum depression (PPD) affects about 15% of all women after the birth of a child, most women with PPD receive no treatment. One of the problems has been inadequate screening for perinatal mood and anxiety disorders. Over the last decade, there has been an emphasis on educating health care professionals to reliably screen for PPD; however, other obstacles to obtaining treatment remain. Many women cannot find appropriate treaters in their area. Others are not able to get childcare in order to attend weekly appointments. Given these limitations, it is important that we explore other types of interventions that might be used to reach and effectively treat women with PPD.