9 minutes ago
Jennifer Moore-Fischer Main Post MooreFischer 
Cognitive Behavioral Therapy is the recommended first line treatment of OCD, especially during pregnancy (Iniesta-Seplveda and Storch, 2017). CBT is also the non pharmaceutical intervention of choice (Viswasam, Eslick, and Starcevic, 2019). And truly, if the risks of pharmaceutical nontreatment versus benefits gained by pharmaceutical treatment are weighed and pharmaceutical nontreatment is risked, then CBT should be heavily encouraged to keep mother and baby as healthy as possible during the pregnancy (Viswasam, Eslick, and Starcevic, 2019).
With the exception of paroxetine, SSRIs (Such as fluoxetine and sertraline) are the drugs of choice to treat Obsessive Compulsive Disorder in pregnancy, though they are secreted in small (considered relatively safe) amounts in breastmilk during breastfeeding (Bharadwaj et al., 2022). Paroxetine is of increased risk and should be avoided in favor of lower risk alternative SSRIs as previously listed (Burton et al, 2022).
Escitalopram (Lexapro) can be prescribed off label to treat OCD during pregnancy if fluoxetine and sertraline etc fail to relieve symptoms or cause significant side effects that fail their trial (Peggy, Cummings, and Mark, 2017). It should also be noted that Buspar is actually a category B drug for pregnancy use risk (Bharadwaj et al., 2022).
The risk assessment tool I woulod use during pregnancy for women struggling with OCD is the Perinatal Anxiety Screening Scale. The PASS screening can be used after a GAD7 indicates moderate to high anxiety, in the categories of: acute anxiety and adjustment, general worry and specific fears, perfectionism, control and trauma, and social anxiety (Bharadwaj et al., 2022). Potential side effects of SSRIs include dry mouth, insomnia, blurred vision, drowsiness, nausea, dizziness, nervousness, headaches, reduced libido, blurred vision (Bharadwaj et al., 2022).
The APA does publish regularly updated treatment guidelines for the assessment and treatment of OCD. They recommend use of CBT and SSRIs for appropriate ytreatment of OCD (Viswasam, Eslick, and Starcevic, 2019).
References
American Psychiatric Association (APA). (2013). Diagnostic and statistical
manual of mental disorders (5th ed.). Arlington, VA: Author.
doi: 10.1176/appi.books.9780890425596.dsm06
Bharadwaj, B., Endumathi, R., Parial, S., & Chandra, P. (2022). Management of psychiatric disorders during the perinatal period. Indian Journal of Psychiatry, 64, 414428.
Burton, H. A. L., Pickenhan, L., Carson, C., Salkovskis, P., & Alderdice, F. (2022). How women
with obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review. Journal of Affective Disorders, 314, 118.
Iniesta-Seplveda, M., & Storch, E. A. (2017). Cognitive-behavioral therapy as an effective,
safe, and acceptable intervention for OCD during pregnancy. Revista Brasileira de Psiquiatria, 39(1), 84.
Peggy, L., Cummings, N., & Mark, T. (2017). Off-Label Prescribing of Psychotropic Medication, 20052013: An Examination of Potential Influences. Psychiatric Services, 68(6), 549558. https://doi.org/10.1176/appi.ps.201500482
Viswasam, K., Eslick, G. D., & Starcevic, V. (2019). Prevalence, onset and course of anxiety disorders during pregnancy: A systematic review and meta analysis. Journal of Affective Disorders, 255, 2740.
Get Your Paper Before the Deadline. Our Services are 100% private and Confidential
Useful Links That Will Help You Around
Link to new order https://studentsolutionsusa.com/orders/stud/new
link to login page https://studentsolutionsusa.com/orders/login
New user registration link https://studentsolutionsusa.com/orders/register
Forgot Password https://studentsolutionsusa.com/orders/forgot/password
FREQUENTLY ASKED QUESTIONS
Question: How does this work?
Answer: Good Question. We are a group of a freelance board of students and professional essay writers. At our website, you may get help with any type of academic assignments: essay, coursework, term paper, business plan, case study, article review, research paper, presentation, and speech. Top writers can help with complex assignments such as dissertations, thesis papers, etc. All of them are professionals possessing excellent knowledge in their field of expertise, perfect writing skills, quality, and speed. When you place an order on our website, we assign it to the best writer. Once the writer finishes the work, the paper is submitted to our quality assurance desk who go through it and ensure it is unique and plagiarism free and that the instructions were followed to the detail. After this step we upload the paper in your account, we also send a copy to the email that you used to register the account with. we can guarantee you that the paper will be 100% plagiarism free. Besides, our services are 100% private and confidential
Question: How do I place an Order after getting to the order page
Answer: There are three major steps in the ordering process
Step 1 ....................................................paper details In this step, you will fill in the instructions of your paper; you can upload any materials that you feel will make your assignment a success. Besides, you can also email us at [email protected] Remember to specify the correct academic level. Please note that sources mean the number of references.
Step 2...................................................... Price calculation Kindly specify the number of pages, type of spacing and the correct deadline. This step will give you the estimated cost minus discount -- you may add the extra features if you wish.
Step 3 ....................................................discount and payment Use the discount code HAPPY2018 to enjoy up to 30% discount of your total cost After this step, proceed to safe payment; you can checkout using your card or PayPal Please note we will send the complete paper to the email you will provide while registering. A copy will also be uploaded to your account
Question: How will I know when my paper is complete? or How will I get the complete Paper?
Answer: Once we are done with the paper, we will be uploaded to your account. A copy will also be sent to the email you registered with. We can guarantee you the following:- 1. Our service is private and confidential; we don't spam or share your contacts with anyone 2. The final paper will be plagiarism free. We will send a Turnitin Report to the email you registered with 3. At our company, willing to do free unlimited revisions until you are satisfied with your paper
Question:- Am a new client, How can I get the guarantee that the paper will be completed and sent to me before my deadline?
Answer: Thank you for expressing your concerns. We would love to have you as our loyal customer. We are certain if we do good work, you will come back for me. Besides, you will give us referrals to your friends and family. For that reason, we can’t fail to deliver your paper within your specified time frame. We will ensure we submit the paper on time so that you can have enough time to go through it, if you have problems with the paper delivered, you can request a free revision. You are entitled to as many revisions as you would wish until you get a paper that satisfies you
Useful Links That Will Help You Around
Link to new order https://studentsolutionsusa.com/orders/stud/new
link to login page https://studentsolutionsusa.com/orders/login
New user registration link https://studentsolutionsusa.com/orders/register
Forgot Password https://studentsolutionsusa.com/orders/forgot/password
