Irritability is a common yet underrecognized feature of distress in the perinatal period. Dr. Swales will review the biopsychosocial determinants of perinatal irritability and provide recommendations for assessment and intervention. She will examine the triggers and behavioral outputs of irritability and discuss how providers can attend to an individual’s environment and cultural context in case […]
Clinical Vignettes Samira: Irritability, Emotion Regulation, and Bonding Samira is a 35-year-old, married, cisgender, first generation Indian American woman. She initiated treatment in the third trimester of pregnancy for mild depression and anxiety. In her first few days postpartum (i.e., following delivery), her symptoms of anhedonia, avolition, insomnia, and excessive guilt worsened, and she struggled […]
Clinical Vignette Daisy is a 7-year-old girl who was referred to a pediatric anxiety treatment service due to concerns for obsessive-compulsive behaviors. Daisy’s parents denied any significant medical history but did endorse a family history of anxiety and depression. During the intake assessment, Daisy’s parents described her as a “master nitpicker.” Her parents further reported […]
Written by Terry Bardagjy on March 26, 2021
Clinical Vignette Jane is a 65-year-old woman seeking treatment for symptoms of anxiety and depression that have become unmanageable. She has suffered from generalized anxiety and persistent depression throughout her life. Her symptoms worsened as she faced retirement and adjusted to the challenges related to aging, such as loneliness, financial worries, and increasing health concerns. […]
Written by Terry Bardagjy on September 9, 2020
Lissa, a 13-year-old girl, is brought to your office by her parents because of reported intermittent low mood and significant social anxiety. They describe her as being a kind girl and “having a big heart.”
