Promoting Mental Health & Wellbeing 1: Case Study Question Answers

This case study analyzes the mental health of Lucidia, a young pregnant woman experiencing prenatal depression and anxiety, exacerbated by her previous difficult pregnancy. The assignment addresses urgent risk areas, mental health concerns, and appropriate midwifery interventions. It explores the application of Cognitive Behavioral Therapy (CBT), Interpersonal Therapy (IPT), and the Edinburgh Postnatal Depression Scale (EPDS) as effective therapeutic interventions. The student identifies specific interventions, including family support and community involvement, to address Lucidia's challenges, referencing relevant literature and guidelines from Australian clinical plans and ethical research standards. The document includes detailed answers to questions regarding risk assessment, intervention strategies, and the rationale behind chosen approaches, supporting the analysis with evidence-based practices and relevant Australian health regulations.

Running head: Question answer on case study
QUESTION ANSWER ON CASE STUDY
Name of the Student
Name of the University
Author Note

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QUESTION ANSWER ON CASE STUDY
RESPONSE TO QUESTION 1
Response to 1a
This case study focuses on the problem of prenatal depression and antenatal anxiety
of Lucidia , a young pregnant woman. She is suffering from depression and facing anxiety
during her present pregnancy for 10 weeks. Her first child borne eight months ago, and she is
feeling worse day by day as her personal and educational life are compromised. Health
condition of Lucidia is not well, and she is felt isolated and lonely throughout the day.
Response to 1b
CBT (Cognitive Behavioural Therapy), IPT (Interpersonal Therapy) and positive
interpersonal relationships can help midwife to intervene in the problem. Edinburgh Postnatal
Depression Scale (EPDS) is one of the most effective therapeutic intervention for anxiety and
depression among pregnant women (Howard et al. , 2018). Holistic approach and if possible,
some aboriginal community visit in a week can be useful for her improvement.
Conversational therapy and analysis of the answers are essential, as the mental state of the
patient can be assessed from the questionnaires. Positive interactions for the treatments are
effective as the patient feels lonely and has to live without her family.
RESPONSE TO QUESTION 2
Response to 2a
Lucidia is suffering from perinatal anxiety during her second pregnancy; as a result,
she could not sleep properly, and a feeling of indifference towards life has been aroused. She
bursts out in tears while explaining her complications related to her first pregnancy. Her first
pregnancy faced forceps delivery due to posterior presentation and prolonged labour. The

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QUESTION ANSWER ON CASE STUDY
apprehensive nature gives rise to difficulties in breathing and sense of exhaustion. She felt
that early pregnancies are harmful to her health and mind. She is terrified of her previous
pregnancy experience and felt anxious about her unborn baby. It is evident that to help the
patient; some midwifery intervention should be taken.
Response to 2b
The interventions regarding the assessment of the patient’s family condition,
interpersonal emotional and verbal expressions, analysis of behavioural significance are
essential. The patient can be introduced to other aboriginal mothers, or the survivor of
perinatal anxiety for motivation and proper medication prescribed by the psychiatrist will be
given to her (Marsay, Manderson & Subramaney, 2018). Regular cognitive behavioural
therapy should be analysed for keeping track of her mental improvement or condition (Felder
et al. ,2017). These interventions are chosen and can be fruitful to reduce her perinatal
anxiety. Family activity related to behavioural improvement and daily conversation with her
aboriginal should be encouraged. The interventions are not only helpful for better mental
health but also essential to improve her family life.
RESPONSE TO QUESTION 3
According to Australian Clinical plans the Edinburgh Postnatal Depression Scale
(EPDS) for analysis of antenatal conditions. There are some mental health support providers
approved by the Government of Australia, such as PANDA (Perinatal Anxiety and
Depression Australia), beyondblue, Cope centre Perinatal Excellence. Australian Institute of
Aboriginal and Torres Strait Islander Studies implements the Guidelines for Ethical Research
in Australian Indigenous Studies, which ensures the ethnicity of the aboriginal peoples.
Health Records Act 2001 is a framework, which protects records of individual patients (Hu et

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QUESTION ANSWER ON CASE STUDY
al., 2017). This framework ensures the privacy of any patients and helps to avoid the risk of
any controversies or misunderstandings in patient-health workers relationship.

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QUESTION ANSWER ON CASE STUDY
References
Felder, J. N., Segal, Z., Beck, A., Sherwood, N. E., Goodman, S. H., Boggs, J., ... &
Dimidjian, S. (2017). An open trial of web-based mindfulness-based cognitive
therapy for perinatal women at risk for depressive relapse. Cognitive and behavioral
practice, 24(1), 26-37. , http://dx.doi.org/10.1016/j.cbpra.2016.02.002
Howard, L. M., Ryan, E. G., Trevillion, K., Anderson, F., Bick, D., Bye, A., ... & Milgrom, J.
(2018). Accuracy of the Whooley questions and the Edinburgh Postnatal Depression
Scale in identifying depression and other mental disorders in early pregnancy. The
British Journal of Psychiatry, 212(1), 50-56. doi: 10.1192/bjp.2017.9
Hu, N., Li, J., Glauert, R. A., & Taylor, C. L. (2017). Influence of exposure to perinatal risk
factors and parental mental health related hospital admission on adolescent deliberate
self-harm risk. European child & adolescent psychiatry, 26(7), 791-803. ,
http://dx.doi.org/10.1007/s00787-017-0948-4
Marsay, C., Manderson, L., & Subramaney, U. (2018). Changes in mood after screening for
antenatal anxiety and depression. Journal of reproductive and infant
psychology, 36(4), 347-362. https://doi.org/10.1080/02646838.2018.1453601