Skip to main content
SpringerLink
Log in

The Case of Leila Moro: Not Just the Blues

  • Chapter
  • First Online:
Early Career Physician Mental Health and Wellness

  • 376 Accesses

Abstract

Physicians in training are choosing to become parents during their graduate medical education years. Appropriately screening and treating mood disorders and/or other mental health issues during this time period is a crucial task of any psychiatrist. Understanding unique challenges faced by young physicians including role transitions and conflicts around work and home life is necessary. In this chapter, treatment specific to this population is discussed including practical management strategies as well as major psychological conflicts that may arise in a psychotherapeutic modality.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Meltzer-Brody S, Jones I. Optimizing the treatment of mood disorders in the perinatal period. Dialogues Clin Neurosci. 2015;17(2):207–18.

    PubMed  PubMed Central  Google Scholar 

  2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. VI-TR ed. Washington: American Psychiatric Publishing; 2000.

    Google Scholar 

  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington: American Psychiatric Publishing; 2013.

    Book  Google Scholar 

  4. Yonkers K, Ramin S, Rush A, Navarrete C, Carmody T, March D, Heartwell S, Leveno K. Onset and persistence of postpartum depression in an inner-city maternal health clinic system. Am J Psychiatry. 2001;158(11):1856–63.

    Article  CAS  Google Scholar 

  5. Committee Opinion No. 630. The American College of Obstetricians and Gynecologists Committee Opinion no. 630. Screening for perinatal depression. Obstet Gynecol. 2015;125(5):1268–71.

    Article  Google Scholar 

  6. O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013;9:379–407.

    Article  Google Scholar 

  7. O’Hara M. Prospective study of postpartum blues. Arch of Gen Psychiatry. 1991;48(9):801.

    Article  Google Scholar 

  8. Di Florio A, Forty L, Gordon-Smith K, Heron J, Jones L, Craddock N, Jones I. Perinatal episodes across the mood disorder spectrum. JAMA Psychiatry. 2013;70(2):168.

    Article  Google Scholar 

  9. Donahue Jennings K, Ross S, Popper S, Elmore M. Thoughts of harming infants in depressed and nondepressed mothers. J Affect Disord. 1999;54(1–2):21–8.

    Article  Google Scholar 

  10. Zuckerman B, Amaro H, Bauchner H, Cabral H. Depressive symptoms during pregnancy: relationship to poor health behaviors. Int J Gynecol Obstet. 1990;31(1):90–1. octors treating Doctors: Wellness in the Formative Years

    Article  Google Scholar 

  11. Susser L, Sansone S, Hermann A. Selective serotonin reuptake inhibitors for depression in pregnancy. Am J Obstet Gynecol. 2016;215(6):722–30.

    Article  CAS  Google Scholar 

  12. Blair J, Mayer A, Caubet S, Norby S, O’Connor M, Hayes S. Pregnancy and parental leave during graduate medical education. Acad Med. 2016;91(7):972–8.

    Article  Google Scholar 

  13. Greenfield N. Maternity and medical leave during residency: time to standardize? Int J Womens Dermatol. 2015;1(1):55.

    Article  Google Scholar 

  14. Chretien K. Mothers in medicine. 1st ed. Cham: Springer; 2018. p. 21–30.

    Google Scholar 

  15. Jagsi R, Tarbell N, Weinstein D. Becoming a doctor, starting a family — leaves of absence from graduate medical education. N Engl J Med. 2007;357(19):1889–91.

    Article  CAS  Google Scholar 

  16. Auchincloss E. Conflict among psychiatric residents in response to pregnancy. Am J Psychiatry. 1982;139(6):818–21.

    Article  CAS  Google Scholar 

  17. Tinsley J. Pregnancy of the early-career psychiatrist. Psychiatr Serv. 2000;51(1):105–10.

    Article  CAS  Google Scholar 

  18. Wiegartz P, Gyoerkoe K. The pregnancy and postpartum anxiety workbook: practical skills to help you overcome anxiety, worry, panic attacks, obsessions, and compulsions. Oakland: New Harbinger Publications; 2009.

    Google Scholar 

  19. Finch S. Pregnancy during residency. Acad Med. 2003;78(4):418–28.

    Article  Google Scholar 

Suggested Reading

  • Butts N, Cavenar J. Colleagues’ responses to the pregnant psychiatric resident. Am J Psychiatr. 1979;136(12):1587–9.

    Article  CAS  Google Scholar 

  • Cox J, Holden J, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:787–6.

    Article  Google Scholar 

  • Cullen-Drill M. The pregnant therapist. Perspect Psychiatr Care. 2009;30(4):7–13.

    Article  Google Scholar 

  • National Institute of Child Health. The relation of child care to cognitive and language development. Child Dev. 2000;71(4):960–80.

    Article  Google Scholar 

  • Postpartum Support - PSI. Home | Postpartum Support - PSI. 2018. [online] Available at: http://www.postpartum.net/. Accessed 25 Feb 2018.

Download references

Author information

Authors and Affiliations

  1. Weill Cornell Medical College/New York-Presbyterian Hospital, New York, NY, USA

    Alyson Gorun MD & Julie Penzner MD

Authors
  1. Alyson Gorun MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Julie Penzner MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Julie Penzner MD .

Editor information

Editors and Affiliations

  1. Weill Cornell Medical College/New York-Presbyterian Hospital, New York, NY, USA

    Janna S. Gordon-Elliott

  2. Weill Cornell Medical College/New York-Presbyterian Hospital-Westchester Division, White Plains, NY, USA

    Anna H. Rosen

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gorun, A., Penzner, J. (2019). The Case of Leila Moro: Not Just the Blues. In: Gordon-Elliott, J., Rosen, A. (eds) Early Career Physician Mental Health and Wellness. Springer, Cham. https://doi.org/10.1007/978-3-030-10952-3_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-10952-3_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10951-6

  • Online ISBN: 978-3-030-10952-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation