A 30-year-old woman 8 weeks postpartum reports low mood, guilt, poor sleep beyond infant care and loss of interest. She has intrusive worries but no

Question

A 30-year-old woman 8 weeks postpartum reports low mood, guilt, poor sleep beyond infant care and loss of interest. She has intrusive worries but no psychosis or intent to harm herself or the baby. Which of the following is the most appropriate next step?

Accepted Answer

Assess severity and safety, offer psychotherapy and/or antidepressant treatment compatible with breastfeeding when indicated

Answer

Start antipsychotic depot in all cases

Answer

Reassure because postpartum depression cannot occur after 6 weeks

Answer

Ignore because sleep deprivation explains all symptoms

Answer

Separate mother and baby automatically

Postpartum depression — MCCQE Part 1 MCQ

A 30-year-old woman 8 weeks postpartum reports low mood, guilt, poor sleep beyond infant care and loss of interest. She has intrusive worries but no psychosis or intent to harm herself or the baby. Which of the following is the most appropriate next step?