A 32-year-old woman attends her 6-week postnatal check with low mood, anhedonia and guilt most days for 4 weeks. She denies thoughts of self-harm or

Question

A 32-year-old woman attends her 6-week postnatal check with low mood, anhedonia and guilt most days for 4 weeks. She denies thoughts of self-harm or harm to the baby. She is breastfeeding and wants treatment. What is the most appropriate management?

Accepted Answer

Assess severity and offer psychological therapy with discussion of antidepressant options

Answer

Avoid asking about self-harm to prevent distress

Answer

Reassure that symptoms will resolve without follow-up

Answer

Refer to crisis team for compulsory admission

Answer

Advise stopping breastfeeding before any treatment

Postnatal depression — DRCOG MCQ

A 32-year-old woman attends her 6-week postnatal check with low mood, anhedonia and guilt most days for 4 weeks. She denies thoughts of self-harm or harm to the baby. She is breastfeeding and wants treatment. What is the most appropriate management?