A 32-year-old woman is seen 4 weeks after delivery with persistent sadness, poor sleep unrelated to infant care, guilt, and low appetite. She denies

Question

A 32-year-old woman is seen 4 weeks after delivery with persistent sadness, poor sleep unrelated to infant care, guilt, and low appetite. She denies thoughts of harming herself or the infant and is breastfeeding. Which of the following is the most appropriate next step in management?

Accepted Answer

Start psychotherapy and consider an SSRI compatible with breastfeeding

Answer

Reassure that treatment is not needed postpartum

Answer

Separate the mother and infant immediately

Answer

Delay care until 1 year postpartum

Answer

Start lithium without assessing bipolar symptoms

Postpartum depression — USMLE Step 3 MCQ

A 32-year-old woman is seen 4 weeks after delivery with persistent sadness, poor sleep unrelated to infant care, guilt, and low appetite. She denies thoughts of harming herself or the infant and is breastfeeding. Which of the following is the most appropriate next step in management?