Postnatal depression — DRCOG MCQ

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HardPostnatalPostnatal depressionDRCOG

Eight weeks postpartum, a woman has low mood, anhedonia, poor sleep and guilt without psychosis. What is the most appropriate management?

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Correct answer: B — Assess risk and offer therapy or SSRI

Postnatal depression requires risk assessment and a treatment plan matched to severity, preference and breastfeeding considerations. Psychological therapy and an SSRI may be appropriate; urgent escalation is needed if there is psychosis or high risk.

Reference: NICE CG192: Antenatal and postnatal mental health: https://www.nice.org.uk/guidance/cg192/chapter/recommendations