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Postpartum obsessive-compulsive symptoms — USMLE Step 3 MCQ

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ModeratePsychiatryPostpartum obsessive-compulsive symptomsUSMLE Step 3

A 35-year-old woman has recurrent intrusive thoughts that she will contaminate her infant and spends 3 hours daily washing bottles. She recognizes the thoughts are excessive and feels distressed. She has no hallucinations or intent to harm the infant. Which of the following is the most appropriate next step in management?

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Correct answer: B — Exposure and response prevention therapy with an SSRI if needed

Obsessive-compulsive disorder involves intrusive ego-dystonic obsessions and compulsions. Exposure and response prevention is first-line; SSRIs are also effective and can be combined based on severity.

Reference: American Psychiatric Association OCD treatment guidance