Question

A 37-year-old multiparous woman presents 2 weeks postpartum with persistent low mood, tearfulness, insomnia and feelings of inadequacy caring for her baby. She denies suicidal ideation or psychotic symptoms. According to Canadian perinatal mental health guidance, what is the most appropriate initial management?

Accepted Answer

Provide psychoeducation, screen with a validated tool such as the EPDS, and offer supportive psychotherapy and, if moderate-severe, consider SSRI compatible with breastfeeding.

Answer

Reassure her that this is normal "baby blues" and requires no follow-up.

Answer

Arrange urgent involuntary admission to psychiatry.

Answer

Advise immediate cessation of breastfeeding and start benzodiazepines.

Answer

Start mood stabilisers immediately for presumed bipolar disorder.

Practice question