A 3-month postpartum woman presents with low mood, tearfulness, poor sleep and anhedonia for 5 weeks, with difficulty bonding with her baby but no sui...

Question

A 3-month postpartum woman presents with low mood, tearfulness, poor sleep and anhedonia for 5 weeks, with difficulty bonding with her baby but no suicidal ideation. What is the most appropriate initial management?

Accepted Answer

Assess severity and offer evidence-based psychotherapy and/or SSRI with close follow-up

Answer

Reassure that this is normal baby blues and will resolve

Answer

Start antipsychotic medication

Answer

Recommend immediate weaning from breastfeeding

Answer

Admit involuntarily under mental health legislation

ca-mccqe1 MCQ (SBA): Postpartum depression

A 3-month postpartum woman presents with low mood, tearfulness, poor sleep and anhedonia for 5 weeks, with difficulty bonding with her baby but no suicidal ideation. What is the most appropriate initial management?