3 Weeks Of Low in Medicine / Internal Medicine — 28yo Woman | Psychiatry | SMLE Q#1428
SMLE Question #1428
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 28-year-old woman presents 4 weeks after an uncomplicated vaginal delivery with 3 weeks of low mood, loss of interest, guilt, tearfulness, insomnia despite opportunity to sleep, poor appetite, and reduced ability to care for her infant. She denies suicidal ideation or thoughts of harming the baby. Mental status examination shows depressed affect and psychomotor slowing without hallucinations or delusions. She has started structured psychotherapy. What is the most appropriate next step in management?
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