Frequent Crying Spells in Medicine / Internal Medicine — 30yo Woman | Psychiatry | SMLE Q#1431

SMLE Question #1431

Medicine / Internal Medicine Psychiatry
Last updated: February 2026
A 30-year-old woman, 7 days after a vaginal delivery, presents with frequent crying spells and marked emotional lability. She reports reduced appetite and mild self-neglect but denies suicidal thoughts, hopelessness, or inability to care for her newborn. Sleep is fragmented due to nighttime feeds. She reports normal bonding with the baby and no hallucinations or delusions. What is the most likely diagnosis?

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