Protecting Baby in Medicine / Internal Medicine — 28yo Woman | Psychiatry | SMLE Q#1445
SMLE Question #1445
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 28-year-old woman, 3 months after an uncomplicated vaginal delivery, has had 2 weeks of seeing large snails in the baby’s crib at night and believing they will harm the infant. She has severe insomnia, feels overwhelmed, and sometimes hears whispering voices when alone. She has no prior psychiatric history and denies substance use. Mental status examination shows anxiety, disorganized thought process, preoccupation with protecting the baby, and poor insight. Which diagnosis best describes this presentation?
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