A 37 year old woman who delivered 3 days ago is now...

A 37 year old woman who delivered 3 days ago is now concerned about her mood. She has trouble sleeping and feels generally anxious and tearful. She is unable to explain why she is crying all the time. She has no history of mental health disorders in the past. What is the SINGLE most appropriate management?

A 27-year-old woman presents with depression, insomnia, increased facial fullness, and a recent increase in facial hair. She also had an episode of depression and acute psychosis following uncomplicated delivery of a normal baby boy 9 months previously. Her menses have been irregular since their resumption after the birth (she is not breastfeeding). What is your provisional diagnosis and explain why? What tests would you order to confirm your provisional diagnosis? What test results would you expect if the disorder was primary? What test results would you expect if the disorder was secondary? What test results would you expect if the disorder was tertiary? What follow-up tests would you order?

Shu N.

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