A 28-Year-Old Woman, Gravida 1 Para 1, Comes to the Office

A 28-year-old woman, gravida 1 para 1, comes to the office for a 6-week postpartum checkup following an uncomplicated delivery.  The patient reports feeling increasingly fatigued and having little energy for the past few weeks.  She feels very anxious about being a new mother and has been getting up multiple times at night to check on the baby when he is sleeping.  She tends to skip meals and says, "I don't have time to sit and eat-I can't even find the time to shower."  Although the baby is healthy and doing well, the patient berates herself for being a "terrible mother."  She becomes tearful during the interview and says, "I don't know why I keep crying when I should be so happy."  Physical examination is normal.  The patient has no suicidal ideation or thoughts of harming the baby.  Which of the following is the most likely diagnosis?

A) Acute stress disorder
B) Adjustment disorder
C) Generalized anxiety disorder
D) Normal postpartum reaction
E) Postpartum depression

Correct Answer:

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