A Patient Says That She Has Been Becoming Increasingly Depressed

A patient says that she has been becoming increasingly depressed following the birth of her first child 4 months ago. She had an episode of depression in her 20s but recovered. Now, she is becoming more despondent, crying, and sleeping a lot. She fears that she may hurt the baby if she does not get treatment. A possible diagnosis is

A) Major depressive disorder with melancholic features
B) Major depressive disorder with psychotic features
C) Dysthymia with superimposed major depression (double depression)
D) Major depressive disorder with postpartum onset

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