Q:

A 34 year old woman presents 3 weeks after childbirth. She has had very low mood and has been suffering from lack of sleep. She also has thought of harming her little baby. What is the most appropriate management for this patient?

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A 34 year old woman presents 3 weeks after childbirth. She has had very low mood and has been suffering from lack of sleep. She also has thought of harming her little baby. What is the most appropriate management for this patient?


  1. ECT
  2. CBT
  3. IV haloperidol
  4. Paroxetine
  5. Amitryptiline

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The key is A. ECT. This is wrong key! Correct key is B. CBT. [Diagnosis is postpartum depression.

Intrusive thought of harming baby is a feature of postpartum depression. According to NHS CBT should

be tried first. Antidepressant if CBT does not work or patient does not want CBT. If severe depression

and all other fail ECT is considered].

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