A 42-year-old woman, gravida 1 para 1, comes to the office for evaluation of insomnia following the birth of her son 5 weeks ago. The patient says she wakes up each night to breastfeed him but is unable to go back to sleep. She stays up most of the night thinking, "Why did I have a child so late in life? I'm already failing as a mother." The patient has a decreased appetite and no interest in seeing friends or family members other than her mother. She has no medical history and the delivery was uncomplicated. Physical examination shows no abnormalities. On mental status examination, the patient appears restless and is tearful. Which of the following is the most likely diagnosis?
A)Adjustment disorder
B)Anxiety due to a general medical condition
C)Generalized anxiety disorder
D)Major depressive episode
E)Postpartum blues

Question

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The Answer of A 42-year-old woman, gravida 1 para 1, comes to the office for evaluation of insomnia following the birth of her son 5 weeks ago.  The patient says she wakes up each night to breastfeed him but is unable to go back to sleep.  She stays up most of the night thinking, "Why did I have a child so late in life? I'm already failing as a mother."  The patient has a decreased appetite and no interest in seeing friends or family members other than her mother.  She has no medical history and the delivery was uncomplicated.  Physical examination shows no abnormalities.  On mental status examination, the patient appears restless and is tearful.  Which of the following is the most likely diagnosis?

A 42-Year-Old Woman, Gravida 1 Para 1, Comes to the Office