A 26-year-old woman comes to the office due to insomnia and fatigue. She is accompanied by her husband, who is concerned that his wife is exhausted and seems overwhelmed by the responsibilities of being a new mother. The patient had an uncomplicated vaginal delivery and took an extended maternity leave to care for their daughter, who is now 3 months old. The patient feels very tired because she awakens early at 4:00 AM and is unable to return to sleep. She frequently lies awake in bed and worries that she is a bad mother. During the day she has little energy and forces herself to take showers and care for the baby. Physical examination is unremarkable. The patient appears sad but says, "I'm sure I would feel better if I could just get some rest." Which of the following is the most appropriate next step in management of this patient?

Question

A 26-year-old woman comes to the office due to insomnia and fatigue.  She is accompanied by her husband, who is concerned that his wife is exhausted and seems overwhelmed by the responsibilities of being a new mother.  The patient had an uncomplicated vaginal delivery and took an extended maternity leave to care for their daughter, who is now 3 months old.  The patient feels very tired because she awakens early at 4:00 AM and is unable to return to sleep.  She frequently lies awake in bed and worries that she is a bad mother.  During the day she has little energy and forces herself to take showers and care for the baby.  Physical examination is unremarkable.  The patient appears sad but says, "I'm sure I would feel better if I could just get some rest."  Which of the following is the most appropriate next step in management of this patient?

Quizplus · Accepted Answer

The Answer of A 26-year-old woman comes to the office due to insomnia and fatigue.  She is accompanied by her husband, who is concerned that his wife is exhausted and seems overwhelmed by the responsibilities of being a new mother.  The patient had an uncomplicated vaginal delivery and took an extended maternity leave to care for their daughter, who is now 3 months old.  The patient feels very tired because she awakens early at 4:00 AM and is unable to return to sleep.  She frequently lies awake in bed and worries that she is a bad mother.  During the day she has little energy and forces herself to take showers and care for the baby.  Physical examination is unremarkable.  The patient appears sad but says, "I'm sure I would feel better if I could just get some rest."  Which of the following is the most appropriate next step in management of this patient?

A 26-Year-Old Woman Comes to the Office Due to Insomnia