Zoe, aged twenty-two, gave birth to her first child, Alexa, four days ago. Zoe's initial complaints included insomnia, restlessness, and emotional labiality which progressed to confusion, irritability, delusions, and thoughts of wanting to kill her baby. Which diagnosis would you consider first?

Question

Quizplus · Accepted Answer

Zoe's symptoms are consistent with brief psychotic disorder with post-partum onset, which is a well known and documented disorder. This disorder usually occurs within the first two weeks after delivery and is characterized by symptoms such as delusions, hallucinations, confusion and disorganized behavior. Thoughts of harming the infant are especially concerning and warrant immediate intervention. The other options are less likely to be the explanation for Zoe's symptoms.

Zoe, Aged Twenty-Two, Gave Birth to Her First Child, Alexa