A 25-Year-Old Woman, G2P2, Presented to the Office 8-Week Postpartum

A 25-year-old woman, G2P2, presented to the office 8-week postpartum for a regular postpartum checkup. The patient complains of fatigue and decreased energy for the last weeks. She has decreased appetite. The baby is healthy and in a good state, but the mother keeps saying that she is a bad mother for her child. The husband reports that she is always crying in the house. Physical examination is normal. The patient has no suicidal ideation or thoughts of harming the baby. Which of the following is the most likely diagnosis?

A) Acute stress disorder
B) Adjustment disorder
C) Generalized anxiety disorder
D) Normal postpartum reaction
E) Postpartum depression