A 33-year-old woman, gravida 2 para 2, presents to the family medicine clinic 4 weeks after an uncomplicated vaginal delivery. She says she has never enjoyed breastfeeding because of nipple pain and a poor latch, and she feels guilty and like a failure as a mother. She reports low mood, loss of interest, poor appetite and early-morning waking even when the infant sleeps, for the past 3 weeks. She denies thoughts of harming herself or the infant and has no hallucinations or periods of elevated mood. The infant is gaining weight appropriately. She takes no medications and has no allergies. Edinburgh Postnatal Depression Scale score is 15 (positive screen). Hemoglobin 121 g/L (115-155); TSH 2.1 mIU/L (0.4-4.0). Examination is unremarkable.
| Heart rate | 78/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 118/72 mm Hg |
Question 1 of 45
Which of the following are the most appropriate initial non-pharmacological recommendations at this visit?
Select 2. (0 / 2 selected)
Tip: right-click an answer (or press and hold on a phone) to strike it out. Drag over the question text to highlight it.