4th May 2024

A 28-year-old woman attends the GP surgery six months postpartum. She reports persistent low mood, lack of interest in activities she previously enjoyed, and difficulty sleeping.

A 28-year-old woman attends the GP surgery six months postpartum. She reports persistent low mood, lack of interest in activities she previously enjoyed, and difficulty sleeping. She expresses concern about her inability to bond with her baby and feels overwhelmed and irritable most of the time. She is currently breastfeeding and is anxious about the effects of medications on her baby.

What is the most appropriate initial management?