A 32-year-old woman 6 days postpartum is brought into the emergency room by her husband. She denies there is any problem, but he states that his wife has never acted like this, although her history is significant for a severe depression in her teenage years. He notes his wife has not been sleeping for the past several days, even while the newborn is. She has been notably irritable, and has been pacing in the middle of the night and weeping, while talking to no one in particular. Yesterday she began to ignore the infant, but today she volunteer that their child "is the Antichrist and must be destroyed." She admits to you that she wants to smother the infant in a humane way to prevent the apocalypse. Which of the following diagnoses should you most suspect? A. Bipolar disorder B. Delusional disorder C. Major depressive disorder (MDD) with psychotic features D. Schizoaffective disorder E. Schizophrenia - Jeff
Posted on: Wed, 26 Jun 2013 09:58:51 +0000
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