Discuss what questions you would ask this OB/GYN patient; what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals and other team members needed to complete patient care.

Discuss what questions you would ask this OB/GYN patient; what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals and other team members needed to complete patient care.

Suzanne, a 25-year-old G1 P1 patient arrives with her husband for her office visit. She states that she delivered her daughter 3 months ago and since then she, the patient, cries all day, cannot sleep, and has no energy. Her husband has taken over most of the care of the baby, but he must return to work. She stopped nursing. Her physical exam is negative.

(Hint: Working Diagnosis-Postpartum Depression
Differential Diagnosis: Postpartum Hormonal Imbalance)

What is your plan of care for this patient?
What treatments, referrals, consults, and patient education will you provide?
Provide evidence from the research to support your decision-making.