Symptom Media

Major Depressive Disorder with Peripartum Onset

This training title highlights the major symptoms of Major Depressive Disorder with Peripartum Onset. Symptoms of Major Depressive Disorder with Peripartum Onset may include: severe mood swings including depressed mood, loss of appetite with weight loss, sleep disturbance, irritability, fatigue, loss of interest in sex, lack of joy in life, feelings of shame, guilt or inadequacy, difficulty bonding with the baby, withdrawal from family and friends, and thoughts of harming one’s self or the baby.

The patient in this episode demonstrates many of the classical symptoms of Major Depressive Disorder with Peripartum Onset.

Depressed mood:
Mrs. Tillman reports that she feels stuck at home with her baby.  She cannot afford a nanny so she does not get out of the house often. She reports no social life and that she has not seen her friends for a long time, only getting to interact with her baby.  She reports that she feels overwhelmed and thus quit her job. She reports that she is hopeless and can see no end to her depressing situation. We are also able to observe a very depressed affect.

Loss of interest in sex and pleasure:
Mrs. Tillman reports she is not sexually active and has no sexual desire, feeling she is failing as a wife. She reports that nothing brings her pleasure.

Sleep disturbance:
Mrs. Tillman reports that she cannot sleep even though she says that she expected not to be able to sleep with a newborn baby.  She reports she has a difficult time falling asleep especially after she hears the baby cry.

Loss of appetite and weight loss:
Mrs. Tillman reports that her appetite is poor but also reports that she planned to lose weight.  She reports that she has a poor self image, saying that she feels that she looks terrible, bloated, and disgusting.  She reports she would like to exercise by running but reports she is unable to get outside often due to her having to stay home with the baby.

Mrs. Tillman reports that at home she becomes irritable. She reports that she often yells at her husband, saying that many of his behaviors irritate her, such as when her husband throws diapers in the wrong trashcan. We are also able to observe moments of irritability during the interview.

Feelings of worthlessness and inappropriate guilt:
Mrs. Tillman reports that she cannot talk to husband about her feelings of worthlessness and guilt because this would cause her husband to become more disappointed in her.  She reports that she feels like all problems are her fault and that this leads to incessant crying.  She reports that she feels guilt because every time she looks at her husband, she believes he thinks she must be abnormal.

Diminished concentration and indecisiveness:
Mrs. Tillman reports that she has poor concentration as evidenced by her trying to write, but adding that: “nothing moves me.  I have no inspiration,” blaming this on the thought that she knows she will be interrupted by the baby.

Frequent thoughts of death or suicide:
Mrs. Tillman reports that she has thoughts of suicide and death although she has not acted upon these thoughts.  She reports that the only reason she has not taken action is that she does not wish to distress her husband and baby.

All segments are portrayals by actors. The training titles DO NOT include actual patients.

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