<prompt> A post-natal mother who delivered 2 days back presents with increased tearfulness and sleeplessness. No features of anhedonia, suicidal thoughts or lack of interest present. Most probable diagnosis:ManiaPeripartum psychosisPostpartum bluesPostpartum depression  <response>: C i.e. Postpartum bluesRef: Kaplan and Saddocks Synopsis of Psychiatry, 11th edition and Short Textbook of Psychiatry, 7th editionExplanation:Psychological disturbances unique for women are:Related to mensesPremenstrual dysphoric disorder,Postmenopausal syndrome.Related to pregnancyAnxiety.Depression.Related to deliveryPostpartum blues,Postpartum depression,Postpartum psychosis.The above question deals with postpartum psychological problems.Postpartum bluesMild form.Characterized by occasional sadnesstearfulness.No other significant moodpsychoticbehavioral symptoms present.No significant disturbance in sleep, appetite, activities of daily living.Treatment is psychotherapy reassurance and monitoring for symptoms.Postpartum depressionModerate form.Characterized by:Sadness, loss of interest in previous pleasurable activities anhedonia.Easy fatigability, feeling of worthlesshopelesshelplessguilt.Suicidal ideasattempt, decreased appetite and sleep.Depending on the severity, psychotherapy, pharmacotherapy, ECT, may be needed.Postpartum psychosisSevere form.Characterized by psychotic symptoms hallucination, delusion, and disorganized speechbehaviour.This condition needs treatment as inpatient basis with pharmacotherapy - ECT.DDs for postpartum psychosis: Delirium mostly related to events like eclampsia, hemorrhage, thrombosis, especially cortical vein thrombosis and Sheehan syndrome-postpartum pituitary gland necrosis. 