Case presentation   A 26-year-old woman complained of being constantly tearful for no clear reason that she could identify. She feels she should be on top of the world, given she has just had her first baby. She reports that her recent pregnancy and birth were without complications, and she had been looking forward to the baby's arrival. She is married and has good family support. The baby is fine, although feeding has been challenging to establish. Mental state examination The woman looks red-faced and tired.

She makes good eye contact. She is tearful. She says that her thoughts tend to focus on worrying about the future and the baby, but that she can also laugh and enjoy herself when she sees people she is close to. She can smile at the interview. She has no hallucinations, delusions, or thoughts of harming herself or the baby. She believes her symptoms are present because she is…