A 29-year-old presents 6 weeks postpartum with persistent sa…

A 29-year-old presents 6 weeks postpartum with persistent sadness, tearfulness, and difficulty bonding with her infant. She reports feeling overwhelmed, has stopped engaging with family, and is sleeping poorly even when the baby sleeps. Her partner reports she has withdrawn from usual activities. She denies suicidal ideation or psychosis. What is the best next step?

A 36-year-old presents with depression affecting work perfor…

A 36-year-old presents with depression affecting work performance and energy level. He reports a history of bulimia nervosa but no current purging behaviors. He is interested in starting bupropion (Wellbutrin) due to concerns about weight gain. What is the best next step?