| 1. The following 5 or more symptoms appear within 4 weeks postpartum, and must include (1) and (2) |
| (1) Depressed mood |
| (2) Markedly diminished interest or pleasure in all or almost all activities |
| (3) Significant weight loss or gain |
| (4) Insomnia or hypersomnia |
| (5) Psychomotor agitation or retardation |
| (6) Fatigue or loss of energy |
| (7) Feelings of worthlessness or excessive guilt |
| (8) Diminished ability to think or concentrate |
| (9) Recurrent thoughts of death |
| 2. Onset within 4 weeks postpartum |
Explanation
Many indicators in this diagnostic standard are subjective, which may affect accurate diagnosis.
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