American Academy of Psychoanalysis and Dynamic Psychiatry

The author presents a fictionalized case based on a real patient to encourage colleagues to pursue psychodynamic psychiatry.

Supportive psychotherapy can serve as the first bridge out of social isolation and marginalization and addresses personality issues, such as deficits in character structure and defense mechanisms.

From a psychodynamic and neurobiological perspective, the recommendation to screen all pregnant and postpartum women for depression and anxiety falls short of what is actually needed to improve the lives of many mothers and their infants and children.