A 27-year-old female, 2 months postpartum, reports insomnia, irritability, and feeling overwhelmed. What condition should you suspect?

The symptoms presented by the 27-year-old female—insomnia, irritability, and feelings of being overwhelmed—are indicative of postpartum depression. This condition can occur in women after giving birth and is characterized by a range of emotional disturbances, including sadness, anxiety, and changes in sleep and appetite. The timing of the onset, 2 months postpartum, aligns closely with when postpartum depression typically manifests, as symptoms can begin between the first few weeks and up to a year after childbirth.

Postpartum depression can significantly impact a mother's ability to care for herself and her newborn. Identifying these symptoms is crucial in providing appropriate support and treatment. In contrast to postpartum psychosis, which involves more severe symptoms such as hallucinations or delusions, postpartum depression reflects a more common prevalence and typically a less acute presentation.

Other options such as pregnancy-related anxiety primarily occur during pregnancy rather than postpartum, and preeclampsia is a condition related to pregnancy characterized by high blood pressure and can lead to serious complications but does not present with the emotional symptoms described. Therefore, the symptoms of insomnia, irritability, and feeling overwhelmed strongly point towards postpartum depression in this scenario.