Patient presents with symptoms consistent with a diagnosis of Postnatal Depression (PPD), also known as postpartum depression.  Onset of symptoms occurred approximately [number] weeks postpartum.  Patient reports experiencing persistent sadness, low mood, and tearfulness.  She endorses feelings of anxiety, irritability, and difficulty concentrating.  Symptoms include anhedonia, decreased energy levels, and changes in sleep patterns, specifically [describe sleep pattern changes, e.g., insomnia or hypersomnia].  Appetite changes are also noted, with the patient reporting [increased/decreased/no change] in appetite.  Patient denies suicidal ideation but reports feelings of hopelessness and inadequacy in her role as a mother.  Differential diagnoses considered include postpartum blues, adjustment disorder with depressed mood, and hypothyroidism.  Edinburgh Postnatal Depression Scale (EPDS) score of [score] supports the diagnosis of postnatal depression.  Assessment includes review of medical history, psychosocial stressors, and current medication list.  No current contraindications to treatment were identified.  Patient education provided on the nature of postpartum depression, treatment options, and available support resources.  Plan of care includes initiation of [medication name and dosage if applicable] along with referral for psychotherapy, specifically cognitive behavioral therapy (CBT) andor interpersonal therapy (IPT).  Follow-up appointment scheduled in [timeframe] to monitor symptom improvement, medication efficacy andor adverse effects, and overall treatment response.  Patient provided with emergency contact information and instructions to contact the clinic if symptoms worsen.  ICD-10 code F32.0 (Major depressive disorder, single episode, postpartum onset) assigned.  CPT codes for todays visit include [list applicable CPT codes, e.g., 99214 for an established patient office visit, level 4].  Prognosis is generally favorable with appropriate treatment and support.