According to a stepped care approach (based on the patient's Edinburgh Postnatal Depression Scale (EPDS) score), facilitated self - help with the coach or individual cognitive
behavioural therapy sessions with the clinical psychologist will be offered.135 Common elements are: (1) challenge most unhelpful negative cognitions, (2) schedule at least one pleasurable activity per day, (3) increase social contacts, (4) improve
sleep routine, (5) identify most stressful situations and apply cognitive
behavioural strategies to improve their management.135 136 Patients who require a psychiatric evaluation will be referred to a psychiatry liaison service.